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Dr. Rama Krishna

Oncologist, Hyderabad

400 at clinic
Dr. Rama Krishna Oncologist, Hyderabad
400 at clinic
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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. Rama Krishna
Dr. Rama Krishna is a trusted Oncologist in Somajiguda, Hyderabad. You can meet Dr. Rama Krishna personally at Dr. Rama Krishna@The Deccan Hospital in Somajiguda, Hyderabad. You can book an instant appointment online with Dr. Rama Krishna on Lybrate.com.

Lybrate.com has a nexus of the most experienced Oncologists in India. You will find Oncologists with more than 42 years of experience on Lybrate.com. Find the best Oncologists online in Hyderabad. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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6-3-903/A & B Landmark : Opposite To Yashoda HospitalHyderabad Get Directions
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I am a 20 year old girl. I suffered nasopharynx carcinoma due to which I had to undergo chemo and radiation. As a side effect of which my salivary glands are damaged. Saliva production is minimum. Please suggest me ways to boost my saliva.

MBBS, DNB ( Radiation Oncology)
Oncologist, Mumbai
It must be difficult for you. You should do your gargles regularly with hexidine mouth wash. And there are many artificial saliva sprays available.
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Breast Cancer - Know More to Say 'No' More!

MBBS, DGO, MD - Obstetrics & Gynaecology, MRCOG
Gynaecologist, Delhi
Breast Cancer - Know More to Say 'No' More!

Cancer is the abnormal, uncontrolled growth of cells in a particular body part. With continued growth, pieces of this tissue travel through the blood to different body parts and continue to grow in the new area. This is known as metastases. Breast cancer is one of the most common forms of cancer and affects about 1 in 8 women in the USA. Read on to know more details of breast cancer – breast anatomy, causes, symptoms, risk factors, detection, prevention, and of course treatment.

Anatomy: The main function of the breast is lactation through its milk-producing tissue that are connected to the nipple by narrow ducts. In addition, there is surrounding connective tissue, fibrous material, fat, nerves, blood vessels and lymphatic channels which complete the structure. This is essential to know as most breast cancers develop as small calcifications (hardened particles) in the ducts or as small lumps in the breast tissue which then continues to grow into cancer. The spread can happen through lymphatic or blood flow to other organs.

Warning signs/symptoms: The following are some symptoms that need to be watched out for if you have a predisposition to breast cancer.

  1. A lump in either of the breasts or armpits
  2. Change in size, shape, or contour of either breast
  3. Redness of your breast or nipple
  4. Discharge of clear or bloody fluid
  5. Thickening of breast tissue or skin that lasts through a period
  6. Altered look or feel of the skin on the breast or the nipple (dimpled, inflamed, scaly, or puckered)
  7. One area on the breast that looks very different from the other areas
  8. Hardened area under the breast skin

Either one or a combination of these should be an indication to get a detailed checkup done. Early diagnosis results in controlling the disease with minimal treatment and reduced complications.

Causes and risk factors: The exact cause for breast cancer is yet to be pinned down. However, risk factors are clearly identified, and women with risk factors need to watch out for warning signs.

  1. Family history: Of all the risk factors, the family history is the most important. Breast cancer runs in families, and if there is a first-degree relative with the breast cancer, the chances of developing it are almost double. Two genes BRCA1 and BRCA2 are the carriers of the disease, and this testing can be done in women to identify if they are at risk.
  2. Family history of other cancers: Even if there is no breast cancer, if there are other cancers that run in the family, watch out.
  3. Age: Women over 50 are at higher risk of developing breast cancer.
  4. Race: Caucasian and Jewish women are at higher risk of breast cancer than African-American women.
  5. Hormones: Greater exposure to the female hormone estrogen increases the chances of developing breast cancer. Women who use birth control pills for contraception and hormone replacement after menopause are at a higher risk of developing breast cancer.
  6. Gynecologic milestones: Women who have abnormal menstrual milestones need to watch out. These include those who attain menarche before 12 years of age, get pregnant after 30, attain menopause after 55, and have menstrual cycles shorter than 26 days or longer than 29 days.
  7. Obesity and alcohol abuse are also likely to increase a woman’s chances of developing breast cancer.

