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Dr. Arun Kumar.m.s.

BAMS

General Physician, Bangalore

16 Years Experience  ·  50 at clinic
Dr. Arun Kumar.m.s. BAMS General Physician, Bangalore
16 Years Experience  ·  50 at clinic
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Arun Kumar.m.s.
Dr. Arun Kumar.m.s. is a popular General Physician in Peenya, Bangalore. He has been a practicing General Physician for 16 years. He is a qualified BAMS . He is currently associated with Sri Manjunatha Clinic in Peenya, Bangalore. You can book an instant appointment online with Dr. Arun Kumar.m.s. on Lybrate.com.

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Education
BAMS - GAMC Bangalore, - 2001
Languages spoken
English

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Sri Manjunatha Clinic

#7, Peenya 2nd stage. Landmark: Near Rajagopalanagar main roadBangalore Get Directions
50 at clinic
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Gastric Cancer - In a Nutshell!

Post Doctoral Research (Ph.D.) (A.M) (Oncology), Integrative Oncology for Physicians (MSKCC, N.Y, USA), Doctor of Natural Medicine (N.D/ N.M.D), Ayurveda (I) Cert., Advanced Strategic Management (APSM), B.E (Computer Sc. & Engg.), Clinically Relevant Herb-Drug Interactions (CME) - (Cine-Med Inc. USA)
Alternative Medicine Specialist, Bhubaneswar
Gastric Cancer - In a Nutshell!

Gastric (stomach) cancer occurs when malignant cells form in the lining of the stomach. By far, it is known to be the second most common cause of cancer-related deaths not only in Asia but also worldwide. Though it can affect both male and female populace, it is seen more commonly in men and in people aged 50 years or older.

  1. Type: Gastric cancers can present as one of the following types - 

    1. Adenocarcinoma: Begins in the glandular cells lining the inside of the stomach. This forms a majority of the stomach cancers.
    2. Lymphoma: Begins in immune system cells present in the walls of the stomach. Occurrence of lymphoma, in the stomach, is rare.
    3. Carcinoid Tumor: Begins in hormone producing cells of the stomach.  Occurrence of carcinoid cancer, in the stomach, is rare.
    4. Gastrointestinal Stromal Tumor (GIST): begins in nervous system cells of the stomach. Occurrence of GIST, in the stomach, is rare.
  2. Gender: It affects both male and female populace.

  3. Etiology: The factors that are associated with increased risk of gastric cancer include the following mostly –

    • ‘Helicobacter Pylori’ bacterial infection in the stomach is a common cause of gastric cancer of both the intestinal (expanding) & diffuse (infiltrative) type. Furthermore, studies indicate that high salt intake is synergistic with H. Pylori infection in the manner that it is likely to increase the risk of gastric cancer that is induced by H. Pylori bacteria.
    • Smoking, consuming alcohol, red meat, salty/ smoked/ processed foods, low intake of fruits and vegetables, diets rich in nitroso compounds, eating foods contaminated with aflatoxin fungus etc all.
    • Atrophic gastritis characterized by chronic stomach inflammation is known to increase the risk multi-fold. Chronic gastric inflammation can lead to atrophy of the gastric mucosa, metaplasia, dysplasia and finally carcinoma.
    • History of pernicious anaemia, gastric ulcers, adenomatous gastric polyp etc all.
    • Family history of gastric cancer. Several familial syndromes that have been associated with a pre-disposition to gastric cancer include familial adenomatous polyposis, Lynch syndrome, Peutz-Jeghers syndrome and e-cadherin mutation (diffuse type)
    • Blood group A, Obesity etc all are known to be associated with diffuse or cardia gastric cancer.
    • Low socioeconomic status - persistent lifestyle issues/ irregularities including high stress coupled with an improper diet/ dietary pattern.
    • Epidemiological evidence is indicative of a risk or pre-disposition to gastric/ stomach cancer for people suffering from diabetes mellitus (DM).
    • Very high dose ionizing radiation exposure is an uncommon risk for gastric cancer.
  4. Features: There are often no early stage symptoms. Early stage symptoms, if any, are non-specific and are likely to be ignored, thus delaying the diagnosis most often. Hence, gastric/ stomach cancer is often detected at an advanced stage where the disease is either locally advanced or metastatic. The various presentations (of signs & symptoms), by stage (early or advanced), of gastric cancer are as enumerated below:

