Causes and symptoms of Head and Neck Cancer
My name is Dr. Manish Julaha and I practice Head & Neck Oncosurgery. Today I'll tell you some facts about Head and Neck cancer how to predict them early. So in India approxiately 1.2 million cancer patients are detected every year, and out of this one thirds of the number occur in head and neck, mainly oral cavity and throat. And this is a very big number if you compare with rest of the countries because head and neck cancer they account for less than 10% in western countries and less than 4% in U.S. So what is the cause of such high number of head and neck cancers in India. It is mainly the use of tobacco and another sad fact about head and neck cancer in India is that majority of the patients, you can say more than 65% are present in stage 3 or stage 4. And we say cancer is curable if it is detected early and when patients presents to us in such late stages it effects all the paramaeters like overall survival, treatment outcome, side effects, functional outcome, quality of life everything is affected. And when patients come in early stage, the treatment is less invasive with less side effects and the functional outcome is very good and the chances of recurrence is very less.
So what can we do to detect head and neck cancer at the earliest. We can do this if we've the knowledge of the signs and symptoms which hint towards the head and neck cancer and by doing self examination. So what are the early signs and symptoms. They're mainly any ulcer in the oral cavity which dosen't heal in three weaks or any lump in the lung or oral cavity, any red or white patches in the oral cavity, or there maybe unexplained earache or nasal blockage, mainly on one side, specially with blood stained mucous discharge, ill fitting of denture because of any swelling in the gums. So, these are the early signs and symptoms. If we find any such thing we should take expert opinion. And by doing self examination we can detect head and neck cancer at the earliest. I would say all those people who're at a high risk of getting head and neck cancer they should do the self examination at least once a month. So who're the people who're at high risk of getting head and neck cancer. Most importantly those who use tobacco in any form, then elderly people above the age of 45 and people who have exposure to ionizing radiation in past, and people who have had head and neck cancer in the past they're at high risk of getting a second cancer so they should also be very careful.
Now, how to do this self examination. It is very simple, to do this you've to stand in front of the mirror and you've to feel both the lips, upper lips and lower lips, using your thumb and index finger feel both the lips and by pulling them outward you've to see the inner lining of the upper lip and lower lip and also you have to look at the upper gums and lower gums. And using your thumb and index finger pull your cheek and look at the inner lining of your cheek on both sides and look for any ulcer or lump or any red or white patches. Now just open your mouth and say "aaa" and while saying "aaa" just look at the throat and also at the roof of the mouth. Then by touching your tongue on the back of upper teeth have a look at the under surface of the tongue and the floor of mouth. Then pull your tongue outward and look at it's upper surface, by moving the sideways look at the sides also. Again look for any ulcer or lumps or any red or white patches and you have to examine your neck also. Just by standing straight palpate below the jaw bone and above the collar bones, and by moving the head backwards look for any asymmetry of the neck, if there is any fullness on one side as compared to the other side, there maybe some lump. If you find any such thing just take expert opinion.
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Hi, I’m Dr. Shashidhar. I’m a pediatric ENT consultant and I work with a hospital called Artemis in Gurgaon. I’m going to talk about the common problems in children which is cold and why it comes again and again? What is the solution for it?
It’s a very common problem nowadays with children going to day schools and play schools. At an early age and a lot of times, we’ve been told that this is because of the pollution or the allergies or infection from the surroundings but quite often we miss a very common cause of the cold which is what we call as Adenoids.
What are Adenoids?
Adenoids are small lymphoid tissue, the tissue that makes white blood cells in the body behind the back of the nodes. They are normal in children but sometimes they grow up in size. Like what you see here, like if this is the size of the adenoids, which should be there, is marked in violet, sometimes they grow, the bigger circle here the yellow in the back of the nose and block the nose. When this happens the common symptoms in children are snoring, breathing from mouth, restless sleep where the child is constantly turning this side and that side trying to get a good position in which he can breathe, some drooling and some coughing in the night.
More often than not we tend to miss Adenoids because we can’t see them directly and we tend to treat these conditions in terms of allergies, bronchitis and put the child in to nebulization and in unnecessary treatments.
What I’ve found in my own experience, that lot of the kids who have been told they have allergies and they have been told they have bronchitis have actually had Adenoids. So, if your child has reoccurring problems of sore throat, breathing difficulties and nose blocks, it’s worth getting evaluated for adenoids because the treatment of adenoids is very simple and often very gratifying. Which can be done with simple nasal sprays, saline washes and if it is a severer one it needs a surgical intervention to open up the nose.
