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BLK Super Speciality Hospital

Multi-speciality Hospital (Dermatologist, Pediatrician & more)

#5, Pusa Road. Landmark : Near Rajendra Palace Metro Station. Delhi
81 Doctors · ₹0 - 1200
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BLK Super Speciality Hospital Multi-speciality Hospital (Dermatologist, Pediatrician & more) #5, Pusa Road. Landmark : Near Rajendra Palace Metro Station. Delhi
81 Doctors · ₹0 - 1200
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Call Clinic
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About

We are dedicated to providing you with the personalized, quality health care that you deserve....more
We are dedicated to providing you with the personalized, quality health care that you deserve.
More about BLK Super Speciality Hospital
BLK Super Speciality Hospital is known for housing experienced Cosmetic/Plastic Surgeons. Dr. Maj. Gen. Avtar Singh Bath, a well-reputed Cosmetic/Plastic Surgeon, practices in Delhi. Visit this medical health centre for Cosmetic/Plastic Surgeons recommended by 42 patients.

Timings

MON-SUN
12:00 AM - 11:59 PM

Location

#5, Pusa Road. Landmark : Near Rajendra Palace Metro Station.
Delhi, Delhi - 110005
Get Directions

Doctors

Dr. Maj. Gen. Avtar Singh Bath

MBBS, MS - General Surgery, MCh - Plastic Surgery
Cosmetic/Plastic Surgeon
Available today
45 Years experience

Dr. Anil Murarka

MBBS, Master of Surgery (Surgery), MCh - Plastic Surgery
Cosmetic/Plastic Surgeon
Available today
32 Years experience

Dr. Sushant Srivastava

MBBS, MCh - Cardio Thoracic and Vascular Surgery, MS - General Surgery
General Surgeon
Available today
26 Years experience
500 at clinic

Dr. Rajat Saha

MBBS, MD - Medicine, DNB (Medical Oncology)
Oncologist
Available today
16 Years experience
800 at clinic

Dr. Sushil Garg

MBBS, MD - General Medicine, DM - Neurology
Neurologist
Available today
15 Years experience
1000 at clinic

Dr. Ishwar Bohra

MBBS, MS - Orthopaedics
Orthopedist
Available today
17 Years experience
1000 at clinic

Dr. Shikha Halder

MBBS, MD - Radio Diagnosis/Radiology
Oncologist
Available today
29 Years experience
1000 at clinic

Dr. Kanchan Motwani

MBBS, MS - General Surgery
General Surgeon
Available today
11 Years experience
800 at clinic

Dr. Aanchal Agarwal

MBBS, DGO
Gynaecologist
Available today
16 Years experience
1000 at clinic

Dr. Abha Garg

MBBS, DGO, MS - Obstetrics and Gynaecology
Gynaecologist
Available today
44 Years experience
800 at clinic

Dr. Awa Garg

MBBS, DGO, MS - Obstetrics and Gynaecology
Gynaecologist
Available today
44 Years experience
800 at clinic
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Laparoscopic Adrenal Gland Removal Surgery - What Is It?

IAGES, MS, MBBS
General Surgeon, Noida
Laparoscopic Adrenal Gland Removal Surgery - What Is It?

Adrenal Glands are endocrine glands located right above the kidneys. They produce important hormones such as adrenaline, aldosterone and cortisol which are involved in a number of biological functions. The dysfunction of the adrenal glands can cause serious endocrine diseases.

Need for Surgery?
The adrenal glands may not function properly due to a number of reasons, including any kind of infection in the glands, kidney disorders, genetic ailments, lesions, tumours on or around the adrenal glands. Due to the irregularity in the release of hormones and enzymes that are essential to the normal functioning of a human body, a number of serious illnesses arise. There is an excess or absolute insufficiency in the release of hormones. This can even turn into a medical emergency. It can lead to uncontrollable obesity, very high or low blood pressure, dermatological problems, menstrual irregularities, blood sugar level irregularities, severe headaches, cramps, fluctuations in potassium levels and so on. That is when surgery is required.

