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Dr. Subbiah Shanmugam

MBBS, MS - General Surgery, MCh - Surgical Oncology

Oncologist, Chennai

27 Years Experience  ·  500 at clinic
Dr. Subbiah Shanmugam MBBS, MS - General Surgery, MCh - Surgical Oncology Oncologist, Chennai
27 Years Experience  ·  500 at clinic
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Personal Statement

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. Subbiah Shanmugam
Dr. Subbiah Shanmugam is a renowned Oncologist in Vadapalani, Chennai. She has had many happy patients in her 27 years of journey as a Oncologist. She has completed MBBS, MS - General Surgery, MCh - Surgical Oncology . You can meet Dr. Subbiah Shanmugam personally at Paterson Cancer Center in Vadapalani, Chennai. Book an appointment online with Dr. Subbiah Shanmugam on Lybrate.com.

Lybrate.com has an excellent community of Oncologists in India. You will find Oncologists with more than 44 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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Education
MBBS - Madurai Medical College - 1990
MS - General Surgery - Dr.MGR Medical University - 1998
MCh - Surgical Oncology - Dr.MGR Medical University - 2005

Location

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No. 175, NSK Salai, Vadapalani, Land Mark: In Vijaya Health Centre Premises, ChennaiChennai Get Directions
500 at clinic
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No.20,G N Chetty Road, T.Nagar. Landmark:Opp To Buhari Hotel & Near Vani Mahal Signal, ChennaiChennai Get Directions
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#4, Audiappa Mudali Street, Purasawakkam. Landmark : Opposite To Lady M. CT. M. SchoolChennai Get Directions
500 at clinic
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37, Main Road, MMDA Colony, Razaak Garden Landmark : Near Anna ArchChennai Get Directions
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Nothing posted by this doctor yet. Here are some posts by similar doctors.

She is having breast pain for the past few days. She got her xray and sonography done. But yet doctors find nothing wrong. Is there any way to cure her.

DNB, MBBS
Oncologist, Faridabad
Breast pain or mastalgia is a common problem at this age especially before periods. This is usually due to hormonal changes and is mostly self limiting. Some measures like using proper fitting sports bra, hot fomentation, analgesics, vitamin e supplement, primosa etc help.
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I am 46 Year Old Male. I have small ill-defined, iso-hypoechoic area in right lobe of lever. Same thing was detected three years back also. I have no problem/pain and is normal healthy. My LFT report is also normal. What could be the reason for this, and what is treatment.

Fellowship in Minimal Access Surgery, MS - General Surgery, MBBS, FICS
General Surgeon, Delhi
It could be a small haemangioma. Since its size is static over the past 3 years, there is nothing to worry. Treatment: wait and watch (regular follow up with ultrasound). Thanks and god bless.
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Swollen lymph nodes in neck one side right from 15 days what should be the reason and what should we have to do?

DNB, MBBS
Oncologist, Faridabad
Since swollen lymph node is of short duration you can get yourself checked for any kind of infection of head and neck by ent surgeon and take a course of antibiotic if indicated. If it persists even then then please get an fnac done to ascertain the cause.
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What are the symptoms of skin cancer. If a person suffer from the skin cancer. How can he will be safe from the skin cancer and what is the limit of the skin cancer.

DNB, MBBS
Oncologist, Faridabad
Skin cancers present as ulceration or growth over skin. Ulceration are irregular and sometimes burrowing types. It also present as sudden change in size of mole or thickening of skin or lymph node enlargement may be there. Mostly risk factors are ultraviolet radiation exposure, chemical exposure to skin, post burn or sometimes some viral infection. Avoiding over exposure to sun, using sunscreen, regular self examination helps in prevention and early diagnosis.
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I am a patient had a operation in 2013 for thyroid cancer. But nowthistime I am having some toubles of speach colloid and feelings of troubles during walk. Sir pl explain this nature and treatment for this situatuion.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am a patient had a operation in 2013 for thyroid cancer. But nowthistime I am having some toubles of speach colloid...
GARGLE with warm water. tests lipid profile,blood sugar, cbc,. IN HYPOTHYROIDISM:--- where there is deficiency of thyroxine hormone leading to sluggishness, tired feeling, weight increase, slow heart beats, intolerance to cold, swelling of legs, feet and face, difficulty in concentrating and at times in speech. Treatment for hypothyroidism is giving thyroxine tablets. And dose are according to level of thyroid for life time. Avoid bad habits . Avoid stress. Some Relax during work. Go for walk, Take plenty of water, high-carbohydrate foods such as potatoes, rice, pasta and bread. Nutrient-rich foods that improve your health may also benefit your thyroid gland, antioxidant-rich fruits and vegetables more plenty of water: Blueberries, tomatoes, bell peppers, and other foods rich in antioxidants can improve overall health and benefit the thyroid gland. Eating foods high in B vitamins, like whole grains, may also help. flax oil, Selenium: Tiny amounts of selenium are needed for enzymes that make thyroid hormones to work properly. Eating selenium-rich foods, such as sunflower seeds or Brazil nuts, can be beneficial. Tyrosine: This amino acid is used by the thyroid gland to produce T3 and T4. Taking a supplement may help, avoid oily foods,junk foods, go for walk. Do Tests every 3 to 6 months. And consult doctor on time.
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Please advise me what can do when I suffered from cancer and what are the symptoms of blood cancer? Please advise.

