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Fortis Memorial Reseach Institute, Gurgaon

  4.3  (12 ratings)

General Surgeon Clinic

Sector 44, opposite Huda City Centre metro station gurgaon
1 Doctor · ₹750 · 5 Reviews
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Fortis Memorial Reseach Institute, Gurgaon   4.3  (12 ratings) General Surgeon Clinic Sector 44, opposite Huda City Centre metro station gurgaon
1 Doctor · ₹750 · 5 Reviews
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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 Fortis Memorial Reseach Institute, Gurgaon
Fortis Memorial Reseach Institute, Gurgaon is known for housing experienced General Surgeons. Dr. Prateek Agarwal, a well-reputed General Surgeon, practices in gurgaon. Visit this medical health centre for General Surgeons recommended by 95 patients.

Timings

MON-SAT
09:30 AM - 06:00 PM

Location

Sector 44, opposite Huda City Centre metro station
Sector-44 gurgaon, Haryana - 122002
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Doctor in Fortis Memorial Reseach Institute, Gurgaon

Dr. Prateek Agarwal

MBBS, MS - General Surgery
General Surgeon
85%  (12 ratings)
13 Years experience
750 at clinic
₹250 online
Available today
09:30 AM - 06:00 PM
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Causes And Risk Factors Of Colon Cancer

MBBS, Post Graduate Diploma In Medicine, Fellowship In Medical Oncology
Oncologist, Kolkata
Causes And Risk Factors Of Colon Cancer

Cancer in colon forms due to uncontrolled cell growth in the large intestine cells. Most colon cancers originate from the healthy cells in the lining of the colon that grow into tumors called adenomatous polyps. These polyps can be cancerous or benign. A cancerous tumor is malignant and may spread to the other parts of the body by traveling through blood and lymph systems, this process is known as metastasis. Whereas a benign tumor can grow but don’t necessarily spread to other parts of the body. It takes years for these changes to develop depending upon both genetic and environmental causes.

Causes and risk factors:
In a healthy body, the cells normally grow, divide and then die. Cancer is the result of uncontrollable cell growth where the cells do not die. Aging is one of the important risk factors for colon cancer; other risk factors include a family history of colon cancer. As per Johns LE and Houlston RS individuals with a family history of colon cancer have a high risk of developing this form of cancer as compared to those with no such history. A study conducted by Giovannucci and others in 1995, successfully established the relation between physical activity, obesity and colon cancer. As per the research lack of physical activities elevates the chance of getting colon cancer. Individuals who regularly smoke, are obese and use aspirin have a higher risk of developing this form of cancer. Diet is also an important factor, diets that are high in fat and low in fiber may elevate the risk.

Symptoms:
The symptoms of colon cancer are varied, depending upon the condition of the tumor. At the early stage, patients may experience no symptoms. However, as cancer grows, symptoms arise. Diarrhea or constipation are common; patients may see changes in stool consistency and narrower stool. Abdominal discomfort, bloating, fullness and cramps may also indicate colon cancer. Sudden weight loss and unexplained iron deficiency (anemia) are also associated with this form of cancer. If these symptoms last for several weeks, don’t hesitate to consult your physician.

Treatment:
Colon cancer is highly treatable and depends on the type and the stage of cancer along with health and other characteristics of the patient. However, there is no single treatment; the most common options are – surgery, chemotherapy and radiation therapy. The surgery for colon cancer is known as colectomy and involves removing the affected part of the colon and the adjoining areas including nearby lymph nodes. Chemotherapy involves killing the cancer cells by utilizing certain chemicals that interfere the cell division process and damage the proteins or DNA. In the radiation therapy, high-energy gamma rays are used to target and destroy the cancer cells. Radiotherapy can be used both as a standalone treatment and also along with other treatments.

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

Gastroesophageal Reflux Disease - What Causes It?

MBBS, MD - Medicine, DM - Gastroenterology
Gastroenterologist, Ghaziabad
Gastroesophageal Reflux Disease - What Causes It?

Gastroesophageal reflux disease (GERD) is also called as acid reflux. It is a long-term digestive disorder that affects the lower esophageal sphincter, the ring of muscle between the esophagus and stomach which causes the stomach contents to come back up into the esophagus resulting in either symptoms or complications. Gastroesophageal reflux disease is mild acid reflux that occurs at least twice a week or moderate-to-severe acid reflux which occurs at least once a week.

Epidemiology

In western populations, GERD affects approximately 10% to 20% of the population and 0.4% newly develop the condition. In developed nations, the prevalence rate of GERD is associated with age; with adults aged 60 to 70 being the most commonly affected.