Adenoids also cause recurrent ear infection, ear pain and sometimes they cause hearing disorder in children. It is quite difficult to evaluate such problem in children. You can only perceive it as, sometimes when you call them they don’t respond, their grades are falling in school and when they watch television they tend to raise the volume of the noise and this helps us to pick up the child to scream for the hearing problems because when you have adenoids you have a higher chance of getting ear infection and fluid inside the ear which is called otitis media, which can also be treated in the same lines. Rarely we need to put some grommets or some surgical intervention to drain the fluid out if we are not able to treat it medically.
Third problem which I wanted to discuss is Allergies in children. Aallergies in children can present in very wide spectrum. Sometimes they present only as cough, sometimes children get rashes on their skin, sometimes they can have allergies to food and recurrent diarrhea and other problems. So, allergies in children can be treated quite effetely with medicines and we have what we call as Immunotherapy to detect what the child is allergic to so we can specifically target that antigen and cure them for the long term. This now is the most gratifying and the latest treatment in allergies called Sublingual Immunotherapy.
With all these new, exciting treatments and if your child is not getting benefited by cold and cough routine treatment, you’re free to contact me at 3 Senses ENT Clinic which is in South City 2, Arcadia, Gurgaon. I’m also available at Artemis Hospitals throughout the week except on Sundays.
Thank you so much for your time.read more
Here are causes and treatments of Osteoarthritis
I am Dr Sandeep Chauhan, senior consultant, Orthopaedic and joint replacement at Artemis Hospital, Gurgaon. The growing problem of osteoartritis that is creeping up in our society is primarily due to the changing lifestyles that we people lead and the growing age. Including the trend of obesity, this problem has become multifold in our society and females are mostly suffering from it.
Osteoarthritis is a disease in which the cartridge of the medial compartment of the knee starts getting worn out and Slowly the subchondral bone starts to feel the bent of the weight and leads to pain and deformity of the knees. Basic treatment for osteoarthritis is to change our lifestyle, to decrease our weight and to increase the amount of exercises in our daily life. Exercises has a effect on improving the quadricep muscle strength which controls our knee in a better way.
The Second form of treatment that helps us in osteoarthritis is some analgesics, temporarily when it is inflamed or to do some hot fermentation and wear some supported devices like knee caps and walking braces. Total knee replacement is a resort for oestroarthiritis knees for those people who have pain during their activities of daily living, whose sleep is disturbed because of pain and need to take painkillers for consecutive two or three months.
In case you need any further clarification regarding osteoarthritis or total knee replacement kindly contact lybrate.com.read more
Here are some tips and treatments for adenoids
Hi I’m Dr. Vijay Verma. I practice at Three senses ENT Allergy and Dental Clinic. We all know that kids are always suffering from continuous sneezing. There is an obstruction and also discharge and sometimes bleeding from the nose. They have breathing difficulties and I know that in every family kids are suffering from these problems because they are going into daycare and suppose that there are 20 kids and one out of them always has cold. Your kid is always prone but in depth, we ignore these symptoms of ‘Adenoids’.
Adenoids are nothing but just like tonsils but are present behind your nose. When they get enlarged they tend to cause nasal obstruction to the child. This infection always gives rise to continuous nasal irritation. Children tend to sneeze which causes nasal discharge. When these adenoids fall back inside your throat it causes sore throat and causes continuous cough for the child plus when they sleep, they are unable to take proper amounts of oxygen and if that is happening, they cannot grow properly
.And this one thing is always missed, so one should consult an ENT specialist for these problems of Adenoids because after 12 years although they regress in size, the changes which they lead to are permanent. They can protrude the tooth out, so sooner or later you will need to visit your dentist; a lifelong problem. There is also a possible accumulation behind the ear drum so the kid starts to have various problems with listening. All these are associated to Adenoids, so they start in childhood but leave permanent changes. So I would suggest you to visit your doctor as soon as possible if you notice that your child is having continuous sneezing, nasal discharge or sore throat.
For adenoids, there are two types of treatment:
(a) The therapy of Spray or
(b) Surgery, so it depends on the size of the adenoids.
Depending on that, it is medically treated or surgically treated. Usually all of us are scared of surgeries but now the tools have become very safe. It is either done with a microdebrider or a coblator which makes it a bloodless surgery and also one which is not a painful surgery; it would lead to your kids being happy.
I would also advise you to visit me via Lybrate.
Hi, I’m Dr Vijay Verma. I practice at sector-31, Gurgaon. So my keen area of interest is Allergy.
As you all know allergy is increasing day by day, you can see kids, they are continuously sneezing, coughing, there are lot of increased cases of bronchial asthma. All these things, they are increasing, increasing and increasing. It may be because of the pollution levels. Now there is no proper exposure to sunlight, like we all live in AC, there is no as per cleaning of the room. You go to the office, they centralize AC , so you are never exposed to the environment now. There is always sunlight, there is no sunlight exposure per say. So all these problem they are coming up day by day. Also, it has been seen that allergies are associated with other diseases like headache, menial’s disease, even migraines. So there are so many things which are associated with the allergies. So allergies are the main culprit of your proper lifestyle problems.
