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Dr. Rakesh Kr. Koul

MBBS, MS - General Surgery, DNB - Surgical Oncology

Oncologist, Delhi

25 Years Experience  ·  0 - 500 at clinic
Dr. Rakesh Kr. Koul MBBS, MS - General Surgery, DNB - Surgical Oncology Oncologist, Delhi
25 Years Experience  ·  0 - 500 at clinic  ·  ₹ online
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Personal Statement

Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Rakesh Kr. Koul
Dr. Rakesh Kr. Koul is one of the best Oncologists in Rajender Nagar, Delhi. He has over 25 years of experience as a Oncologist. He is a qualified MBBS, MS - General Surgery, DNB - Surgical Oncology. He is currently associated with Sir Ganga Ram Hospital-Delhi in Rajender Nagar, Delhi. You can book an instant appointment online with Dr. Rakesh Kr. Koul on Lybrate.com.

Lybrate.com has top trusted Oncologists from across India. You will find Oncologists with more than 33 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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Education
MBBS - University Of Jammu. - 1991
MS - General Surgery - University of Kashmir. - 1997
DNB - Surgical Oncology - National Board of Examinations, New Delhi - 1998
Professional Memberships
Delhi Medical Council

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Sir Ganga Ram Hopital Road, Old Rajender Nagar. Landmark: Near Janakidevi Memorial College & Near Metro Station, DelhiDelhi Get Directions
500 at clinic
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Sir Ganga Ram Hospital Road Landmark : Near Janakidevi Memorial College & Near Metro Station Delhi Get Directions
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How to analyse ultra sound (USG Abdomen) test? What is meant by prostate of 21.1 ML with insignificant residual urine of 20.4 ML. Two freely moving calculi are seen in GB.- Cholelithiasis?

MS- General Surgery
General Surgeon
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How to analyse ultra sound (USG Abdomen) test? What is meant by prostate of 21.1 ML with insignificant residual urine...
It will be very difficult for you to analyse a use abdomen report. Prostate 21.1 ml means the volume of the prostate size. It is a bit enlarged but nothing to worry about as your residual volume is post urination is only 20.4 ml. As far as the calculi in gall bladder, the size is not mentioned. But it can cause problem. Should get it operated of it is causing pain.
2 people found this helpful

Doctor, I read in a book "Why Suffer" by an American Doctor that Wheat Grass Juice (taken from 8-10 days old, grown in shade) is a guaranteed cure for all types of Cancer. Can you confirm? What is your analysis/experience?

Ex Sen.V.Surgeon/Research Scientist, M.D.(Alternative Medicine/tibetan/chinese/acupuncture), Vaida/ Unani, Homeopath
Unani Specialist
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Hi they read some ayurvedic book and reproduced it to earn money. It helps but I hv not seen any body fully cured. It can be cured if you take cancero medicine course-6 months. Available.

I want to know the stages of cancer cell. Means how the cell effected and become a cancer cell?

