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Dr. Neha Khandelwal

Gynaecologist, Delhi

400 at clinic
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Dr. Neha Khandelwal Gynaecologist, Delhi
400 at clinic
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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. Neha Khandelwal
Dr. Neha Khandelwal is an experienced Gynaecologist in Malviya Nagar, Delhi. She is currently practising at Aakash Hospital - Malviya Nagar in Malviya Nagar, Delhi. Book an appointment online with Dr. Neha Khandelwal on Lybrate.com.

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Aakash Hospital - Malviya Nagar

#90/43, Malviya Nagar. Landmark: Oppsite Green Field School, DelhiDelhi Get Directions
400 at clinic
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Paras Spring Meadows Hospital

No. F-44, East of Kailash. Landmark: Behind Sapna Cinema Hall, DelhiDelhi Get Directions
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Colorectal 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), Ayurveda (I) Cert., Advanced Strategic Management (APSM), B.E (Computer Sc. & Engg.), Clinically Relevant Herb-Drug Interactions (CME) - (Cine-Med Inc. USA)
Alternative Medicine Specialist, Bhubaneswar
Colorectal Cancer - In a Nutshell!

Colorectal cancer is otherwise known as cancer of the colon or the rectum. This can affect both men and women with age being a major risk factor. Majority of such cancers are seen to occur after age of 50 years.

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

    1. Adenocarcinomas are the most common type of colorectal cancers. These cancers begin in the cells making mucous and other fluids. Certain colorectal cancers begin as adenomatous polyps (adenomas) that turn cancerous over a period of time. This is precisely why the adenomas are regarded as pre-cancerous or pre-malignant.

    2. Gastrointestinal (GI) carcinoid tumors, GI stromal tumors, primary colorectal lymphoma, leiomyosarcoma, melanoma & squamous cell carcinoma are certain other colorectal cancers

      • Carcinoid tumors: start in specialized cells that produce hormones, in the intestine.

      • GI Stromal tumors: start in the interstitial cells of Cajal (ICC), in the wall of the colon.

      • Lymphomas: start typically in the lymph nodes but they may also start in colon or rectum.

      • Sarcomas: can start in the muscle and the connective tissue in the walls of the colon and rectum.

  2. Gender: It affects both male and female populace.

  3. Etiology: Mostly, the factors that are associated with increased risk of colorectal cancer include the following –

    1. Age exceeding 50 years.

    2. Racial & ethnic background such as African Americans, in the USA, are known to have the highest incidence of colorectal cancer, and mortality rates.

    3. Low fibre and high fat diet. Excessive consumption of red meat (e.g. goat meat, beef, pork, lamb, or liver), processed meats, butter, refined grains, sweets, sugary drinks etc all can increase the risk of colorectal cancer.

    4. Personal history of inflammatory bowel diseases (IBD) (e.g. ulcerative colitis), Crohn’s disease, adenomatous colorectal polyps, colorectal cancer etc all.

    5. Family history of colorectal cancer or adenomatous polyps etc all.

    6. Inherited syndromes such as familial adenomatous polyposis (FAP) and Lynch syndrome (hereditary non-polyposis colon cancer or HNPCC).

    7. Sedentary lifestyle/ associated Obesity.

    8. Type 2 diabetes.

    9. Tobacco and alcohol abuse.

  4. Features or symptoms can vary from person to person depending on the size and location of the tumour. Following are the signs & symptoms mainly -

    1. Changes in bowel habits, diarrhea or constipation or an alternating diarrhea and constipation.

    2. Occult/ blood in the stool, and 

    3. Problems related to blood loss (e.g. anemia, weakness, fatigue, intolerance to exercise, shortness of breath, increased heart rate, chest pain etc all),