DNB, MBBS
Oncologist, Faridabad
Symptoms of blood cancer are prolonged fever. Frequent infection, bleeding, bone pains lumps etc. You must get annual screening done to rule out cancer or any other deadly disease. Must see doctors if finding are suspicious.
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I have tumor in left breast. And I have done a blood ,mammography, x-ray test. Which is normal. What medicine for this without surgery.

MS, MBBS
General Surgeon, Raipur
You can not declare that a mass has no cancer without some tissue biopsy. If biopsy (can be done with a needle) shows no cancer, you can live with the mass. No further treatment needed. But also there are no medicines to resolve that mass. If you are okay with regular examinations and follow up with ultrasound or mammograms you can avoid surgery. In case there is any suspicion of cancer (not likely at your age) it needs to be removed. In either case, there is no way to get rid of a mass without surgery. Ag your age, though, a log of masses are not really tumors. They often disappear on their own. Check with a doctor.
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What tests will you do to diagnose the problem and which of the conditions is present? For Cancer.

DNB, MBBS
Oncologist, Faridabad
We usually do clinical examination, fnac or biopsy. Radiological investigations like pet ct, ct scan, mri etc whatever needed to diagnose and stage the disease.
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Hello doctors, my mother had breast cancer operation 3 week ago. Now the doctors are telling me to have chemotherapy. But I don't want her to have chemotherapy and I requested them to give her oral chemo but they are not at all ready to do so? So will oral chemo work or not and is it necessary for chemotherapy. As the doctors have said that they have no guarantee that even after giving chemo the cancer will not be created again . So refer me !

DNB, MBBS
Oncologist, Faridabad
Dear sir, post breast surgery, depending on histopathology reports, size and hormone receptor status, chemotherapy is decided. For breast no oral chemotherapy is done, however if she is hormone receptor positive, hormonal therapy may be done as a systemic treatment, but detailed histopathology reports are required to decide about further treatment, so please share.
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Colorectal cancer

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai

Colorectal cancer has some factors associated with it such as alcohol and red meat consumption. Westernisation of dietary patterns familial history and environmental pollution.

The underlying cause is consumption of items like deep fried food are difficult to digest and the toxins stay in the colon which later develop into cancer.

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My age is 23. Height 6 ft. Weight 76 kg. My question is that what are the early symptoms that an adrenal cancer 's patients suffer?

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, frequent urination, muscle weakness & cramps, whole body bone pain, high blood pressure, high blood sugar, weight gain, headache etc all are commonly seen. Above-mentioned apart, gynecomastia/ tenderness of breasts could also be seen in male members if there is excess of estrogen hormone produced in the body. This may also result in reduced sex drive/ impotency. On the other hand, an excess of androgen production could lead to excessive hair (body) growth, and also enlargement of the sex organs. Hope this clarifies. Sincerely,
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He has blood cancer his age is 20 he had blood report with Ferritin Serum counts are 1650 and LDH is 1961 What to do.

DNB, MBBS
Oncologist, Faridabad
High serum ferritin and ldh indicates active disease, but single value can not be used to predict response. We need serial values to know if disease is improving by treatment. Meanwhile please continue chemotherapy as advised.
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Sometimes I had a little pain in one of my breast but pain was not too much but do not know why I am soo scared off.

