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Dr. Ramanan

Oncologist, Chennai

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Dr. Ramanan Oncologist, Chennai
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Ramanan
Dr. Ramanan is a popular Oncologist in Poonamallee High Road, Chennai. You can consult Dr. Ramanan at Kumaran Hospital in Poonamallee High Road, Chennai. Book an appointment online with Dr. Ramanan on Lybrate.com.

Lybrate.com has an excellent community of Oncologists in India. You will find Oncologists with more than 34 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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Kumaran Hospital

No.214, Evr Periyar Salai, Poonamallee High Road, Kilpauk. Landmark: Near Sangam Cinema Hall, ChennaiChennai Get Directions
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Kumaran Hospital

#214, Evr Periyar Salai, Poonamallee High Road. Landmark: Near Sangam Cinema Hall.Chennai Get Directions
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Hello sir I want to ask about my problem I had been paining my breast for long time so suddenly I got my breast chequp so my report is not good I have a fibroadenoma problem so please tell me sir how can solve my problem because I don't want to operate.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
You have other options apart from surgery ,one is cryo ,and the other is laser, but before that you need to get a biopsy done to rule out for any malignant cells.
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MD
Sexologist, Srinagar
Prostate Cancer Treatments and Urinary/Sexual Functioning

New research on urinary and sexual outcomes could eventually help prostate cancer patients decide on their course of treatment.
“The ultimate goal is to develop a predictive tool that lets patients decide which treatment is right for them based on the symptoms they have beforehand, and their tolerance for any change – even temporary – in those symptoms,” said researcher Matthew Johnson, MD in a press release. Dr. Johnson is a resident physician in the Department of Radiation Oncology at Fox Chase Cancer Center in Philadelphia, Pennsylvania, USA.
Dr. Johnson and his colleagues presented their study findings in September at the American Society for Radiation Oncology’s 56th Annual Meeting.
Their data came from two study groups of men with prostate cancer who received one of four treatments: intensity modulated radiation therapy (IMRT), low dose rate brachytherapy (LDR), post-prostatectomy IMRT (PPRT), or radical prostatectomy (RP).
Using questionnaires, the researchers assessed the men’s symptoms at baseline and after treatment.

Urinary Symptoms
One group of 3,515 men completed the American Urological Association Symptom Score, designed to evaluate urinary symptoms. Over 14,500 surveys were completed. Lower scores on this tool indicate better urinary function. This group was followed for a median of 28 months.
For patients who received IMRT, follow-up scores were slightly lower than baseline. PPRT patients had similar results. LDR patients tended to see an initial score increase when compared to IMRT patients, but fell back to comparable levels after 34 months. Men who underwent RP had lower scores at baseline and after treatment.

Sexual Symptoms
The Sexual Health Inventory for Men (SHIM) questionnaire was used to evaluate sexual symptoms in a group of 857 men who completed more than 2,600 surveys. Higher SHIM scores are associated with better sexual function. The median follow-up time was 18 months.
The scores of men who were treated with LDR and PPRT were not much different from those treated with IMRT. However, men who had had RP had the largest score decreases between baseline and follow-up.
These results could help clinicians counsel patients with prostate cancer, the authors noted. In this way, patients could have a better idea of what to expect in terms of urinary and sexual symptoms.

Resources
American Society for Radiation Oncology (ASTRO)
Johnson, M.E., et al.
“A Comparison of Urinary and Sexual Function Patient Reported Outcomes (PROs) Among Treatment Modalities for Prostate Cancer (PCa)”
(Abstract presented at ASTRO’s 56th Annual Meeting. September 16, 2014. Presentation #180)
http://online.myiwf.com/astro2014/Abstract.aspx
Fox Chase Cancer Center
“Fox Chase Study Helps Identify When and How Much Various Prostate Cancer Treatments will Impact Urinary and Sexual Functioning”
(News release. September 16, 2014)
http://www.fccc.edu/information/news/press-releases/2014/2014-09-16-ASTRO-prostate-cancer-impact.html
- See more at: http://www.issm.info/news/sex-health-headlines/prostate-cancer-treatments-and-urinary-sexual-functioning#sthash.Tym9DcEt.dpuf
4 people found this helpful

I am 70 born female, i often get back-waist pain while sleeping at night. But urine discharge i fell relaxed but again start pining but not severe. I have almost sleepless night. I am divorcee but still maiden. Is there any female or prostate problem ?

