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Dr. Vandana Kalra

Radiologist, Delhi

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Dr. Vandana Kalra Radiologist, Delhi
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
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Dr. Vandana Kalra is a trusted Radiologist in Pahar Ganj, Delhi. You can visit her at Delhi Heart & Lung Institute in Pahar Ganj, Delhi. Book an appointment online with Dr. Vandana Kalra and consult privately on Lybrate.com.

Lybrate.com has an excellent community of Radiologists in India. You will find Radiologists with more than 41 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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Delhi Heart & Lung Institute

#3, Municipal Market 2, Panchkuian Road, Paharganj. Landmark: Near Ramakrishna Metro Station, DelhiDelhi Get Directions
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How to Reduce Urea Levels in Blood Naturally

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Patna
How to Reduce Urea Levels in Blood Naturally

All healthy individuals will always have some amount of urea in the blood. Yet, when the urea level in the blood becomes too high, that means there is a malfunction in some part of the body due to which the body is not being able to remove this excess urea successfully. This urea can be formed in the liver when there is a process in terms of the protein metabolism's chemical balance. This urea is then transported to various parts of the body until the kidney cleans it out as urine. But when this urea does not get cleaned out properly, the urea gets concentrated in the blood and signifies a problem with the kidneys and other internal organs as well as the blood flow to the kidneys. 

The cause may include burns, heart failure, renal artery embolism, vomiting and loose motions as well as more serious ailments like Diabetes. This can lead to long term kidney damage and symptoms like thirst, fluid retention, headaches, fatigue, dizzy spells, accelerated pulse, restlessness in limbs, pain in the abdomen and more. Here are the best ways to reduce the blood urea levels in a natural manner.

Herbal Medicines:

Ayurveda is an ancient science that can be used for the benefit of many patients suffering from chronic and painful ailments like diabetes, kidney failure, cardiovascular ailments and more. One of the mainstays of Ayurveda includes the use of herbs to create medicines and concoctions that will help in giving relief with their 100% natural elements. Medicines like Mutrakrichantak Churna, Punarnava Mandur, Varunadi Vati and many others can be used to avoid dialysis and bring down the urea levels in the blood by aiding better functioning of the kidneys.

  1. Punarnava: The name of this herb has been derived from two words - Puna and Nava. While Puna means again, Nava means new and together they help in renewed functioning of the organ that they treat. This herb helps in flushing out the excess fluid in the kidneys by reducing the swelling without any side effects. This herb is basically a kind of hogweed.
  2. Varun: This is the common caper which can be used to break down the stones present in the renal region and even as a cure for urinary tract infection. This herb helps in removing any element that may be obstructing the urinary tract and finally removes the excess fluid build up and inflammation.
  3. Gokshur: This is a diuretic that can be used as a herbal tonic to give strength to the weak kidney cells for regeneration.

Other aspects of Ayurvedic treatment for this condition include proper protein intake and better hydration along with massages and Yogic postures.

3279 people found this helpful

Prolapse disc surgery endoscopic can be done under local anaesthesia for aged patient with cardiac renal pulmonary functions normal?

BPTh/BPT
Physiotherapist, Bangalore
Yes, but it's very rare case, elderly people you may not expect cardiac and pulmonary function to be normal, so spinal or General recommended.
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Breast Cancer Treatment

MBBS, DNB (Surgical Oncology), MS - General Surgery
Oncologist, Delhi
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I am dr Veda. The breast cancer surgeon surgical oncologist who specialises in breast cancer treatment.

Today we just want to give a message on breast cancer treatment is as of today in India. So breast cancer is one of the most common cancer amongst women. All over the world it is a number one can amongst Indian all over the world and even in India initially 10 years back it used to be survival cancer. But nowadays we have a lot of breast cancer is coming up and it has replaced cervical cancer to take the number one position in the above sentence even in the rural centres.

For an exception of few sentences for cervical cancer does more than the rest of the centre breast cancer has topped the charts as of 2018. The recent WHO on ICMR surveys that have come up the state that breast cancers the most common one and one of the square 25 to 30 women in India are at risk of developing breast cancer in the west such as US the numbers of Huge it's about 1 and 8 women are at risk of developing breast cancer. But that does not that should not make us more satisfactory or complacent because a population is huge so for a population as huge as Indian population number of breast cancer 8 March 5 so per year we see about 1.5 Lakh cases of new cases of breast cancer.

