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Dr. I.C. Premsagar

Oncologist, Delhi

650 at clinic
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Dr. I.C. Premsagar Oncologist, Delhi
650 at clinic
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. I.C. Premsagar
Dr. I.C. Premsagar is a renowned Oncologist in Paschim Vihar, Delhi. You can consult Dr. I.C. Premsagar at Dr. I.C. Premsagar@Action Cancer Hospital in Paschim Vihar, Delhi. Save your time and book an appointment online with Dr. I.C. Premsagar on Lybrate.com.

Lybrate.com has an excellent community of Oncologists in India. You will find Oncologists with more than 34 years of experience on Lybrate.com. You can find Oncologists 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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Hindi

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Action Cancer Hospital

H-2/FC-34,A - 4, Paschim Vihar. Lanamdrk:- Institutional Area.Delhi Get Directions
650 at clinic
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I'm 50 yrs. Slightly I gained weight. I came from quiz that gaining what lead to cancer is real what diet I have to take give suggestion please.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Navi Mumbai
I'm 50 yrs. Slightly I gained weight. I came from quiz that gaining what lead to cancer is real what diet I have to t...
To lose weight, you have to maintain an input-output ratio. Whatever food you eat contains the input calories which gives you the output calories in the form of energy. If your input calories is too much, you are likely to put on weight. The best way to lose weight is to exercise or spend the additional calories accumulated in your body in the form of fat. The other most important thing is to eat wisely. Try to cut down the excessive calories you are eating and make sure whatever you eat is healthy. Some tips to lose weight - 1. Have more fruits and vegetables than junk food and juices. 2. Avoid sugar as much as you can 3. Exercise 3-4 times a week. 4. Have an early dinner, preferably before 8 p. M. 5. Do not starve yourself. Eat small meals 5 times a day. 6. Have barley soup in dinner and avoid rice at night. 7. Drink lots of water daily.
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I found this document online and have come across many research documents on Cannabis oil killing Cancer cells Just want to know why this method not accepted and why this is not a primary treatment for Cancer?

MBBS, MD - Radiothrapy
Oncologist, Navi Mumbai
Any new drug or therapy, before being marketed, undergo rigorous testing in lab. And only one drug from hundred tested comes to market. So it is better to avoid any research molecule without advice of treating doctor.
1 person found this helpful
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I want to clarify, is there any symptoms for rectal cancer? Coz, my father had the rectal cancer and no more now. I don't know how to check or to whom I go to check. Please let somebody tell me, how can I found is am also affected by rectal cancer or not.

Registrar In Surgical Oncology, Fellowship In Gynaecologic Oncology, Masters In Advanced Oncology, Fellowship In advanced laparoscopy and robotic surgery, Fellowship In Gastrointestinal Oncology, Fellowship In CRS and HIPEC, Fellowship In PIPAC
Oncologist, Mumbai
After complete treatment for rectal cancer, patient should follow up with cancer surgeon every 3 monthly for first 2 years, then 6 monthly for next 3 years, then yearly thereafter. At every visit patient should get CEA and ultasonography done. Other than this if patient has persistent pain while passing motion, difficulty in passing motion or if there is blood in stools, then the patient needs to show to a surgical oncologist immediately.
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What are the causes of cancer? What are necessary treatments available for cancer in India?

MCh HPB Surgery, Fellow European Board of Surgery, MS - General Surgery, MBBS
Gastroenterologist, Guwahati
All forms of treatment for cancer are available in india. Cancer has many causes: genetic, smoking, alcohol, diet etc.
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I have a enlarged prostate , since few days back I am feeling burning sensation after urine flow. what does it signify and remedy cure for the same.

MD - General Medicine
Sexologist, Nashik
Enlarged prostate needs plus burning urine signifies UTI. consult a urologist.will guide and advice you properly.
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Does anyone know where Graviola tree is grown in india, its fruit has medicinal properties that can cure cancer. It is also called Sour sop.

MD - Radiation Oncology, MBBS, DNB (Radiotherapy)
Oncologist, Howrah
Overall, there is no evidence to show that graviola works as a cure for cancer. In laboratory studies, graviola extracts can kill some types of liver and breast cancer cells that are resistant to particular chemotherapy drugs. But there haven?t been any studies in humans. So we don't know whether it can work as a cancer treatment or not. Many sites on the internet advertise and promote graviola capsules as a cancer cure but none of them are supported by any reputable scientific cancer organisations.
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Meri wife ke right nipple se pani aata hai aur bahut khujli hota hai mene pura body check up bhi karwaya sab normal aaya.