MD-Dermatology, MBBS
Sexologist, Pune
Please contact and discuss in details regarding your related problem at private questions by request and payment of Rs.100 through Lybrate/ contact email drrameshm2@gmail.Com/on androide Lybrate app. Mob 09822006427. For your complete health solution.Dr.Ramesh Maheshwari Sexologist Pune.
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I have benign prostatic enlargement taking veltam plus regularly no problem any further remedy.

FMAS, MS
General Surgeon, Gandhinagar
I have benign prostatic enlargement taking veltam plus regularly no problem any further remedy.
Respected lybrate-user. Dinesh continue same sir no other remedies required when you are alright with that.
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What are symptoms of cancer and precautions and steps to be taken to cure cancer.

DNB, MBBS
Oncologist, Faridabad
Cancer usually presents as painless lump anywhere in neck, breast, armpits etc. Nonhealing ulcer, abnormal bleeding, weight loss, difficulty in swallowing, change in bowelor bladder habits etc.
1 person found this helpful
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I am 20 year old men. What is symptoms of lungs cancer? Because I smoke more than 5 years. One day I vomit with blood. So I really scared about this. Please give any suggestions. Thank you.

MCh - Neurosurgery, MBBS
Neurosurgeon, Chennai
I am 20 year old men. What is symptoms of lungs cancer? Because I smoke more than 5 years. One day I vomit with blood...
Lung cancer usually presents with blood while coughing but it can also present with blood during vomit so please consult a physician and get yourself evaluated.
13 people found this helpful
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Sir. I am a hodgkin lymphoma patient. Finished chemo ABVD in feb 17 and radiation therapy on 4th apr 17. I have some side effects from radiation like no taste in mouth, having bad breadth, and excessive saliva in the mouth. Please advice how to reduce these.

MBBS, MD - Medicine, MD - Oncology
Oncologist, Delhi
DEAR RAZA, NOW YOUR TREATMENT FOR LYMPHOMA IS OVER. SOME SIDE EFFECTS POST CHEMOTHERAPY AND RADIOTHERAPY DO OCCUR AND PERSOST FOR SOME TIME. HAVE GOOD FOOD, FRUITS AND JUICES, SLOWLY ALL YOUR PROBLEMS WILL VANISH. SEE THAT YOU ARE HAVING GOOD MOTIONS. IF YOU SMOKE OR USE PAAM MASALA DOS CONTINUE IT. BREATH FRESH EVERY THING WOLL COME TO NORMAL.
4 people found this helpful
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Hello, I am 41 years old female. I have got breast cancer and undergoing chemotherapy. I have completed 6 chemo out of 8. Since 3 days I am facing severe constipation. Very hard stools have struck & not coming out. I have tried all kinds of tablets but nothing is working. Due to this I am experiencing severe stomach ache. Pls help me with some strong medicine or home remedy for this. I am in great trouble.

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
Hello, I am 41 years old female. I have got breast cancer and undergoing chemotherapy. I have completed 6 chemo out o...
Hi Sakina, I appreciate you seeking help. Well, contextually, I would advise that you consult your oncologist first in this regard, and proceed as per his recommendations. Should it require, he may advise anal suppository/ enema, as would deem appropriate post clinical evaluation, to clear off the hard stool first. Subsequently, streamlining your diet/ lifestyle may help get over this issue on the long run. You can include ripe papaya, apple, figs, raisins, dates, prunes etc all in your daily diet. Also, fibrous diet apart, its important that you stay well hydrated too. An active lifestyle with yoga, exercise, massage, relaxation, de-stressing etc all can be of help in this condition. You may take any natural laxative/ lactulose solution for the next few days/ weeks subject to your oncologist's/ physician's concurrence. Hope this helps. Do take care and all the very best.
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Im pregnant going through 6 months my hubby is diagnosis with cancer of rectum and on last stage cancer. Im jobless too please give me suggestion I can not be single mother as I can not provide anything to my child. I do not wamt these child as can not afford to play with his or her future. Im quiet depressed due to same.

