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Dr. Ramkumar

Oncologist, Chennai

350 at clinic
Dr. Ramkumar Oncologist, Chennai
350 at clinic
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Ramkumar
Dr. Ramkumar is a popular Oncologist in Madipakkam, Chennai. You can consult Dr. Ramkumar at Saraswathy Speciality Hospital in Madipakkam, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. Ramkumar on Lybrate.com.

Lybrate.com has an excellent community of Oncologists in India. You will find Oncologists with more than 29 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. A-92, Bazaar Road, Sadasivam Nagar, Madipakkam. Landmark: Near Ram Nagar Bus Stop, ChennaiChennai Get Directions
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I was a NHL patient I regression for the last 6yrs. I went through chemo treatment. For last one year I have developed tendency to fall i.e. losing balance. Of late difficulty in talking(expressing myself)and difficulty climbing steps and loss of strength. I am male 72yrs.Ifell 80 or 90 yrs. age. What is the problem? Is it curable?.

B.Sc, DBMS, BHMS, PGDCR, PGDHM
Homeopath, Kolkata
do EEG and other investigations which are related with that disease. though you have already taken lot of medicine and chemo also then it may go to incurable. If you have investigation reports then come with these I will see and try with my level best. Regards
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Hello! My friend has a breast related problem. She has pain in her upper lateral part of her breast. Which feels on walking, moving and touching the breast. please suggest what should she do? Is it a normal problem or she has to start medicine for it.

BAMS
Ayurveda, Bangalore
Hi, It may be due to harmonal problem. But it is better to get an U/S scan of the breasts to rule out any Fibroids or cysts.
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Hi, my wife is 38 years old and have two daughters (11 4 old F/M child). She is having pain in breast nipple point. After consulting the doctor she is taking B-LONG Tab 1 per day. She is thinking that have breast cancer. Can you please advice?

MS - General Surgery
General Surgeon, Pune
Most common symptom of breat cancer is lump in the breast or the abnormal nipple discharge. The suspicion is high if the discharge is reddish. In those cases sometimes even mass is not felt but still the possibility of the breast cancer is very high. Breast cancer pain appears generally at late stages. The usual cause of nipple pain is small crack in the region which can be treated quite easily. Please consult a surgeon nearby who after examination will answer your questions and take out your fear.
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Palliative Care for Cancer Patients

MD - Ayurveda
Ayurveda, Bargarh
Palliative Care for Cancer Patients

With terminal illnesses like cancer, the disease is not the only thing that requires treatment. In addition to controlling the severity and spread of the main disease, the effect it has on the other body systems including emotional, social, psychological problems and also physical issues like pain and inflammation. Though the disease has reached an advanced stage and cannot be cured, the patient can be made to be pain-free and at peace to the extent possible.

The goal of palliative care is not to cure - in fact, palliative care is in place for diseases like cancer from the time it is diagnosed and treatment is begun but becomes the major component of treatment once the cancer is identified to be in terminal stages. Therapeutic care aimed at curing the cancer is gradually reduced and palliative care assumes a bigger role. This is also called as symptomatic care, supportive care, or comfort care.

Aspects of palliative care: Once the disease is identified to be in terminal stages, then the following become considerations:

  1. Stay at home or hospital
  2. Withdraw chemotherapy and radiation?
  3. Withdraw feeding tube
  4. Spiritual discussions
  5. Reduce anxiety
  6. Good quality time with the family
  7. Reduce pain and suffering

As is evident, there is a huge component of social/emotional/spiritual management in addition to reducing pain and suffering:

  • Physical: Pain, fatigue, shortness of breath, sleeplessness, loss of appetite are some symptoms that need to be managed. In addition to pain killers, small exercises can be included to make them feel better, even if it is just getting a breath of fresh air.
  • Social: Depression (learn the ways to handle depression), anxiety, uncertainty, fear are all looming large and they are not sure how to manage these feelings. Talking to a counselor or some close family member or friend can be a big relief - the burden is off their chest.
  • Legal: There could be issues related to property, insurance, property that also need to be discussed. External help can be sought if required to provide financial counselling and legal advice.
  • Spiritual: Looking into the spiritual needs and understanding the deeper meaning of life, restoring faith are some things that also can help them feel better. "Why did this happen to me?" is a question most people keep asking and while there is no answer, some solace can be provided through talks.

It is to be noted that palliative care is not just for the patient. The caretakers (family and close friends) are equally in need of some support. So, once the patient is identified to be in terminal stages, all effort is made so the final leg of the journey is peaceful and as painless as possible.

3283 people found this helpful

Diabitic since 2001 .Taking Gelvas 50-500 Amaryl 1M, Ecospirin v75, Tezloc H, Flodart plus for D.M,heart, Microalbumin in urine and prostate problems.