Now how to deal with it?
The first thing is you should have a proper sunlight exposure. You should go for a regular walk and you should do your regular exercise something like that. If you have bronchial asthma then you need to consult your chest physician for your bronchial asthma part. Then nowadays newer modalities are coming up which is allergic testing followed by immunotherapy. In allergic testing, you can go ahead with a blood test or we can do the skin prick test. The blood test they are known to usually a good test because in India we don’t have proper labs to test it. Although, they are certain like Lal patch light test labs, they are doing that but still the results are not so good as equal to the skin prick test. In skin prick test you put some allergens over the hand and you test for it.
So if you are found positive to that thing we can start with immuno therapy. An immune therapy works very well and gives a permanent solution, although the duration of treatment is pretty much longer. it is again from three to five years . it is very promising result and you should go ahead with that. So these tests, skin pricking, I do.
You can always visit me, if you have any query you can also consult me via Lybrate, you can text me, you can have an online consultation with me via videos or else you can visit my clinic at sector 31. Gurgaon.read more
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Patient Review Highlights
Even though I was fit and fine, it was shocked when I got to know that I have nasal disorders. With the help of his treatment for nasal disorders I am feeling so great. The nurses at the 3 Senses ENT Clinic were really helpful. I read about the Shashidhar on one of the social media platform. During the complete nasal disorders program he always supported and motivated me. The 3 Senses ENT Clinic have proper facilities for disabled patients as well. Never once that I felt that he is getting impatient, rather he has always responded to my each and every doubt with immense patience. It has been quite some time that i was suffering from nasal disorders. My case was extremely serious, but he really handled it very nicely.
An amazing personality with exceptional knowledge. sometimes it seems as if he carries knife with the smile and treat the patients as if they are his family members....am fond of his excellence and gratitude.. He operated me in year 2006 in a condition when nobody in Ahmedabad, Surat, Jaipur, Hyderabad, Bengaluru took my case. It took 10 months to back in life but it could have never been possible with out his extraordinary support and kindness. He never felt irritated while I visited him even at 2:00 AM. Yes, 2:00 AM and that too many times in a week for 10 months. An honest, genuine and extraordinary talented doctor. I can oath on his work. I owe him much more than it appears.
It was a bad case of nasal and sinus allergy care. It was so quite pleasant in the 3 Senses ENT Clinic. I never get sick, but then last year i started developing these symptoms. Thanks to him that the nasal and sinus allergy care he gave me has given brilliant results. I must say the hygiene was maintained very nicely in the 3 Senses ENT ClinicOur family physician personally recommended this Shashidhar. He is not just friendly, but also is very motivating. By chance, I approached Shashidhar for second opinion and thank god, i did because, he treated me without any surgery and all.
I recently consulted Dr. Jangid w.r.t my son's forearm fracture. Dr. Jangid is among the most respected and trusted surgeons I've come across. He beautifully marries conventional and high tech procedures to offer the best solutions to patient care. I'm glad to've met him and am sure my son is in safest hands.
Vishant Singh Yadav
I had came across many Doctors in past, they all were best in there fields, but if i have to recommend someone to a Ortho it will be surely Dr.Subhash Jahgid without any second thought. It is my experience with him which gave me such confidence to say like this for Dr.Subash. He is the best.
I was in so much mental pain due to my allergy.dr Shashidhar with great ease handled my serious case with ease.he definitely is aware about the latest and advanced ways to treat serious cases.Thanks to him that the treatment he gave me has given brilliant results.
An amazing personality with exceptional knowledge. sometimes it seems as if he carries knife with the smile and treat the patients as if they are his family members....am fond of his excellence and gratitude...
It was a very satisfying experience. Dr. Monica patiently listened to my problem and did an indepth enquiry. She explained in detail all the options that were available to me with all the pros and cons.
Very knowledgeable, patient and caring. I have found the doctor to be excellent in her diagnosis and line of treatment. My skin condition was very acute and she was able to resolve it completely.
He is so nice doctor ..he listen to patient at first and I always like the way when doctor listen to patients and the. Discribe Thanku so much doctor
Dr. Subhash has constantly supported and guided me from the onset of my ACL injury. I would highly recommend my fellow mates to visit Subhash.
Mr. Gbenga Olaofe
Very nice and memorable experience. Composed, concerned, and highly intelligent and experienced. Good environment for patient as well
Dr. A.K. Trivedi
A truly world class doctor who specializes in TKA. The navigation system offered by him provides exceptional alignment.
Dr. Subhash Jangid provides answers that are knowledgeable, sensible, prompt, practical and saved my life. Tq
I found the answers provided by the Dr. Rajat Gupta to be very helpful and caring. I really like it thnx sir
Dr.Monica Bambaroo is one of the best Dr.for Skin related issue.she has Good Treatment. And very friendly.