MBBS, MD - Medicine, MD - Oncology
Oncologist, Delhi
Dear, sorry for the agony you are undergoing. You are legally married you can give birth to the child and simultaneously maintain contact with adoption centers and give the baby for adoption. You will not be doing any crime and also you will give good life to the baby. Many childless couples will be willing for adoption. Truly,
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Cervical Cancer

MBBS, DGO, DNB (Obstetrics and Gynecology), FMAS, FAM
Gynaecologist, Delhi
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Symptoms, causes and treatment for Cervical Cancer

Namashkar. Hello, I’m Dr. Shalini Tiwari. I’m a gynaecologist practicing at East Delhi Surya Hospital. Aaj main apko cervical cancer ke bare mein kuch batana chahti hoon.

Today in India, there are so many women who are dying due to cervical cancer. It is one of the most common cancers in the world due to which women are affected. Why today I’m talking about cervical cancers? Today, sexual relations are on rise. Even young women like 16, 17, 18 year old are going for sexual relationship. I’m not saying that sexual relationship is wrong, but why I am talking about cervical cancer is because sexual relationships are one of the highest factors of cervical cancers. So let’s understand what actually cervical cancer is. To understand this, we need to know what cervix is. So I’d like to tell you that we have a uterus where our baby is grown and then born afterwards.

See, this is the uterus, and this is the cervix. So just as we have our face, as we have our lips, so our uterus has lips which is known as cervix. It is this portion which is affected most. Why? Because during sexual intercourse, due to repeated infections, and anything which is outside and which is externally entering into the vagina, first it will infect or affect this part of the uterus. This is known as cervix. So any infection, any erosion, any bleeding, any white discharge, anything which is affecting the cervix can give rise to cervical cancer. This is a very broad statement, there are definite…there are definitely some definite reasons, definite viruses which give rise to this cancer.

Coming on to symptoms of cervical cancer. So many of us have irregular menstrual bleeding, but we tend to ignore it. We should not. Abnormal menstrual bleeding is one of the finest and one of the earliest symptom of cervical cancer. So please don’t ignore it and visit your gynaecologist. Now you would like to know what abnormal bleeding is? So abnormal bleeding would be bleeding after intercourse, abnormal bleeding would be bleeding in between menstrual cycles, abnormal bleeding can be excessive bleeding during regular cycles. So any three of them, if it is there, you please visit your doctor, and get yourself checked.

Why so much of a hush-hush over cervical cancer all over the world? Because, number 1, it is common, number 2, it is a preventable cancer. It is a very slow growing cancer. It starts from the cervix, and then gradually gradually gradually it involves all of the uterus. But this gradual is so much that if we diagnose it, it can be actually cured 100%. That’s why we really need to be careful. You should be having a regular checkups, all women, specially all sexually active women. You should have regular checkups.

So what are the preventive checkups for cervical cancer?

