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Dr. Pankaj Kumar Bala

Radiologist, Kolkata

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Dr. Pankaj Kumar Bala Radiologist, Kolkata
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Pankaj Kumar Bala
Dr. Pankaj Kumar Bala is one of the best Radiologists in Panihati, Kolkata. He is currently associated with Dr. Bala's clinic in Panihati, Kolkata. Book an appointment online with Dr. Pankaj Kumar Bala and consult privately on Lybrate.com.

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I am 40 years old I was suffering from disc dislocation and recovered from it in 2007, but now I am suffering from Neck pain at vertebral column and my left Knee is also paining.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Faridabad
I am 40 years old I was suffering from disc dislocation and recovered from it in 2007, but now I am suffering from Ne...
Warm mustard oil or sesame oil (1 teaspoon) with 3-4 cloves of crushed garlic and 1 tsp of ajwain (carom) seeds until it roasts to a reddish brown colour. Ensure that it does not get burned. Massage this oil on your affected areas. After that do hot fomentation with salt potli (bag). take 1 tsf triphala churna daily....n practice yoga daily twice. Go for fasting once a week. You can go for absolute fasting or rely on a liquid diet to digest ama (toxin). Fasting should be followed by hot fomentation or by taking a bath with lukewarm water or steam bath. After fasting and fomentation, mix powdered long pepper, black pepper and dried ginger in equal quantities and take 1 teaspoon of this powdered mix with lukewarm water twice a day. This will help you restore your digestive fire.
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My MRI INDICATE 1. Lumbosacral transitional Vertebra with complete socialization of L5 2. Disc desiccation with diffuse disc bulge and broad based posterior central disc protrusion at L4-L5 level causing ventral thecal sac indentation and significant compromise of bilateral neural forminal (right>left). Mild ligamentum flavum thickening is also seen at this level with maintained spinal canal dimensions. 3. Cervical spondylitis changes with disc osteophyte complexes at C4-C5 and C5-C6 levels. Broad based left paracentral disc protrusion at C4-C5 level causing ventral thecal sac indentation and moderate compromise of left sided neural forminal. 4. Mild disc bulge at d5-d6 (screening of rest of spine revealed) I am confused. Dr. Said physio will fix it. I read too many damages. Please guide and suggest sustainable solutions. I am willing to take prolonged treatment. What does this report mean?

Radiologist, Delhi
Hello Mr. lybrate-user. The report says that there is significant compression of nerves at L4-5, C4-5 and C5-6 vertebral levels. You need to wear lumbar hot belt on regular basis, have to take medicines, you have to undergo physiotherapy and take precautions like no forward bending, no lifting weight, using ortho matress to keep spine straight. I would advise you to meet an orthopedician and discuss your symptoms in detail. Clinical examination and some further tests are required before prescribing medicines.
3 people found this helpful
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Can disc stenosis be cured permanently? And can the compressed disc become as it was earlier with Pranayam?

Occupational Therapy (OT)
Occupational Therapist, Jaipur
It's treatable and relieved from disability or pain with life style changes through Occupational therapy with work site and home modifications.
1 person found this helpful
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Breast Cancer - Know Its Symptoms And Treatments!

MS - Obstetrics and Gynaecology
Gynaecologist, Chennai
Breast Cancer - Know Its Symptoms And Treatments!

Breast cancer is a type of cancer which occurs due to the development of cancerous cells in a person's breasts. Women are usually affected by breast cancer and breast cancer is one of the most common forms of cancer after skin cancer. Usually fatal if not diagnosed in its early stage, breast cancer is a very serious medical ailment. Read on more to find all about the different symptoms, causes, preventive measures and treatment of breast cancer.

Symptoms-

Breast cancer has a few distinct characteristics and if you have a few or all the following symptoms you could be more likely to suffer from breast cancer. 

  1. The formation of a lump in your breast which is different from the surrounding tissue and usually more thickened.
  2. The discharge of bloody fluid  material from the nipples.
  3. Sudden change of the size, shape and appearance of the breast.
  4. Certain distinct changes to the skin over the breast for example an indentation in the skin similar to that of a dimple.
  5. Appearance of an extra nipple which is inverted.
  6. If the darkened area around the nipples known as the areola is flaking or peeling off.

