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Advice needed from oncosurgeon. My father undergone tongue surgery in march 2023 dat tym Dr. Were removed 15 nodes. And radiation and chemotherapy is done. We did pet scan in sep reports are normal. Again we did pet scan in dec dat reports says few minimally enhancing enlarged left level 3 and left level 4 cervical group of lymph nodes noted largest in the left level 3 approximately measures around 0.9×0.7 cm,suvmax 4.54 and the largest lesion in left level 4 approximately measures around 0. 9×0.7 cm,suvmax 5.85.some doctors say only do chemotherapy n other Dr. said need to do operation but lymph nodes are very small. We are in confusion sir .pls suggest us. What we need to do nw. Tq sir.

MBBS
General Physician, Durg
Your father had already undergone a surgery for tongue cancer. But even after surgery lymph nodes have come positive in the recent pet scan. So the tumour has metastasis in the lymph nodes which are showing up now. There is no definitive thing as to which will work surgery or chemo. Chemo if used now will be just for palliation that is it may extend your father's life but it will not cure the disease. If you'll talk about surgery. It will cure the disease but who knows how many more nodes or organs has this tumour extended to. So it all depends on the surgeon's preference and the patient's age and functional disability that occurs after surgery.
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Hello, my grandmother has ovarian cancer for 5 years, recently she had water/fluid in her stomach and it was removed. Now she is weak, vomiting and sleeping a lot. Is this the end or is there hope that she will come out of it?

Bachelor of Unani Medicine and Surgery (B.U.M.S)
Unani Specialist, Kanpur
Follow these herbal combinations ras raj ras 1 tablet twice a day ashta moorti avleh 10 gm twice a day vyadhi har rasayan 125 mg twice a day send her reports.
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My mother was suffering from brest cancer.in 2021 she operated in bhu .after 2 years of all she is patient of thyroid nd high protein problem nd she had swelling in her left hand nd she took her medicines from last 2 months bt there is no recovery I her hand.

Ayurveda (I) Cert.
Ayurvedic Doctor, Bangalore
It appears that chemo/radio during cancer might have damaged the organs. If problems post vaccinations, then you should use curcuminoids. If you have x-ray report, send to email for better review. Prof. Ramesh chief scientist & pharmacologist photo 6, dvg road, bangalore - 560004 www.cancerherbalist.com mobile.
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My grand mother is diagnosed cervical cancer on 2019september, now she is bleeding lightly for every 40 days and slightly getting blood in motion. What are the causes for this? But she looks very active no other symptoms.

Ayurveda (I) Cert.
Ayurvedic Doctor, Bangalore
Better get it diagnosed with an oncologist for recurrence with mets. If she is aged more than 70 years and not able to tolerate the chemo, get educated about how to fight naturally by reading the manual by requesting.
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My father is a cancer patient since 2017 but in the first 2022 all his medication has completed but the doctor told him to continue tablet folic acid, now in the last few days due to summer he is suffering from lose motion, I just want to know that can we give him a 100 ml of saline. If yes, then which saline will be suitable for his body?

MBBS, MD, CCEPC, FISSP, OBS, NFPM
Oncologist, Delhi
What is the cancer status? Is he taking any cancer related medicines orally? Need to review all medicines first. Give him ors at least. Its better than saline. Thanks.
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I want to know, can nicotine chewing gum cause cancer, I am using nicotine from past 8 years, around 20 gums in a day. Please advice.

MBBS, Basic Life Support (B.L.S), Advanced Cardiac Life Support, Fellow of Academy of General Education (FAGE)
General Physician, Delhi
I want to know, can nicotine chewing gum cause cancer, I am using nicotine from past 8 years, around 20 gums in a day...
I am sorry to hear about your concern but will be happy to assist you. You should stop using nicotine gum after 12 weeks of use. If you still feel the need to use nicotine gum after 12 weeks, talk to your doctor. Let's connect over a call so that we can discuss your concern in details and make a treatment plan for you.
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Head and Neck Cancer: Risk Factors and Prevention

M.ch - Surgical Oncology
Oncologist, Hyderabad
Head and Neck Cancer: Risk Factors and Prevention


What is head and neck cancer?