  •  Pap test. All of us know Pap test. It is being advertised in TV, it is being advertised by WHO off and on. So every sexually active woman should get a Pap test every three years.
  • Similarly there is a virus called HPV virus, i.e, Human papillomavirus. This virus is a sexually transmitted virus. And if this virus is there, there are high chances that patient will develop cervical cancer. Though once infected with this virus, it doesn’t mean that it will be there throughout your life. Because it titles goes down in one year or two years, but then there are two specific types, like 16 type and 18 type of HPV virus, which can really give your body a potentiality to grow into cervical cancer. So you should get your HPV testing also done.
  • Third is colposcopy. Colposcopy is a screening test, and through colposcopy we see the cells of cervix directly under acetic acid, which really helps us to diagnose if the cells can grow into cancers, or these cells are benign cells. And these three tests are absolutely noninvasive tests, non-painful tests, and just OPD procedure for two to three or five minutes maximum. So you should…all of you should get these tests dine regularly. Number three, supposing we do these tests, and we diagnose that element of cancer is there. So if it is in initial stages, like we call it carcinoma, you won’t believe, to treat this we don’t even need to do hysterectomy. This is just we need to do a cryo, ye ek prakar ki thandi si  jo layman ki bhasha mein bolte hain, or use puri tarah ye erosion theek ho jata hain. Uske baad use jo cervical cells hote hain cancer waale, wo bhi mar jaate hain. And the chances of progressing into a frank carcinoma becomes almost negligible.

That’s why cervical cancer is everywhere. So we need to be very careful, we need to be very vigilant. Our health is in our hands. So if we are not vigilant about our health, no one else is going to tell us, please go to the doctor. Humein pata hona chahiye ki hamare mein infection ho raha hain, white discharge humein zyaada ho raha hain, bleeding humein zyaada ho rahi hain, so ;et’s viosit the doctor.

In the end, agar apko dikhana hain, aap chahte hain ki aap cervical cancer se bachein rahein, please come to me. I sit as Surya Hospital in East Delhi, or you can contact me through Lybrate. Thank you.

3443 people found this helpful

My friend Mom was suffering from a breast cancer for 15 days what can I do sir any treatment for complete solution.

MD Radiation Oncology, ESMO Certified Medical Oncologist, DM Medical Oncology (Pursuing)
Oncologist, Mumbai
Hello lybrate-user, breast cancer management involves surgery, chemotherapy and radiotherapy. The exact management protocol can be decided on basis of initial work up. Please send me all details so that I can help you further.
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Any protective remedies of enlarged prostate gland - age 55 male- frequent urination - normal colour - odourless - feeling some residual is still in - to clear pressure through finger helps - check and release technique.

MS
General Surgeon, Panipat
Any protective remedies of enlarged prostate gland - age 55 male- frequent urination - normal colour - odourless - fe...
Mr. Banerjee. Protective measures are doing regular exercise,Yoga as enlarged prostate is an old age disease. If you are pressing your bladder from out side then it is alright but don't put pressure through rectum.
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Sir what are the symptoms of mouth cancer. I smoke hukka Thrice a week. And I have got sore mouth. Is this a symptom of cancer?

MBBS, MD - Medicine, MD - Oncology
Oncologist, Delhi
Dear, it is not necessary it may be the sign of cancer but it can occur which is aggravated because of bad hygiene caused by smoking.
1 person found this helpful
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Hi I doctor I'm meraj can I know how cancer diseases can get cure what are its precaution and how can it help me.

MBBS, MBA (Healthcare)
General Physician, Delhi
cure rate is different for different cancer. early diagnosis is important.. avoid smoking, it is cause of many cancer.. cure is by surgery , radiotherapy. and chemotherapy.
1 person found this helpful
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I am a 42 year old men. I have some pain in back side of neck and lightly pain in throat. I had checked ent specialist but there is no problem but I have doubt of cancer. So please advise me where I go and what tretment/test I do regarding this.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Sleep on a hard bed with soft bedding on it. SPRING BEDS, FOLDING BEDS OR THICK MATRESS ARE HARMFUL Use no pillow under the head. DO HOT FOMANTATION. Paracetamol 250mg OD & SOS x 5days. Caldikind plus 1tab OD x10. Do neck, back & general exercises. It may have to be further investigated. You will need other supportive medicines also. Make sure you are not allergic to any of the medicines you are going to take. If it does not give relief in 4-5days, contact me again.. Do not ignore .It could be beginning of a serious problem.
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My father is 56 years old. He had sphincterotomy. Cholangiogram showed narrowing at mid CBD. No tumour observed in MRI and CT scan. But CA-19-9 is 1829.5 and CEA is 0.35. Does this indicate cancer.

