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My father is 85 years old. He suffering from enlarged prostrate and is on catheter for micturitionfor the past 9 months. Since the last two months after consulting an urologist he is on a regular medication on flotral (1 tab daily at bed time) My query: How do I know that the medicine has worked , Or Should the catheter be removed now and let him urinate (once the catheter had come off accidentally but the outcome was dad could not hold back his urine for more than an hour .It was a pretty good volume of urine that he passed out and now hes back with the catheter > Please advise as this is becoming a problem worth giving some importance.
Hi, One of my relative is taking" GUTKHA" for about more than 15 years and she is about 37 yrs. Old. At what age she may be suffer from Cancer. OR she may not be. please reply. Thanks a lot in advance.:)
Gastric (stomach) cancer occurs when malignant cells form in the lining of the stomach. By far, it is known to be the second most common cause of cancer-related deaths not only in Asia but also worldwide. Though it can affect both male and female populace, it is seen more commonly in men and in people aged 50 years or older.
Type: Gastric cancers can present as one of the following types -
- Adenocarcinoma: Begins in the glandular cells lining the inside of the stomach. This forms a majority of the stomach cancers.
- Lymphoma: Begins in immune system cells present in the walls of the stomach. Occurrence of lymphoma, in the stomach, is rare.
- Carcinoid Tumor: Begins in hormone producing cells of the stomach. Occurrence of carcinoid cancer, in the stomach, is rare.
- Gastrointestinal Stromal Tumor (GIST): begins in nervous system cells of the stomach. Occurrence of GIST, in the stomach, is rare.
Gender: It affects both male and female populace.
Etiology: The factors that are associated with increased risk of gastric cancer include the following mostly –
- ‘Helicobacter Pylori’ bacterial infection in the stomach is a common cause of gastric cancer of both the intestinal (expanding) & diffuse (infiltrative) type. Furthermore, studies indicate that high salt intake is synergistic with H. Pylori infection in the manner that it is likely to increase the risk of gastric cancer that is induced by H. Pylori bacteria.
- Smoking, consuming alcohol, red meat, salty/ smoked/ processed foods, low intake of fruits and vegetables, diets rich in nitroso compounds, eating foods contaminated with aflatoxin fungus etc all.
- Atrophic gastritis characterized by chronic stomach inflammation is known to increase the risk multi-fold. Chronic gastric inflammation can lead to atrophy of the gastric mucosa, metaplasia, dysplasia and finally carcinoma.
- History of pernicious anaemia, gastric ulcers, adenomatous gastric polyp etc all.
- Family history of gastric cancer. Several familial syndromes that have been associated with a pre-disposition to gastric cancer include familial adenomatous polyposis, Lynch syndrome, Peutz-Jeghers syndrome and e-cadherin mutation (diffuse type)
- Blood group A, Obesity etc all are known to be associated with diffuse or cardia gastric cancer.
- Low socioeconomic status - persistent lifestyle issues/ irregularities including high stress coupled with an improper diet/ dietary pattern.
- Epidemiological evidence is indicative of a risk or pre-disposition to gastric/ stomach cancer for people suffering from diabetes mellitus (DM).
- Very high dose ionizing radiation exposure is an uncommon risk for gastric cancer.
Features: There are often no early stage symptoms. Early stage symptoms, if any, are non-specific and are likely to be ignored, thus delaying the diagnosis most often. Hence, gastric/ stomach cancer is often detected at an advanced stage where the disease is either locally advanced or metastatic. The various presentations (of signs & symptoms), by stage (early or advanced), of gastric cancer are as enumerated below:
Early Stage – can present with one or more of the following non-specific symptoms/ signs -
- Dyspepsia (Indigestion),
- Stomach/ Epigastric discomfort,
- Bloated feeling after eating,
- Mild Nausea/ Vomiting,
- Blood in Vomit (Haematemesis),
- weight loss (Cachexia)
- Occult blood in stool/ Melaena,
- Advanced Stage – presents with one or more of the following symptoms/ signs -
- GI Bleeding with black tarry stools (Melaena),
- Persistent Nausea/ Vomiting,
- Blood in Vomit (Haematemesis),
- Early Satiety,
- Loss of Appetite (Anorexia),
- Weight loss (Cachexia),
- Persistent pain in the abdomen,
- Fluid build-up in the peritoneal cavity (Ascites),
- Edema of the lower extremities,
- Liver Enlargement (Hepatomegaly)/ Jaundice,
- Difficulty swallowing food (Dysphagia)
- Screening: Is generally recommended for asymptomatic populations in high incidence areas or as surveillance for high risk individuals. The goal of screening, as usual, is to be able to detect & diagnose gastric cancer at an early stage which is potentially curable. It is mostly endoscopic/ radiologic.
