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Diagnostic X- Ray
Bone Densitometry Procedure
Uterine Artery Embolization
Interventional Diagnostic Procedures
Angiography Radial Approach
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She is 63 years old suffering from diabetes-on Insulin+other allopathy medicines but the sugar level running from 70 to 200 and more. Today fasting 90 but PP is going high between 200 to 300. She is on Insulin from last 15 years. Can she be treated with you? And I am also suffering from Slip Disc. L4 L5 S1 and taken 15 days Ayurvedic treatment such as Katibastyi, Malish, Steam bath etc but there is nothing complete and permanent. Please advise us to permanent treatment.
Breast Cancer can be detected at various stages. Some women might feel a difference in their breast area, with a lump or kind of a skin rash around the nipple or they could see that their nipple has become inverted, so then the treatment procedures would be different. The different stages of cancer and their respective treatment procedures are discussed below:
Stage I Breast Cancer - Treatment
In this case, breast cancers are at their nascent stage, either they have not spread to the lymph nodes or might have spread to only a small area. Treatment options are as follows:
- Surgery: The main treatment for breast cancer in stage I is surgery. These types of cancers get treatment with either breast-conserving surgery or mastectomy. There are some cases when breast reconstruction can also be done along with the surgery to get rid of cancer.
- Radiation therapy: When doctors feel the need to do a breast construction surgery, then radiation therapy is normally given after surgery. This helps in lowering the chance of cancer getting relapsed. Older women, aged close to 70 years, should go for breast reconstruction surgery without radiation therapy, provided the following conditions are true:
- The lump was 2cm or less across and it has been completely removed.
- None of the lymph nodes removed contained cancer.
- The cancer is either ER or PR-positive and hormone therapy is conducted.
- Chemotherapy and other drugs: Women who have either ER or PR-positive hormone receptor, doctors would recommend them to go for hormone therapy. The therapy is given for 5 years. In case the tumor is larger than 1cm across, adjuvant chemotherapy is recommended.
Stage II Breast Cancer-Treatment
This is the stage when cancer has spread to some nearby lymph nodes. The treatment methods followed are:
- Surgery and radiation therapy: This second stage of cancer gets treated with breast-conserving surgery or mastectomy. The lymph nodes nearby get checked either with a sentinel lymph node biopsy or an axillary lymph node dissection. Women, on whom BCS have been conducted, get treated with radiation therapy after surgery.
- Neoadjuvant and adjuvant systemic therapy: This is another method followed for treating stage II cancer. It is a good option for women with large tumors as they shrink the tumor before conducting surgery. Chemotherapy, HER2 targeted drugs and Hormone therapy all form part of treatment in this stage II.
Stage III Breast Cancer – Treatment
In stage III breast cancer, the size of a tumor is more than 5 cm, with cancer spreading on to the nearby lymph nodes. The treatment procedures followed are:
- Neoadjuvant therapy: Generally the stage III cancers are treated with neoadjuvant chemotherapy. Radiation therapy is also given after surgery, followed by breast reconstruction surgery.
- Starting off with surgery: Another treatment option for this stage is to get started off with surgery. The tumors are quite large and they even grow on to nearby tissues, which means women need to get a mastectomy. Women having large breasts can even go for Breast Reconstruction Surgery, in case cancer has not spread on to the nearby tissues.
In case you have a concern or query you can always consult an expert & get answers to your questions!
I am suffering from slip disc from last 2 years. So many medicines have been also taken by me but nothing happened. There is pain also from neck to shoulder on right side. Suggest me what should be done?
I have noticed that the space between c5 and c6 of my spine have increased and as a result my neck and shoulder are very painful. I have also little tmj. What will I do now? Please Please help me.
Detecting a lump on your breasts can be stressful for any women. Breast cancer is a common type of cancer and is said to affect primarily affect women though 1% of breast cancer cases affect men. Breast cancer can be categorized into different types based on their capability to affect surrounding tissues.