Head and neck cancer are a group of cancers that originate in the head or neck region, including on and around the lips, tongue, throat, sinuses, and nasal cavity. These cancers are typically divided into two types: squamous cell carcinomas (cells that line the hollow organs of the body) and non-squamous cell carcinomas (any type of cancer that does not form these cells). Head and neck cancer can be caused by tobacco use, alcohol use, genetics and other environmental factors.

What are the signs and symptoms of head and neck cancer?

The following are some common signs and symptoms of head and neck cancer:



A lump or sore in the head or neck that does not heal.


Sore throat that does not go away.


Swelling of the jaw or face.


Trouble swallowing.


Unexplained weight loss.


Chronic hoarseness, coughing or change in voice.


Ear pain and hearing loss.


Unusual bleeding from the nose or mouth area.


Pain in the neck, jaw or face that does not go away.



What are possible complications of head and neck cancer?

Head and neck cancer can lead to a wide range of complications, such as:



Difficulty swallowing, ;


Breathing problems,


Speech and hearing impairments, ;


Vision loss,


Pain and discomfort in the neck or head area, ;


Facial disfigurement due to skin damage or surgery,


Nutritional issues caused by difficulty in eating or digesting food properly, ;


Infection of the surgical wound site,


Frequent and severe nose-bleeds due to increased vascularity of the mucous membranes of the head and neck region.


Head and neck cancers may cause disruption to the nerves providing sensation from the facial area. This can lead to numbness on one side or drooping in part of your face. There are many membrane linings throughout the respiratory tract (such as larynx) that can become damaged by head & neck cancers causing dryness, dysesthesias not only around vocal cords but elsewhere too such as teeth.


The cancer may spread via local lymphatics producing enlarged lymph nodes within the neck making it appear swollen; if present these would increase risk for carotid artery dissection or airway compromise requiring intervention. ;


Head & neck malignancies also increase risk for developing second primary malignancy thus increasing morbidity rate significantly.



Head and neck cancer: risk factors and prevention

Head and neck cancer is caused by certain risk factors such as:



Tobacco products: the most common risk factor for head and neck cancer is the use of tobacco products. People who smoke cigarettes are at a higher risk of developing any type of head and neck cancer compared to non-smokers. People who have used any form of smokeless tobacco products (such as snuff or chewing-tobacco) are at an even higher risk.


Alcohol: heavy alcohol consumption also increases the risk for developing head and neck cancer.


Exposure to certain viruses and chemicals: exposure to certain viruses can also increase one s chances for developing this type of cancer, such as human papilloma virus (hpv). ;


Inflammation: chronic inflammation of the head and neck area caused by environmental toxins may also be linked to an increased chance for having this type of cancer.



The following are the steps that should be taken to prevent head and neck cancer:



Minimize risks: avoiding known risk factors, such as smoking, or managing air pollution may help decrease your exposure to potentially dangerous chemicals or toxins.


Follow a healthy diet: eating a nutritious, balanced diet is important for protecting overall health. Eating foods that are high in nutrients and low in saturated fats, cholesterol, and refined carbohydrates has been linked to a reduced risk of cancer.


Avoid tobacco: avoiding all forms of tobacco including cigarettes, cigar smoking, chewing tobacco, and pipe smoking has been associated with a lower risk of head and neck cancers.


Limit the use of alcohol: excessive consumption of alcohol has been linked to increased chances of developing certain types of head and neck cancers. It is especially important to avoid drinking when using any form of tobacco (cigarettes, cigars, or pipes).


Use natural herbs: you can use some natural herbs such as:





Turmeric powder or basil leaves juice to help reduce the chances for various head or neck cancer developments by inhibiting tumor growth or increasing immunity against cancer cells growths. ;


Lotus root juice made with fresh lotus root can be consumed everyday to improve immunity power.


Neem leaves/mint juice taken on an empty stomach helps protect against cancer activity in the body. ;


Honey mixed with fresh mulethi powder can also be taken daily for better results.





