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Dr. Manoj Sharma

Radiologist, Delhi

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Dr. Manoj Sharma Radiologist, Delhi
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
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Dr. Manoj Sharma is a trusted Radiologist in Saket, Delhi. You can consult Dr. Manoj Sharma at Max Super Specialty Hospital-Saket in Saket, Delhi. Save your time and book an appointment online with Dr. Manoj Sharma on Lybrate.com.

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Max Super Specialty Hospital-Saket

#2, Press Enclave Road, Saket. Landmark: Near Malviya Nagar Metro Station & Hauz Rani Bus Stop, Select City Walk Mall, DelhiDelhi Get Directions
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5 Ways to Reduce Your Breast Cancer Risk

MRCOG, MD - Obstetrics & Gynaecology, DNB (Obstetrics and Gynecology), MBBS
IVF Specialist, Delhi
5 Ways to Reduce Your Breast Cancer Risk

While you cannot cure breast diseases, family history and maturing, but there are some hazards or risks that you can control. Keeping in mind the fact that there is no certain approach to forestall breast cancer, there are things you can do that may bring down the hazard. Here are five approaches to ensure your breast's well-being:

  1. Watch your weight: Being overweight or hefty expands breast cancer chances. This is particularly true after menopause and for women who have put on weight as grown-ups. After menopause, the vast majority of your estrogen originates from fat tissue. Having more fat tissue can heighten your chances of getting breast cancer by raising the estrogen levels. Additionally, women who are overweight have a tendency to have more elevated amounts of insulin, than other hormones. Higher insulin levels have been associated with a few tumors, including breast cancer.
  2. Exercise routinely: Many reviews have found that exercise is the sign of having a healthy breast. Studies show that one to two hours of energetic walking each week, lessened a woman’s cancer risk by eighteen percent. Walking ten hours seven days decreased the hazard all the more.
  3. Constrain liquor: Women who have two to five mixed beverages every day have a higher danger of breast cancer than women who have just one drink a day or none . As much as three to six glasses of wine seven days have been found to somewhat increase breast cancer chances. It is not clear how or why liquor raises the hazard. In any case, constraining liquor is particularly essential for women who have other hazard variables for breast cancer, like, breast cancer running in their families.
  4. Restrain time spent sitting: Research has shown that sitting time, regardless of how much exercise you get when you are not sitting, increases the probability of growing cancer, particularly for women. Women who sit six hours or more a day outside of work have a ten percent more serious risk for breast cancer compared to the ladies who sit under three hours a day, and an increased hazard for other cancer types as well.
  5. Stay away from or confine hormone substitution treatment: Hormone Replacement Treatment (HRT) was utilized frequently in the past to control night sweats, hot flashes, and other troublesome manifestations of menopause. In any case, specialists now realize that postmenopausal ladies who take a blend of estrogen and progestin might probably create breast tumors or cancer. Breast cancer disease seems to come back within five years in the wake of ceasing the blend of hormones. Therefore, get a breast cancer test even if you feel a small lump.

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

3105 people found this helpful

Know Everything About Uterine Prolapse!!

MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Agra
Know Everything About Uterine Prolapse!!

The uterus or womb, is a muscular structure and is held in place by ligaments and pelvic muscles. If these muscles or tendons become weak, they cause prolapse and are no longer able to hold the uterus in its place.

Uterine prolapse happens when the uterus falls or slips from its ordinary position and into the vagina or birth waterway. It could be complete prolapse or even incomplete at times. A fragmented prolapse happens when the uterus is just hanging into the vagina. A complete prolapse depicts a circumstance in which the uterus falls so far down that some tissue rests outside of the vagina. Likewise, as a lady ages and with a loss of the hormone estrogen, her uterus can drop into the vaginal canal. This condition is known as a prolapsed uterus.

Risks: The risks of this condition are many and have been enumerated as follows:

  1. Complicated delivery during pregnancy
  2. Weak pelvic muscle
  3. Loss of tissue after menopause and loss of common estrogen
  4. Expanded weight in the stomach area, for example, endless cough, constipation, pelvic tumors or accumulation of liquid in the guts
  5. Being overweight
  6. Obesity causing extra strain on the muscles
  7. Real surgery in the pelvic zone
  8. Smoking

Symptoms: Some of the most common symptoms of prolapse involve:

  1. Feeling of sitting on a ball
  2. Abnormal vaginal bleeding
  3. Increase in discharge
  4. Problems while performing sexual intercourse
  5. Seeing the uterus coming out of the vagina
  6. A pulling or full feeling in the pelvis
  7. Constipation
  8. Bladder infections