    1. Early Stage – can present with one or more of the following non-specific symptoms/ signs -

      • Dyspepsia (Indigestion),
      • Stomach/ Epigastric discomfort,
      • Bloated feeling after eating,
      • Mild Nausea/ Vomiting,
      • Blood in Vomit (Haematemesis),
      • Heartburn,
      • weight loss (Cachexia)
      • Anaemia,
      • Occult blood in stool/ Melaena,
    2. Advanced Stage – presents with one or more of the following symptoms/ signs -
      • GI Bleeding with black tarry stools (Melaena),
      • Persistent Nausea/ Vomiting,
      • Blood in Vomit (Haematemesis),
      • Early Satiety,
      • Anaemia,
      • Loss of Appetite (Anorexia),
      • Weight loss (Cachexia),
      • Persistent pain in the abdomen,
      • Fluid build-up in the peritoneal cavity (Ascites),
      • Edema of the lower extremities,
      • Liver Enlargement (Hepatomegaly)/ Jaundice,
      • Difficulty swallowing food (Dysphagia)
  5. Screening: Is generally recommended for asymptomatic populations in high incidence areas or as surveillance for high risk individuals. The goal of screening, as usual, is to be able to detect & diagnose gastric cancer at an early stage which is potentially curable. It is mostly endoscopic/ radiologic.
  6. Diagnosis: Following are the diagnostics employed in gastic cancer -​

    • Physical Examination: May be remarkable for palpable abdominal mass, weight loss (cachexia), abdominal distension, ascites, hepatomegaly, lower extremities edema and lymphadenopathy for gastric cancers in the advanced stage. For early gastric cancers, however, physical examination is largely uninformative.
    • Blood: Hb- may be low, ESR – raised, tumor markers CEA & CA-19-9 could be raised sometimes in adenocarcinoma but are not frequently elevated. Abnormal blood test results may be indicative of malignancy, but a follow-up gastroscopy/ biopsy is always the gold standard for accurate diagnosis.
    • Stool: Occult blood may be +ve
    • Barium Meal X-Ray: Could show a filling defect at the site of the carcinoma/ cancer growth.
    • Gastroscopy/ Biopsy: Clinches the diagnosis.
    • Endoscopic Ultrasound: Maximizes tumor staging as it helps determine the depth of invasion of the tumor.
    • CT Scan: Of chest, abdomen & pelvis helps detect metastatic disease, if any, and also helps stage the disease (TNM) appropriately.
    • Bone Scan: Helps detect osseous metastasis (bone mets), if any.
  7. Treatment: Conventional treatment includes surgery, chemotherapy and radiotherapy as contextually appropriate. Surgery (i.e. gastrectomy either sub-total or total), with an adjuvant chemotherapy and/ or radiotherapy as contextually relevant, is the only treatment that is known to cure the disease in light of the prognostic indicators as briefly enumerated in the section below. Chemptherapy and/ or radiation alone cannot be curative. Mostly, it can improve symptoms, and may prolong survival. Simultaneously, an adjunctive or integrative naturopathic treatment with suitable complementary & alternative medicines (CAM) too can help improve clinical outcomes and facilitate recovery as feasible contextually.
  8. Prognosis: For gastric cancer is variable. Preventive measures, earlier diagnosis and right early treatment is key for an effective therapeutic management & better prognosis. Like most other cancers, the chances of cure for an early stage gastric cancer are more. The cure/ recovery chances are influenced by the grade, stage of cancer, recurrence and the patient’s general health & vitality etc all. Distal tumors are known to be cured more often than the proximal ones. Again, intestinal-type gastric cancers are known to have a better treatment outlook in comparison to the diffuse-type gastric cancers.

  9. Prevention: Rightly said, prevention is always a better choice. Although genetic risks are difficult to modify, still an adherence to a relative Mediterranean diet, maintaining an ideal body weight and an active lifestyle with due emphasis on regular exercising, de-stressing and relaxation is highly recommended for reducing the risks of many cancers including gastric cancer. A healthy eating plate comprises essentially a low fat diet, fibre rich foods including whole grain cereals, green leafy vegetables cooked using healthy vegetable oils, fresh fruits of all colours as seasonally available and healthy proteins/ fats including fresh fish, poultry, beans, nuts etc all. The consumption of alcohol, if any, has to be strictly in moderation, and is best avoided in a high risk scenario. Smoking is to be avoided too. Again, red meat, butter, refined grains, sweets, sugary drinks including carbonated beverages and other high calorie foods etc all, if any, are to be taken sparingly. Not only it is important to eat healthy, but also it is equally important to eat properly. Insufficient chewing, eating until full, eating meals within a short time etc all are best avoided so as to ease off digestive burden on the stomach/ other organs in the GI tract. Last but not the least, consumption of clean and filtered water, natural probiotics like freshly prepared yogurt/ butter milk, maintenance of cleanliness & hygiene including oral hygiene etc. all can help guard against H. Pylori infections. Breastfeeding is known to be protective against H. Pylori infections too.

