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Dr. Alex

Oncologist, Chennai

600 at clinic
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Dr. Alex Oncologist, Chennai
600 at clinic
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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. Alex
Dr. Alex is an experienced Oncologist in Egmore, Chennai. You can visit him/her at Santosham Chest Hospital in Egmore, Chennai. You can book an instant appointment online with Dr. Alex on Lybrate.com.

Lybrate.com has an excellent community of Oncologists in India. You will find Oncologists with more than 28 years of experience on Lybrate.com. You can find Oncologists online in Chennai 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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Santosham Chest Hospital

New No.70, Old No.155, Egmore High Road, Egmore. Landmark: Opp To Presidency Girls Higher Sec School, ChennaiChennai Get Directions
600 at clinic
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Hi doc. Since 5 years (from 2011) I am diagnosed with fibroadenoma. I was OK as d size was just 1.8 mm but now it has started pain and d size has also increased to2. 7 mm I am really v much worried abt it, as I am gonna get married in may 17. Did many medication like Ayurveda homeo allopathy. But no result. I want to ask you that can I get married? Will it effect my conceiving rate. Will I have any problem in feeding. And suggest me some gud Dr. who can cure did. If I don't get it operated will it turn into malignant after marriage. Or is it gud to operate it bfre marriage. Pls pls help me out. God bless you.

M.H.C.T.C
Oncologist, Pune
Hi, Lybrate,I differ as the Fibroadenoma is not a normal condition as opined by My professional colleague. Its a disease condition and its abnormal state. But by its size and progress over last 5 yrs. Its not harmful for your marriage and for you getting children after the marriage, as apprehended by you. As you are getting married in May, 2017,I would suggest you to go ahead with your marriage and plan the detailed treatment with Me thereafter. This is because no chance of malignant changes if non-operated, as more investigations would be required to rule out these complications, but this is not required in your case. If still you want to consult with Me, book appoinment through Lybrate web asap. There is no hurry to operate as its not increasing in size and as there is no immediate chance of getting .The pain complained by you could be treated with local doctors. If not please fix appointment with Me ASAP-if pain is not relieved. I would suggest you to consult Me by prior appointment -for Sms Chat/ and consults through Lybrate.
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The Connection between Lung Cancer and Outdoor Air Pollution

MBBS, MS- Surgery , M.Ch - Surgical Oncology , FIAGES
Oncologist, Delhi
The Connection between Lung Cancer and Outdoor Air Pollution

Lung cancer is the cancer killer of both men and women in the U.S. When you think of risk factors for lung cancer, what comes to mind? Most of us think about the risk associated with smoking cigarettes, but did you know that air pollution can also cause lung cancer? Overwhelming evidence shows that particle pollution in the outdoor air we breathe—like that coming from vehicle exhaust, coal-fired power plants and other industrial sources - can cause lung cancer. Particle pollution increases the risk of dying early, heart disease and asthma attacks, and it can also interfere with the growth and function of the lungs. 

What is Particle Pollution?

Particle pollution is a mix of tiny solid and liquid particles in the air and can be made up of a number of components, such as acids, organic chemicals, metals, soil and dust particles. It can be emitted directly from wood stoves, forest fires, vehicles and other sources, and it can also form from other types of pollution that come from sources like power plants. 

Why does particle pollution harm our bodies?

While breathing in larger sizes of particle pollution can be harmful to our health, smaller particles are more dangerous. Bigger particles can irritate your eyes, nose and throat, but our natural defenses help us to cough or sneeze them out of our bodies. Unfortunately, those defenses don't keep out smaller particles, which get trapped deep in the lungs and can even get into the bloodstream, causing damage to our health.

Who is most at risk?

As for who is at risk for health problems from breathing in particle pollution. Those who live where particle pollution levels are high is at risk. Some people face higher risk, including children, the elderly, people with lung and heart disease and diabetes, people with low incomes, and people who work or exercise outdoors.

How do we protect ourselves from particle pollution?

Check the air quality index forecast for the day and limit your activity if pollution levels are high. Avoid exercising along heavily traveled highways regardless of the overall forecast.

