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I am 62 years old having highly occupied with my regular profession but having a bowl pain exactly just around two inches of naval position for a quite 3 to 4 years suffering, medicated but no cure.
I am 28 years old guy I am facing problem in digesting food I don't eat much as breakfast in the morning and dinner at night still have a problem of digesting and I am not a sound sleeper not able to sleep at night just 4 hours every day what do I do.
Heart ka niche wala right gall bladder sikud gya h or uske karan niche wale left gall bladder mai sujan aa gyi h?
The bladder is a hollow storage organ that collects urine from the kidneys and stores it until it can be passed out of the body through the urethra during the process of micturition or urination. It has a thin inner lining of cells called urothelial cells and a thick muscular wall, which exerts pressure to push the urine out of the body.
Causes of Bladder Tumors
In most cases, the bladder tumor develops on the inner layer due to a combination of some of the following factors.
1. Hereditary: A strong family history of cancer predisposes a person to cancer.
2. Gender: Men are 3 times more prone for bladder cancer than women.
3. Ethnicity: White people are more prone for bladder cancer black people.
4. Smoking: Smokers develop bladder cancer 2-6 times more frequently than non-smokers. cigarettes contain toxic, carcinogenic substances which reach the kidney and are stored in the bladder, leading to their damage.
5. Occupational hazards: Some workplaces have a higher likelihood of causing bladder cancers, especially dye and rubber industries. The effects can be damaging, and the person may develop cancers years after the exposure has happened.
6. Recurrent bladder infections: In some people, this can also lead to bladder cancer in the long run.
Types of Bladder Tumor
Depending on the extent of the cancerous spread, it can be of two types:
1. Non-muscle-invasive bladder tumors: The tumor spread is limited to the inner part of the bladder (urothelial cells)
2. Muscle-invasive bladder tumor: The tumor has spread to the thick muscular outer layer. This is more advanced and prognosis is poor compared to the noninvasive type.
The most common and diagnostic symptom of bladder cancer is the presence of blood in the urine, known as hematuria. This will be intermittent and happens whenever the tumor bleeding happens. Other symptoms include pain in the lower abdomen and frequent urination.
From the most noninvasive to the most invasive diagnostic test, these include:
1. Urine microscopy to detect cancer cells in the urine
2. Cystoscopy A tube inserted into the urethra to look into the inner wall of the bladder is highly diagnostic
3. Ultrasound, CT Scan, and biopsy can also be further used to identify severity of the tumor.
Once the tumor is diagnosed, treatment would depend on the severity of the tumor. For both invasive and noninvasive tumors, definitive therapy is surgery, known as transurethral resection of the bladder tumor (TURBT). The cancerous bladder tissue is removed through a cystoscope as done for diagnosis. The bladder is then flushed with chemotherapy agent to kill any residual cancer cells in the bladder. This is then followed by BCG vaccine, which is again done 1 to 4 weeks for several months to avoid recurrence. In some cases, radiotherapy may also be included.
Bladder cancer BCG vaccination is once in a week for 6 weeks. Surgical removal of bladder is the best available treatment for muscle invasive bladder cancer. If you wish to discuss about any specific problem, you can consult a Urologist.