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Dr. Guru Murthy

Oncologist, Chennai

Dr. Guru Murthy Oncologist, Chennai
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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. Guru Murthy
Dr. Guru Murthy is one of the best Oncologists in Ambikapuram, Chennai. He is currently associated with Dr. Guru Murthy@Be Well Hospital in Ambikapuram, Chennai. You can book an instant appointment online with Dr. Guru Murthy on Lybrate.com.

Lybrate.com has an excellent community of Oncologists in India. You will find Oncologists with more than 29 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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HPV Vaccine update

MD - Internal Medicine, MBBS
Cardiologist, Delhi

Hpv vaccine update

Three different vaccines, which vary in the number of HPV types they contain, are available

  1.     A bivalent vaccine, targets hpv types 16 and 18
  2.     A quadrivalent hpv vaccine, targets hpv types 6, 11, 16, and 18
  3.     A 9-valent vaccine, targets the same hpv types as the quadrivalent vaccine (6, 11, 16, and 18) as well as types 31, 33, 45, 52, and 58
  4.     If cost and availability are not issues, use 9-valent vaccine for individuals for whom hpv vaccination is indicated
  5.     Infection with human papillomavirus (hpv) types 16, 18, 31, 33, 45, 52, and 58 is implicated in approximately 90 percent of invasive cervical cancers.
  6.     Two types associated with genital warts are (6 and 11)
  7.     Routine immunization should be offered to boys and girls aged 11 to 12, but can be administered as early as nine years of age. Catch-up vaccination should be offered to males between the ages of 13 to 21 and females between 13 to 26 years who have not been previously vaccinated. Repeat vaccination with the 9-valent vaccine is likely not warranted for individuals who have completed a series with a different HPV vaccine.
  8.     Persistent viral infection with carcinogenic HPV types causes virtually all cancer of the cervix and most cases of anal cancer. The carcinogenic types, HPV 16 and HPV 18, which are targeted by the current HPV vaccines, cause approximately 70 percent of all cervical cancers worldwide and 72 percent of anal cancers. Hpv types 31, 33, 45, 52, and 58 are estimated to cause an additional 19 percent of invasive cervical cancers. Hpv 6 and HPV 11 cause approximately 90 percent of genital warts.
  9.     Hpv immunization is most effective among individuals who have not yet been infected with HPV (eg, before sexual debut).
  10.     The quadrivalent vaccine and 9-valent are administered in three doses at time zero and at two and six months of follow-up. The bivalent vaccine is administered in three doses at time zero, and at one and six months of follow-up.
  11.     Cervical cancer screening is recommended for any woman 21 years of age or older.
  12.     Clinicians should be aware that HPV immunization is not effective in clearing cytologically evident disease or HPV infection that is already present.
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Pain in breast from some days, want to know why its happening, this for the first time m facing this problem. What could be the problem. Do I need to consult doctor for this .pls help me.

General Surgeon, Pune
There could be many reasons for pain in breast or mastalagia as it is called medically. It's could be cyclic pain occurring with the menstruation due to hormonal changes. It could be infection. It could be increasing density of the breast tissue, etc. You need to consult with a surgeon for a checkup. He might advise you some investigations and medications.
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I have been diagnosed with enlarged prostate. PSA test a month back showed 24.62. Presently on 1 capsule of Urimax. 4 a day. Is it OK or needs else to be done.

MBBS, MS - General Surgery
General Surgeon, Bangalore
I have been diagnosed with enlarged prostate. PSA test a month back showed 24.62. Presently on 1 capsule of Urimax. 4...
as of of now if your feeling better its good, but you should follow up on a regular basis with your urologist.
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Hi, My father is detected with stomach cancer with signet ring cell morphology. He underwent partial gastrectomy surgery. Pathologist tested removed tumor and lymph nodes and gave report that the cancer is in stage 3 now. Oncologist suggested to undergo 28 sittings of radiation along with 3 chemo injections in parallel. Chemo injections are given once in every two weeks. My father is diabetic and suffering with hypertension. His age is 59 years. Can he undergo this treatment? What could be the side effects? Does he need to undergo 28 sittings of radiation? Please help me with your answers.