The most common amongst these are:
- Ductal carcinoma in situ
- Invasive ductal carcinoma
- Invasive lobular carcinoma
Breast cancer is caused by mutations of a person’s DNA cells. This could be inherited from one’s parents or acquired by an unhealthy lifestyle. These DNA mutations cause cells in the breast tissue to multiply rapidly and turn cancerous. The risk factors for breast cancer can be categorized as modifiable and non-modifiable.
Modifiable risk factors:
- Excessive alcohol consumption
- Use of combined hormone therapy after menopause
- Lack of exercise
Non-modifiable risk factors:
- Family Medical History
- Personal Medical History
- Atypical hyperplasia
- Early start of menstruation cycle
- Presence of dense breast tissue
- Inherited genetic mutations
As with any other type of cancer, the earlier it is diagnosed, the easier it is to treat. In its early stages, breast cancer is not painful and has negligible symptoms. In most cases, it is detected only by finding a lump on the breast or through a mammography. This lump may also be present in the armpit or above the collar bone. Some of the other symptoms of breast cancer include:
- Nipple inversion
- Discharge from the nipples
- Changes in the colour and texture of skin covering the breast
Breast cancer has five stages beginning from 0 and going up to 4. This is based on the size of the tumour, involvement of lymph nodes and whether or not metastasis has occurred.
- Stage 0: At this stage, the tumour does not affect the lymph nodes and has not metastasized. Thus at this stage, it is noninvasive.
- Stage I: In this case the tumour is smaller than 2 cm in diameter and has not spread to any of the surrounding tissues.
- Stage II: In this stage, the cancerous tumours are still fairly small in size but also affect the surrounding lymph nodes.
- Stage III: These tumours are larger than 5 cm in diameter and involve the lymph nodes to a greater extent.
- Stage IV: This is also known as metastatic breast cancer. In this stage, the cancer cells metastasize to other parts of the body.
Surgery is the most preferred form of treatment for breast cancer. This may be combined with radiation, chemotherapy, targeted therapy or hormone therapy depending on the stage and type of cancer, the patient's overall health, age and personal preferences. In case you have a concern or query you can always consult an expert & get answers to your questions!
My husband hs cirrhosis of liver stomach very distended+an ugly umbilical hernia+very dry skin+rash on legs +occasionally loose motions+disinterested in everything+lathargy+very weak+no energy+ frequent urination at nite with the result doesnt sleep well at nite. Medications urimax, lasilactone, lasix, heptapro. Are all these symptoms related to the cirrhosis. Latest sonography report shows right lobe of liver is contracted n left lobe is enlarged with coarse bright echogencity with nodular surface. Intraheatic biliary radicles normal. Cbd normal. Portal vein is patent. Gallbladder is distended with no calculi or polyps spleen is borderline enlarged. Free fluid is noted approximately 200cc impression cirrhosis of liver borderline splenomeagly. Cortical calcific speck in both kidney s free fluid 200cc can you tell how serious is this condition his sodium is low 126.
I am 46 year old I have slip discs problem in l-4, l-5 it is curebel? and what should I do to get my self cure in this regards.
I've been suffering from L5-S1 slipped disc from 7 months. I've been doing exercises for it. Now also started strength workout in gym. For betterment of my health I am taking supradyn multivitamins, evion 600 mg, bicasule B complex, and vitamin C limcee 500 mg chewable tablets. I wanted to know for about what period I should/can take limcee tablets?
Uterine fibroids are benign growths, which originate in the walls of the uterus. They are also known as 'myomas' or 'fibromyomas' and their sizes tend to vary. You may not realize that you have a fibroid as they do not cause many problems.
The causes of uterine fibroids are:
- Hormones: Hormones that stimulate the uterine lining to prepare it for the menstrual cycle are known to aid in the development of uterine fibroids.