How surgery is performed?
Laparoscopy is the type of surgery which requires minimum invasion. This is fairly a new and successful method of surgery. The patient recovers speedily and is able to go back home within a short span of time after the surgery. Removal of adrenal glands can be performed by making a maximum of three or four-and-a-half inches incision. This results in quicker cosmetic recovery compared to other patients of open surgery.
The surgery is performed under general anaesthesia. A narrow tube-like instrument, known as the cannula is placed into the upper abdominal cavity, below the ribs. Through the cannula, a tiny telescope, known as the laparoscope is inserted. It is connected to a special camera that provides a magnified view of the patient’s internal organs on a large monitor. Using such technology, the adrenal glands are dissected free from other organs and removed.

Post Operative Care
In case of a simple laparoscopic surgery, there are hardly any post operative complications. In case of mild pain or discomfort, the doctors may however prescribe some medications. It is important to go for a medical check up after a couple of weeks of the surgery, to make sure you are completely fine.

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Alcohol Problem - How to Identify If Someone Close to You Is Suffering?

MBBS, MD - Psychiatry
Psychiatrist, Delhi
Alcohol Problem - How to Identify If Someone Close to You Is Suffering?

Do you worry about your friend or relative’s drinking habits? You are not alone. There are people who struggle for years with the same question - How can I tell if the person I love is an alcoholic or not?
Well, the good news is that you don’t need to be a medical professional to figure out the right answer to this vital question. Read on to find simple ways to know whether your loved one suffers from alcohol addiction.

First up is a short quiz about drinking habits, developed by Dr. John Ewing to identify alcohol addiction. Treat this as a pointer and take your loved one to an expert, if it points towards alcohol addiction. You can ask these questions directly to your loved one, or you can answer these questions on their behalf.

According to the developers, one "yes" to the four quiz questions signals a problem, and more than one “yes” means that it's time for you or your loved one to get professional help.

  1. Have you ever felt you should cut down on your drinking?
  2. Have people annoyed you by criticizing your drinking?
  3. Have you ever felt bad or guilty about your drinking?
  4. Have you ever had a drink first thing in the morning to steady your nerves or to get rid of a hangover?”

There are many signs of a serious drinking problem. These include certain behaviours such as:

  1. Drinking just for getting drunk
  2. Drinking alone
  3. Keeping alcohol consumption a secret
  4. Drinking to escape problems
  5. Hiding alcohol bottles
  6. Experiencing withdrawal symptoms like getting irritated or experiencing nervousness, nausea, getting shakes, breaking out into a cold sweat, and getting hallucinations when unable to source alcohol
  7. Having problems at work, school, or home, as a result of alcohol consumption
  8. Losing interest in activities you or your friend used to enjoy
  9. Having blackouts due to heavy drinking
  10. Anger and extreme irritation

Other extreme behaviors to watch out for are:

  1. Being able to drink an awful lot of alcohol
  2. Trouble stopping once your loved one starts drinking
  3. A powerful urge to drink

There is another scientific way to determine, if your loved one is an alcoholic. In the US, medical professionals commonly use a criteria, listed in the fourth edition of the ‘Diagnostic and Statistical Manual of Mental Disorders’. According to it, the signs and symptoms of alcoholism are clearly laid down and it states that alcohol dependent people:

  1. Will drink more to get their desired effect from alcohol
  2. Experience withdrawal symptoms when the effect of alcohol wears off
  3. Drink larger amounts of alcohol over a longer period of time
  4. Will be unable to consistently control their drinking
  5. Will leave important work for drinking
  6. Will spend a lot of time during the day getting alcohol, drinking it, and recovering from hangovers.
  7. Continue to use alcohol, despite knowing that their chronic physical or psychological problem is caused due to alcohol.
  8. To be declared alcohol-dependent, your loved one must experience at least three of these criteria during a year.

