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Dr. Rakesh Mittal

Oncologist, Bangalore

Dr. Rakesh Mittal Oncologist, Bangalore
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Rakesh Mittal
Dr. Rakesh Mittal is an experienced Oncologist in Uttarahalli, Bangalore. You can visit him at BGS Global Hospital, Bangalore in Uttarahalli, Bangalore. Book an appointment online with Dr. Rakesh Mittal and consult privately on Lybrate.com.

Lybrate.com has a number of highly qualified Oncologists in India. You will find Oncologists with more than 44 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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#67, Uttarahalli Road, Kengeri. Landmark: Near Abhiman Studio & SGBIT Engineering College Campus 1st BuildingBangalore Get Directions
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I am an 18 years old boy and I have started smoking cannabis. I've read online that it is good for health in controlled quantities so is it right to go on this path. Does cannabis also cause cancer like tobacco products? Also it fine to smoke 3-4 joints a day. Will it affect me on a chronic basis?

MD Radiation Oncology, ESMO Certified Medical Oncologist, DM Medical Oncology (Pursuing)
Oncologist, Mumbai
Hi lybrate-user, cannabis smoking is injurious to health and you should try to abstain from it. It will slowly induce dependence and hamper your life. It will definitely have very harmful effects if you consume it on a chronic basis. So, its my advice and request to you to not spoil your entire life and even suggest your friends to stay away from this slow poison.
16 people found this helpful
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What are the general symptoms of blood cancer? How we can analysis it? What are the primary treatments? Is it transmits to other organs?

DNB, MBBS
Oncologist, Faridabad
Dear sir, generally blood cancer presents as frequent infections, frequent fever, weakness, bleeding from any site, easy bruising, cough, bone pains, palpable lymphadenopathy or organ enlargement, like liver, spleen etc depending on type of cells effected. Analysis can be done by blood examination, peripheral smear, bone marrow Examination, flowcytometry, some times radiological scanning. Treatment can be done by chemotherapy, bone marrow transplant, it can affect many organs
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I'm get two times for seizures In the mid night. One is three years back. Consulting the doctor using 3 months medicines. And now recently is got another one. Mid night time. Same I'm consulted again he was told that continue using medicine for life long I am using Levi pill 500mg tablets. Every day night. In scanning reports a small rounded non enhancing lesion with peripheral hyper dense rim with few tiny calcification and central heterogeneous Isodense area of 8mm noted in the right frontal cortical region with minimal perilesional edema -s/o likely healing granuloma rest of all OK normal.

DNB, MBBS
Oncologist, Faridabad
Dear sir, probably the non enhancing lesions may be the cause Of seizures. Most likely those lesions may be tuberculoma or neurocysticercosis. And you would require treatment for that also. Please consult and be in contact with neurologist for the same. Low chances of metastases also may be there but most likely it would be infections and will require treatment for that.
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Hello doctor. I am 17 year old girl. I found a cyst in my breast which is increasing. And sometimes it pains. I am afraid that is it a symptom of breast cancer. Please suggest me what should I do?

MD - Radiothrapy, MBBS
Oncologist, Pune
At age of 17 years, most of the breast lumps are non cancerous tumor. There is no need to do anything for these lumps. Please consult with surgeon for more details.
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Palliative Care for Cancer Patients

MD - Ayurveda
Ayurveda, Bargarh
Palliative Care for Cancer Patients

With terminal illnesses like cancer, the disease is not the only thing that requires treatment. In addition to controlling the severity and spread of the main disease, the effect it has on the other body systems including emotional, social, psychological problems and also physical issues like pain and inflammation. Though the disease has reached an advanced stage and cannot be cured, the patient can be made to be pain-free and at peace to the extent possible.

The goal of palliative care is not to cure - in fact, palliative care is in place for diseases like cancer from the time it is diagnosed and treatment is begun but becomes the major component of treatment once the cancer is identified to be in terminal stages. Therapeutic care aimed at curing the cancer is gradually reduced and palliative care assumes a bigger role. This is also called as symptomatic care, supportive care, or comfort care.

