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Colorectal cancer is otherwise known as cancer of the colon or the rectum. This can affect both men and women with age being a major risk factor. Majority of such cancers are seen to occur after age of 50 years.
Type: Colorectal cancers can present as one of the following types:
Adenocarcinomas are the most common type of colorectal cancers. These cancers begin in the cells making mucous and other fluids. Certain colorectal cancers begin as adenomatous polyps (adenomas) that turn cancerous over a period of time. This is precisely why the adenomas are regarded as pre-cancerous or pre-malignant.
Gastrointestinal (GI) carcinoid tumors, GI stromal tumors, primary colorectal lymphoma, leiomyosarcoma, melanoma & squamous cell carcinoma are certain other colorectal cancers
Carcinoid tumors: start in specialized cells that produce hormones, in the intestine.
GI Stromal tumors: start in the interstitial cells of Cajal (ICC), in the wall of the colon.
Lymphomas: start typically in the lymph nodes but they may also start in colon or rectum.
Sarcomas: can start in the muscle and the connective tissue in the walls of the colon and rectum.
Gender: It affects both male and female populace.
Etiology: Mostly, the factors that are associated with increased risk of colorectal cancer include the following –
Age exceeding 50 years.
Racial & ethnic background such as African Americans, in the USA, are known to have the highest incidence of colorectal cancer, and mortality rates.
Low fibre and high fat diet. Excessive consumption of red meat (e.g. goat meat, beef, pork, lamb, or liver), processed meats, butter, refined grains, sweets, sugary drinks etc all can increase the risk of colorectal cancer.
Personal history of inflammatory bowel diseases (IBD) (e.g. ulcerative colitis), Crohn’s disease, adenomatous colorectal polyps, colorectal cancer etc all.
Family history of colorectal cancer or adenomatous polyps etc all.
Inherited syndromes such as familial adenomatous polyposis (FAP) and Lynch syndrome (hereditary non-polyposis colon cancer or HNPCC).
Sedentary lifestyle/ associated Obesity.
Tobacco and alcohol abuse.
Features or symptoms can vary from person to person depending on the size and location of the tumour. Following are the signs & symptoms mainly -
Changes in bowel habits, diarrhea or constipation or an alternating diarrhea and constipation.
Occult/ blood in the stool, and
Problems related to blood loss (e.g. anemia, weakness, fatigue, intolerance to exercise, shortness of breath, increased heart rate, chest pain etc all),
Abdominal discomfort (frequent gas/ flatulence, bloating, fullness, cramps, and pain), vomiting etc.
Unexplained weight loss,
Pain with bowel movement,
Feeling that bowel does not empty completely,
Stools are narrower than usual.
- Diagnosis: Following are the diagnostics employed. Abnormal blood test results may be indicative of malignancy, but a follow-up imaging/ biopsy is always the gold standard for accurate diagnosis.
- Blood: fecal occult blood test, Carcinoembryonic Antigen (CEA) assay values are raised, Hb/ RBC counts may be low.
- Imaging: Colonoscopy, Endorectal Scan/ CT Scan followed by Biopsy clinches the diagnosis and the nature of the disease.
- Apart from the above-mentioned barium enema X-Ray, USG, Chest X-ray, PET CT scan etc all help detect metastasis, if any. An increase in level of the serum tumor marker ‘CEA’ is indicative of metastatic spread/ proliferation that can be ascertained through a PET CT scan.
- Treatment: Conventional treatment includes surgery, radiation and chemotherapy as contextually appropriate. Simultaneously, an adjunctive/ integrative naturopathic treatment with suitable complementary & alternative medicines (CAM)/ therapies too can help improve clinical outcomes and facilitate recovery as feasible contextually.
Prognosis: Preventive measures, earlier diagnosis and right early treatment is key for better prognosis and efficient/ effective therapeutic management. Usually, the chances of cure for an early stage cancer are more. Above-mentioned apart, recovery chances are influenced by the grade, stage of cancer, recurrence and the patient’s general health & vitality etc all too.
Prevention: Rightly said, prevention is always a better choice. Although genetic risks are difficult to modify, still an adherence to a Mediterranean diet, maintaining an ideal body weight and an active lifestyle with due emphasis on regular exercising (for at least 30 minutes daily), de-stressing and relaxation is highly recommended for prevention or reducing the risks of colorectal 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. It is advisable to limit milk/ dairy, preferably of low fat content, to 1 to 2 servings max daily. Although alcohol is optional and is not for everyone, the consumption of the same, if any, has to be strictly in moderation, and is best avoided. Smoking is to be avoided as well. 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 or are best avoided too. Apart from the generic preventive measures as mentioned above, certain pre-malignant conditions, of which adenomas are the most common, can be successfully treated with complementary and alternative medicines too.
Mam I am 15 years boy and my face is very dull and very bad. So for this reason any students does not want to talk with me. So please suggest me medicine for attractive face.
I am 28 girl and have many post acne scars on my left cheek. They make me feel inferior in front of others. I have these on my face since last 3.4 years. What should I do. How can I clear my skin with natural home remedies?
Since 4 days I am getting discomfort while sitting or lying down in bed due to pain in anal rectum. Swelling is there and lot of pain. I am talking pain killers to reduce the pain. It seems hemorrhoids but bleeding is not there. I used an ointment Piles Cure but it didn't work. Pain and swelling still there. Please suggest.
