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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 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 26 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 ColonyArumbakkam. Landmark: Near Ford Showroom, ChennaiChennai Get Directions
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1 & 2, SBI Officers Colony Arumbakkam. Landmark: Near Ford ShowroomChennai Get Directions
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Hello doctor. My age is 21. I have pain in my left breast since 7-8 days. Pehle bhi pain hua hai lekin wo bas 1 din he rahta tha. hamesha esa hota he rehta tha bas 1 din. Mujhe lagta tha ki heart me pain hai. Gastric problem hogi isliye jyada dhani ni diya par abhi feel ho raha h ki problem breast me hai. Thoda sa bhi left breast me pressure pad raha hai ya kuch touch ho raha hai toh pain ho raha hai. What should I do. Is this symptom of breast cancer. Should I consult a doctor. Please give some advice.

Fellow Breast Surgery (MUHS), DNB (General Surgery), MBBS
Oncologist, Aurangabad
Hello lybrate-user. Pain in breast is a common phenomenon in ladies, especially young ladies in reproductive age group. That means the age in which ladies can become pregnant. Due to hormonal changes, there are certain changes that happen in breast also, leading to heaviness and dragging pain. Sometimes it is more on one side. The other cause of breast pain could be breast cancer. Usually it is associated with other breast complaints like a lump, discharge from nipple, skin ulcer etc. Although, in your age without any other complaints it is highly unlikely that it is breast cancer but cannot be ruled out 100%, only based on history. There are other rare causes of breast pain, which your surgeon will rule out on examination. So I would strongly suggest to go and visit a breast surgeon.
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Having breast pain what to do?

MBBS
Sexologist,
Having breast pain what to do?
You are having problem of breast pain. Ii advise you for private consultation from me where I will tell you medicines for your problem.
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I have been suffering from enlargement of prostrate for last 2 years. During October 2015 my PSA was detected at 10.92.Thereafter I underwent TRUS and prostrate BX. But it revealed no sign of malignancy. However immediately after Prostrate BX, I was fallen acutely sick with complete retention of Urine. Accordingly, I was hospitalized in January 2016 and treated with iv injection and catheterization. At the time of discharge after one week with catheter in situ, I was advised to go for TURP at the earliest. However, I was not in favor of surgery. Hence, I had made consultation with another surgeon in last week of January 2016 and based on his advice I have undergone MRI Prostrate .PI Rads of MRI is 3/5. Depending on the report, he prescribed me the medicine contiflo-D and advised me to report after 1.5 months with PSA Report. Accordingly, I made report to him in FEBRUARY 2016 WTH MY PSA reading at 8.05. On going through the report, the doctor removed my catheter, prescribed the same medicine –contiflo-D, and asked me to report again in May 2015 with PSA REPORT. On 7th. May 2016, I visited the doctor with PSA reading at 6.05.The doctor then prescribed me Urimax-D and Calutide-50. In replacement of the earlier prescribed medicine. However on consuming Calutide-50, I being a bronchial Asthma patient, developed breathing problem. Accordingly, I made my PSA test on 13.06.2016 and visited doctor on 15.06.2016 with PSA report of 2.72 .On going through the report the doctor advised me to continue other medicine excepting Calutide and report after 03 months with report on PSA and Haemoglobin. I have made my PSA and haemoglobin on 02.11.2016 and the report of test reveals that PSA has been elevated to 5.27 while haemoglobin % has also increased from 14.0 to 14.4.With the report I have consulted my Urologist on 05.11.2016 and due to elevation of PSA he has advised me to continue Calutide again. I have learnt from my chemist that the medicine Calutide is generally prescribed for treatment of Prostate cancer. I am rather worried if I have been suffering from the said Incurable disease. In view of the above, kindly inform me if Calutide can also be prescribed for BPH. Regards.

MBBS,, MS,MRCS(Edinburgh),MCh Urology
Urologist, Mysore
I have been suffering from enlargement of prostrate for last 2 years. During October 2015 my PSA was detected at 10.9...
Hi lybrate-user ,understood your problem, you underwent PI rads of MRI .PI rads (Prostate Imaging Reporting and Data System) PI-RADS 1: very low (clinically significant cancer is highly unlikely to be present) PI-RADS 2: low (clinically significant cancer is unlikely to be present) PI-RADS 3: intermediate (the presence of clinically significant cancer is equivocal) PI-RADS 4: high (clinically significant cancer is likely to be present) PI-RADS 5: very high (clinically significant cancer is highly likely to be present) your score of MRI is equivocal ,PSA is fluctuating ,Bicalutamide was added in view of Ca Prostate not for BPH.
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Sir, what are the main causes of cancer. How can we defence it. What are the remedies. Can you help me.