    4. Abdominal discomfort (frequent gas/ flatulence, bloating, fullness, cramps, and pain), vomiting etc.

    5. Unexplained weight loss,

    6. Pain with bowel movement,

    7. Feeling that bowel does not empty completely,

    8. Stools are narrower than usual.

  5. Diagnosis: Following are the diagnostics employed. Abnormal blood test results may be indicative of malignancy, but a follow-up imaging/ biopsy is always the gold standard for accurate diagnosis.
    1. Blood: fecal occult blood test, Carcinoembryonic Antigen (CEA) assay values are raised, Hb/ RBC counts may be low.
    2. Imaging: Colonoscopy, Endorectal Scan/ CT Scan followed by Biopsy clinches the diagnosis and the nature of the disease.
    3. Apart from the above-mentioned barium enema X-Ray, USG, Chest X-ray, PET CT scan etc all help detect metastasis, if any. An increase in level of the serum tumor marker ‘CEA’ is indicative of metastatic spread/ proliferation that can be ascertained through a PET CT scan.
  6. Treatment: Conventional treatment includes surgery, radiation and chemotherapy as contextually appropriate. Simultaneously, an adjunctive/ integrative naturopathic treatment with suitable complementary & alternative medicines (CAM)/ therapies too can help improve clinical outcomes and facilitate recovery as feasible contextually.
  7. Prognosis: Preventive measures, earlier diagnosis and right early treatment is key for better prognosis and efficient/ effective therapeutic management. Usually, the chances of cure for an early stage cancer are more. Above-mentioned apart, recovery chances are influenced by the grade, stage of cancer, recurrence and the patient’s general health & vitality etc all too.

  8. Prevention: Rightly said, prevention is always a better choice. Although genetic risks are difficult to modify, still an adherence to a Mediterranean diet, maintaining an ideal body weight and an active lifestyle with due emphasis on regular exercising (for at least 30 minutes daily), de-stressing and relaxation is highly recommended for prevention or reducing the risks of colorectal 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. It is advisable to limit milk/ dairy, preferably of low fat content, to 1 to 2 servings max daily. Although alcohol is optional and is not for everyone, the consumption of the same, if any, has to be strictly in moderation, and is best avoided. Smoking is to be avoided as well. 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 or are best avoided too. Apart from the generic preventive measures as mentioned above, certain pre-malignant conditions, of which adenomas are the most common, can be successfully treated with complementary and alternative medicines too.

3249 people found this helpful

I am in my third month of pregnancy. What all foods (processed/unprocessed) are harmful for me and are there any beneficial ones that I must include in my daily diet?

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
I am in my third month of pregnancy. What all foods (processed/unprocessed) are harmful for me and are there any bene...
you need to take fibers nutritious diet.intake iron,calcium,follic acid,protein and all vitamin in diet.take all fresh fruits.take carbohydrate like whole grain and simple carbs like bread, atta, rice and potatoes to your diet, you can gift a treasure of energy-boosting carbs to your baby.rich source of iron or folate is Beetroot, oatmeal, bran, tuna (tinned), beans and meats (for iron) and Oranges, Potatoes, Broccoli, Eggs and Greens (for folate) to your diet.avoid junk food an hygiene food.avoid chikoo,papaya and pine apple.
2 people found this helpful
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Our gynaecologist has suggested the test HSG to my wife. What is this test for? Where can we get the test done in Kolkata, or Patna?

MBBS
General Physician, Delhi
Our gynaecologist has suggested the test HSG to my wife.
What is this test for?
Where can we get the test done in Kol...
Hysterosalpingography (HSG) is a radiographic diagnostic study of the uterus and fallopian tubes most commonly used in the evaluation of infertility. Uterine abnormalities are thought to be a contributing factor in approximately 10% of infertile women and 50% of women with recurrent early pregnancy loss, while the prevalence of tubal abnormalities in infertility is approximately 20%. [1, 2] Thus, assessment of the uterine cavity and fallopian tubes is a standard practice in the baseline infertility workup.
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I took ipill on saturday after having unprotected sex and within 3 days again I have sexed. Is it safe to take ipill twice in a week after having unprotected sex. My age is 23.

Bachelor of Unani Medicine and Surgery (B.U.M.S)
Ayurveda, Indore
I took ipill on saturday after having unprotected sex and within 3 days again I have sexed. Is it safe to take ipill ...
If you got no option you should take one now but avoid contraceptive pills in any duration of time because it causes hormonal imbalances that are very harmful for your reproductive system. Tc.
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Sir. Me and my girlfriend had unprotected sex on 26th sep and I gave her ipill next day that is on 27th sep. I want to know is there any danger of being pregnant and how soon she can do her pregnancy test?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Sir. Me and my girlfriend had unprotected sex on 26th sep and I gave her ipill next day that is on 27th sep. I want t...
Hello, you have rightly given her ipill within next 72 hrs. The success rate is 99 per cent with ipill. A withdrawal bleed in expected to occur within next 5-7 days and once the bleed occurs, it confirms that there is no pregnancy and that she is safe. You may do a serum beta had test on 5th october to check for hcg levels, which if low then she is not pregnant. Regards.
1 person found this helpful
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How To Prevent Vaginal Dryness?