UICC International Fellow in Oncollogy , ESTRO certification in Head and neck oncology, MD - Radiothrapy
Oncologist, Jamnagar
Nothing to worry. as it's common in young age with menstrual cycles. It's mainly due to hormonal changes
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I am kumar, male, aged about 56 years and residing in chennai. I am suffering with digestive disorders such as lack of appetite, indigestion, severe underweight, malnutrition, slight watery stools, rapid graying of scalp and facial hair, eczema on face, constipation, and a feeling of heaviness in the stomach. I had undergone endoscopy 4 times and colonoscopy once and RUT test. Nothing was revealed except gastritis, IBS, non specific proctocolitis and GERD. I had undergone stool tests on 4 0ccasions but only once giardia lamblia was detected. Even stool culture test did not reveal anything. Is there any test to determine nature of microbiota in the intestine. I am severely under nourished and underweight. I do not feel like taking food. One gastro doctor at chennai suggest for cat scan of abdomen. I am afraid to undergo this test as I am scared of exposure to radiation. Can any one suggest some good probiotics and probiotics to cure this nuisance disease permanently. Will chronic giardiasis of long duration cause cancer? Can any good doctor advice me a good and permanent cure. Thanking you,

Post Graduate Diploma in Echocardiography, Mbbs
General Physician, Ernakulam
I am kumar, male, aged about 56 years and residing in chennai. I am suffering with digestive disorders such as lack o...
Dear Mr. Kumar. I read your health conditions. You are under wt. Tried all possible tests and taken medication. Please follow these and then we will introduce probiotics and digestives. 1. Take food at proper time. Never miss a breakfast. 2. Have proper regular sleep. 3. No smoking. 4. Regarding food please take salad. Fruits. Any thing prepared by boiling, steam cooking or pressure cooking. Ie our rice chapatti and side dishes and other home made food are ok 5. Avoid food prepared in ovens like cake biscuits. Avoid anything deep or shallow fried. 6. Too much nuts and dry fruits should be avoided. Avoid all bottle drinks and fruit juices. Fruits as such should be taken daily. Avoid milk and milk products. 7. Limit coffee and tea to 2 a day. 8. Walk 45 min covering 4 km daily. Wait for 20 days to see the effect.
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Dear sir My father's treatment for MULTIPLE MYELOMA is going on since last 6 months with BORDERED 2mg infection. When detected his plasma level was 15% and after 24 week's treatment now less than 3%. As his age is 61 years we are not in favour of bonemarrow transplantation. Now can he live a normal with with the help of medicines or is any any matter to be worried?

DNB, MBBS
Oncologist, Faridabad
multiple myelomas need a regular follow up and some times longer period of oral chemotherapy may be needed. he can ofcourse lead a normal life and its not necessarily progress but regular follow up is mandatory.
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The Connection between Lung Cancer and Outdoor Air Pollution

MBBS, MS- Surgery , M.Ch - Surgical Oncology , FIAGES
Oncologist, Delhi
The Connection between Lung Cancer and Outdoor Air Pollution

Lung cancer is the cancer killer of both men and women in the U.S. When you think of risk factors for lung cancer, what comes to mind? Most of us think about the risk associated with smoking cigarettes, but did you know that air pollution can also cause lung cancer? Overwhelming evidence shows that particle pollution in the outdoor air we breathe—like that coming from vehicle exhaust, coal-fired power plants and other industrial sources - can cause lung cancer. Particle pollution increases the risk of dying early, heart disease and asthma attacks, and it can also interfere with the growth and function of the lungs. 

What is Particle Pollution?

Particle pollution is a mix of tiny solid and liquid particles in the air and can be made up of a number of components, such as acids, organic chemicals, metals, soil and dust particles. It can be emitted directly from wood stoves, forest fires, vehicles and other sources, and it can also form from other types of pollution that come from sources like power plants. 

Why does particle pollution harm our bodies?

While breathing in larger sizes of particle pollution can be harmful to our health, smaller particles are more dangerous. Bigger particles can irritate your eyes, nose and throat, but our natural defenses help us to cough or sneeze them out of our bodies. Unfortunately, those defenses don't keep out smaller particles, which get trapped deep in the lungs and can even get into the bloodstream, causing damage to our health.

Who is most at risk?

As for who is at risk for health problems from breathing in particle pollution. Those who live where particle pollution levels are high is at risk. Some people face higher risk, including children, the elderly, people with lung and heart disease and diabetes, people with low incomes, and people who work or exercise outdoors.

How do we protect ourselves from particle pollution?