MD - Radiation Oncology, MBBS, DNB (Radiotherapy)
Oncologist, Howrah
Stage III stomach cancer is treated by concurrent chemoradiation. Chemotherapy tolerance depends on patient age, performance status, presence of comorbidities etc. Side effects of chemotherapy depends on type of chemotherapy used. Share the details of chemotherapy regimen for further opinion.
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I am 24 years male and have infection in mouth. Is it cancer. Please suggest me?

DNB, MBBS
Oncologist, Faridabad
You need to see an ent surgeon to establish the diagnosis whether infection or something more serious. Cancer is not infection so don't worry. If it is some kind of bacterial or fungal infection it can be treated by antibiotics.
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What are the reasons for getting cancer and what are it symptoms and prevention and treatment methods?

DNB, MBBS
Oncologist, Faridabad
Cancer is a disease which is caused by some abnormal mutations or change in genes leading to loss of control over few cells and they become autonomous and uncontrolled. They start growing in number and become huge. It may present as lump, ulceration, abnormal bleeding, weight loss, fever, altered bowel habits etc. One has to avoid any kind of carcinogenic substance, tobacco, radiation exposure, pollution, pesticides etc and go for regular health screening.
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My father is 65 years old, he is thyroid cancer pationt and surjary in 2012. Next every 6 monts treet in radio iodine theropy. Is ok but still 1 month back pet scan report his cancer spred metastatic in lung & bone. 15 days back radiotion in bone. Next how please tell me.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
My father is 65 years old, he is thyroid cancer pationt and surjary in 2012. Next every 6 monts treet in radio iodine...
CONTINUE with your treating doctor. or send reports of you. IN HYPOTHYROIDISM:--- Deficiency of thyroxine hormone leading to sluggishness, tired feeling, weight increase, slow heart beats, intolerance to cold, swelling of legs, feet and face, difficulty in concentrating and at times in speech. Treatment for hypothyroidism is giving ' THYROXINE ' tablets. And dose are according to level of thyroid for life time. Avoid iron medicines. Avoid bad habits . Avoid stress. Some Relax during work.go walk daily.avoid oily foods,junk foods. Do Tests T3,T4,TSH EVERY 3 TO 6 MONTHS. Take plenty of water, high-carbohydrate foods such as potatoes, rice, pasta and bread. Nutrient-rich foods that improve your health may also benefit your thyroid gland, antioxidant-rich fruits and vegetables more plenty of water: Blueberries, tomatoes, bell peppers, and other foods rich in antioxidants can improve overall health and benefit the thyroid gland. Eating foods high in B vitamins, like whole grains, may also help. flax oil, Selenium: Tiny amounts of selenium are needed for enzymes that make thyroid hormones to work properly. Eating selenium-rich foods, such as sunflower seeds or Brazil nuts, can be beneficial. Tyrosine: This amino acid is used by the thyroid gland to produce T3 and T4. Taking a supplement can help,
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I am a diabetic since last 2 years and dr has prescribed me 1-gluformin xl 500 mg 2-cardace am 5 mg my hba1c was 6. 15 and fasting sugar was 90 p. P was 160. My microalbumin was 9. 26. Mg./dl- creatinine was 69. 9 mg/dl. Acr ratio was also 13. 3 against a limit of <30 mg /g and my doctor told me its ok. Kft-report 1-blood urea 30. 0 mg/ ref range 10-50 mg /dl 2-serum creatinine 1. 15 mg /dl ref range 0. 70 -1. 40 3-serum uric acid- 2. 9. Mg/dl ref -3. 5 - 7. 2 4-sodium -131. 6 mmol/l ref range 135-155 5-potassium-4. 11mmol/l ref -3. 5 - 5. 5 6-chloride-102. 8mmol/l ref -98 - 106. I am also diagnosed with mild prostrate problem. My problem I am suffering from excessive urination during day time from morning 10 am till 8 pm after that its normal during night sometime I go for urination once only that too if I had taken more then 2 glasses of waterbefore going to sleep. Now my question is. Am I suffering from any kind of kidney problem or its because of prostrate problem I have also noticed foam in my urine but not always. Please tell me how to check. Please advice some medicine for controlling my excessive urination which happens after 2 hour. I am also suffering for penis erectile dysfunction. Please help me and advice suitably to over come these problems and also tell me how to check the kidney functions.

