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Dr. Natalia Desilva

Radiologist, Delhi

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Dr. Natalia Desilva Radiologist, Delhi
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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. Natalia Desilva
Dr. Natalia Desilva is a trusted Radiologist in Greater Kailash, Delhi. She is currently associated with Orion Orthodontic & Dental Care Centre in Greater Kailash, Delhi. Book an appointment online with Dr. Natalia Desilva and consult privately on Lybrate.com.

Lybrate.com has an excellent community of Radiologists in India. You will find Radiologists with more than 27 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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Orion Orthodontic & Dental Care Centre

Sukhda Hospital, Near R Block Market, Pamposh Enclave,Greater Kailash 1, DelhiDelhi Get Directions
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Breast Cancer - 4 Common Symptoms

MD, MBBS, Advanced Infertility
Gynaecologist, Jalandhar
Breast Cancer - 4 Common Symptoms

Breast cancer is a type of a cancerous infection that develops in the skin cells of the breast. This condition is more commonly diagnosed after you have skin cancer and is more common in women than men. There are certain signs to identify this disease, which are as follows.

1. Breast lumps - Lumps are patches of skin that occur due to the thickening and swelling of the skin. Breast lumps is a very common phenomenon for women but that does not always lead to a breast cancer; however, frequent and reoccurring instances of the same increases the risk of breast cancer. A breast lump is easily identifiable through the naked eye as it looks different from the surrounding tissues.

2. Blood discharge - The nipple is one of the most sensitive areas in the human body. In case of women, it is meant to emit milk during pregnancy, in order to feed the infant externally. A probable symptom of breast cancer can also be a frequent discharge of blood from the nipple without any visible damage or injury.


3. Breast changes - If you are experiencing any visible changes in the size, appearance or shape of the breast, then it is an indicative sign that you may have breast cancer. Thus, it is of paramount importance that you observe, touch and physically examine your breast regularly for changes. If there is any major change detected then it is advisable to consult a doctor.

4. Inverted nipple - The tip of the nipple is generally bulging and pointing outwards both in cases of men and women. But sometimes the tip of the nipple is pushed inside due to excessive suction caused by the skin tissues present inside the breast around the nipple area. This suction forces the nipple to grow inwards which is abnormal and might harm the breast and skin in various ways.

However, apart from these main symptoms, some other signs are also there that increase your chances of being diagnosed with breast cancer. They are redness or pitting of the skin over your breast like an orange, peeling or scaling of the pigmented area around the nipple, dimpling of the skin on the breasts, and such others. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

4718 people found this helpful

Dear sir, I am 33 year old. I have back ache since 2010 mri also have been done it shown herniated slip disk and doctor has advised me surgery. But I am not willing to get surgery please advise me what should I do.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Not all pt. Of backache need surgery. Most of them can be managed with out operation. Kindly show me a photograph of the affected part. Rule out diabetes & vit. D deficiency or any other metabolic disorder. Sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick matress are harmful Do hot fomantation. Paracetamol 250mg od & sos x 5days. Ubicar 1 tab odx10 caldikind plus 1tab od x10. Do neck, back & general exercises. It may have to be further investigated. You will need other supportive medicines also. Make sure you are not allergic to any of the medicines you are going to take. If it does not give relief in 1 wk, contact me again. Do not ignore. It could be beginning of a serious problem.
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I am suffering from slip disc problem since 15 years, now pain is unbearable and there is very much stiffness in my left leg unless to walk since last week, what is the cure please help me out, is there any treatment without surgery or I have to go through surgery process, is surgery is only solution and hie much it is successful. I am 38 years old and my weight is 120 kg.