MD - Alternate Medicine, Phd - Medical Biochemistry
Oncologist, Delhi
Sphincterotomy is a method of last resort, to be used when all other attempts at cannulation during endoscopic retrograde cholangiopancreatography (ERCP) with standard cannulas, tapered cannulas, papillotomes, and guidewires have failed. Usually the pancreatitis, cholangitis, hemorrhage, and duodenal perforation. Cancer is more common in patients who are older and in those with type I and IV cysts. Please note Carbohydrate antigen 19-9 (CA 19-9) and carcinoembryonic antigen (CEA) markers and their diagnostic utility is limited due to significant overlap with benign disease and other malignancies, and also ahs low sensitivity for early stage cholangiocarcinoma (Cancer of the bile ducts). Nect step would be to evaluate Alpha-fetoprotein (AFP) is used to help differentiate intrahepatic cholangiocarcinoma from hepatocellular carcinoma (HCC). If all tests are normal, one needs to evaluate the cause of Intrahepatic cholestasis. Will need all reports staring from the initial complaint/ procedure and others to see where we are and what could be the issue, if any.
2 people found this helpful
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My Mother has confirmed Lungs cancer before last two weeks. Dr. said that it is in stage 3B and now we can not cure. Her life will be of only 2-3 years even after Chemo and next treatment. Is it true ? Please advise.

DNB(Respiratory Diseases), MBBS
Pulmonologist, Jabalpur
In most of the stage 3B lung cancers they are not operable so chances of their cure are less.and further prognosis also depends the type of lung cancer it is and its molecular make up. these days targeted therapies based on the receptor studies of tumour have added some extra life to lung cancer patients over and above the conventional chemotherapy
3 people found this helpful
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Ovarian Cancer - 8 Risk Factors

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
Ovarian Cancer - 8 Risk Factors

The cancer of the ovaries is known as ovarian cancer. In women there are two ovaries present on each side of the uterus. These ovaries are as big as an almond in size and produce egg also known as ova. They also secrete the hormones progesterone and estrogen.

Ovarian cancer goes undetected until it spreads to the abdomen and pelvis. When detected at this stage then it might be fatal and the treatment gets difficult. An early stage ovarian cancer where the cancer is restricted in the ovaries is much easier to treat with high success rates.

Risk Factors of Ovarian Cancer

1. Age - With increasing age the risk of ovarian cancer is higher and is more common in women who are 60 and above. It is less common in women below 40 years of age and develops often after menopause.
Obesity Women who have a body mass index of 30 are at a risk of developing ovarian cancer.

2. History of Reproduction - It is believed that women who conceive before 26 and carry the full term have a lower risk of ovarian cancer. However, the risk is higher in those women who get pregnant after 35 or who do not have a full term pregnancy. Also, breastfeeding the baby lowers the risk.

3. Gene Mutation - Inherited gene mutation causes some percentage of ovarian cancer. These genes are called breast cancer genes 1 and 2 (BRCA1 and BRCA2). These were initially found in cases with breast cancer but also pose great risk for ovarian cancer. Also, gene mutation leading to Lynch syndrome plays an important role in increasing the risk of ovarian cancer.

4. Family History - If a woman's mother, sister or daughter is suffering from ovarian cancer then she is at a higher risk of developing the same. The risk also increases if someone from the father side also has ovarian cancer.

5. Fertility Drugs - Drugs like clomiphene citrate, if used for more than a year can increase the risk of the cancer. The risk is even higher if a woman taking the drug does not get pregnant.

6. Hormone Therapy and Estrogen Therapy - Long term use and large doses of estrogen can cause an increased risk. However, if estrogen is used in combination with progesterone then the risk is less.

7. Age of Menstruation and Menopause - If menstruation starts before 12 and menopause occurs before 52 then there is a higher risk of getting the cancer.

8. Diet - A low fat vegetarian diet has less risk of the disease. Fresh fruit and vegetables should be included in diet along with pulses, rice, pasta, beans, cereals and breads. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

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