What is more worrisome is that is one population is large second is the population of people with breast cancer come at an advanced stage as compared to be used in the West president stage 1 and stage 2 where is in India breast cancer stage 3 and 4 in which it is less advanced. Second thing women in India the great of for tomorrow's find the Biology is not so good and much more aggressive treatment so that makes it different the scenario is different as of the west.

The second thing because of the highest age of presentation to cure rates of survival rates also slightly lower when compared to the west that means out of 1.5 Lakh woman who been duly diagnose breast cancer every year only 50% of the episode 75000 make it be cure in five years of diagnosis only one and two women diagnosed with breast cancer come to the come to Healthcare get proper treatment and get cured. So what we have to understand this we need to know the symptoms of breast cancer treatment of breast cancer to cast an early to make effect cost-effective treatment and to improve the survival rates the second message that I want to pass whatever treatment.

Whatever standard of care of breast cancer treatment is available all over the world is very much available in India is very much available in Delhi and it is very much available in the affordable cost and acceptable for everyone 10 years back treatment for breast cancer would be the removal of entire breast to mastectomy but now mastectomy is for very old people one simple surgery could take care of the rest of it 12 simple surgery to take care of the rest of its population surgery to take care of the rest of us even less population reconstruction plastic breast surgery cost of breast cancer treatment we come along way and with the recent advances in technology parsley second major advancements in interprocess of breast cancer management.

In the West a number of people are picked up even before they have the lump that is because of the screening mammography their lesion are picked up lump is leas than 1cm in India we also have a section of people who come very early they get picked up in a Mammogram even before patient is able to feel the lump in the asymptomatic face pedicure rates are very high the second major advance is genetic testing all of you and Angelina Jolie story and so we do have about 10% of people of hereditary breast cancer in home the bracket genes are involved and Bracket genetic testing is very much available in India at an affordable rate and if it is present then prophylactic surgeries may be option which certain people might opt for so the message for today's breast cancer is one of the very much curable cancers of all most of the cancers and of all the character of amongst women so the message for today is breast.

2668 people found this helpful

Breast Cancer - How To Prevent It?

MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Gurgaon
Breast Cancer - How To Prevent It?

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(स्तन कैंसर) 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.

3374 people found this helpful

Breast Cancer - 10 Tips To Help You Avoid It In Future!

MBBS, MS - General Surgery, FBD (Fellowship in Breast Diseases), UICC Fellowship
Oncologist, Pune
Breast Cancer - 10 Tips To Help You Avoid It In Future!

Breasts are a part of female identity- which is why for most women, breast cancer still continues to be a big fear. Many feel that having cancerous cells in these parts rob them of their identity and puts a question on everything they stand for. More than a disease, many women treat it as an emotional trauma that one has to go through, rather than something that has to be dealt at a physical level. But breast cancer is not a taboo subject anymore and with the huge awareness created, women are now more knowledgeable in identifying their risk levels. What’s more, breast cancer can be prevented to the maximum by making minor changes to our daily chores and life style.

Let us have a look at ways to keep breast cancer in check.

  1. Have regular checkups: Move over traditional mammography methods; new digital checks that are more accurate in identifying the symptoms have come into the picture. Make these checks mandatory as a part of the yearly check-ups and never postpone them.
  2. Exercises: Regular exercises can be very helpful in keeping the body fit. Estrogen is the biggest factor that can stimulate breast cancer. Having regular activities alters the estrogen metabolism thus minimizing the cancer levels. Even a relaxed exercise of 15 - 20 minutes can do a world of good, both for the body and mind in keeping the condition under check.
  3. Family history: About 5% to 10% of the breast cancers are hereditary. Hence always ensure that you know your family history and their tryst with cancer.
  4. Minimize screening tests that use radiation: Go for X-ray screening and chest x-rays only when absolutely necessary. Always consult with the physician about the precautions to be taken when going for a screening test.
  5. Reduce hormone intake: Hormone therapy is most commonly used to manage menopausal symptoms. However, there is a chance that they can indirectly aid in producing estrogen that can cause breast cancer. Always have a proper consultation with the gynecologist and as far as possible avoid hormone intake. Try to treat the symptoms through natural ways.
  6. Breast Feeding: This is one of nature's ways of preventing the contagion that causes breast cancer. Breast feeding naturally reduces the estrogen levels thus drastically reducing the chances.
  7. Diet and the right food: Tons of articles have been written about the good food to have and the proper diet to maintain. When it comes to breast cancer, increasing the carotenoid levels in the body can decrease the chances of breast cancer. Foods that are rich in carotenoid include fresh vegetables and fruits and greens. Also, increase the intake of fibers to have a natural defense mechanism against cancer.
  8. Early detection: There is no better treatment plan for breast cancer than detecting it early. The symptoms do not appear initially and they appear only in the advanced stages. Hence make sure that regular checkups are done to diagnose it.
  9. Alcohol abuse: Alcohol can be had in minimal quantities but do not abuse them. Excessive drinking can increase the chances of breast cancer.
  10. Smoking: Researchers have found a direct link between smoking and breast cancer. This increases phenomenally during menopause stages. Quit smoking altogether for a better life and in preventing many other ailments.