FIMSA, MD-Nephrology, DM - Nephrology, Critical Care Medicine, MBBS
Nephrologist, Delhi
The symptoms you have suggest lut involvement. You have already developed early triopathy. Please send me all your reports for further advice
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I am 29 years old male, and having prostate problem, can you please tell me the reason of this disease and what I should avoid in future. Please advise medicine and food supplements.

M.Ch - Surgical Oncology
Oncologist,
I am 29 years old male, and having prostate problem, can you please tell me the reason of this disease and what I sho...
Dear , the most common problem a 29 year old can have is prostatitis that is an infection. I assume you have consulted a doctor as you say that you have a problem with your prostate which cannot be known unless you do per rectal examination, ultrasound and urine examination. Most commonly it is secondarily effected from a urinary tract infection, and some sexually transmitted diseases. Treatment would primarily include antibiotics and analgesics. Healthy diet, good hygiene and protection during sexual exposure are important to avoid recurrences. Regards
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I was diagnosed throat cancer I went through chemotherapy and radiation and now the treatment is over but now my food pipe got squeezed and I am in a state where I cannot take liquid food also what should I do?

MD - Radiation Oncology, MBBS, DNB (Radiotherapy)
Oncologist, Howrah
It is a common toxicity of neck irradiation. It will get reduced with time. Meanwhile you can use analgesics and local anasthetic agent for symptomatic relief.
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Is lungs cancer and blood cancer communicable? Are they transform when food and water is shared with cancerous patient.

DNB, MBBS
Oncologist, Faridabad
No sir, cancer is not a communicable disease, it's absolutely safe to share food and water, though we like to advise adequate hygiene for cancer patients as they are immunocompromised and likely to catch infections fast, so one should not share food, but this is to prevent infection, not for prevention of cancer spread.
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What are of symptoms of oral cancer? Can it be cured? What are the foods that are essential for reducing the chances of it?

DNB, MBBS
Oncologist, Faridabad
Oral cancers present as ulceration in oral cavity on tongue inner side of cheek, floor of mouth etc. One can also have a nodular growth, bleeding from it, neck swelling or nodal enlargement etc. Premalignant stages are reduced mouth opening, whitish patch, reddish patches etc. Must not take tobacco of any form, if any sharp tooth, then get it grinded or capping done, ill fitting dentures must be changed. Food containing antioxidants, lycopene have protective roles. Sprouts, leafy vegetables, turmeric, tuslsi leaves, wheatgrass etc may help.
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How to prevent the CA cervix cancer?

DNB (Obst and Gynae), MS (Obst and Gynae- Gold Medalist), MBBS (Gold Medalist, Hons)
Gynaecologist,
By vaccination, regular screening (pap smear, hpv testing etc), regular check ups with a gynecologist , even when you have no problems.
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Hi, currently I am getting treated for tb but I have also got nodule of 2.8 * 2.9c in my left breast which we came to know after ct scan. My chest specialist is saying wait complete the tb treatment and then go for breast nodule but I scared whether it not some serious. Which doctor I need consult for breast? I mean surgeon or gynecologist?

DNB, MBBS
Oncologist, Faridabad
You must get the breast nodule checked fast, do not wait till tb treatment is completed mammography, fnac from lump needs to be done. You can consult a surgeon or an oncologist.
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Hello doctor my wife facing breast pain, it coming suddenly or if something/someone hits her breast accidentally, of course when iam squeezing her breast I feeling some kind of small hard thing in side, and she says its paining why is this happening? Please give me description for her, and suggestion.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
Hello doctor my wife facing breast pain, it coming suddenly or if something/someone hits her breast accidentally, of ...
Get her examined if there is a lump felt. Ultrasound test on breast is as good as mammography of breast minus any radiation risks. It can be Premenstrual tension also , which is felt by many women due to water retention ,caused by hormones , few days before periods and treatment is cutting down salt ,taking more potassium rich fruits and vegetables like oranges, lemons,amlas. Do Not Ignore Lump.
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I am a rectum cancer patient. I underwent surgery and removed colon and rectum. The biopsy report says my cancer stage is T3N1. My doc advised me to eat low fiber foods. I still have difficulty passing urine and motion. What all food I must include in my diet? What other treatment I have to undergo after this?

