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Hi doctor, What are the chances of me getting breast cancer if my mom has got it during her menopause? I am getting married soon and this has raised a concern in my fiance's mind.
Substantial support for breast cancer awareness and research funding has helped improve the screening and diagnosis and advances in the treatment of breast cancer. Breast cancer survival rates have increased, and the number of deaths steadily has been declining, which is largely due to a number of factors such as earlier detection, a new personalized approach to treatment and a better understanding of the disease.
Causes--it's not clear what causes breast cancer.
- Doctors know that breast cancer occurs when some breast cells begin growing abnormally. These cells divide more rapidly than healthy cells do and continue to accumulate, forming a lump or mass. The cells may spread (metastasize) through your breast to your lymph nodes or to other parts of your body.
- Breast cancer most often begins with cells in the milk-producing ducts (invasive ductal carcinoma). Breast cancer may also begin in the glandular tissue called lobules (invasive lobular carcinoma) or in other cells or tissue within the breast.
- Researchers have identified hormonal, lifestyle and environmental factors that may increase your risk of breast cancer. But it's not clear why some people who have no risk factors develop cancer, yet other people with risk factors never do. It's likely that breast cancer is caused by a complex interaction of your genetic makeup and your environment.
Inherited breast cancer
- Doctors estimate that about 5 to 10 percent of breast cancers are linked to gene mutations passed through generations of a family.
- A number of inherited mutated genes that can increase the likelihood of breast cancer have been identified. The most common are breast cancer gene 1 (brca1) and breast cancer gene 2 (brca2), both of which significantly increase the risk of both breast and ovarian cancer.
- If you have a strong family history of breast cancer or other cancers, your doctor may recommend a blood test to help identify specific mutations in brca or other genes that are being passed through your family.
- Consider asking your doctor for a referral to a genetic counselor, who can review your family health history. A genetic counselor can also discuss the benefits, risks and limitations of genetic testing with you and guide you on appropriate genetic testing.
Symptoms--signs and symptoms of breast cancer may include:
- A breast lump or thickening that feels different from the surrounding tissue
- Change in the size, shape or appearance of a breast
- Changes to the skin over the breast, such as dimpling
- A newly inverted nipple
- Peeling, scaling or flaking of the pigmented area of skin surrounding the nipple (areola) or breast skin
- Redness or pitting of the skin over your breast, like the skin of an orange
Risk factors-a breast cancer risk factor is anything that makes it more likely you'll get breast cancer. But having one or even several breast cancer risk factors doesn't necessarily mean you'll develop breast cancer. Many women who develop breast cancer have no known risk factors other than simply being women.
Factors that are associated with an increased risk of breast cancer include:
- Being female.Women are much more likely than men are to develop breast cancer.
- Increasing age. Your risk of breast cancer increases as you age.
- A personal history of breast cancer. If you've had breast cancer in one breast, you have an increased risk of developing cancer in the other breast.
- A family history of breast cancer. If your mother, sister or daughter was diagnosed with breast cancer, particularly at a young age, your risk of breast cancer is increased. Still, the majority of people diagnosed with breast cancer have no family history of the disease.
- Inherited genes that increase cancer risk. Certain gene mutations that increase the risk of breast cancer can be passed from parents to children. The most common gene mutations are referred to as brca1 and brca2. These genes can greatly increase your risk of breast cancer and other cancers, but they don't make cancer inevitable.
- Radiation exposure. If you received radiation treatments to your chest as a child or young adult, your risk of breast cancer is increased.
- Obesity. Being obese increases your risk of breast cancer.
- Beginning your period at a younger age. Beginning your period before age 12 increases your risk of breast cancer.
- Beginning menopause at an older age. If you began menopause at an older age, you're more likely to develop breast cancer.
- Having your first child at an older age. Women who give birth to their first child after age 30 may have an increased risk of breast cancer.
- Having never been pregnant. Women who have never been pregnant have a greater risk of breast cancer than do women who have had one or more pregnancies.
- Postmenopausal hormone therapy. Women who take hormone therapy medications that combine estrogen and progesterone to treat the signs and symptoms of menopause have an increased risk of breast cancer. The risk of breast cancer decreases when women stop taking these medications.