CME Course In Diabetes For Family Physicians, Certificate In Child Health, BHMS
Homeopath, Gurgaon
She can apply coconut oil at night before sleep and morning after bathing. Please Consult an experienced homoeopathic physician in your locality.
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Gastric Cancer - In a Nutshell!

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), PG Diploma In Clinical Counseling, PG Diploma In Oncology & Haematology (A.M), Ayurveda (I) Certification, Clinically Relevant Herb-Drug Interactions (CME) (Cine-Med Inc. USA), Advanced Strategic Management (APSM), B.E (Computer Sc. & Engg.), Certificate Course in Homeopathic Oncology
Alternative Medicine Specialist, Bhubaneswar
Gastric Cancer - In a Nutshell!

Gastric (stomach) cancer occurs when malignant cells form in the lining of the stomach. By far, it is known to be the second most common cause of cancer-related deaths not only in Asia but also worldwide. Though it can affect both male and female populace, it is seen more commonly in men and in people aged 50 years or older.

  1. Type: Gastric cancers can present as one of the following types - 

    1. Adenocarcinoma: Begins in the glandular cells lining the inside of the stomach. This forms a majority of the stomach cancers.
    2. Lymphoma: Begins in immune system cells present in the walls of the stomach. Occurrence of lymphoma, in the stomach, is rare.
    3. Carcinoid Tumor: Begins in hormone producing cells of the stomach.  Occurrence of carcinoid cancer, in the stomach, is rare.
    4. Gastrointestinal Stromal Tumor (GIST): begins in nervous system cells of the stomach. Occurrence of GIST, in the stomach, is rare.
  2. Gender: It affects both male and female populace.

  3. Etiology: The factors that are associated with increased risk of gastric cancer include the following mostly –

    • ‘Helicobacter Pylori’ bacterial infection in the stomach is a common cause of gastric cancer of both the intestinal (expanding) & diffuse (infiltrative) type. Furthermore, studies indicate that high salt intake is synergistic with H. Pylori infection in the manner that it is likely to increase the risk of gastric cancer that is induced by H. Pylori bacteria.
    • Smoking, consuming alcohol, red meat, salty/ smoked/ processed foods, low intake of fruits and vegetables, diets rich in nitroso compounds, eating foods contaminated with aflatoxin fungus etc all.
    • Atrophic gastritis characterized by chronic stomach inflammation is known to increase the risk multi-fold. Chronic gastric inflammation can lead to atrophy of the gastric mucosa, metaplasia, dysplasia and finally carcinoma.
    • History of pernicious anaemia, gastric ulcers, adenomatous gastric polyp etc all.
    • Family history of gastric cancer. Several familial syndromes that have been associated with a pre-disposition to gastric cancer include familial adenomatous polyposis, Lynch syndrome, Peutz-Jeghers syndrome and e-cadherin mutation (diffuse type)
    • Blood group A, Obesity etc all are known to be associated with diffuse or cardia gastric cancer.
    • Low socioeconomic status - persistent lifestyle issues/ irregularities including high stress coupled with an improper diet/ dietary pattern.
    • Epidemiological evidence is indicative of a risk or pre-disposition to gastric/ stomach cancer for people suffering from diabetes mellitus (DM).
    • Very high dose ionizing radiation exposure is an uncommon risk for gastric cancer.
  4. Features: There are often no early stage symptoms. Early stage symptoms, if any, are non-specific and are likely to be ignored, thus delaying the diagnosis most often. Hence, gastric/ stomach cancer is often detected at an advanced stage where the disease is either locally advanced or metastatic. The various presentations (of signs & symptoms), by stage (early or advanced), of gastric cancer are as enumerated below:

    1. Early Stage – can present with one or more of the following non-specific symptoms/ signs -

      • Dyspepsia (Indigestion),
      • Stomach/ Epigastric discomfort,
      • Bloated feeling after eating,
      • Mild Nausea/ Vomiting,
      • Blood in Vomit (Haematemesis),
      • Heartburn,
      • weight loss (Cachexia)
      • Anaemia,
      • Occult blood in stool/ Melaena,
    2. Advanced Stage – presents with one or more of the following symptoms/ signs -
  5. Screening: Is generally recommended for asymptomatic populations in high incidence areas or as surveillance for high risk individuals. The goal of screening, as usual, is to be able to detect & diagnose gastric cancer at an early stage which is potentially curable. It is mostly endoscopic/ radiologic.
  6. Diagnosis: Following are the diagnostics employed in gastic cancer -‚Äč

