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Dr. Azhar

MBBS

General Physician, Bangalore

150 at clinic
Dr. Azhar MBBS General Physician, Bangalore
150 at clinic
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Azhar
Dr. Azhar is a renowned General Physician in Jayanagar, Bangalore. He has done MBBS . You can consult Dr. Azhar at Medicure Hospital in Jayanagar, Bangalore. Save your time and book an appointment online with Dr. Azhar on Lybrate.com.

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Medicure Hospital

#28, 8th Main, 3rd Block East, Jayanagar. Landmark: Near Swagat Garuda Mall & Opp Taj Durbar Restaurant RoadBangalore Get Directions
150 at clinic
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Medicure Hospitals

#28, 8th Main, 3rd Block East, Jayanagar. Landmark: Near Swagat Garuda Mall & Opp Taj Durbar Restaurant Road.Bangalore Get Directions
150 at clinic
...more
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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 -‚Äč

    • 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

Evey day around evening I use to have lots of gas passed compare to normal day and every day early morning I fell bit in comfortable because of gas . Through out day other time it's OK . I was but was bit worried. Is there any stomach urcel happen? How frequently we can go for upper endoscopy? I did it 6 month back.

MBBS
General Physician, Jaipur
Evey day around evening I use to have lots of gas passed compare to normal day and every day early morning I fell bit...
The passing of gas in evening depends on your diet in day and water intake. It does not seem to be related with ulcer. Some times it may be due to amoebiasis and altered bacterial flora. I would advice to consult for anti amoebic treatment and lactobacillus after meal it will help you to relieve your symptoms.
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I recently had fever accompanied with cold. Since then I have been getting regular head aches in the afternoon or evening and my fore head becomes war. It has been about a week and a half since this is happening. I am 21 years old and my weight is 45, I am not anemic. Please tell me if this is a serious problem and what can I do about it.

MBBS, MBA (Healthcare)
General Physician, Delhi
I recently had fever accompanied with cold. Since then I have been getting regular head aches in the afternoon or eve...
Need more information . is there any vomiting sensation, is there any stress or anxiety. Take crocin pain relief sos. do deep breathing exercises. take healthy and balance diet. Have good sleep. consult again if not ok.
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Hello sir, I am 24 years old. I m suffering from fever. Which medicine I have to take?

MBBS
General Physician, Cuttack
Hello sir, I am 24 years old. I m suffering from fever. Which medicine I have to take?
Take crocin 500mg one tablet 2-3 times daily after food, drink plenty of water and take rest. If no relief do blood examination after consulting doctor.
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My friend is have been diagnosed with PCOD for past few years and want to cure it completely.

MBBS, DGO, DNB (Obstetrics and Gynecology)
Gynaecologist, Chennai
My friend is have been diagnosed with PCOD for past few years and want to cure it completely.
Hi,PCOD cannot be cured completely.But you can keep the hormonal changes due to PCO under control by way of exercise.The one and only remedy is exercise and weight control.Other medications are temporary according to the need that time like regularising the period in unmarried women,ovulation induction in married women wanting to have baby like tthat.Exercise.
2 people found this helpful
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What is the good time for sex if she has menustration just over by one day then is it safe to have a sex with partner?

Diploma in Family Medicine, Fellowship in Diabetology, Diploma in Diabetology, FCCP, MBBS
General Physician,
In a 28 day menstrual cycle the safe period is first 10 days and the last 12 days. One day more or less does not make much difference.
3 people found this helpful
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I am suffering from cold from last 7 days. What should I take as remedy. Suggest me some medicine.

MBBS, MBA (Healthcare)
General Physician, Delhi
Take sinarest one tab 2 times daily for 3 days. Honitus 2 tsf 3 times daily for 7 days. Do gargle, take steam, it will help you.
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Since last 5 weeks I am having my left leg plastered for metatarsal fracture. I am using my right leg for walking. Now my left leg becomes very thin. I have to continue with my plaster for 4 more weeks. What care shall I have to take to prevent thinning of my leg?

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Since last 5 weeks I am having my left leg plastered for metatarsal fracture. I am using my right leg for walking. No...
Hams Stretching- lie straight, take the leg up, pull the feet towards yourself, with a elastic tube or normal belt. repeat 10 times, twice a day. Quadriceps Exercises- Lie straight, make a towel role and put it under the knee, press the keen against the role, hold it for 20 secs. Repeat 20 times twice a day. This will help relieve some pain.
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I am stuff for URIC ACID. Last 3 years, Uric Acid label is 7.0. How can I control it. Sajest some medicine.

