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Dr. Agarwal Sharmila

Oncologist, Mumbai

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Dr. Agarwal Sharmila Oncologist, Mumbai
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Agarwal Sharmila
Dr. Agarwal Sharmila is a trusted Oncologist in Mumbai, Mumbai. She is currently practising at Jaslok Hospital & Research Centre in Mumbai, Mumbai. Save your time and book an appointment online with Dr. Agarwal Sharmila on Lybrate.com.

Find numerous Oncologists in India from the comfort of your home on Lybrate.com. You will find Oncologists with more than 41 years of experience on Lybrate.com. You can find Oncologists online in Mumbai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Jaslok Hospital & Research Centre

#15 - Dr. Deshmukh Marg, Road No - 2, 2nd Floor, Pedder Road. Landmark: Near Safiya College, MumbaiMumbai Get Directions
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Prostate Cancer - Symptoms And Diagnosis

MBBS, MS - General Surgery, M.Ch - Urology
General Surgeon, Bangalore
Prostate Cancer - Symptoms And Diagnosis

Prostate Cancer is a form of cancer that affects men. The prostate is basically a small gland that sits in the male pelvic cavity and is responsible for producing seminal fluid or semen, from its position under the bladder, surrounding the urethra. The testosterone hormone controls this gland.

Prostate cancer refers to the growth of a malignant mass of cells which can also be called a tumour. More about this cancer:

  • Risk Factors: The various risk factors involved in this kind of cancer are many. Advanced age, a family history of the same disease, obesity as well as genetic changes can lead to the development of this kind of tumour.
  • Types: There are basically two types of prostate cancer, including fast growing or aggressive, and slow growing or non-aggressive. Yet, it is also important to remember that not every abnormal growth in this gland can be termed as a tumour, or is a sign of prostate cancer. A malignant growth signifies prostate cancer. This tumour can grow at a fast pace for aggressive prostate cancer, while it can grow and spread slowly for the non-aggressive type.
  • Symptoms: It is possible to not have any kind of obvious symptoms when suffering from this kind of cancer. The symptoms usually begin to show up when the cancer has reached a more advanced stage. These include urinary problems, most significantly. The patient may go through pain and difficulty when it comes to urinating. This pain may also occur during ejaculation. The patient may also find blood discharge in the semen upon ejaculation and suffer from sexual dysfunction as well. Pain in the chest, pelvic area and back are also common symptoms of prostate cancer, which may gradually turn into numbness in the said areas as well.
  • Diagnosis: The diagnosis of the issue will be done by a specialist from the urology department. After a physical examination where a diagnosis of the symptoms and other check ups will happen, the doctor may conduct lab tests to check the blood, urine and other samples. Further, imaging tests like MRI and CT scans will also be conducted. A digital rectal exam and prostate biopsy will also help in effective diagnosis.
  • Treatment: The treatment of this kind of cancer usually depends on the severity of the symptoms and the spread of the tumour. Besides active observation, the doctor may also recommend radiation, chemotherapy and surgery based on the age and health condition of the patient. If you happen to find even subtle symptoms which could point towards this disease, do not hesitate to get in touch with the doctor.
2 people found this helpful

Please give suggestions about cancer patients how to should precautions for health.

DNB, MBBS
Oncologist, Faridabad
Dear sir, patient suffering from cancer need strict control on diet, they have to eat properly cooked fresh food, avoid any kind of infections and use mask in case of public exposure, avoid any kind of carcinogenic substance, tobacco, alcohol smoking etc. Routine follow up with doctor any reporting any abnormalities at the earliest should help in patients suffering from cancer.
1 person found this helpful
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MD
Sexologist, Srinagar
Preoperative Sexual Functioning and Quality of Sexual Life in Colorectal Cancer

While sexual problems are common among colorectal cancer patients, they are not necessarily caused by surgical treatment, Dutch researchers report. The patients may already have sexual issues before surgery.

