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Dr. Ramesh S. Bilimaga

Oncologist, Bangalore

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Dr. Ramesh S. Bilimaga Oncologist, Bangalore
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Personal Statement

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. Ramesh S. Bilimaga
Dr. Ramesh S. Bilimaga is a trusted Oncologist in Phoenix Hospital, Bangalore. You can meet Dr. Ramesh S. Bilimaga personally at HCG Bangalore Institute of Oncology Speciality Centre in Phoenix Hospital, Bangalore. Book an appointment online with Dr. Ramesh S. Bilimaga on Lybrate.com.

Find numerous Oncologists in India from the comfort of your home on Lybrate.com. You will find Oncologists with more than 29 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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HCG Bangalore Institute of Oncology Speciality Centre

#8, P. Kalinga Rao Road, Sampangi Ram Nagar,Near Okalika Bhavan. Landmark:Opp to Geo HotelBangalore Get Directions
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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.

3283 people found this helpful

I am 66 years male with problem of involuntary leakage of urine during sleep at night. I have Diabetes which is controlled. I do not have any prostrate problem. Please suggest a medication to control my above problem.

FMAS, MS
General Surgeon, Gandhinagar
I am 66 years male with problem of involuntary leakage of urine during sleep at night. I have Diabetes which is contr...
Respected lybrate-user hi if it's only during night then you have to take very less water after 7 pm.
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I have pain under my right breast. It became worst while taking deep breath or changing positions while sleeping. And also pain starts at the middle. Does this pain relates to ribs or sternum. What it is. Is it serious. Please advice..

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello, Thanks for the query. Based on the explanation given it is difficult give a clear opinion as to why the breast pain is occurring. It needs to be properly examined and if needed some investigations may need to be done. Therefore, my suggestion is better to consult a local competent surgeon and based on his advise further investigations should be done. Do not neglect. Usually cancerous problems are painless. But please get properly examined. Thanks.
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I'm 32 yes female. My mom expired becoz of breast cancer. I had done excision in left breast for sebaceous cyst. Whether I want to know it will also leads to cancer. Also how to secure myself from that. I have one daughter 3 years old. Please suggests me.

Membership of the Royal College of Surgeons (MRCS), MS - General Surgery, MBBS
General Surgeon, Mohali
Dear lybrate-user- you definitely need to be alert as you lost your mother to breast cancer. The sebaceous cyst has no connection with breast cancer. Please learn how to do a breast self-examination, and do it (after your period) -EVERY MONTH. In case you find a breast lump please follow it up with a surgeon. Please get a bilateral mammogram done every year. That should be fine to monitor your breast health.
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Hello, I have symptoms of BPH. I have got it checked and report says "Grade 2 PROSTATIC ENLARGEMENT WITH SIGNIFICANT POST VOID RESIDUE" Do I need to go for surgery or it can be diagnosed with medicines.

MBBS, MS - General Surgery
General Surgeon, Shimla
Hello, I have symptoms of BPH. I have got it checked and report says "Grade 2 PROSTATIC ENLARGEMENT
WITH SIGNIFICANT ...
The report will mention something like "Post void urine" That would be of help. Also further evaluation of symptoms along with size of prostate and post void urine are needed to decide if surgery is the best option.
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One of my relative got breast cancer it was cured but now she got it again doesn't cancer have no cure.

FMAS, MS
General Surgeon, Gandhinagar
Respected lybrate-user hi there are always chances of recurrence of cancer to variable extent in any cancer. Only thing is to have patience keep faith in treating surgeon & go ahead with advised mode of treatment keeping full faith in self destiny that is utmost important than any other medicine dear your moral will keep you going far in such cases thanks regards.
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What are the causes of skin cancer and what are the syndrome of it also tell me it's preventive measures.