MD-Dermatology, MBBS
Sexologist, Pune
Send me details/ and Private consulting Please contact and discuss in details regarding your related problem at private questions by request and payment of Rs.200/ through Lybrate/ payment getway. Contact email drrameshm2@gmail.Com/on Mob 09822006427. For your complete health solution by.Dr.Ramesh Maheshwari, MBBS,MD Sexologist Pune.
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Why the cancer is infect our body and our liver and what thing is leave the cancer.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
Cancer infects due to poor lifestyle ..eating junk foods...too much stress Do morning walks daily...drink lots of coconut water and Avoid stress
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He had cancer in mouth doctor suggested chemotherapy of 2 to 3 cycle after response of this cycle operation will planned so kindly give information about chemotherapy is essential before operation is required.

MBBS, MS- Surgery , M.Ch - Surgical Oncology , FIAGES
Oncologist, Delhi
Surgery is primary form of tretment for oral cavity cancer. As chemotherapy has not a very defining role in operable cases of oral cavity. Only in vary advance disease and selected cases when surgical oncologist consider it as upfront inoperable they advise to give chemotherapy. As such standard of care is surgery followed by adjuvant radiation therapy or chemoradiotherapy in some cases.
26 people found this helpful
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Blood cancer kis reason se hota h.India m iska treatment kitna successful h. blood cancer patients ke kitne percent chance hote h thik hone ke.

DNB, MBBS
Oncologist, Faridabad
Dear sir, most blood cancers are genetically related and are due to some mutations or changes in genes. Treatment is done by chemotherapy and Cure rates varies from patient to patients and the type of leukaemia.
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Risk Factors and Symptoms of Oral Cancer

MD - Oncology
Oncologist, Hubli-Dharwad
Risk Factors and Symptoms of Oral Cancer

Oral cancer is the uncontrollable growth of cells called tumors that invade and damage the tissues surrounding it is in or around the mouth. Oral cancer, like all other types of cancer, is life threatening if not diagnosed and treated in the early stages. There are eight types of oral cancer namely cancer in the throat, sinuses, hard and soft palate, floor of the mouth, gums, cheeks, tongue and lips. Dentists are usually the first ones to notice and detect the signs and symptoms of oral cancer. This condition is also known as oral cavity cancer. The risk factors and symptoms of oral cancer are mentioned below.

Symptoms:

The symptoms of oral cancer, especially in the first stages, seem non-threatening and similar to common oral problems. However, visiting the doctor is mandatory to rule out cancer as an option. If you suffer from one or more of the following symptoms, visit your dentist immediately.

  1. Thickenings and swellings, lumps or bumps, crusts, eroded areas or rough spots on the lips, gums or surrounding regions inside or around the mouth.
  2. Bleeding in the mouth that is unexplainable. 
  3. Persistent sores near and around the mouth or throat that bleed easily and may take more than two weeks to heal.
  4. Unexplained numbness or pain and tenderness in the mouth, throat or face.
  5. Development of patches, which are usually speckled, red or white in the mouth. 
  6. Sudden weight loss.
  7. Excruciating pain in your ear.
  8. Loose teeth.
  9. Difficulty in swallowing.
  10. Lumps in your neck. 
  11. Stiffness or pain in your jaw.
  12. Pain in your tongue.
  13. Dentures that fit poorly. 

Risk factor:

Men above 50 years of age face the greatest risk of developing oral cancer. Women are at a much lower risk of developing oral cancer than men. The following factors increase your risk of developing oral cancer: 

  1. Smoking cigarettes, cigars or pipes 
  2. Snuff, dips or chewing tobacco
  3. Excessive consumption of alcohol
  4. History of oral or other types of cancer in the family
  5. Chronic sun exposure, especially facial exposure
  6. Sexually transmitted virus such as HPV
  7. Diagnosed of oral cancer previously.
4267 people found this helpful

Hi sir,my friend aged 25years having Gynecomastia consulted laproscopic surgeon and advised for Prolactin,FSH,Testosterone,TSH and laboratory reports were found to be normal,and if it is not harmonal problem then what could it be?is there any medication for this?suggest for appropriate treatment.. waiting for ur reply.....thanking you

MNAMS (Membership of the National Academy) (General Surgery) , MCh - Plastic and Reconstructive Surgery, DNB (Plastic Surgery)
Cosmetic/Plastic Surgeon,
Gynaecomastia is normal sometimes in puberty,but persistence of abnormal breast tissue in adult male can be due to a lot of clinical conditions klienfelter syndrome,lymphomas,luekemias,estrogen excess,and side effects of drugs like digitalis,inh,spiranolactone,cimetidine,ranitidine,oestrogens.You need examination by doctors and rule out any pathology,if everything is normal then liposuction can give excellent results.I have treated many patients successfully. www.plasticsurgeryindia.net
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My sister 48 years operated last year inMay ovarian cancer six cycle of chemotherapy now last month cA125 was 15. Before that 10.

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
What was the stage of the ovarian cancer during the treatment last year. When was the ca 125 value 10 (which date) and when was it 15. Small rise in ca 125 can be followed up. Repeat ca 125 after a month. If its showing a persistent rise, she may need further evaluation.
2 people found this helpful
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Is smoking Marijuana/Ganja Harmful, because I heard its medicine and can even prevent cancer.

