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I am 19 years old. How to sleep properly. I can't sleep properly even if I am tired. What should I do?
I am single, 1. How to control masturbation? 2. Any problems in future, if I have sex with prostitute (with condom)
I am 30years Married. I have Problem premature ejaculation. I want to know course Time & fee. After Course my premature ejaculation problem is permanently solved or again started after 6 - 12 mnth course. I am alcoholic And Smoker. Pls Suggest me.
I am a 28 years old woman. I have fatty liver and hypothyroidism and also uric acid. I have low blood sugar levels and I remain in bed all the time. I am under treatment but there is no improvement. Can you suggest me something that can help me heal. I may have asperger's syndrome and sensitive skin. I have fever like temperature even in a cold room. To cool off I had to pour cold water. There are so many problems going on, plus I have to take anti psychotic medicine and anti depression medicine. I have ear infection and bacterial infection all over my body. I live in unclean conditions because I cannot clean everyday my home and my mother cannot do everything since she is more than 54 years old. I long for companionship but I don't feel secure around men. I feel they will hurt me. I fear I always be alone because of my illnesses. What should I do?
I am 25 years old woman, height 5.4 feet and weight 60 kgs. I am an eggitarian. I can not eat any milk product due to allergy. I usually eat one egg daily with some vegetables. Rice and roti. And also have multi grains blend porridge or oats in breakfast. Is this sufficient for me or I need something more to get proper nutrition.
Hi, I am 21 years old. I am suffered from hand tremor since 2 years. At that time hand will be shake during exam time. But now when I will do any work my hands fine shaking. And also when I excited then my hands shake and my pulse rate increase. Then I met a doctor he suggested vitamin b12. And also I met another doctor he suggested to meet ophthalmologist for slit lamp examination for k.f. Give me a valuable suggestions to prevent my hand tremor as early as possible.
Can I use evion 200 mg. On daily basis, are there any side effects and what is core benefit of having evion 200mg on daily basis.
My mother has fallen in flu and cold during the last 2 years, she is suffering for this problems through out the year and some time she has got the breathing problem, many doctor seen and give medicine but after taking medicine she will not get well, so what should I do now?
Hey there, my name is manjot and my problem is swollen lymph nodes in neck both sides righ and left, in armpits both sides and in groin borh sides. I had typhoid vaccination 6 - 7 months ago and had this swollen lymph nodes for about 4 months. I would love to get some information about this.
Sir I have feeling lot of depression. last day I have breakup, I am feeling illness and I have not get sleep well can you suggest me any sleep pills.
I have a very big headache just like memory loss I think its suffer due to high masturbation .Bt still I am do not masturbation due to this kind of thinks happens for m ,So can I resolve this my loss of memory .actually I am not focus .my contraction power is also week due to masturbation, and I have a dark spot on my eyes limp! How can I resolve please help m I am std of CA and I am not focusing on my study for these kind of problem.
I am 26 years old recently noticed that I have hepatitis b with virus quality 494. Now I'm using a deficit fipivoxil tablets. My question is it was working or not. Sometimes I'm getting saviour stomach pain also. And what diet I have to follow please suggest me.
My mom has gastroduodenitis. Her left part of stomach is paining from 4 months. And it is still paining after treatment. What to do?
I have both leg pains over 1year. When I wake up morning on that time pain increase after that pain decrease. What should I do now?
Sir I am a student pursuing my graduation. From two days I am not able to sleep properly. Getting bad headaches and sometimes I feel like commuting in night I am very tensed, please suggest some remedy. Thank you.
Gastric (stomach) cancer occurs when malignant cells form in the lining of the stomach. By far, it is known to be the second most common cause of cancer-related deaths not only in Asia but also worldwide. Though it can affect both male and female populace, it is seen more commonly in men and in people aged 50 years or older.
Type: Gastric cancers can present as one of the following types -
- Adenocarcinoma: Begins in the glandular cells lining the inside of the stomach. This forms a majority of the stomach cancers.
- Lymphoma: Begins in immune system cells present in the walls of the stomach. Occurrence of lymphoma, in the stomach, is rare.
- Carcinoid Tumor: Begins in hormone producing cells of the stomach. Occurrence of carcinoid cancer, in the stomach, is rare.
- Gastrointestinal Stromal Tumor (GIST): begins in nervous system cells of the stomach. Occurrence of GIST, in the stomach, is rare.
Gender: It affects both male and female populace.
Etiology: The factors that are associated with increased risk of gastric cancer include the following mostly –
- ‘Helicobacter Pylori’ bacterial infection in the stomach is a common cause of gastric cancer of both the intestinal (expanding) & diffuse (infiltrative) type. Furthermore, studies indicate that high salt intake is synergistic with H. Pylori infection in the manner that it is likely to increase the risk of gastric cancer that is induced by H. Pylori bacteria.
- Smoking, consuming alcohol, red meat, salty/ smoked/ processed foods, low intake of fruits and vegetables, diets rich in nitroso compounds, eating foods contaminated with aflatoxin fungus etc all.
- Atrophic gastritis characterized by chronic stomach inflammation is known to increase the risk multi-fold. Chronic gastric inflammation can lead to atrophy of the gastric mucosa, metaplasia, dysplasia and finally carcinoma.
- History of pernicious anaemia, gastric ulcers, adenomatous gastric polyp etc all.