Aspects of palliative care: Once the disease is identified to be in terminal stages, then the following become considerations:

  1. Stay at home or hospital
  2. Withdraw chemotherapy and radiation?
  3. Withdraw feeding tube
  4. Spiritual discussions
  5. Reduce anxiety
  6. Good quality time with the family
  7. Reduce pain and suffering

As is evident, there is a huge component of social/emotional/spiritual management in addition to reducing pain and suffering:

  • Physical: Pain, fatigue, shortness of breath, sleeplessness, loss of appetite are some symptoms that need to be managed. In addition to pain killers, small exercises can be included to make them feel better, even if it is just getting a breath of fresh air.
  • Social: Depression (learn the ways to handle depression), anxiety, uncertainty, fear are all looming large and they are not sure how to manage these feelings. Talking to a counselor or some close family member or friend can be a big relief - the burden is off their chest.
  • Legal: There could be issues related to property, insurance, property that also need to be discussed. External help can be sought if required to provide financial counselling and legal advice.
  • Spiritual: Looking into the spiritual needs and understanding the deeper meaning of life, restoring faith are some things that also can help them feel better. "Why did this happen to me?" is a question most people keep asking and while there is no answer, some solace can be provided through talks.

It is to be noted that palliative care is not just for the patient. The caretakers (family and close friends) are equally in need of some support. So, once the patient is identified to be in terminal stages, all effort is made so the final leg of the journey is peaceful and as painless as possible.

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. Is there any blood test or any other test to detect the presence of cancer. A blood test-AFP (Alpha fetoprotein Tumor Maker Serum) CMIA was conducted. Reading is <2.0 ng/ml. What this reading mean. The LIMIT mentioned is <10. What does it mean. Good or Bad. Is there something wrong to tae care or worry about. Please advise.

M.Ch - Surgical Oncology, MS - General Surgery, MBBS
Oncologist, Delhi
. Is there any blood test or any other test to detect the presence of cancer. A blood test-AFP (Alpha fetoprotein Tum...
No, there is no one blood test that can rule out cancer in a healthy person with certainity. The present blood test means it is a normal study, but it does not rule out all varieties of cancer.
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About my wife back pain started in her lumber and thoracic back portion in the month of feb. 2012. We started treatment under local doctor's advice and took pain killers and some muscle relaxant and pain healed. But, it got repeated every week and we did the same treatment for the span of month. After that we did total analysis and it was found that there is compression at d8-d-9 and infection from d8-d10 and l3-l4 of spine. Then we did biopsy (first biopsy) of developed lesions and all reports were normal. At this time othopedician doctor advise us that it can be non-detectable tb infection (as it is non-pulmonary) and we started akt-4 on the basis of symptoms even though mtb was negative up to 4th week of culture growth. She took akt-4 for 20 months (june 2012 to feb-2014). During last 6 months of this time of period she was absolutely fine and started normal movements which were restricted during initial part of treatment. Infection was healed partially, and lesions was also started to disappear. We monitored it by ct scan after every 3 months. But in dec 2014 when medicine supposed to stop completely, again sever back pain started and it was found that there is formation of pus and damage of tissues at d8-d10, l3-l4. During this time of period she suddenly lost her weight by 18 kg (within 15 days), so operated and currated all the pus and infected part from the infected location (second biopsy). That sample we again sent for all the lab tests and it is again negative for mtb. We cultured that sample further and it is fount that this is slow growing ntm (non tuberculin mycobacterium) infection. And rest of all test were normal. As it is very slow growing we cannot found out exact genome of that bacterium. So, at this time infectious disease specialist and spine specialist doctors took decision together and stop akt 4 and started her; 1. Amikacin sulphate 1g: daily im/iv 2. Clarrithromycin: 500mg twice a day 3. Doxycyclin and lactic acid bacillus: twice a day 4. Levofloxacin: 750mg once a day during this treatment only her bsl found high without any diabetic history; so she is also taking, 5. Reclide 80mg twice a day 6. Metformine 500 mg twice a day as amikacin daily 1 gm is very high dose we are monitoring her serum creatinine, lft, esr, crp level on weekly basis; and if serum creatinine level is above standard value doctor advising to stop amikacin for some time and once it comes to normal level again we are starting it. Rests of the medicines are same. Above mentioned medicine has been taken for 4.5 months and again we did contrast mri for analyzing effectiveness of therapy. But in this latest mri report it is found that there is new disease has been developed at d9-d10 vertebral bodies and intervention disc. So, we taken advice from Dr. Rajeev soman, hinduja, mumbai. He has diagnosed it as below; 1. Primary tuberculine infection 2. Secondary nosocomial infection 3. Non-tubeculine mycobacterium and prescribed following medicines for 6 months; 1. Inj. Tigecycline (tiganex) 50 mg, bd - 6 months 2. Tab. Clarrithromycine (synclar) 500 mg, bd - 6 months 3. Tab. Levofloxacine (levoflox) 750 mg, od - 6 months 4. Tab. Linezolid 600 mg, od - 6 months } now all medicines stopped due to severe side effect. Side effect recovery is going on. What should we do?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
About my wife back pain started in her lumber and thoracic back portion in the month of feb. 2012. We started treatme...
She is not one of the common cases koch's infection. She is already under care of a competent team. Kindly follow their advice & keep me informed of the progress.
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What are the symptoms of mouth cancer what types of precautions and medicines should be taken?

