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Dr. Prabir Bijoy Kar

Oncologist, Kolkata

Dr. Prabir Bijoy Kar Oncologist, 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. Prabir Bijoy Kar
Dr. Prabir Bijoy Kar is a renowned Oncologist in Phool Bagan, Kolkata. You can consult Dr. Prabir Bijoy Kar at Suraksha Poly Clinic in Phool Bagan, Kolkata. Book an appointment online with Dr. Prabir Bijoy Kar and consult privately on Lybrate.com.

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Suraksha Poly Clinic

P-345 C.I.T.Road, Scheme - VIM, Phoolbagan, KolkataKolkata Get Directions
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My father is 56 years old. He had sphincterotomy. Cholangiogram showed narrowing at mid CBD. No tumour observed in MRI and CT scan. But CA-19-9 is 1829.5 and CEA is 0.35. Does this indicate cancer.

MD - Alternate Medicine, Phd - Medical Biochemistry
Oncologist, Delhi
Sphincterotomy is a method of last resort, to be used when all other attempts at cannulation during endoscopic retrograde cholangiopancreatography (ERCP) with standard cannulas, tapered cannulas, papillotomes, and guidewires have failed. Usually the pancreatitis, cholangitis, hemorrhage, and duodenal perforation. Cancer is more common in patients who are older and in those with type I and IV cysts. Please note Carbohydrate antigen 19-9 (CA 19-9) and carcinoembryonic antigen (CEA) markers and their diagnostic utility is limited due to significant overlap with benign disease and other malignancies, and also ahs low sensitivity for early stage cholangiocarcinoma (Cancer of the bile ducts). Nect step would be to evaluate Alpha-fetoprotein (AFP) is used to help differentiate intrahepatic cholangiocarcinoma from hepatocellular carcinoma (HCC). If all tests are normal, one needs to evaluate the cause of Intrahepatic cholestasis. Will need all reports staring from the initial complaint/ procedure and others to see where we are and what could be the issue, if any.
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My friend has habit of smoking from last 12 years. He used to smoke ocassionlly & regularly in this 12 years. I guess he has smoked more than 2000 cigrrates till now. Now he is worried about his habit and feeling panic about smoking bad effects on his health. So please suggest us which test we can do so he will able to know what impact has happen to his body before he will suffer from cancer or any kind of illness occur by cigrrates. So better he will go through medical test or medical treatments as per your consultation before facing some serious consequences because of cigarettes. Please suggest us is it any way to know the damages has happen to his body because of cigarette. Also suggest him what to do so he will not face some serious consequences like cancer or lungs diseases in future.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
He needs to go for a comp[elte medical checkup, which the doctor will prescribe. Anyway, it does not matter what the results show. He just needs to quit this very bad habit, immediately. To enable this ask him to follow some of these remedies: You have to quit cold turkey because the body and mind will torture you endlessly while attempting a reduction in smoking. The tobacco tar in cigarette smoke lines your lung with huge patches that make that portion dysfunctional. Your oxygen carrying capacity is jeopardized, and breathing is impinged on. But don’t be discouraged because it is not too late even now to reverse all the ill-effects of smoking. I don’t know what other organs could be damaged but do go for a thorough medical check-up to assess the effects of your abuse. Regarding improving your lungs, do a lot of aerobic exercise breathing through your nostrils only. Then there are a lot of deep breathing exercises in Yoga which you can learn too. Deep breathing cleanses your system and lungs and restores it to good health. Deep breathing uses the 80% of the lungs which are not normally used in normal breathing and even when exerting yourself. The greatest effect is in the lungs because this substance is processed through the respiratory system directly through the lung surface. When quitting, you must take one day at a time; though you must give up all smoking at once, and promptly. If you look too far ahead you will get discouraged and will give up. If you sit and count the number of days you have given up, that will also focus too much on achievement. You must focus on the here and now, on that day to be precise. After all quitting is not that easy due to many factors. So even if you fail one day, you must try and try again. Very few people succeed in their first attempt. Your persistence will eventually pay off. The urge to discontinue is hampered by many factors but the worst of them is the conditioning. In fact, these conditions can exist all through the day, unlike other addictions. But your desire to want to stop is the most important factor. It is important to find out about the ill-effects of smoking to have a reason that alarms you about continuing the habit. The information is really scary but true and you must remind yourself about this every day. The nicotine in tobacco smoke stimulates the heartbeat to raise the blood pressure in no time at all. So you must avoid it like the plague: it is just very bad medicine for you. In fact, it is highly toxic too. You will need to stop smoking or consuming any tobacco related items with immediate effect. You should start vigorous exercises, gradually increasing it over a period of time. Do deep breathing exercises every time you feel like smoking (try Yoga), and replace the oral urge with some healthy food substitute to satiate the need. You may also take hard candy or chew gum. If the urge is too strong, then use nicotine gums and nicotine patches, for a little while until the smoking drive reduces, substantially. You may also join Smokers Anonymous in your city where the support is really extraordinary for like-minded people who are also in the same situation. Keep yourself occupied or engaged with interesting activities during the times when it is most tempting. Keep the company of non-smokers for some time i.e. At least for the first 21 days. Above all announce it to everyone that you have quit smoking. Here’s a piece of very good advice: even if you accidentally/willfully take a cigarette, it is not the end of the world – you can start the cessation all over again. You must persevere with the best support until you defeat this addiction. Counseling is very useful in the initial stages and when temptations are at their highest. You could also join twitter2quit program and enjoy its success to give up smoking.
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have a swelling on neck doctor told cervical adenitis submental triangle is it symptoms of cancer or not?