- Drinking alcohol. Drinking alcohol increases the risk of breast cancer.
Homoeopathy today is a rapidly growing system and is being practiced all over the world. Its strength lies in its evident effectiveness as it takes a holistic approach towards the sick individual through promotion of inner balance at mental, emotional, spiritual and physical levels. When breast cancer is concerned there are many effective medicines are available in homoeopathy, but the selection depends upon the individuality of the patient, considering the mental and physical symptoms.
- Phytolacca decandra 200- phytolacca dec is an excellent remedy for breast cancer where the breast is hard, painful and of purple hue. Hard nodes in breast with enlarged axillary glands. Nipples cracked, very sensitive and inverted. Bloody watery discharge from breasts.
- Conium maculatum 3c- conium maculatum is also effective for breast cancer with hard tumor. Hard tumors in breasts with stitches or piercing pain. Stitches in breasts and nipples, on taking deep breath or walking. Conium mac is suitable to old maids and bachelors.
- Carcinosin 30- start treatment with this remedy.
- Htdrastis canadensis 3c-hydrastis canadensis is another excellent remedy for breast cancer with pains like knives thrust into part. With cancer the nipples retracted. The glands in the axilla enlarged and painful. Cachectic appearance – excessive emaciation and weakness along with breast cancer.
- Asterias rubens 3c- asterias rubens is effective for breast cancer even in ulcerative stage. There is acute sharp pain. Nodes and induration of breast gland, dull, aching neuralgic pain in this region. Breasts swell, especially left and nipple retracted. Left breast feels as if pulled inward and pain extends over inner arm to end of little finger. Numbness of hands and fingers of left side.
- Arsenicum album 200-arsenic alb is effective in aggressive open ulcer with offensive discharge. Ulcers with burning, cutting pain and bloody offensive discharge. There is great anguish and restlessness. The person thinks it is useless to take medicine, fear of death and disease.
- Antimonium crudum 200- antimonium crudum is also effective for open ulcer with offensive discharge. There is burning and itching worse at night. Digestion of the patient is easily disordered in antimonium crude.
- Psorinum 200- psorinum is effective for breast cancer with open ulcers. Offensive discharge from the ulcer. The breast is swollen with red nipples. Burning and itching around nipples.
- Thuja occidentalis 3c- thuja occidentalis is best for breast cancer with retracted nipples.
- Malandrinum cm- malandrinum is effective to remove cancerous deposits and remission of primary cancer and shrinkage of mass.
C5-6diffuse posterior disc bulge causing thecal sac indentation. C6-7 right para central protrusion indenting the right existing nerve root c2-3'c3-4'c4-5-unremarkable. Impression mild degenerative changes my problem is sir due to this problem my both shoulders are paining too much especially. Right one and they have become two weak.
हमारे शरीर में होने वाला दर्द कई तरह का होता है. मांसपेशियों में होने वाला दर्द भी इसी तरह का दर्द है. ज्यादा मेहनत करने से मांसपेशियों में दर्द होना आम बात है. शरीर में मांसपेशियों की एक जटिल प्रणाली होती है. मांसपेशियों में दर्द एक छोटी सी झुंझलाहट से शुरू होता है लेकिन कई बार यह आपके स्वास्थ्य के लिए गंभीर भी हो जाता है. इससे पीड़ित लोगों को अपने शरीर को पर्याप्त पानी से हाइड्रेटेड रखना होगा. अगर आपके शरीर में पर्याप्त पानी नहीं रहेगा तो आपकी मांसपेशियां अकड़ जाएंगी, और साथ ही आसानी से उन्हें चोट भी लग सकती है. आइए मांसपेशियों में होने वाले दर्द को दूर करने के उपायों को जानें.
1. सरसों का तेल
सरसों का तेल को एक प्राकृतिक औषधि माना जाता है. जिसके उपयोग से त्वचा की सतह पर रक्त प्रवाह को बढ़ाने में मदद मिलती है. इसके उपयोग से आपकी मांसपेशियों की अकड़न कम होगी और दर्द से भी जल्द राहत मिलेगी.
