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Dr. Ashok Khurana

..

Radiologist, Delhi

41 Years Experience
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Dr. Ashok Khurana .. Radiologist, Delhi
41 Years Experience
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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. Ashok Khurana
Dr. Ashok Khurana is one of the best Radiologists in Defence Colony, Delhi. He is currently associated with Dr Ashok Khurana Clinic in Defence Colony, Delhi. Book an appointment online with Dr. Ashok Khurana and consult privately on Lybrate.com.

Lybrate.com has an excellent community of Radiologists in India. You will find Radiologists with more than 40 years of experience on Lybrate.com. You can find Radiologists online in Delhi 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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.. - .. - 1978
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English
Hindi

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Dr Ashok Khurana Clinic

Block No C 584, Ground Floor, Defence Colony. Landmark:- near Medanta Medicity Hospital , DelhiDelhi Get Directions
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Fluid Discharge From Nipples - Factors That Can Cause It!

MD - Obstetrics & Gynaecology, DGO, MBBS, MCPS
Gynaecologist, Mumbai
Fluid Discharge From Nipples - Factors That Can Cause It!

Galactorrhea is not a disease per se, but more of an underlying medical condition or a symptom that involves discharge of a milky fluid from the nipples, which is not the breast milk. It becomes especially crucial owing to the similarity of the two, when breastfeeding the baby is concerned. It may happen even while you are not lactating or not even pregnant, mostly in menopausal women. Strangely, the syndrome has also shown to have occurred to men and children, irrespective of gender.

What are the contributing factors to the development of Galactorrhea?

  1. Galactorrhea is a major side effect of certain kinds of medication that leads to hormonal imbalance and ultimately leads to quasi-lactation.
  2. Increase in the levels of prolactin can result in Galactorrhea which may be due to a number of reasons ranging from excessive stimulation in the nipples and chest area (during sexual activities), or pituitary and thyroid problems. The former is not a major cause of worry. The latter can be fixed with proper medication.
  3. Kidney disease and spinal cord surgery may also result in this phenomenon.
  4. Substance abuse and birth control pills may also be responsible for breast discharge.
  5. At times, the causes for Galactorrhea may not be certifiably determined.

Various symptoms of Galactorrhea include:

  1. Milky discharge from one or both breasts simultaneously.
  2. Discharge may be continuous or intermittent.
  3. Density and amount of discharge may also vary.
  4. In case of women, this may have a direct effect on periods, leading to irregular menstruation.
  5. The discharge may occur without pressure or when an external agency is involved.
  6. Headaches and worsening vision are also said to occur.

When you experience a nipular discharge, the most common tests you should undergo include a pregnancy test, prolactin level exam, mammography, ultrasounds, even an MRI for the pituitary gland evaluation. Based on the result, your physician prescribes the required medicines or advises you to stop taking a particular medicine that might be causing this discharge in the first place.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2638 people found this helpful

Breast Cancer Treatment

MBBS, DNB (Surgical Oncology), MS - General Surgery
Oncologist, Delhi
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I am dr Veda. The breast cancer surgeon surgical oncologist who specialises in breast cancer treatment.

Today we just want to give a message on breast cancer treatment is as of today in India. So breast cancer is one of the most common cancer amongst women. All over the world it is a number one can amongst Indian all over the world and even in India initially 10 years back it used to be survival cancer. But nowadays we have a lot of breast cancer is coming up and it has replaced cervical cancer to take the number one position in the above sentence even in the rural centres.

For an exception of few sentences for cervical cancer does more than the rest of the centre breast cancer has topped the charts as of 2018. The recent WHO on ICMR surveys that have come up the state that breast cancers the most common one and one of the square 25 to 30 women in India are at risk of developing breast cancer in the west such as US the numbers of Huge it's about 1 and 8 women are at risk of developing breast cancer. But that does not that should not make us more satisfactory or complacent because a population is huge so for a population as huge as Indian population number of breast cancer 8 March 5 so per year we see about 1.5 Lakh cases of new cases of breast cancer.