M.Ch - Surgical Oncology, MS - General Surgery, MBBS
Oncologist, Delhi
Not necessarily, get an ultrasound of the neck done and if needed an fnac to rule out any cancer. Alternatively you may try a course of antibiotics for a week and see if there is any improvement.
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I have prostrate of 2nd grade for which I am on allopathic medication from chd. Pgl. I had constipation since a very long time but now the natural urge for passing stool in the morning has gone. Although I am taking two big spoons of issabgol daily at night. If if I do not pass the stool then for the whole day I dont like to take anything, acute gas problem also irritates me. I shall feel oliged if you kindly help me to solve the problem. Please. Help. Kind regards.

MBBS
Sexologist, Panchkula
To get out of constipation, take lots of fibres which are there in all vegetables and fruits take about 2 bananas daily not after meals. Take 1/2 lemon in warm water with no sugar and salt in the morning alternative. Take soybean chunks in vegetables twice a week. Avoid garlic and red chilli in any form in your diet don't take milk and milk products after 7 pm take 8 to 10. Glasses of water daily. Follow this strictly to get out of constipation.
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I am 40 years of age. I have got 37.6 grams of prostate & 14.7*17.0 mms anechoic cyst in left epididymal head of testis. What to do?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 40 years of age. I have got 37.6 grams of prostate & 14.7*17.0 mms anechoic cyst in left epididymal head of test...
Prostatitis treatments vary depending on the underlying cause. They can include: Antibiotics. This is the most commonly prescribed treatment for prostatitis. Your doctor will base the choice of medication on the type of bacteria that may be causing your infection. If you have severe symptoms, you may need intravenous (IV) antibiotics. You'll likely need to take oral antibiotics for four to six weeks but may need longer treatment for chronic or recurring prostatitis. Alpha blockers. These medications help relax the bladder neck and the muscle fibers where your prostate joins your bladder. This treatment may lessen symptoms, such as painful urination. Anti-inflammatory agents. Nonsteroidal anti-inflammatory drugs (NSAIDs) may make you more comfortable. Prostate massage. This is done by your physician using a lubricated, gloved finger — a procedure similar to a digital rectal exam. It may provide some symptom relief, but doctors disagree about how effective it is. Other treatments. Other potential treatments for prostatitis are being studied. These treatments include heat therapy with a microwave device and drugs based on certain plant extracts
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ECMO New Era of Medicicne

Homeopath,
ECMO New Era of Medicicne

What is ECMO?
Like dialysis for unfunctional kidney, Ecmo for unfunctional lung.