2. लाल मिर्च
लाल मिर्च में सूजनरोधी और पीड़ा को दूर करने के गुण मौजूद होते हैं. जिसकी मदद से मांसपेशियों में दर्द, अकड़न और सूजन कम होती है. इसके साथ ही आप लाल मिर्च को सलाद, सूप और अन्य आहार में ऊपर अलग से डालकर भी खा सकते हैं.
3. खट्टी चेरी का करें प्रयोग
खट्टी चेरी आपको व्यायाम के बाद होने वाले मांसपेशियों के दर्द से राहत दिलाती है. अध्ययन के अनुसार खट्टी चेरी में कई एंटीऑक्सिडेंट और सूजनरोधी गुण होता हैं जो सूजन और मांसपेशियों में होने वाले दर्द को कम करने में मदद करते हैं. मांसपेशियों की सूजन और पीड़ा को कम करने के लिए आप बिन चीनी के खट्टी चेरी के जूस का भी इस्तेमाल कर सकते हैं.
4. बर्फ का करे इस्तेमाल
जहां जहां आपको मांसपेशियों में दर्द है वहां अगर आप बर्फ के पैक को लगाते हैं तो इससे आपको दर्द और सूजन को कम करने में मदद मिलेगी. बर्फ रक्त वाहिकाओं को कसने में मदद करेगा जिससे कि आपके रक्त का प्रवाह प्रभावित क्षेत्रों में कम होगा.
5. गर्म पानी
दर्द के शुरू होने के 24 घंटे बाद एक गर्म पानी से अपने प्रभावित क्षेत्रों पर सिकाई करें. इससे आपके मांसपेशियों में दर्द नहीं होगा और जल्द राहत भी मिलेगी. इसका उपयोग करने से रक्त के प्रवाह में वृद्धि होगी और उपचार प्रक्रिया को भी एक गति मिलेगी. दर्द शुरू होने के 24 घंटों के भीतर इस प्रक्रिया का इस्तेमाल न करें.
6. केला पहुंचाये फायदा
केला मांसपेशियों के दर्द को कम करने के लिए एक बहुत अच्छा घरेलु उपाय है. यह फल पोटेशियम का एक समृद्ध स्रोत है. पोटेशियम की कमी से मांसपेशियों में कमजोरी, थकान और ऐंठन शुरू होने लगती है.
7. हल्दी है फायदेमंद
हल्दी एक दर्द निवारक और सूजनरोधी गुण के रूप में कार्य करती है. हल्दी का इस्तेमाल कैसे करें – एक कप दूध में एक चम्मच हल्दी को मिला लें. अब इस मिश्रण को हल्की आंच पर गर्म करें. अब इस मिश्रण को गर्म होने के बाद पी जाएँ.
ताज़ा और सूखे रोजमेरी की पत्तियों में सूजनरोधी गुण होते हैं जो मांसपेशियों की सूजन और दर्द से जल्द रहत दिलाने में मदद करते हैं.
अदरक एक प्राकृतिक सूजनरोधी गुण के रूप में कार्य करता है और रक्त परिसंचरण और रक्त प्रवाह को बेहतर बनाता है. अदरक के सेवन से मांसपेशियों का दर्द दूर होता है. एक अध्ययन के अनुसार अगर आप कच्ची अदरक का सेवन करते हैं या उसे जलाकर खाते हैं तो आपकी मांसपेशियों और चोट का इलाज बहुत अच्छे से होगा.
10. सेब का सिरका
सेब का सिरका आपके मांसपेशियों के दर्द को दूर करने के लिए एक और महान उपाय है. इसमें सूजनरोधी और क्षारीय गुण भी होते हैं जो दर्द और सूजन को कम करने में मदद करते हैं.
The uterus or womb, is a muscular structure and is held in place by ligaments and pelvic muscles. If these muscles or tendons become weak, they cause prolapse and are no longer able to hold the uterus in its place.