What is more worrisome is that is one population is large second is the population of people with breast cancer come at an advanced stage as compared to be used in the West president stage 1 and stage 2 where is in India breast cancer stage 3 and 4 in which it is less advanced. Second thing women in India the great of for tomorrow's find the Biology is not so good and much more aggressive treatment so that makes it different the scenario is different as of the west.

The second thing because of the highest age of presentation to cure rates of survival rates also slightly lower when compared to the west that means out of 1.5 Lakh woman who been duly diagnose breast cancer every year only 50% of the episode 75000 make it be cure in five years of diagnosis only one and two women diagnosed with breast cancer come to the come to Healthcare get proper treatment and get cured. So what we have to understand this we need to know the symptoms of breast cancer treatment of breast cancer to cast an early to make effect cost-effective treatment and to improve the survival rates the second message that I want to pass whatever treatment.

Whatever standard of care of breast cancer treatment is available all over the world is very much available in India is very much available in Delhi and it is very much available in the affordable cost and acceptable for everyone 10 years back treatment for breast cancer would be the removal of entire breast to mastectomy but now mastectomy is for very old people one simple surgery could take care of the rest of it 12 simple surgery to take care of the rest of its population surgery to take care of the rest of us even less population reconstruction plastic breast surgery cost of breast cancer treatment we come along way and with the recent advances in technology parsley second major advancements in interprocess of breast cancer management.

In the West a number of people are picked up even before they have the lump that is because of the screening mammography their lesion are picked up lump is leas than 1cm in India we also have a section of people who come very early they get picked up in a Mammogram even before patient is able to feel the lump in the asymptomatic face pedicure rates are very high the second major advance is genetic testing all of you and Angelina Jolie story and so we do have about 10% of people of hereditary breast cancer in home the bracket genes are involved and Bracket genetic testing is very much available in India at an affordable rate and if it is present then prophylactic surgeries may be option which certain people might opt for so the message for today's breast cancer is one of the very much curable cancers of all most of the cancers and of all the character of amongst women so the message for today is breast.

2669 people found this helpful

I have cervical disc bulge, for the past 24 hours I have been facing numbness in ears and surrounding area.

BHMS
Homeopath, Hooghly
Do some yoga, have some walking, don't take anything by bending, you need proper homoeopathic treatment to cure your problem permanently.

Breast Reduction - Know The Procedure and Recovery!

DNB, MCh - Plastic and Reconstructive Surgery, MS - Plastic Surgery, MBBS
Cosmetic/Plastic Surgeon, Delhi
Breast Reduction - Know The Procedure and Recovery!

Breast reduction or breast reduction surgery is a form of cosmetic surgery where the size of disproportionately large breasts is reduced.

Extra large breasts may cause neck pain, back pain and several other physical symptoms. Many women undergo a breast reduction to make life easier. This surgery provides effective results.

The procedure of breast reduction surgery-

Breast reduction surgeries can be conducted in an outpatient facility. You may have to stay for one night at a hospital as well. While performing this surgery, a patient is given general anaesthesia, which will make the patient asleep during the process.

Breast reduction surgery requires about two to five hours to be completed successfully. During the process, the surgeon will create a cut around the nipple and then on the breast. The cut is made in the shape of a keyhole. Extra skin, tissue and fat will be removed from the breast through the keyhole-shaped incision. Drainage tubes are also utilized for removal of excess skin and fat. After the removal is complete, and enough skin has been removed, the breasts are stitched. They are then wrapped in a special gauze. Sometimes, a surgical bra is required to be worn by the patient during the surgery.

Recovery from breast reduction surgery-

After a breast reduction surgery is performed, the patient must take a minimal one week off from any kind of work or school. Some women require two weeks or more to recover. However, this varies from patient to patient, but not more than three weeks are required for recovery.

You will be having a follow-up appointments with your surgeon, where the bandages and stitches on the breasts are removed.

As a part of the recovery process, a woman must abstain from all kinds of physical activities for one month following the surgery. After the surgery, it is likely for a patient to feel tired and experience breast pain. However, this is normal and you can have oral pain killers prescribed by your surgeon to get relief and ease. Heavy lifting should be strictly restricted.