MBBS
General Physician, Mumbai
What are the causes of skin cancer and what are the syndrome of it also tell me it's preventive measures.
If there is irritation over the skin for more than ten years than it can lead to cancer and for preventing it few diet tips - not to eat fried food items and can eat all green vegetables, moong, chana, dal, rice etc and to apply ghee over chappati and don't apply oil over chappati and to drink milk mixed with turmeric powder twice a day and if possible eat eggs on alternate days and if possible in breakfast eat atleast one bajra ka rotla and eat seasonal fruit.
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Sometime I have severe pain in my breast There may be 2 or 3 lump but I do not know what to do it? I discussed with one of the doctor he said that we have to take out that lump through h minor operation. I am not sure that operation will rectify this lump prblm for always. Please I want your advice help me.

FACS, MBBS, MS - General Surgery
Oncologist, Gurgaon
Lybrate-user if one has 2or three lumps inbreast one must get them removed, get thehistopathogy cheked up and do mammography done then plan for managment.
12 people found this helpful
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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.

3096 people found this helpful

I could see wax kind of stuff coming out of my left nipple once i squeez it. Please suggest.

MD - Radiothrapy, DNB
Oncologist, Mohali
Smear it on a slide and submit to a good pathologist get a sonomammograph done not likely to be cancer
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I AM 66 YEARS OF AGE, MALE I AM ALWAYS ANXIOUS REGARDING MY HEALTH, I WOULD LIKE TO KNOW WHETHER I HAVE ANY TERMINAL ILLNESS LIKE CANCER, WHAT SHOULD I DO TO CLEAR MY DOUBTS, WHAT ARE THE TESTS WHICH WILL ENABLE ME TO KNOW WHETHER I HAVE THE DISEASE OR NOT. I AM NOT HAVING APPETITE AND AM LOSING WEIGHT, IT CAN BE DUE TO MY MEDICATION FOR ATRIAL fibrillation WHICH I AM STILL TAKING. PLEASE ADVISE.

B.Sc. - Dietitics / Nutrition, Nutrition Certification,Registered Dietitian
Dietitian/Nutritionist, Delhi
I AM 66 YEARS OF AGE, MALE I AM ALWAYS ANXIOUS REGARDING MY HEALTH, I WOULD LIKE TO KNOW WHETHER I HAVE ANY TERMINAL ...
The best way to rule out any underlying problem is to get full body check up done first and then if there is no problem in reports, focus on exercising everyday and eat healthy food.
1 person found this helpful
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Hi, my mom Papillary thyroid carcinoma is diagnosed. What is Papillary thyroid carcinoma actually.

C.S.C, D.C.H, M.B.B.S
General Physician,
it is the cancer of thyroid gland Papillary carcinoma (PTC) is the most common form of well-differentiated thyroid cancer, and the most common form of thyroid cancer to result from exposure to radiation. Papillary carcinoma appears as an irregular solid or cystic mass or nodule in a normal thyroid parenchyma. Papillary/follicular carcinoma must be considered a variant of papillary thyroid carcinoma (mixed form)
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My uncle age 49 years .his brain tumor byspi report shows- Sections examined show a tumour with features of diffuse large cell lymphoma, B-cell type. Immunohistochemestry for CD20 is strongly +ve & -ve for CD3. My question is it curable or not. Which hospital better for me treatment my uncle. please suggest me.

MD - Radiothrapy
Oncologist, Ahmedabad
Hi, primary cns lymphoma is a curable disease, Kindly do investigation mri brain, CSF cytology, MRI spine, ophthalmologist reference, bone marrow biopsy. After proper staging disease is localised, then go for induction chemotherapy followed by radiotherapy then consolidation chemotherapy.
3 people found this helpful
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My father(approx-90 yrs) had prostate problem in 2004 and had been operated in the same year but now (from Oct-2014) blood coming out time to time through urinal with burning sensation and clotted blood without blockage of urine.What will be the treatment please advise me ?

