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Dr. Piyush

Oncologist, Delhi

Dr. Piyush Oncologist, Delhi
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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. Piyush
Dr. Piyush is one of the best Oncologists in Preet Vihar, Delhi. You can consult Dr. Piyush at Metro Hospital & Cancer Institute in Preet Vihar, Delhi. Book an appointment online with Dr. Piyush and consult privately on Lybrate.com.

Lybrate.com has an excellent community of Oncologists in India. You will find Oncologists with more than 43 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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Metro Hospital & Cancer Institute

#21, Community Centre, Preet Vihar. Landmark: Behind CBSE building, DelhiDelhi Get Directions
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How the dry fruits and nuts helpful in daily life. What is quantity to take everyday. Even the cancer patients (while taking chemotherapy and treatment) and diabetic people also can take dry fruits and nuts. Please give your opinion on this.

MBBS
General Physician, Mumbai
How the dry fruits and nuts helpful in daily life. What is quantity to take everyday. Even the cancer patients (while...
Dry fruits are rich in protein and cholestrol and can be beneficial to a normal individual if taken in limited quantity of two pieces per day and it's better to be avoided by diabetic people.
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I'm 52. I feel usually.- drowsiness, weakness, depression, vertigo, chronic amoebic colitis, bronchial allergy, bronchitis, uti, prostat problem, minor headache etc, Please advise.

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
A therapeutic diet in itself can solve many of your problems. Dietary therapy prescribed by a registered dietitian is needed, reply back for private consultation.
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My father in law suffering from metastatic pancreatic cancer, any cure for this disease or what should we do now?

MD - Radiothrapy, DNB
Oncologist, Mohali
No cure unfortunately but you might want to try tegafur sunitinib sorafenib capecitabine imatinib avastin srs.
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Hai sir. When I go to a general doctor for urine problem he tell My penile urethra is small that was the reason your urine is break in the prostate now I am using veltam 0.4 tables is any cure of long length of my penile urethra and is any effect of small penile urethra in future for urinate and sex life.

FMAS, MS
General Surgeon, Gandhinagar
Hai sir.
When I go to a general doctor for urine problem he tell
My penile urethra is small that was the reason your ...
Respected hi sorry to tell but you have been conveyed wrong information regarding length of penile urethra. There are no medicines to increase length of penile urethra & only glans penetrates deepest in vagina to give sex pleasure to female not whole penis dear thanks regards.
5 people found this helpful
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Post Graduation In Applied Nutrition And Dietitics, diabetes educator, post graduate in exercise and nutrition
Dietitian/Nutritionist, Mumbai
Foods to battle cancer

1) vitamin c rich foods

Citrus fruits, guava, amla, tomato, green leafy vegetables all of them are high in vitamin c. This element prevents the formation of cancer-causing nitrogen compounds.

2) berries

Berries top the charts when it comes to cancer fighting foods. Pterostilbene, an antioxidant found in berries is a storehouse of cancer fighting properties

3) sweet potatoes

Sweet potato is full of beta carotene. Studies have revealed that consumption of high beta carotene foods like yellow, red, green colored fruits and veggies reduce the risk of various cancers.

4) flaxseed

Omega 3 fatty acids prevents the growth of cancer by preventing the growth of cancer cells and interrupting the growth of cancerous tumor. Omega-3 fatty acids also help reduce inflammation. Along with fatty fish, one can also include a tbsp of flaxseed in your daily diet.

5) turmeric

Curcumin, the active ingredient in turmeric, acts as both an anti-inflammatory and an antioxidant, and prevents cancer by interfering with aspects of cellular signaling

5) green tea

Tea contains catechins compounds, these compounds restrict the growth of cancer.

6) cruciferous vegetables

Cruciferous vegetables like cauliflower, broccoli cabbage contain phytonutrients which may help inhibit the metabolism of carcinogens and stimulate the body's production of detoxification enzymes.

7) tomato

It contains lycopene which helps prevent prostate and other types of cancer.

8) pomegranates

Pomegranates are rich in ellagic acid. It slows down cancer cell growth and deactivate cancer-causing compounds.