Causes-

Studies and researches remain inconclusive on what causes breast cancer. Breast cancer occurs due to abnormal division of the cells located in the breast which over time accumulate and form lumps. They
might spread to other parts of the body. Breast cancer is caused mainly due to a complex interaction of personal genetics, environment and lifestyle choices. Breast cancer can also be caused due to genetics as about 5% to 10% of cases are due to gene mutations which pass onto generations.

Risk factors-

There are certain factors which increase the probability of contracting breast cancer. Increasing age, personal and family history of breast cancer, obesity, radiation exposure, pregnancy at an older age, post-menopausal hormone therapy are some of the factors that increase the chances of breast cancer.

Treatment-

Several forms of surgical methods exist to treat breast cancer. Depending on the condition and spread of the disease a suitable surgery is performed. These include mastectomy, lumpectomy, axillary lymph node dissection and removal of both breasts. Other forms of treatment include chemotherapy or the use of high doses of drugs to destroy cancerous cells. Radiation therapy where X-rays are used to destroy the cancer cells is also effective. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

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How Breast Cancer Patients Can Get Benefit from Physical Therapy?

BPTh/BPT
Physiotherapist, Kolkata
How Breast Cancer Patients Can Get Benefit from Physical Therapy?

Physical therapy can help, ease the symptoms of treatment and aid in rehabilitation following reconstructive surgery.

  • Easing pain
  • Reducing fatigue
  • Promoting bone density
  • Stimulating the immune system
  • Reducing stress and depression
  • Ridding the body of toxins
  • Decreasing swelling and inflammation
  • Treating lymphedema

One of the most beneficial treatments for cancer patients is exercise to prevent bone loss and maintain strength. A customized exercise program will be created that factor in the type of cancer treatments you’re receiving, your overall health and physical condition.
Breast cancer strikes fear into the hearts of men and women who have been diagnosed, along with family and loved ones. Physical therapists has treatments and therapies to help ease the effects of chemotherapy, radiation, mastectomy and reconstructive surgery. Breast cancer and associated treatments can be scary and have far reaching effects. Physical therapy can help you meet those challenges of the body, mind and quality of life.

2 people found this helpful

I am 20yr old male. I had an accident 2 years ago & I had suffered severe back pain. My spinal cord's disc had moved a bit so that I have pain in my back till now. What should I do for this?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Kindly show me a photograph of the affected part. Rule out diabetes & vit. D deficiency or any other metabolic disorder. Sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick matress are harmful Do hot fomantation. Paracetamol 250mg od & sos x 5days. Caldikind plus 1tab od x10. Do neck, back & general exercises. It may have to be further investigated. You will need other supportive medicines also. Make sure you are not allergic to any of the medicines you are going to take. If it does not give relief in 4-5days, contact me again. Do not ignore. It could be beginning of a serious problem.
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Homeopathy For Breast Cancer!

Medical officer, BHMS, CGO
Homeopath, Kolkata
Homeopathy For Breast Cancer!

Breast cancer is a malignant tumor (a collection of cancer cells) arising from the cells of the breast. Although breast cancer predominantly occurs in women, it can also effect men.


After skin cancer, breast cancer is the most common cancer diagnosed in women. Breast cancer can occur in both men and women, but it's far more common in women.

Substantial support for breast cancer awareness and research funding has helped improve the screening and diagnosis and advances in the treatment of breast cancer. Breast cancer survival rates have increased, and the number of deaths steadily has been declining, which is largely due to a number of factors such as earlier detection, a new personalized approach to treatment and a better understanding of the disease.

Causes--it's not clear what causes breast cancer.

  • Doctors know that breast cancer occurs when some breast cells begin growing abnormally. These cells divide more rapidly than healthy cells do and continue to accumulate, forming a lump or mass. The cells may spread (metastasize) through your breast to your lymph nodes or to other parts of your body.
  • Breast cancer most often begins with cells in the milk-producing ducts (invasive ductal carcinoma). Breast cancer may also begin in the glandular tissue called lobules (invasive lobular carcinoma) or in other cells or tissue within the breast.
  • Researchers have identified hormonal, lifestyle and environmental factors that may increase your risk of breast cancer. But it's not clear why some people who have no risk factors develop cancer, yet other people with risk factors never do. It's likely that breast cancer is caused by a complex interaction of your genetic makeup and your environment.