Stages: Starting from stage 0, higher stages indicate advanced disease.

  1. Stage 0: The growth which has begun in the milk-producing tissue or the ducts has remained there (in situ) and not spread to any other area, including the rest of the breast.
  2. Stage I: The tissue slowly becomes invasive and has begun to affect the surrounding healthy tissue. It could have spread to the fatty breast tissue and some breast tissue may be found in the nearby lymph nodes.
  3. Stage II: The cancer at this stage grows considerably or spreads to other parts. There are chances that cancer may grow and also spread.
  4. Stage III: It may have spread to the bones or other organs but small amounts are present in up to 9 to 10 of the lymph nodes in the armpits and collar bones which makes it is difficult to fight.
  5. Stage IV: The cancer is widespread to far-flung areas like the liver, lungs, bones, and even the brain.

Screening: This is one of the most effective ways to identify the disease in its early stages. This will help in controlling cancer from spreading with minimal treatment.

  1. Self-examination: A thorough self-examination to look for changes in terms of shape, size, colour, contour, and firmness should be learned by all women. Watch for any discharge, sores, rashes, or swelling in the breasts, surrounding skin, and nipple. Examine them while standing and when lying down.
  2. In most women, annual screening mammograms are advised after the age of 40. However, in women who have a strong family history or genetic makeup, it is advisable to have screening mammograms starting at age 20 every 3 years and then annually from the age of 40.
  3. Women in high-risk categories should have screening mammograms every year and typically start at an earlier age.
  4. Ultrasound screening can also be given in addition to mammograms.
  5. Breast MRI is another way to screen for breast cancer if the risk is greater.

Breast Cancer Prevention: Now that there is so much awareness about causes and risk factors, there are definitely ways to prevent or delay the onset of the disease.

  1. Exercise and a healthy diet with reduced amount of alcohol are definitely effective in minimising the chances of developing cancer.
  2. Tamoxifen is used in women who are at high risk for breast cancer.
  3. Evista (raloxifene) which is used to treat osteoporosis after menopause. It is also widely used in preventing breast cancer.
  4. In high-risk women, breasts are surgically removed to prevent the development of cancer (preventive mastectomy).

Treatment: As with all cancers, treatment would depend on the stage at which it is identified and include a combination of chemotherapy, radiation, and surgery. As noted earlier, if you are at risk, look out for warning signs as early diagnosis is the key to maximum recovery.

2622 people found this helpful

I'm 30 year old woman, my both breasts have pain for 1 year, and also those are differ in sizes. What should I do?

DNB, MBBS
Oncologist, Faridabad
Difference in size of both breasts may be natural if it is from the beginning. But if the asymmetry has become recently then it needs to be evaluated. Pain in breast if it is cyclical that means increases when periods are nearing is normal due to edema or swelling of breasts. Restricting salt intake and hot fomentation helps. You can also take evion and primosa which may help in reducing inflammation of ducts. Sports bra or proper breast support helps.
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I have a small cyst on both of my breast but it neither pains me firstly I do not know what is it but now this things pinch me out what is it? What should I do?

MD - Obstetrtics & Gynaecology, FMAS, DMAS, MBBS
Gynaecologist, Noida
Hello, please get an ultrasound of the breasts done and it has help rule out any lump, cyst of benign/malignancy. This may be fibroadenoma.
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I want to clarify some doubt regarding cancer. One of My relative undergone to remove the Uterus. After that CT 125 was done.In Histopatholy report mentioned as Poorly differentiated carcinoma with signet cells metastatic to both ovaries showing tumour emboli in the myometrium , Uterus shows superficial adenomyosis with papillary endocervicitis .Bilateral fallopian tubes are unremarkable. For these case Which method/kind of treatment is best ?

