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My cousin has ulcerative colitis and wanted to know if he has to control his diet. From the doctors he has consulted so far, one said to not drink too much milk? Is there anything else he'll need to control?
Many a times the stomach becomes very tight most probably due to gas and it pains excessively from stomach to lower back.
Multiple small Gall bladder stone problem size in mm. Whether operation is the only alternate or recovery possible without operation?
I have itching near my butt hole all the day and always feel some kind of moisture there. I have also noticed blood on tissue paper sometimes. While cleaning I feel a lump of flesh protruding out of butt hole.
I am loosing weight. I thought that I might have affected by diabetes .Today I got tested sugar test. My fasting blood sugar level is 106 and fasting urine sugar level is nil. My post lunch sugar level is 162 and post lunch urine sugar level is nil. I am also suffering from bloating. Some times I feel very much hungry. Sir, could you please suggest what might be the reason for my symptoms and what treatment or tests shall I get?
The bladder is a hollow storage organ that collects urine from the kidneys and stores it until it can be passed out of the body through the urethra during the process of micturition or urination. It has a thin inner lining of cells called urothelial cells and a thick muscular wall, which exerts pressure to push the urine out of the body.
Causes of Bladder Tumors
In most cases, the bladder tumor develops on the inner layer due to a combination of some of the following factors.
1. Hereditary: A strong family history of cancer predisposes a person to cancer.
2. Gender: Men are 3 times more prone for bladder cancer than women.
3. Ethnicity: White people are more prone for bladder cancer black people.
4. Smoking: Smokers develop bladder cancer 2-6 times more frequently than non-smokers. cigarettes contain toxic, carcinogenic substances which reach the kidney and are stored in the bladder, leading to their damage.
5. Occupational hazards: Some workplaces have a higher likelihood of causing bladder cancers, especially dye and rubber industries. The effects can be damaging, and the person may develop cancers years after the exposure has happened.
6. Recurrent bladder infections: In some people, this can also lead to bladder cancer in the long run.
Types of Bladder Tumor
Depending on the extent of the cancerous spread, it can be of two types:
1. Non-muscle-invasive bladder tumors: The tumor spread is limited to the inner part of the bladder (urothelial cells)
2. Muscle-invasive bladder tumor: The tumor has spread to the thick muscular outer layer. This is more advanced and prognosis is poor compared to the noninvasive type.
The most common and diagnostic symptom of bladder cancer is the presence of blood in the urine, known as hematuria. This will be intermittent and happens whenever the tumor bleeding happens. Other symptoms include pain in the lower abdomen and frequent urination.
From the most noninvasive to the most invasive diagnostic test, these include:
1. Urine microscopy to detect cancer cells in the urine
2. Cystoscopy A tube inserted into the urethra to look into the inner wall of the bladder is highly diagnostic
3. Ultrasound, CT Scan, and biopsy can also be further used to identify severity of the tumor.
Once the tumor is diagnosed, treatment would depend on the severity of the tumor. For both invasive and noninvasive tumors, definitive therapy is surgery, known as transurethral resection of the bladder tumor (TURBT). The cancerous bladder tissue is removed through a cystoscope as done for diagnosis. The bladder is then flushed with chemotherapy agent to kill any residual cancer cells in the bladder. This is then followed by BCG vaccine, which is again done 1 to 4 weeks for several months to avoid recurrence. In some cases, radiotherapy may also be included.