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Madras Medical Mission

Gastroenterologist Clinic

#4-A, Dr. J.Jayalalitha Nagar,Mogappair, Chennai Chennai
1 Doctor · ₹450
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Madras Medical Mission Gastroenterologist Clinic #4-A, Dr. J.Jayalalitha Nagar,Mogappair, Chennai Chennai
1 Doctor · ₹450
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Customer service is provided by a highly trained, professional staff who look after your comfort and care and are considerate of your time. Their focus is you....more
Customer service is provided by a highly trained, professional staff who look after your comfort and care and are considerate of your time. Their focus is you.
More about Madras Medical Mission
Madras Medical Mission is known for housing experienced Gastroenterologists. Dr. Ashok Chakho, a well-reputed Gastroenterologist, practices in Chennai. Visit this medical health centre for Gastroenterologists recommended by 51 patients.

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MON-SAT
09:00 AM - 04:00 PM

Location

#4-A, Dr. J.Jayalalitha Nagar,Mogappair, Chennai
Mogappair Chennai, Tamil Nadu
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Doctor in Madras Medical Mission

Dr. Ashok Chakho

MBBS
Gastroenterologist
450 at clinic
Available today
09:00 AM - 04:00 PM
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Fatty Liver - What To Know About It?

MBBS, MD - General Medicine, DM - Gastroenterology, Fellowship in Advanced Endoscopy
Gastroenterologist, Mumbai
Fatty Liver - What To Know About It?

Fatty liver is a condition where excess fat is deposited on this organ. Also called as steatosis, this condition happens when more than 5- 10 percent of the weight of the liver is made up of fat. Fatty liver is a common condition among people. A study from coastal regions of India found ~ 25% of healthy persons had patients had fatty liver on ultrasound. It can occur at all ages including childhood, highest prevalence is in 40–50 year age group. Prevalence more in patient who are obese and in diabetic patients.

Types of Fatty Liver

1 Alcoholic fatty liver: This condition occurs when there is a heavy consumption of alcohol. Gastroenterologists recommend abstention from alcohol for this condition to subside. If the patient continues to consume alcohol, then liver cirrhosis may develop.

2 Non alcoholic fatty liver (NAFL): One may develop a fatty liver even if one is not an alcoholic. The liver in some cases is unable to process the fat in cells causing them to build-up on the organ.

When more than 10% of the liver is made of fat then this condition is called Non Alcoholic Fatty Liver (NAFL).

Non alcoholic steatohepatitis (NASH): When fatty liver is associated with inflammation in liver patient is said to be having Non alcoholic steatohepatitis. NASH is a more advanced stage of NAFLD, and has a higher risk of progressing to liver cirrhosis or hepatocellular carcinoma (HCC). These condition display symptoms like jaundice, vomiting, nausea, loss of appetite and abdominal pain. Blood test (LFT) shows raised enzymes level. Approx 5-8% of the Indian population has NASH. Consult a doctor if you are experiencing any of these symptoms.

3 Fatty liver during pregnancy: Occurring mainly in the third trimester, the symptoms of this condition are vomiting, nausea, pain the right part of the abdomen and jaundice.

Symptoms

During the early stages (fatty liver) of the disease, patients usually have no symptoms directly related to liver disease. However, people may experience a vague abdominal discomfort. If their liver is inflamed (NASH) then they may display symptoms of poor appetite, weight loss, pain in the abdomen and disorientation.

What causes fatty liver?

The most common cause of fatty liver is alcoholism. When the human liver is unable to metabolize fat fast enough or when there is an excess accumulation of fat on the liver cells then the liver becomes fatty. However, intake of high-fat foods may not result in a fatty liver.

Predisposing factor:

  1. Diabetes mellitus
  2. Obesity or being overweight
  3. Hyperlipidemia or the condition where there are high levels of fat in the blood
  4. Genetic reasons
  5. Rapid loss of weight
  6. Drugs: Aspirin, steroids, tamoxifen, tetracycline etc. cause side effects which also leads to fatty liver
  7. Nutritional status (eg, overnutrition, severe malnutrition, total parenteral nutrition [TPN], or starvation diet)
  8. Other health problems (eg, Hepatitis C infection, celiac sprue and Wilson disease).