GAMS-AYURVEDA, MD-TCM
Sexologist, Faridabad
How To Prevent Vaginal Dryness?

When we see a happy couple, we think how lucky they are to have everything going great for them. However, a lot of women are embarrassed to talk about any issues they face in the bedroom. One such problem many women deal with is vaginal dryness.

If a woman takes a moment to think about how pleasurable a natural act like sex really is, it would be fair to say that the thought of something such as vaginal dryness making intercourse any less pleasurable will almost surely cause her to shudder. The good thing is that this issue is preventable.

Why does it happen?

In order to understand to a sufficient degree how vaginal dryness can be avoided or is to be treated, a person should first understand how it is caused. Many changes take place in a woman’s body when a woman goes through menopause, and vaginal dryness could be one of the changes that occurs, along with the periods of a woman becoming quite irregular before stopping entirely. This is due to a lower amount of oestrogen being produced.

However, while it is common for a lot of women who are going through menopause to experience vaginal dryness, it is by no means true that other women, across age groups, do not experience this condition. The other causes can vary and can include complex medical conditions or even lack of enough foreplay before the commencement of sex.

Treatment Options-

When a woman is treated for vaginal dryness, it is quite common for her health practitioner to provide a prescription for vaginal oestrogen ring. This can have an effective life span of anywhere between a month to three months and also serves to provide support to the pelvic floor for a woman who does not have much muscle strength in the region.

Apart from the ring, a woman can also ask her doctor about the viability of using of a vaginal ointment instead. This cream may feel a bit messy, but at the same time, apart from the initial one to two weeks of using it on a daily basis, a woman may need to apply it only once a week or maybe three times a week over the course of the treatment, as suggested by the doctor.

A tablet form of medication can also be suggested.

A woman, apart from treatments, should talk to the doctor about using of lubricants when having sexual intercourse as until the treatment has a significant effect, she is likely to need them.

5116 people found this helpful

Hi, I am 33 yrs old and mother of two kids. I have painful periods, I am take combiflam painkiller 2 tablet in a day. Should I take it or go with paracetamol?

Training in IVF / ICSI, Fellowship in Minimal Access Surgery, MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Pune
Hi, I am 33 yrs old and mother of two kids. I have painful periods, I am take combiflam painkiller 2 tablet in a day....
After a routine checkup (usg) to rule out so e things you can take tablets like meftal spas or cyclopam mf, if you are not allergic to it under guidance.
1 person found this helpful
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Know More About Ovulation

MD - Obstetrtics & Gynaecology, MBBS, FNB Reproductive Medicine, MRCOG
Gynaecologist, Mumbai
Know More About Ovulation

Ovulation is that period between the last menstrual cycle and the next menstrual cycle when the chances of pregnancy are the highest.

I am 27 years old female. Having fertility treatment 3 sitrodin injection last month. Although my period is regular bt this month period not come after 8 days n pregnancy test shows negative. What to do. Pls suggest me.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I am 27 years old female. Having fertility treatment 3 sitrodin injection last month. Although my period is regular b...
Hello, This is a failed pregnancy cycle for you and you are not pregnant. The delay is likely to be stress induced in that case.
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Hi madam I am getting irregular periods.When I get period and that time it will not stop for 1 to2 months and also I have thyroid problem and it has been now normal.Nd also I am taking medicines like ovral.L and tamik BC and registrone-5mg,r/locD tablets prescribed by doctor.But still my problem is not solved.Pls will u suggest the correct treatment.Thank u

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
Hi madam I am getting irregular periods.When I get period and that time it will not stop for 1 to2 months and also I ...
We should cintinue ivral l and thyroid drugs. P? ease check the reason by usg, blood for coagulation profile, tsh and prolactin.
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