Signs and Symptoms

Esophageal symptoms include:

  • Heartburn
  • Regurgitation of food or sour liquid
  • Dysphagia
  • Sensation of a lump in the throat

Extraesophageal symptoms include:

  1. Coughing and/or wheezing
  2. Hoarseness, sore throat, or
  3. Otitis media
  4. Noncardiac chest pain
  5. Enamel erosion or other dental manifestations
  6. New or worsening asthma
  7. Disrupted sleep

Risk Factors

  1. Obesity
  2. Pregnancy
  3. Hiatus hernia
  4. Scleroderma and systemic sclerosis
  5. The use of medicines such as prednisolone
  6. Delayed stomach emptying Zollinger-Ellison syndrome which can show an increase in gastric acidity because of gastrin production
  7. A high blood calcium level which can increase gastrin production, leading to increased acidity
  8. Visceroptosis or Glénard syndrome, in which the stomach has sunk in the abdomen upsetting the motility and acid secretion of the stomach.

Factors that can increase acid reflux involve:

  1. Smoking habit
  2. Eating heavy meals or eating late at night
  3. Eating fatty or fried foods
  4. Drinking certain beverages, such as alcohol or coffee
  5. Medications, such as aspirin
  6. Tight clothes
  7. Increased intra-abdominal pressure

Differential Diagnosis

  1. Heart disease causing chest pain
  2. Laryngopharyngeal reflux OR extraesophageal reflux disease
  3. Infection
  4. Peptic ulcer
  5. Esophageal spasm

Complications

  1. Narrowing of the esophagus (esophageal stricture): Stomach acid causes the formation of a scar tissue which narrows the food pathway.
  2. An open sore in the esophagus (esophageal ulcer): Acid causes an open sore which bleeds, causes pain, and makes swallowing difficult.
  3. Precancerous changes in the esophagus (Barrett's esophagus): Damage from acid can cause changes in the tissue lining the lower esophagus
  4. Anemia

How to arrive at the diagnosis?

  • Upper gastrointestinal endoscopy/esophagogastroduodenoscopy
  • Esophageal manometry
  • Ambulatory 24-hour pH monitoring

Treatment

The goals of treatment are controlling symptoms, healing esophagitis, and prevention of recurrent esophagitis or other complications. Lifestyle modifications include the following:

  • Losing weight (if overweight)
  • Eating small and frequent meals instead of large meals
  • Waiting 3 hours after a meal to lie down
  • Elevating the head end of the bed by 8 inches
  • Avoiding bending or stooping positions

Medications

  1. H2 receptor antagonists (ranitidine, cimetidine)
  2. Proton pump inhibitors (omeprazole, pantoprazole)
  3. Prokinetic agents (aluminum hydroxide)
  4. Antacids (magnesium hydroxide)

Surgery

  1. Transthoracic and transabdominal fundoplication
  2. Placement of a device to augment the lower esophageal sphincter

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

I have black spots on my back neck region pimples/acne I used to apply face creams but can't see any change please help me madam/sir wt should I do for this problem?

BHMS
Homeopath, Indore
I have black spots on my back neck region pimples/acne I used to apply face creams but can't see any change please he...
Hello, No face cream help you to treat Acne, it only help you to brightening scars ,Till you have not treat it internally .Start taken proper Homoeopathic treatment for a cure n also focus on good healthy diet with plenty of water .Acne is normal in Pubertic age groups due to hormonal changes. But it requires a treatment when its more n leaves a scar .Acne occurs due to many conditions like if you have excessive Dandruff, Pcod,stress, Dietry habits etc.
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Blood Stools? An Alarming Sign

Master in Psychology, MD - Ayurveda, Dems, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Ghaziabad
Blood Stools? An Alarming Sign

Black stools! An alarming sign.

Black stool is a condition in which the feces are very dark or black in color. Black stool may be normal in some cases and caused by ingesting certain substances or medications, such as iron supplements. However, black stool can also be caused by a serious condition, such as bleeding in the digestive tract caused by a peptic ulcer.

Black stool that is tarry in texture and foul smelling is often a symptom of upper gastrointestinal bleeding from the esophagus, stomach or small intestine. This is called melena.

Very small amounts of blood in the stool may be seen by the naked eye and not significantly change the color of stool. This is called fecal occult blood, which can be a symptom of a serious disease and may be found with regular, routine medical examination. Black stools can be a symptom of a serious condition, such as esophageal varices or peptic ulcer. Seek prompt medical care if you have unusually dark stools or any change in the color or texture of your stool. Black stool may be accompanied by other symptoms, which vary depending on the underlying disease, disorder or condition. 