Doctor of Physical Therapy (DPT), Bachelor of Physical Therapy
Physiotherapist, Hyderabad
You need to check with Orthopaedic doctor based on MRI what is the level of disc herniation and whether it is pinching nerve or spinal cord. If it's safe to try conservative treatment then you can do a proper course of Physiotherapy. It should include Lumbar stabilization. Back and core strengthening. Also posture re education and ergonomics at work can make healing without surgery possible. Good luck.
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I am 20 years old. But my weight is 85 and my height is 5.11 so is it correct weight or should reduce my weight? tell me how to reduce. And I have a backache means one disk in my back has pressed inside than the normal of other disks. So please give a perfect solution.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
I am 20 years old. But my weight is 85 and my height is 5.11 so is it correct weight or should reduce my weight? tell...
Sleep on a hard bed with soft bedding on it. SPRING BEDS, FOLDING BEDS OR THICK MATTRESS ARE HARMFUL Use no pillow under the head. DO HOT FOMENTATION. Paracetamol 250mg OD & SOS x 5days. Caldikind plus 1tab OD x10. Do neck back knee & general exercises. It may have to be further investigated. Make sure you are not allergic to any of the medicines you are going to take. For emergency treatment contact your nearest hospital or family doctor. Weight reduction can not be done overnight. You have to take it as a way of life. Do Diet control. no sugar in tea,coffee,milk etc. NO sweets Take small frequent meals. When you get used to it, skip one meal. Then after 3 months skip another meal, & so on? You should do non weight bearing Yoga exercises. Do ask for detailed treatment plan. Do not ignore It. could be beginning of a serious problem. Why not discuss with me in a video conference?( Facility Provided by lybrate.com) Why not discuss with me in a video conference? (Facility provided by lybrate.com)
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Dr. Please tell me can you detect the baby's brain defect in ultrasound and any birth defects clearly in which ultrasound?

MBBS, MD RADIO-DIAGNOSIS
Radiologist, Pune
Dr. Please tell me can you detect the baby's brain defect in ultrasound and any birth defects clearly in which ultras...
Yes, neural tube defects, posterior fossa anomalies, prosencephaly, spinal dysrraphisms, and major structural neural abnormalities can be diagnosed on ULTRASOUND.
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For few days when seating for a long time then suddenly arise tiny pain in lower of hip the where end of spine please suggest me sir.

MPT, BPT
Physiotherapist, Noida
Extension Exercises x 15 times x twice daily - lying on tummy, take left arm up for 3 seconds, then bring it down, right arm up for 3 seconds, bring down. Bring right leg up, hold for 3 seconds, bring it down. Then right leg up and hold for 3 seconds and bring it down. Repeat twice a day- 10 times. Bhujang Asana -- Lie flat on your stomach, keeping the palms out, bend the neck backward, take a deep breath and while holding it for 6 seconds, raise the chest up. Release breath and relax your body. Repeat the exercise 15 times twice daily. Core Strengthening Exercises- Straight Leg Raised With Toes Turned Outward, repeat 10 times, twice a day.
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4 Ways To Prevent Breast Cancer!

MBBS, DNB - Obstetrics & Gynecology
Gynaecologist, Mumbai
4 Ways To Prevent Breast Cancer!

One of the things that Shannen Doherty and Rita Wilson, the wife of Tom Hanks, have in common, apart from their fame is that both were affected by breast cancer. No matter how normal a person may seem, breast cancer can strike anyone. In fact, it usually strikes one in eight women. So, it makes good sense to know what it can appear as!

Breast cancer makes up a rather big amount of the general cancer cases as 15% of the cancer cases which are reported on a yearly basis are usually breast cancer cases. That being said, there are quite a few things which can be done in order to reduce a person’s risk to breast cancer.

Effective ways to prevent breast cancer-

As with any other types of cancer, breast cancer is a condition characterized by uncontrolled and rapid cell proliferation and division in the breast, resulting in the formation of a malignant tumor. While breast cancer is known to be one of the most common types of cancer affecting women, men are also susceptible to the condition.

An early diagnosis of the condition gives a mercurial boost to the treatment for breast cancer, often ensuring a full recovery. Unfortunately, in most cases, breast cancer gets diagnosed at a later stage. Some of the symptoms commonly associated with breast cancer include:

  • A change in the breast shape, size, or even the contour.
  • The appearance of a lump in the breast, often pea sized.
  • There may be a fluid discharge (can be clear or blood-stained) from the nipples. In addition to this, the skin around the nipples or the breast may undergo some change. It may appear red, inflamed, scaly or even puckered and dimpled.