MS ( General Surgery)
Oncologist
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The cell is the fundamental unit of life. It is the smallest structure of the body capable of performing all of the processes that define life. Each of the organs in the body, such as the lung, breast, colon, and brain, consists of specialized cells that carry out the organ's functions such as the transportation of oxygen, digestion of nutrients, excretion of waste materials, locomotion, reproduction, thinking, etc. To assure the proper performance of each organ, worn out or injured cells must be replaced, and particular types of cells must increase in response to environmental changes. For example, the bone marrow increases its production of oxygen-carrying red blood cells sevenfold or greater in response to bleeding or high altitude. Certain white blood cells are produced more rapidly during an infection. Similarly, the liver or endocrine organs frequently respond to injury by regenerating damaged cells. Reproduction of cells is a process of cell division. The division of normal cells is a highly regulated process. The cell growth, inheritance and containment is controlled by its DNA (deoxyribonucleic acid). DNA is a highly complex molecule manufactured in the cell nucleus and serves as the cell's" brain. DNA is the blueprint for everything the cell does. In a human cell, the DNA is arranged in 46 distinct sections called chromosomes. They are arranged in pairs, 23 chromosomes from each biological parent. Together, the 46 chromosomes contain more than 100, 000 genes. A gene is a segment of DNA that determines the structure of a protein, which is needed for development and growth as well as carrying out vital chemical functions in the body. Like the chromosomes, genes are arranged in pairs — one gene from the mother and one from the father. Each gene occupies a specific location on a chromosome. Through a number of biochemical steps, each gene tells a cell to make a different protein. Some genes instruct the cell to manufacture structural proteins, which serve as building blocks. Other genes tell the cell to produce hormones, growth factors or cytokines, which exit the cell and communicate with other cells. Still other genes tell the cell to produce regulatory proteins that control the function of other proteins or tell other genes when to turn" on" or" off. When a gene is turned on, it manufactures another complex molecule called ribonucleic acid (RNA), which contains all the information the cell needs to make new proteins. Cells divide only when they receive the proper signals from growth factors that circulate in the bloodstream or from a cell they directly contact. For example, if a person loses blood, a growth factor called erythropoietin, which is produced in the kidneys, circulates in the bloodstream and tells the bone marrow to manufacture more blood cells. When a cell receives the message to divide, it goes through the cell cycle, which includes several phases for the division to be completed. Checkpoints along each step of the process make sure that everything goes the way it should. Many processes are involved in cell reproduction and all these processes have to take place correctly for a cell to divide properly. If anything goes wrong during this complicated process, a cell may become cancerous. A cancer cell is a cell that grows out of control. Unlike normal cells, cancer cells ignore signals to stop dividing, to specialize, or to die and be shed. Growing in an uncontrollable manner and unable to recognize its own natural boundary, the cancer cells may spread to areas of the body where they do not belong. In a cancer cell, several genes change (mutate) and the cell becomes defective. There are two general types of gene mutations. One type, dominant mutation, is caused by an abnormality in one gene in a pair. An example is a mutated gene that produces a defective protein that causes the growth-factor receptor on a cell's surface to be constantly" on" when, in fact, no growth factor is present. The result is that the cell receives a constant message to divide. This dominant" gain of function gene" is often called an oncogene (onco = cancer). The second general type of mutation, recessive mutation, is characterized by both genes in the pair being damaged. For example, a normal gene called p53 produces a protein that turns" off" the cell cycle and thus helps to control cell growth. The primary function of the p53 gene is to repair or destroy defective cells, thereby controlling potential cancerous cells. This type of gene is called an anti-oncogene or tumor suppressor gene. If only one p53 gene in the pair is mutated, the other gene will still be able to control the cell cycle. However, if both genes are mutated, the" off" switch is lost, and the cell division is no longer under control. Abnormal cell division can occur either when active oncogenes are expressed or when tumor suppressor genes are lost. In fact, for a cell to become malignant, numerous mutations are necessary. In some cases, both types of mutations — dominant and recessive — may occur. A gene mutation may allow an already abnormal cell to invade the normal tissue where the cancer started or to travel in the bloodstream (metastasize) to remote parts of the body, where it continues to divide. A normal cell can become damaged in different ways. A cell can become abnormal when part of a gene is lost (deleted), when part of a chromosome is rearranged and ends up in the wrong place (translocation), or when an extremely small defect occurs in the DNA, which results in an abnormal DNA" blueprint" and production of a defective protein occurs. Abnormal cell division can also be caused by viruses. In this case, genes may be normal, but the protein may not function normally because the cell contains a cancer-producing virus. How a specific cancer cell behaves depends on which processes are not functioning properly. Some cancer cells simply divide and produce more cancer cells, and the tumor mass stays where it began. Other cancer cells are able to invade normal tissue, enter the bloodstream, and metastasize to a remote site in the body. In summary, cancer cells have defects in normal cellular functions that allow them to divide, invade the surrounding tissue, and spread by way of vascular and/or lymphatic systems. These defects are the result of gene mutations sometimes caused by infectious viruses.

Hello sir my father is paralyzed and prostate problem. He is on catheter. Now he is not able to pass urine. What can I do this time. I can change the catheter or doing something else. Reply me fast. Thanks.

MBBS, MD - Internal Medicine
General Physician
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Dear , first we have to identify why is he not able to pass urine. It could be due the paralysis and/or due to the prostate problem. If it is due to an enlarged prostate you could get a prostatectomy done. However if it is due to stroke then you have to change the ctaheter. Which side is he paralysed on? did he have a spinal injury or astroke if it is a stroke was it a blood clot or a bleed? can you please upload the ctscan and or mri and his ultrasound reports?
1 person found this helpful

I want know about the causes for breast cancer? Will abnormal sleeping habit in young age can lead to cancer?