Noting that there was not much information available on colorectal cancer patients? sexual function and quality of sexual life before surgery, the researchers aimed to describe these aspects for both patients and their partners. They also wanted to use standardized sexual health assessments and compare the scores of those patients and partners to mean norm scores.

To do this, they recruited 136 patients who had been diagnosed with colorectal cancer, but had not yet undergone surgical treatment. One hundred six of the patients? partners were also involved.

To measure sexual function and quality of life, the researchers used several questionnaires.

Male patients and male partners completed the International Index of Erectile Function (IIEF), which assesses erectile function, orgasmic function, sexual desire, intercourse satisfaction, and overall satisfaction.

All of the women were given the Female Sexual Function Index (FSFI), which is used to evaluate arousal, lubrication, orgasmic function, sexual desire, sexual pain, and intercourse satisfaction.

Participants with partners completed the Golombok-Rust Inventory of Sexual Satisfaction (GRISS), which addresses the quality of sexual life. They were also given the Maudsley Marital Questionnaire (MMQ), which examines relationship issues.
Finally, all participants completed an adapted version of the Self-Administered Comorbidity Questionnaire, which provides data on any comorbidities.

Mean norm scores were provided in the manuals of each questionnaire.
The researchers found that when compared to mean norm scores, both male and female colorectal patients had lower scores on the sexual functioning and quality of sexual life domains on the given assessments. Female patients had lower sexual functioning and lower quality of sexual life than male patients. The partners also had lower scores in these areas when compared to mean norm scores. Male partners had lower scores than male patients.

The lower scores could be explained by stress, as there were not many differences between the scores of colon cancer patients and those with rectal cancer. Past research has shown high levels of stress in cancer patients and a link between psychological issues (such as stress, anxiety, and depression) and sexual dysfunction.
In spite of the lower scores, however, the participants? scores on relationship functioning were comparable to the corresponding mean norm scores, suggesting that the sexual issues did not seem to damage relationships.

The findings could help healthcare providers consider the sexual needs of colorectal cancer patients. ?More information provision and/or psychosexual guidance may be needed preoperatively in order to give license to couples to discuss sexual problems and to search for adequate professional support during any point in treatment, especially as the majority of patients do not take the initiative to discuss the treatment options for possible sexual dysfunction,? the authors wrote.
31 people found this helpful

Is it possible to know now whether I am going to get some disease like cancer or something else in the future? If there are any such tests then how much do they cost approximately.

Fellow Breast Surgery (MUHS), DNB (General Surgery), MBBS
Oncologist, Aurangabad
Prediction of getting a disease is difficult task. There are a few tests available which tell you about disease you might be more prone to procure than other individuals, but how much more is difficult to say. Such genetic tests are available with few labs in major cities. Cost can vary from 15 to 20k. But as of now, in mg opinion, it is better to spend time, energy, mind and money on. Keeping a good health rather than finding the rare possibility of disease one may have. Also one may procure a disease that is not found out on genetic test, because the validity and efficacy of such tests is still under studied and in its infancy.
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Hi, My father-in-law has been detected with 4th stage Lung Adenocarcinoma, June, this year. He is having a history of Tobacco chewing. PET-CT and CT scan suggested that the cancer has spread to lymph nodes and some part of abdomen. He completed his 4 rounds of chemotherapy with Carboplatin and pemetrexed and he is completely fine and totally symptomless. His blood count is absolutely normal. Can we hope that he has the chances of recovery.

MBBS, MD, CCEPC, FISSP, OBS, NFPM
Oncologist, Delhi
What does his latest PET scan say? Regular PET scans can only tell the ongoing disease status. Its good that he is fine. As long as he can accept chemo without side effects, it may be taken. Stage 4 cancer is difficult to respond 100% with any chemo.
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Cervical Cancer

MBBS, DGO, DNB (Obstetrics and Gynecology), FMAS, FAM
Gynaecologist, Delhi
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Symptoms, causes and treatment for Cervical Cancer

Namashkar. Hello, I’m Dr. Shalini Tiwari. I’m a gynaecologist practicing at East Delhi Surya Hospital. Aaj main apko cervical cancer ke bare mein kuch batana chahti hoon.