B.E (Computer Sc. & Engg.), Advanced Strategic Management (APSM), Ayurveda (I) Cert., Doctor of Natural Medicine (N.D/ N.M.D), Integrative Oncology for Physicians (MSKCC, N.Y, USA), Clinically Relevant Herb-Drug Interactions (CME) (Cine-Med Inc. USA), Post Doctoral Research (PhD) (Alternative Medicines)
Alternative Medicine Specialist, Bhubaneswar
I am a rectum cancer patient. I underwent surgery and removed colon and rectum. The biopsy report says my cancer stag...
Hi lybrate-user. I appreciate you seeking help. Following is what you can include in a low fiber diet - (a) poultry - tender meat cuts, chicken (well cooked and soft), scrambled egg whites. (b) dairy - fresh yogurt, cottage cheese, custard, ice cream, soups etc all (c) breads & cereals - white breads, white rice, plain pasta or noodles (d) vegetables - fresh and well cooked tender vegetables without any seeds, skin, stems etc all. Vegetable soups and juices (without pulp) can be taken too. (e) fruits - small amount of soft cooked fruit without skin and seeds, clear fruit juice, well ripened banana in small amounts, (f) apart from the above-mentioned, he can have dark chocolates, mayonnaise, plain gravy, honey, jellies etc all too subject to his health condition foods that he needs to avoid are as follows - high fiber foods including peas, beans, lentils, legumes, nuts, processes meats, tough meats, brown rice, dried fruits, raisins, wheat germ, canola, coconut, bran, whole grains and whole wheat products, steamed vegetables, corn, cabbage, cauliflower, onions, potatoes with skin, berries, marmalades, pickles, potato chips, olives, horseradish, cucumber etc all are best avoided. The above-mentioned is subject to your consulting doc's concurrence too. He may have to drink lots of clear fluids unless advised otherwise by his doc. Your consulting medical oncologist can best advise on the next steps post surgery. However, an integrated therapy that extrapolates the best of conventional medicine and naturopathic/ alternative medicine to further treatment shall be a desirable approach to treat, going forward. You may connect with me should you require me to complement appropriately. Hope this helps. Take care and all the very best.
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What's symptoms of cancer disease? What's medicine needed to dispense to a patient?

MBBS
General Physician, Faridabad
People who have blood cancer can have problems with bleeding and serious infections. Seek immediate for symptoms such as uncontrolled bleeding, severe sweating, difficulty breathing, pale or blue lips or fingernails, high fever (greater than 101 degrees Fahrenheit), fast heart rate, confusion, loss or change in level of consciousness, or anxiety. The most common symptoms of lung cancer are: A cough that does not go away or gets worse. Chest pain that is often worse with deep breathing, coughing, or laughing. Hoarseness. Weight loss and loss of appetite. Coughing up blood or rust-colored sputum (spit or phlegm) Shortness of breath. Feeling tired or weak. Any unexplained change in the size or shape of the breast Dimpling anywhere on the breast Unexplained swelling of the breast (especially if on one side only) Unexplained shrinkage of the breast (especially if on one side only) Recent asymmetry of the breasts (Although it is common for women to have one breast that is slightly larger than the other, if the onset of asymmetry is recent, it should be checked.) Nipple that is turned slightly inward or inverted Skin of the breast, areola, or nipple that becomes scaly, red, or swollen or may have ridges or pitting resembling the skin of an orange symptoms of brain cancer Poor coordination Drooping eyelid or mouth on one side Difficulty swallowing Difficulty speaking Seeing doubt Poor coordination Drooping eyelid or mouth on one side Difficulty swallowing Difficulty speaking Seeing doubleSpinal cordPain Numbness in part of the body Weakness in the legs or arms Loss of control of the bladder or bowel 9 more rows Myeloma is a cancer that affects cells in the bone marrow, called plasma cells. As the cancerous plasma cells fill the bone marrow, you are not able to make enough normal blood cells. This can lead to anaemia, bleeding problems and infections. treatment depends on so many factors and there are so many medicines
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What is the prostate swelling problems.