In case you have a concern or query you can always consult an expert & get answers to your questions!

4 people found this helpful

Hello sir/mam, I am 23 years old. I think my digestive system is in abnormal condition. I have not gone to toilet (stool) from the past 5 days. I tried a lot in the mornings, but I can not. Also very bad smell is coming from my mouth because of such heavy chunk blocked in my intestines. I am very frightened. Is this because of constipation? If yes, can you please help me in dealing this problem, plzzzzzz.

BAMS, MD - Ayurveda
Ayurveda, Thane
Hello sir/mam, I am 23 years old. I think my digestive system is in abnormal condition. I have not gone to toilet (st...
Initially due to constipation lot of problems occurs. Take Syrup: Abhayarishta 3tablespoon after meals. Tab: Aragwadh kapila vati 1 at sleeping time.(Ayurved pratishtan company) Take lot of water, Fruit, Salads, Butter milk.
1 person found this helpful
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Liver and kidney damage from alcohol, I need to recover. Its starting stage no big harm or not took medicine. But I can feel they are damaged some how ?

Bachelor of Ayurveda, Medicine & Surgery (BAMS)
Ayurveda, Gurgaon
Firstly stop alcohol avoid fried and spicy food eat healthy food use gookshuradi kwath for Kidney and kumari asav for liver betterment.
1 person found this helpful
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Hello sir/mam, I think my digestive system is in abnormal condition. I have not being urged to answer the nature's call from the last 5 days. Is this because of constipation? If yes, can you please help me in dealing this problem, plz?

BAMS
Ayurveda, Bangalore
Hello sir/mam, I think my digestive system is in abnormal condition. I have not being urged to answer the nature's ca...
Hi, Yes, it is constipation. Do sitz bath twice daily for 10-20 mins. Take tab. Anuloma DS 1 tab at bedtime with a glass of hot water. Include plenty of fiber in your diet like raw vegetables, greens, sprouts, fruits and oats, etc. Drink 3-4 litres of water per day and walk daily for one hour.
1 person found this helpful
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Blood sugar (f)-87 mg/dl Blood sugar (pp)-126 S.creatinine-0.9 T3 -0.4 T4 -0.9 Tsh-13.7 Eosinophil -10 Haemoglobin -9.8 Platelets-2.2 I have fatty liver and Pcod. I would like to change my diet instead of so many tablets. Medication - Thyrox 50 mcg, regestrone, bendec, dec forte, hemorich,matmin sr500. Please advice

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
Blood sugar (f)-87 mg/dl
Blood sugar (pp)-126
S.creatinine-0.9
T3 -0.4
T4 -0.9
Tsh-13.7
Eosinophil -10
Haemoglobin -9...
Thanks for the query. You have given some values but there is no clear mention whether you have diabetes or not. Please understand conditions like Hypothyroidism, PCOD and diabetes (if present), can not be cured completely. Therefore, treatment has to go on for each of those conditions. Your blood glucose levels are fairly well controlled. There is no mention of HbA1c%, to know how well the control has been there. Dietary changes and exercise are a major part of the treatment for diabetes. There is no special diet for hypothyroidism except avoiding soy beans and soy containing products. PCOD also a manageable condition. But if you do not want to take tablets then there is no way to control these diseases. Thanks.
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Fatty Liver - 10 Things That Can Help Support Its Treatment!

BAMS
Ayurveda, Ahmedabad
Fatty Liver - 10 Things That Can Help Support Its Treatment!

Excess fat cells in the human body can settle under the skin and cause obesity, Additionally, they may even settle in specific organs and liver is one of them. When fat starts accumulating in the liver, a condition known as fatty liver manifests itself.

There are two types of fatty liver disease alcoholic and non-alcoholic. As the name suggests, the former is triggered by excessive alcohol consumption, whereas the latter takes place due to other reasons. While non-alcoholic fatty liver disease interferes with the normal functioning of the liver, alcoholic fatty liver disease has specific symptoms such as jaundice, fever, spider veins, and increase white blood cells (WBCs) count.

