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Dr. R.Rajaram

Oncologist, Chennai

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Dr. R.Rajaram 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.Rajaram
Dr. R.Rajaram is a popular Oncologist in Vadapalani, Chennai. You can consult Dr. R.Rajaram at Paterson Cancer Center in Vadapalani, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. R.Rajaram 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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I feel sudden pain in my throat (it'just below my beard or where the neck starts on right side ). I do not feel the pain continuously ,but I feel pain suddenly for few seconds. It's from 3 to 4 days I am also a smoker and but only 2 or three cigrate in a day many times not a single cigrate I smoke. Is it sign of cancer? Please help me doctor.

Diploma in Radio Therapy, MBBS
Oncologist, Chennai
I feel sudden pain in my throat (it'just below my beard or where the neck starts on right side ). I do not feel the p...
The pain may be due to inflammation of the lymph nodes. In case you are having associated fever, do try to get a ENT check up for possibility of Acute Tonsillitis. If there is obvious swelling in the area you mention consider getting a opinion from a surgeon if biopsy is indicated. Let me know if you need more details.
16 people found this helpful
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I am 20 years old and I have concern regarding my breasts i. E whatever dress I wear my nipples are popped out to dress and easily visible. Request you to advise me on what measures to be taken to avoid it completely so that I am able to wear any type of dress.

FMAS, MS
General Surgeon, Gandhinagar
Respected lybrate-user heena first of all don't worry as it is natural thing regarding nipple size shape. So far as projection in dress is concerned you definately have to use padded braziers & with that dresses with less transparency that's all dear.
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Hi, I am a 46 years old female, and I have developed a lump on my left breast, is there any treatment in ayurveda for this without taking any medicines only by using oils? Thanks.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Dont take it lightly.Although these lumps can develop normally in a woman reproductive life before mensturationor before and during ovulationbut thet subside automatically.If you persistently fel these lumps and if experience any pain alongwith then please go for MAMMOGRAPHY LEFT BREAST .
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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.

3249 people found this helpful

He smokes like 3 cigarettes a day. What are the chances that he will caught by cancer?

MBBS, MD - Psychiatry
Psychiatrist, Faridabad
Hi lybrate-user, yes its true that even 3 cigs per day may increase your chance of getting cancer. Also over time no. Of cigerrettes increase as addiction level increases. So as doctor advise, its better you quit at early stage.
2 people found this helpful
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I wad detected with Prostate Cancer in Nov '15 (PSA 41 - Gleason 9 - T3N0M0) and underwent 28 sittings radiation followed by quarterly Hormone Therapy (inj Eligard 22.5).Post radiation PSA checked in Mar '16 was down to 1.60 and when checked in June '16 down to 1.20.Hormone Therapy to lat 2 years- Your expert views about treatment and condition requested. Thank You.

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
I wad detected with Prostate Cancer in Nov '15 (PSA 41 - Gleason 9 - T3N0M0) and underwent 28 sittings radiation foll...
Hi Mr. lybrate-user, I appreciate you seeking opinion. As far as I understand, this injection attempts to slow down the growth of prostate cancer by lowering the levels of male hormone testosterone. Its good to note that your PSA levels have consistently decreased from as high as 41 ng/ mL in Nov 15' to as low as 1.2 ng/ mL in June 16' However, sometimes one may still have prostate cancer despite a normal PSA value. A PET CT scan, at this juncture, can help provide correct status as regards the progression of the disease. Apart from consulting your primary oncologist with the diagnostics, I would advise that you connect with an expert oncologist specializing in genito-urinary cancers for a second opinion. Simultaneously, you may decide to go for an integrative treatment with natural medicines that can help improve clinical outcomes. Hope this helps. Do take care and all the very best.
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Sir I gon under surgery of breast cancer now I having 22 days once kemo my hair full loss and nohair I want to what should I do for hair come.

(M.D.Accu), Diploma in Naturopathy & Yogic Science YS)
Acupuncturist, Delhi
Sir I gon under surgery of breast cancer now I having 22 days once kemo my hair full loss and nohair I want to what s...
Madam, please drink natural fruit juices and eat fruits and veg. Juices boiled veg. Every time. Avoid wheat. And curd and milk.
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Nipple Discharge ? Be careful.