Diagnosis: Following are the diagnostics employed in gastic cancer -
- Physical Examination: May be remarkable for palpable abdominal mass, weight loss (cachexia), abdominal distension, ascites, hepatomegaly, lower extremities edema and lymphadenopathy for gastric cancers in the advanced stage. For early gastric cancers, however, physical examination is largely uninformative.
- Blood: Hb- may be low, ESR – raised, tumor markers CEA & CA-19-9 could be raised sometimes in adenocarcinoma but are not frequently elevated. Abnormal blood test results may be indicative of malignancy, but a follow-up gastroscopy/ biopsy is always the gold standard for accurate diagnosis.
- Stool: Occult blood may be +ve
- Barium Meal X-Ray: Could show a filling defect at the site of the carcinoma/ cancer growth.
- Gastroscopy/ Biopsy: Clinches the diagnosis.
- Endoscopic Ultrasound: Maximizes tumor staging as it helps determine the depth of invasion of the tumor.
- CT Scan: Of chest, abdomen & pelvis helps detect metastatic disease, if any, and also helps stage the disease (TNM) appropriately.
- Bone Scan: Helps detect osseous metastasis (bone mets), if any.
- Treatment: Conventional treatment includes surgery, chemotherapy and radiotherapy as contextually appropriate. Surgery (i.e. gastrectomy either sub-total or total), with an adjuvant chemotherapy and/ or radiotherapy as contextually relevant, is the only treatment that is known to cure the disease in light of the prognostic indicators as briefly enumerated in the section below. Chemptherapy and/ or radiation alone cannot be curative. Mostly, it can improve symptoms, and may prolong survival. Simultaneously, an adjunctive or integrative naturopathic treatment with suitable complementary & alternative medicines (CAM) too can help improve clinical outcomes and facilitate recovery as feasible contextually.
Prognosis: For gastric cancer is variable. Preventive measures, earlier diagnosis and right early treatment is key for an effective therapeutic management & better prognosis. Like most other cancers, the chances of cure for an early stage gastric cancer are more. The cure/ recovery chances are influenced by the grade, stage of cancer, recurrence and the patient’s general health & vitality etc all. Distal tumors are known to be cured more often than the proximal ones. Again, intestinal-type gastric cancers are known to have a better treatment outlook in comparison to the diffuse-type gastric cancers.
Prevention: Rightly said, prevention is always a better choice. Although genetic risks are difficult to modify, still an adherence to a relative Mediterranean diet, maintaining an ideal body weight and an active lifestyle with due emphasis on regular exercising, de-stressing and relaxation is highly recommended for reducing the risks of many cancers including gastric cancer. A healthy eating plate comprises essentially a low fat diet, fibre rich foods including whole grain cereals, green leafy vegetables cooked using healthy vegetable oils, fresh fruits of all colours as seasonally available and healthy proteins/ fats including fresh fish, poultry, beans, nuts etc all. The consumption of alcohol, if any, has to be strictly in moderation, and is best avoided in a high risk scenario. Smoking is to be avoided too. Again, red meat, butter, refined grains, sweets, sugary drinks including carbonated beverages and other high calorie foods etc all, if any, are to be taken sparingly. Not only it is important to eat healthy, but also it is equally important to eat properly. Insufficient chewing, eating until full, eating meals within a short time etc all are best avoided so as to ease off digestive burden on the stomach/ other organs in the GI tract. Last but not the least, consumption of clean and filtered water, natural probiotics like freshly prepared yogurt/ butter milk, maintenance of cleanliness & hygiene including oral hygiene etc. all can help guard against H. Pylori infections. Breastfeeding is known to be protective against H. Pylori infections too.
My mother operated in 2010 for breast cancer in PGI chandigarh. Her right breast removed completely with limf nodes also. No chemotherapy starts after that but temoxifan 30 mg starts. Now in this month the cause complete. In this period regular mammography done, the reports shows nothing new. Now pl tell me if any further treatment requires for her good health.
I am 25 year old. 1 week back I found small lump inside my right side breast and it s paining when I touch (press). Is this serious problem?
I am looking for prostate gland operation of my father. Can you give me rough estimate of cost and no of days hospitalization ?
I'm 24 years old female. Got married recently. I'm getting water from my breast. May I know what could be the reason. Isn't health problem?
In this article you will get to know how Dr. R k aggarwal lets us to know how we can examine our health and also by doing that know the real reason behind many diseases.