Limit sun exposure: sunburns have been associated with an increase in skin cancer rates over time, so it is important to limit sun exposure by wearing sunscreen regularly each day (even during winter months) when outdoors even if you are not going to be outside for long periods this helps protect from ultraviolet radiation from contributing to any skin cancer development. Consider wearing protective gear such as hats, long sleeve shirts, pants, wide brimmed hats when spending extended time outdoors.


Visit the doctor on a regular basis: regular medical checkups with a healthcare professional should be done in order to identify any precancerous tissue early on before it spreads further into the body which could lead toward more serious health issues down the road if not detected soon enough upon initial onset such as tumors in lymph nodes around one s throat area so getting checked often can help catch potential problems early on.



If none of the above approaches work, you may have to resort to surgical treatments.

What are the surgical treatments for head and neck cancer?

Some common surgical procedures used to treat head and neck cancers are as follows:



Tumor resection: in this procedure, doctors try to remove the entire mass of tumors or parts of a tumor while preserving normal physical structures as much as possible. Other treatments like radiation therapy or chemotherapy may also be implemented following tumor resection.


Neck dissection: this procedure involves removing lymph nodes in the neck region affected byhead and neck cancer. It can either be cursory or radical depending on which neck tissues need to be removed. If a lot of tissue needs to be removed (radical), reconstructive surgery may also be necessary afterwards.


Functional endoscopic sinus surgery: endoscopic sinus surgery is mainly needed for treating cancers located in dug passages of sinuses such as those found in mucosal melanomas or adenoid cystic carcinomas which lead into nose and throat areas from paranasal sinuses (located adjacent to nasal cavities). During this procedure doctors use an endoscope (a thin tube with camera attached) instead of surgical incisions to reach deep into the cavity.


Transoral robotic surgery: newer robot-assisted devices like da vinci surgical system are now being used during head and neck surgeries making it less invasive than traditional open surgeries while providing better accuracy and precision in effectively removing tumors located in hard-to-reach areas in mouth or throat without much collateral damage on nearby healthy tissues. ;



Best doctors to consult for head and neck cancer?



The best doctors to consult for head and neck cancer are oncologists specialized in otolaryngology (ent specialists).


They have the expertise to diagnose and treat this group of cancers, which typically affects the throat, voice box, sinuses and mouth.


Ent specialists may also offer expertise in reconstruction surgery for function or appearance after removal of facial structures due to head and neck cancer.


It is important that patients suffering from this type of cancer seek advice from specifically trained experts who can discuss the risks, side effects, expected outcomes and treatment options.

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Top 10 Gastroenterologist In Bangalore

MBBS, M.Ch - Surgical Gastroenterology/G.I. Surgery, Fellow of Advanced Laparascopic Surgery
Gastroenterologist, Bangalore
1. Dr. Raj vigna venugopal

Https://www. Lybrate. Com/bangalore/doctor/dr-raj-vigna-venugopal-gastroenterologist



Mbbs, md - internal medicine, dm - gastroenterology

27 years experience 1000 at clinic

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Dr. Raj vigna, a gastroenterologist and hepatologist, practises in bangalore at manipal hospitals. Additionally, he oversees this institution's gastroenterology division. After completing his mbbs, he pursued a dm in gastroenterology. Additionally, he completed his internal medicine md.

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He is well-versed in hepatology, gastroenterology, and liver diseases. He also has extensive expertise in medical gastroenterology, therapeutic endoscopy, ultrasound, and endoscopy.

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He is regarded as one of bangalore's top gastroenterologists and was the city's first physician to establish an endoscopy unit. He has been engaged in more than 750 instances of diagnostic and therapeutic endosonography, which is an impressive amount of expertise. He was recognised for being the first gastroenterologist in bangalore to establish an endosonography unit.



2. Dr. Ravindra bs

Https://www. Lybrate. Com/bangalore/doctor/dr-ravindra-bs-gastroenterologist

;

Dm - gastroenterology, md, dnb, mbbs

22 years experience 700 at clinic

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With more than 22 years of experience, Dr. Dr. Ravindra bs is one of the most skilled medical gastroenterologists, interventional endoscopists, and hepatologists. He has a lot of experience with gastroenterology, liver and pancreatic diseases, and inflammatory bowel diseases like crohn's disease and ulcerative colitis.