3139 people found this helpful

Hi I had sex with my wife as of now we are not planning to have baby. But now my wife has not passed her periods for this month. So suggest me. Is their any way to overcome this problem.

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
First of all you need to confirm whether your wife is pregnant or not. Do a simple urine pregnancy test. If its positive, then there is more than 95% chance that she may be pregnant. In that case visit a gynecologist to decide the right medicine to terminate the unwanted pregnancy. If the pregnancy test is negative, you need not worry. Just wait another week or so for periods to begin.
4 people found this helpful
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I could not able to do long time sex due to sperm out very quickly happening during sex time hi. Kindly help me in this problem and suggest any tablets to relieve this problem.

MBBS
General Physician, Chandigarh
This can happen because of stress strain or over anxiety please relax completely when you are having sex too much pressure about performance can hamper it further.
7 people found this helpful
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I am 20 years old. I am male. I read in b. A 2nd year. Now few day's latter my exam will be started. So I am reading very hardly. But when I close my books for sleeping my headache was started. I gave two days sariDon. But no relief. What should I do?

MSC Human Development , Hypnotherapy , Special Educator , ms- counselling and physiotherapy, Applied psychology Hons
Psychologist, Faridabad
Hello sir, firstly you should consult with eye specialist may be it occur because of over stress or pressure in eyes. And you can also do meditation and yoga under trained professional.
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I am suffering constipation and fatty lever. what to do? suggest me the medicines.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Eat green veg. More fiber foods. Avoid fatty foods,junk foos,oily meal,avoid stress,non-veg.,. drink plenty of water.take digestive meal ,salaad,green veg,whole grain foods,oats.go for wlak. You go for tests stool c/s, lft .blood sugar, Examination of the rectum and lower, or sigmoid, colon (sigmoidoscopy).Examination of the rectum and entire colon (colonoscopy). An X-ray of the rectum during defecation (defecography). Avoid smoking/alcohol if you take. You can take tab. Charcol at night. Syp. Aristozyme 10 ml thrice a day.syp. Livoluk 10 ml at night. These can help cure in constipation.
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I loose erection when start sex Or may be erection is not so tight after wearing condom but before sex I lose that erection what to do tell me about tests or anything else. I am also shy to tell doctor or friend or family. I am not married but tries sex it also erected But don't know properly erected and after few minutes I loose that also and then no erection may be erection is not so tight .thank you please help me.

BAMS, MD Ayurveda
Sexologist, Lonavala
As per your concern I would suggest you to do following remedy 1. Take ½ a bowl of chopped carrots 2. Add 1 half boiled egg 3. Add 2 tbsp of honey 4. Mix well 5. Have once everyday 6. Do this for 1 month Causes: • Old age • Injury • Stress • Addiction to nicotine • Consuming alcohol • Drug abuse • Can be a side effect of medical conditions like: o Diabetes o High cholesterol o Depression o Heart diseases o Other psychiatric diseases This remedy will be helpful.
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I am 14 years old, my sperm is low less that half teaspoon, how can I increase my sperm count?

Diploma in Naturopathy & Yogic Science (DNYS)
Ayurveda, Bangalore
Eat iron and copper content foods. Take vitamin D and A. Green vegetables and egg yolks. Alternatively you should take Ayurveda medicine after consulting us privately.
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I am around 71 years. I am diabetic. Have prostrate problems. B. P, skin itching problem. I am also having E. D. Problem for the last many years. Can you suggest some medicine for ED?

M.D. (Ayurveda )
Ayurveda, Patiala
Kindly take Ural BPh capsule, 1 cap, twice a day after meals, twice a day. Take punarnava ark, 20 ml, twice a day empty stomach. Keep a check on your blood glucose levels also. Continue the regime for 2 months. Good luck
2 people found this helpful

Hi im 24 years Male, While having sex my First sperm come out very early its come in just within 2 or 3 minute and second time sperm took 10 minute? Is it any sexual problem or its normal? And every time having sex sperm out two time I can not go for more then this. Is 2 time is good enough?

BHMS
Homeopath, Secunderabad
It's normal. Keep yourself healthy and fit by maintaining good hydration and nutrition. Avoid alcohol and tobacco. Exercise everyday so that the body remains strong and healthy. Sex is a very normal and natural phenomenon and does not need anything special to be done. Go for a routine medical check up every year to ensure that your are fit and healthy.
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I suffering for dry and cold cough from from ten years please sussition this problem?

