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Dr. Nitya

Oncologist, Chennai

Dr. Nitya 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. Nitya
Dr. Nitya is a popular Oncologist in Chetpet, Chennai. You can visit him/her at V S Hospital in Chetpet, Chennai. You can book an instant appointment online with Dr. Nitya 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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No 13, East Spur Tank RD, Chetpet, Landmark:Opp World University Service Center, ChennaiChennai Get Directions
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What is the primary structure of cancer, how a man know this and probably of male breast cancer?

DNB, MBBS
Oncologist, Faridabad
Cancer may affect any and every organ of the body. Breast nodules or lumps are the usual presentation in males and need to be evaluated by clinical examination and biopsy. Males cancers are easily picked as they are superficial and easily identified by simple self examination.
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I am a cancer patient (breast, Stage II). I have completed all treatments for the last 2 1/2 years ago. Doctors operated by only partially (only affected area). The whole part are not remove. Cancer cells are again formed? Or not formed?

FACS, MBBS, MS - General Surgery
Oncologist, Gurgaon
Dear lybrate-user, chances of re occurrence of cancer is not very uncommon. It can be a local re occurrence or metastasis. The key if to get yourself checked every 6 months. In case any lump/symptom is noticed, it should be catered immediately.
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I smoke about 4-5 cigarettes per day. How much probability of having lung cancer.

DNB, MBBS
Oncologist, Faridabad
It's difficult to calculate the probability, there are some risk calculators available but it's actually difficult to exactly predict as there may be other confounding factors like pollution,environmental factors, occupational hazards, genetic factors. Smoking is not only related to lung cancer but it may lead to head and neck cancer, gastrointestinal, bladder etc.
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How serious is Prostrate, what is the stage of must surgery, is there any chance of curing by medicine ?

MS - General Surgery
General Surgeon, Delhi
First of all there is no definite cure for prostatic enlargement as this gland keeps on increasing in size under influence of male hormones. Medicines can halt the progression of size but once you stop medication, the growth of the gland recurs. Similarly surgery can only remove the excessive gland tissue present at that particular time, It won't stop the gland from further growth. So your decision to undergo surgery depends upon control of symptoms by drugs. If the difficulty in urination is relieved by medicines then you don't require surgery. If your problem exists despite medicines then you have to go under the knife.
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I am 26 years female married for 1 and half years. 8 years back when I was 17yr old I had undergone chemotherapy for gem cell tumour and my left ovary is removed surgically. I had given 6 cycle of chemotherapy totally. 4 cycle before the operation and 2cycle after the operation. Chemotherapy is given as an a injection. Which is a combination of cisplatin (30mg each day in a cycle of 5 days) and etosid (150mg each day in cycle of 5 days). I would like to know what is my chance for being pregnant? does this chemo which I undergone can cause infertility.

MS, MBBS
Gynaecologist, Noida
I am 26 years female married for 1 and half years. 8 years back when I was 17yr old I had undergone chemotherapy for ...
Hello you said yor one ovary is already removed surgically and you recieved chxemotherapy also. Are you getting yor periods regularily? genrally after chemo there are chances of ovarian failured or insufficiency which can be confrmed by usg -tvs and few hormonal tests in case of ovarian failure or insufficiency you can opt for ivf pregnancy with ovum donation
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I am 29 years old and 30 weeks pregnant you have small painless lump in my right breast since 5 yrs. Will it be safe to feed breast to baby?

M.Ch - Surgical Oncology, MS - General Surgery, MBBS
Oncologist, Delhi
Yes, but I would recommend a few tests for the lump, to be absolutely certain of the nature of the lump.
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How to cure cancer if person go to third stage of cancer and person almost weak and wants to get healthy again?

DNB, MBBS
Oncologist, Faridabad
Dear sir, treatment would depend on the site and histopathology along with staging. Nutritional supplements and supportive medication are needed to reduce his weakness and ofcourse he can get healthy.
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I have ulcer problem .i do not smoke and do not drink alcohol .i have stomach pain literally .im afraid of stomach cancer .pls help me.

MD - General Medicine, DTM & H
Internal Medicine Specialist, Motihari
I have ulcer problem .i do not smoke and do not drink alcohol .i have stomach pain literally .im afraid of stomach ca...
Other factors too causes gastric ulcers besides smoking and drinking alcohols. But to diagnose gastric ulcers, upper gastrointestinal endoscopy is essential and also to rule out rarely possible stomach cancer due to this at your age. Unnecessary and exaggerated thinking regarding this will cause anxiety.
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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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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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Why liver is damaged and how to control lever damage protection to cancer in our body.

DNB, MBBS
Oncologist, Faridabad
Why liver is damaged and how to control lever damage protection to cancer in our body.
Liver is an important organ of the body responsible for metabolism of food. Damage can occur due to most commonly alcohol, hepatitis mostly hepatitis B, smoking or even by some other infections which may occur for long periods to cause injury. Avoid any kind of injury by avoiding alcohol and treatment of hepatitis or any infections adequately and promptly to prevent liver injury.
58 people found this helpful
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Anal Cancer Treatment (PDQ®): Treatment - Patient Information [NCI]-General Information About Anal Cancer.

DNB, MBBS
Oncologist, Faridabad
Anal cancers are Cancers of anal canal, presenting as ulceration or growth in anal canal. Symptoms are difficulty in passing motions, bleeding, and sometimes constipation or diarrhoea. Treatment is done by radiation -chemotherapy.
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What are the chances of chemotherapy in breast cancer? How many cemo's are required in breast cancer max to max.