Uterine prolapse happens when the uterus falls or slips from its ordinary position and into the vagina or birth waterway. It could be complete prolapse or even incomplete at times. A incomplete prolapse happens when the uterus is just hanging into the vagina. A complete prolapse depicts a circumstance in which the uterus falls so far down that some tissue rests outside of the vagina. Likewise, as a lady ages and with a loss of the hormone estrogen, her uterus can drop into the vaginal canal. This condition is known as a prolapsed uterus.
Causes of Prolapse: The risks of this condition are many and have been enumerated as follows:
- Complicated delivery during pregnancy
- Weak pelvic muscle
- Loss of tissue after menopause and loss of common estrogen
- Expanded weight in the stomach area, for example, endless cough, constipation, pelvic tumors or accumulation of liquid in the guts
- Being overweight
- Obesity causing extra strain on the muscles
- Real surgery in the pelvic zone
Symptoms: Some of the most common symptoms of prolapse involve:
- Feeling of sitting on a ball
- Abnormal vaginal bleeding
- Increase in discharge
- Problems while performing sexual intercourse
- Seeing the uterus coming out of the vagina
- A pulling or full feeling in the pelvis
- Bladder infections
Nonsurgical medications include:
- Losing weight and getting in shape to take stress off of pelvic structures
- Maintaining a distance from truly difficult work
- Doing Kegel workouts, which are pelvic floor practices that strengthen the vaginal muscles. This can be done at any time, even while sitting down at a desk.
- Taking estrogen treatment especially during menopause
- Wearing a pessary, which is a gadget embedded into the vagina that fits under the cervix and pushes up to settle the uterus and cervix
- Indulging in normal physical activity
Some specialists use the following methods to diagnose the problem:
- The specialist will examine you in standing position keeping in mind you are resting and request that you to cough or strain to build the weight in your abdomen.
- Particular conditions, for example, ureteral block because of complete prolapse, may require an intravenous pyelogram (IVP) or renal sonography. Color is infused into your vein, and an X-ray is used to view the flow of color through your urinary bladder.
- An ultrasound might be utilised to rule out any other existing pelvic issues. In this test, a wand is used on your stomach area or embedded into your vagina to create images of the internal organ with sound waves.
If you have mild uterine prolapse, either without symptoms or with symptoms that don't bother you, you probably don't need treatment. However, your pelvic floor may continue to lose tone, making uterine prolapse more severe as time goes on. Check with your doctor to monitor the extent of your prolapse and review your symptoms.
For advanced cases of uterine prolapse, treatment options include:
- Vaginal pessary. This device fits inside your vagina and holds your uterus in place. Used as temporary or permanent treatment, vaginal pessaries come in many shapes and sizes. Your doctor measures and fits you for the proper device. You'll learn how to insert, remove and clean the pessary. A pessary also can irritate vaginal tissues, possibly to the point of causing sores (ulcers) on vaginal tissues, and it may interfere with sexual intercourse.
- Surgery. To repair damaged or weakened pelvic floor tissues, your surgeon may perform the procedure through your vagina, although sometimes an abdominal surgery is needed. Surgical repair of your prolapse may involve grafting your own tissue, donor tissue or some synthetic material onto weakened pelvic floor structures to support your pelvic organs. Your surgeon may recommend a hysterectomy, which removes your uterus. In some cases, minimally invasive (laparoscopic) surgery is a possibility. This procedure involves smaller abdominal incisions, special surgical instruments and a lighted camera-type device (laparoscope) to guide the surgeon. Which surgery and surgical approach the doctor recommends depends on your individual needs and circumstances. Each procedure has pros and cons that you'll need to discuss with your surgeon.
If you plan future pregnancies, you might not be a good candidate for surgery to repair uterine prolapse. Pregnancy and delivery of a baby put strain on the supportive tissues of the uterus and can undo the benefits of surgical repair. Also, for women with major medical problems, the causes of surgery might outweigh the benefits. In these instances, pessary use may be your best treatment choice for bothersome symptoms. If you wish to discuss about any specific problem, you can consult a gynaecologist.
What is Bone cancer?