Nonsurgical medications include:

  1. Losing weight and getting in shape to take stress off of pelvic structures
  2. Maintaining a distance from truly difficult work
  3. Doing Kegel workouts, which are pelvic floor practices that strengthen the vaginal muscles. This can be done at any time, even while sitting down at a desk.
  4. Taking estrogen treatment especially during menopause
  5. Wearing a pessary, which is a gadget embedded into the vagina that fits under the cervix and pushes up to settle the uterus and cervix
  6. Indulging in normal physical activity

Some specialists use the following methods to diagnose the problem:

  1. The specialist will examine you in standing position keeping in mind you are resting and request that you to cough or strain to build the weight in your abdomen.
  2. Particular conditions, for example, ureteral block because of complete prolapse, may require an intravenous pyelogram (IVP) or renal sonography. Color is infused into your vein, and an X-ray is used to view the flow of color through your urinary bladder.
  3. An ultrasound might be utilised to rule out any other existing pelvic issues. In this test, a wand is used on your stomach area or embedded into your vagina to create images of the internal organ with sound waves. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
4287 people found this helpful

I am 40 year old women. Unable to walk without support. MRI report shows multiple disc degeneration. Surgeon said, this is not the cause of walking problem. Physiotherapy was started. Is this serious? Can you please suggest me. Is this curable?

DM - Neurology, Fellowship in Stroke Neurology, MD - General Medicine, MBBS Bachelor of Medicine and Bachelor of Surgery
Neurologist, Kolkata
Dear lybrate-user, Walking is final outcome of a coordinated action of multiple components of our body’s neuroaxis. They have their individual contributions namely of muscles, nerves, different tracts of the spinal cord and different areas of the brain including motor, sensory and balance areas.In short, we need to examine you throughly to localize the exact area of the neuroaxis involvement. Focus investigations according ly and provide a definitive management.
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Uterine Prolapse - 6 Most Common Risk Factors!

MBBS, DGO, Ceritification in Minimal Invasive Surgery
Gynaecologist, Ghaziabad
Uterine Prolapse - 6 Most Common Risk Factors!

Uterine prolapse is a condition which occurs due to a weakness in the muscles and ligaments of the pelvic floor which are responsible for supporting the uterus. This condition results in the bulging out of the uterus from the vagina. The continuous stretching in the muscles of the pelvic floor due to the lifting of heavy things might initiate uterine prolapse. If you suffer from severe uterine prolapse, the doctors might suggest laparoscopic surgery to get rid of the pain. Lack of diagnosis might form infected ulcers in the pelvic regions.

Risk Factors
The risk factors that can trigger a uterine prolapse are as follows:

  1. You are more prone to suffering from uterine prolapse as you age because aging causes a significant reduction in the estrogen (the hormone responsible for the overall development of the pelvic muscles) levels of the body.
  2. If your pelvic muscles and the adjoined tissues have suffered sustained damage during pregnancy or childbirth, you have a higher risk of suffering from uterine prolapse.
  3. Obesity, sustained episodes of constipation or coughing make you more vulnerable to uterine prolapse.
  4. In women, estrogen levels reduce significantly after menopause.
  5. A woman who has undergone vaginal childbirth multiple times can suffer from uterine prolapse.
  6. Having undergone surgery in the pelvic region and experiencing severe pain during excretion raises the risk levels even more.

Symptoms
The symptoms of uterine prolapse vary with the severity of the condition. If the prolapse is a minor one, there will be no symptoms. But severe uterine prolapse might bring with it the following symptoms:

  1. Severe pain in the lower back region along with significant problems during urination such as leakage of urine.
  2. Bulging out of tissues from the vagina.
  3. Recurrent instances of constipation and abnormal discharges from the vagina.
  4. Infection in the bladder and experiencing severe problems during sex intercourse.

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



 

2714 people found this helpful

Liver Transplant - FAQs Solved!

MBBS, DNB ( General Surgery)
Liver Transplant Surgeon, Pune
Liver Transplant - FAQs Solved!

1. What are the symptoms of liver disease? When to see a doctor?

Most of the liver diseases present with similar symptoms with some variations. Some of the common symptoms can be loss of appetite, nausea and vomiting, vomiting of blood, jaundice(yellowish discoloration of the eye), abdominal pain, itching, distension of abdomen( accumulation of fluid- ascites), swelling of lower limbs, weight loss, altered sensorium, confusion, and in a late stage- coma.

2. Can liver disease be prevented?

Liver is a crucial body organ which is responsible for processing essential nutrients from the food you eat, synthesizing bile and most importantly removing harmful toxins from the system. To ensure that your liver keeps performing its functions, you need to follow a healthy lifestyle.