MS ( General Surgery)
Oncologist, Mandsaur
Cancer Causes Certain genes control the life cycle – the growth, function, division, and death -- of a cell. When these genes are damaged, the balance between normal cell growth and death is lost. Cancer occurs due to DNA damage and out-of-control cell growth. The following is a partial list of factors known to damage DNA and increase the risk of cancer: Genetic mutations (for example, BRCA1 and BRCA2) Environmental exposure to UV radiation, air pollution Bacterial (H. Pylori) and viral infections (Epstein-Barr, HPV, hepatitis B and C) Lifestyle choices (poor diet, inactivity, obesity, heavy alcohol use, smoking cigarettes and tobacco use, exposure to chemicals and toxins) Treatment with chemotherapy, radiation, or immunosuppressive drugs Cancer Treatment Cancer treatment is highly variable depending on the type and stage of a cancer as well as the overall health of the patient. The most common treatments for cancer are surgery, radiation, and chemotherapy. Other treatments include targeted/biological therapies, hematopoietic stem cell transplants, angiogenesis inhibitors, cryosurgery, and photodynamic therapy. Every cancer treatment has potential risks, benefits, and side effects. The patient and his or her care team, which may include an internist or other specialist, surgeon, oncologist, radiation oncologist, and others, will help determine the best and most appropriate course of treatment.
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Hi I have soft nipples and under that it feels like there is a lump of mass, like tumor, it's like more then 7 years, in starting period there was pain, not anymore, I was ashamed and never talk about it, I want that to be gone, what should I do?

UICC International Fellow in Oncollogy , ESTRO certification in Head and neck oncology, MD - Radiothrapy
Oncologist, Jamnagar
Nothing to worry. Its just fat. If you r really concerned cosmetically, go for removal. Otherwise, just chill.
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I Got A Pea Sized Lump Near My Testicle Near scrotum But Not On testicle. It Can Move Freely And Is Painless. Can You Tell Me Its Serious Or Not? Can It Be A Symptom Of Testicle Cancer?

MD Radiation Oncology, ESMO Certified Medical Oncologist, DM Medical Oncology (Pursuing)
Oncologist, Mumbai
Hello lybrate-user, if you are sure that the small lump is not on the testicle, then it is not definitely a sign of testicular cancer. If still you have any doubt, you can go for ultrasound of testes.
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What is the syndrome first we have to seen a cancer patient to identify an cancer patient?

MBBS
General Physician, Mumbai
Few early symptoms are unexplained weight loss or loss of appetite and specific organ symptoms involvement and only with a biopsy report we have to confirm the diagnosis of cancer.
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My 83 year old father has been diagnosed with prostrate problem and recommended surgery, would like to seek for second opinion.

MS - General Surgery
General Surgeon, Vapi
My 83 year old father has been diagnosed with prostrate problem and recommended surgery, would like to seek for secon...
Go for alternative medicine treatment if does not have total block of urine because surgery at this age will be very high risk according to his age.
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Dear sir, I am from Allahabad (U.P.) India. I have giant cell tumor on my right wrist. I knew it after my Biopsy test. please suggest me Is bone grafting is best for these type of GCT. And what percentage of recurrence of giant cell tumor. please reply sir.

MBBS, MD - Medicine, MD - Oncology
Oncologist, Delhi
Dear. If aggressively treated by surgery and Radiation therapy the chances of recurrence is reduced to nil, if complete ablation of tumor has been done.
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I am suffering from prostate b.p.h. P.s.a.is o.o9 nd prostate size is 36 c.c.nd difficult urination it takes around 10 mins for urine to pass. I am a sugar patient and my sugar levels are around 150 to 180 after meal please kindly suggest me the medication.

MS - General Surgery
General Surgeon, Kanpur
I am suffering from prostate b.p.h. P.s.a.is o.o9 nd prostate size is 36 c.c.nd difficult urination it takes around 1...
U appear to be suffering with bph. Pls consult a urosurgeon for further evaluation. Prostate size is not of much concern here.
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What are the symptoms of breast cancer?

MD - Radiothrapy, MBBS
Oncologist,
1. Painless lump in the breast 2. Pain over the lump later 3. Bleeding from nipple 4. Skin ulcer in advanced stages 5. Nodular swelling in axilla.
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I had lymph node type some months back, but it was very small, now it become dark and thick, it is a lymph node or is something else? There is no pain, but sometimes it is. Can I show any good doctor relating to this in bangalore? If you know Good doctors let me know?

DNB, MBBS
Oncologist, Faridabad
I had lymph node type some months back, but it was very small, now it become dark and thick, it is a lymph node or is...
Which area of body has this node. Usually nodes do not become like this it may be some infection or abscess. Bur still you can take a doctors opinion regarding this in any good hospital in your city and if really suspicious node then they can do a biopsy or fnac.
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Sir I am addicted to smoking since 4 years. I usually smoke 25-26 cegerates a day. But today I finally quit smoking. I have a problem. From past 1 month mucus is present there. Can anyone suggest me is it danger? Am I suffering from lung cancer? Please reply as fast as possible.