Inherited breast cancer

  • Doctors estimate that about 5 to 10 percent of breast cancers are linked to gene mutations passed through generations of a family.
  • A number of inherited mutated genes that can increase the likelihood of breast cancer have been identified. The most common are breast cancer gene 1 (brca1) and breast cancer gene 2 (brca2), both of which significantly increase the risk of both breast and ovarian cancer.
  • If you have a strong family history of breast cancer or other cancers, your doctor may recommend a blood test to help identify specific mutations in brca or other genes that are being passed through your family.
  • Consider asking your doctor for a referral to a genetic counselor, who can review your family health history. A genetic counselor can also discuss the benefits, risks and limitations of genetic testing with you and guide you on appropriate genetic testing.

Symptoms--signs and symptoms of breast cancer may include:

  • A breast lump or thickening that feels different from the surrounding tissue
  • Change in the size, shape or appearance of a breast
  • Changes to the skin over the breast, such as dimpling
  • A newly inverted nipple
  • Peeling, scaling or flaking of the pigmented area of skin surrounding the nipple (areola) or breast skin
  • Redness or pitting of the skin over your breast, like the skin of an orange

Risk factors-a breast cancer risk factor is anything that makes it more likely you'll get breast cancer. But having one or even several breast cancer risk factors doesn't necessarily mean you'll develop breast cancer. Many women who develop breast cancer have no known risk factors other than simply being women.

Factors that are associated with an increased risk of breast cancer include:

  • Being female.Women are much more likely than men are to develop breast cancer.
  • Increasing age. Your risk of breast cancer increases as you age.
  • A personal history of breast cancer. If you've had breast cancer in one breast, you have an increased risk of developing cancer in the other breast.
  • A family history of breast cancer. If your mother, sister or daughter was diagnosed with breast cancer, particularly at a young age, your risk of breast cancer is increased. Still, the majority of people diagnosed with breast cancer have no family history of the disease.
  • Inherited genes that increase cancer risk. Certain gene mutations that increase the risk of breast cancer can be passed from parents to children. The most common gene mutations are referred to as brca1 and brca2. These genes can greatly increase your risk of breast cancer and other cancers, but they don't make cancer inevitable.
  • Radiation exposure. If you received radiation treatments to your chest as a child or young adult, your risk of breast cancer is increased.
  • Obesity. Being obese increases your risk of breast cancer.
  • Beginning your period at a younger age. Beginning your period before age 12 increases your risk of breast cancer.
  • Beginning menopause at an older age. If you began menopause at an older age, you're more likely to develop breast cancer.
  • Having your first child at an older age. Women who give birth to their first child after age 30 may have an increased risk of breast cancer.
  • Having never been pregnant. Women who have never been pregnant have a greater risk of breast cancer than do women who have had one or more pregnancies.
  • Postmenopausal hormone therapy. Women who take hormone therapy medications that combine estrogen and progesterone to treat the signs and symptoms of menopause have an increased risk of breast cancer. The risk of breast cancer decreases when women stop taking these medications.
  • Drinking alcohol. Drinking alcohol increases the risk of breast cancer.


Homoeopathic remedies

Homoeopathy today is a rapidly growing system and is being practiced all over the world. Its strength lies in its evident effectiveness as it takes a holistic approach towards the sick individual through promotion of inner balance at mental, emotional, spiritual and physical levels. When breast cancer is concerned there are many effective medicines are available in homoeopathy, but the selection depends upon the individuality of the patient, considering the mental and physical symptoms.