    • Physical Examination: May be remarkable for palpable abdominal mass, weight loss (cachexia), abdominal distension, ascites, hepatomegaly, lower extremities edema and lymphadenopathy for gastric cancers in the advanced stage. For early gastric cancers, however, physical examination is largely uninformative.
    • Blood: Hb- may be low, ESR – raised, tumor markers CEA & CA-19-9 could be raised sometimes in adenocarcinoma but are not frequently elevated. Abnormal blood test results may be indicative of malignancy, but a follow-up gastroscopy/ biopsy is always the gold standard for accurate diagnosis.
    • Stool: Occult blood may be +ve
    • Barium Meal X-Ray: Could show a filling defect at the site of the carcinoma/ cancer growth.
    • Gastroscopy/ Biopsy: Clinches the diagnosis.
    • Endoscopic Ultrasound: Maximizes tumor staging as it helps determine the depth of invasion of the tumor.
    • CT Scan: Of chest, abdomen & pelvis helps detect metastatic disease, if any, and also helps stage the disease (TNM) appropriately.
    • Bone Scan: Helps detect osseous metastasis (bone mets), if any.
  7. Treatment: Conventional treatment includes surgery, chemotherapy and radiotherapy as contextually appropriate. Surgery (i.e. gastrectomy either sub-total or total), with an adjuvant chemotherapy and/ or radiotherapy as contextually relevant, is the only treatment that is known to cure the disease in light of the prognostic indicators as briefly enumerated in the section below. Chemptherapy and/ or radiation alone cannot be curative. Mostly, it can improve symptoms, and may prolong survival. Simultaneously, an adjunctive or integrative naturopathic treatment with suitable complementary & alternative medicines (CAM) too can help improve clinical outcomes and facilitate recovery as feasible contextually.
  8. Prognosis: For gastric cancer is variable. Preventive measures, earlier diagnosis and right early treatment is key for an effective therapeutic management & better prognosis. Like most other cancers, the chances of cure for an early stage gastric cancer are more. The cure/ recovery chances are influenced by the grade, stage of cancer, recurrence and the patient’s general health & vitality etc all. Distal tumors are known to be cured more often than the proximal ones. Again, intestinal-type gastric cancers are known to have a better treatment outlook in comparison to the diffuse-type gastric cancers.

  9. Prevention: Rightly said, prevention is always a better choice. Although genetic risks are difficult to modify, still an adherence to a relative Mediterranean diet, maintaining an ideal body weight and an active lifestyle with due emphasis on regular exercising, de-stressing and relaxation is highly recommended for reducing the risks of many cancers including gastric cancer. A healthy eating plate comprises essentially a low fat diet, fibre rich foods including whole grain cereals, green leafy vegetables cooked using healthy vegetable oils, fresh fruits of all colours as seasonally available and healthy proteins/ fats including fresh fish, poultry, beans, nuts etc all. The consumption of alcohol, if any, has to be strictly in moderation, and is best avoided in a high risk scenario. Smoking is to be avoided too. Again, red meat, butter, refined grains, sweets, sugary drinks including carbonated beverages and other high calorie foods etc all, if any, are to be taken sparingly. Not only it is important to eat healthy, but also it is equally important to eat properly. Insufficient chewing, eating until full, eating meals within a short time etc all are best avoided so as to ease off digestive burden on the stomach/ other organs in the GI tract. Last but not the least, consumption of clean and filtered water, natural probiotics like freshly prepared yogurt/ butter milk, maintenance of cleanliness & hygiene including oral hygiene etc. all can help guard against H. Pylori infections. Breastfeeding is known to be protective against H. Pylori infections too.

3142 people found this helpful

My mom is an cancer patient. Now a days she is suffering from teeth ache. Can I get the correct suggestion to proceed further.

BDS
Dentist, Mumbai
Information provided by you is insufficient to help u. Your mom needs consultation in person. Ans to your question depends on numerous factors like cancer location. Staging. Treatment stage.
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I am 59 years old and I have multiple sebaceous cysts on my scrotum. Any medicine for removal of the cysts. Can a urologist remove them surgically. Also my prostate enlarged 36 cc. PSA is 0.4. Please advise. Thanks.

FICS, FCCP (USA), DNB (General Surgery), MS - General Surgery, MBBS
General Surgeon, Delhi
I am 59 years old and I have multiple sebaceous cysts on my scrotum. Any medicine for removal of the cysts. Can a uro...
Multiple scrotal sebaceous cysts do not respond to medical treatment and is best dealt with by surgical removal of the same. It is simple and rewarding surgery. I presume they are extensive and you must show a surgeon. Full investigation is needed before surgery.
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