Bone cancer is malignant tumour of the bones which can spread to lungs or other parts of the body. It may have arisen primarily from the bone itself (primary bone cancer) or more commonly, may have spread to the bones (secondary bone cancer) from cancer of some other body organ like Breast cancer, Prostate cancer etc.
Primary bone cancer usually occurs in growing children and young adolescents, whereas, secondary bone cancer usually occurs in older age group. Usually, the patient experiences pain in the affected area, which over the time, gets worse and continuous. There may also be swelling in the involved region. It can cause weakening of bones resulting in fracture. Some patients may attribute these symptoms to any prior antecedent trauma. Unintentional weight loss may also be seen. Sometimes, these patients are wrongly being treated for infection, thus delaying the correct treatment which may have a bearing on the final outcome.
How common is bone cancer?
Secondary bone cancer is the most common type of bone cancer with bone being the third most common site of cancer spread (metastasis) from other organs. However, primary bone cancers are rare accounting for less than 1% of all cancers.
Causes of bone cancer?
There are no known environmental or other hereditary factors which cause bone cancer, however, certain patients are at a greater risk for bone cancer which include:
- Patients who have received prior radiation therapy
- Patients with a history of Paget’s Disease
- Patients with hereditary retinoblastoma - a type of eye cancer that most commonly affects very young children
- Patients with Li-Fraumeni syndrome - a rare genetic condition
How is it diagnosed?
A patient suspected with bone cancer needs to be investigated thoroughly with blood tests, Xrays, MRI to look for local extent of disease. Since bone cancer can spread to lungs and other bones, staging of the disease is done either with whole body PET CT or a bone scan with CT Chest. Alongwith that, a biopsy (usually with a needle) is required to establish the diagnosis. It’s important to do biopsy from the correct site since wrong biopsy site can be detrimental in limb salvage and can result in amputation (cutting the limb). Therefore, it’s recommended that the biopsy should always be done by the surgeon (Orthopaedic Oncologist) who will be doing the final surgery for bone cancer.
Treatment of bone cancer is a multidisciplinary approach requiring an Orthopaedic Oncologist (Bone & Soft tissue tumour specialist), Medical Oncologist (Chemotherapy Specialist), Radiation Oncologist (Radiotherapy specialist) and Pathologist (Specialist in tissue diagnosis).
Usually in primary bone cancers, chemotherapy is given to the patient followed by surgery to remove the diseased bone which is further followed by adjuvant chemotherapy. Limb salvage surgery is possible nowadays for bone cancers in which the part of the bone involved with tumour is removed surgically (rather than cutting the whole limb) and the defect is reconstructed with artificial joint, thereby saving the limb. In some cases, the cancerous bone so removed is given very high dose of radiation so as to kill all the cancer cells and the sterilised bone so formed is fixed back to the parent bone with the help of plates and screws, a technique commonly called as Extra Corporeal Radiation Therapy (ECRT). In children, since the artificial joint will not grow as the child grows leading to unequal limb lengths over a period of time, the defect can be reconstructed with expandable joint which can be lengthened as the child grows which allows to maintain limb length equality at the time of skeletal maturity.
Is cure possible in bone cancer?
With the current chemotherapy regimes and advanced surgical technology, cure is possible in upto 70-75% patients with primary bone cancer. In patients with secondary bone cancer, cure can still be achieved depending upon the primary cancer and the extent of disease. In advanced cases also, a lot can be done to control the disease and give a quality of life to the patient.
Is it possible to prevent bone cancer?
Since the exact cause of bone cancer is not known, as of now it’s not possible to prevent bone cancer.
Whom to consult?
First chance is the best chance when it comes to curing bone cancers. So, it’s advisable to seek treatment from a trained Orthopaedic Oncologist when confronted with a bone cancer to achieve maximum beneficial outcome.
Breast cancer begins when cells in the breast start to get out of control. These cells are mostly in the form of a tumor that can be regularly seen on an x-ray or felt as a lump. The tumor is dangerous (malignant) if the cells attack the surrounding tissues or spread to far off zones in the body. Breast cancer happens mostly in women, yet men can get it, as well.
