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Dr. Lakshmi Narayan Shanmugham

MBBS

Oncologist, Chennai

0 - 1000 at clinic
Dr. Lakshmi Narayan Shanmugham MBBS Oncologist, Chennai
0 - 1000 at clinic
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. Lakshmi Narayan Shanmugham
Dr. Lakshmi Narayan Shanmugham is an experienced Oncologist in Poonamallee, Chennai. She has done MBBS . She is currently practising at Miot Hospital in Poonamallee, Chennai. Book an appointment online with Dr. Lakshmi Narayan Shanmugham on Lybrate.com.

Lybrate.com has an excellent community of Oncologists in India. You will find Oncologists with more than 43 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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MBBS - - -

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4/112, Mount Poonamallee Road, Manapakkam, Landmark: Near Chennai Trade Center, ChennaiChennai Get Directions
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#4/112, Mount Poonamallee Road, Manapakkam, Landmark: Near Chennai Trade Center.Chennai Get Directions
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New No.6, Old No.24, Cenotaph Road. Landmark : Near Hotel Rain treeChennai Get Directions
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Cancer is usually detected at a very late stage when it is almost incurable. Can it be detected in the beginning? if yes please advise the procedure /tests.

MS - General Surgery
Oncologist, Ludhiana
For males screening prostate cancer after the age of 50 years, which includes yearly psa and rectal digital examination. For females screening for breast and cervical cancer should be done. Breast screening includes self breast examination, examination by surgeon and mammography. For carcinoma cervix examination by gynecologist and pap smear. Otherwise in asymptomatic person- yearly physical check up and routine blood counts, u/s abdomen etc. In symptomatic patient investigation should depends on symptomatology.
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What are symptoms of breast cancer and how can we detect it in early stages and get it cured?

DNB, MBBS
Oncologist, Faridabad
breast cancer most often present as painless lump which gradually starts increasing in size , can be detected by regular self examination of breast and annual mammography after the age of forty. regular self examination of breast with flat of hands five days after the periods are over are the best method for screening I think as it is inexpensive easy and does not involve any risk of radiation exposure. if you find any abnormal lump see a doctor for clinical examination and further tests as needed.,
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What are the tests for lung cancer detection, what are the costs of lung cancer detection. I'm looking for moderate costs which does not depend on brand of the hospital.

DNB, MBBS
Oncologist, Faridabad
Dear sir, lung cancer can be detected by screening chest xray or Low radiation ct scan. Initially only a coin like shadow may be present Which may be asymptomatic initially.
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How can prevent mouth cancer?

You asked how to prevent mouth cancer, very good question indeed you need to visit dental surgeon every six months for check up. Keep yourself well hydrated. Treatment to keep mouth healthy and free from disease is cleaning and polishing of teeth and maintenance of oral hygiene. Use colgate total paste and listerine mouthwash twice a day. Do rinse your mouth have a simple lifestyle and avoid all vices.
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Urge to urine can't hold also wake up in middle of for pee. All test are negative uti, prostate etc. Please suggest me what to do to get rid of this and have proper sleep in night. ?

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
Urge to urine can't hold also wake up in middle of for pee. All test are negative uti, prostate etc. Please suggest m...
Hi lybrate-user, I appreciate you seeking help. Well, you may require a few more investigations apart from the ones mentioned above. I would advise that you visit a neurologist who can clinically examine you and rule out any possibility of neuro-degenerative disorders that may have triggered a bladder dysfunction. Last but not the least, possibility of any sleep related disorders, especially sleep apnea, needs to be ruled out too. For the time being, however, you may follow certain simple disciplines like going to bed on time, not taking water just before you retire to bed, ensure that you do urinate once properly before you get to sleep. Also, adjust your room temperature, avoid making it too cold. Hope this helps. Do take care and all the very best.
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Colposcopy and Cervical Biopsy - Procedure that is Followed

DGO , MBBS
Gynaecologist, Pune
Colposcopy and Cervical Biopsy - Procedure that is Followed

Colposcopy is a procedure that is used to get a closer view of a women’s cervix, vagina and vulva. It is a procedure carried on to detect the presence of any abnormal cells on the cervix and nearby areas. 

Why is Colposcopy done?
This procedure is carried out to see the problems in the vagina and cervix which may otherwise be not visible with a naked eye. A colposcopy is done when the Pap test results are abnormal. These abnormalities could be due to several reasons like viral infections namely human papillomavirus (HPV) infection or any other fungal (yeast), bacterial or protozoan (Trichomonas) infection. Atrophic vaginitis or natural cervical changes due to menopause can also lead to abnormal Pap test results. However one needs to be careful because these untreated cervical cell changes that lead to abnormal Pap tests can at times develop into precancerous or cancerous changes.