As individuals, we can play our part in reducing air pollution levels by trying to avoid creating more of it. Choosing ‘active travel’ options where possible, like walking and cycling, can help reduce pollution levels from transport and is also a great way to be more active, which is linked to a reduced risk of cancer and other diseases. If you wish to discuss about any specific problem, you can consult a oncologist and ask a free question.

1862 people found this helpful

I have the cancer in lungs i.e. Water collected in lungs that i guess happens in final stage.

MD - Radiation Oncology, MBBS
Oncologist, Delhi
Water in lung does not mean you have cancer. It can be due to some infections also. Please consult a pulmonologist (chest specialist) for proper diagnosis.
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Is chronic anxiety very detrimental for health? And can a prolonged severe anxiety cause tumor or cancers?

Ex Sen.V.Surgeon/Research Scientist, M.D.(Alternative Medicine/tibetan/chinese/acupuncture), Vaida/ Unani, Homeopath
Unani Specialist, Moga
Yes, chinta/ anxiety is just like chita/ death. It may cause anorexia, loss of appetite, headache, constipation etc but not tumors directly.
1 person found this helpful
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Can numerous fibroids and an enlarged uterus cause bladder prolapse? Why does my gynecologist think my bladder bulging into my vaginal canal is a fibroid even after I was sent to a urologist for stress incontinence issues? My son is entering middle school in the fall. What advice can I give him if he finds himself on the receiving end of cyberbullying? Will a person with Type 2 diabetes under control end up with the need for insulin? Which is better for covering up during a sunny day, light or dark clothes? Also, is there a danger from tanning sprays rather than tanning beds? Is breast cancer inherited? What causes Hashimoto's thyroiditis, and what is the best method of treatment? Can iodine help this condition?

DNB, MBBS
Oncologist, Faridabad
Can numerous fibroids and an enlarged uterus cause bladder prolapse? Why does my gynecologist think my bladder bulgin...
Dear lybrate user, you seem to be having multiple problems, let me try to solve one by one. There could be many reasons for bladder prolapse, but most likely uterine fibroids would cause uterine prolapse. You can get a pelvic and transvaginal ultrasound done to confirm. Uncontrolled diabetes may require insulin, you should check it regularly and may continue with oral hypoglycemics if controlled with that. You must use sunscreen cream to protect your self from sun. Some breast cancer may be inherited not all. Hashimoto thyroiditis is autoimmune disease. You must consult endocrinologist.
12 people found this helpful
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Cervical Cancer Prevention & Early Detection

PG Diploma in Geriatric Medicine, MD - Community Medicine (pgt), Certificate in Infectious diseases, MBBS
General Physician,
Cervical Cancer Prevention & Early Detection

Cervical cancer is a preventable disease and, if detected early, a cancer that can be successfully treated. Below are ways to prevent cervical cancer and detect the disease early.

Cervical Cancer Prevention

Avoid infection with HPV by practicing safer sex.
(Condoms can’t give complete protection against HPV because the virus can infect areas that aren’t covered by a condom.)
Don’t smoke, or, if you do smoke, quit.

Cervical Cancer Early Detection

All women should begin cervical cancer testing at age 21. Women aged 21 to 29 should receive a Pap test every 3 years. HPV testing should not be used for screening in this age group unless used as a follow-up for an abnormal Pap test.
Women between the ages of 30 and 65 should have a Pap test plus an HPV test every 5 years. This is the preferred approach, but it is also OK to have a Pap test alone every 3 years.
Women at high risk, exposed to DES before birth or with a weakened immune system may need to be screened more often.

Talk with your health care professional about the HPV vaccine.

The HPV vaccine protects against the types of HPV that are most likely to cause cancer. It’s most effective if a person is vaccinated before becoming sexually active. The vaccine is recommended for girls who are age 11 to 12. Girls may also be vaccinated at age 9 or 10. Girls may get a “catch-up” vaccine up to age 18. Young women age 19 to 26 who have never been vaccinated may also get the vaccine.
Women over age 65 who have had regular cervical cancer testing with normal results should not be tested for cervical cancer. Women with a history of serious cervical pre-cancer should continue to be tested for at least 20 years after that diagnosis, even if testing continues past age 65.
Women who have had a hysterectomy should stop screening unless the surgery was done as a treatment for cervical cancer or pre-cancer. Women who have had a hysterectomy that left behind the cervix should continue to follow the guidelines above.