DNB, MBBS
Oncologist
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Dear mam, breast cancer is lifestyle related disease sedentary lifestyle, fatty food, lack of exercise, apart from this it could be related to hormonal imbalance due to some types of hormonal supplements, late menarchy or menopause,late marriage and late or no conception, not breast feeding and lastly it could be genetic. Abnormal sleeping habits may lead to personality change and psychological disorders but not really directly related to breast cancer.
1 person found this helpful

Hi can lymphedema arm be amputated? Lymphedema is in breast cancer survival patient.

Fellow Breast Surgery (MUHS), DNB (General Surgery), MBBS
Oncologist
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Well, technically it can be amputed. But what is really important, is whether it is really indicated and have other techniques of management been used. Management of lymphedema consists of good amount of exercises, physiotherapy, specific nutritional changes and care of the involved part. Lymphedema is graded into 4 grades. The treatment of grade 4, that is severe form of lymphedema is to remove excess tissue and resuture the defects. This causes decreased weight, swelling and functional improvement. You should talk to your treating clinicians about the surgeries for lymphedema, other than amputation.
7 people found this helpful

Sir how is root cancer caused what are its symptoms?

MDS Prosthodontics
Dentist
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There is nothing like root cancer. Bone cancer or mouth cancer is the correct term.There is no single specific cause for this.But the chances of causing cancer increases while using tobacco, cigarette,alcohol or long time infection.
1 person found this helpful

I am suffering from breast pain, as I consulted to our neighbouring doctors they said that, it is an hormonal variation & hence the pain occurs. But the pain is not stopped, what should I do further now?

MD - Obstetrtics & Gynaecology
Gynaecologist
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As you are only 16 years old, there is no chance that you r suffering from any major disease. It is common among your age group and is caused by hormonal changes. It will go after some time. In the mean time you should take pain killers. You will not need to show it to anyone for the same.
1 person found this helpful

Hi, In my right hand I have a round oval shape tumor, I am not sure what exactly it is but its easily visible, people ask questions when they see it. Its really embarrassing, I have avoided wearing half shirts and T- shirts because of this tumor. I want to get rid of it. What should I do?

DNB, MBBS
Oncologist
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Dear sir, we need to know the size, consistency and for how long it is present. If it is long standing then it may not be malignant, an fnac may help in knowing about the cause. It could be lipoma, schwannoma etc benign tumour and can be simply excised by a good surgeon or a plastic surgeon for better cosmetic results. Don't get embarrassed, get it removed.
2 people found this helpful

Could you please suggest a Syrup for feeding mother to get sufficient breast milk for the baby?

MBBS, MD
Pediatrician
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Most of drugs are not having any benefits. A hence I personally do not give medicine but like mother let child suck more that will increase the milk output.

What is initial symptoms of mouth cancer?

MD - Alternate Medicine, BHMS
Homeopath
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very old non healing ulcer/ restricted mouth opening. with other general features of cancer like wt loss fever etc

What are the common symptoms of Liver Cancer? Kindly suggest best hospitals for cancer treatment.

MD Radiation Oncology, ESMO Certified Medical Oncologist, DM Medical Oncology (Pursuing)
Oncologist
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Hello, I have seen the pet-ct report of your father. It is not liver cancer but mets in the liver and lungs. The treatment of liver cancer and cancer that has mets in the liver is completely different. Tata memorial hospital, mumbai remains the apex institute for the treatment of cancer in india. Also, you may consult at sgpgi, lucknow since it is good and close to your home too.
2 people found this helpful

How enlarged prostate of 30cc can be cured? how it can have impact on the body in general.

MBBS
Sexologist
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How enlarged prostate of 30cc can be cured? how it can have impact on the body in general.
You are having prostate hypertrophy. This can be treated by medicines. It can cause retention of residual urine and infection. I advise you for private consultation from me where I will tell you certain guidelines and medicinal treatment.
2 people found this helpful

My mother was suffering from Breast cancer. She operated in september 2013 successfully but after operation she was given 8 doses of chemo therapy and 20 doses of Radio therapy. After this treatment she remains good with usual checkups. But this year recently in this running month she complains about back pain and leg pain. After consult with Doctor they diagnosis with Bone scan test that shows distinct possibility of metastasis. They also gives the zoledron injection. Due to this injection she reliefs about 98 percent good and they also advised to take again 5 doses of Radio therapy.