MD Radiation Oncology, ESMO Certified Medical Oncologist, DM Medical Oncology (Pursuing)
Oncologist, Mumbai
Mouth cancer may present as non healing ulcer or frank growth. As precaution, avoid any addiction like tobacco chewing and maintain good oral hygiene by brushing twice daily and cleaning the mouth after eating anything.
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I am 30 years old and have 2years old baby, from past 2-3 days, have pain in my boobs and I felt little milk is also coming. Where I stopped feeding my kid long back. Pls suggest, what shall I do in this case.

MS - General Surgery
General Surgeon, Patan
The pain you r having is because of engorgement of milk in the breast, if baby is not drinking then you should milk it out or use breast pump. Take some painkillers. Get this problem persists then get urself examined by surgeon.
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I am 24 years old have papillary thyroid carcinoma undergo total thyroidectomy some lymph gland metastasis found in so is there any cure chances? what should be best treatment methods?

Ear-Nose-Throat (ENT) Specialist, Bangalore
I  am 24 years old have papillary thyroid carcinoma undergo total thyroidectomy some lymph gland metastasis found in ...
Papillary carcinoma is very curable. If there are secondaries after total thyroidectomy you need to undergo functional neck dissection followed by radio iodine ablation therapy. You need to be under constant follow. Results are excellent and you can expect normal life span.
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Is der chances of cancer to come back once treated or it is gone forever. If yes any precautions which could be taken.

MS ( General Surgery)
Oncologist, Mandsaur
yes cancer can recur, so regular check up is very important by your treating doctor. Few investigations will be done if your doctor suspect recurrence of cancer to treat immediately.
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Colorectal 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
Colorectal Cancer - In a Nutshell!

Colorectal cancer is otherwise known as cancer of the colon or the rectum. This can affect both men and women with age being a major risk factor. Majority of such cancers are seen to occur after age of 50 years.

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

    1. Adenocarcinomas are the most common type of colorectal cancers. These cancers begin in the cells making mucous and other fluids. Certain colorectal cancers begin as adenomatous polyps (adenomas) that turn cancerous over a period of time. This is precisely why the adenomas are regarded as pre-cancerous or pre-malignant.

    2. Gastrointestinal (GI) carcinoid tumors, GI stromal tumors, primary colorectal lymphoma, leiomyosarcoma, melanoma & squamous cell carcinoma are certain other colorectal cancers

      • Carcinoid tumors: start in specialized cells that produce hormones, in the intestine.

      • GI Stromal tumors: start in the interstitial cells of Cajal (ICC), in the wall of the colon.

      • Lymphomas: start typically in the lymph nodes but they may also start in colon or rectum.

      • Sarcomas: can start in the muscle and the connective tissue in the walls of the colon and rectum.

  2. Gender: It affects both male and female populace.

  3. Etiology: Mostly, the factors that are associated with increased risk of colorectal cancer include the following –

    1. Age exceeding 50 years.

    2. Racial & ethnic background such as African Americans, in the USA, are known to have the highest incidence of colorectal cancer, and mortality rates.

    3. Low fibre and high fat diet. Excessive consumption of red meat (e.g. goat meat, beef, pork, lamb, or liver), processed meats, butter, refined grains, sweets, sugary drinks etc all can increase the risk of colorectal cancer.

    4. Personal history of inflammatory bowel diseases (IBD) (e.g. ulcerative colitis), Crohn’s disease, adenomatous colorectal polyps, colorectal cancer etc all.

    5. Family history of colorectal cancer or adenomatous polyps etc all.

    6. Inherited syndromes such as familial adenomatous polyposis (FAP) and Lynch syndrome (hereditary non-polyposis colon cancer or HNPCC).