Some of the liver diseases are metabolic and hence inherent at the time of birth and manifest later. However, some of the more common liver diseases are preventable like alcohol induced liver disease, fatty liver induced liver disease (NAFLD), Hepatitis A, B and C.

3. What is liver transplantation? What is the average cost of liver transplantation?

Liver transplantation is the treatment for end stage liver disease in both adults and children. In this operation, the diseased liver is removed and replaced by a healthy one. The success rate for the operation is high and terminally ill patient can return to normal lives.

The average cost of liver transplantation is Rs 18 to 20 Lakhs at Sahyadri specialty hospital, Pune Maharashtra. The cost of investigations of the donor and recipient is Rs 90,000. When patients are too sick and require prolonged stay following liver transplantation, the cost of treatment can escalate; hence it is advisable to patients to have the liver transplantation before they develop complications secondary to the liver disease (Cirrhosis).

Most of the patients seek help at a very late stage or referred late to a Surgeon. It is advisable for patients to seek the opinion of a Surgeon at a very early stage of the disease. The patient needs to take medicines for the rest of his life to prevent rejection of the new liver. The cost of medicines and the investigations in the first year is approximately Rs 10-15000/-. The number of medicines and the frequency of blood investigations are much less after the first year of liver transplantation.

The cost of liver transplantation in India is one-twentieth when compared to USA, UK and other European Countries.

4. When should a liver transplant be performed?

When a person’s liver is severely damaged and cannot function properly or complications may develop and liver transplantation should be considered. Conditions like hepatic coma, massive upper gastrointestinal bleeding, and liver cancer is the best treated by complete removal of the liver (cirrhotic liver).

In general, when a patient needs a new liver, the earlier the operation, the higher the success rate is.

Urgent liver transplantation is recommended in patients who have acute liver failure and this could be due to many reasons. The common conditions are Hepatitis B, Hepatitis A, Hepatitis E and drug induced. In such patients, liver transplantation is urgently needed in order to save the life of the individual.

5. What are the advantages/benefits to the recipient of getting a living donation vs cadaver?

A new liver can come from either of the two sources: A living donor or a brain-dead deceased donor.

Living donor transplantation:

It is technically feasible to remove part of the liver from a living person and transplant it to a patient who needs a new liver. The operation has now been done since 1989. Depending on the size matching of the donor and recipient, either the left side (about 35-40%) or the right side (60-65%) of the liver will have to be removed. The liver remnant in the donor will grow to its original size in 6-8 weeks time.

This process helps in an earlier transplantation before the recipients’ conditions deteriorates. It is a planned procedure whilst cadaver liver transplantation is an emergency procedure. It avoids the risk of death while waiting for a deceased donor liver graft(40% overall and 75% for patients in Intensive care units). The survival rate of a living donor transplant is over 90%.

There are risks like complications of the investigations and surgical procedures but the possibility of donor death rate is of 0.2-0.5%. Seventeen donor deaths have been reported in Brazil, France, Germany, Egypt, Hong Kong, Japan, USA and India.

Cadaver transplantation:

This is well established in the Europe and USA. Unfortunately, the availability of deceased donor liver is not very often in India. Depending on your blood group, you may have to wait for 0 to 6 months before you get a new liver.

During this waiting period, you may develop complications like spontaneous bacterial peritonitis (infection of the fluid in the abdomen) which, if repetitive may produce severe adhesions in your abdomen rendering liver transplantation difficult if not impossible.

It is important for everyone to register for organ donation, so that when we die, this noble act will help many people to lead normal lives. In the Western world the organ donation rate is between 15-18/million population where as in Indi it is less than 1/million.

6. Who can be a suitable living donor?

The most important criteria is that the donation of portion of the liver is done voluntarily. The donor has to be less than 50 years of age, body mass index of less than 25 and is a near relative of the recipient. Both the donor and the patient should have the same Blood group or O Blood group.

Besides, the potential donor should understand clearly that

  • The donor operation carries complication rate of 10-15%.
  • The recipient is successful in 90-95%, which means that there is 5-10% chance of dying.
  • The donation is done out of his/her own wish and without any coercion.
  • There is no financial gain related to the act of donation.
  • The donor has the right to withdraw at any time without the need of giving any reasons to do so.

7. Which patients are excluded from liver transplantation procedure?

Patients who have cancer in another part of the body, active alcohol or illegal drug abuse, active or severe infection in any part of the body, serious heart, lung or neurological conditions or those who are unable to follow doctors’ instructions are excluded generally.