MBBS
General Physician,
It is not called prostate swelling but it is called prostate hypertrophy generally it is benign condition it can lead to difficulty in passing urine which is known as dribbling and can be diagnosed by ultrasound.
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BIOPSY LARGE Terminal ileum and right colon, right hemicolectomy: - Adenocarcinoma, NOS. - Histologic Grade: Moderately differentiated. - Tumor Site: hepatic flexure. - Tumor Size: 4X3X3CM cm. - Tumor Configuration: infiltrative. - Angiolymphatic Invasion: Present (positive). - Perineural Invasion: Present (positive). - Tumor Border Configuration: Infiltrating. - Proximal Margin: Free of tumor (i. E. Negative) - Distal Margin: Free of tumor (i. E. Negative) - Pathologic Stage: pT3N0MX. - Lymph Nodes Involved: 00. - Lymph Nodes Examined: 06. Comments: -Adenomatous polyp with invasive carcinoma arising from the polyp at hepatic flexture. OPINION: ADENOCARCINOMA GRADE-2 STAGE pT3N0Mx. ***End of Report*** Please advise possible treatment, preferably homeopathy or ayurvedic.

MBBS
General Physician, Mumbai
BIOPSY LARGE
Terminal ileum and right colon, right hemicolectomy:
- Adenocarcinoma, NOS.
- Histologic Grade: Moderate...
Moderately differentiated locally infiltrative adenocarcinoma without lymph node involvement and metastasis (t3n0m0) proves it is a slowly growing cancer. But because the size is big and local invasion has occurred. There is always a chance that some seedlings might have spread which are so small that can not be seen now. Being of microscopic size. But may show up in due course. Hence I opine that you opt for chemotherapy and stay under close followup. Trying other branches of medicine will remain open at any instance. But chemo is the need of the hour.
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What are the symptoms of cancer and what to troubleshoot measures can be adopted?

Fellow Breast Surgery (MUHS), DNB (General Surgery), MBBS
Oncologist, Aurangabad
Hello lybrate-user. Your question is important but a lil vague. I would see to it tht I help you as much as possible through my answer. Cancer can cause symptoms because of two things. Either due the under functioning of an organ where the cancer has started (local) or due to under functioning of an organ where the cancer has spread (distant) or some generalized complaints. Local complaints depend on organ involved. For the organs which are beneath skin it usually presents as lump. Like breast cancer, thyroid cancer, cancers of soft tissue, etc. When the organ is deep seated it mainly interferes with its primary functions and hence the symptoms. For example, stomach cancer will cause indigestion, heaviness in upper abdomen, bloody vomitus or black stools. Cancer of intestine will cause change in bowel habits or bleeding in stools. Liver cancer may cause jaundice. Brain tumor can cause vomiting, fits. Headaches, etc. A complete picture is quite big and out of scope for this communication. Distant spread usually causes problems based on organ involved, similar to local. But possibility of multiple sites involved at the same time remains high. Bone spread causes excess unressolving pains or fractures. Spread to lung can cause cough and blood in sputum. And so on. Some general complaints are, weight loss, loss of appetite, fatigue and looking pale. Most, if not all, oral cancers are caused by tobacco chewing. Cancer of cervix, a part of uterus is caused by infection with human papilloma virus, which spreads with unprotected sexual contact. These two are preventable cancers. Rest of the cancers are not preventable per se. But if detected early can be taught well. Early detection solely depends on being aware of cancers common to one's age group and respect any unusual change in body habit which persists for long. So. Eat healthy, drink loads of healthy liquids, breathe loads of fresh air with the help of pranayam, exercise well and regular. Which will help keeping cancer a little away and at the same time, if unfortunately this unpredictable guest makes an appearance, a good health is important to sustain the treatments, helping one to get disease free as fast and as long as possible. Thanks.
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