    7. Sedentary lifestyle/ associated Obesity.

    8. Type 2 diabetes.

    9. Tobacco and alcohol abuse.

  4. Features or symptoms can vary from person to person depending on the size and location of the tumour. Following are the signs & symptoms mainly -

    1. Changes in bowel habits, diarrhea or constipation or an alternating diarrhea and constipation.

    2. Occult/ blood in the stool, and 

    3. Problems related to blood loss (e.g. anemia, weakness, fatigue, intolerance to exercise, shortness of breath, increased heart rate, chest pain etc all),

    4. Abdominal discomfort (frequent gas/ flatulence, bloating, fullness, cramps, and pain), vomiting etc.

    5. Unexplained weight loss,

    6. Pain with bowel movement,

    7. Feeling that bowel does not empty completely,

    8. Stools are narrower than usual.

  5. Diagnosis: Following are the diagnostics employed. Abnormal blood test results may be indicative of malignancy, but a follow-up imaging/ biopsy is always the gold standard for accurate diagnosis.
    1. Blood: fecal occult blood test, Carcinoembryonic Antigen (CEA) assay values are raised, Hb/ RBC counts may be low.
    2. Imaging: Colonoscopy, Endorectal Scan/ CT Scan followed by Biopsy clinches the diagnosis and the nature of the disease.
    3. Apart from the above-mentioned barium enema X-Ray, USG, Chest X-ray, PET CT scan etc all help detect metastasis, if any. An increase in level of the serum tumor marker ‘CEA’ is indicative of metastatic spread/ proliferation that can be ascertained through a PET CT scan.
  6. Treatment: Conventional treatment includes surgery, radiation and chemotherapy as contextually appropriate. Simultaneously, an adjunctive/ integrative naturopathic treatment with suitable complementary & alternative medicines (CAM)/ therapies too can help improve clinical outcomes and facilitate recovery as feasible contextually.
  7. Prognosis: Preventive measures, earlier diagnosis and right early treatment is key for better prognosis and efficient/ effective therapeutic management. Usually, the chances of cure for an early stage cancer are more. Above-mentioned apart, recovery chances are influenced by the grade, stage of cancer, recurrence and the patient’s general health & vitality etc all too.

  8. Prevention: Rightly said, prevention is always a better choice. Although genetic risks are difficult to modify, still an adherence to a Mediterranean diet, maintaining an ideal body weight and an active lifestyle with due emphasis on regular exercising (for at least 30 minutes daily), de-stressing and relaxation is highly recommended for prevention or reducing the risks of colorectal 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. It is advisable to limit milk/ dairy, preferably of low fat content, to 1 to 2 servings max daily. Although alcohol is optional and is not for everyone, the consumption of the same, if any, has to be strictly in moderation, and is best avoided. Smoking is to be avoided as well. 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 or are best avoided too. Apart from the generic preventive measures as mentioned above, certain pre-malignant conditions, of which adenomas are the most common, can be successfully treated with complementary and alternative medicines too.

3245 people found this helpful

Sir! My wife has problem of abdominal pain and white discharge for four years. Is it curable? Is this sign of cervical cancer? please help me kindly. i have lost hope due to her problem.

MBBS, MD - Medicine, MD - Oncology
Oncologist, Delhi
I hope you got your wife properly examined. There can be many causes of white discharge. Even cervix cancer can be detected by proper examination and a pap smear test. Your wife will get cured if properly taken care of and you should not loose hope. Take her to a good gynecologist for examination who will properly examine her and ask for necessary investigations to rule out the problem.
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Sir/mam I am 21 year old I am suffering from lymphoma stage 2 where I take my chemotherapy for better result.

MBBS, MD
Oncologist, Delhi
Any good hospital having all cancer treatment facilities like chemotherapy, radiotherapy and surgery is recommended.
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Am a blood cancer patient. Can I have sex with my wife without barriers. Will she get affected? Is she become pregnant. Will the baby too get affected?

DNB, MBBS
Oncologist, Faridabad
You must be receiving chemotherapy, in that case she shouldn't conceive for a while as some chemotherapy agents may cause foetal deformity and malformations. You can choose alternative contraceptive in case you don't want to use barrier methods.
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Lung Cancer: Causes, Symptoms and Treatments

MD PULMONARY, DTCD
Pulmonologist, Faridabad
Lung Cancer: Causes, Symptoms and Treatments

Lung cancer is the uncontrolled growth of abnormal cells in one or both lungs. These abnormal cells do not carry out the functions of normal lung cells and do not develop into healthy lung tissue. As they grow, the abnormal cells can form tumors and interfere with the functioning of the lung, which provides oxygen to the body via the blood.