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
Hi lybrate-user, I appreciate you seeking help. Its indeed nice and is in your best interest that you have quit smoking ultimately. Well, it does not necessarily mean that anyone who smokes gets cancer. Smoking does increase the risk though, of getting cancer. Simultaneously, it exposes one to various lung ailments too. For your present issues, I would advise that you get in touch with a pulmonologist, in person. He/ she can clinically examine your chest and also advise diagnostics suitably including a chest x-ray (pa view) as appropriate to understand the real issue. Simultaneously, I would advise you to go for a healthy and balanced diet and maintain a regular lifestyle with due focus on daily exercises, yoga/'pranayam' de-stressing and relaxation. Try including more of green leafy vegetables and fruits in your daily diet. Preferably, go for a mediterranean diet for maximum benefits. Stay well hydrated. Dietary supplementation of b vitamins especially vitamin b6 is known to reduce the risk of lung cancer. Hope this helps. Do take care and all the very best.
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Hi my father is suffering in lever cancer last stage can I know how can possible to cure the cancer?

Diploma in Radio-Diagnosis
Radiologist, Shimla
Last stage liver cancer, is not curable, only pain free life span to be kept, should have all the days stress free, keep him happy and pain less.
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There is any risk of cancer if someone has used someone else razor for shave provided both don't have cancer.

Ex Sen.V.Surgeon/Research Scientist, M.D.(Alternative Medicine/tibetan/chinese/acupuncture), Vaida/ Unani, Homeopath
Unani Specialist, Moga
Cancer does not spread from non infectious persons but there is risk of hiv - carrier stage, if the other person is suffering.
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What are the symptoms of breast cancer and what is the minimum age of its occurring? How we can cure it? Is any lump in the breast could be cancerous?

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
Signs and symptoms of breast cancer include: A lump in the breast – the most common first sign The woman usually finds the lump. Sometimes the lump is seen on a screening mammogram before it can be felt. The lump is present all the time and does not get smaller or go away with the menstrual cycle. The lump may feel like it is attached to the skin or chest wall and cannot be moved. The lump may feel hard, irregular in shape and very different from the rest of the breast tissue. The lump may be tender, but it is usually not painful. Pain is more often a symptom of a non-cancerous (benign) condition, but should be checked by a doctor. A lump in the armpit (axilla) Sometimes small, hard lumps in the armpit may be a sign that breast cancer has spread to the lymph nodes. Although these lumps are often painless, they may be tender. Changes in breast shape or size Skin changes The skin of the breast may become dimpled or puckered. A thickening and dimpling of the skin is sometimes called orange peel skin, or peau d’orange. Redness, swelling and increased warmth (signs that look like an infection) may be a sign of inflammatory breast cancer. Itching of the breast or nipple may be a sign of inflammatory breast cancer. Itchiness is often not relieved by ointments, creams or other medications. Nipple changes Some people’s nipples are always pointed inward (inverted). Normal nipples that suddenly become inverted should be checked by a doctor. Discharge from the nipples can be caused by many conditions, most of which are non-cancerous (benign). Discharge from one nipple may be a sign of breast cancer, especially if it appears without squeezing the nipple (is spontaneous) and is blood-stained. It may occur in any age but mostly in the old ages.
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I have lots of pain in my period time Sometime I'm suffering from fever. And I have a tumor in my breast (lymph nodes category 2 according to my mammography report) Size of tumor is 3 c. M. What should I do?

PGDMLS, PGDHHM, LLB, PhD Surgery, MS - General Surgery
General Surgeon, Gurgaon
Generally this is due to a condition called fibroadenosis or a fibroadenoma or something more serious. Fibroadenosis appears to be the most likely diagnosis in your case. This is a harmless condition and is related to hormonal changes. It is usually more, a few days before the start of monthly menstrual period and becomes less after the periods. You might be able to feel a lump on catching with all the fingers of your hand but no lump when you try to feel it with the flat surface of the fingers / hand. Breast support with a tight fitting bra might give some relief. Medication can be of some help but that should be taken only after a physical examination by a general surgeon. Cancerous tumors are generally painless. General surgeon would advice a biopsy / fnac if he has any suspicion of cancer.
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I am 23 years old and I have discovered 2 big lumps on my shoulder. What should I do now. Is it very serious?

MS ( General Surgery)
Oncologist, Mandsaur
May be fibromyoma or lipoma or sebaceous cyst which are benign. Advised to take a opinon of a surgeon.
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