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Dr. Nanda

Oncologist, Bangalore

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Dr. Nanda Oncologist, Bangalore
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Personal Statement

I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Nanda
Dr. Nanda is one of the best Oncologists in Sarjapur, Bangalore. You can visit her at V-CARE HOSPITAL in Sarjapur, Bangalore. You can book an instant appointment online with Dr. Nanda on Lybrate.com.

Lybrate.com has a number of highly qualified Oncologists in India. You will find Oncologists with more than 37 years of experience on Lybrate.com. You can find Oncologists online in Bangalore and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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English

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V-CARE HOSPITAL

G -05 Kristal Apartments , Campus 10 Sarjapur Main road , Yemere village , SarjapurBangalore Get Directions
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Hi, What are the food to be take by breast cancer patient who is undergoing chemotherapy? Please answer my question.

MBBS, M.S. General Surgery, M.R.C.S. England, M.Ch. Surgical Oncology, DNB Surgical Oncology, FEBS Surgical Oncology, DNB General Surgery, MNAMS, FMAS, FIAGES, FAIS, FICS, FEBS Breast Surgery, FACS, Fellowship IFHNOS & MSKCC USA, Fellowship in breast and oncplastic Surgery
Oncologist, Mumbai
Eat small frequent meals and plenty of water. Taking frequent sips is better than taking large quantities at a time. This would help you to remain hydrated and maintain nutrition despite the nausea of chemotherapy. While you are having chemotherapy your taste can change. Some food may taste different, for example more salty, bitter or metallic. You may no longer enjoy some foods you used to enjoy. You may want to experiment to find tastes and textures you find most appealing at this time. Your taste should return to normal once your treatment has finished, although for some people taste changes can last after treatment. You may be able to eat normally throughout chemotherapy or your eating habits may change because of the side effects of your treatment. Some people lose weight during treatment, while others gain weight. There are different types of foods we should include in a balanced diet during chemotherapy plenty of fruit and vegetables plenty of chapatis, rice, potatoes, pasta and other starchy foods choose wholegrain bread varieties whenever you can some milk and dairy foods some lean meat, fish, eggs, beans and other non-dairy sources of protein. If vegetarian, eat pulses and dals. In addition to this, you should: avoid sugary food and drinks too often avoid eating fatty foods too often not drink too much alcohol. Eat five to six small meals or snacks each day instead of three big meals. Drink milkshakes, smoothies, juice or soup if you don't feel like eating solid food. Doing something active, if you feel able to, can help increase your appetite. For instance, you might have more of an appetite if you take a short walk before lunch. Be careful not to reduce your appetite by drinking too much liquid before or during meals. You may find you eat more because some of the drugs given during treatment stimulate your appetite. If you are worried about gaining weight: choose low-fat foods and drinks eat plenty of fresh fruit and vegetables watch out for the sugar content of some diet foods avoid sugary drinks. Chemotherapy can make your mouth sore or dry, making it uncomfortable to eat. You might find the following tips helpful if you have a sore mouth. Clean your teeth or dentures with a soft brush after eating, and gently floss. Choose soft or liquid foods such as soups, stews, smoothies and desserts. Soothe your mouth and gums with ice cubes and sugar-free lollies. Drink sugar-free fizzy drinks to freshen your mouth. Use a straw to drink. Avoid crunchy, salty, very spicy, acidic or hot food Eating and drinking less than usual, being less active and taking some medications can all lead to constipation. Consuming high-fibre foods can help if you’re constipated. These include: wholemeal bread high-fibre breakfast cereal beans and lentils fresh and dried fruit. You should also drink plenty of fluid and do some regular, gentle exercise such as walking. If you’re still having problems with constipation, ask your specialist or GP (local doctor) for a laxative. Occasionally, some chemotherapy drugs can cause diarrhoea. If this is a problem, you can try: reducing the amount of fibre you eat eating only small amounts of fruit and vegetables drinking plenty of fluid. Your GP or specialist can prescribe medication for diarrhoea if necessary. I hope I was able to answer your query. Feel free to contact me directly if you want to discuss this further.
1 person found this helpful

I have been operated for Papillary thyroid carcinoma and doing good now, I have been on Eltroxin for almost a month and half now. Is it ok to take Eltroxin at different times? I have been taking this at 8 AM or 10 AM or 9 AM on empty stomach due to busy schedules and managing a gap of 1 hour to eat or drink.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
Mr. lybrate-user thanks for the query. Thyroxine hormone is a very sensitive chemical and the quantity is in micro grams. So it is absolutely essential to take it early morning around 6 am or so on empty stomach. Nothing should be taken after that for at least 1 to 1 and half hour. This has to be adhered to very strictly. Thanks.
2 people found this helpful

Around one year back, the enlargement of prostate was detected during USG as 32 mm (is it significant enlargement at my age?) against 24 mm (normal size). I (male) am presently running 52 and feel a little difficulty at the initiation of urination. Whether any naturopathy is available to counter the growth of prostate.