In addition to the medications and treatment, a person with breast cancer can benefit by practicing the following tips diligently:

  1. Self-awareness: Nobody can know your body better than yourself. The associated complications of breast cancer can be averted if only people stop overlooking the early signs and symptoms. There are many government sponsored campaigns and programs to create awareness about breast cancer. Once a while, self-examine your breasts. Feel your breasts for any lumps or thickenings. If you notice any abnormalities, waste no time and consult a doctor at the earliest.
  2. BRCA1 and BRCA2 human genes: The BRCA1 and BRCA2 genes are important with regards to the breast cancer. These genes are responsible for the production of tumor suppressor proteins, which play a pivotal role in the repair of DNA damage (often resulting from mutations or diseases). A mutation (often genetically triggered or hereditary trait) in BRCA1 and BRCA2 genes can wreak havoc, elevating the instances of breast cancer and many other types of cancer (ovarian cancer, prostate cancer, acute myeloid leukemia, and pancreatic cancer, to name a few). Thus, people who have a family history of breast cancer triggered by a mutation in BRCA1 and BRCA2 genes should get themselves tested as a precautionary measure.
  3. Obesity is a big No: Maintaining a healthy body weight is the need of the hour. Various research has found a link between obesity and increased risk of breast cancer. According to the American Cancer Society Cancer Prevention Study-II, women who put on extra weight (60 pounds or more) after the age of 18, are at a greater risk of developing breast cancer post-menopause as compared to their healthy counterparts. Thus, it is important to keep the body weight within healthy limits. Take care of your diet. Indulge in physical activities and exercise.
  4. Avoid excessive alcohol consumption: People, particularly women who consume alcohol in excess (2-6 drinks daily) are at an increased risk of breast cancer. Limit your daily dose of alcohol (1 drink or less per day).

Prevention is Prudent-

  1. Get Fit: The first thing which should be done is that a reasonable level of fitness should be maintained. Many studies have found that if a person is significantly heavier than her recommended weight, she is at a far great risk to develop all sorts of cancer and breast cancer, in particular, than a person who is able to keep her weight in check. The difference in cancer risk rates is about 40%. This is because a greater amount of fat leads to more estrogen being produced, which increases the risk of breast cancer.

  2. Quit Smoking: While most people associate smoking as something which increases the risk of cancer to the lungs and are not aware that it increases the risk of breast cancer, too. So, the best solution is to kick the habit!

  3. Get Off the Pill: Once a woman crosses past her mid-thirties, she should try to avoid relying on birth control pills to reduce the risk of pregnancy. This is because these pills have an effect which increases the risk of breast cancer, which heightens as a woman gets older. As long as the woman cuts out the use of the pill, the risk quickly gets cut, as well.

  4. Get Regular Check Ups: While screening for breast cancer by making use of mammograms does not cut the risk of it, the screening helps detect breast cancer early if it does exist. As a result, a woman has a much better chance of fighting breast cancer. So, a woman who is past the age of forty should try to have a mammogram on an annual basis with the frequency of the same increasing as she gets older. However, it is to be kept in mind that going for a mammogram too often is also not a good idea as the tests themselves pose risks of DNA changes.

Women all around the world are susceptible to breast cancer. While there isn’t a 100% chance of avoiding it, taking care of yourself and leading a fit and active lifestyle can significantly cut down your risk of contracting this condition. Remember, your health is in your hands, so the earlier you start, the better!

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

5087 people found this helpful

Hi sir my mother 72 year old she is suffering slip disk problem mri report conclusion/impression- Mr. Imaging reveal degenerative changes affecting lumbar spine with disc bulge-herniation at l1-2, l3-4, l4-5 and l5-si levels, more at l2-3, l3-4, l4-5 and l4-s1 level (protrusion), together with ligamentum flavum hypertrophy and facetal arthropathy are producing secondary canal stenosis with narrowing of bilateral neural foraming. Canal stenosis is most sever at l4-5 level.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. It is good that you have actually mentioned mri report of your mother which shows degenerative changes in spine with degenerative discs at multiple levels and ligamentum hypertrophy. But since we have to treat the patient and not mri, please elaborate her problem as to a detailed discussion of back pain which means duration of pain and mode of onset. I would also like to ask you if it is associated with any leg pain or any other neurological symptoms like numbness, paraesthesias (electrical shock like abnormal sensations) or any weakness in limbs. Please also tell me about any associated symptoms like fever, weight loss etc. What medications she generally takes and what has been her treatment history till now for existing problem. Do not hesitate to contact me if you need any further assistance.
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MRI revealed I have herniated disc problem in L5. Doctor advised surgery. Tried physiotherapy, yoga and exercises etc. This is more than 5 year old problem - having pain in good, right leg and foot. Unable to walk more than 5 minutes. Is there any other way to treat except spine surgery. I had heart surgery for artery graphing 10 years ago and taking blood pressure medicine.