Ecmo stands for extracorporeal membrane oxygenation. It is a method of giving oxygen for the body when icu pateint lungs and/or heart are not able to supply oxygen on their own. 

Why ICU pateint put on ECMO?

Doctors place ICU patients on ECMO when patients are not able to supply oxygen to the body.

ICU patients’ lungs fail for a number of reasons including pneumonia, lung cancer, pulmonary edema, pulmonary embolism and COPD.

 When a patient’s lungs fail, he/she first is intubated (breathing tube) and hooked up to a ventilator (breathing machine).
 However, sometimes lungs are so damaged that providing oxygen through intubation is not enough.

This is when doctors turn to v-v ecmo.
A heart can fail for many reasons including heart attack, pulmonary embolism, bad valve disease, or worsening heart failure. When a heart fails, doctors try to fix the underlying problem. They may also start medications (called ionotropes) to help improve the pump function of the heart. If medications are not enough, doctors will turn to v-a ecmo.

How long can someone stay on ecmo?

That is a complicated question. Due to the risks of ecmo discussed above, doctors try to keep patients on ecmo for as short a time as possible. Often patient will be on ecmo for several days up to 1-2 weeks. Every day, several blood and imaging tests are done to determine if a patient is ready to come off ecmo. As the technology of ecmo improves, hopefully side effects will decrease and patients can remain on ecmo for longer periods of time.

What is the difference between ecmo and a ventilator (breathing machine)?

Both ecmo and a ventilator aim to provide oxygen to the body when the patient’s own lungs and breathing are failing. The ventilator assists the patient’s own lungs by pushing oxygen with pressure into the lungs. Ecmo instead provides oxygen directly via a catheter placed in a patient’s vein or artery. We almost always try oxygenating a patient with a ventilator first. However, when a patient’s lungs are too sick for this, we turn to ecmo to assist in providing oxygen to the body. V-v ecmo provides oxygen through a vein. This blood then has to travel to the heart and be pumped around the rest of the body through arteries. Therefore, with v-v ecmo or with a ventilator, a patient must have a well-functioning heart to get the oxygen pumped throughout the body. V-a ecmo has the additional advantage of pumping blood directly to arteries. This “by-passes” the heart and is therefore the method of ecmo we use when a patient’s heart is failing.

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Hai, my mother is currently suffering from breast cancer where under several test .Today she got confirmed on additional of tuberculosis when a surgery was performed at her neck side.Can i know what after this,what wud be my mother's upcomming treatment.?

MD - Oncology
Oncologist, Hubli-Dharwad
Breast cancer treatments like surgery , radiotherapy and chemotherapy to be given along with that anti tubercilar tablets to be started
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I am 66 years male with problem of involuntary leakage of urine during sleep at night. I have Diabetes which is controlled. I do not have any prostrate problem. Please suggest a medication to control my above problem.

FMAS, MS
General Surgeon, Gandhinagar
I am 66 years male with problem of involuntary leakage of urine during sleep at night. I have Diabetes which is contr...
Respected lybrate-user hi if it's only during night then you have to take very less water after 7 pm.
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I'm of 67 years old, suffering from difficulties due to enlarged prostate glands for the last 2 years. A super special doctor has diagnosed the case after several tests and prescribed to consume WELTAM 0.4 tabs daily once. Still going thr'u with the same problems I had before meeting the doctor. please advice.