MBBS, MS - General Surgery, MRCS (Edinburgh), Fellowship In Breast Surgery, Fellowship In Onco-plastic Breast Surgery
Oncologist, Gurgaon
chemotherapy in breast cancer depends on a lot of factors. If the patient is her 2 neu negative, then it is usually 12 sessions (some variability is present from institute to institute). If patient is her 2 neu positive, then chemo continues for one year (every three weeks).
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I am 65 yes old male recently diagnosed with benign prostate hypertrophy. Are there any medicines in homeopathy for treating without surgery which can give good results.

BHMS
Homeopath, Ghaziabad
I am 65 yes old male recently diagnosed with benign prostate hypertrophy. Are there any medicines in homeopathy for t...
Ya sure there r lots of medicines in homoeopathy for this, but medicine will b given after proper case taking, but pt will definitely b benefited.
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May I know how cancer is cause? And what are the first step to get prevent from cancer?

MS ( General Surgery)
Oncologist, Mandsaur
1. Don't use tobacco Using any type of tobacco puts you on a collision course with cancer. Smoking has been linked to various types of cancer — including cancer of the lung, mouth, throat, larynx, pancreas, bladder, cervix and kidney. Xhewing tobacco has been linked to cancer of the oral cavity and pancreas. Even if you don't use tobacco, exposure to secondhand smoke might increase your risk of lung cancer. Avoiding tobacco — or deciding to stop using it — is one of the most important health decisions you can make. It's also an important part of cancer prevention. If you need help quitting tobacco, ask your doctor about stop-smoking products and other strategies for quitting. 2. Eat a healthy diet Although making healthy selections at the grocery store and at mealtime can't guarantee cancer prevention, it might help reduce your risk. Consider these guidelines: •Eat plenty of fruits and vegetables. Base your diet on fruits, vegetables and other foods from plant sources — such as whole grains and beans. •Avoid obesity. Eat lighter and leaner by choosing fewer high-calorie foods, including refined sugars and fat from animal sources. •If you choose to drink alcohol, do so only in moderation. The risk of various types of cancer — including cancer of the breast, colon, lung, kidney and liver — increases with the amount of alcohol you drink and the length of time you've been drinking regularly. •Limit processed meats. A report from the International Agency for Research on Cancer, the cancer agency of the World Health Organization, concluded that eating large amounts of processed meat can slightly increase the risk of certain types of cancer. In addition, women who eat a Mediterranean diet supplemented with extra-virgin olive oil and mixed nuts might have a reduced risk of breast cancer. The Mediterranean diet focuses on mostly on plant-based foods, such as fruits and vegetables, whole grains, legumes and nuts. People who follow the Mediterranean diet choose healthy fats, like olive oil, over butter and fish instead of red meat. 3. Maintain a healthy weight and be physically active Maintaining a healthy weight might lower the risk of various types of cancer, including cancer of the breast, prostate, lung, colon and kidney. Physical activity counts, too. In addition to helping you control your weight, physical activity on its own might lower the risk of breast cancer and colon cancer. Adults who participate in any amount of physical activity gain some health benefits. But for substantial health benefits, strive to get at least 150 minutes a week of moderate aerobic activity or 75 minutes a week of vigorous aerobic physical activity. You can also do a combination of moderate and vigorous activity. As a general goal, include at least 30 minutes of physical activity in your daily routine — and if you can do more, even better.
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Am 23years boy and I am a weekly smoker but I afraid of the cancer so please suggest to prevent it and also to stop smoking.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Dear lybrate-user, Tobacco is addictive. Cigarette also contains 4000+ carcinogenic chemicals other than nicotine. Nicotine and other chemicals can cause cancer of different types and areas. Throat cancer, mouth cancer, lung cancer, stomach cancer and brain problems can result. Over and above smoking may also increase the risk factor of heart attack and brain stroke. Please quit smoking. The best method is to leave it and continue with your will power. There are other methods like Nicotine Replacement therapy and pharmacotherapy combined. If you’re ready to stop smoking and willing to get the support you need, you can recover from nicotine addiction and abuse abuse—no matter how bad the addiction or how powerless you feel. The first step in treating nicotine addiction is accepting that you have a problem. Confronting an addiction and accepting responsibility for your actions isn’t easy. But it’s a necessary step on the road to treatment and recovery. You should then consult a psychiatrist / psychologist who fill follow this treatment. 1. Detoxification using medicines. 2. Behavior modification with the help of therapies. 3. Counseling. 4. Medication to sustain and 5. Long term support. These given steps are essential for any addict to get effectively rid of smoking. Therefore, you need to stick to the treatment plan and cooperate with your psychiatrist / psychologist. Mind power building therapy, motivation therapy etc should help you doing so. I suggest you to consult a psychologist or de addiction therapist. Take care.
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Gastric 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
Gastric Cancer - In a nutshell!

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.

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

    1. Adenocarcinoma: Begins in the glandular cells lining the inside of the stomach. This forms a majority of the stomach cancers.
    2. Lymphoma: Begins in immune system cells present in the walls of the stomach. Occurrence of lymphoma, in the stomach, is rare.
    3. Carcinoid Tumor: Begins in hormone producing cells of the stomach.  Occurrence of carcinoid cancer, in the stomach, is rare.
    4. Gastrointestinal Stromal Tumor (GIST): begins in nervous system cells of the stomach. Occurrence of GIST, in the stomach, is rare.
  2. Gender: It affects both male and female populace.

  3. 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.
  4. 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:

    1. 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),
      • Heartburn,
      • Weight loss (Cachexia)
      • Anaemia,
      • Occult blood in stool/ Melaena,
    2. 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,
      • Anaemia,
      • 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)
  5. 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.
  6. 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.
  7. 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.
  8. 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.

  9. 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.

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