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Dr. C Sai Ram

Oncologist, Hyderabad

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Dr. C Sai Ram Oncologist, Hyderabad
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. C Sai Ram
Dr. C Sai Ram is an experienced Oncologist in Adibatla, Hyderabad. You can meet Dr. C Sai Ram personally at Swarna Sai Hospital in Adibatla, Hyderabad. You can book an instant appointment online with Dr. C Sai Ram on Lybrate.com.

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Swarna Sai Hospital

16-2-836/8/a/1, Madhava Nagar Cly Road No.10, Chanchalguda, HyderabadHyderabad Get Directions
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Colorectal 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
Colorectal Cancer - In a Nutshell!

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.

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

    1. 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.

    2. 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.

  2. Gender: It affects both male and female populace.

  3. Etiology: Mostly, the factors that are associated with increased risk of colorectal cancer include the following –

    1. Age exceeding 50 years.

    2. Racial & ethnic background such as African Americans, in the USA, are known to have the highest incidence of colorectal cancer, and mortality rates.

    3. 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.

    4. Personal history of inflammatory bowel diseases (IBD) (e.g. ulcerative colitis), Crohn’s disease, adenomatous colorectal polyps, colorectal cancer etc all.

    5. Family history of colorectal cancer or adenomatous polyps etc all.

    6. Inherited syndromes such as familial adenomatous polyposis (FAP) and Lynch syndrome (hereditary non-polyposis colon cancer or HNPCC).

    7. Sedentary lifestyle/ associated Obesity.

    8. Type 2 diabetes.

    9. Tobacco and alcohol abuse.

  4. Features or symptoms can vary from person to person depending on the size and location of the tumour. Following are the signs & symptoms mainly -

    1. Changes in bowel habits, diarrhea or constipation or an alternating diarrhea and constipation.

    2. Occult/ blood in the stool, and 

    3. Problems related to blood loss (e.g. anemia, weakness, fatigue, intolerance to exercise, shortness of breath, increased heart rate, chest pain etc all),

    4. Abdominal discomfort (frequent gas/ flatulence, bloating, fullness, cramps, and pain), vomiting etc.

    5. Unexplained weight loss,

    6. Pain with bowel movement,

    7. Feeling that bowel does not empty completely,

    8. Stools are narrower than usual.

  5. 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.
    1. Blood: fecal occult blood test, Carcinoembryonic Antigen (CEA) assay values are raised, Hb/ RBC counts may be low.
    2. Imaging: Colonoscopy, Endorectal Scan/ CT Scan followed by Biopsy clinches the diagnosis and the nature of the disease.
    3. 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.
  6. 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.
  7. 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.

  8. 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.

3249 people found this helpful

My father is 65 year old, recently he was operated for prostrate gland, due to enlargement of gland. But after few days, he feels very less hunger, due to which he is very weak, he don't feels to eat more, he is also suffering from diabetes. please help.

FMAS, MS
General Surgeon, Gandhinagar
My father is 65 year old, recently he was operated for prostrate gland, due to enlargement of gland. But after few da...
Respected lybrate-user hi it may be related to some antibiotics prescribed after surgery which are mandatory for healing. Give more liquids, keep sugar under control, additionally give multivitamin tab (zincovit) once daily after meals for 15 days.
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What presentation should be taken after breast cancer treatment. 2 year has been completed.

MD - Alternate Medicine, BHMS
Homeopath, Surat
If the female is healthy without any symptoms. Then nothing to be done. But if some nodular thing is felt in breast, then again she needs to go for mammography and checked. And if it comes positive then take homoeopathic carcinocinum 200 1 dose for that to avoid re-appearance.
2 people found this helpful
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I want know about the causes for breast cancer? Will abnormal sleeping habit in young age can lead to cancer?

DNB, MBBS
Oncologist, Faridabad
Dear mam, breast cancer is lifestyle related disease sedentary lifestyle, fatty food, lack of exercise, apart from this it could be related to hormonal imbalance due to some types of hormonal supplements, late menarchy or menopause,late marriage and late or no conception, not breast feeding and lastly it could be genetic. Abnormal sleeping habits may lead to personality change and psychological disorders but not really directly related to breast cancer.
1 person found this helpful
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In some cases the hcg test has been done for cancer diagnosis. Then in case of cancer what is the level of hcg.

BHMS
Homeopath,
Normally non pregnant women and men produce hcg and which is less 5 miu/ml..if it's higher than this then it is suspected as cancer.
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I have a tumor on my left hand. Suspect in cancer! I do not want to biopsy right now, becoz I heard that if cancer patient done biopsy then cancer spared whole body immediate. Have any Homeopathy treatment in suspect cancer.

Registrar in Surgical Oncology, Fellowship in Gynaecologic Oncology, Masters In Advanced Oncology, Fellowship in advanced laparoscopy and robotic surgery, Fellowship in Gastrointestinal Oncology, Fellowship in CRS and HIPEC, Fellowship in PIPAC
Oncologist, Mumbai
Dear Mr. lybrate-user, Doing a biopsy doesn't make a cancer spread. Of course the biopsy needs to be done by a surgeon or surgical oncologist who understand the pathology properly. Unfortunately homeopathy for whatever they claim does not cure any swellings/lumps or any cancer. You can show a surgeon or surgical oncologist. If it's a simple swelling like lipoma or fibroma, you don't need any surgery
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What are the sign and symptoms of cancer? What are the preventions applied for cancer patients? Describe the answer.

DNB, MBBS
Oncologist, Faridabad
Cancer is abnormal uncontrolled cancer proliferation of cells that are uncontrolled and autonomous. They usually present as pain less lump, abnormal bleeding, ulceration, fever, anaemia, fatigue, weight loss etc. One has to stop exposure to carcinogens and quit smoking, preventing from pollution, consumption of antioxidants vegetables fruits and get routine screening check up done.
4 people found this helpful
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Dr. agar lump nikalne ke baad ghav bharega to main baby ko milk pila sakti hu naa? Usse baby ko koi reaction nahi hoga naa?

BHMS
Homeopath,
Kaha pe ghav haii yeh matter karta haii,,agar breast pe hua to kuchdin bad dijiye,,nahi to infection ka darr rahegaa
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Is a palpable lump in the side a symptom of colon cancer? Or is it only found as a polyp inside and can not be felt?

DNB, MBBS
Oncologist, Faridabad
Intra-abdominal lumps are usually difficult to feel by individuals themselves unless they become quite big. But big lumps will also have some symptoms so it may be something else if you do not have any symptoms. Colon cancers present as altered bowel habits or indigestion. There can be frank bleeding or occult blood in stool picked up by stool microscopic examination. Serum cea levels can be checked in suspicious cases along with stool test and further colonoscopic examination will help in diagnosis. You can meet a gastroenterologist if any abdominal symptoms you feel.
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