Today in India, there are so many women who are dying due to cervical cancer. It is one of the most common cancers in the world due to which women are affected. Why today I’m talking about cervical cancers? Today, sexual relations are on rise. Even young women like 16, 17, 18 year old are going for sexual relationship. I’m not saying that sexual relationship is wrong, but why I am talking about cervical cancer is because sexual relationships are one of the highest factors of cervical cancers. So let’s understand what actually cervical cancer is. To understand this, we need to know what cervix is. So I’d like to tell you that we have a uterus where our baby is grown and then born afterwards.

See, this is the uterus, and this is the cervix. So just as we have our face, as we have our lips, so our uterus has lips which is known as cervix. It is this portion which is affected most. Why? Because during sexual intercourse, due to repeated infections, and anything which is outside and which is externally entering into the vagina, first it will infect or affect this part of the uterus. This is known as cervix. So any infection, any erosion, any bleeding, any white discharge, anything which is affecting the cervix can give rise to cervical cancer. This is a very broad statement, there are definite…there are definitely some definite reasons, definite viruses which give rise to this cancer.

Coming on to symptoms of cervical cancer. So many of us have irregular menstrual bleeding, but we tend to ignore it. We should not. Abnormal menstrual bleeding is one of the finest and one of the earliest symptom of cervical cancer. So please don’t ignore it and visit your gynaecologist. Now you would like to know what abnormal bleeding is? So abnormal bleeding would be bleeding after intercourse, abnormal bleeding would be bleeding in between menstrual cycles, abnormal bleeding can be excessive bleeding during regular cycles. So any three of them, if it is there, you please visit your doctor, and get yourself checked.

Why so much of a hush-hush over cervical cancer all over the world? Because, number 1, it is common, number 2, it is a preventable cancer. It is a very slow growing cancer. It starts from the cervix, and then gradually gradually gradually it involves all of the uterus. But this gradual is so much that if we diagnose it, it can be actually cured 100%. That’s why we really need to be careful. You should be having a regular checkups, all women, specially all sexually active women. You should have regular checkups.

So what are the preventive checkups for cervical cancer?

  •  Pap test. All of us know Pap test. It is being advertised in TV, it is being advertised by WHO off and on. So every sexually active woman should get a Pap test every three years.
  • Similarly there is a virus called HPV virus, i.e, Human papillomavirus. This virus is a sexually transmitted virus. And if this virus is there, there are high chances that patient will develop cervical cancer. Though once infected with this virus, it doesn’t mean that it will be there throughout your life. Because it titles goes down in one year or two years, but then there are two specific types, like 16 type and 18 type of HPV virus, which can really give your body a potentiality to grow into cervical cancer. So you should get your HPV testing also done.
  • Third is colposcopy. Colposcopy is a screening test, and through colposcopy we see the cells of cervix directly under acetic acid, which really helps us to diagnose if the cells can grow into cancers, or these cells are benign cells. And these three tests are absolutely noninvasive tests, non-painful tests, and just OPD procedure for two to three or five minutes maximum. So you should…all of you should get these tests dine regularly. Number three, supposing we do these tests, and we diagnose that element of cancer is there. So if it is in initial stages, like we call it carcinoma, you won’t believe, to treat this we don’t even need to do hysterectomy. This is just we need to do a cryo, ye ek prakar ki thandi si  jo layman ki bhasha mein bolte hain, or use puri tarah ye erosion theek ho jata hain. Uske baad use jo cervical cells hote hain cancer waale, wo bhi mar jaate hain. And the chances of progressing into a frank carcinoma becomes almost negligible.

That’s why cervical cancer is everywhere. So we need to be very careful, we need to be very vigilant. Our health is in our hands. So if we are not vigilant about our health, no one else is going to tell us, please go to the doctor. Humein pata hona chahiye ki hamare mein infection ho raha hain, white discharge humein zyaada ho raha hain, bleeding humein zyaada ho rahi hain, so ;et’s viosit the doctor.