However, there is still no one definite test to diagnose alcohol-use disorders. Therefore, professionals diagnose them by making use of the patient’s comprehensive medical, family, and mental-health information.

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Ayurveda and Whooping Cough

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Ernakulam
Ayurveda and Whooping Cough

Whooping cough lasts up to 10 weeks, makes you vomit, and can even be fatal. True or False? Take this quiz to find out.

1. Whooping cough or pertussis could become serious and can even be fatal.

  1. True

  2. False

Answer - A: True

While whooping cough may be painful and last for a long time in adults, it rarely becomes fatal. However, in infants and children less than a year old, it can be fatal. If you think your child is suffering from whooping cough, you will need to take action to reduce its effects. Aloe Vera is one of the most effective ayurvedic remedies in this case. Mix equal parts of Aloe Vera juice and honey to make a mixture. Take a teaspoonful of this mixture and have it twice daily to reduce the symptoms and also fight the infection.

2. Which amongst the following oils is a great remedy for whooping cough in Ayurveda?

  1. Mustard oil

  2. Sesame oil

  3. Coconut oil

  4. Almond oil

Answer – D: Almond oil

Almonds, apart from being a great source of varied nutrition, are also a potent weapon in fighting cholesterol. Almonds also have many other properties that can help with fighting infections. These can be useful in treating the symptoms of whooping cough. Mix 10 drops of onion juice and 10 drops of garlic juice with 5 drops of almond oil. Take this mixture three times daily for a few days and you should see results quickly.

3. Whooping cough is a viral infection.

  1. True

  2. False

Answer - B: False

Whooping cough is actually a bacterial infection caused by the bacterium Bordetella pertussis. It usually spreads through droplets in the air from an infected person to an uninfected person. It can also spread by touching surfaces where the infected droplets fall. Cough can be quite extreme and painful not only in children but among adults as well. Drink honey mixed with boiling water as a beverage akin to tea. This is a great ayurvedic remedy to soothe the symptoms, especially if you have a very sore throat. It also helps to cure whooping cough quicker.

4. One of the common symptoms of whooping cough among the following is:

  1. Fainting

  2. Vomiting

  3. A & B

  4. None of the above

Answer – C: A & B

Whooping cough is especially dangerous because when you start coughing, it puts so much stress on your body that you may end up vomiting or even fainting. Garlic is a great ayurvedic remedy that can help reduce the symptoms of whooping cough. It contains ‘allicin’ which has superb antibacterial properties. Make a paste by crushing a few cloves of garlic. Filter this through a sieve and get the juice extracted. Drink a teaspoonful of this juice thrice every day and you should see remarkable results quickly.

5. If no action is taken, whooping cough may last up to 10 weeks.

  1. True

  2. False

Answer - A: True

Whooping cough is also sometimes referred to as the 100-day cough as it can last for up to 10 weeks. This can be a really painful time for the patient. Known as ‘Dushta Kasa’ in Ayurveda, there are many effective remedies that can counter it and cure it much quicker. Remedies include castor oil mixed with milk, ginger and honey mixes among others. The best thing is to consult an Ayurveda Practitioner for proper and exact remedies tailor made for your condition.

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Dieting Hard? 5 Negative Aspects You Must Consider!

MBBS, D.P.H & H, DFW & CH
Dietitian/Nutritionist, Delhi
Dieting Hard? 5 Negative Aspects You Must Consider!

Eating right and exercising are key to healthy weight loss. In no case should you ever consider crash dieting or any form of extreme diets. There are many different types of diets popular today. The most common side effect of dieting is that in most cases weight loss stops the moment a diet is stopped and the individual begins to put on weight instead. Here are a few other after effects of dieting.

