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Dr. R. Pichammal

Oncologist, Chennai

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Dr. R. Pichammal Oncologist, Chennai
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. R. Pichammal
Dr. R. Pichammal is a renowned Oncologist in Arumbakkam, Chennai. You can visit him at Dr. R. Pichammal@Appasamy Hospital in Arumbakkam, Chennai. You can book an instant appointment online with Dr. R. Pichammal on Lybrate.com.

Lybrate.com has an excellent community of Oncologists in India. You will find Oncologists with more than 25 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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Appasamy Hospital

1 & 2, SBI Officers Colony Arumbakkam. Landmark: Near Ford ShowroomChennai Get Directions
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I am 68 years old and I have slightly enlarged prostrates with PSA reading of 5.9. Is there any treatment to reduce enlargement and lower PSA level so as to avoid this developing into cancer at later stage.

MBBS, DNB (General Surgery), MNAMS (Membership of the National Academy) (General Surgery) , Fellowship in Minimal Access Surgery, Fellow of Indian association og gastro intestinal endo surgeons
General Surgeon, Ghaziabad
Your psa levels are in doubtful range. Medicines are required only if difficulty in urination is there. Cancer has be ruled out. Physical examination is essential for this. Prostate biobsy may be required if clinical suspicion of cancer.
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Common Symptoms of Breast Cancer

Minimal invasive surgery in gynaecology, MD - Obstetrtics & Gynaecology, DNB, MBBS
Gynaecologist, Mumbai
Common Symptoms of Breast Cancer

Breast cancer is a type of a cancerous infection that develops in the skin cells of the breast. This condition is more commonly diagnosed after you have skin cancer and is more common in women than men. There are certain signs to identify this disease, which are as follows.

1. Breast lumps - Lumps are patches of skin that occur due to the thickening and swelling of the skin. Breast lumps is a very common phenomenon for women but that does not always lead to a breast cancer; however, frequent and reoccurring instances of the same increases the risk of breast cancer. A breast lump is easily identifiable through the naked eye as it looks different from the surrounding tissues.

2. Blood discharges - The nipple is one of the most sensitive areas in the human body. In case of women, it is meant to emit milk during pregnancy, in order to feed the infant externally. A probable symptom of breast cancer can also be a frequent discharge of blood from the nipple without any visible damage or injury.

3. Breast changes - If you are experiencing any visible changes in the size, appearance or shape of the breast, then it is an indicative sign that you may have breast cancer. Thus, it is of paramount importance that you observe, touch and physically examine your breast regularly for changes. If there is any major change detected then it is advisable to consult a doctor.

4. Inverted nipple - The tip of the nipple is generally bulging and pointing outwards both in cases of men and women. But sometimes the tip of the nipple is pushed inside due to excessive suction caused by the skin tissues present inside the breast around the nipple area. This suction forces the nipple to grow inwards which is abnormal and might harm the breast and skin in various ways.

However, apart from these main symptoms, some other signs are also there that increase your chances of being diagnosed with breast cancer. They are redness or pitting of the skin over your breast like an orange, peeling or scaling of the pigmented area around the nipple, dimpling of the skin on the breasts, and such others.

'Consult'.

Related Tip: Can Ayurveda Really Treat Cancer? Find Out.

3182 people found this helpful

Hey it have skin cancer in his mouth and we want operation it. So what will the precaution

DNB, MBBS
Oncologist, Faridabad
Sir, how can skin cancer be in mouth? If it is skin cancer of head and neck region then depending on operability and possibility of reconstruction you can get it operated.
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Hi sir my mother is having triple negative breast cancer and it is in stage 2. Her treatment is completed. How many years will she survive and what are the precautions we have to take.

MBBS, DNB - Surgery, Fellowship in Breast Surgical Oncology
Oncologist, Gurgaon
It is unpredictable that how long she will survive. Also there are no precautions that can prevent her from not having cancer again. Precautions can only decrease the risk. She needs to have regular follow ups with her treating doctor as per advice so that if any recurrence happens, it can be detected early and managed accordingly. Also maintain a healthy lifestyle and be physically active.
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Common Prostate Problems Faced By Men!