- do consult for further info on HPV vaccine

Suffering from tonsil stones. Can you please help me to cure these tonsil stone. What are home remedies to cure tonsil stones. Is tonsil stones are cancer cancer causing disease. Plzz help me.

MBBS, MD - Medicine, MD - Oncology
Oncologist, Delhi
I have not heard of tonsil stone but they do occur in salivary glands. These need to be removed and and analysed to take the necessary precautions for reformation.
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My grandma hip bone got fractured and her age is about 85. Within 4 days, she got bed soar which is in starting stage. I need suggestions/guidance to treat it in this stage and stop it to improve further.

DNB (Orthopedics), fellowship in arthroscopy and sports medicine
Orthopedist, Ghaziabad
get her operated so she can be turned in bed to avoid bed sores. otherwise she will develop bed sores dvt thromboembolism chest infection
1 person found this helpful
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I am a female of age 16 yrs. I have just noticed that one of my breast is bigger than the other. I don't know from how many days it is. Why this is so? Is this any symptom of ovarian cyst or breast cancer? I am really very worried. Pls tell me.

M Ch. Plastic Surgery, MS - General Surgery, MBBS
Cosmetic/Plastic Surgeon, Durg
I am a female of age 16 yrs. I have just noticed that one of my breast is bigger than the other. I don't know from ho...
Dear user asymmetry of breasts is a very common finding and need not be worried until the size discrepancy is too much. Breast ptosis is the term used for loose breasts. It happens either with ageing as the skin and fibres in body become loose or in very lean patients or with sudden weight loss. Mastopexy is the surgical option for loose or assummetric breasts; in this the breast becomes firm and also is lifted from sagging. Giving proper shape to breast increases the aesthetic appearance of breasts. Consult a plastic surgeon for that.
5 people found this helpful
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Mere nipple me right side me jalan & chubhan hoti hai. Kya feeding ki wjah se hoti hai.Please tell.

MBBS
General Physician, Chandigarh
Feeding the baby can cause cracked nipples still it's advisable to consult a gynaecologist and get clinically checked
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My skin often gets red with a small swollen area and around it d skin gets red. Is it skin infection or is related to blood cancer?

PGFCP, PGDEMS, Bachelor Of Ayurvedic Medicine And Surgery
Ayurveda, Satara
My skin often gets red with a small swollen area and around it d skin gets red. Is it skin infection or is related to...
DEAR Lybrate USER. You have to follow some basic things so that you get better results in a short period of time. …. 1) take solid diet two times in a day and liquid diet two times in a day …2) drink only 100-150 ml of lukewarm water during meals …. 3) don’t drink water before meal for one hour and one hour after meal…4) avoid oily, spicy, junk, fermented and stale foods…. 5) avoid late night sleeping habits …A) take 30ml of triphala juice and 10 ml of honey early in the morning on empty stomach and at night before sleep. B) take 30ml of divya shwasari pravahi (patanjali ayurved) along with 30ml of water after meals. C) take 2-2 tablets of arogyavardhini vati and chandraprabha vati after meals, D) take 30 ml of aloevera juice along with 30ml of lukewarm water. Do all things for 30 days. This formulation is 100% effective. Consult to me for further suggestion. THANKS.
6 people found this helpful
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My grand mom is suffering from cancer. What are the necessary steps in order to relief her pain?

DNB, MBBS
Oncologist, Faridabad
Which cancer and what part is affected. Please specify. For pain relief, if it is bone pain, apart from good analgesics, some times radiation therapy does wonders. We need more details about disease.
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Can anyone tell me the survival rate of oral cancer. I have mri and x ray reports.