M.Sc - Dietitics / Nutrition, DNHE, P.G. Diploma in Panchkarma, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Hapur
Nipple Discharge ? Be careful.
Nipple discharge

Discharge from your nipple without any squeezing or touching of the breast may make any women wonder. Other than breast milk, any kind of nipple discharge can be a warning sign of breast cancer.

When a tumor starts in the milk ducts just under or around the nipple, it may cause irritation and infection, leading to discharge.

If you notice any nipple discharge, particularly clear or bloody, get it checked by your doctor. Such discharge can also be due to an infection or other condition that needs treatment
14 people found this helpful

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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Hi sir. My doctor suggest me to drink milk. But the packet milk was no pure some harmful chemicals are mixed in milk packets. I saw in news channel. Which milk is best in warangal district. Please told me. Because that harmful milk causes to cancer and hormone imbalance etc.

DNB, MBBS
Oncologist, Faridabad
Milk is good source of calcium but ofcourse getting it in pure form Is an issue. You can look for some authentic source locally may be fresh extracted milk if you could find nearby. You can try other forms like paneer, curd eggs etc for calcium.
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I am 60 years old male and have prostrate gland since two years. Having no improvement I have decided to get homeopathic treatment. Any kind advice from home Dr. the type of home medicine?

BHMS
Homeopath,
I am 60 years old male and have prostrate gland since two years. Having no improvement I have decided to get homeopat...
Dear lybrate user, benign hypertrophy of prostate is a non-cancerous enlargement of the prostate gland. In this clinical condition multiple nodules are formed inside the prostate gland. These nodules often compress the urethra resulting in the narrowing of the lumen of urethra & producing a resistance to the urine flow. Resistance to urine flow requires the bladder to work harder during voiding, possibly leading to progressive enlargement, instability, or weakness of the bladder muscle. Benign hypertrophy of prostate can be easily diagnosed by an usg of whole abdomen along with blood test for prostate specific antigen (psa). Follow the given medication as directed:- 1) 5 drops of homoeopathic causticum 30 at early morning daily before brushing teeth 2) 5 drops of homoeopathic conium mac 30 before going to bath daily. 3) 5 drops of homoeopathic baryta carb 30 just one hour before dinner daily. 4) homoeopathic mother tincture sabal serrulata q, 30 drops, twice daily, after meals, in a cup of water. Along with the aforesaid medication few changes in your lifestyle are also necessary. Lifestyle alterations to address the symptoms include decreasing fluid intake before bedtime, moderating the consumption of alcohol and caffeine-containing products, and following a timed voiding schedule. Also it would be better if you could void the urine in sitting position.
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Before 9 month my father 1st time diagnosed with MULTIPLE MYELOMA at that time his blood plasma was 15%. 24 weeks treatment was given to him with BORTECAD 2mg (cadila pharma) Injection. Now doctor saying that its response is good and no more chemo therapy is required just to continue some other medicines. Now can he live a life as before or is there any other factors for which we need to be worried? Now his age is 61.

DM - Oncology
Oncologist,
Hi your dad 61 years is having multiple myeloma now completed 6 cycle of chemotherapy now plan to see response if complete remission then bone marrow transplantation is the way forward other wise go ahead with maintenance chemotherapy to prevent relapse.
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My father in law is detected as gall bladder cancer spread to liver and other organ. Doctor told he may live for few months. We are giving Ayurveda treatment to him . He is feeling better . But he is getting weak day by day. Please help me.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My father in law is detected as gall bladder cancer spread to liver and other organ. Doctor told he may live for few ...
A good nursing care, keeping him joyful and diet as advised by doctor is the way to keep weakness away to some extent.
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Sir, my mom is 50 year old and she has 10mm of tumor in uterus. She often notice stomach pain. Please tell me is it cancer? What is chance of it?

