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Dr. Sivaprakash. R

Oncologist, Chennai

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Dr. Sivaprakash. R Oncologist, Chennai
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Personal Statement

To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Sivaprakash. R
Dr. Sivaprakash. R is a trusted Oncologist in Teynampet, Chennai. You can visit him at APOLLO SPECIALITY HOSPITAL in Teynampet, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. Sivaprakash. R on Lybrate.com.

Lybrate.com has a number of highly qualified Oncologists in India. You will find Oncologists with more than 36 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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APOLLO SPECIALITY HOSPITAL

320, padma complex, teynampet anna salaiChennai Get Directions
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My father is 61 years old and has been diagnosed with enlarged prostate .PSA is coming at 33.5 what are my options. He has a high blood sugar condition as well.

Fellowship of the Royal College of Surgeons (FRCS), MS, MBBS
Urologist, Delhi
My father is 61 years old and has been diagnosed with enlarged prostate .PSA is coming at 33.5 what are my options. H...
Start him on antibiotics and alpha blockers in consultation with your urologist. Lf PSA does not come down he will need a prostate biopsy.
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I am a 22 year old female. What precautionary measures should I take to prevent breast cancer at a later stage in life? Kindly suggest practices to minimize the risk.

M.Ch -Surgical oncology
Oncologist, Mumbai
1.Initiate self breast examination at 25 years of age. U need to learn to systematically examine your breast from a clinician. 2. Avoid delayed marriage, late child birth. 3. Control weight n do regular exercise.
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I delivered a baby on 24th may lscs was done now my stitches little paining and lump found near stitches what might be this please suggest any solution.

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
It may be due to infection on lower abdominal portion visit to your doctor and consult about further treatment.
1 person found this helpful
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What are symptoms of cancer and can cancer spread from one person to another? How.

DNB, MBBS
Oncologist, Faridabad
Cancer does not spread from one individual to other. It is a non communicable disease. However some cancers may be inherited and may run in family or may be due to common risk factor in community like pollutants, soil, water source or some industry in surrounding areas you can see multiple people in family or surrounding suffering from cancer. It may present as pain less lump, ulceration which doesn't heal, change in bowelor bladder habits, difficulty in swallowing, bleeding from Anywhere, weight loss etc depending on organ affected.
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Acute Promyelocytic Leukemia - What Should Be Done In Such A Case?

MBBS, MD - Radiotherapy, DM - Medical Oncology
Oncologist, Hyderabad
Acute Promyelocytic Leukemia - What Should Be Done In Such A Case?

There are more than hundred varieties of blood cancer, but the most common ones are leukemia, lymphoma, and myeloma. Acute myeloid leukemia (AML), a type of leukemia, is when the white blood cells in the marrow begin to grow uncontrollably. This is an acute condition and both the onset and progress are very rapid. The cause is not known, and given the rapid progress, even treatment is often difficult. A more severe form of AML is the APML which is acute promyelocytic leukemia, which leads to reduced number of white and red blood cells and plasma.

This causes the following symptoms:

  • Anemia
  • Increased incidence of infections
  • Excessive bleeding from even minor cuts
  • Bleeding from nose and gums
  • Easy bruising
  • Blood in the urine
  • Extreme paleness and tiredness

What is different about APML?

There is one distinguishing factor with APML, which is that they contain a protein which when released into the bloodstream can cause severe bleeding, which may be very difficult to control. Chemotherapy kills these cells and so releases the proteins into the bloodstream. These cells need to be managed without chemotherapy, as the patient can even die of uncontrolled bleeding. With medical advances, two non-chemotherapy agents have been identified – all-trans retinoic acid (ATRA, vesanoid, or tretinoin) and arsenic trioxide (ATO or trisenox).

  1. ATRA: This is a type of vitamin A which is used either alone, in combination with chemo, in combination with arsenic trioxide, and also in combination with both chemo and arsenic trioxide. The effect is different in different people – helps control spread, helps prevent recurrence, and helps control symptoms. In many people, it has been successfully used instead of chemotherapy. ATRA is also used as a long-term maintenance agent. Side effects from ATRA include fever, dry skin, rashes, mouth sores, increased cholesterol, and swollen feet. These go away with stoppage of the drug.
  2. ATO: Arsenic is poisonous when given in large amounts. However, it was discovered that it could be used to treat APML with effects similar to ATRA. It is used alone, in combination with chemotherapy, with ATRA, or with both. It helps control the growth of cells and also helps in long-term maintenance therapy. ATO dosage needs to be monitored as it can cause heart rhythm issues.

With both these drugs, there is a significant side effect, known as differentiation syndrome - symptoms include fever, breathing difficulty. Often seen during the first cycle of treatment, this happens when the leukemia cells release a protein into the blood. Symptoms include fever, breathing, kidney damage, and severe fluid buildup. With these two drugs being widely used effectively, chemotherapy is not the only treatment option for APML. In case you have a concern or query you can always consult an expert & get answers to your questions!