Cervical Biopsy
In case during colposcopy, an abnormal tissue is found in the problem areas, the doctor will remove a tiny sample of it and send it to the lab. This is normally known as a biopsy or cervical biopsy which is done from inside the opening of the cervix or endocervical canal.
 

Procedure for a colposcopy and biopsy
A colposcopy is normally a pain free procedure where at times some women might feel a slight tingling or burning sensation when the solution is applied. Biopsy might lead to a little discomfort like that of a sharp pinch or a menstrual cramp. During colposcopy a speculum or a small instrument is inserted into the vagina to spread apart the vaginal walls. In order to see the area more clearly the doctor dabs the cervix or vagina with a cotton swab dipped in vinegar (acetic acid) or Iodine (Lugol's solution). The solution is used to remove any kind of mucus and also makes the abnormal cells turn white in order to be clearly visible.

The doctor then uses a colposcope, a light magnifying device that looks like binoculars and has a bright light mounted to it. It also has a camera attached to it to take the videos or pictures of the cervix and vagina.
Biopsies are normally done by scraping away abnormal cells with a small brush or a small curette.

Results of colposcopy or cervical Biopsy
In case of Normal results the vinegar or iodine will not show the presence of any abnormal cells and the vagina and cervix look normal. But in case of abnormal results, there are abnormal tissues seen in the problem areas. It could also be a sore or a genital wart or infection in and around the vagina. The biopsy report would clarify whether it is cervical cancer or is likely to develop. If you wish to discuss about any specific problem, you can consult a gynaecologist and ask a free question.

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Sir I want to know about prostate cancer, is it related to masturbation. What are the symptoms of prostate cancer.

FMAS, MS
General Surgeon, Gandhinagar
Sir I want to know about prostate cancer, is it related to masturbation. What are the symptoms of prostate cancer.
Respected lybrate-user hi masturbation has nothing to do with prostate cancer. So far as symptoms are concerned initially difficulty in micturition & in advanced conditions pelvic pain, weight loss, anorexia etc. Thanks regards.
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How do you remove the pesticides from broccoli which is very harmful and probably causes cancers?

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 guidance. Well, you can wash it thoroughly with cold water 2 to 3 times that shall remove maximum of the pesticide residues. Also, washing with 2% salt solution will help remove the pesticides. Residues remaining, if any, shall get removed during the process of cooking. The above-mentioned risk of pesticide contamination is averted significantly/ totally, if one goes for organically cultivated fruits, vegetables and foods etc all.
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How Frequently Should a Breast Examination Be Done?

MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Noida
How Frequently Should a Breast Examination Be Done?

Breast examination is a way of detecting early changes that help in detecting lumps or other growth in the breast. This is a manual form of examination that may be carried out by the doctor or even by the patient. This kind of examination helps in detecting the onset of breast cancer and helps in successful treatment of the same. It is an essential screening strategy that all women must go through. Let us cast a glance on the various details regarding this examination, and also how frequently it must be conducted.

  1. Age: Women who have reached the age of 18 are said to have matured physically and sexually. They should perform this examination once they have reached the said age in order to detect any anomalies in the way the physical changes occur in the breast tissue.
  2. Procedure: One should begin by looking at one's reflection in the mirror to find any rashes or dimpling in the breasts. The shape, size and colour of the breasts and nipples must also be studied so as to check for any anomalies. Inverted nipples, redness and soreness must also be reported to the doctor. Once you are done checking the visuals, you can raise your arms and look for any changes. Then, you will need to lie down and feel your breasts by using a circular motion. The finger pads must be used in order to check for any lumps. One must start from the centre and move the breasts sideways. Any wet and slippery feeling must be reported to the doctor immediately.
  3. Pressure: During the breast examination, you must use light pressure for the skin and tissue that lie beneath the breasts, while medium to moderate pressure should be used for the middle portion of the breasts. One must use a firm hand to check the tissue that lies at the back of the breasts, near the rib cage. 
  4. Frequency: One must get into the habit of conducting a breast examination at least once a fortnight or once a month, without fail. You can also go to the gynaecologist for an examination in case you are not confident of conducting it on your own with proper movements and accuracy. You may also journalise your breast examination findings.
  5. Menstrual Cycles: When you are going through your menstrual cycle or period, it is important to remember that your breasts can become tender just before or after the start of the cycle. So, do not panic if you think you have found a lump or any other growth at this time. It is best to check again after a week and then visit the doctor about checking the same.
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Hi doctor, my grandfather is 60 years old and he was diagnosed and found that he is suffering from mouth cancer. Is it curable? are there any risk after operation?