MS
General Surgeon, Panipat
Around one year back, the enlargement of prostate was detected during USG as 32 mm (is it significant enlargement at ...
Mr. lybrate-user. You are right there is mild enlargement of prostate gland. There are other remedies then operation now a days along With yogic exercises as they claim but I suggest you to consult surgeon or urologist if you have symptoms.

What precaution should I took during the cancer? Should I have any boundaries of eating something?

MD - Pulmonary, DTCD
Pulmonologist, Faridabad
Prefer vegetarian foods having whole grain , papaya, oranges, grapes, carrot. Avoid non veg, spicy, fatty and fast foods
15 people found this helpful

Hi, I want to know about Vertical black strip lines on toe and thumb, is this melanoma? Please suggest me.

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
The f black lines on the nails is a splinter hemorrhage, which occurs when blood vessels under the fingernail are damaged, often due to injuries, such as hitting. More seriously, a black line or lines on the nails can indicate the presence of melanoma, a dangerous form of skin cancer.Jan

Diet For Mouth Cancer Patients

M.Sc. in Dietetics and Food Service Management , Post Graduate Diploma In Computer Application, P.G.Diploma in Clinical Nutrition & Dietetics , B.Sc.Clinical Nutrition & Dietetics
Dietitian/Nutritionist, Mumbai
Diet For Mouth Cancer Patients

The challenge of a mouth cancer diet is your ability to eat enough of the right nutritional foods even while living with the side effects of treatment. To meet the challenge you may need to change the way you eat your food.
Body reactions to treatment
Once you are under surgery, radiation or chemotherapy, many of your body's healthy cells may be damaged or destroyed. Your body needs a higher amount of nutrition to repair the cells. Without this nutritional boost, you could face malnutrition. Malnutrition occurs when your body is forced to pull nutritional supplies from your fat or muscle tissue, because it is not getting enough in the food you eat and drink.
Often people stop eating or only eat a limited variety of foods when going through cancer treatment. This prevents them from getting the nutrition they need.

You need to maintain a diet rich in nutritional foods including:

Fruits and vegetables
Whole grain breads and cereals
Lean chicken, turkey and fish
Low-fat dairy products

You should cut back on salt, fat, alcohol and sugar. These items not only affect blood pressure, kidney function and your heart - but tests have shown that sugars can actually feed a tumor.Lack of interest in eating

You will probably find that the treatments you are receiving make it difficult to eat the proper foods. You may be experiencing:

Loss of appetite
Nausea
Vomiting
Diarrhea or constipation
Blistered mouth or throat
Dry mouth
Changes in the taste of the food or in your ability to taste the food
Fatigue

The national cancer institute reports that about one-third of all cancer deaths are due to malnutrition. Your survival depends on your ability to maintain proper nutritional levels, even when side effects are debilitating.
Mouth cancer diet tips on specific mouth cancer diet exists. Your doctor or dietician will recommend that you concentrate on developing an eating plan that makes sure you receive vitamins and minerals your body will need to have a balanced diet.

You may find it difficult to eat with oral cancer. Nausea, soreness and loss of appetite may take away your will to eat, but these difficulties can be overcome with a few healthy eating tips:

Eat small meals.
Eat the most when your feel the best, such as in the morning or mid-day.
Rinse your mouth before eating to get rid of any unusual tastes.
Take very small bites and chew the food until it is liquefied in your mouth.
*eating after radiation

As radiation treatments continue, you may find that you are unable to tolerate some foods and that your mouth is too sensitive to enjoy eating. You can combat this by:

Avoiding acidic or strongly spiced foods
Using plastic utensils if you are experiencing metallic tastes
Trying soft or moist foods that are easier to chew and swallow. Poaching fish in liquids or adding creams and gravies to foods will make them easier to chew and swallow.
Avoiding foods that adhere to the roof or sides of the mouth