In the world of Ayurveda, the liver is a pitta organ, which is absolutely essential for normal digestion and elimination. Therefore, the pitta dosha should always be in balance so that toxins are eliminated by the liver from the body. A liver disease results when the pitta is aggravated, which can be treated with the help of lifestyle and dietary modifications, in addition to Ayurvedic remedies.

The following are some of the Ayurvedic tips and guidelines that can support liver healing and reduce the symptoms of fatty liver:

  1. Avoid fatty and fried foods as these can further aggravate pitta and heating and overstimulating.
  2. Incorporate cool and non-acidic food items such as berries, pears and melons into your diet.
  3. Eat a combination of steamed vegetable and whole grains such as quinoa.
  4. Consume aloe juice in moderate quantities as it is cooling.
  5. Regularly consume a mixture of 2 grams of long pepper powder and 1 teaspoon honey once a day for complete 1 month.
  6. Consume a decoction of giloy (Tinospora cordifolia), 30 ml, mixed with a teaspoon of honey once a day. 7. Drink plenty of water to cool the body down and eliminate toxins.
  7. Consume 10 to 20 ml of bhumi amla juice.
  8. Take 1 to 3 grams of kakuti powder twice a day with water after meals.

In case you have a concern or query you can always consult an expert & get answers to your questions!

Hi, Why their is burning sensation in neck and stomach after having meal please suggest?

BHMS
Homeopath, Indore
Hi, Why their is burning sensation in neck and stomach after having meal please suggest?
It is Acidity. It is due to disturbance in stomach. You need to eat take rich fibre diet. Don't eat oily & fast food.
1 person found this helpful
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How can behave yourself after become fatty liver. Once lever become fatty than what precaution should taken.

DHMS (Hons.)
Homeopath, Patna
How can behave yourself after become fatty liver. Once lever become fatty than what precaution should taken.
Hello, You need to avoid alcoholic intake even if you have nonalcoholic fatty liver. Tk ,a balanced and healthy diet such as bread, Rice, potatoes and corn. Tk ,bottalgourd, yogurt, juicy fruits like orange, lemon juice & sugar cane juice. Tk, plenty of water in small intervals. Ensure sound sleep for 6/7 hours. Avoid, junkfood, alcohol and Nicotine. Homoeopathy can miraculously help you in fatty liver. Tk, care.
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Irritable Bowel Syndrome or IBS and its Homeopathic treatment!

MD - Homeopathy
Homeopath, Aurangabad
Irritable Bowel Syndrome or IBS and its Homeopathic treatment!

Irritable bowel syndrome (IBS) or spastic colon is a rather common intestinal tract disease which is characterized by sharp pain in the stomach, stomach gas, diarrhea or constipation. It is a chronic condition whose exact cause, although unknown, is sometimes attributed to the dysfunctional production of the neurotransmitter, dopamine.

There is no particular treatment for IBS. However, the symptoms can be brought under control through various methods. The symptoms of IBS can be controlled by making lifestyle changes such as incorporating certain modifications to your diet and reducing or managing stress levels. For severe symptoms, you may require medications.

Patients may also consider homeopathic treatment for a rather wholesome effect and lesser side effects. The purpose of homeopathic treatment is to stimulate the body’s inner self-balancing mechanisms. In order to achieve this, this person must be provided with the right solution at the right time. Since homeopathy aims at treating the root cause of the problem, the treatment is stretched over a longer period of time. Additionally, homeopathy functions by stimulating the natural healing capabilities of the body. Some of the common homeopathic medications that can be used to treat IBS are listed below:

  1. Pulsatilla: Prepared from a medicinal plant known as wind flower, Pulsatilla is effective in the cure of IBS with its remedying effect on the gastrointestinal tract.
  2. Nux Vomica: This too is derived from a plant and has a positive effect on the digestive and nervous system, thereby being effective in the treatment of IBS.
  3. Sulphur: It is one of the most common choices among homeopathic practitioners for IBS. Sulphur affects the digestive tract and is helpful in the treatment of intestinal gas and constipation. It is usually prescribed for individuals who are rather thin and physically weak.
  4. Lycopodium Clavatum: This is mainly prescribed for people with diarrhea and stomach gas. This drug acts specifically on the gastrointestinal tract
  5. Asafoetida: This drug is prescribed when there is a fairly common constriction in the bowel muscles. In case you have a concern or query you can always consult an expert & get answers to your questions!
2 people found this helpful

Chronic Functional Abdominal Pain - Understanding It In Detail!

MD - Medicine, MRCP - Gastroenterology, MBBS
Gastroenterologist, Chandigarh
Chronic Functional Abdominal Pain - Understanding It In Detail!

In most cases, pain anywhere in the body can be explained as a symptom of some other problem, but sometimes, there is no reason for abdominal pain. This type of pain is known as chronic functional abdominal pain. This is a gastrointestinal disorder that cannot be explained through X-ray or laboratory findings. It can be triggered by altered sensitivity to nerve impulses in the brain and gut. People suffering from this condition are often so debilitated by the pain that it becomes the central focus of their life.

This condition cannot be cured, but with proper treatment, it can be managed so that it does not affect the quality of your life. The aim of treatment for this condition is to control the symptoms and improve functioning. When it comes to treating this condition, the patient’s relationship with his or her doctor plays an important role as the condition cannot be proven through any form of testing and it has a great psychological effect on the person. Regular checkups are also a key to managing this condition effectively.

The first step towards achieving this is to identify possible emotional and situational triggers. Maintaining a journal that records these experiences can help with this. Further treatment is usually either through psychological treatment or antidepressants.

Psychological treatment is based on the understanding that the brain can block pain by diverting attention elsewhere. Nerve impulses that travel from the abdomen to the brain must pass through a type of ‘gate’ that is controlled by nerve impulses generated by the brain. When these impulses close the gates, pain is blocked while when these gates are open, the pain can be magnified. Psychological treatment for chronic functional abdominal pain can be in the form of relaxation techniques, imagery, hypnosis and cognitive behavioral therapy. While relaxation techniques such as meditation and hypnosis help a person shift focus from the pain, cognitive behavioral therapy teaches a person how to change thoughts and perceptions in order to control the pain.

Antidepressants can also act as pain relievers. This form of medication stimulates the production of brain signals that close the ‘gates’ of nerve transmissions. This blocks the pain but can take several weeks to be effective. Some people may experience side effects such as drowsiness and nausea and hence should never be taken without a doctor’s supervision. In some cases, antidepressants may also be combined with cognitive behavioral therapy or medication to regulate bowels.

In case you have a concern or query you can always consult an expert & get answers to your questions!

Asymptomatic Neoplastic Pancreatic Cysts - How It Can Be Managed?

MS - Surgery, MAMS, Senior Residency , MBBS, Fellow IAGES
Surgical Gastroenterologist, Delhi
Asymptomatic Neoplastic Pancreatic Cysts - How It Can Be Managed?

The diagnosis as well as management of pancreatic cystic lesions is a general problem. Nearly 1% of the patients in the chief medical centers have been observed to have pancreatic cystic lesions on cross sectional imaging. It has also been observed that a quarter of all pancreas scanned in an autopsy series contain pancreatic cysts. Earlier, these cystic lesions were regarded benign but with increasing evidence made available from the cystic lesions, they are regarded as origin of pancreatic malignancies.


Information on Asymptomatic Neoplastic Pancreatic Cysts
The most vital medical tools that are used in the diagnosis and management of pancreatic cystic lesions include the endoscopic ultrasound and cross sectional imaging. These are used to distinguish non-mucinous cysts from mucinous cysts. The identification of pancreatic cysts creates a lot of anxiety for the clinicians as well as the patients related to the probable presence of a fatal tumor. The findings of a macro cystic lesion that enclose viscous fluid loaded in CEA are helpful in the analysis of a mucinous lesion. 