9) onions

Again, a food rich in anti-cancer substances including allicin.

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.

3247 people found this helpful

Lost a lot of weight around 19-21 kgs. Post weight loss thighs have become saggy & breasts deflated. Gained 5 kgs back in last 3 months again to help with excess skin. I need to fix this without surgery. Am 23 years old. Will weight training and gaining weight cure this? I am healthy. Weight gain can reverse this problem? Please help. I can not go forward for marriage because of this problem. Please provide some help. Thankyou.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
Lost a lot of weight around 19-21 kgs. Post weight loss thighs have become saggy & breasts deflated. Gained 5 kgs bac...
You are confused between weight loss , sagging skin & weight gain. Gaining weight will not help you for sure. Eat healthy but no crash dieting which can lead to saggy organs if dieting is not combined with exercise. Moderation should the mantra.losing 21 kgs is difficult and you must have starved to do so. At 23 if getting married is bothering you , then think about a healthy bride who has to adjust and get oriented with a new family. Can you afford to fall sick or eat special diets to remain slim and trim and be body obsessed only? Start eating a healthy high protein diet with no sugars or bad fats . getting massage will tone up muscles besides increasing the blood flow evenly to entire body. simple walking / swimming is a good outdoor exercise but if pollution or humidity bothers , then use a stable exercise cycle at home and do push ups with weights for arms. do yoga and meditation for weight loss and for stability. good luck.
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I had erosive antral gastritis and hpylori from 25-6-15. I used sompraz hp tabs for 14 days. Now on 24-6-16 I got multiple healing ulcers, erosions and pylori infection again. Is there any risk for cancer. My father died with stomach cancer at the age of 60. Which is the best medicine I will use and how many days.

MBBS, MD MEDICINE, DM - Gastroenterology
Gastroenterologist, Jaipur
I had erosive antral gastritis and hpylori from 25-6-15. I used sompraz hp tabs for 14 days. Now on 24-6-16 I got mul...
Avoid smoking alcohol, high iontake of fruit vegetable. Now 4 drug regimen recommended for h pylori.
4 people found this helpful
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Lung Cancer: Symptoms & Causes

MD PULMONARY, DTCD
Pulmonologist, Faridabad
Lung Cancer: Symptoms & Causes

Lungs are the most important organ of our body that has the responsibility of taking in the oxygen and releasing out carbon dioxide. When cancer develops in it, the entire body gets imbalanced. Lung cancer leads to more death than any other type of cancer, which is why identifying the symptoms and knowing the causes are instrumental in obtaining a timely diagnosis as well as in prevention of this disease.

Symptoms of Lung Cancer

In the early stages:

  1. Persistent coughing

  2. Chest pain

  3. Bleeding

  4. Fatigue

  5. Loss of appetite

  6. Sudden weight loss

  7. Headaches

  8. Coughing up blood

In the later stages:

  1. Bone pain

  2. Joint pain

  3. Facial paralysis

  4. Neck swelling

  5. Blood clotting

  6. Weakness

  7. Sever chest pain

Causes of Lung Cancer:

  • Smoking: People who smoke are more prone to lung cancer. With the increase in the number of cigarettes you smoke, your chances of getting lung cancer increase too. People who don't smoke but are surrounded by the smokers also have high chances of being affected by this form of cancer.
  • Exposure to Asbestos: Asbestos is a group of mineral, which is present naturally in the environment. Lung cancer can occur due to the inhalation and ingestion of asbestos fibers.
  • Exposure to Ranon Gas: Ranon is a radioactive gas, which is formed naturally on decaying of radioactive elements. It is found in low levels in the air that we breathe and the water that we drink. Consumption of air and water having this gas leads to lung cancer.
  • High Levels of Air Pollution: Presence of high levels of dust particles and pollutants in the air that we breathe can cause lung cancer. 1-2% of lung cancer is caused because of it.
  • High Levels of Arsenic in Drinking Water: Consuming water with arsenic content is harmful as it directly affects the lungs and when the arsenic content is too high, it may lead to lung cancer.
  • Exposure to Chemicals: Exposure to certain chemicals like uranium, coal products, gasoline, diesel exhaust and mustard gas can also cause lung cancer.