MBBS, MD - Medicine, MD - Oncology
Oncologist, Delhi
Dear, in this case uterous along woth both ovaries and fallopian tubes needed to be removed. This should be followed by pet scan to rule out outside pelvic metastasis. If pet is normal you have to undergo radiation therapy which is by twle aswel as brachy. If you wish you can discuss.
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She has diagnosed of breast cancer going through chemo for the first time after chemo she got lung infection and after 18 days got infection of herpes that caused delay in the second chemotherapy please recommend some diet as per her condition we are giving her wheatgrass guide soya milk and a type of kadha made by the leaves of ramphal along with medicines. Also describe why she got infected again an again.

MS - General Surgery
General Surgeon, Patan
As she has been started on chemotherapy, her immunity will come down. Means her body's power to fight against infection is down thats why she is getting recurrent infection. But no need to worry, just give her nutritious food and treat the infections accordingly.
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My age is 60.Had initial stage uterus cancer. Undergone radical hysterectomy. What follow up tests are required after six months.

MD - Radiothrapy
Oncologist, Gurgaon
Kindly discuss the postoperative histopathology report . She might need radiotherapy +/- chemotherapy before follow up. Thanks .
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My father is suffering from cancer (4th stage) he is 72 yr old. Is there any possibilities for his recovery. Please advise . I would be very grateful for your valuable suggestions.

MD - Oncology
Oncologist, Hubli-Dharwad
Let me know what type of cancer and of what histopathology? as locally stage 4 cases in many variety can be still curable , and some sites like stomach , oesophagus stage 4 are not curable but can increase their life without pain.
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Mild prostatomegaly 3.9 x 3.6 x 3.3 cm (25, 8 grams) what precautions to follow ?

BHMS
Homeopath,
U had any problem of dribbling micturition? best treatment is to go for biopsy n lap. Surgery. Take tab urimax 0.4 mg 1 hs if you have any inconsistency of urination. Do you have any drug allergy or any k/c/o htn/dm?
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I friend have overy cancer then right overy was removed whether she will affect by cancer again then can she able to carry the child in stomach. In one overy there will be the opportunity to born the baby.

DNB, MBBS
Oncologist, Faridabad
Dear sir, if only one ovary is removed and the other one is normal with healthy uterus then there are good chances of having normal fertility. She has to be on regular follow up to ensure that tumour is not relapsing.
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I gave breastfeed to my kid till 2 years but now I stop giving him. From last 3-4 days I felt pain in my left side of breast. I can't lie upside down on my bed while sleeping.

M.Ch - Surgical Oncology, MS - General Surgery, MBBS
Oncologist, Delhi
Though you have done the right thing in stopping breast feeding, for how long now, have you stopped it. Milk production subsides gradually, and it may be because of the collection, that they may be full, swollen and hurting. Please be sure there is no redness and you are not running fever. These are signs of a breast abscess. You may get an ultrasound of the breast to be more sure of the problem.
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In lungs cancer 4 stage chemotherapy or radiation therapy is possible.Please tell.

MBBS, DNB ( Radiation Oncology)
Oncologist, Mumbai
It depends on the general condition of the patient. Also stage 4 means usually palliation, so the intention is not cure, but a reasonable quality of life and if possible disease control. May be palliative chemotherapy if patient can tolerate and palliative radiation if the patient has painful bone metastasis or brain metastasis.
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Sir I am 24 year boy suffering from prostatitis from last 6 months. 10-12 pus cell in sperm. No growth in culture. Doctor give me 3 months of ofloxion 400mg no cure. I go to uroglist he give me levofloxion 500mg for 6 weeks. In how many weeks antibiotics start working. Please reply me sir.

