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Dr. Lakshmi Narasimhan

Oncologist, Chennai

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Dr. Lakshmi Narasimhan Oncologist, Chennai
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Lakshmi Narasimhan
Dr. Lakshmi Narasimhan is an experienced Oncologist in Arumbakkam, Chennai. She is currently associated with Dr. Lakshmi Narasimhan@Appasamy Hospital in Arumbakkam, Chennai. You can book an instant appointment online with Dr. Lakshmi Narasimhan on Lybrate.com.

Lybrate.com has an excellent community of Oncologists in India. You will find Oncologists with more than 41 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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1 & 2, SBI Officers Colony Arumbakkam. Landmark: Near Ford ShowroomChennai Get Directions
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I have a small lump on the nipple of my left breast, on the down-left side, roughly for about 2 years. I also have sharp stinging pains in both the breasts, mostly left breast, roughly for about a year and a half. What do I do?

MBBS, MS - General Surgery, MRCS (Edinburgh), Fellowship In Breast Surgery, Fellowship In Onco-plastic Breast Surgery
Oncologist, Gurgaon
Hi Between the age of 15-25 years, benign (non cancerous) lumps in the breast (fibroadenomas) are very common. They are usually painless but can sometimes cause pain. Another cause of breast pain could be the hormonal changes during your periods. You should get an ultrasound of the breast, to make sure that the lump is not suspicious. If it is a small fibroadenoma, it can be managed non-operatively.
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All About Ovarian Cancer

European Society for Medical Oncology certification, DM - Oncology, MD - General Medicine, MBBS
Oncologist, Faridabad
All About Ovarian Cancer

Ovarian cancer is referred to as the cancer of the ovaries. The ovaries are a component of the female reproductive system. There are two ovaries located on either side of the uterus in a woman's body. Ovaries which are the organs responsible for producing egg cells also produce the hormones estrogen and progesterone. Ovarian cancer is a type of cancer which often goes undetected until it has spread all the way to the pelvis and the abdomen. However, it is also very difficult to treat the condition in its later stages which is why diagnosing ovarian cancer quickly is quintessential. Here is everything you need to know about ovarian cancer;

Symptoms:

  1. No symptoms at first: Usually, in its early stages ovarian cancer does not cause any symptoms.
  2. Abnormal bloating: Bloating is when your abdomen swells due to excess fluid or gas inside. Abnormal bloating is more frequently associated with irritable bowel syndrome or even constipation is a common symptom of ovarian cancer.
  3. Feeling full quickly: This is also an associated symptom which has often been mistaken for constipation or irritable bowel syndrome.
  4. Weight loss: This is one of the more common signs of ovarian cancer.
  5. Discomfort in the pelvis area: This symptom occurs towards the later stages of ovarian cancer after it has already spread.
  6. Constipation: Constipation is a symptom of ovarian cancer as well.
  7. Frequent urination: This is yet another symptom which is a sign of ovarian cancer.

The symptoms of ovarian cancer are often mistaken with that of irritable bowel syndrome and constipation.

Causes: As with other forms of cancer, it is still very unclear what exactly causes ovarian cancer.

Treatment:

  1. Surgery: Surgery most commonly involves removing large parts of the female reproductive system which includes the ovaries, the fallopian tubes, the uterus as well as the lymph nodes. The surgeon will also try and remove as many cancer cells as possible from the abdomen and pelvic areas.
  2. Chemotherapy: Chemotherapy is usually done after surgery. It is usually performed so that the rest of the cancer cells are killed off. Chemotherapy drugs can be injected directly into the vein, abdominal cavity or sometimes even both.
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I am 27 year old. Mere dono breast ke bich me 1 ganth ho rahi h. Kya ye breast cancer ka sign h?

UICC International Fellow in Oncollogy , ESTRO certification in Head and neck oncology, MD - Radiothrapy
Oncologist, Jamnagar
Hi, The area you r telling is called sternal area. Which is very rarely site for breast cancer. If it is hard, go for examination by specialist.
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suffering from multiple fibroid in uterus. Before 2 year I was consulted with a doctor then doctor suggest me if you have any problem then operation is a last treatment then live your life. But after 1.5 years I have more bleeding than previous days and again I am consulting with 2 or 3 doctors and suggest operation and they also said we can do biepci also for checking cancer. I want to know how much chances of cancer have in my case.

M.Ch - Surgical Oncology, MS - General Surgery, MBBS
Oncologist, Delhi
suffering from multiple fibroid in uterus. Before 2 year I was consulted with a doctor then doctor suggest me if you ...
May i know your age and menopausal status. Post menopausal bleed or bleeding after sexual intercourse may be indicators to gynaecological cancers. It is difficult to predict your risk right now. But a surgery for removing uterus is definitely warranted, It may be checked during the surgery with a frozen section technique to evaluate for presence of cancer and be addressed accordingly then
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Colorectal Cancer - In a Nutshell!