I am 25 years old not married .I have skin problem like pimples so I consult skin specialist she done blood tests and given aldactone and isotroin tablets since 6 months I am using that tablets from last 3 months I am facing one problem that is brown spotting in mid cycle exactly 14 days of after periods .what it causes. I don't have any pcod problems. I never facing any periods problems. And that spotting is no bad smell and no itching feeling .and I just have board line thyroid but that is with in limits now. I am using thyronorm 25 MCG.
I am 23 years old girl I have hypertrophic scar in my left hand for past 4 yrs. I am tried mederma before 2 years but no use and recently I tried bio oil but it caused me allergy. Pls suggest me effective treatment to get rid of scar soon and tell me the cost of the treatment.
PRP is a latest, state-of-the-art technology that employs non-surgical methods to stimulate hair growth in case of hair loss.Advancements in research have enabled scientists to make new inroads in the field of wound and tissue healing. The result of these researches is PRP, which is a natural way to rejuvenate your scalp, skin and stimulate your hair growth.
How PRP works?
The presence of mesenchymal stem cells and autologous blood products in human blood contain specific growth factors that assist in tissue regeneration and healing. PRP has been used to heal skin and wounds for over two decades now. Apart from this it finds use in oral surgery, cosmetic surgery and neurosurgery as well. It is also the promising treatment to promote hair growth.
- It is a progressive healing treatment that doesn't require surgery
- Simple, rapid and highly effective system
- Autologous (from patient's own blood)
- The system is biocompatible and xeno-free, so there shouldn't be any safety concerns
- Increase in the concentration of platelets can be observed
- It helps in the elimination of undesired erythrocytes, which significantly decrease the fibroblast proliferation
- Contains growth factors that help in the stimulation of growth of the hair follicles
- Can be performed preoperatively, intraoperatively, or post operatively
The Science of PRP
There are special cells called platelets used in PRP, that have been theoretically proved to stimulate hair follicles growth by stimulating stem cells and other important cells in the ecosystem of the follicles. They are instrumental in promoting the healing ability and regeneration of cells, formation of new cells and response to injury. PRP stimulates inactive or newly implanted hair follicles, and makes them active by inducing them into a growth phase.
Platelets are known to contain various structures, which are crucial for blood clotting and cell regeneration, and are released during the repair process by the body. Some of these structures are: glycogen, alpha granules and lysosomes.
Who should not have PRP treatment?
Those with heavy drug and smoking issue should avoid PRP. Also those who drink a lot of alcohol should avoid PRP. Those suffering from platelets related ailments, sepsis, chronic liver disease, thrombocytopenia, hyperfibrinogenemia, systemic disorders and cancer should also stay away from PRP.
At length, PRP is a boon for all those who aren't fans of surgery or the ones who prefer a more aggressive but non-surgical approach for treatment to their ailments. The results might vary from patient to patient, but it is certainly one of the most promising technologies to stimulate hair growth and rejuvenate your skin, and the results are quite convincing. So decide wisely! Consult an Expert & get answers to your questions!
My friend has tooo many big pores in his face and also some stain. May I know how to get rid of that. Any home tips.
I have dark underarms, I tried bleach it helped me a lot in fading the darkness. But the darkness is not gone completely. What should I do?
Good afternoon sir. Sir my face full with pimple spots sir. Black spots can not removing sir. I used number of creams but no. Result.
How can I improve my face skin texture, it is so much oily, and instantly losses its fairness, and how can I make it pimple free, and remove the pimple marks.
One of my nipple is shrink and creamy milk comes outt. Other is fine. Kindly suggest what is the reason and will it have any effect in future? What should I need to do?
My skin becomes dull and black from last two months. What I have to do for better skin. Please give me natural solution.
Hello doctor. Before 3-4 years I was so fair. But now 8 became dark. Tell me the better way to treat my body skin as before.
Skin irritants are everywhere. Even in your house, there is practically no place where there are no skin irritants. Laundry detergents, air fresheners and floor polishes are just a few factors that cause skin itching. The reason why this happens is because products like air fresheners and floor polishes take away essential oils and water from the skin which leads to dryness and irritation.
This type of dry, itchy skin can also progress to skin conditions like eczema. Here are some ways you can stop your skin from becoming dry and itchy:
- Wear gloves: The ideal thing to do would be to wear soft, thin cotton gloves and wear rubber gloves on top of that. Do not touch a bucket or sponge without it. If you cannot wear soft, thin cotton gloves underneath, at least wear the rubber gloves as this protects your hands from irritants.
- Take a shower after swimming: Chlorine is one of the principal causes of itchiness in your skin. It is absolutely essential that once you have finished swimming you take a shower with water and a little soap. Even more importantly, use a moisturizer with glycerin in it, as this will keep the moisture trapped inside. Glycerin is particularly good at holding on to moisture.
- Petroleum jelly: Petroleum jelly has been proven to reduce the chance of dry, itchy skin because it contains only one ingredient. This one ingredient formula is especially great when it is applied to sensitive skin. The reason why one ingredient is better than a moisturizer with many chemicals is because a one ingredient formula is gentler and therefore creates a protective barrier against irritants.
- Oatmeal bath: For this kind of treatment, grind oatmeal in a blender and then sprinkle it in your bath water. Oatmeal has an anti-inflammatory substance known as Avenanthramide, which decreases itching and redness of the skin.
- Cleanliness: This is perhaps the most important tip, which can be given. If you do not regularly clean your floors or wash your bed sheets in hot water than you are at a high risk of getting mites and these are one of the most common irritants of your skin.