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What is the symptoms of breast cancer (Women) in rural area's of India and the precaution to avoid this?

DNB, MBBS
Oncologist, Faridabad
Breast cancer presents as painless lump. As it advances it can lead to skin changes, pain, redness, orange peel like appearance, fixity to chest wall, dimpling of skin and very advanced can cause lump to grow, bleeding ulceration etc. Though lifestyle is simple in rural areas but still gene related, hormonal disbslance etc may cause breast cancer and the simplest way of screening is self examination in sitting and lying down position and also check for symmetry infront of mirror. It should be done monthly five days after the periods are over.
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I'm 19 years old. I have breast pain whenever I touch my breast, it's severe pain under nipples. The pain occurs every month all day for 3 months. What to do?

MBBS, DGO, Fellowship in Minimally Invasive Gynaecology and Endoscopy
Gynaecologist, Noida
Premenstrual breast tenderness is normal. But I would even then suggest that you go to your Gynaecologist and get yourself examined.
1 person found this helpful
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I am a 60 year old male (100 Kg.) with slightly enlarged prostrate, fatty lever, pain in both knees and swelling at ankles. What course of medicine do you suggest? Presently taking low dosage tablets for hypertension and Uric acid and colestarol.

Master of Physical Therapy MPT CARDIO, BPTh/BPT
Physiotherapist, Rajkot
DEAR FRIEND IF POSSIBLE REDUCE YOUR WEIGHT TO 10 KG ALL PROBLEMS WILL GET RESOLVED BY 50 %. I ADVISED TO CONTINUE MEDICINES.
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5 Amazing Foods That Help Fight Cancer!

B.H.Sc (Food Science & Nutrition), M.H.Sc (Food Science & Nutrition)
Dietitian/Nutritionist, Mumbai
5 Amazing Foods That Help Fight Cancer!

Cancer is one of the worst diseases, which kills millions of people across the world. While there is a wide range of treatment options available, the best way to deal with it is to ensure a good diet along with a healthy lifestyle. Here is a list of cancer-fighting food products, which can immensely help to prevent cancer.

  1. Green vegetables: Leafy green vegetables have multiple health benefits. They are not only rich in minerals, vitamins, enzymes, and antioxidants, but also have very low content of calories, toxins, and sodium. Being antiviral and antibacterial in nature, green vegetables can successfully inactivate carcinogens, halt metastasis and pause the formation of a tumour. Certain vegetables contain isothiocyanates that can detox the cells. Some of the vegetables that are mighty effective in countering cancer cells include kale, romaine, watercress, nutritious, spinach, collard greens etc.
  2. Berries: Berries are one of the best antioxidants among all food items, owing to their high ORAC score. Their antiviral and anti-fungal nature of berries is extremely healthy for the body. Moreover, abundant supply of vitamin A and C makes berries a perfect agent for increasing body immunity. Free radicals are one of the top reasons for metastasis. The proanthocyanidin content of berries helps the body to get a hang of free radicals, thereby decreasing the chances of cancer cells to grow rapidly. They can be consumed daily with any meals.
  3. Spices and herbs: There are a lot of herbs and spices, which boost the immune system and prevents cancer cells to grow further. Turmeric, for instance, is scientifically proved to be a great agent for reducing tumor size and effectively countering breast cancer and colon cancer. Some of the other herbs and spices include black pepper, ginger, raw garlic, parsley, oregano, and basil. They can be consumed daily in the form of juice or along with regular meals.
  4. Organic meatMany scientists are of the view that organic meat does wonder in a cancer diet. Liver of beef and chicken has high B12 content and helps to remove harmful toxins from the digestive tract and liver. They can balance hormone, digest fat and counter the side effects of triglycerides, drugs, and obesity. This can be included in the diet every alternate day.
  5. Seeds and nuts: Flax seeds and chia seeds are few nutrient-power packed foods in the world. They should be included in the diet due to high fiber, mineral, and fatty acid content. Some other healthy seeds that can pay rich dividends in fighting cancer include walnut, sprouted bean, sunflower seeds etc. Nuts and seeds with all their nutritional qualities can successfully stop metastasis, reduce tumor size and increase immunity in the body, if consumed daily. If you wish to discuss about any specific problem, you can consult a Dietitian/Nutritionist.
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She is not pregnant now, but her both breast secrets some milky white substance, when some presser give on the breast. I am so afraid. Is this serious issue?

Minimal invasive surgery in gynaecology, MD - Obstetrtics & Gynaecology, DNB, MBBS
Gynaecologist, Mumbai
As you said, she is not pregnant, it may be excess of a hormone prolactin. Pls do serum prolactin and tsh levels. This condition is known as galactorrhea.
1 person found this helpful
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