Registrar in Surgical Oncology, Fellowship in Gynaecologic Oncology, Masters In Advanced Oncology, Fellowship in advanced laparoscopy and robotic surgery, Fellowship in Gastrointestinal Oncology, Fellowship in CRS and HIPEC, Fellowship in PIPAC
Oncologist, Mumbai
Stage 1 and stage 2 have excellent success rates. Even in stage 3,we can technically cure the patient, but the risk of recurrence is high because of the advanced nature of the disease. A biopsy and mri is sufficient to decide the stage of the disease and treatment can be planned accordingly
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I am 22 years old. Iam feeling something in my breast from the past 6 months. I feel them like hard stones. And iam afraid of it. Can you tell me what could it be?

M.H.C.T.C
Oncologist, Pune
Hi, hard breast lumps for 6 mths-definitely worrysome issue? act fast without worry. As it needs more detailed work up-in next 2-3 interactions to inbox at my lybrate account. Cancer or non-cancerous is the worry. Act fast-thnks. Wellcome.
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Hi, I am in age of 27 and I have side pain in only lump of my breast when I am pressing it .Is it normal or should I consult it with doctor.

MBBS, MD - Medicine, MD - Oncology
Oncologist, Delhi
Dear lybrate user, fibroadenoma is a benign lump in the breast which is sometimes painful during menstruation. If small and mild pain no need for any active treatment, if it is causing pain some form of hormonal management is done, if it is very big and really tender it is better to get it excised.
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Cancer

MBBs, MD - Medicine, DM - Oncology
Oncologist, Cuttack

Cancer is curable if diagnosed early and treated properly.

1 person found this helpful

Cancer- General Information: Don't Fear, Be Aware

MBBS, MS- Surgery , M.Ch - Surgical Oncology , FIAGES
Oncologist, Delhi
Cancer- General Information: Don't Fear, Be Aware

Cancer

Cancer is an uncontrolled proliferation of transformed cells in any part of the body. Neoplasm or tumor are used variably to describe any swelling or new growth. Benign growths don't have the potential to spread to other organs or parts of the body while malignancy or malignant growths have uncontrolled proliferation and metastatic potential. Transformation is a multistep process with genetic alterations by which normal cells acquire malignant potential, uncontrolled proliferation capacity and capacity to spread to other parts of the body (metastasis) worldwide cancer is responsible for 1 in 8 deaths. Most common cancers are:

Men: oral cancer (in India), prostate, lung

Women: breast, cervix and endometrium, colorectal, lung


What causes cancer? cancer is usually multifactorial 


1. Age- more in age group greater than 60 yrs compared to younger age group

2. Obesity- body mass index greater than 30

3. Tobacco - cigarette, cigar, bidi, hookah, smokeless tobacco like gutka, zarda etc. There is no safe form of tobacco.

4. Pan masala and supari

5. Alcohol

6. Ultraviolet rays exposure

7. Radiation exposure

8. Genetic factors

9. Others- pollution, certain chemicals, infections


Prevention of cancer: 


1. Stay away from tobacco products

2. Eat healthy and daily physical activity- fresh fruits and vegetable are good, maintain optimal body weight

3. Be safe in sun

4. Cancer awareness and early detection: alarming signs are (caution)-
 

  • Change in bowel or bladder habits
  • A sore that will not heal
  • Unusual discharge or bleeding
  • Thickening or lump in the breast, testicles or elsewhere
  • Indigestion or difficulty swallowing
  • Obvious change in a wart or mole
  • A nagging cough or hoarseness


5. Cancer screening: screening is for healthy individuals with education. Rather than going for unnecessary blind tests, a programme for screening should be planned in consultation with your oncologist as requirements are different for different cancers and differ as per age groups and gender. Also, screening is not effective in all cancers. Cancer education and awareness have due importance. Some cancers in which screening has been shown to be effective includes breast, colon, rectum, cervix, prostate, lung in high-risk groups but as mentioned earlier it is planned with participation of both individual and oncologist.