Breast cancer can be an emotional phase for women and following the above methods can keep breast cancer in check and prevent them in the long run.

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

3048 people found this helpful

Herniated Disc - Understanding The Effects And Diagnosis Of It!

DNB (Orthopedics), Diploma in Orthopedics, MBBS
Orthopedist, Delhi
Herniated Disc - Understanding The Effects And Diagnosis Of It!

Herniated disc also known as a slip disc or prolapsed disc and it refers to the problem where one of the discs located in between the bones of the vertebrae(backbone) gets damaged and stacks itself upon the nerves. The tender inner portion of the disc gets protruded over the outer ring. Herniated disc causes severe neck pain and back pain. It occurs when the outer ring gets weak and tears down. The most common symptoms include pain and numbness, especially on one side of the body. The pain extends down to the arms and legs. It worsens during nighttime. The muscles become weak. Overweight people are likely to have this disease, as the discs carry extra weight. Old people are vulnerable to a slip disc.

Effects of Herniated Disc:

  1. An untreated case of Herniated disc may cause permanent damage to the nerves.
  2. In certain cases, a Herniated disc is capable of cutting off nerve impulses to the "caudal equine"nerves, present in the lower back and legs. This leads to loss of bladder control or bowel control.
  3. Saddle anaesthesia is another long-term effect. Nerves are compressed by the slip disc, causing loss of sensation in the inner portions of your thighs, the back of your legs and surrounding the rectum region.
  4. Symptoms may improve or worsen.

Diagnosis of Herniated Disc:

MRI of the spine is the investigation of choice. If patient has developed weakness or loss of sensation of the limbs, he might need EMG and NCV tests also.

Treatment

Treatment or diagnosis of Herniated disc or slipped disc can be either conservative or surgical in nature. The nature of treatment is determined according to your discomfort level and the kind of pain you are experiencing, or how much the disc has slipped out.

  1. The pain caused by Herniated disc can be relieved by undertaking an exercise schedule, which includes stretching and strengthening the spine and its surrounding muscles.
  2. physiotherapist should be appointed for recommending the types of exercises.
  3. Taking pain relievers also soothes the pain.
  4. Stronger medicines prescribed by doctors include-muscle relaxants, narcotics to deal with the pain, medicines for nerve pain such as "gabapentin"  or "duloxetine".
  5. In case of the symptoms not subsiding within a span of six weeks, a surgery may be recommended by your doctor. The surgeon may have to remove the damaged part of the disc. This surgery is called a microdiscectomy.
2098 people found this helpful

Dear sir I have problem of slip disc or disc herniation in cervical. Kindly solve my problem?

MBBS, Diploma in Nutrition and Health Education (DNHE), Diploma in Clinical Cosmetology
General Physician, Noida
Hello kindly review with X ray cervical AP and Lateral report consult neurosurgeon/orthopedic surgeon
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Ihc ka test cancer mei kyu kia jata hai? Ye immunity ka test hota To agar har 2 neu positive hai To extra immune tab kha sakte hain?