B.H.M.S
Homeopath, Patna
1. Staphasgaria 1m one drop thrice daily in a cup of water. 2 uranium nitrate 30 take one drop 8 hourly in a cup of water. 3 urtica urens q take 5 drop in a cup of water 8 hourly for one month 4 please report in 5 days.
1 person found this helpful
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Is there any way. Which help me in recovering my lost stamina. As I do masturbate a lot.

MBBS
General Physician, Cuttack
Is there any way. Which help me in recovering my lost stamina. As I do masturbate a lot.
1.Masturbation is a normal way of relieving sexual tension. 2.It is, not harmful if done in moderation, preferably 2-3 times a week. 3.Excess indulgence may cause physical problem like weakness, tiredness, loss of memory, lack of energy, lack of concentration, behavioural disorder, stress, depression, and sexual problem like erectile dysfunction, premature ejaculation, testicular pain, decrease sperm 1. Stay busy and focused by engaging in activities like playing games/sports, learning music/painting etc. 2.Find new hobby like cooking, gardening, writing, public speaking 3.Eat healthy diet 4.Volunteer your time by doing social work like tutoring needy children/ working at shelter home and rendering free service, raising money for a good cause 5.Avoid loneliness, socialise with friends/relatives 6.Stop watching porn in computer/moble 7.develop will power, determination to stop practicing 8.Don't have guilty consciousness since it is normal and a healthy way of relieving sexual tension if done in moderation (1-2 times/week) 9.Get adequate sleep (7-8 hours daily) 10. Take plenty of green leafy vegetables, fruits and have balanced diet. Avoid oily/spicy/fried/junk food. Try to have vegetarian food. Observe fasting for 1-2 days in a week 11. Avoid alcohol/smoking 12. Drink plenty of water (8-10 glass daily) 11. Go for regular aerobic exercise for one hour daily like brisk walking/jogging/running/cycling/swiing 12. Do yoga, pranayam, meditation to calm your mind, control your emotion and relieve stress 13. Consult a sex therapist/ counselor for further advice count. Etc.
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I have the problem og gerd which medicine should I take I have this for when I was child.

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
I have the problem og gerd which medicine should I take I have this for when I was child.
Hello- try these ayurvedic medicine very beneficial in gerd. 1) amlapitta mishran 2) dhatri loha 3) avipattikar churna.
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I have habit of masturbation from last 10 years due to that I have suffering lot of health problem like continues headache, muscle weakness, joint pain, hair fall .now I have stop that habit. But how can I restore my health problem. Any device.

MBBS
General Physician, Mumbai
I have habit of masturbation from last 10 years due to that I have suffering lot of health problem like continues hea...
Masterbation can not give all problem Do exersice, healthy food and do mastrrbation when sexually arouse. If loss of semen causes above symtoms then all Married people will be ill. Stop worring and concentrsye in your work and Enjoy.
1 person found this helpful
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My relatives son is suffering from severe diarrhoea for 3 days and they tried many medicines. But the disease is not getting curr. What should they do now ?

BHMS
Homeopath, Bangalore
My relatives son is suffering from severe diarrhoea for 3 days and they tried many medicines. But the disease is not ...
Homoeopathic medicine Podophyllum 200 morning n evening 4 pills 4 times 4 days n croton tiglinim 4 pills 4times 4 days n revert back,,also give more of fluids with ORS packed juice or Electral..Dont let baby get dehydrated..
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From last Friday (13.5. 16) after having lunch I have sensation of something stuck inside my lower throat, I've consulted ENT he checked and found nothing said OK but he said sometime if there inside throat small scratch would cause such type of stuck sensation so he gave me antibiotics for 5 days course I've consumed two days but no improvement please advise.

DORL, MBBS
Ear-Nose-Throat (ENT) Specialist, Faridabad
From last Friday (13.5. 16) after having lunch I have sensation of something stuck inside my lower throat, I've consu...
If this stuck sensation is there than first thing you should get thyroid testing done, and than you may need to hydrate up your body because any symptoms of throat comes with symptoms of nose also dear the symptoms you are getting are due to dryness of the mouth, this is because of lack of mucus in the mouth which is protective layer of our mouth, and is being produced in the mouth by glands which will be helped by good and healthy blood supply to the glands, blood with good blood cells will take oxygen to the gland and gland works, they require oxygen in ample of amount, so if you do not take iron diet on daily basis than this will lead to less of mucus production and hence lead to dryness and thick mucus problem, this thick mucus leads to irritation in mouth hence leads to itching in the mouth, start taking good iron diet on daily basis, and shakes, avoid salty and spicy food.
1 person found this helpful
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I could not able to sleep for long periods of time because of this I am getting severe headache. Please reply to my question.