Breast reduction surgery is an efficient cosmetic surgery, which enables women to reduce their breast size and volume. The results of such a surgery are quite satisfactory. If you wish to discuss about any specific problem, you can consult a Cosmetic/Plastic Surgeon.

4756 people found this helpful

Breast Cancer - Signs That Help You Spot It!

MBBS, DNB - Surgery, Fellowship in Breast Surgical Oncology
Oncologist, Gurgaon
Breast Cancer - Signs That Help You Spot It!

Breast cancer is an abnormal growth of cells in the tissues of the breast. Mainly it occurs in females but less than 1% of all the breast cancer cases develop in males. The majority of breast cancers start in the milk ducts. A small number start in the milk sacs or lobules. It can spread to the lymph nodes and to the other parts of the body such as bones, liver, lungs and to the brain.

With more reliable early detection methods as well as the trend towards less invasive surgery, there is hope that even more women with breast cancer will be treated successfully and will go on to resume their normal lives.

Signs & Symptoms 
It is painless, especially, during the early stage. Watch out for the following changes in the breast:

  1. A persistent lump or thickening in the breast or in the axilla. 
  2. A change in the size or shape of the breast. 
  3. A change in the colour or appearance of the skin of the breast such as redness, puckering or dimpling. 
  4. Bloody discharge from the nipple. 
  5. A change in the nipple or areola such as scaliness, persistent rash or nipple retraction (nipple pulled into the breast).

Consult a doctor immediately if you notice any of these changes.

Risk Factors 
Being a woman puts you at risk of getting breast cancer. There are certain factors that increase the risk of breast cancer. Some of them have been listed below:

  1. The risk increases with age; most cases of breast cancer develop after the age of 50 
  2. Genetic alterations in certain genes such as BRCA1 and BRCA2 
  3. Family history of breast cancer 
  4. Being overweight 
  5. Early menarche (onset of menstruation before the age of 12) 
  6. Late menopause (after the age of 55) 
  7. Never had children 
  8. Late childbearing 
  9. No breast feeding 
  10. Excessive consumption of alcohol 
  11. Use of hormonal replacement therapy (HRT) for a long period of time

However, most women who have breast cancer have none of the above risk factors. Likewise, not having any of these risk factors does not mean that you will not get breast cancer.

Early Detection and Screening

More treatment options are available when breast cancer is diagnosed at an early stage and hence the chances of recovery is also higher. So regular breast screening is important for early detection even if there are no symptoms. Following are the ways of screening:

  1. Breast Self-Examination (BSE): Perform BSE once a month about a week after your menses are over. If you no longer menstruate, choose a date each month which is easy to remember e.g. your date of birth or anniversary.
  2. Clinical Breast Examination: Get a breast specialist to examine your breast once a year if you are 40 years and above.
  3. Mammogram: Go for a screening mammogram once a year if you are 40 to 49 years old and once every two years if you are 50 years and above even if you do not have any symptom. It is not recommended for younger women (less than 40 years of age) as they have dense breasts, making it difficult for small changes to be detected on a mammogram. So ultrasonography of the breasts is advisable to them.

Types of Breast cancer

  1. Non-Invasive Breast cancer: These are confined to the ducts within the breasts. They are known as Ductal carcinoma in-situ (DCIS).
  2. Invasive Breast cancer: It occurs when cancer cells spread beyond the ducts or lobules. Cancer cells first spread to the surrounding breast tissue and subsequently to the lymph nodes in the armpit (Axillary lymph nodes). These cells can also travel to the other parts of the body such as bones, liver, lungs or brain and hence known as metastatic breast cancer.

Making A Diagnosis 

If you notice any unusual changes in your breasts, you should see a doctor immediately. He will examine you clinically and may ask you to undergo some tests so that a definitive diagnosis can be made. Further, the staging work up is done to find out the stage of the disease and management accordingly.