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He started hepatitis support groups, ibd support groups, and pancreas support groups to help people with these long-term illnesses feel less pain and suffering.

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He has been a lecturer at mumbai lokmanya tilak medical college, a consultant at meenakshi mission hospital, a senior consultant developmental paediatrician, and the head of department (hod) at bgs global hospital. He belongs to the american society of gastroenterology (asge), the indian medical association (ima), the indian society of gastroenterology (isg), the society of gastroenterointestinal endoscopy (sgei), and the association of interventional gi endoscopy (aige).

3. Dr. Manish joshi

Https://www. Lybrate. Com/bangalore/doctor/dr-manish-joshi-gastroenterologist

Fellowship in colorectal surgery, dnb - surgical gastroenterology, fellowship in minimal access surgery, in hpb surgery, in colorectal surgery

22 years experience 1110 at clinic



Dr. Manish joshi has an mbbs and an Ms. In general surgery. He was previously employed by hpb surgery, st. John's medical college and hospital, bangalore, which was his former employer. ;



Dr. Manish joshi provides sophisticated surgical therapy for patients with digestive illnesses, including cancer, at the global institute of gastrosciences.

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His specialties include bariatric, upper gi, transplant, colorectal, general, and laparoscopic surgery. He specialises in tumours of the gastrointestinal tract, colon, rectal, gastric, pancreatic, liver, gallbladder, and bile duct systems. His paper on" single incision laparoscopic splenectomy" appeared in a respected publication.

4. Dr. Shabir ahmed

Https://www. Lybrate. Com/bangalore/doctor/dr-shabbir-ahmed-k-gastroenterologist

Dm - gastroenterology, mbbs

47 years experience 600 at clinic

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Dr. Shabir ahmed is a famous gastrointestinal, laparoscopic, and bariatric surgeon with more than 47 years of extensive surgical experience. The association of laparoscopic surgery (als) in the uk also recognises him as a teacher and mentor.

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He oversaw a number of research projects and clinical trials in dundee (uk). His contributions to the medical literature also include peer-reviewed publications, review articles, and abstracts.

5. Dr. Sreenivasa d

Https://www. Lybrate. Com/bangalore/doctor/dr-sreenivasa-d-gastroenterologist

Dm - gastroenterology, mbbs

33 years experience 550 at clinic

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Dr. Sreenivasa is a highly respected senior consultant at cytecare cancer hospital. He is one of the most experienced and skilled gastroenterologists. He has worked at hospitals like king edward vii memorial hospital in mumbai, kanva diagnostics, and mallya hospital. Additionally, he continued to lecture as a professor of gastroenterology at kles, svims, and bangalore's vydehi institute of medical sciences. He has a gold medal in both md and dm.

6. Dr. Vijay shanker

Https://www. Lybrate. Com/patna/doctor/dr-vijay-shanker-gastroenterologist

Mbbs, md (medicine), dm - gastroenterology

22 years experience 500 at clinic 500 online

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Dr. Vijay shankar s is well regarded in the shivaji nagar community in bangalore, where he practises. Dr. Vijay shankar s has been practising medicine for over 20 years, during which time he has successfully treated a variety of patients by drawing upon the breadth and depth of his expertise. 



Both the smiles institute of gastroenterology in shivaji nagar, bangalore and the smiles institute of gastroenterology in mathikere-bel, bangalore are locations where he sees patients as a practising gastroenterologist.

7. Dr. Aravind gubbi

Https://www. Lybrate. Com/bangalore/doctor/dr-aravind-gubbi-gastroenterologist-1

Maha, fics, ms, mbbs

27 years experience 750 at clinic

 

Dr. Aravind gubbi is an acclaimed endoscopic surgeon who specialises in gastroenterological illnesses, endoscopy, and colonoscopy. His credentials are extensive. In addition to disorders of the pancreas, liver, and gallbladder, he has a particular interest in these conditions. 

 

He has effectively treated his patients during his more than twenty years of expertise working in the area of gastroenterology and illnesses of the digestive tract. 

 

His key interests are the diagnosis of illnesses like loose stools (diarrhoea), blood in stools owing to haemorrhoids (piles), and fissures. In addition, the management of heartburn, stomach and intestinal ulcers, as well as gastritis, are all areas of interest to him. 