MBBS, MS - General Surgery, DNB - Urology/Genito - Urinary Surgery
Urologist, Bangalore
Common Prostate Problems Faced By Men!

What menstrual problems are to women, prostate problems are to men. The prostate is a gland in the lower abdomen that aids in the production of semen. The prostate is walnut sized in a young man, but can get enlarged with age. As it grows bigger, it can cause a number of problems. These are commonly seen after a man celebrates his 50th birthday.

There are three common prostate problems faced by men. Some of the symptoms that can tell if a man has a prostate problem are:

1. Difficulty faced while urinating.
2. The urge to urinate frequently at night.
3. Constant feeling of a full bladder.
4. Pain while urinating.
5. Blood in urine.

Prostatitis

This can be defined as inflammation of the prostate gland. In most cases the cause of this inflammation is unknown. However, there are two types of prostatitis; bacterial and nonbacterial. While the former reacts well to antibiotics, the latter is more difficult to control. Symptoms of this disease vary from one person to the next. Some of the factors that could trigger this disease are:

1. Chemical irritants
2. Past bacterial infection
3. Dysfunctional pelvic floor muscles
4. Sexual abuse
5. Chronic anxiety

Enlarged prostate

As mentioned earlier, as men get older, the prostate gland tends to grow in size. This growth is benign, but can block the bladder neck and prostatic urethra. This can cause problems urinating and lead to acute urinary retention. This can be very painful. Inserting a catheter can provide temporary relief and help release stored urine. Chronic retention is much less common and is associated with high bladder pressure and can damage the kidneys.

Prostate cancer

Advancing age and family genetic history are said to be the main triggers of prostate cancer. This type of cancer can remain restricted to the prostate gland in its early stages but may spread to the other glands as the cancer advances. This can also cause the growth of secondary tumors in the bones.

The only way to correctly diagnose a prostate problem is with a thorough physical examination. This includes a digital rectal exam where the doctor will insert a gloved finger into your rectum to check the size of your prostate, a blood test, mid stream urine tests and ultrasounds. In some cases a biopsy of the prostate may also be required. Depending on the diagnosis, your doctor may prescribe antibiotics, surgery, radiotherapy or hormone therapy to manage your prostate. If you wish to discuss any specific problem, you can consult an urologist.

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She have a breast problem once in a month getting pain can't press, can't touch? What should she do to cure?

PGDMLS, PGDHHM, LLB, PhD Surgery, MS - General Surgery
General Surgeon, Gurgaon
The limited information provided indicates a condition called fibroadenosis. This is due to hormonal influence and becomes more during or just before the monthly menstrual cycle. Of course a physical examination by a general surgeon is a must to confirm the diagnosis and rule out other conditions. As general measures, breast support with a tight bra or crepe bandage can be helpful symptomatically. Painkiller medicines are of little help.
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My mother is a cancer patients, she taking cancer treatment, but she have BP & Sugar heavy, she takes tablet also it not come control, you can suggest how to control both.

Membership of the Royal College of Surgeons (MRCS), MS - General Surgery, MBBS
General Surgeon, Mohali
the tablet needs to be changed if B.P is not under control. For sugar we can put her on insulin . She is under going stress as she is being treated for cancer . Stress causes difficulty in controlling B.P and blood sugar.
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I have been smoking regularly for 40 year, I want to get some test done to check my health and the early risk of cancer (if any). What tests should I go for?