Ex Sen.V.Surgeon/Research Scientist, M.D.(Alternative Medicine/tibetan/chinese/acupuncture), Vaida/ Unani, Homeopath
Unani Specialist
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Hi dear - in my view - she can be saved if she is given cancero -- medicine course- 6 months. Its package is available, details as per below;;-- --there will be no need or little need of other therapies ------------------------------------------ --curative treatment;- it will be the future medicine of cancer for the whole suffering world. -tibetan therapy--medicine -cancero - course is the best treatment available so for, with almost 100%--results. It is a newly entrant in the field of oral medical cancer therapy, and is available with very few tibetan experts only. Most of doctors are still unaware of its use. With no side effects, it can be used both as preventive as well as curative in all types of cancers/ tumors. Its 6 month course or so is sufficient to cure cancer of any type, at any stage, provided the patient is able to take medicines orally. It converts cancers into tumors and then cures. It can be used alone or in combination with other therapies, if cancer is in advanced stage. It has been successfully used in children as small as 6 months age and old persons -73 years old. -its pack is available in 3 forms;- -cancero-th+, cancero-thu+, cancero-thua+ -cancero-th pack is available @ rs 5000/- pm. For very low budget patients.
1 person found this helpful

How to check for cancer due to smoking cigarette.

PhD (Psychology), MSc Psychology, MS
Psychologist
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Dear , please understand cancer is not a disease and is not caused by any bacteria or viruses which can be killed by using some medicines or chemicals. Cancer is cell gangrene. Cell degeneration is caused because of dead cells. These dead cells affect the adjacent dead cells too. Then it spreads. Prevention is to stop smoking totally.Alternatively you may consult a psychologist near your home town. Please understand, this treatment is a must for you. Do not ignore the symptoms. Take care.
1 person found this helpful

I have cough since last four weeks what should I do? Is it us the symptoms of cancer?

MBBS
General Physician
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1.Do a complete blood examination like CBC, ESR, Mantoux test, X ray chest, Sputum examination for AFB. 2.Consult Chest physician with report. 3.Do warm saline gurgling 3-4 times daily, 4.Avoid smoking if you smoke. 5.Consult me for further advice
1 person found this helpful

I want to question to you what cous of disis to heart and what kind of saf to tham I realy now to and what kind of simtam tu cancer.

DNB, MBBS
Oncologist
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dear sir, about cancer, it usually presents as painless lump. lump can be anywhere in neck , breast, abdomen ,armpits etc. there can be ulceration which does not heal despite usual antibiotics and usual measures. unexpected bleeding from any sites like mouth , rectum , vagina , sudden weightloss, change in bowel habits etc are usual symptoms.

There has been a lot of speculation about bread so should we continue eating bread or not because in the news they are telling that it causes dangerous diseases like cancer please help?

DNB ( Radiation Oncology), MBBS
Oncologist
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Potassium bromate has been speculated to be carcinogenic. It is often added in bread to improve the dough. It is advisable to avoid bread containing bromate. It is usually mentioned on the bread loaf.
1 person found this helpful

My father is 59 year age, his prostate psa is 10.35, wht are the reason to increase this. And how it can be control.

MS - General Surgery
Oncologist
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My father is 59 year age, his prostate psa is 10.35, wht are the reason to increase this. And how it can be control.
Most important disease to be ruled-out is cancer of the prostate, other causes of raised psa is benign enlargement of prostate, infection etc. Consult urologist.
3 people found this helpful

Hi this and from past 10 years I am having fribo adenoma on my right breast and twice I have been operated but again and again coming back.

PGDMLS, PGDHHM, LLB, PhD Surgery, MS - General Surgery
General Surgeon
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There is no need to get it removed unless it is causing significant symptoms or is rapidly growing in size or there is a recent change in its character or there is some reason for suspicion. Harmless fibroadenoma may be left alone but with monthly observation by self examination and periodic examination by a general surgeon.
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