MS - General Surgery
General Surgeon, Delhi
Don't take the symptoms lightly and consult a Urologist. It may be anything from a simple urinary infection to more serious urinary tract malignancy.
1 person found this helpful

Is nipple discharge 7 days beforehand of menstrual beginning normal?or a sign of breast cancer?i m also having a lump like feeling in one of the breast.I m very afraid please help.

MD - Oncology
Oncologist, Hubli-Dharwad
Nipple discgharge periodically with menstruation may not be a cancer it may be fibroadenoma, but do a mamograpy to be sure and if require FNAC of the lump instead of sitting at home and getting worried, there are treatments available for cancers
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My mother is 56 year old she had carcinoma breast cancer grade 1 we did Right radical Mastectomy on 22/9/2016 before that she had 3 chemo. But now after surgery is it necessary to give chemo pls advise Our regular visit doctors had asked to give next three chemotherapy.

MBBS, M S General Surgery ,
General Surgeon, Chandigarh
Hi once your mother's tumor is removed then the sample will go for biopsy report so once the biopsy report comes them the type of chemo will be planned .but as of now as you r saying that she was given chemo before .then most probably .she will get a full course of chemotherapy.
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Hey doctor, can you tell what is cancer and how does it occur. Is there any prevention method or cure for this disease?

MBBS
General Physician, Faridabad
Genetic changes that cause cancer can be inherited from our parents. They can also arise during a person’s lifetime as a result of errors that occur as cells divide or because of damage to DNA caused by certain environmental exposures. Cancer-causing environmental exposures include substances, such as the chemicals in tobacco smoke, and radiation, such as ultraviolet rays from the sun. no prevention. thanks
1 person found this helpful
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Cancer Awareness

BAMS, MD Ayurveda
Sexologist, Lonavala
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Good morning. Mera naam hai Dr Amol Bamane aur me Rasyog Ayurveda ka founder hun. Aaj me apko Cancer ke baare me information dene wala hun.

Cancer is regarded as a fatal and complicated disease. Iske causes hai;

  • Genetical predeposition
  • Alcohol or nicotin consumption. Smoking aur alcohol cancer causing hai aur ye health ke liye bohot he harmful hai.
  • Lack of obese person agar acche se exercise nahi kar raha hai to ye bhi ek cause hai cancer ka.

Cancer ke symptoms hai;

  • Fever
  • Fatigue
  • Pain
  • Unexpected weight gain
  • Unusual bleeding
  • Indigestion problem

Yeh sab cancer ke symptoms hai.

Iske liye easy diet ye hai ki aap easily digestible food lijiye, vegetarian food lijiye. Khane me zada se zada vegetables add kijiye. Aap alcohol aur Nicotin consumption band kar dijiye aur regular exercise kijiye.

Is vishay me adhik jankaari ke liye aap mujhe Lybrate ke through sampark kar sakte hai aur online consultation bhi le sakte hai.

3500 people found this helpful

Sir/Madam I have one problem. My chest is looks like as ladies breast. I feel ashamed in front of others during functions etc. How to remove that shapes and how to get original mans chest. Please give me a suggestion. Is there any treatment to it suggest me & cost also. If you do not mine tell me as early as possible.

DNB, MBBS
Oncologist, Faridabad
Gynaecomastia is hypertrophic male breast some times due to hormonal imbalance. You must check your hormonal status, testosterone levels etc. Usually it can be corrected surgically by plastic surgeons.
105 people found this helpful
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For the lump in the breast is operation required? After mammogram also do we need to get operated and remove that lump? How much does it cost?

MBBS, DNB - Surgery, Fellowship in Breast Surgical Oncology
Oncologist, Gurgaon
It is not necessary that every lump in the breast requires operation. It depends upon the nature of lump. Some benign (non cancerous) lumps can be left as such if they are small in size but routine follow up is required. Surgery is required in cases when size of lump is increasing or is painful or for cosmetic reasons or malignant lump (cancerous). Cost depends upon the type of procedure done for that particular lump.
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