Post Doctoral Research (Ph.D.) (A.M) (Oncology), Integrative Oncology for Physicians (MSKCC, N.Y, USA), Doctor of Natural Medicine (N.D/ N.M.D), Ayurveda (I) Cert., Advanced Strategic Management (APSM), B.E (Computer Sc. & Engg.), Clinically Relevant Herb-Drug Interactions (CME) - (Cine-Med Inc. USA)
Alternative Medicine Specialist, Bhubaneswar
Colorectal Cancer - In a Nutshell!

Colorectal cancer is otherwise known as cancer of the colon or the rectum. This can affect both men and women with age being a major risk factor. Majority of such cancers are seen to occur after age of 50 years.

  1. Type: Colorectal cancers can present as one of the following types: 

    1. Adenocarcinomas are the most common type of colorectal cancers. These cancers begin in the cells making mucous and other fluids. Certain colorectal cancers begin as adenomatous polyps (adenomas) that turn cancerous over a period of time. This is precisely why the adenomas are regarded as pre-cancerous or pre-malignant.

    2. Gastrointestinal (GI) carcinoid tumors, GI stromal tumors, primary colorectal lymphoma, leiomyosarcoma, melanoma & squamous cell carcinoma are certain other colorectal cancers

      • Carcinoid tumors: start in specialized cells that produce hormones, in the intestine.

      • GI Stromal tumors: start in the interstitial cells of Cajal (ICC), in the wall of the colon.

      • Lymphomas: start typically in the lymph nodes but they may also start in colon or rectum.

      • Sarcomas: can start in the muscle and the connective tissue in the walls of the colon and rectum.

  2. Gender: It affects both male and female populace.

  3. Etiology: Mostly, the factors that are associated with increased risk of colorectal cancer include the following –

    1. Age exceeding 50 years.

    2. Racial & ethnic background such as African Americans, in the USA, are known to have the highest incidence of colorectal cancer, and mortality rates.

    3. Low fibre and high fat diet. Excessive consumption of red meat (e.g. goat meat, beef, pork, lamb, or liver), processed meats, butter, refined grains, sweets, sugary drinks etc all can increase the risk of colorectal cancer.

    4. Personal history of inflammatory bowel diseases (IBD) (e.g. ulcerative colitis), Crohn’s disease, adenomatous colorectal polyps, colorectal cancer etc all.

    5. Family history of colorectal cancer or adenomatous polyps etc all.

    6. Inherited syndromes such as familial adenomatous polyposis (FAP) and Lynch syndrome (hereditary non-polyposis colon cancer or HNPCC).

    7. Sedentary lifestyle/ associated Obesity.

    8. Type 2 diabetes.

    9. Tobacco and alcohol abuse.

  4. Features or symptoms can vary from person to person depending on the size and location of the tumour. Following are the signs & symptoms mainly -

    1. Changes in bowel habits, diarrhea or constipation or an alternating diarrhea and constipation.

    2. Occult/ blood in the stool, and 

    3. Problems related to blood loss (e.g. anemia, weakness, fatigue, intolerance to exercise, shortness of breath, increased heart rate, chest pain etc all),

    4. Abdominal discomfort (frequent gas/ flatulence, bloating, fullness, cramps, and pain), vomiting etc.

    5. Unexplained weight loss,

    6. Pain with bowel movement,

    7. Feeling that bowel does not empty completely,

    8. Stools are narrower than usual.

  5. Diagnosis: Following are the diagnostics employed. Abnormal blood test results may be indicative of malignancy, but a follow-up imaging/ biopsy is always the gold standard for accurate diagnosis.
    1. Blood: fecal occult blood test, Carcinoembryonic Antigen (CEA) assay values are raised, Hb/ RBC counts may be low.
    2. Imaging: Colonoscopy, Endorectal Scan/ CT Scan followed by Biopsy clinches the diagnosis and the nature of the disease.
    3. Apart from the above-mentioned barium enema X-Ray, USG, Chest X-ray, PET CT scan etc all help detect metastasis, if any. An increase in level of the serum tumor marker ‘CEA’ is indicative of metastatic spread/ proliferation that can be ascertained through a PET CT scan.
  6. Treatment: Conventional treatment includes surgery, radiation and chemotherapy as contextually appropriate. Simultaneously, an adjunctive/ integrative naturopathic treatment with suitable complementary & alternative medicines (CAM)/ therapies too can help improve clinical outcomes and facilitate recovery as feasible contextually.
  7. Prognosis: Preventive measures, earlier diagnosis and right early treatment is key for better prognosis and efficient/ effective therapeutic management. Usually, the chances of cure for an early stage cancer are more. Above-mentioned apart, recovery chances are influenced by the grade, stage of cancer, recurrence and the patient’s general health & vitality etc all too.