Types of cancer treatment:


Cancer treatment is now a multidisciplinary management in which different surgical, medical and radiation oncologist plan treatment protocol for best possible chances of cure. Advancement in all these fields and their contribution in comprehensive management results in 25-30% improvement in cure rate over previous decades.
 

  • Surgery: involves surgical principles to remove the tumor with adequate margins and possible draining lymph nodes regions. Improvements and understanding of surgical principles even make resection of distant disease or cure of stage iv disease in some selected cases.
  • Chemotherapy: cytotoxic drugs are given either in injectable or oral forms which acts on uncontrolled cancer cells. Advances in this fields result in drugs with better efficacy and less side effect profile and at the same time resulting in better cancer control. Targetted therapy acts on specific pathways of cancer growth. Hormone therapy targets specific hormone receptors for controlling cancer.
  • Radiation therapy: is the delivery of radiation generated by radioactive source over the region of cancer. More and more advances in radiation technologists are emerging like imrt, sbrt to focus radiation over the specific location so as to avoid toxic effect over surrounding area.
9 people found this helpful

Know About Laser Prostate Surgery

MBBS, MS - General Surgery, DNB - Urology
Urologist, Delhi
Know About Laser Prostate Surgery

One of the most common problems faced by ageing men is benign prostatic hypertrophy. Prostate is the gland at the base of the urethra near the bladder and when it enlarges it can lead to symptoms, mostly related to urination.

1. Frequent urge to pass urine
2. Prolonged urination
3. Frequent nocturnal visits to the toilet
4. Intermittent urination
5. Difficulty to start urinating
6. Inability to completely empty the bladder
7. Urinary tract infections

There are medications available to manage this, but offer only temporary relief. Many men therefore prefer to have the surgery undergone to manage these bothersome symptoms. However, like any surgery, the risks and benefits need to be considered along with other conditions like age, overall health status, other comorbid conditions, etc.

Surgical removal of the enlarged prostate gland is a more definitive approach to manage these symptoms. In addition to providing a quick cure, it also is used in the following cases:

1. Patients who do not respond to medications
2. Presence of blood in the urine
3. Associated bladder stones
4. Frequent infections of the urinary tract
5. Associated damage to the kidneys

Procedure of Surgery
During the procedure, a tube is passed through the tip of the penis into the urethra towards the bladder neck. Once it is in the desired position, laser is passed through it to deliver energy that acts on the prostate to either completely or partially destroy it. There are two methods by which laser acts on the enlarged prostate and making way for free flow of the urine.

1. Ablation: Excess prostate tissue is melted away by the laser by using photosensitive vaporization of the prostate. This is also known as Greenlight laser therapy or KTP laser vaporization. Alternately, Holmium can be used as the source of laser energy to ablate the prostate tissue.

2. Enucleation: Excess prostate tissue is cut and teased out through the urethra. Holmium laser is used to resect the prostate into smaller pieces, which are then removed out through a resectoscope. Another technique uses a tissue morcellator which grinds the enlarged prostate into smaller pieces to enable easy retrieval.

More men now opt for laser prostate removal as it has the following advantages:

1. Reduced risk of bleeding: This becomes essentially important in patients who are on blood thinners.
2. No hospitalization: This can be done either as an outpatient or with minimal one day stay at the hospital
3. Immediate symptom relief: As compared to medications, the relief is felt almost immediately after the surgery
4. No catheter: With laser surgery, a catheter may be required for less than 24 hours unlike in open surgical cases.

As noted above, as with any surgery, once enlarged prostate symptoms set in, have a detailed discussion with your doctor to identify if you are a suitable candidate for laser surgery.

4339 people found this helpful

My father is about 55 year old. He is suffering from prostatic enlargement according to ultrasound. Please tell me a doctor from govt hospital because I belong to poor family and can not afford more money please I request you.

MS - General Surgery, MBBS
General Surgeon, Delhi
My father is about 55 year old. He is suffering from prostatic enlargement according to ultrasound. Please tell me a ...
Prostatic enlargement always needs surgery. If it is enlarged too much and giving obstructive symptoms then surgery is must. If you have financial problems ,u can get it done in Govt. Hospital.
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