- Family history of gastric cancer. Several familial syndromes that have been associated with a pre-disposition to gastric cancer include familial adenomatous polyposis, Lynch syndrome, Peutz-Jeghers syndrome and e-cadherin mutation (diffuse type)
- Blood group A, Obesity etc all are known to be associated with diffuse or cardia gastric cancer.
- Low socioeconomic status - persistent lifestyle issues/ irregularities including high stress coupled with an improper diet/ dietary pattern.
- Epidemiological evidence is indicative of a risk or pre-disposition to gastric/ stomach cancer for people suffering from diabetes mellitus (DM).
- Very high dose ionizing radiation exposure is an uncommon risk for gastric cancer.
Features: There are often no early stage symptoms. Early stage symptoms, if any, are non-specific and are likely to be ignored, thus delaying the diagnosis most often. Hence, gastric/ stomach cancer is often detected at an advanced stage where the disease is either locally advanced or metastatic. The various presentations (of signs & symptoms), by stage (early or advanced), of gastric cancer are as enumerated below:
Early Stage – can present with one or more of the following non-specific symptoms/ signs -
- Dyspepsia (Indigestion),
- Stomach/ Epigastric discomfort,
- Bloated feeling after eating,
- Mild Nausea/ Vomiting,
- Blood in Vomit (Haematemesis),
- weight loss (Cachexia)
- Occult blood in stool/ Melaena,
- Advanced Stage – presents with one or more of the following symptoms/ signs -
- GI Bleeding with black tarry stools (Melaena),
- Persistent Nausea/ Vomiting,
- Blood in Vomit (Haematemesis),
- Early Satiety,
- Loss of Appetite (Anorexia),
- Weight loss (Cachexia),
- Persistent pain in the abdomen,
- Fluid build-up in the peritoneal cavity (Ascites),
- Edema of the lower extremities,
- Liver Enlargement (Hepatomegaly)/ Jaundice,
- Difficulty swallowing food (Dysphagia)
- Screening: Is generally recommended for asymptomatic populations in high incidence areas or as surveillance for high risk individuals. The goal of screening, as usual, is to be able to detect & diagnose gastric cancer at an early stage which is potentially curable. It is mostly endoscopic/ radiologic.
Diagnosis: Following are the diagnostics employed in gastic cancer -
- Physical Examination: May be remarkable for palpable abdominal mass, weight loss (cachexia), abdominal distension, ascites, hepatomegaly, lower extremities edema and lymphadenopathy for gastric cancers in the advanced stage. For early gastric cancers, however, physical examination is largely uninformative.
- Blood: Hb- may be low, ESR – raised, tumor markers CEA & CA-19-9 could be raised sometimes in adenocarcinoma but are not frequently elevated. Abnormal blood test results may be indicative of malignancy, but a follow-up gastroscopy/ biopsy is always the gold standard for accurate diagnosis.
- Stool: Occult blood may be +ve
- Barium Meal X-Ray: Could show a filling defect at the site of the carcinoma/ cancer growth.
- Gastroscopy/ Biopsy: Clinches the diagnosis.
- Endoscopic Ultrasound: Maximizes tumor staging as it helps determine the depth of invasion of the tumor.
- CT Scan: Of chest, abdomen & pelvis helps detect metastatic disease, if any, and also helps stage the disease (TNM) appropriately.
- Bone Scan: Helps detect osseous metastasis (bone mets), if any.
- Treatment: Conventional treatment includes surgery, chemotherapy and radiotherapy as contextually appropriate. Surgery (i.e. gastrectomy either sub-total or total), with an adjuvant chemotherapy and/ or radiotherapy as contextually relevant, is the only treatment that is known to cure the disease in light of the prognostic indicators as briefly enumerated in the section below. Chemptherapy and/ or radiation alone cannot be curative. Mostly, it can improve symptoms, and may prolong survival. Simultaneously, an adjunctive or integrative naturopathic treatment with suitable complementary & alternative medicines (CAM) too can help improve clinical outcomes and facilitate recovery as feasible contextually.
Prognosis: For gastric cancer is variable. Preventive measures, earlier diagnosis and right early treatment is key for an effective therapeutic management & better prognosis. Like most other cancers, the chances of cure for an early stage gastric cancer are more. The cure/ recovery chances are influenced by the grade, stage of cancer, recurrence and the patient’s general health & vitality etc all. Distal tumors are known to be cured more often than the proximal ones. Again, intestinal-type gastric cancers are known to have a better treatment outlook in comparison to the diffuse-type gastric cancers.
Prevention: Rightly said, prevention is always a better choice. Although genetic risks are difficult to modify, still an adherence to a relative Mediterranean diet, maintaining an ideal body weight and an active lifestyle with due emphasis on regular exercising, de-stressing and relaxation is highly recommended for reducing the risks of many cancers including gastric 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. The consumption of alcohol, if any, has to be strictly in moderation, and is best avoided in a high risk scenario. Smoking is to be avoided too. 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. Not only it is important to eat healthy, but also it is equally important to eat properly. Insufficient chewing, eating until full, eating meals within a short time etc all are best avoided so as to ease off digestive burden on the stomach/ other organs in the GI tract. Last but not the least, consumption of clean and filtered water, natural probiotics like freshly prepared yogurt/ butter milk, maintenance of cleanliness & hygiene including oral hygiene etc. all can help guard against H. Pylori infections. Breastfeeding is known to be protective against H. Pylori infections too.