  8. Prevention: Rightly said, prevention is always a better choice. Although genetic risks are difficult to modify, still an adherence to a Mediterranean diet, maintaining an ideal body weight and an active lifestyle with due emphasis on regular exercising (for at least 30 minutes daily), de-stressing and relaxation is highly recommended for prevention or reducing the risks of colorectal 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. It is advisable to limit milk/ dairy, preferably of low fat content, to 1 to 2 servings max daily. Although alcohol is optional and is not for everyone, the consumption of the same, if any, has to be strictly in moderation, and is best avoided. Smoking is to be avoided as well. 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 or are best avoided too. Apart from the generic preventive measures as mentioned above, certain pre-malignant conditions, of which adenomas are the most common, can be successfully treated with complementary and alternative medicines too.

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What is the best treatment for sarcoma Pnet do you have any good alternative treatment please suggest.

MBBS, MD, Fellowship in Intergrative medicine
Integrated Medicine Specialist, Kochi
Please give more details like Where is the location of the sarcoma What is the stage of the disease what is the Histo pathological report What are the other co existing diseases present Whether you have seen by a Tumor board of drs what treatment has been done so far What questions have you asked the Dr. Do not trust the oncologists blindly. Always take 2nd opinion. And 3rd opinion If you want specific alternative treatment advice which includes nutrition and life style changes take a consult.
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I am 53 year old male. It has beenm reported that I have enlarged prostrate only marginal. Psa is. 41. Suggest me ayrvedic treatment.

MBBS
General Physician, Ahmedabad
Tab neeri 2 tab 2 times. Can tell after detail report//symptoms//any other disease like bp//diabetes. Ask privately with more information.
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I am 28 yes I have plain my nipples some time I feel very unconscious at night I remove bra them my night wear toughted my night at that I have plain.Please tell.

MBBS
General Physician, Mumbai
Few diet tips for a healthy body - not to eat fried food items and can eat all green vegetables, moong, chana, dal, rice etc and to apply ghee over chappati and don't apply oil over chappati and to drink milk mixed with turmeric powder twice a day and if possible eat eggs on alternate days and if possible in breakfast eat atleast one bajra ka rotla and eat seasonal fruit.
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Hello Doctors. I am very scared and don't know what to do? My sister is suffering from colon cancer 1st stage and doctors are saying kemo therapy is required but recovery will not done. Please suggest me as soon as possible whatever will be money we will pay but I want my sister recovered from cancer. She is only 21 years old.

M.Ch - Oncology
Oncologist, Bathinda
If she is suffering from ist stage Ca colon first she will need surgery after surgery histopathology report will decide further treatment.
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Recently for the first time experienced breast milk she has been undergone family planning surgery at the age of 28 years has 2 children. Recently had a breast infection with pus formation. And have taken antibiotics for same. Now she's concerned about the unusual breast milk for the first time is it common or to be taken to Dr? Please answer.

Diploma in Obstetrics & Gynaecology, MBBS, MD - Community Medicine
Gynaecologist, Lucknow
Hello, the unusual secretion of breast milk can be due to hormonal disbalance. Get her hormonal status (especially pituitary) checked and take treatment accordingly.
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What is the symptoms of blood cancer. And I have cold till last 10 years and my friend has aids. So what is time limit of his life?

MBBS
General Physician, Mumbai
If cd4 count is good than your friend with AIDS can live longer as a normal person and For cold take tablet cetrizine at night for a week and few symptoms of blood cancer are anaemia, weakness and fatigue
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Long term use of painkillers can cause kidney cancer

C.S.C, D.C.H, M.B.B.S
General Physician,
Long term use of painkillers can cause kidney cancer
A study published in the journal Archives of Internal Medicine has shown that people who regularly take painkiller drugs like ibuprofen or naproxen are 51 percent more likely to develop kidney cancer. There is no increased risk from taking aspirin or paracetamol. The mechanism through which painkillers could cause kidney disease is the inhibition of prostaglandin synthesis with resulting papillary and tubular injury, and ultimately damage to DNA.

The study analyzed data from 77,525 women in the Nurses’ Health Study and from 49,403 men in the Health Professionals Follow–up Study. The risk was related to the duration of use of the painkillers. There was a decrease in the risk by 19% if the painkiller was used for less than four years. There was a 36 per cent increase in risk of kidney cancer for people who used them regularly for 4 to 10 years. The risk increased almost three times for those who used these drugs regularly for 10 years or more.