Master in Psychology, MD - Ayurveda, Dems, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda,
I could not able to sleep for long periods of time because of this I am getting severe headache. Please reply to my q...
It all depends upon physical and mental status . So better to diagnose your problem first and then proceed for treatment. Avoid spicy oily and junk food items.Practice yoga exercises specifically meditation and relaxation exercises.
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My stomach is giving pain to me. My continent colour is dark chocolaty. I'm not feeling well. Please help.

Fellowship in Pain Management, MD, MD - Anaesthesiology , MBBS
Pain Management Specialist, Pune
My stomach is giving pain to me. My continent colour is dark chocolaty. I'm not feeling well. Please help.
This is alarming go for endoscopy study it can be a ulcer act immediately you can consult in private if required.
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Hello, I have gone through a hernia operation. What if I have still got some pain in the same region where the operation had done? Should I be concerned or should I have to consult the doctor again?

MBBS, MS - General Surgery, FIAGES(Fellowship in minimal access surgery), FMAS (Fellowship in Minimal Access Surgery)
General Surgeon, Ghaziabad
Some pain and pulling sensation may persist due to mesh placement. It ll disappear on its own gradually. Don't worry.
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Know Everything About Tooth Extraction

Certified Implantologist
Dentist, Kolkata
Know Everything About Tooth Extraction

A healthy set of teeth is essential for good living. However, teeth problems are widespread and you are susceptible to it at any age, at any time. Though there are medications available for tooth problems, sometimes extraction of the tooth remains the only plausible solution. 

You may have to undergo tooth extraction for multiple reasons. Some of them are:

  1. Unaligned teeth: In case you are suffering from unaligned teeth, chances are that you may suffer from what in technical terms is known as "crowded mouth." In such a situation you have difficulty in eating as there is not enough room for the teeth in the mouth. Extraction of tooth, in this case, is the only way to rectify it and align the teeth in a better fashion.
  2. Infection: Sometimes if you suffer from a tooth infection, it tends to quickly spread to the pulp, affecting and damaging the blood vessels and different nerves. Though medications are available, if the intensity of the infection increases, extraction of tooth remains the only option.

Procedure: There are different steps that are involved in the extraction of teeth. They are:

  1. Local anesthesia: Like all other surgeries, administering a local anesthesia is the first step. If you are undergoing a tooth extraction, the dentist or the surgeon will inject anesthesia that will create numbness and soothe you of the ensuing pain.
  2. Cutting away gum and bone tissues: After the anesthesia, the dentist will proceed to extract the infected tooth. In order to do this, the doctor cuts away the gum and the tissues covering the tooth. After the root of the infected tooth has been exposed, the dentist would then with the help of forceps, sever it from the jaw.

After the surgery, you must observe certain precautions to expedite the recovery process. Some of them are:

  1. Take painkillers: After the tooth extraction, the possibility of suffering from an ensuing pain is incredibly high. Therefore, in most cases the dentist prescribes certain painkillers and you must take them regularly.
  2. Change the dressing: The operated area will be covered with bandages to preclude any infection. However, the dressing must be changed from time to time. If the same dressing remains for a long time, chances of an infection increase.
  3. Complete rest: After the extraction, you must take complete rest and not engage in any form of physical activity.
  4. Avoid certain foods: Just after the surgery, the operated area remains tender. Therefore, you must eat food that requires less effort to chew like soup, pudding, ice cream etc. You must also abstain from smoking and drinking for some time.
3057 people found this helpful

Sir, I would like a help from you. My small daughter is 7 yrs old, she is facing listening problem. When we call her slowly, she can't listen well. So we have to speak loudly to call him. This is since last 5 months. Kindly consult me. What should I do for her

M.S(ENT),DNB,D.O.R.L, Laryngology fellow
Ear-Nose-Throat (ENT) Specialist, Mumbai
Hearing loss can be because of a number of reasons like wax, fluid collection behind the ear drum , nerve deafness etc. Get her shown to an ENT specialist as soon as possible to ascertain the cause & start the treatment.
1 person found this helpful
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