  1. Tiredness: Most diets are centred around limiting your food intake. As a result of this, the body has less food available to convert into energy. This also causes a drop in blood sugar levels. As a result of this, you may find yourself tiring easily and with less energy to go about your normal day.
  2. Mood changes: Fluctuating blood sugar level can also make you feel irritable and depressed. Limiting your food intake can make you crave food which further adds to your irritability. By cheating on your diet with a sugar laden snack you may cause further fluctuation of insulin levels. This can be seen in the form of temporary elation.
  3. Slow metabolism: The body needs a certain calorific amount to function. When this is not available, it will turn to stored fat reserves and slow down the rate of metabolism. This can lead to a loss of muscles instead of fats and even stall your weight loss. This is commonly seen in cases of extreme weight loss.
  4. Loose skin: Dieting only addresses the fat underneath your skin. As you put on weight, your skin stretches to accommodate the gained pounds. Hence, losing a lot of fat can leave you with loose skin and sagging folds. This usually occurs on the upper arms and abdomen. The amount of loose skin left depends on the speed of weight loss, the amount of weight lost and your age. In this case, exercise does little to help and the only way to tackle the loose skin is through plastic surgery.
  5. Gallstones: When you cut down on the fat quotient of your diet, your gall bladder does not contract as often. In many cases, this can lead to the concentration of bile which further leads to the development of gall stones. These gall stones can be quite uncomfortable and can cause a stomach ache as well. To avoid this, do not cut out fats completely, but include a few healthy fats in your diet.
2 people found this helpful

Hello, I have unwanted hairs on my face at the region under eyes and on cheek. So how can I remove it permanently and what does it cost.

MBBS, MD - Dermatology, venereology & Leprology
Dermatologist, Kota
Hello, I have unwanted hairs on my face at the region under eyes and on cheek. So how can I remove it permanently and...
Dear lybrate-user. Laser Hair Reduction is the best way to get rid of unwanted hairs. No creams will help. Please visit a Cosmetologist with an advanced technology and an expertise in it. Cost depends on the quality. Chinese Lasers offer low cost. But they are usually associated with side effects.
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I suffered from dengue fever last year but till now I fill wick. Please suggest me what to do.

BHMS
Homeopath, Howrah
I suffered from dengue fever last year but till now I fill wick. Please suggest me what to do.
1. Take proper diet regularly 2. Take Ginseng Q and China Q ___ 20 drops from each medicine twice daily before meal for 20 days 3. Take Cal. Phos. 6X ___ 6 tablets twice daily for 1 month.
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Losing hair and getting bald head however my hair is falling much faster than before how to solve this problem.

MBBS, MD - Dermatology, venereology & Leprology
Dermatologist, Kota
Losing hair and getting bald head however my hair is falling much faster than before how to solve this problem.
Dear H. Hair fall has multiple reasons to its credit. Hereditary (Genetic/Familial), Improper diet, Inadequate sleep, Stress, Hard water usage for head bath, Hot water for head bath, Using hair dryer on a regular basis, Associated scalp disorders, Hair colour, Associated medications for any other disorder… Avoid them. Visit a Cosmetologist/Dermatologist for a thorough examination and an adequate prescription. You may be suggested a PRP/Meso/Hair Transplantation (if required).
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I have unwanted hair on my face and body. I am troubled of this. Suggest me any easy and permanent solution for this.

MBBS, MD - Dermatology, venereology & Leprology
Dermatologist, Kota
I have unwanted hair on my face and body. I am troubled of this. Suggest me any easy and permanent solution for this.
Dear lybrate-user. Laser Hair Reduction is the best way to get rid of unwanted hairs. No creams will help. Please visit a Cosmetologist with an advanced technology and an expertise in it.
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Once breast cancer operation done is there any chance to repeat cancer? Which test to be done in future?