The most common pancreatic cysts are the non-neoplastic inflammatory pseudo cysts, and they can be detected easily by imaging. The identification of pancreatic irregularity with probable association with malignant cells is a vital source of referral for the specialist. The set of guidelines that have been proposed for the management and diagnosis of patients with asymptomatic neoplastic pancreatic cysts are based specifically on the analysis of the quality of the data. It is also designed to address the most important and frequent clinical scenarios. The diagnostic suggestions are provided based on the clinical problem as well as the risk of malignancy.


Imperative Guidelines to Follow
To achieve accurate diagnosis of asymptomatic neoplastic pancreatic cysts is indeed a great challenge. It is all the more important to find the reproducible methods that can be used to stratify threat of cancer for the patients. The main guidelines include a two year screening interval of cysts that can be of any size as well as stopping observation after 5 years, in case there is no change.  The new guidelines, for the most part, recommend surgery if more than one concerning feature is confirmed on the MRI by use of endoscopic ultrasound. The new guidelines even suggest discontinuation of inspection after the surgery if no dysplasia or invasive cancer is identified. The guidelines have mainly been developed by use of Grading of Recomendations Assessment, Development and Evaluation. In case you have a concern or query you can always consult an expert & get answers to your questions!

1 person found this helpful

I go to gym so I use protein shakes the thing which is disturbing me is I can digest milk but I have a little difficulty in digesting whey what should I do.

Diploma In Human Nutrition, Certified Diabetes Educator, Diploma in Holistic Nutrition, Diploma in Sport & Exercise Nutrition, Lifestyle Medicine, BSc
Dietitian/Nutritionist, Bangalore
I go to gym so I use protein shakes the thing which is disturbing me is I can digest milk but I have a little difficu...
If you are a beginner, it is difficult to digest supplements, and there are not required for initial 2-3 years. Have more natural proteins rich foods.
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I am diagnosed with fatty liver grade 1. What are the medicines I should take to rectify. Size of liver is 16.2. Shape normal echo pattern raised. Spleen size 10.6.rest all normal. Impression flepatomegaly with grade 1 fatty liver.

MD Hom., Certificate in Food and Nutrition, BHMS, Diploma In Yoga, PGDM
Homeopath, Indore
I am diagnosed with fatty liver grade 1. What are the medicines I should take to rectify. Size of liver is 16.2. Shap...
Take medicine Chelidonium 200 and Iodum 30, 4-4 pills for a week and report thereafter for further treatment. Treatment - 1 lifestyle changes (do exercise, weight loss) 2 diet - avoid fatty, spicy and oily food, junk food 3 homeopathic medications 4 supplements of antioxidants - vitamin E 5 omega-3 fatty acids for more queries, contact us or book an online appointment for further treatment by homeopathic medicine for fatty liver.
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Reasons Behind Gas Pain in Children!

dnb pediatrics
Pediatrician,
Reasons Behind Gas Pain in Children!

Gas or flatulence is a condition where the microorganisms present in the intestines break down the food and release excessive gases such as carbon dioxide and methane, which is usually let out from the anus. It can lead to pain in the stomach and an uneasy feeling in the body.

Causes
1. When foods that are not digested properly are broken down
2. Lactose intolerance
3. Swallowing air
4. Certain foods not being absorbed properly in the digestive system
5. When a child does other activities, while eating, then it can cause gas to accumulate air in the intestines leading to gas
6. The sweeteners present in chewing gums can get trapped in the intestines and ferment into gas
7. Vegetables such as cauliflower and broccoli can cause gas
8. Soft drinks that cause phosphoric acid can also lead to gas
9. Some children are sensitive to fat and fiber, and consuming these nutrients can lead to gas

The symptoms of gas pain in children are cramps in the stomach region along with diarrhea. It can also lead to irregular eating, being fussy about food and pulling up the legs to the belly.