PGFCP, PGDEMS, Bachelor Of Ayurvedic Medicine And Surgery
Ayurveda, Satara
Sir, my mom is 50 year old and she has 10mm of tumor in uterus. She often notice stomach pain. Please tell me is it c...
Hi lybrate user. It is not cancer. It is simply a fibroid. At first you have to follow some basic things so that you get better results in a short period of time. 1) take food twice in a day only 2) drink only 100-150 ml of lukewarm water during meals 3) avoid late night sleeping habits 4) avoid oily, spicy, salty, junk, fast and fermented foods 5) walk upto 4-5 kilometres daily. A) take half tsf of avipattikar churna and half tsf of lavanbhaaskar churna after meals. B) take 30 ml of audumbaravleha and 10 ml of honey along with lukewarm water, early in the morning on empty stomach and before meals half an hour. C) take 30 ml of aloe vera juice along with 30 ml of lukewarm water at night before sleep. Do all these things for thirty days and reply me for further suggestions. Thanks.
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I am 25 year old female, I have a lumb in my right breast and I suffer pain alot. My weight is 38kg I am not able to eat food properly. I feel safocated sometime. Please help me.

Fellowship in Minimal Access Surgery, MS - General Surgery, MBBS, FICS
General Surgeon, Delhi
Painful lumps in your age group are quite common. Nothing needs to be done to them if they are small. However examination by a surgeon should be sough to endorse and confirm the diagnosis.
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What are the symptoms of cancer? What are its affects on human body? What are precautions for cancer?

DNB, MBBS
Oncologist, Faridabad
Cancer presents due to uncontrolled proliferation of cells, may present as lump mostly painless, unexplained weight loss, bleeding from any site, cough, difficulty in swallowing, altered bowel habits etc depending on organ effected. Due to uncontrolled growth they not only exhaust body resources but also can cause disruption of body functions and can also go to other organ affecting their functions leading organ failure. Healthy lifestyle and routine screening are helpful.
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I have some problem from fat, so many doctors said that is an lymphoma. But that was an increasing so many places in my body, please tell who will give the best suggestion of my problem.

MD - Radiation Oncology, MBBS, DNB (Radiotherapy)
Oncologist, Howrah
If there is any suspicion of lymphoma, fnac or biopsy from the enlarged lymph node should be performed immediately.
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My dad is suffering from GI junction cancer with liver Mets from Feb 2016. Had 3 cycle of chemotherapy where his numbers and size of tumours reduced by 30 percent. Then after 2 more cycles it reduced by more 50 percent. Then in the month of December it increased by 33 percent. Again dctr advised for chemo. After 3 cycles it reduced slightly but pleural effusion and ascites are seen. Again after 3 cycle secondary cancer increased. Pleural effusion increased. Ascites increased. My question how after chemo cancer is increasing? What are the chances of survival here.

MS, DNB (Surgical Oncology)
Oncologist, Jodhpur
HI lybrate-user, As per your history disease of GI Junction with Liver metastasis, I Presume you want to say about GE junction, Post 2 lines of Chemotherapy and progressive. The overall picture is not happy, it will be advisable to meet the surgical Oncologist if I assume the ascites and pleural effusion is not disease related. If Ascites and Pleural effusion are disease related, which is more a possibility as per case scenario, there are limited options. One vital option would be targeted therapy, with Herceptin if not already instituted in case of Her 2 +ve cancer. Overall with limited information, I feel the picture is quite gloomy. Having said that, ultimate power is GOD, so don't lose hope and Keep fighting. Good luck.
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What are the symptoms of throat cancer. I have habit of smoking for last two years. I am recognizing some symptoms as some pain sometimes around the neck region, and some itchiness in that area. Then some bulgeness in the throat. Can define this problem.

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
Hi lybrate-user, I appreciate you seeking help. Well, throat cancer usually presents with the following signs & symptoms - it could be a nagging cough, change in voice, with hoarseness or not speaking clearly, difficulty swallowing/ dysphagia, ear pain/ eustachian catarrh, a lump / sore that does not heal, sore throat, weight loss etc all. As I your case, I would advise you to visit an ent specialist in person, so that he/ she can clinically examine your condition and rule out complications, if any. Do take care and all the very best.
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My mother's age is 40 years. She is having thyroid problem since one year. Since three months she is having pain in the right underarm and arm area. Yesterday she found a small lump in the underarm which is painful. What might be the problem. Is it a cancer? Please reply soon. Thank you.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
it can be due to infection also..cancer probability can be ruled out only after fnac investigation of the node
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