Diploma In Gastroenterology, Diploma In Dermatology, BHMS
Homeopath, Hyderabad
Ihc ye dekhne k liye kiya jata hai k cancer cells me harmone receptors hai k nahi.. Agar her2 positive hai to immunity pills k jagah diet se immunity badaiye aur harmone therapy se cancer k again ane ki sambhavana kam ho jati hai..
1 person found this helpful
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Types and Diagnosis of Uterine Fibroids

Fellowship In Minimal Access Surgery, MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Hyderabad
Types and Diagnosis of Uterine Fibroids

Noncancerous growths of the muscle tissue surrounding the uterus are known as uterine fibroids. This is a common disease which about 70 to 80% of women contract by the time they are 50 years of age. The uterine fibroids can sometimes be very big and cause heavy periods as well as severe abdominal pain while at other times, uterine fibroids give no signs or symptoms whatsoever and go away on their own. This is why it is crucial to know what type of uterine fibroids you have and how to diagnose them. Here are the types of uterine fibroids and how to diagnose them;

Types
There are three main types of uterine fibroids. They are;

1. Intramural fibroids
The most common type of uterine fibroids are intramural fibroids. They typically appear in the endometrium and may grow larger which results in your womb getting stretched.

2. Subserosal fibroids
Subserosal fibroids are called so because they form on the serosa. The serosa is the outside of your uterus. Sometimes, Subserosal fibroids may grow so large that your uterus appears bigger on one side.

3. Pedunculated fibroids
Pedunculated fibroids tumors are basically Subserosal fibroids with a stem. A base which supports the tumor is called the stem.

Diagnosis
There are a number of tests done to diagnose uterine fibroids. They are;

1. Pelvic exam
A pelvic exam is a thorough inspection of a woman pelvic area. The organs which are in the pelvic area include the cervix, ovaries, uterus and vagina. Normally, this and the next test in this article are enough to diagnose uterine fibroids.

2. Medical history
The history of your periods as well as the other symptoms you have will often be enough to diagnose the uterine fibroids. If your medical history is not enough, then you might need to undergo a pelvic exam.

3. Pelvic ultrasound
An ultrasound is when high-intensity sound waves are used to produce images of the pelvic area. This is only done when a pelvic exam and your medical history are not enough to diagnose uterine fibroids. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

2877 people found this helpful

Breast Cancer Survivor Stories - Get Inspired!

MBBS, MD-Radio Therapy
Oncologist, Ghaziabad
Breast Cancer Survivor Stories - Get Inspired!

Though breast cancer has become very common, the good news is that more women than ever are living a healthy life to tell their survival stories. They have not just survived, but are thriving. Let us take you through a couple of survivor stories which not just gives strength and hope, but also the immense courage to stand up and fight it. The names are, however, changed to prevent identity.

Help yourself and others too: For most women, getting diagnosed with blood cancer can mean the end of life. While for the medical person, it is just another individual, for the individual, there is an entire world to think of, her world. What will happen to her family, her job, her life in total. Each person is different, and so the approach has to be different. It should not be a routine combo of surgery, chemo, and radiation. While some hospitals do it, giving a personalized touch helps. That is what happened Susan, who had a complete set of people including dietitian and psychiatrist to help her. The change that she saw with this approach led her to give a helping hand to others. She presently helps people fight and overcome breast cancer and has an extremely fulfilling life.

Shrink the tumor, not your life: For a person with two kids, Tina was aghast when she was diagnosed with breast cancer. She was just 31, and her second daughter was just turning 1, she was extremely distraught. But, her family stood with her through those testing times when she would not have time to run with her daughter or walk along with her mother. With immense support from her family, she is now free of cancer and is a Zumba instructor and now spends quality time with her daughter.

An experiment that worked: At 46 years of age, Maya was diagnosed with stage 3 breast cancer. She found a lump in her breast, which turned out to be breast cancer. The doctor said she would need it removed, and she also opted for surgery. What worked for her, though, is the fact that she was advised to try tamoxifen, which was not so strongly recommended during the initial times. She went ahead and tried, and even after 30 years down the line, is still free of cancer.

Two lives saved: At 23, Sonia was diagnosed not just with stage 4 breast cancer, but also with pregnancy. Re-testing yielded negative results. So she went ahead with chemo and radiation, but the abdominal fullness continued, and when tested again, the tests confirmed her pregnancy. She carried it through, and delivered 4 weeks prematurely but is very healthy and cancer-free now. In case you have a concern or query you can always consult an expert & get answers to your questions!

3802 people found this helpful
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