The good news is that kidney cancer is uncommon so the risk is small for average users.

Two other important causes of kidney cancer are obesity and smoking. So people on painkillers should not smoke and should also keep their weight under control to prevent kidney cancer.
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I am 25 year old girl. I am feel like in future I ll have sugar problem. What should I do to I can cure this problem. I have cyst in left breast.

MRCS, DNB (Surgical Oncology)
Oncologist, Chennai
I am 25 year old girl. I am feel like in future I ll have sugar problem.
What should I do to I can cure this problem....
Hi. Sugar problem or diabetes can be diagnosed only by blood n urine tests. If your parents or grand parents hv diabetes thdn you hv a higher risk to get. Avoid sugar, sweet foods n exercise regularly. Keep a watch on your breast cyst n consult a doctor immediately if you notice an increasing size or change in consistency of the cyst.
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Do cancers are somehow related to heredity as I have seen many cases where cancer patients parent or uncle / some family member was also affected by same disease.

MS ( General Surgery)
Oncologist, Mandsaur
Some types of cancer run in certain families, but most cancers are not clearly linked to the genes we inherit from our parents. In this section you can learn more about the complex links between genes and cancer, as well as genetic testing and how it is used.
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HELLO Dr, I am 65 years male. I have problem of gross prostate enlargement. Weighs 72 gms Urologists suggested to undergo operation. Is there any sure treatment in ayurveda. I want to avoid operation. Pre void volume - 340 cc. Post void residual urine -71 cc. Pl suggest treatment and any hospitals in bangalore, Karnataka, India. Thanks.

MS
General Surgeon, Panipat
HELLO Dr, I am 65 years male. I have problem of gross prostate enlargement. Weighs 72 gms Urologists suggested to und...
There are an other ways to keep thing under control you please tell your urologist to please put me on medication and then see the result but the size of your prostate is definitely enlarge.
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I am 67 years old male person. I am experiencing some prostate problem for the last one and half years sometimes there is no free flow of passing urin. Please advise.

M.S.
General Surgeon, Jaipur
I am 67 years old male person. I am experiencing some prostate problem for the last one and half years sometimes ther...
Increase in size of prostate is a common problem in males with increasing age and as it is present at outlet of urinary bladder it obstructs passage of urine. Do not ignore. Get a usg done. And psa levels. Get examined by a surgeon or urologist who can advise medicine.
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Q) to ONCOLOGIST-- 74 years old male with a case of Adenocarcinoma of oesophagus and we have given three chemotherapy cycle and his Upper GISCOPY shows decrease in the lesion and even PET scan shows complete resolution of all the nodes. But the values of tumor markers -- 1) NSE - previous - 20.14 and after chemo - 28.5 2) beta2 microglobulin - previous -2713 and after chemo - 2753 I want to know the reason for increase in the values of tumour marker after chemotherapy.

MBBS, MD - Medicine, MD - Oncology
Oncologist, Delhi
Q) to ONCOLOGIST--
74 years old male with a case of Adenocarcinoma of oesophagus and we have given three chemotherapy...
Dear lybrate-user, adenocarcinoma in esophagus occurs at the lower end. Unless contraindicated treatment is by surgery. Rising markers after chemotherapy suggests the spread elsewhere though locally there is good response.
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My mother is suffering from cancer in back and she has pain in her legs but not at the place of cancer.

DNB, MBBS
Oncologist, Faridabad
Dear mam, if disease is involving vertebrae or pelvis then pain can radiate to back along with the nerves which arise from vertebrae. There can be calcium or vitamin D deficiency that may be the cause. So first let your doctor verify the cause and then she may be treated accordingly.
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What if I have a lump in breast and getting pain sometimes and feeling itching around breast. Is it a symptom of breast cancer or it may indicate that I may get breast cancer.

MS - General Surgery
Oncologist, Ludhiana
Lump, pain and itching around breast is more likely suggestive of fibroadenosis of breast. It is a benign condition. I suggest you to go for ultrasound of breast and fnac if any lesion in breast.
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What is the treatment for oral cancer and what is the percentage of total cure and what is the procedure for Chemotherapy.

DNB, MBBS
Oncologist, Faridabad
Dear sir, oral cavity mean oral part of tongue, floor of mouth, buccal mucosa, hard palate etc. They are primarily treated by surgery. Further they may be given radiation therapy, chemotherapy etc depending on histopathological reports. Cure rates depends on initial stage of presentation, earlier the disease better are the cure rates. Chemotherapy are the medicine given either intravenously or orally used to kill cancer cells.
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