Dr R. K. Aggarwal says we should treat our self as human not a machine. For example if we have problem in a part of body we should not cut it out but treat it; all these things we do with our body is not good for our health and body.
One further step in good home oral care is regular self -examination for oral cancer. We have already mentioned that any sore that has been in the mouth for more than a week should be brought to a dentists attention at once. The chances are good that it will prove not to be malignant, but we are better able than ever to diagnose and treat precancerous conditions, and early detection is of the greatest importance.
You can play a major part in preventing oral cancer or catching it while it can be readily treated and cured if you take the time to examine the mouth regularly for any signs of disease.
Now all scientists and doctors know and suggest not following allopath. A revolution is happening but for that to reach us could take 30-50 years; which I am helping in getting people knowing that and treat themselves with various diseases.
First we should know the reason of the disease not go for the operation treatment. It never helps it comes out any way or another.
Dr. R K Aggarwal says we are here to help you get rid of dependence of yours on allopath medicines.
Watch the below video – Dr. R k aggarwal
The reason behind any disease is when bacteria, germs, tocsins and viruses collect in our body it causes diseases. This video also features some talk about tumour, fibroid, tumour cyst, ulcerative colitis and many other problems of our body.
Watch the video for further information about various diseases that are caused because of bacteria, germs, tocsins and viruses also how to treat it through bowel cleanse.
Ssohm want people to understand that it’s never too late start cleansing your body which not only cure diseases like tumor, fibroid, tumor cyst, ulcerative colitis but also rescue your life from various other harmful and dangerous diseases forever.
I am 29 years old male, In my family there is no history of died with cancer? I would like to have answer that how can I prevent from it in future as I have habituated modern life style. By the way I am vegetarian and occasionally boost and smoker?
Dear doctor, Please help and advice. I'm a Omani national I had a small tongue surgery for the removal of small tissue After surgery doctors send the tissue to laboratory and said that I have tongue cancer I have attached the report for your review kindly advice if this is something serious or there is nothing to worry Because doctors here are not really sure 'I m ready to travel to India if needed. Here the doctors are again saying that they need to do tongue surgery again. I'm desperately waiting for reply. Kindly also send me the details tongue cancer doctor whom I can reach.
My father is suffering from prostate problem, his prostate size is 48 cc, is it curable with medicine? Some body advised to do turp/hole surgery. To do this surgery urine culture should be sterile? Pls suggest me.
Cholangiocarcinoma (Bile duct cancer), like any other cancer, leaves a person physically, mentally and emotionally drained. It has been mostly found to affect people above 60 years of age. The signs and symptoms associated are so common that very few people consult a physician. A delayed diagnosis implies delayed treatment. This goes on to aggravate and complicate the situation further. One needs to be a little alert. Any symptoms, no matter how common, should not be taken lightly. Look for the early signs and symptoms and bile duct cancer can be fully cured.
Signs and symptoms associated with Cholangiocarcinoma:
Bile duct cancer can be Extrahepatic (occurs in the duct outside the liver) or Intrahepatic (cancer develops within the smaller ducts inside the liver). It must be noted that Intrahepatic Bile duct cancer and Liver cancer are different.
- Bile duct cancer results in blocking the bile duct. This blockage severely effects the secretion of bilirubin and bile from the liver. Thus, the secretions (bile and bilirubin) which are supposed to flow into the intestine move back into the bloodstream. An elevated level of bilirubin in the blood gives rise to a condition, known as Jaundice (a condition resulting in yellowing of the eyes and the skin). The problem lies in the fact that many other factors can equally contribute to Jaundice. Consulting a physician at the earliest is the best resort.
- A sudden or drastic weight loss and loss of appetite is an alarming sign of Cholangiocarcinoma.
- Excessive itching can be an indication of something as big as bile duct cancer. Itching can be an outcome of the increased bilirubin (blood) reaching the skin.
- At an advanced stage of Cholangiocarcinoma, a patient may experience severe abdominal pain.
- At times, the tumour in the bile duct might exert immense pressure on the nearby organs. This can give rise to an enlarged abdominal mass. Bloated feeling is also very common amongst the patients.
- An unusual change in the colour of the stool and urine should not be neglected. The elevated bilirubin level from the intestine is usually eliminated out of the system through the urine. Thus the stool appears lighter and the urine a shade darker.
- A cholangiocarcinoma patient can, at times feel nauseated. Fever is also a common but an extremely important indication.
Bile duct cancer or cholangiocarcinoma can lead to many other complications. Click below to know every minute detail associated with Cholangiocarcinoma.