Registrar in Surgical Oncology, Fellowship in Gynaecologic Oncology, Masters In Advanced Oncology, Fellowship in advanced laparoscopy and robotic surgery, Fellowship in Gastrointestinal Oncology
Oncologist, Mumbai
Smoking exposes you too various types of cancer mainly being lung cancer and cancer of your aerodigestive tract. This means your lung, mouth, wind pipe, food pipe and stomach are at risk. The maximum risk is with the first two. There is also the risk of cardiac problems. I would advise you to ideally undergo a comprehensive health check for cardiac status (stress test), lung function (pft) and others. For cancer though there are no reliable tests to detect cancers early, an oral exam by the surgeon at the health check up, an endoscopy if persistent ulcer complaints and a low dose ct scan of the chest are advised in chronic smokers. (though as I mentioned earlier, none are foolproof.)
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Hello Can please anyone suggest that what food must we eat if we are having prostate cysts. Is fast food and eggs good for us or has some danger. Kindly suggest.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
ENT Specialist, Solapur
Hello, Fast food mainly contains different kind of oils and spices which may affect your digestion. You may get feeling of uneasiness in your stomach. Eggs are good for your health but if your doctor has suggested to avoid eggs then you go for other protein sources. Ask your doctor what alternate food can be consumed.
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I hv very severe pain in my breast bt there is no cyst (ghat), Dr. Recommended me codesoft capsules for 1 month, my treatment is going on bt still I hv pain. Wht to do then? Plzz suggest me any solution for this.

MBBS, MD - Medicine, MD - Oncology
Oncologist, Delhi
Dear, it is hormonal change at your age. Possibly you might be getting more pain during menstruation. If there is no discharge from the nipple and there are no signs of inflamation on your breast, needs only observation and a n analgesic for the symptomatic relief.
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Usg thyroid impression: 1. Bilateral heterogeneous sols, of concerning for suspicious nature.(suggested fnac) 2. Prominent lymph nodes bilaterally. Please help.

MD - Radiation Oncology, MBBS, DNB (Radiotherapy)
Oncologist, Howrah
As the usg report suggested highly suspicious heterogeneous sol with bilateral lymph nodes, fnac from the sol should be performed as early as possible.
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C.S.C, D.C.H, M.B.B.S
General Physician,
Diets High In Fat Increase Prostate Cancer Death Risk

Prostate cancer patients with an unhealthy, high-fat diet have a significantly higher risk of death from the disease, a new study suggests.
?There is currently very little evidence to counsel men living with prostate cancer on how they can modify their lifestyle to improve survival. Our results suggest that a heart-healthy diet may benefit these men by specifically reducing their chances of dying of prostate cancer,?
?Diets high in animal fat and low in fiber are associated with metabolic syndrome ? a collection of conditions including abdominal obesity, elevated blood sugar levels and high blood pressure,?said Dr. Michael Schwartz, a urologist at the Arthur Smith Institute for Urology in New Hyde Park, N.Y.
?It has been known for some time that this type of diet can elevate risk of diabetes, heart attack, stroke and various cancers,? he said.
Now, ?this study provides evidence for what many of us have for years been telling our patients with prostate cancer ? or patients who are interested in prostate cancer prevention,? Schwartz said.
He added that the anti-cancer effects of exercise might play a role as well, in that men in the study who ate healthier might also have exercised more.
The research was published online June 1 in the journal Cancer Prevention Research.
3 people found this helpful

Hi I had total thyroidectomy due to Thyroid cancer Parathyroids were preserved, RAI is done it's been only 2 months. Currently taking Eltroxin 200 mcg, and calcium supplement along with vitamin3 of 2000 mg. I am looking for a good antioxidant supplement which has vitamin C as well. Please suggest a good antioxidant supplement (capsule form) which can be used on daily basis for rest of life. Please suggest.

Advance BHRT Certification, Fellowship in BHRT & Longevity Medicine, Fellowship in Endocrinology, MBBS
Endocrinologist, Bangalore
lybrate-user, you will have more options if you separately take antioxidants and Vit C. Fish oil Omega-3 is a very good anti-oxidant if it has the right amount of EPA and DHA. I would also recommend Curcumin. Vit D3 and B12 also help.
1 person found this helpful
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What do you mean by blood cancer? In which activities in this disease? How to cure blood cancer?