Fellowship of the Royal College of Surgeons (FRCS), MS - Urology, MBBS
Urologist, Ahmedabad
Sir I am 24 year boy suffering from prostatitis from last 6 months. 10-12 pus cell in sperm. No growth in culture. Do...
Dear at your age prostatitis is not likely unless you have had sexual intercourse with women had vajinitis or you have some other urinary problem your complaints may help me. You must be suffering from seminal vesiculitis and one needs to take suitable antibiotics for 4-6 weeks and take proper precautions not to get reinfection.
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Question is for breast cancer stage 3 and grade 3 Why is cancer patient survival rate is measured in relative of 5 years. If the patient is diagnoses with cancer and he go for the treatment like chemotherapy surgery and radiation and he successfully cured the cancer then why he can not survive for 10 years, is it is because of sideeffect of medicines chemo surgery radiation etc.

MBBS, MD - Medicine, MD - Oncology
Oncologist, Delhi
Dear lybrate-user, even stage 3 cancer properly treated will give a 50 to 65% of 5 year survival and even more if the patient is in good general condition. I will also suggest immunotherapy after completed treatment which will perhaps give complete cure.
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Dear sir, I am 34+ yrs. I had used finpecia & finax tablet earlier to arrest hair falling. Does this pill have any bad side effect like prostate cancer or impotency. For few days after waking up in morning I am feeling back pain in spine, numbness in my right leg, pain in belly left side near waist, urine has become deep yellowish even sometime feel pain. So please suggest.

BHMS
Homeopath, Sindhudurg
Dear sir,
I am 34+ yrs. I had used finpecia & finax tablet earlier to arrest hair falling. Does this pill have any ba...
Hello sir, hairfall can be treated by homoeopathy without side effects. There are many homoeopathic remedies for headache sepia, acid phos, nat mur, phos, kali carb, kali sulph, bry, silicea, canth, etc. To select perfect remedy for you
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My age is 23 years. Height is 6 ft. Weight 76 kg. What are the blood test to detect pituitary cancer.

Diploma in Radio Therapy, MBBS
Oncologist, Chennai
Pituitary cancer is a systemic disease. That means the manifestation of the disease is more pronounced in the body than the actual cancer symptoms. There is no direct blood test to diagnose Pituitary cancer. A image guided biopsy is the one which can give a diagnosis. Pituitary gland being the main controller of hormones in the body, there is abnormal distribution of hormones. Hormonal studies for Growth hormone, Thyroid stimulating hormones and 24 hrs Urine Cortisol level can be assessed to know the status of hormone production from the Pituitary gland. You can consult me if you want to know more details.
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My cousin had noticed that he has cancer at stage of 3. The doctor planned to give radiation therapy. After that, a surgery to keep colostomy bag. He is 23 years old. Doctor asked him to save his sperms for future. Is there any possibility to avoid keeping colostomy bag?how long will he lead his life?

UICC International Fellow in Oncollogy , ESTRO certification in Head and neck oncology, MD - Radiothrapy
Oncologist, Jamnagar
He might be having ca rectum. If sphincter saving is possible after radiation, colostomy can be avoided. Sperms should be preserved in sperm bank. Please send ct scan / pet scan report and biopsy report.
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What are the precursor of breast Cancer and cervical cancers how to understand this.

MBBS
General Physician, Mumbai
If there is a lump or discharge from the breast and if there is abnormal bleed through the vaginum than we have to rule out for cancer with a FNAC
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After taking 3 tablets of silodal d8, facing dry ejaculation problems, please help, having enlarge prostatic, uti.

Fellowship of the Royal College of Surgeons (FRCS), MS, MBBS
Urologist, Delhi
After taking 3 tablets of silodal d8, facing dry ejaculation problems, please help, having enlarge prostatic, uti.
dry ejaculation is a side effect of this medicine but will become normal on stopping this or any other alpha blockers
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What is the symptoms of cancer and hepatitis b. What medicine will be good for that disease. Please help me.

MBBS
General Physician, Jalgaon
What is the symptoms of cancer and hepatitis b. What medicine will be good for that disease. Please help me.
Cancer occur at particular organ, symptoms differ accordingly hepatitis b. Nausea, loss of appetite, weakness yellow conjunctiva may or may not present diagnosis is made by hbasg test and liver function test.
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