Graduate of Ayurvedic Medicine and Surgery (GAMS)
Ayurveda, Delhi
Almost any cancer treatment can have side effects. Some might only last for a few days or weeks, but others might last a long time. Some side effects might not even show up until years after you have finished treatment. Visits with your doctor are a good time for you to ask questions and talk about any changes or problems you notice or concerns you have. Surgeons do their best to make sure that all the primary cancer is removed. But it is always possible that a tiny group of cancer cells has been left behind. Your surgeon may recommend additional treatment if they feel that there is a risk that the cancer could come back. The extra treatment might be chemotherapy, radiotherapy, hormone therapy or biological therapy. These treatments aim to try to control or kill any cells that are left.
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I am diabetic since 16 years taking tresiba 40 units along with Novorapid thrice a day of dosages 18 units, 10 units and 10 units respectively. But my blood sugar level is fluctuating. One time blood glucose level come down very low and other time it shoots up to 328 mg/ dl. Kindly suggest. I have thyroid also and is normal. No blood pressure and any other. Kindly suggest I am very worried about my sugar level.

BHMS, VLIR Belgium, Canadian Academy Of Homeopathy
Homeopath, Navi Mumbai
I am diabetic since 16 years taking tresiba 40 units along with Novorapid thrice a day of dosages 18 units, 10 units ...
Hello Lybrate user, Constant high or fluctuating blood sugar will not only have a negative impact upon eyes but other health parameters too. In such cases the immunity goes down due to the higher blood sugars and one is very prone for infections. Homeopathy is a very good friend of diabetics, because it may not only reduce the sugar count in many cases, but it can cure diabetes also, provided the patient follows dietary precautions and physical movements. If it can not cure, it can drastically help in improving the quality of life in terms of preventing or delaying the diabetic effects on kidneys, eyes etc. I observe great effects using homeopathy in diabetics. It can treat wonderfully the very common symptoms of diabetics like pain in the legs, sleeplessness, lethargy, depression, fatigue, indifference etc. You must move, go for a walk, at least half an hour and have dietary precautions. She must have physical movements, that helps to keep sugar under control and minimize all carbohydrates from the diet for ex rice. She can use the following tips: One teaspoon of methi seeds soaked overnight in 100 ml of water is good for diabetes, Drink tomato juice with salt and pepper every morning on an empty stomach. For details you can contact me for further guidance.
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I masturbate few times a week. My question is as more semen quantity erected during masturbation causes more nutrients loss? Because I masturbate once a week, in that day I do thrice, sometimes three times a week. Which is best?

General Physician, Delhi
I masturbate few times a week. My question is as more semen quantity erected during masturbation causes more nutrient...
Once or twice a week I healthy but getting addicted to it may lead you towards social isolation, apathy, agitation etc.
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I delivered a baby boy naturally before 80 days. I cannot control urination. Sometimes I pee as soon as I enter into the toilet. I feel as if my vaginal muscles is very loose. Is there any remedy? What's the problem?

Graduate of Ayurvedic Medicine and Surgery (GAMS)
Ayurveda, Delhi
I delivered a baby boy naturally before 80 days. I cannot control urination. Sometimes I pee as soon as I enter into ...
During pregnancy, the muscles or tissues can become overstretched and weak A doctor may insert a finger into the vagina and anus. This can assess the strength and tone of the pelvic floor muscles. Yoga and Nutritional supplements may b helpful. Avoid spicy foods, cold drinks. Sip luke warm water.
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Degenerative Disc Disorder

MD - Ayurveda
Ayurveda, Jaipur
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Ayurveda Treatment for Degenerative Disc Disorder

1 person found this helpful

I have get blaker skin for this monsoon and its get oily .so what I do for my skin .to look fairer and freshly type.

BHMS, PGDEMS, FCR
Homeopath, Pune
I have get blaker skin for this monsoon and its get oily .so what I do for my skin .to look fairer and freshly type.
Berberis Aquifolium3Oc, thrice a day for four days before meal. BERB AQUIFOLIUMQ, apply on face twice a day, 2 hrs before bath and brfore going to bed .It is a natural homeopathic remedy for clearing darkness. This medicine bring a glow to the skin and lighten the complexion. Take plenty of fresh fruits and green vegetables daily, avoid spicy and fried food. Light exercise is beneficial. Manage your stress, get regular exercise, avoid harsh skin products, get enough rest, avoid harsh winds and drink plenty of water. If want to know more, contact us on Lybrate.
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I am having nightfall daily. When I get frustrated by having continues nightfall I masturbate. 2 days I got relaxed. But after that again nightfall starts. I am getting weaker day by day n also low confident. Going backward in study. Whenever I ask someone and on YouTube also only says one thing, this is natural, let it happen" what I am very nervous. please help me.