Symptoms that may accompany black stool include:

  • Abdominal pain or cramping
  • Abdominal swelling or bloated feeling
  • Change in bowel habits
  • Diarrhea
  • Flatulence, gas or indigestion
  • Flu-like symptoms (fatigue, fever, sore throat, headache, cough, aches and pains)
  • Foul-smelling stool
  • Nausea and vomiting
  • Poor appetite
  • Rectal pain or burning sensation
  • Unexpected weight loss

Serious symptoms that might indicate a life-threatening condition:

In some cases, black stool can indicate a life-threatening condition that should be immediately evaluated in an emergency settings.

Change in level of consciousness or alertness, such as passing out or unresponsiveness

Change in mental status or sudden behavior change, such as confusion, delirium, lethargy, hallucinations and delusions

Dizziness: High fever (higher than 101 degrees fahrenheit)

Palpitations: Rapid heart rate (tachycardia). Respiratory or breathing problems, such as shortness of breath, difficulty breathing, labored breathing, wheezing, not breathing, or choking

Complications include: Anaemia, cardiomegaly, shock, generalised body edema.

Hello Doctor, I have noticed that blood in my stool and I often experience pain in my abdomen. Other than these I am feeling ok. Can you please advise what could be the problem.

BHMS
Homeopath, Delhi
Hello Doctor,
I have noticed that blood in my stool and I often experience pain in my abdomen. Other than these I am ...
Yes, there are many reasons behind dysentry. It is due to prolonged constipation, taking highly spicy food, and many more things in diet which leads to fissures and later bleeding .homoeopathy will heal you completely .consult online for treatment.
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My grandma was suffering herpes zuslin opthalmmin affected on face and eye area .can you please help me.

DHMS (Hons.)
Homeopath, Patna
My grandma was suffering herpes zuslin opthalmmin affected on face and eye area .can you please help me.
Hello, Would you be able to provide her image to assess the exact condition to begine homoeopathic medication, please. Till then give her homoeopathic medicine:@ Rhus tox 30-5 drops, thrice. Take care.
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I have extremely oily skin. This makes me break out weekly. Please tell me how to stop oily skin, it makes me look dull and unhealthy although I have fair skin.

MD , MBBS
Dermatologist, Jaipur
I have extremely oily skin. This makes me break out weekly. Please tell me how to stop oily skin, it makes me look du...
Start usin ahaglow s or saslic ds facewash. Stop apply in and cosmetics on your face includin creams.
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Doctor I am 20 years old. I had fibroadenoma and I had gone through an operation. After operation every thing was good but suddenly my breast start paining so my doctor have given me sevista-60 mg medicine for 15 days so after taking the medicine I missed my periods date so how many more time it will take to start my periods give some remedies also.

MBBS, M.S. General Surgery, M.R.C.S. England, M.Ch. Surgical Oncology, DNB Surgical Oncology, FEBS Surgical Oncology, DNB General Surgery, MNAMS, FMAS, FIAGES, FAIS, FICS, FEBS Breast Surgery, FACS, Fellowship IFHNOS & MSKCC USA, Fellowship in breast and oncplastic Surgery
Oncologist, Mumbai
Fibroadenoma usually does not cause pain. Post operative pain may be due to seroma formation, which can be seen on an ultrasound and easily aspirated. Sevista (Ormeloxifen) is a Selective Estrogen Receptor Modulator, which acts in mastalgia, cyclical as well as non cyclical by blocking the effect of estrogens in the breast tissue. It is usually given for 3 months. It usually does not delay the menstrual cycle as it does not interfere with the ovulation. If cycle is delayed for more than 8-10 days, it is better to check for the pregnancy test. If you want to further discuss the same, you are welcome to contact me directly.
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I have pigmented lips. Lower lio in middle it is light but the corner and upper lips is dark.

MD, MBBS
Dermatologist, Chennai
I have pigmented lips. Lower lio in middle it is light but the corner and upper lips is dark.
You aresuffering from seborrheic dermatitis. Medicine available for good improvement. Do direct online consultation by sending photos, otherwise meet me at my clinic, for accurate diagnosis and treatment.
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I met an accident on 10th april and doctors said its kind of superficial and will not cause any scar .But my repaired skin has a little pinkish colour. What should I do to prevent it.

MD, MBBS
Dermatologist, Chennai
I met an accident on 10th april and doctors said its kind of superficial and will not cause any scar .But my repaired...
Use fudic cream twice daily, along with the following medicine. Contact me or send photos on direct private online consultation for proper diagnosis and treatment.
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