Eating after chemo

Sip fluids throughout the day, particularly if your mouth is blistered.
Avoid strong aromas that might increase your nausea.
Avoid hot foods, particularly those with steam. Steam carries nausea-producing aromas.
If eating or chewing solid food becomes too painful, sip nutritional supplement drinks such as boost or ensure.
Make blender drinks from fresh fruits combined with soy or whey protein powders.
Extra nutritional insurance with supplements
Your doctor and dietician will want you to get as many nutrients as possible from whole foods; however, they may also recommend that you supplement your eating by adding powdered or liquid nutritional supplements to blender drinks. Be sure and ask them for their ideas on what you should be eating and in what quantities.
Fill your plate
Divide your plate into quarters.
Fill half your plate with vegetables (five or more servings of fruits and veggies daily).
Fill a quarter of your plate with protein foods.
Fill a quarter of your plate with whole grains or starchy vegetables.
Macronutrient tips

Eating the right proportion of carbs, proteins, and fat is beneficial.
Eat protein at every meal.
Aim for 30 to 45 grams of fiber daily.
Focus on healthy fats, such as fatty fish, avocado, olives, nuts, seeds, nut butters, and plant-based oils.
Eat less than 30 percent of your calories from fat (fewer than 67 grams daily for a 2, 000-calorie diet).
Cancer-fighting add-ons
Add foods that are beneficial for fighting cancer because they are rich in phytochemicals and/or antioxidants (with the exception of water, which helps hydrate).

Consume 1 to 2 tablespoons of flax or chia seeds daily.
Drink 1 to 4 cups of green tea daily.
Drink plenty of water.
Season foods with herbs and spices.
Take a multivitamin supplement as recommended by your doctor.
Cancer-fighting food group lists

Fill half your plate with a variety of fruits and veggies. John hopkins medicine says fruits and veggies containing cancer-fighting phytochemicals (which help inhibit cancer cell growth) include:

Colorful produce source
Cruciferous vegetables, such as broccoli, kale, cabbage, cauliflower, turnips, kohlrabi, watercress, bok choy, collards, rutabaga, mustard greens, and brussels sprouts
Carotenoids, which are found in green, orange, and dark yellow fruits and veggies
Cucurbitaceous (plants from the gourd family) fruits and veggies, such as muskmelon, watermelon, pumpkin, cucumber, and squash
Umbelliferous (aromatic flowering plants) vegetables, such as carrots, celery, parsnip, and parsley
Solanaceous (nightshade) vegetables, such as tomatoes and eggplant
Other cancer-fighting fruits and veggies including citrus fruits, berries, apples, broccoli sprouts, legumes, garlic, shallots, leeks, and onions
Add the following phytochemical-rich herbs and spices to your diet to flavor food, as recommended by john hopkins medicine and ucsf medical center:

Fennel
Caraway seeds
Sage
Dill
Camphor
Mint
Basil
Licorice root

Choose protein-rich foods at each meal (especially plant proteins), including:

Grilled chicken
Turkey
Fish
Eggs
Nonfat greek yogurt
Soy products (tofu, tempeh) - note: soy appears to be beneficial for breast cancer patients, but specific amount recommendation aren't established
Peas
Legumes
Nuts and seeds
Nut butters
Eat up to 30 percent of your total calories from fat (67 grams or less daily for a 2, 000-calorie diet).

Choose healthy fats, such as:

Avocado
Plant-based oils
Nuts and seeds (walnuts, flax seeds, pumpkin seeds, chia seeds, etc.)
Nut butters
Fish oil
Olives

Fill 1/4 your plate with whole grains and starchy vegetables, such as:

Corn
Peas
Legumes (lentils, black beans, kidney beans, etc.)
Whole grain cereals
Quinoa
Brown rice
Wild rice
Oatmeal
Barley

Hydrate your body with:

Water
Antioxidant-rich green tea
Vegetable juices. 
 

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1 person found this helpful

Hi i am suffering from pancreatic cancer. Please suggest what can I do in obstruction jaundice caused by 22mm mass on head of pancreas.

MS - General Surgery
Oncologist, Ludhiana
If you want a definitive treatment and you are fit for a major surgery go for a major surgical procedure (pancreatico-duodenectomy). If you want only relief of obstructive jaundice go for ercp and stenting (cbd), this is a endoscopic procedure.
1 person found this helpful

I am 22 year old girl m a virgin. Is it normal not to have nipples that do not stick out? My nipple come out only when I feel cold.

MS-General Surgery, MBBS
General Surgeon, Hyderabad
If nipples are deeply buried in the breast then it is a problem. If they are flat but can be pulled out or comes out on massage then it is normal.
1 person found this helpful

What are the preventive measures for cancer, AIDS and tuberculosis and psoriasis and also their cure?

MBBS
General Physician, Mumbai
Few common tips for your question-- Avoid any triggering factor, take folic acid regularly, eat a healthy diet , always be stress free , exercise regularly
7 people found this helpful
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