M.H.C.T.C
Oncologist, Pune
Hi, dear, good evening. -i studied your query and understood your concerns, in which context find my reply herewith. -your main worry is -post radiation tracheostomy plugging by the secretions which are thick and why your wife has to suffer from this despite of all the care and efforts taken by you? -ans- a-for thick secretions -there are many reasons which need to be ruled out by the clinical examination. B-for clinical examination I would advise to consult your family doctor and send its brief up for more tips to get free from this respiratory plugging problem-which is very resistant and non-responding to treatments you had. C-in the mean while-i would advise following lifestyle changes and health tips to reduce thick bronchial-secretion plugging the respiration of your wife- as follows- i-take water intake and diet intake adequately. Ii-see that she flushes enough urine atleast 1500 cc per day by adequate intake of fluids and diet. Iii-take spinach soup 2 times a day iv-use soda-bicarb water intake 3-4 times a day. V-take liquid diet as far as possible. Vi-take plenty of fruits -especially -seasonal and citrus at least one times a day. Revert by your clinical examination report asap in 5 days time on my lybrate clinic by private paid query. -hope the health tips would recoup your wife fast. -and hope I have solved your immediate problem but do report after the cbc/cxr and family doctors brief up-clinical status - report, and upload it on this forum. -wishing you early recovery. Have a good day! with regards,
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What are the symptoms of early cancer. Any normal cheap test for confirmation the cancer present in body.

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, I appreciate you seeking guidance. Commonly blood tests/ tumor markers, scans and biopsies are usually employed to diagnose cancer, with biopsy being the gold standard that clinches the diagnosis. The test requirements, as mentioned above, vary from cancer to cancer. In fact, there always are symptoms but in certain early stage cancers they are quite mild and hence go unnoticed mostly. Routine health checkups may help catch these early, however. Specifically, basis the cancer society recommendations, you need to be watchful about seven cardinal warning signs (c. A. U. T. I. O. N) of cancer, as given below - c - change in bowel habits a - a sore that does not heal you - unusual bleeding or discharge t - thickening or enlargement of a lump I - indigestion or difficulty swallowing (/ dysphagia) o - obvious change in a wart or mole n - nagging cough or hoarseness hope this answers your question.
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Can removing a tooth cause cancer then what are the symptoms.?

MDS - Oral & Maxillofacial Surgery, BDS
Dentist,
Can removing a tooth cause cancer then what are the symptoms.?
No tooth removal can cause cancer until n unless cancer is present before tooth removal. Symptoms of oral cancer can b ulceration or uneven growth in oral cavity which is either painful or painless.
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What is the symptoms of mouth cancer how we protect our body from cancer and mouth problem.

Ex Sen.V.Surgeon/Research Scientist, M.D.(Alternative Medicine/tibetan/chinese/acupuncture), Vaida/ Unani, Homeopath
Unani Specialist, Moga
Hi dear -pain, ulcer. Abscess, pus, wear/ tear of mouth muscles, leakage of water/ liquids/ foods, difficulty in chewing etc. -there are many causes except tobacco chewing ;;- causes;-different types of cancers may be having different types of multiple causes, not any one, in some cancers--viruses have been detected. Adultrated foods, allopathic salts, hormonal drugs, chemical salts, paints, alcohol, smoking, constipation, unhealthy water, foods, uncompatible foods, excessive sex-loss of semen, industrial hazards, polluted air, acidity, arthritis, stones, unknown reasons etc. Are other causes. Prevention;;-- you can prevent cancers by avoiding its possible causes.
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As per biopsy report prostate gland increased and likely to cause cancer in future. Can this disease be cured by Ayurvedic medicines/treatment? Do not want to take allopathy medicines.

BAMS
General Physician, Delhi
As per biopsy report prostate gland increased and likely to cause cancer in future. Can this disease be cured by Ayur...
Sorry no herbal remedy is available so far cancer of prostate, you have to adopt surgical as well chemotherapy without delay.
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My father-in-law of age 73 has detected 4th stage esophagus cancer. Can we go for a surgery? Or let him live as he is now?

MCh - Neurosurgery, MBBS
Neurosurgeon, Chennai
You do need to go for a surgery - may not be for totally removing the cancer - but to enable him eat for the rest of his days and have good quality of life.
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My wife is cervix cancer patient obstruction tumor for urtopathy, 6 cycles chemo has given by the doctor. When I ask doctor what is after treatment of the patients. He refer to surgical oncologist. How the tumors is removable or not my question let clarify the same.

MD - Radiothrapy, DNB
Oncologist, Mohali
Chemo is not the main treatment treatment involves radiation and/ or surgery for obstn she needs either stenting or pcn prognosis is good -------- but not by chemo.
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Is it okay to cleanse your body by fasting from time to time? How long am I contagious when I have the flu or a Is my microwave giving me cancer?

MBBS
General Physician,
Is it okay to cleanse your body by fasting from time to time? How long am I contagious when I have the flu or a Is my...
fasting once a week or onceca fortnight is good for health but during fasting time you should have plenty of water by mouth.go for regular morning walk followed by free hand exercises.
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