MBBS, cc USG
General Physician, Gurgaon
I'm of 67 years old, suffering from difficulties due to enlarged prostate glands for the last 2 years. A super specia...
Further treatment consist of 1. Medical tt by alpha blockers commonly used to treat benign prostate enlargement. 2. Surgical treatment transurethral resection of the prostate is the first choice of surgeries for BPH Consult Urosurgeon.
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Hello sir my friend last 2 month sick and other problem .last 2 check up reports blood cancer positive .27 july report wbc 37000 bt 12 aug reports wbc 34000 .imatinib tablet per day 1 tablet use. Kb tak wbc control ho please help.

MD - Radiothrapy, MBBS
Oncologist, Pune
There are different types of blood cancer. Treatment is different for different cancers. As you have mentioned he was started on imatinib tablets he might be having CML (chronic myeloid leukemia). It may take a month or two to become blood counts normal. He needs to repeat bone marrow examination after 3 Months of starting tables to assess response.
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USG of abdomen says. Liver shows overall reduced size but otherwise appears normal. Portal cavernosa. Cholelithiasis. splenomegaly of 120 mm. Mildly enlarged prostate of 28 gm.

DM - Gastroenterology
Gastroenterologist, Vadodara
USG of abdomen says. Liver shows overall reduced size but otherwise appears normal. Portal cavernosa. Cholelithiasis....
Hi. You need to get yourself check for chronic liver disease. That includes blood test and endoscopy.
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I am suffering from lung cancer how many chemo doses is required to cure the diseases. Please advise.

DNB, MBBS
Oncologist, Faridabad
We must know the pet ct findings and the histopathology before deciding on management. If early disease it may be operated on. If locally advanced then chemo-radiation therapy, if metastatic then palliative chemotherapy number of chemotherapy depends on the response, it is usually six cycles, but depends on response
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Sir, I have received msg through whats up regarding cancer treatment imitinef mercelet tab will kills the cancer cells it is true or false,

DM - Oncology, MBBS, MD - Medicine
Oncologist, Mumbai
Yes, it's true, this is the only targeted therapy started for blood cancer i. E. Chronic myloid leukemia initially, which have been very successful and beneficial to patient.
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Ayurveda and Bladder Cancer

Skin Diseases Cancer Heart Diseases Musculoskeletal Disorders Male Sexual Disorders AIDS, Hypertension Diabetes Mellitus Blood Disorders Respiratory Disorders, Gastrointestinal Disorders Endocrine Disorders ENT Disorders, Gynecological Disorders Opthalmic Disorders Psychiatric Disorders Urological Disorders
Ayurveda, Indore
Ayurveda and Bladder Cancer

Bladder cancer is the result of the growth of cancerous cells inside the bladder. Bladder cancer is mainly of four types:

  1. Urothelial carcinoma: In this type of bladder cancer, the tumours may be limited to the bladder or spread from the urothelial to the deeper layers in the bladder. The urothelial is the epithelium lining in the renal pelvis, ureters, urethra and bladder.
  2. Squamous cell carcinoma: Squamous cells are flat, thin cells that form after a prolonged infection in the bladder. The cancer starts from these cells.
  3. Adenocarcinoma: Glandular cells in the bladder produce and discharge mucus. This type of cancer begins from the glandular cells.
  4. Superficial bladder cancer: If the cancer is limited to the bladder lining, then it is known as superficial bladder cancer. The cancer might spread to the bladder muscle wall, or spread to the lymph nodes and organs close to it.

It is important note that, if bladder cancer is detected early, then it can be cured most of the times.

Who is at a risk of acquiring bladder cancer?
Those who smoke or have a history of bladder cancer in the family or are exposed for to industrial chemicals for long durations are at an increased risk of bladder cancer.

The symptoms of bladder cancer include:

Bladder cancer treatment by conventional medication can be complemented by Ayurveda; especially, with the Panchakarma therapy, which detoxifies the body. Detoxification can be done by:

  • Snehana therapy that is oil massage
  • Swedana that is steaming therapy 
  • Vamana that is by urging vomiting
  • Virechana that is by purging
  • Basti is the enema medication
  • Nasya or through nasal medication
  • Raktamokshana Therapy 

Along with the above mentioned therapies, consuming medicated juices, which contain fruits and vegetables is good for the body. Antioxidant Ayurvedic medicines are also highly beneficial. Practicing yoga, sound therapy, pranayama, acupressure and acupuncture can help in the long run.