This is how breast cancer can spread:
- Bosom cancer can spread through the lymph framework
- The lymph framework includes lymph nodes, lymph vessels, and lymph liquid found all throughout the body
- Lymph nodes are little, bean-shaped accumulations of immune system cells that are connected by lymph (or lymphatic) vessels. Lymph vessels resemble little veins, with the exception of that they transport a liquid called lymph (rather than blood) far from the breast
- Lymph contains tissue liquid, waste items, and immune system cells. Breast cancer cells can enter lymph vessels and start to develop into lymph nodes
A large portion of the lymph vessels of the breast deplete into the:
- Lymph nodes under the arm (axillary hubs)
- Lymph nodes around the neck bone (supraclavicular and infraclavicular lymph hubs)
- Lymph nodes inside the neck close to the breast bone (inner mammary lymph hubs)
Following are some of the causes of breast cancer:
- Hormones play a part in creating breast cancer disease; however exactly how this happens is not completely known
- Ordinary breast cells get to be distinctly carcinogenic in view of changes (transformations) in DNA
- Yet, most DNA changes identified with breast cancer are gained in breast cells during a woman’s life as opposed to having been acquired
- Qualities that accelerate cell division are called oncogenes
- Tumor silencer qualities are typical qualities that back off cell division, repair DNA oversights, or advise cells when to bite the dust
- Certain acquired DNA transformations (changes) can drastically increase chances for building up specific growths and are in charge of a large number of tumors that keep running in few families
Some of the treatments of breast cancer include:
- Health alterations: Body weight, physical action, and eating routine are all connected to breast tumor, so these may be territories where you can make a move.
- Restorative alternatives for women at expanded hazard: For women who have certain hazard components for breast growth, for example, a family history; various restorative alternatives may counteract breast cancer.
- Medications to lessen hazard: For women at expanded danger of breast cancer, medications, for example, tamoxifen and raloxifene, can reduce the hazard. However, these medications can have their own dangers and symptoms.
- Preventive surgery: In case that you have a solid family history of breast cancer, you can talk with your specialist about hereditary testing. This test addresses changes in qualities that increase the danger of breast cancer; for example, the BRCA qualities. In case you have a hereditary change from a family with a transformation, however, have not been tried, you could consider surgery to bring down your danger of tumor.
In case you have a concern or query you can always consult an expert & get answers to your questions!
A mammogram is an imaging test where an X-ray is taken to recreate the internal imagery of your breasts. This is a screening test that is widely used to find the earliest signs of cancer. There have been instances where the early signs of cancer have been found up to three years before the actual development of the same. There are a number of benefits and risks in this screening method. So let us find out more about getting a mammogram, and whether or not you should get one.
- Procedure: A special X-ray machine is used for conducting a mammogram. There is a clear plastic plate on which the specialist will place the breast while another plate will press on the breast from above. While both the plates serve to flatten the breast and hold it still, the X-ray will be taken. Some pressure will be felt and the same steps will be repeated so as to get the side view of the breasts. The same procedure will be repeated for the other breast. Meanwhile, once it is done, you will need to wait so that the technician can check for clarity, and whether or not the procedure needs to be done again. The results of this procedure cannot be relayed by the technician, and all the images will be different because all breasts are slightly different from each other.
- Preparation: You will need to remember that the process can be a slightly painful one, especially once the pressure gets applied. Many women complain of discomfort and pain. Yet, this discomfort gets over before you know it. The pressure and pain will depend on the size of your breasts and how much they will have to be pressed in order to get a picture. The skill of the technician will also come into play here. One must remember not to get this procedure done a week or so before or after the menstrual cycle, as the breasts tend to be tender around this time, and the pain will be much more.
- Radiologist: Within a few weeks after the procedure, the radiologist will usually deliver the result. This is the professional who does an accurate reading of the X-ray.
- Normal and Abnormal Readings: If your mammogram result has a normal reading, then you can resort to getting one done every once in a while. But an abnormal reading will require further X-ray and tests so as to be able to tell for sure.
- Why should I get one: If you are over 40 and have a family history of such ailments, then you will have to get a mammogram done regularly. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.