MBBS Bachelor of Medicine and Bachelor of Surgery
General Surgeon, Vijayawada
Hello with the present complaints you have surgery is the best option for you, there are no medications that can cure the condition, medicine and physiotherapy can stop the progression of the disease they cannot cure the condition, and the damage increases with time which is irreversible so my advice is to get operated as soon as possible. Just leave a positive comment if useful.
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Giant Cell Arteritis!

MD - Acupuncture, Diploma In Accupuncture, Advanced Diploma In Accupuncture
Acupuncturist, Delhi
Giant Cell Arteritis!

What is Giant cell arteritis?

Giant cell arteritis causes inflammation of the lining of the body’s medium and large arteries that carry oxygen-rich blood from your heart to the rest of your body.

Symptoms of Giant cell arteritis-

  • Scalp tenderness
  • Jaw pain when you chew
  • Severe headache
  • Tenderness over one or both sides of the forehead
  • Permanent loss of vision in one eye
  • Fever
  • Weight loss

Causes of Giant cell arteritis-

What causes these arteries to become inflamed isn’t known. However, it is thought that a combination of genetic and environmental factors is responsible for the condition.

Risk factors of Giant cell arteritis-

  • Older adults
  • Being women
  • Polymyalgia rheumatica
  • People born in Northern European countries

Complications of Giant cell arteritis-

Diagnosis of Giant cell arteritis-

Diagnosis of Giant cell arteritis includes the following tests and procedures:

  • Physical exam
  • Blood tests
  • Biopsy
  • MRI/angiography
  • Duplex ultrasound
  • Positron emission tomography (PET)

Precautions & Prevention of Giant cell arteritis

  • Regular aerobic exercise, such as walking, can help prevent bone loss, high blood pressure and diabetes
  • Eat fresh fruits and vegetables, whole grains
  • Limit your intake of salt and sugar
  • Get adequate amounts of calcium and vitamin D
  • Avoid alcohol

Treatment of Giant cell arteritis-

  • Homeopathic Treatment of Giant cell arteritis
  • Acupuncture & Acupressure Treatment of Giant cell arteritis
  • Psychotherapy Treatment of Giant cell arteritis
  • Conventional / Allopathic Treatment of Giant cell arteritis
  • Surgical Treatment of Giant cell arteritis
  • Dietary & Herbal Treatment of Giant cell arteritis
  • Other Treatment of Giant cell arteritis


Treatment of Giant cell arteritis- 

Homeopathic Treatment of Giant Cell Arteritis-

Homeopathy heals the tissue and brings it back to normal. It treats the person as a whole. Treatment is constitutional. It means that homeopathic treatment focuses on the patient as a person, as well as his pathological condition. It balances the energy system, improves immunity and body functions. It naturally cures the root cause of disorder. Some of the homeopathic medicines for treatment of giant cell arteritis are:

  • Ars alb
  • Calc
  • Carb V
  • Kali iod
  • Echin
  • Lach

Acupuncture and Acupressure Treatment of Giant Cell Arteritis-

Acupuncture relieves by improving the physiological function of the organs and organ system. In acupuncture therapist will first diagnose the case on the basis of energy system or chi blockage as well as on the basis of status of five elements. On this basis certain disease specific acupoints are selected and stimulated.

Psychotherapy and Hypnotherapy Treatment of Giant Cell Arteritis-

Psychotherapy and hypnotherapy can help in stress relief. They can help in better coping and early relief.

Conventional / Allopathic Treatment of Giant cell arteritis-

In the allopathic treatment of giant cell arteritis, inflammatory drugs such as corticosteroids are used. These drugs can effectively relieve pain.

Dietary & Herbal Treatment of Giant cell arteritis-

  • Eat fresh fruits and vegetables, whole grains
  • Eat lean meats and fish
  • Limit your intake of salt and sugar

 

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