Treatments and preventive measures
1. Consuming food containing probiotics such as yoghurt and soy can help in treating gas
2. Eliminating vegetables such as broccoli and cauliflower from your child's diet
3. Decreasing the amount of milk in the diet
4. Limiting consumption of chewing gums as they contain artificial sweeteners , which cause gas
5. A hot drink such as tea made from herbs like peppermint can help in easing the symptoms of gas
6. Encouraging your child to exercise can help in preventing gas
7. Getting your child to drink water in proper amounts
8. Consuming a healthy diet of vegetables and fruits

In case you have a concern or query you can always consult an expert & get answers to your questions!

I am a 42 year Old male. I get frequent pain in right upper abdomen and semi loose or loose stools 3-4 times every week or 15 days. Upon investigation I had mild fatty liver. I take Liv 52, Probiotics and light food to recover. This usually happens when I have mutton, outside food. So I am avoiding it but cannot do it completely instead I want a diagnosis and proper treatment. Please help.

MBBS, MD - Internal Medicine, MRCP (UK), DM - Clinical Haematology
Hematologist, Kolkata
I am a 42 year Old male. I get frequent pain in right upper abdomen and semi loose or loose stools 3-4 times every we...
No use taking LIV52 or probiotics for the Fatty liver. As for diarrhea, try changing your diet and consuming less of red meat. If the diarrhea is occurring quite frequently and with crampy pain, then it may be infective and you will need to take antibiotics. Metformin may in many patients cause diarrhea. It will​ be worth knowing for how long have you been on the Metformin? In case you need further help, do book an online consult and we can discuss.
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I am married women age 74 from last three years I do not feel like eating feeling hollow in stomach restless gas burning specially after lunch can not take rest feel very restless so have to get up and sit not interested in eating do not mind drinking buttermilk ajwain water like to take amritdhara pudina drops all the test are fine. Very much tired cannot go any where feel weak to walk. Very restless Had H piroli before three years took H.t kit for 15 days. Please help.

DHMS (Hons.)
Homeopath, Patna
I am married women age 74 from last three years I do not feel like eating feeling hollow in stomach restless gas burn...
Hello, Obesity brings lithargicity, fatigue with sleepy mood and indigestion to cause acidity. Tk,  plenty of water to hydrate your body to prevent constipation to check burning sensation. Go for meditation to reduce your stress to nourish your body including digestive system to check gastric disorder. Your diet be simple, easily digestible on small intervals  to check gastric disorder.  Tk,  apples,  carrots,  Papaya, tonned mill. Tk,  homoeopathic medicine:@ Acid sulph 30-6 pills,  thrice. @ China 200-6 pills thrice. Avoid, junk food,  alcohol, nicotine & caffiene. Tk, care.
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I am diagnosed with 12 mm Gallstone, Can bariatric surgery be done along with Gallstone operation, if yes what will be approximate costing.

MS - General Surgery
General Surgeon, Kanpur
I am diagnosed with 12 mm Gallstone, Can bariatric surgery be done along with Gallstone operation, if yes what will b...
Yes gallbladder surgery can be done along with bariatric surgery, extra cost may be nill, total cost depends on the surgeon.
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I am suffering with hepatic parenchyma. My CEA level is 18 and CA 19.9 is 2.what is the cause of high CEA level. What is the next test to be done. I use liquor and cigarettes.

MBBS
General Physician, Fatehabad
Hi lybrate-user, Both benign (harmless) and malignant (cancerous) conditions can increase the CEA level. The most frequent cancer which causes an increased CEA is cancer of the colon and rectum. Others include cancers of the pancreas, stomach, breast, lung, and medullary carcinoma of the thyroid and ovarian cancer. Benign conditions which can elevate CEA include smoking, infections, inflammatory bowel disease, pancreatitis, cirrhosis of the liver, and some benign tumors in the same organs in which an elevated CEA indicates cancer. Chemotherapy and radiation therapy can cause a temporary rise in CEA due to the death of tumor cells and release of CEA into the blood stream. Changing levels of CEA during cancer treatment must always be correlated with other clinical findings. While worrisome, changes in CEA are not diagnostic of cancer progression on their own. Stop Smoking and consuming alcohol. Smoking might be the cause of high CEA in your case.
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