DNB, MBBS
Oncologist, Faridabad
Marijuana has both useful and harmful substances. The useful substance will be extracted and formed in capsule forms and will be available in markets for cancer related pain and chemotherapy induced side effects. Consuming it whole may lead to more harm than benefits As it has addictive tendency, may alter behaviour, can lead to hallucinations. So it is not advisable to take thinking it's anticancerous.
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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.
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My urine report says urine having trace of albumin. And pus cell is 8-10 /hpf. This tells about infection. But is it can be also indication of kidney cancer. Please help?

MD - Radiation Oncology, MBBS
Oncologist,
My urine report says urine having trace of albumin.
And pus cell is 8-10 /hpf.
This tells about infection.
But is it ...
Dear Mr. Lybrate-user, this urine report does not indicate the presence of cancer. A test called urine cytology can show the presence of cancer cells in urine. I would like to know if you have any particular problems related to urination. That would help in diagnosing the problem. This report suggests possible infection. A urine culture and sensitivity test will help in choosing the antibiotics required for treatment.
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How many reason of blood cancer? Which type medicins are available for blood cancer in india? How many percentage for live patient? And please tell me Ayurvedic medicine for blood cancer.

DNB, MBBS
Oncologist, Faridabad
Dear mam, blood cancer is usually caused by some mutations or change in genes which control the growth of blood cells. Blood is composed of multiple cells, rbc, wbc,platelets, plasma cells etc. Treatment depends on type of cells effected. Leukaemias have many long term survivors and is nearly curable, but one has to be tolerant enough to complete the treatment and be on regular follow up. I am not aware of ayuvedic medication.
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Hello doctor. She has a fibroid in breast. Examined it by a gynecologist. It is only common fibroid. Doctor said no problem. Can she cure it without surgery?

MBBS, MS - General Surgery, MRCS (Edinburgh), Fellowship In Breast Surgery, Fellowship In Onco-plastic Breast Surgery
Oncologist, Gurgaon
Fibroadenomas are the modt common cause of a breast lump between 15-30 years of age and small fibroadenomas (less than 1.2 cm) do not require any surgery. They usually resolve with time. Bigger lesions can be managed by a small surgery which can be done under local anaesthesia as wel.
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What kind of precautions are to be taken to avoid from causing blood cancer and brain caner?

DNB, MBBS
Oncologist, Faridabad
You can only screen to diagnose early the above cancers because there are very few risk factors known. One of them is radiation exposure, so avoid any undue exposure. Watch for any symptoms like prolonged fever frequent infection bleeding, easy bruising, lumps or neurological symptoms like frequent headache, vomiting, neurological deficit, paralysis, abnormal behaviour.
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HPV Vaccine update

MD - Internal Medicine, MBBS
Cardiologist, Delhi

Hpv vaccine update

Three different vaccines, which vary in the number of HPV types they contain, are available

  1.     A bivalent vaccine, targets hpv types 16 and 18
  2.     A quadrivalent hpv vaccine, targets hpv types 6, 11, 16, and 18
  3.     A 9-valent vaccine, targets the same hpv types as the quadrivalent vaccine (6, 11, 16, and 18) as well as types 31, 33, 45, 52, and 58
  4.     If cost and availability are not issues, use 9-valent vaccine for individuals for whom hpv vaccination is indicated
  5.     Infection with human papillomavirus (hpv) types 16, 18, 31, 33, 45, 52, and 58 is implicated in approximately 90 percent of invasive cervical cancers.
  6.     Two types associated with genital warts are (6 and 11)
  7.     Routine immunization should be offered to boys and girls aged 11 to 12, but can be administered as early as nine years of age. Catch-up vaccination should be offered to males between the ages of 13 to 21 and females between 13 to 26 years who have not been previously vaccinated. Repeat vaccination with the 9-valent vaccine is likely not warranted for individuals who have completed a series with a different HPV vaccine.
  8.     Persistent viral infection with carcinogenic HPV types causes virtually all cancer of the cervix and most cases of anal cancer. The carcinogenic types, HPV 16 and HPV 18, which are targeted by the current HPV vaccines, cause approximately 70 percent of all cervical cancers worldwide and 72 percent of anal cancers. Hpv types 31, 33, 45, 52, and 58 are estimated to cause an additional 19 percent of invasive cervical cancers. Hpv 6 and HPV 11 cause approximately 90 percent of genital warts.
  9.     Hpv immunization is most effective among individuals who have not yet been infected with HPV (eg, before sexual debut).
  10.     The quadrivalent vaccine and 9-valent are administered in three doses at time zero and at two and six months of follow-up. The bivalent vaccine is administered in three doses at time zero, and at one and six months of follow-up.
  11.     Cervical cancer screening is recommended for any woman 21 years of age or older.
  12.     Clinicians should be aware that HPV immunization is not effective in clearing cytologically evident disease or HPV infection that is already present.
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