Check the air quality index forecast for the day and limit your activity if pollution levels are high. Avoid exercising along heavily traveled highways regardless of the overall forecast.

As individuals, we can play our part in reducing air pollution levels by trying to avoid creating more of it. Choosing ‘active travel’ options where possible, like walking and cycling, can help reduce pollution levels from transport and is also a great way to be more active, which is linked to a reduced risk of cancer and other diseases. If you wish to discuss about any specific problem, you can consult a oncologist and ask a free question.

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What is the advantage of hormone therapy after the operation and radiation treatment for breast cancer. How many years hormone therapy required? How do check growth of cancer cell in breast after hormone treatment.

MD - Radiation Oncology, MBBS, DNB (Radiotherapy)
Oncologist, Howrah
Hormone therapy has an established role as an adjuvant therapy in receptor positive breast cancer. Tamoxifen can even be given receptor status unknown patients based on positive result on receptor status unknown patients (early breast cancer trialists' collaborative group trial). Previously 5 years of adjuvant hormone therapy is recommened. Recently nccn guidelines recommend for 10 years of treatment based on positive result of continuing hormone therapy up to 10 years.
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DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Mumbai
Regular pap tests i.e. Tests which look for any signs of cervical cancer should be conducted regularly so that it can be detected at its initial stage and can be treated accordingly.
5 people found this helpful

My aunt is diagnosed to have abdominal cancer, she have got her abscess removed after surgery. What kind of care is required after or during the chemotherapy session.

Membership of the Royal College of Surgeons (MRCS), MS - General Surgery, MBBS
General Surgeon, Mohali
Plenty of rest, high protein nutritious diet and she should stay positive. Avoid raw fruits and vegetables during chemotherapy and for 10 days after that. You can stew the apples for 15 sec in the microwave and give. If she has vomitting don't stop diet. Give Cerelac which is baby food hence easy to digest. Add black salt to all juices.
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General Physician (AM)
Alternative Medicine Specialist, Chandigarh

Helath Tips on Cancer Prevention:

Cancer prevention are the ‘actions’ taken to lower or limit the possibilities of getting cancer.

Many things in our lifestyle, genes and environment around us affect our risk of getting cancer.

Researchers are studying different ways to prevent cancer, which include the following:

Ways to avoid things/factors known to cause cancer
Changes in lifestyle and diet
Detecting precancerous conditions early
Medicines to treat a precancerous condition or to keep cancer from occurring
Keep Away from Carcinogens
Any substance or agent known to increase the probability of getting cancer is called a carcinogen. Some known and established carcinogens can be
Cigarette smoking or tobacco use in any form
Infections - Human papilloma virus, Hepatitis B & C viruses, Human T-cell leukaemia virus, Epstein-Barr virus, Kaposi sarcoma virus etc
Radiation - UV rays of sun, radon gas and man-made radiation such as X-rays
Immunosuppressive medicines
Car exhaust fumes
Asbestos, some chemicals found in paints

Modify Lifestyle

Ways of living and habits which may affect the risk incidence of cancer could be
Diet - Red and processed meat, food additives, salty & pickled foods
Alcohol - Over indulgence in alcoholic drinks
Physical Activity - Obesity due to physical inactivity and lethargy
Environmental Risk Factors

Go for Cancer Screening

Detecting the cancer in precancerous stage or in its early stages can lead to a much better prognosis of the disease due to effective treatment and management.
There are various kinds of screening tests.

Physical exam and history:
A visual examination of the whole body to check general health and disease, like any new growth or lumps. A medical history of patient’s present health status, past illnesses and treatments will also be noted.

Laboratory screening tests:
Samples of urine, tissue or other substances in the body are taken; like Pap smear for cervical cancer, a biopsy from an abnormal growth or stool test for occult blood in colon cancers.
Diagnostic procedures
Sigmoidoscopy or colonoscopy for colon cancer

Imaging procedures:
Screening procedures that take pictures of inside of the body like ultrasound, X-ray, CT scan or MRI.

Genetic tests:
Tests that look for gene mutations (changes) that could be linked to certain cancer. It is also known as gene testing or genome testing.

Explore Cancer Chemoprevention

Cancer chemoprevention is the use of natural or synthetic substances to reverse, suppress or prevent the development of cancer at the first place.
It is used by people who are at a higher risk of developing cancer, have a family history of cancer or those with a previous cancer.
Chemoprevention is not used to treat cancer but can lower the risk of cancer or slows down its development
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