DNB, MBBS
Oncologist, Faridabad
Blood cancer is caused by abnormal uncontrolled proliferation of one of the components of blood causing suppression of others. Hence leading to symptoms like palpable lump or lymphadenopathy, anemia, easy bleeding or bruising, bone pains etc. Blood cancer is treated by chemotherapy.
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What are symptoms of cancer, what are precautions to be taken to control it and which necessary medicines to be preferred?

Ex Sen.V.Surgeon/Research Scientist, M.D.(Alternative Medicine/tibetan/chinese/acupuncture), Vaida/ Unani, Homeopath
Unani Specialist, Moga
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. Symptoms;--generally pain is main symptom but mainly depend upon the organs involved. Other symptoms can be -bleeding, obstruction, ulceration, fever, weakness, loss of appetite, indigestion etc. Etc. Early detection;;- is generally difficult. But lumps may be detected, palpable. Suddenly found when ever pain or some problem is there problem with cancers;;--is that they spread to other parts immediately after surgery-when cut or any time after surgery, may be within-5-10 years or 20 yrs. Results;;- some 80% die within 1-2 years, 10 %--live -------- longer for 5-10 yrs, 10%-escape death. ---------------------------------------- treatment cancer;;-- you may need 4-6 doctors/experts to cure a cancer, at different stages. -step- 1- diagnosis;- generally patients are referred from small clinics or town hospitals to big city hospitals, for complete checkup and diagnostic procedures, bcz only such centres are equipped with big machines/eqipments etc. -step -2-;-- supportive/symptomatic treatment;-- this is required at each stage and step everywhere. Patient may need blood, glucose, vitamins, fluids and life saving drugs, pain killers etc.- all the time. So the patient needs to be admitted in hospitals. You may need allopathic/ ayurvedic/ homeopathic/ naturopathic/ home remedies etc. -step-3-;;--curative treatment;- -tibetan therapy--medicine -cancero - course is the best -step-4-surgery;- may be required where tissues have become hard and degenerated and in irreversible cases or in cavities. -step-5- radiology;- may also be of some helpful in advanced cases. -step-6-chemotherapy;- I do not recommend it bcz of its multiple side effects.
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I am 55 years and having 28 gm at and 80 ml retention in prostrate Taking urimax .4 mg for last 2 year. Kindly advise how long medicine could be continued or it should be change or surgery is recommended.

MD - Radiothrapy
Oncologist, Gurgaon
I will suggest to fill a form to check what is the severity of your BPH. After filling the form send it back to me . Then only proper management strategy can be figured out. Thanks.
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What are the symptoms of the mouth cancer what types of precautions and medicine should be taken?

MBBS, MD - Medicine, MD - Oncology
Oncologist, Delhi
Dear lybrate-user, symtoms of mouth cancer are multiple. Since mouth has many parts and cancer can form on any part of mouth. Symtoms will be according to part involved. Grossly all irritants like smoking, pan masala, gutka, inflamation caused by irritating eatables, poor hygiene of mouth, very hot beverages can be contributing factors. You need to avoid these all for prevention.
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have a swelling on neck doctor told cervical adenitis submental triangle is it symptoms of cancer or not?

M.Ch - Surgical Oncology, MS - General Surgery, MBBS
Oncologist, Delhi
Not necessarily, get an ultrasound of the neck done and if needed an fnac to rule out any cancer. Alternatively you may try a course of antibiotics for a week and see if there is any improvement.
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I am 65 years old. I have been having frequent urination and I had USG test; the test revealed that my prostrate is enlarged and approx wt. Is 112 gm. Post void: 150 ml residual urine noted. Can this be treated by medicine/herbal medicine or is operation the only answer.

MS ( General Surgery)
Oncologist, Mandsaur
You can try medicine under supervision of a urologist if no relief than surgery is the only remady. Consult urologist.
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