- Genetic changes: Genetic changes in the cells of the uterus may lead to this disorder.
Ayurveda is a natural method of treatment that focuses on using various herbal remedies to cure a disorder. The ayurvedic remedies for uterine fibroids aim to boost the immune system and balance the hormones in the body. This allows the ovaries to function properly and thus allows the uterus to remain healthy.
The various ayurvedic remedies for uterine fibroids are:
- Curcumin: This remedy helps the body get rid of the free radicals due to its high antioxidant content. It helps in reducing the inflammation in the uterus and thus treat uterine fibroids.
- Ashwagandha: Ashwagandha has medicinal properties that boost your overall wellbeing in addition to boosting your immune system. It is also known to improve the functioning of the brain and treat impotency.
- Diet: The diet should consist mostly of fiber and whole grains. Alcohol and saturated fats should be limited. You should eat foods, which are pungent, bitter and astringent so that the metabolism is smooth; this prevents formation of uterine fibroids.
- Lifestyle changes: You should restrict smoking and alcohol consumption as they tend to aggravate free radical damage in the body. You should also follow a regimen that incorporates regular exercise and a balanced diet. This will enhance your wellbeing and allow you to remain healthy.
- Panchakarma: Panchakarma is an Ayurvedic remedy that helps in correcting hormonal imbalances in the body. Correction of hormonal imbalances helps in preventing uterine fibroids.
Minimally invasive spinal surgery is a quicker and safer alternative to open surgery. The spinal discs, vertebrae and nerves are present deep inside the body. A small incision is made and the surgical instruments and a camera is inserted which push aside the muscles and reach the problem area.
Which medical conditions can be addressed with minimally invasive spine surgery?
1. Degenerative Disc Disease (osteoarthritis of the spine)
2. Herniated Disc (the disc protrudes from its right place)
3. Spinal Tumours
4. Vertebral compression fractures (collapse of the vertebra)
5. Lumbar spinal stenosis (narrowing of the space near the spinal cord)
6. Scoliosis (the spine curves sideways)
7. Spinal infections
8. Spinal instability
What are the goals of minimally invasive spine surgery?
1. Decompression: this procedure eases the pressure being exerted on the spinal cord or the nerve roots. This pressure can be the cause of pinched nerves.
2. Stabilization: sometimes, a segment of the spinal cord that has come loose can be the source of pain. A stabilizations surgery fuses the segment to the rest of the structure.
The three most common methods of minimally invasive spine surgery are-
1. Tubular: it is also called ‘muscle splitting’ surgery. A tubular retractor passes through the muscles of the back and reaches the spine.
2. Mini-open: it is a lot like open surgery but with fewer risks and blood loss. The possibility of post-operation infection goes down significantly.
3. Endoscopic: it is also called a keyhole surgery. A small camera is introduced through a small incision and guided to the spine. The camera gives an internal view of the spine to the doctors.
The three types of Minimally Invasive Spinal Surgery are-
1. Microdiscectomy: involves the removal of the intervertebral disc that is putting pressure on the spinal cord.
2. Foraminotomy: spinal conditions can lead to narrowed foramen (the area where the spinal nerve exits the spine). The aim of the surgery is to expand the foramen.
3. Microlaminectomy: this is yet another type of decompression surgery. The aim is to relieve pain caused pinched nerves or a segment of the bone pressing down on the nerves.
What are the benefits of minimally invasive spine surgery?
• Speedy and pain-free recovery after surgery
• A patient is discharged the same day
• Very little loss of blood
• Reduced chances of infection
• Less scarring because the operation is done through small incisions
• Less muscle damage
Are there any risks attached to minimally invasive spine surgery?
No surgery is free of risks or side effects. Some common problems in the aftermath of minimally invasive spine surgery are-
Minimally invasive spinal surgery incorporates the latest advances in the world of technology. It is the relatively hassle-free procedure and convenient for both doctors and patients.