Lung cancer is the most common cause of death due to cancer in both men and women throughout the world. According to the U.S. National Cancer Institute, approximately one out of every 14 men and women in the U.S. is diagnosed with cancer of the lung at some point in their lifetime. Lung cancer is predominantly a disease of the elderly; almost 70% of people diagnosed with lung cancer are over 65 years of age, while less than 3% of lung cancers occur in people under 45 years of age.

What Causes Lung Cancer?

The development of lung cancer is strongly associated with cigarette smoking, approximately 90% of lung cancers are attributable to use of tobacco. Pipe and cigar smoking can also cause lung cancer, but the risk is not as high as with cigarette smoking. Tobacco smoke contains more than 4,000 chemical compounds, many of which are cancer causing (carcinogens). Passive smoking, i.e. the inhalation of tobacco smoke by non-smokers who live or work with smokers, is also an established risk factor for the development of lung cancer.

Genetic susceptibility (i.e. family history) may play a role in the development of lung cancer. Other causes of lung cancer include air pollution (from vehicles, industry, and power generation) and inhalation of asbestos fibres (usually in the workplace).

Lung Cancer Symptoms:

Early symptoms and signs of lung cancer:

There may be no symptoms at the onset of the disease. When present, common symptoms of lung cancer may include:

  1. Coughing: This includes a persistent cough that doesn't go away or changes to a chronic smoker's cough, such as more coughing or pain.
  2. Coughing up blood: Coughing up blood or rust-colored sputum (spit or phlegm) should always be discussed with your doctor.
  3. Breathing Difficulties: Shortness of breath, wheezing or noisy breathing (called stridor) may all be signs of lung cancer.
  4. Loss of Appetite: Many cancers cause changes in appetite, which may lead to unintended weight loss.
  5. Fatigue: It is common to feel weak or excessively tired.
  6. Recurring infections: Recurring infections, like bronchitis or pneumonia, may be one of the signs of lung cancer.

Signs of advanced stages of lung cancer: Advanced stages of lung cancer are often characterized by the spread of cancer to distant sites in the body. This may affect the bones, liver or brain. As other parts of the body are affected, new lung cancer symptoms may develop, including:

  1. Bone pain
  2. Swelling of the face, arms or neck
  3. Headaches, dizziness or limbs that become weak or numb
  4. Jaundice
  5. Lumps in the neck or collar-bone region

Treatment: Treatment for cancer involves a combination of surgery to remove cancer cells, chemotherapy and radiation therapy to kill cancer cells. Lung cancer is incurable unless complete surgical removal of the tumour cells can be achieved. Surgery is the most effective treatment for lung cancer, but only a few percentage of lung cancers are suitable for surgery i.e. Stage I and II NSCLC and cancer that has not spread beyond the lung.

Radiation therapy may be used for both NSCLC and SCLC and is a good option for people who are not suitable for surgery or who refuse surgery. Chemotherapy is used for both NSCLC and SCLC. Chemotherapy drugs may be given alone or in combination with surgery or radiation therapy. Chemotherapy is the treatment of first choice for SCLC since it has usually spread extensively in the body by the time it has been diagnosed.

Also used in the treatment of lung cancer are targeted therapies. These are drugs (gefitinib and erlotinib) or antibodies (cetuximab, bevacizumab) that block the growth and spread of cancer by interfering with specific molecules involved in tumor growth and progression. They are used in some patients with NSCLC that does not respond to standard chemotherapy.

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I had chronic duodenal ulcer which bleed and caused anemia now treated for anemia by blood transfusion and now my blood count being 12.5 and also the ulcer is now gone im at risk of cancer?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I want to study your whole case before reaching to a conclusion.I am a homoeopathic doctor and I can assure you that I will give you the best possible consultation.Please provide me all the details of your problem,your diagnostic tests till now,everything you have got regarding your problem.
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On her breast their is some itching. Is this a symptom of breast cancer? What remedy she can use at home?

BHMS
Homeopath, Raebareli
On her breast their is some itching.
Is this a symptom of breast cancer?
What remedy she can use at home?
No it could be simple rashes. Just apply some extra-virgin olive oil on it - twice for few days and it will heal.
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