MD(EH)/AM/Accupressure
Acupressurist, Chandigarh
You should take bryonia and belladona 30 two drops each medicine mixed in water four times a day for two day. Drink boiled water two times a day and drink turmeric milk boiled with sufpgar and ghee daily at night for three days.
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In the night time I can not sleep properly and I cannot sleep time to time please give me suggestions.

M.D. - Ayurveda, B.A.M.S (Bachelor of Ayurvedic Medicine& Surgery), N.D.D.Y(Diploma in Naturopathy,Diploma in Yoga)
Ayurveda, Pune
Do a head massage for 20-25 min with tungadrumadi taila (ayurvedic oil) followed by a warm shower. Do this after dinner. Then drink warm milk and feet massage be done. Then go to sleep. Avoid tea/coffee after 5 pm in evening don't watch t. V, laptop, mobile phone 2 hours before sleeping time. Don't sleep in day time. Rather take a nap for 20-25 min. Do regular meditation.
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I want to know about paralysis treatment i am from baroda gujarat 37 yr old i had paralysed since last 4 year my left hand wrist joint and finger movemnent not working same problem in left leg also if you have any medicine foe that please suggest me

MBBS, DGO (cal)
General Physician,
Have you had any Cerebral Stroke before that. 4 years is long time you have elapsed. Neurologist's advice and physiotherapy is the choice. Baroda has got good neurologists there. Consult one. Don't loose heart. Your mental strength is also a factor. Have strong wish to overcome the obstacle.
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Whether there is any medical treatment for premature ejaculation? if yes. What they are?

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
The treatment options are- detection and treatment of the cause, drugs to decrease sensitivity of penis, drugs to delay ejaculation, self-control by some exercise and tips.
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From 15-20 days I m suffering from severe pain in my eyeball and in my head what to do.

MBBS, MBA (Healthcare)
General Physician, Delhi
check your BP. Check your eye sight. take crocin pain relief one sos for severe headache. take rest and good sleep. avoid stress.
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I am 25 years old. I suffering from ringworm last two month. I have already consult a doctor but no relax more. please told me any prescription.

MBBS, MBA (Healthcare)
General Physician, Delhi
use surfaz sn ointment daily in night for 4 weeks. candid powder daily after bath for one month. it will help you.
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I have problem ejaculation before one year I want help for this. Mere penis me se pani aata hai ek year se jab me apni hone wali baat karta hu tab aata hai kuch Thodi feeling aate hi thoda dhaat aa jata hai please is ko solve karne ka upay bataye sir please.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), PG Dip Panchakarma, PG Dip Ksharsutra for piles,pilonidal sinus and fistula management , Post Graduate Diploma In Hospital Administration (PGDHA), Certificate in Diabetes update
Ayurveda, Navi Mumbai
Thanks for expecting health n fittness with ayurved, you need train your self n win self on your emotional way so ayurvedic approach of diet n drinks will avail such boost.
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How to cure erectile dysfunction. My penis is getting very small. And the erection time is about 4 to 5 minutes. What to do I now.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Dear Lybrate user. Please don’t panic. You must understand ERECTILE DYSFUNCTION. There is nothing called erectile dysfunction while having masturbation. Loosing erection in the initial stages of sex or not having erection at all or having late erection or lack of sexual desire are called erectile dysfunction. Erectile dysfunction can be a sign of a physical or psychological condition. It can cause stress, relationship strain, and low self-confidence. The main symptom is a man's inability to get or keep an erection firm enough for sexual intercourse. Patients suffering from erectile dysfunction should first be evaluated for any underlying physical and psychological conditions. I suggest online counseling and sex therapy. Take care.
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In my toilet I found some ands after my urine pass is their any problems in my urine or anything else.?

MBBS
General Physician, Mumbai
We just have to rule out whether you have got diabetes so get your blood checked for HbA1c and revert back with reports
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I am diagnosed as- no. 1- Bilateraly maxillarySinusits no. 2-Bilatenl hypertophed inferior turbinates. These are the impressions in XRAY .pIease Suggest treatment..

MBBS, MS (ENT & HEAD AND NECK SURGERY), FSIB, Diploma in Allergy and Asthma
Ear-Nose-Throat (ENT) Specialist, Delhi
It is advised not to rely on x-ray reports as x-rays of paranasal sinuses are not recommended now for chronic sinusitis, what is advised is you may consult a ent specialist if you have symptoms like nasal obstruction, nasal discharge, postnasal drip, cough etc who may do a anterior rhinoscopy and nasal endoscopy (if required) and it will be managed accordingly.
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In am having fever become normal after 2 days and again get fever in some day so what should I do.

MBBS
General Physician, Cuttack
Check your blood for malaria,typhoid and dengue. Do blood test for CBC,DC, TC, widal, blood for Mp and dengue antigen test and consult doctor
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