  • Phytolacca decandra 200- phytolacca dec is an excellent remedy for breast cancer where the breast is hard, painful and of purple hue. Hard nodes in breast with enlarged axillary glands. Nipples cracked, very sensitive and inverted. Bloody watery discharge from breasts.
  • Conium maculatum 3c- conium maculatum is also effective for breast cancer with hard tumor. Hard tumors in breasts with stitches or piercing pain. Stitches in breasts and nipples, on taking deep breath or walking. Conium mac is suitable to old maids and bachelors.
  • Carcinosin 30- start treatment with this remedy.
  • Htdrastis canadensis 3c-hydrastis canadensis is another excellent remedy for breast cancer with pains like knives thrust into part. With cancer the nipples retracted. The glands in the axilla enlarged and painful. Cachectic appearance – excessive emaciation and weakness along with breast cancer.
  • Asterias rubens 3c- asterias rubens is effective for breast cancer even in ulcerative stage. There is acute sharp pain. Nodes and induration of breast gland, dull, aching neuralgic pain in this region. Breasts swell, especially left and nipple retracted. Left breast feels as if pulled inward and pain extends over inner arm to end of little finger. Numbness of hands and fingers of left side.
  • Arsenicum album 200-arsenic alb is effective in aggressive open ulcer with offensive discharge. Ulcers with burning, cutting pain and bloody offensive discharge. There is great anguish and restlessness. The person thinks it is useless to take medicine, fear of death and disease.
  • Antimonium crudum 200- antimonium crudum is also effective for open ulcer with offensive discharge. There is burning and itching worse at night. Digestion of the patient is easily disordered in antimonium crude.
  • Psorinum 200- psorinum is effective for breast cancer with open ulcers. Offensive discharge from the ulcer. The breast is swollen with red nipples. Burning and itching around nipples.
  • Thuja occidentalis 3c- thuja occidentalis is best for breast cancer with retracted nipples.
  • Malandrinum cm- malandrinum is effective to remove cancerous deposits and remission of primary cancer and shrinkage of mass.

Breast Cancer - Local and Systematic Form of Treatment!

MBBS, DNB (Obstetrics and Gynecology), MNAMS, Training in USG
Gynaecologist, Delhi
Breast Cancer - Local and Systematic Form of Treatment!

Breast Cancer - What exactly is it?
‘Breast cancer’ is a term that is used to refer to a malignant tumour, which has developed from cells present in the breast. Generally, all tumours can be divided into two categories i.e. benign and malignant and it is the malignant tumour that is responsible for causing cancer. Breast cancer generally originates in the cells the  milk producing glands of the breast's or the passage, which carries milk from the glands to the lobules. Additionally, breast cancer can also originate in the stromal tissues, including the fibrous and fatty connective breast tissues.

Breast Cancer: Treatment Options
Treatment for breast cancer depends upon two things: the exact type of the cancer and how advanced the cancer is. Treatment options for breast cancer can thus be broadly divided into two categories as Local treatments and Systemic treatments.

Local Treatments
Treatments that target the tumour without having any effect on the rest of the body are called local treatments. The following types of local treatment options are available for treating breast cancer:

  1. Surgery: Surgical breast cancer treatment involves removal of the malignant cancerous tumour in an operation. Smaller tumours can be removed using a surgical process referred to as ‘lumpectomy’, wherein the tumour along with a small amount of healthy tissue surrounding the tumour is removed. For larger tumours, removal of the entire breast becomes mandatory, in a surgical process known as ‘mastectomy’. Women who undergo mastectomy can choose to undergo reconstructive plastic surgery for reconstruction of the removed breast(s).
  2. Radiation Therapy: This basically involves using radiation to kill cancer cells present in the body. Radiation therapy is a long-drawn process that usually involves a set number of treatments administered over a long period of time. Radiation therapy is also generally the follow-up procedure after a lumpectomy, or more rarely, a mastectomy.

Systemic Treatments
Treatments involving drugs that are administered via either the mouth or direct injection into the bloodstream are called systemic treatments. These include:

  1. Chemotherapy: This includes using drugs to destroy the cancer cells present in the body by stopping the cancer cells from growing and dividing. Chemotherapy can be administered using either an IV (intravenous) tube or via pills that can be swallowed.
  2. Hormone Therapy: This treatment option is used for treating tumours which have tested positive for progesterone or oestrogen receptors. Blocking hormones that fuel the tumour’s growth is the basis of this therapy.
  3. Targeted Therapy: This targets specific proteins and genes which contribute to growth and survival of the cancer cells. Targeted therapy is an extremely focused treatment, and is very effective in blocking the growth and division of cancer cells, as well as minimizing damage to surrounding healthy cells.
2587 people found this helpful

I have slip disc problem in l4 n l5. Is it possible to get relief with problem by exercise only. I have this problem from last 5 years. My age is 30 years.

MD - Radio Diagnosis/Radiology
Radiologist, Jammu
Hi, definitely you be benefitted by exercise of lower back, avoid unnecessary postures, keep your back straight while studying better to keep a pillow to support your back, avoid lifting heavy objects, medications are only required when you have severe pain and surgery is only required in cases of severe pain radiating to limbs with major weakness of limbs.
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