Sometimes, traditional cancer medication can rob the body of its strength once the symptoms are cured. Rasayan Chikitsa can help the body regain its strength. Rasayan Chikitsa improves the metabolism, memory, longevity, hair and complexion. It brings back the vigour that was lost. If you wish to discuss about any specific problem, you can consult a specilized ayurveda and ask a free question.

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I am suffering from prostrates since 4 years nd I take medical supervision bt all medicines I tke gve me some relief nt full. Bt nw wn I go bathroom fr doing urine it take more thn30 mnts to come out nd I thnk some urine is inside on my bladder. Have some gud medicine which relax me from this problem.

PGDMLS, PGDHHM, LLB, PhD Surgery, MS - General Surgery
General Surgeon, Gurgaon
I am suffering from prostrates since 4 years nd I take medical supervision bt all medicines I tke gve me some relief ...
There are good medicines available but they have to be taken regularly for long periods. I hope you have got an ultrasound & psa test done besides a physical examination from a surgeon / urologist.
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My fiance breast is paining badly when I press her breast at our time of intercourse is it a big problem or I need to consult a doctor we are having sex since last 5 months and from first she was not having the problem but after some time it started paining and at the time I cannot fondle because of the fear of her pain. Is it some of major disease kindly help so that I can help her with this.

MBBS, MD - Medicine, MD - Oncology
Oncologist, Delhi
My fiance breast is paining badly when I press her breast at our time of intercourse is it a big problem or I need to...
Dear, you have to be gentle while making love. Be sure at any time she did not contact infection by mishandling or sucking the nipple. Inflamed breast gives pain on touching or fondling. If breast is very tender on touch she may need a course of antibiotics, after you have seen the doctor.
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Does olive oil prevent heart disease? Short answer: Yes  The health benefits of olive oil come from the presence of polyphenol, antioxidants that reduce the risk of heart diseases and cancers. But to get these healthy compounds, consumers should buy good-quality, fresh" extra-virgin" olive oil, which has the highest polyphenol content. Most commercially available olive oils have low levels of polyphenol associated with poor harvesting methods, improper storage, and heavy processing.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
Does olive oil prevent heart disease? Short answer: Yes 
The health benefits of olive oil come from the presence of p...
Good to know that you have basic knowledge about oils and don't follow the herd spirit. Use mustard oil in thick based iron vessel to cook your greens and other vegetables like your grany used to do with no non stick handy pans. But do depend on steam cooking by using a pressure cooker after sauting the vegetables with very little oil. Remember no oil is zero cholesterol.
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Hi Urimax .4 mg as advised to me for treatment of enlarged prostate is right and enough. Secondly is this problem exagrate in winter and in colder places say like AC rooms.

MBBS
General Physician, Jalgaon
Hi Urimax .4 mg as advised to me for treatment of enlarged prostate is right and enough. Secondly is this problem exa...
Please Tell him. Go for morning and evening walk daily Take salads and fruits more Do some relaxing exercise daily Add Tab himplasia by Himalaya 60 1 1 for 3 mths Continue urimax Chandnasav Syp 20 ml twice daily with water Re Consult me on Lybrate after 3 wks.
2 people found this helpful
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How to prevent cancer in early stages? And also suggest which foods are given strength and energy for suffering with cancer.

DNB, MBBS
Oncologist, Faridabad
Dear mam, easiest and most effective way to find cancer in early stages is by regular self examination. Since we know our body the best, it's best to spend some time on monthly basis to look for any obvious changes, any lump or any abnormalities. Do consult doctors annually to look for any potential problems even if we don't have any symptoms. Coloured fruits and vegetables, adequately cleaned by either lime water and vinegar or diluted potassium permagnate to remove pesticides and artificial colours help.
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