 

He has participated in organisations such as isg, sgei, inasl, aga, and asge in the past. He has a demeanour that is gentle, sociable, and he loves nature. 

 

8. Dr. Ashwinikumar d kudari

Https://www. Lybrate. Com/bangalore/doctor/dr-ashwinikumar-d-kudari-gastroenterologist-1

M. Ch, Ms. - general surgery, mbbs

25 years experience 250 at clinic

Dr. Ashwinikumar kudari is a highly qualified gastroenterologist, and he does his job as a staff member at sumathi nursing home on a regular basis. In addition to that, he is employed as a consultant at the msr memorial hospital in mathikere. 

 

He has an extensive understanding of gastroenterology, and one of his areas of interest is the treatment of gastro-specific issues. In addition to offering therapy, he provides direction and guidance to his patients. 

 

As a gastroenterologist with more than 25 years of expertise, he has been successful in curing every single one of his patients. Don't even think about it, and instead, be sure to schedule a consultation with him so that you can improve the quality of your life.

9. Dr. Kilari mounika

Https://www. Lybrate. Com/bangalore/doctor/dr-kilari-mounika-gastroenterologist

Dm - gastroenterology, md - general medicine, mbbs

11 years experience 500 at clinic 500 online

 

Dr. Kilari mounika, who specialises in gastroenterology, lives in whitefield, bangalore. Over the course of her 11 years working in this industry, she has provided medical care to in excess of 250 different patients. She is employed by the bangalore mallige medical center, kanva diagnostics, and mallya hospital's whitefield km gastro center.

 

Her educational background includes an mbbs, an md in general medicine, and a dm in gastroenterology. Colonoscopy, therapy for liver disease, endoscopy, acidity, sigmoidoscopy, and other procedures are only some of the medical services that the doctor offers.

10. Dr. Parvesh kumar jain

Https://www. Lybrate. Com/bangalore/doctor/dr-parvesh-kumar-jain-gastroenterologist-1

Dm - gastroenterology, md, mbbs

23 years experience

 

Dr. Parvesh kumar jain, who practises gastroenterology in the banashankari neighbourhood of bangalore, has more than 23 years of professional expertise. Dr. Parvesh kumar jain maintains a medical practise at sagar hospitals in bangalore's banashankari neighbourhood, rangadore memorial hospital in bangalore's basavanagudi neighbourhood, and apollo hospitals in bangalore's seshadripuram neighbourhood.

 

He has an mbbs degree, as well as doctorates in gastroenterology and general medicine. Irritable bowel syndrome (ibs), endoscopy, bladder cancer surgery and treatment, acidity treatment, and vomiting blood are only a few of the treatments that the doctor offers. Other services include: in addition to that, he is an active participant in the indian society of gastroenterology.
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How to know if I was effected with cancer? What are the symptoms that can be helpful to find?

MBBS, Basic Life Support (B.L.S), Advanced Cardiac Life Support, Fellow of Academy of General Education (FAGE)
General Physician, Delhi
I am sorry to hear about your concern but will be happy to assist you. Weight changes, including unintended loss or gain. Skin changes, such as yellowing, darkening or redness of the skin, sores that won't heal, or changes to existing moles. Changes in bowel or bladder habits. Persistent cough or trouble breathing. Let's connect over a call so that we can discuss your concern in details and make a suitable treatment plan for you.
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Hi doctor my grand father is 85 and gone through the neck surgery in suspicion of cancer due to excessive smoking and he is asked to have radio therapy is that safe to gone through radio therapy at the age of 85 pls reply.

MBBS, Basic Life Support (B.L.S), Advanced Cardiac Life Support, Fellow of Academy of General Education (FAGE)
General Physician, Delhi
I am sorry to hear about your concern but will be happy to assist you. It has been suggested that psychosocial support during and after radiation therapy may improve overall quality of life. We found that in our patients who were age 80 or older, radiation therapy could be safely administered with both curative and palliative intent. Let's connect over a call so that we can discuss your concern in details and make a suitable treatment plan for you.
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