DHMS (Hons.)
Homeopath, Patna
I am having nightfall daily. When I get frustrated by having continues nightfall I masturbate. 2 days I got relaxed. ...
Hello, Lybrate user, Go for a walk to restore blood circulation to nourish your body & brain.•Tk  plenty of water to eliminate toxins hydrating your body regulating metabolism to nourture your body, preventing constipation to check  nos of  nocturnal emmission. •Go for meditation to reduce pressure to calm your nerves to ensure dream- free sleep to avoid nocturnal emmission. •your diet be easily digestible on time to avoid gastric disorder which might add your problem. •avoid junk food,  alcohol,  nicotine to minimise nocturnal emmission. •ensure, sound sleep for 6/7 hrs. •Discard late sitting on computer,  watching porn ,late in  the night. •tk,  homoeo medicines:@ Acid phos 1000-6 pills,  wkly. •report, wkly, •your feedback matters for further follow-up,  please. Tk care.
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Gastric 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
Gastric Cancer - In a nutshell!

Gastric (stomach) cancer occurs when malignant cells form in the lining of the stomach. By far, it is known to be the second most common cause of cancer-related deaths not only in Asia but also worldwide. Though it can affect both male and female populace, it is seen more commonly in men and in people aged 50 years or older.

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

    1. Adenocarcinoma: Begins in the glandular cells lining the inside of the stomach. This forms a majority of the stomach cancers.
    2. Lymphoma: Begins in immune system cells present in the walls of the stomach. Occurrence of lymphoma, in the stomach, is rare.
    3. Carcinoid Tumor: Begins in hormone producing cells of the stomach.  Occurrence of carcinoid cancer, in the stomach, is rare.
    4. Gastrointestinal Stromal Tumor (GIST): begins in nervous system cells of the stomach. Occurrence of GIST, in the stomach, is rare.
  2. Gender: It affects both male and female populace.

  3. Etiology: The factors that are associated with increased risk of gastric cancer include the following mostly –

    • ‘Helicobacter Pylori’ bacterial infection in the stomach is a common cause of gastric cancer of both the intestinal (expanding) & diffuse (infiltrative) type. Furthermore, studies indicate that high salt intake is synergistic with H. Pylori infection in the manner that it is likely to increase the risk of gastric cancer that is induced by H. Pylori bacteria.
    • Smoking, consuming alcohol, red meat, salty/ smoked/ processed foods, low intake of fruits and vegetables, diets rich in nitroso compounds, eating foods contaminated with aflatoxin fungus etc all.
    • Atrophic gastritis characterized by chronic stomach inflammation is known to increase the risk multi-fold. Chronic gastric inflammation can lead to atrophy of the gastric mucosa, metaplasia, dysplasia and finally carcinoma.
    • History of pernicious anaemia, gastric ulcers, adenomatous gastric polyp etc all.
    • Family history of gastric cancer. Several familial syndromes that have been associated with a pre-disposition to gastric cancer include familial adenomatous polyposis, Lynch syndrome, Peutz-Jeghers syndrome and e-cadherin mutation (diffuse type)
    • Blood group A, Obesity etc all are known to be associated with diffuse or cardia gastric cancer.
    • Low socioeconomic status - persistent lifestyle issues/ irregularities including high stress coupled with an improper diet/ dietary pattern.
    • Epidemiological evidence is indicative of a risk or pre-disposition to gastric/ stomach cancer for people suffering from diabetes mellitus (DM).
    • Very high dose ionizing radiation exposure is an uncommon risk for gastric cancer.
  4. Features: There are often no early stage symptoms. Early stage symptoms, if any, are non-specific and are likely to be ignored, thus delaying the diagnosis most often. Hence, gastric/ stomach cancer is often detected at an advanced stage where the disease is either locally advanced or metastatic. The various presentations (of signs & symptoms), by stage (early or advanced), of gastric cancer are as enumerated below:

    1. Early Stage – can present with one or more of the following non-specific symptoms/ signs -

      • Dyspepsia (Indigestion),
      • Stomach/ Epigastric discomfort,
      • Bloated feeling after eating,
      • Mild Nausea/ Vomiting,
      • Blood in Vomit (Haematemesis),
      • Heartburn,
      • Weight loss (Cachexia)
      • Anaemia,
      • Occult blood in stool/ Melaena,
    2. Advanced Stage – presents with one or more of the following symptoms/ signs -
      • GI Bleeding with black tarry stools (Melaena),
      • Persistent Nausea/ Vomiting,
      • Blood in Vomit (Haematemesis),
      • Early Satiety,
      • Anaemia,
      • Loss of Appetite (Anorexia),
      • Weight loss (Cachexia),
      • Persistent pain in the abdomen,
      • Fluid build-up in the peritoneal cavity (Ascites),
      • Edema of the lower extremities,
      • Liver Enlargement (Hepatomegaly)/ Jaundice,
      • Difficulty swallowing food (Dysphagia)
  5. Screening: Is generally recommended for asymptomatic populations in high incidence areas or as surveillance for high risk individuals. The goal of screening, as usual, is to be able to detect & diagnose gastric cancer at an early stage which is potentially curable. It is mostly endoscopic/ radiologic.
  6. Diagnosis: Following are the diagnostics employed in gastic cancer -​

    • Physical Examination: May be remarkable for palpable abdominal mass, weight loss (cachexia), abdominal distension, ascites, hepatomegaly, lower extremities edema and lymphadenopathy for gastric cancers in the advanced stage. For early gastric cancers, however, physical examination is largely uninformative.
    • Blood: Hb- may be low, ESR – raised, tumor markers CEA & CA-19-9 could be raised sometimes in adenocarcinoma but are not frequently elevated. Abnormal blood test results may be indicative of malignancy, but a follow-up gastroscopy/ biopsy is always the gold standard for accurate diagnosis.
    • Stool: Occult blood may be +ve
    • Barium Meal X-Ray: Could show a filling defect at the site of the carcinoma/ cancer growth.
    • Gastroscopy/ Biopsy: Clinches the diagnosis.
    • Endoscopic Ultrasound: Maximizes tumor staging as it helps determine the depth of invasion of the tumor.
    • CT Scan: Of chest, abdomen & pelvis helps detect metastatic disease, if any, and also helps stage the disease (TNM) appropriately.
    • Bone Scan: Helps detect osseous metastasis (bone mets), if any.
  7. Treatment: Conventional treatment includes surgery, chemotherapy and radiotherapy as contextually appropriate. Surgery (i.e. gastrectomy either sub-total or total), with an adjuvant chemotherapy and/ or radiotherapy as contextually relevant, is the only treatment that is known to cure the disease in light of the prognostic indicators as briefly enumerated in the section below. Chemptherapy and/ or radiation alone cannot be curative. Mostly, it can improve symptoms, and may prolong survival. Simultaneously, an adjunctive or integrative naturopathic treatment with suitable complementary & alternative medicines (CAM) too can help improve clinical outcomes and facilitate recovery as feasible contextually.
  8. Prognosis: For gastric cancer is variable. Preventive measures, earlier diagnosis and right early treatment is key for an effective therapeutic management & better prognosis. Like most other cancers, the chances of cure for an early stage gastric cancer are more. The cure/ recovery chances are influenced by the grade, stage of cancer, recurrence and the patient’s general health & vitality etc all. Distal tumors are known to be cured more often than the proximal ones. Again, intestinal-type gastric cancers are known to have a better treatment outlook in comparison to the diffuse-type gastric cancers.