Family History of Lung Cancer: Chances of getting lung cancer increase if your parents, child or siblings are already prone to lung cancer.

4374 people found this helpful

My husband is suffering from vocal cord cancer stage 1 since March 2016, is there any Ayurvedic medicine to cure cancer of vocal cord? Please give advise!

DM - Oncology, MBBS, MD - Medicine
Oncologist, Mumbai
Vocal cord cancer, when in early can only be cured with radiation therapy. also in some cases surgery will be helpful.
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I am 53 yrs old male, I have enlarged prostate (BPH).Sr PSA test is normal.Sonography shows enlarged prostate 60 gms.Having increased frequency of urine more in the night. Please advise some Ayurveda medicine. Is there any cure?

CCP, MBA, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Karnal
You can try ayurveda medicines like kanchnaar guggul, gikshuradi guggul along with vasti at some panchakarma centre.
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Tips to Prevent Breast Cancer

MD - Obstetrics & Gynaecolog, MBBS
Gynaecologist, Hyderabad
Tips 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.

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

3293 people found this helpful

Hii Dr. please suggest what to do for release pain after press boobs hardly first time? A day before yesterday I press boob of my wife first time during foreplay. But after that she have pain there from last two days. Can I have suggestions for release that pain?

PGDMLS, PGDHHM, LLB, PhD Surgery, MS - General Surgery
General Surgeon, Gurgaon
Most likely, your wife must be having what is known as fibroadenosis of the breasts. This is a common occurrence at this age due to hormonal changes. Breast support (say a tight bra) and simple pain killers may help symptomatically. There are specific medicines available but they should be taken only after a professional examination by a general surgeon and after excluding other conditions. The way out, till then is to be gentle during foreplay.
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Hi, I want to ask a question about breast cancer in women, What are the symptoms of breast cancer and its causes?

M.Ch - Surgical Oncology, MS - General Surgery, MBBS
Oncologist, Delhi
Breast cancer usually presents in middle aged to elderly women, with a painless breast lump, or bloody nipple discharge, or a non healing recent onset ulcer on the skin. It may arise as a result of hereditary factors, but women who have not given birth or who have not breast fed, or women having early menarche and late menopause are also more predisposed to having breast cancer in their lifetime.
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Cervical Cancer Screening

fellow in Obstetric Medicine , MS - Obstetrics and Gynaecology, FMAS, DMAS, MBBS
Gynaecologist, Hyderabad
Cervical Cancer Screening

Cervical cancer occurs when abnormal cells on the cervix grow out of control. The cervix is the lower part of the uterus that opens into the vagina. Cervical Cancer is one of the most common ailments that women suffer from, making it only more important to be taken seriously and treated immediately.

Most cervical cancer is caused by a virus called human papillomavirus, or HPV. You can get HPV by having sexual contact with someone who has it. There are many types of the HPV virus. Not all types of HPV cause cervical cancer. Some of them cause genital warts, but other types may not cause any symptoms.

Most adults have been infected with HPV at some time. An infection may go away on its own. But sometimes it can lead to cervical cancer. That's why it's important for women to have regular screening. A screening can find changes in cervical cells before they turn into cancer. If you treat these cell changes, you may prevent cervical cancer.

Symptoms of Cervical Cancer may include:

  1. Bleeding from the vagina that is not normal, such as bleeding between menstrual periods, after sex, or after menopause.
  2. Persistent abnormal discharge.

Cervical cancer is the easiest gynecologic cancer to prevent, with regular screening tests and follow-up. Two screening tests can help prevent cervical cancer or find it early:

  1. The Pap test (or Pap smear) looks for precancers, cell changes on the cervix that might become cervical cancer if they are not treated appropriately.
  2. The HPV test looks for the virus (human papillomavirus) that can cause these cell changes.