Treatment options 
Treatment of breast cancer may include various methods such as surgery with or without breast reconstruction, chemotherapy, radiation therapy, hormonal therapy and targeted therapy. Treatment options offered, depend upon the number of factors such as the stage of cancer and likelihood of cure, your general health and your preference. If you wish to discuss about any specific problem, you can consult an oncologist.

1933 people found this helpful

I am suffering from l1 vertebrate compression fracture along with anterior chip fracture due to fall from parachute landing still I am having pain and unable to do my activity. I am sports person .what shud I do? Recent MRI report say that still edema is there and disc reduction is there in t12-l1 and t11-t12. What should I do?

CCST(Internal Medicine), FRCS (Orth Surg), FRCS, MS - Orthopaedics, DNB Orthopedics, MBBS
Orthopedist, Delhi
If there is no other injury and no other significant injury reported on the MRI then it would be advisable to wait it out a bit more. You could take regular analgesic tablets for pain relief. Also be very careful regarding the position in which sit and the place where you sit. Ideally always have a back support and avoid sitting on the bed totally. Total period of pain should be under 3 months.
1 person found this helpful

Fracture: How To Recover From It?

MS - Orthopaedics, M.Ch Trauma & Ortho, Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Chennai
Fracture: How To Recover From It?

Even though we have 206 bones in our bodies, breaking just one is enough to bring our daily lives to a standstill. A partial or complete break in a bone is termed as a fracture. While minor fractures can heal in as little as 6 weeks major fractures can take 3-4 months to heal properly. In cases of complex fractures, you may need physical therapy even after this time period to get back complete mobility. Hence patience is essential when a fracture is healing, but here are a few tips on how to speed up the process.

  1. Increase your protein intake: Proteins are essential for the healing and repairing of damage to bones and tissues. Proteins also give the bone structure its strength, Hence, depriving the body of adequate protein will result in the formation of soft bones rather than hard, strong bones. This prevents a bone from fracturing in the same place again.
  2. Have a diet rich in antioxidants: Inflammation is one of the first symptoms of a fracture. This inflammation can continue for many days after the incident and until the inflammation reduces, healing cannot take place properly. Antioxidants help rid toxins from the body and help reduce inflammation thereby initiating the healing process. Antioxidants can also help relieve pain.
  3. Exercise: While you must take care not to apply too much pressure on the affected area it is essential to move the limb as much as possible. Being active promotes blood flow and in this way speeds up the healing process.
  4. Avoid alcohol and caffeine: In most cases, a doctor will prescribe pain relievers to deal with the pain of a fracture. Under no circumstances should you consume alcohol when taking these medications. Even after the antibiotic course is over it is a good idea to abstain from alcohol as this can increase inflammation. Similarly, caffeine and all caffeinated products should also be avoided as they contain compounds that can prevent calcium from being absorbed.
  5. Have an alkaline diet: Having an alkaline diet with lots of fruits and vegetables helps stabilise the pH levels of the body and conserves minerals and proteins needed to build strong bones. In this way, it creates the optimal environment for healing. An alkaline diet also increases the production of growth hormones and other growth factors like IGF insulin in the body. These are crucial to speeding up the healing process and aid in new bone formation.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4951 people found this helpful

We are planning for PLDD surgery for my mother. I wanted to know if it's safe and a lifetime surgery. Also what's the cost included in this if it's done in india.

MS - General Surgery, FMAS.Laparoscopy
General Surgeon, Gandhinagar
Hello dear lybrate-user, hi Warm welcome to Lybrate.com I have evaluated your query for your mother thoroughly.* Still PLDD surgery is in development phase in India, can get it with expert spine surgeon in Delhi at AIIMS.* Cost has to be worked out with telephonic consultation. Hope this clears your query. Wishing her fine recovery. Welcome for any further assistance. Regards take care.

I have missed the last dose of letoval I am TTC .is it fine if I take it the next day what can be the consequences that I missed it.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
Actually it has to be taken regularly per day. No scientific studies for what happens when one is missed and taken on another day
1 person found this helpful
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