  9. Prevention: Rightly said, prevention is always a better choice. Although genetic risks are difficult to modify, still an adherence to a relative Mediterranean diet, maintaining an ideal body weight and an active lifestyle with due emphasis on regular exercising, de-stressing and relaxation is highly recommended for reducing the risks of many cancers including gastric 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. The consumption of alcohol, if any, has to be strictly in moderation, and is best avoided in a high risk scenario. Smoking is to be avoided too. 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. Not only it is important to eat healthy, but also it is equally important to eat properly. Insufficient chewing, eating until full, eating meals within a short time etc all are best avoided so as to ease off digestive burden on the stomach/ other organs in the GI tract. Last but not the least, consumption of clean and filtered water, natural probiotics like freshly prepared yogurt/ butter milk, maintenance of cleanliness & hygiene including oral hygiene etc. all can help guard against H. Pylori infections. Breastfeeding is known to be protective against H. Pylori infections too.

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My child is 4 year old. And his behavior is not normal. He can not constraints in any task. Always angry. Always arguing with us. Speak too much but that related to nothing. What should I do?

BHMS, VLIR Belgium, Canadian Academy Of Homeopathy
Homeopath, Navi Mumbai
This is a a very common child problem. You should not think that he is doing it purposely. This anger and agitation is a problem which needs medical attention. It can be definitely treated with homeopathy. Make sure that the parents do not have conflicts and and anger scenes in front of the kid. Many times they copy the same. Homeopathic medicines can calm down such kids very naturally without any side effects. You can contact for further help. One home remedy you can try is massaging him with sesame oil in the evening and putting it on the head before bed, it can calm down his nerves and he may feel a bit calmer.
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My father is suffering from para nasal sinus .Once he already got operated 20 years back. What to do. Can it can be treated with homeopathy or auryeda.

DHMS (Hons.)
Homeopath, Patna
Hello, Lybrate user, •you should drink lukewarm water. •Gargle, twice with hot saline water. •Tk, steam, twice. •Avoid, cold intake, exposure to cold climate, dust, smoke, junk food ,nicotine.•tk, homoeopathic medicine: @ Sang. Nit 200.-6 pills, thrice. @ Heper sulphur 30-6 pills, thrice. Go for meditation to charge your body and lungs with plenty of Oxygen  in order to clear nasal passage. •Report wkly, your feedback matters for further follow up,  please. Tk,  care.
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I am a diabetic patient since 15 years. FBS is 98, PPBS140.My serum creatinine 1.20 ca, ph,sodium are under control in normal range. But I am in diet control (S.Creatinine reduced from 2. 0).My age 52, Height 5'3" weight 40 Kgs (Before kidney problem it was 58. What calorie food I should take to increase weight not affecting Blood Sugar and Kidney?

CCEBDM, PG Diploma In Clinical cardiology, MBBS
General Physician, Ghaziabad
I am a diabetic patient since 15 years. FBS is 98, PPBS140.My serum creatinine 1.20 ca, ph,sodium are under control i...
1.Eat five to six meals a day, instead of the three or two usual meals. 2. Eat as much as you can when you do. 3. Eat-Grains, whole grain. No processed versions of these. 4. Eat plenty of fruits, vegetables, dairy, nuts, seeds, 5. No drinking any liquids half an hour before a meal, 6. Eat- Nuts, Cheese, Dried fruits, Whole grains, Beans,Milk, Yogurt 7. Use olive or canola oil for cooking, Try natural peanut, cashew, or almond butters. Monitor your glucose levels as you make changes in your diet to keep them at a safe level. 8. Increase calorie intake 500 cal/ day for a week may increase to 100 0 cal /day next week 9. Do regular exercise may be some weight lifting to build muscles report after one month.
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