When to Get Screened

You should start getting regular Pap tests at age 21. The Pap test, which screens for cervical cancer, is one of the most reliable and effective cancer screening tests available. The Pap test is the best way to find cervical cell changes that can lead to cervical cancer. Regular Pap tests almost always show these cell changes before they turn into cancer. It's important to follow up with your doctor after any abnormal Pap test result so you can treat abnormal cell changes. This may help prevent cervical cancer.

Treatment-

In spite of being a fatal ailment, over the years various treatments have evolved that deal with this problem effectively. Some of them are:

1. Surgery: One of the effective and oft availed treatment to cure cervical cancer is surgery. Depending on the stage on which the disease is detected, doctors may suggest for a hysterectomy or removing the pelvic nymph nodes.

2. Chemotherapy: This has emerged as the most sought after way of treating any form of cancer. The abnormal growth of cells that triggers cancer in the first place is deterred in this method by administering drugs to destroy them. If you wish to discuss about any specific problem, you can consult a gynaecologist and ask a free question.

2771 people found this helpful

I got copper inserted on Aug 2015. While doing that doctor said for a pap smear test as she observed some lesion in the cervix. The report was normal But after getting copper t, every month before the period starts in full flow I get slight bleeding for 4-5 days. Also some times in between the periods also I get bleeding. Is it cancer or something else.

DNB, MBBS
Oncologist, Faridabad
I got copper inserted on Aug 2015. While doing that doctor said for a pap smear test as she observed some lesion in t...
You need to be examined per vaginally to be really sure if there is any suspicious lesion in cervix. Menstrual disorder could also be because of copper T, you need a clinical examination. Discuss with your gynecologist about intermenstrual bleeding and get yourself checked and let us know about her clinical findings.
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He is having tumor in his stomach. He is having piles problem. He is having asthma problem as well as cough problem What should we do. Doctors are saying that they can not operate because the condition is not good and he is weak by health.

MBBS, DNB ( Radiation Oncology)
Oncologist, Mumbai
He is having tumor in his stomach. He is having piles problem. He is having asthma problem as well as cough problem
W...
To be operated for any cancer, the general condition of the patient should be good. If surgery is not possible as per the oncologist, systemic chemotherapy may be an option.
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Bladder Cancer - 5 Things That Put You at Risk

M.Ch - Urology, MS, MBBS
Urologist, Dehradun
Bladder Cancer - 5 Things That Put You at Risk

The cancer of the bladder (an organ in the pelvic region that stores urine) is known as bladder cancer. This cancer begins in the cells that line the inner portion of the bladder. Though it usually affects the aged, bladder cancer can develop in people across other age groups as well. It is important to undergo frequent check-ups even after the condition has been cured, as there always remain chances of a relapse.
There are three types of bladder cancer:
1. Squamous cell carcinoma: Squamous cells appear in the bladder in response to any infection, which, with time, can become cancerous.
2. Transitional cell carcinoma: These cells are present in the lining of the bladder. They contract when the bladder is empty and expand when it is full. These cells are also found in the urethra, hence there are chances for the cancer to develop in the urethra as well.
3. Adenocarcinoma: Adenocarcinoma forms in the mucus secreting cells in the bladder.

The symptoms of bladder cancer are:
1. You may urinate frequently
2. Frequent backaches
3. You may experience pain during urination
4. Pain in the pelvic region
5. There may be presence of blood in the urine

There is no known cause of bladder cancer. However, certain factors such as smoking, infection and exposure to chemicals are known to trigger it. The risk factors of bladder cancer are:
1. Age: The risk of bladder cancer increases with age, it usually affects people who are above 40 years of age.
2. Smoking: Smoking releases toxins in the body that get stored in the urine. These can damage the inner lining of the bladder and lead to bladder cancer.
3. Gender: Men are more likely to develop bladder cancer as compared to women.
4. Chemical exposure: Exposure to certain chemicals such as arsenic increases your risk of bladder cancer.
5. Chronic inflammation of the bladder: If you suffer from chronic infection of the bladder, then the risk of squamous cell carcinoma increases significantly.

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