8. What are the risks to the recipient from the surgery?

The overall success rate of liver transplant is over 94% and the majority of recipients can return to normal activities and achieve 95% of their quality of life which they had prior to liver disease. Since the recipients’ body may reject the new liver, it is essential for them to take immunosuppressive medications and continue follow up at the liver transplant clinic. They will need to continue these medications for life, at a reducing dosage.

The risk for the recipient is the return of the original problem that necessitated the liver transplant in the first place, e.g. hepatitis C, recidivism (return to alcoholism), noncompliance of medications. The other complications that can arise are thrombosis of blood vessels going into or out of the liver, primary or delayed graft non-function, bile duct complications, renal failure and other infections.

9. What are the side effects of having a liver transplant?

After a successful liver transplantation (95% of patients) – the patient is advised to take care of infections and to take anti-rejection medicines for life. The patient can return to normal quality of life and can return back to work in three months time. The patient has to regularly follow up with the surgeon in the first year and later at regular intervals as advised by his doctor. He will require blood tests to determine that his liver functions and to adjust his medications in the beginning and later the tests are infrequent. The patient is advised not to take any herbal or alternative drug treatment.

The transplant patient is assessed regularly for various complications like rejection, infection, narrowing of blood vessels etc., and appropriate treatment is initiated. Post transplantation, he is under the guidance of his doctor throughout his life. Any health problems that do come up have to be investigated and treated, though they are infrequent.

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

1870 people found this helpful

Uterine Cancer - Ayurvedic Treatment For It!

BAMS
Ayurveda, Bangalore
Uterine Cancer - Ayurvedic Treatment For It!

Ayurveda is a form of medicine that has been practiced for thousands of years and has many effective cure for some of the most complex diseases. Cancer, in this day and age, is one such complex disease and its incidence is increasing rapidly. It is always recommended to consult a Ayurveda specialist for severe cancer. Some of the common ingredients for treatment of uterine cancer through Ayurveda are mentioned here.

  1. Turmeric: Already a staple spice in many Indian dishes, turmeric as a herb in raw form and as a spice in powdered form, is touted the new wonder herb all across the world. It has been used as a traditional healing herb in India since ages. It has also been seen to be a very effective anti-inflammatory agent and thus it is very effective in stopping the growth of cancer cells.
  2. Green tea from the Camellia Sinensis plantGreen tea has been known to be effective in treating multiple types of cancer, aid in weight loss and also facilitate detoxification. Regular consumption of green tea from the Camellia Sinensis plant is known to fight the growth of cancer cells within the body; thus is a very effective in treating uterine cancer as well.
  3. Ashwagandha: This herb is not only used in Ayurveda, but has also been adopted by homeopathy as conventional medicine to make extracts. Ashwagandha is an adaptogen, which means it can adapt to the requirements of the body and then make the changes to provide support to the necessary areas. It is also very good at preventing the growth of cancer cells.
  4. Garlic: This spice is known to be good for multiple forms of cancer as it contains allicin, which is being hailed as one of the best fighters of inflammatory diseases. It also contains other types of phytochemicals and thus helps in detoxifying the body. It is very effective in fighting cancer cells and can arrest the growth of cancer within the body.
  5. Ginger: Ginger is extremely effective in the treatment of many ailments, if consumed regularly in controlled amounts. It has been known to be very effective in the treatment of colon cancer. Due to its properties, it is also known to be effective in the prevention of uterine and many other forms of cancer.

Ayurvedic Thrapies

Ayurveda, an enigmatic yet enthralling science offers numerous treatment methods for uterine cancer. Here are a few:

  1. Matra Basti: Matra Basti is a special treatment in traditional ayurveda for chronic constipation, low back pain, rheumatoid arthritis, obesity, and various neurological disorders like multiple sclerosis, epilepsy, dystrophy and atrophy of nerves and muscle. In this treatment, certain herbal oils and herbal extracts are applied through the rectum on a daily basis. Matra Vasti has a lubricating, balancing, nourishing, strengthening and pacifying effect. It also works as rejuvenator, immune-modulator and nutrient and subdues elevated vata dosha. The treatment lasts for a period of 3 to 7 days.
  2. Pichu Dharanam for Soothing at Advance Stages of Uterine Cancer: It is a special treatment modality in Ayurveda where sterile medicated cotton swab is kept inside the vagina for a specific period of time. This comes under local treatment modalities specific to gynaecological diseases in females and is also done in ante natal care. Pichu means “cotton ball”. Yoni pichu is the application of a sterile cotton swab soaked in medicated oil or ghee in the vagina.
  3. Abhyanham: Abhyanga is a form of Ayurvedic medicine that involves massage of the body with large amounts of warm oil. It’s a complete body massage and really effective. The Abhyangam massage therapy is very beneficial and prevents degeneration and ceases the aging process. This therapy needs more positions to massage and comparing to other massage therapy, Abhyangam is very special. It usually involves oils prepared with specialized Ayurvedic herbs and essential oils for lymph drainage, detox, and relaxation. It has seven positions and it treats the whole body. It assures new healthy physical changes. 
  4. Nasyam: Nasyam or errhine therapy is an Ayurvedic treatment excellent remedy for chronic sinusuitis, headache, throat diseases, epilepsy, catarrh, migraine, voice constraint, eye diseases and cervical spondylitis. In Ayurveda, the application of medical oils or powders through the nostrils is called Nasya. It is said in classical texts that the nostrils are the doorway to the brain. Nasya is an important method of treatment for illnesses of the cranial region. Nasya treatment - the forehead and neck regions of the patient are gently massaged with a suitable oil to induce sweating. Thereafter the patient is made to lie down on his back with his head bent slightly back. Warm oil is then dripped into both nostrils which the patient draws in.

My mother is having disc problem and she is talking homeopathic medicine RT 200 and color 200 one drop each in water four times a day or more if pain is more. Pain is from hip to thighs. She walks with walker with great weakness very few steps. She has dry mouth due to homeopathic medicine in liquid form. Can you suggest some better medicine for her? Regards,

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Hyderabad
Her dry mouth may not be due to liquid medicine. How ever, the same medicine are available in pills form also. If you wish, I will give an alternative prescription.
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What is the reason and precautions for Lumbo Sacral pain in having Disk Slip problem?

Bachelor of Ayurvedic Medicines and Surgery(BAMS), Post Graduation Diploma in Emergency Medicines And Services(PGDEMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Hi apply pranacharya restopain oil or prasarini oil on your affected part then give hot fomentation. Take maha rasnadi kwath 2-2 tsf twice a day. And agni tundi vati and maha yograj guggul 1-1 tab twice a day.
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I am having slip disc. I want to know to cure it with exercises and what are the precautions to took for this?

MS - Orthopaedics
Orthopedist, Surat
Till you have pain, exercises would have little help. Initially you have to take bed rest. Avoid forward bending & cross-legged sitting on ground. Sit with a straight back. You can wear l. S. Belt temporarily. When pain subsides you can start exercises as guided by your doctor to prevent future disc problems.
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Mastectomy - Understanding The Types!

DGO, MBBS
Gynaecologist, Delhi
Mastectomy - Understanding The Types!

A mastectomy is surgical removal of a breast. The surgery depends on various factors and choosing a type of mastectomy best suited for an individual suffering from breast cancer requires experience and expertise. With advancing technology, there are more options available for women to opt for surgeries, which are minimally invasive and conserving in nature. Following are the various types of mastectomies and the factors, which influence them:

Types of Mastectomy

1. Total or simple mastectomy

This is a surgical procedure which involves complete removal of the breast including the nipple. The lymph nodes, which are small glands, are an important part of your immune system and are kept intact during the surgery. This form of surgery is most suitable if the cancer has not spread to the lymph nodes.

2. Preventive mastectomy

Preventive mastectomy, also known as prophylactic mastectomy, is an option for women who have a high risk of developing breast cancer. Preventive mastectomy reduces the risk of breast cancer by a huge margin. In certain cases, removal of the entire breast along with the nipple is advisable. Women who develop cancer on one breast often opt for preventive mastectomy and remove the other unaffected breast as well.

3. Partial mastectomy

Women who are in stage I or stage ii of breast cancer can choose this procedure. It is a breast conserving technique where the tumor is removed along with the tissue that surrounds it. It is followed up by radiation therapy on the remaining breast tissue, which terminates the cancer cells and stops them from spreading. There are two types of partial mastectomy, namely, lumpectomy and quadrantectomy.

4. Radical mastectomy

Although this procedure is almost out of use, it is still considered in case the cancer has spread to certain areas like the chest muscle. In this form of surgery, the breast is removed entirety along with muscles beneath it and the lymph nodes.

5. Modified mastectomy

It is a more commonly used procedure characterized by complete removal of the breast including underarm lymph nodes. The chest muscles are untouched in the procedure, therefore allowing a breast reconstruction to follow.

Factors influencing the type of mastectomy:

• Age of the individual

• Health in general

• Size of the tumor

• The spread of the tumor

• The rate of progression of the tumor

• Whether lymph nodes are affected or not 

If you wish to discuss about any specific problem, you can consult a doctor.

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