She's one of the best skin doctors I've come across. Very comforting and always open to help.
Dr. Brahmita provides answers that are caring. Please suggest some more medicine if requires
I found the answers provided by the Dr. Subhash Jangid to be very helpful. Thanks
Dr. Brahmita provides answers that are very helpful. Thanks Doctor
Dr. Brahmita provides answers that are saved my life. Thanks
If you are being treated for Parkinson's disease. How can you maximize the effect of Levodopa? The effect of levodopa can be maximized by increasing its absorption from the digestive system. In particular, taking levodopa on an empty stomach is very important.
- Take on an empty stomach: Do not eat anything 1 hour before taking levodopa. Do not eat anything for at least 30 minutes and if possible 1 hour after taking it. Take the pill with 2 glasses of water so that it can dissolve. If taking the levodopa on an empty stomach makes you nauseous, confirm that your medication has the right amount of carbidopa in relation to the levodopa (25%). If you continue to feel nauseous, you can eat a piece of white bread around the time that you take levodopa. Do not apply any butter, yogurt, cheese or similar high protein spreads. Protein can drastically decrease the absorption of levodopa.
- Get your constipation treated: This is critically important too. Being constipated can slow down the passage of levodopa through the digestive system. In most patients, drinking adequate water and taking stool softeners is helpful.
- Get your ulcer treated: It can be difficult to recognize that you have a gastric ulcer. However, if you have a burning sensation in your stomach at any time, or belch frequently, you may have a gastric ulcer. If you think you have an ulcer you should get tested (there is a simple breath test now) and treated with antibiotics (not antacids!)
- Do not take levodopa with iron tablets: The iron binds to levodopa and prevents its absorption. Keep a gap of at least two hours between these two medications.
- Try taking levodopa with orange juice and carbonated water (soda): Mix equal quantities of orange juice and carbonated water (soda). Take your regular levodopa with a glass of this preparation instead of water. The carbonated water hastens disintegration of the tablet, and the acidity of both things helps in levodopa absorption. There are special tablets of levodopa (dispersible levodopa, Madopar) which can be dissolved in this preparation. Talk to your doctor about it.
In case you have a concern or query you can always consult an expert & get answers to your questions!
It is important to raise public awareness and educate people about brain tumour, a disease which, though is rare is but can be really deadly. More than 500 new cases are diagnosed with brain tumour every day worldwide. The number of patients with secondary tumours are even higher than 500. However, it is common across all ages. A primary brain tumour is a tumour that begins in the brain. It can be either malignant, which means it contains cancer cells or benign i.e. does not contain cancer cells. A secondary or metastatic brain tumour is usually cancerous. It starts elsewhere in the body and sends cancerous cells which grow in the brain.
Here are a few facts that each one of us should know about this dangerous disease
- Brain tumours can occur at any age.
- We don’t know what causes brain tumors. Family history and high dose radiation like X-rays increases your risk.
- Doctors group brain tumors by grade which means the way the brain cells look under a microscope. A higher grade number means the cells appear more abnormal and the more aggressively the tumour usually behaves.
- Brain tumors are graded as grade I, grade II, or grade III, or grade IV.
The symptoms of brain tumour depend on the size, type, and location of the brain tumour. Some common symptoms which should not be ignored are-
- Problems with vision
- Mental and personality changes
- Balance problems and trouble walking
- Problems in speaking
Brain tumours are diagnosed by the doctor based on the medical history and physical examination along with a slew of specialized tests of the brain and nervous system.
- Radiation therapy
- Anti-seizure medicines
- Ventricular peritoneal shunt
- Combination of treatments
How can you safeguard yourself?
The primary tool to prevent brain tumours is by controlling your lifestyle. This means eating healthy, exercising, avoiding known carcinogens in your environment, and reducing stress.
- Sleep: Sleep is a friend for brain health. An adequate amount of rest with eyes shut keeps your brain health.
- Frankincense oil: Along with yoga, meditation, and breathing exercises to reduce stress, inhaling frankincense oil can help alleviate inflammation in the brain.
- Anti cancer diet: Consuming a diet rich in cancer-fighting nutrients like antioxidants is critical in preventing brain tumors.
- Ketogenic diet: A ketogenic diet is a high protein diet. It reduces oxidative stress and inflammation in the brain which is associated with brain tumours. It also shuts down the nutrient supply to tumors.
- Calorie restriction: Dietary restriction, especially fasting has anti-carcinogenic properties just as the ketogenic diet.
- Limit exposure to mobile phones: Cell phones use increases risk for brain tumours. So restriction prevents these tumours.
In case you have a concern or query you can always consult an expert & get answers to your questions!