In the end, agar apko dikhana hain, aap chahte hain ki aap cervical cancer se bachein rahein, please come to me. I sit as Surya Hospital in East Delhi, or you can contact me through Lybrate. Thank you.

3443 people found this helpful

In my right breast I have 2 cyst, for that I'm taking homeopathy medicine but it's still same in situation, actually I'm afraid about it can you please tell what should I do for it?

DNB, MBBS
Oncologist, Faridabad
Please get a ultrasound breast done and needed needle aspirations to know the cause, usually due to hormonal changes such cysts are normal and may be left untreated.
1 person found this helpful
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He is a cancer patient (onco) n has been operated over the mouth five times since 2011 n currently he is under treatment by chemotherapy n radiation. Any effective medication in ayurveda or homeopath?

BHMS
Homeopath,
Homeopathic remedies work on following basis 1. Type of cells causing cancer 2. The common presenting discomfort unique or associated with your disease state. 3. The advancement of disease leading to what kind of effects on your body. 4. What is the state of vitality of your body 5. The pace of disease. Homeopathic cancer remedies are effective in reducing the pace of disease. Followed by more vitality and very less discomforts along. Once we reach this state, we start rigorous treatment which help cure the cancer. The cancerous tissue gets encapsulated as calcified lesion. If it is creating pressure effects on surrounding tissues, surgery is sought for it.
2 people found this helpful

Cervical Cancer Awareness month

MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Noida
Cervical Cancer Awareness month
If more than a year for your pap test. Go & do it again. If you age is more than 30 years do hpv test & pap test both for cervical cancer screening.
5 people found this helpful

My father is 84 years and has prostate. Doctor's say that operation may damage his kidney hence he has catheter inserted in his bladder due to which he has constant infection at present he is taking urimax d and ayurvedic medicine but infection is spreading in his body due to which he has regular high fever and body ache please suggest any medicine which can control the infection and his suffering is reduced.

MBBS
General Physician, Nagpur
My father is 84 years and has prostate. Doctor's say that operation may damage his kidney hence he has catheter inser...
See there are many antibiotics to control this kind of infection. But their effect depend upon type of bacteria which caused infection there. You should have to do urine culture and sensitivity testing. After that we can decide which antibiotic has to administer.
1 person found this helpful
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Cervical Cancer Awareness

MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Noida
Cervical Cancer Awareness
No woman should die of cervical cancer. The most important thing you can do to help prevent cervical cancer is to get screened regularly starting at age 21.

Cervical cancer is highly preventable with regular screening tests and appropriate follow-up care. It also can be cured when found early and treated. Cervical cancer is almost always caused by the human papillomavirus (HPV). Vaccines are available to protect against the types of HPV that most often cause cervical cancer.
Screening Tests

Two tests can help prevent cervical cancer or find it early—
•The Pap test (or Pap smear) looks for precancers, which are cell changes on the cervix that might become cervical cancer if they are not treated appropriately.
•The HPV test looks for the virus that can cause these cell changes.

The Pap test is recommended for women between ages 21 and 65, and can be done in a doctor’s office or clinic. Women should start getting Pap tests regularly at age 21. If your Pap test results are normal, your doctor may say you can wait three years until your next Pap test. If you are 30 years old or older, you may choose to have an HPV test along with the Pap test. Both tests can be performed by your doctor at the same time. If your test results are normal, your chance of getting cervical cancer in the next few years is very low. Your doctor may then say you can wait as long as five years for your next screening.

Why does my child need HPV vaccine?

HPV vaccine is important because it protects against cancers caused by human papillomavirus (HPV) infection.HPV infection can cause cervical, vaginal, and vulvar cancers in women; penile cancer in men; and anal cancer, cancer of the back of the throat (oropharynx), and genital warts in both men and women.

When should my child be vaccinated?

The HPV vaccine is recommended for preteen boys and girls at age 11 or 12 so they are protected before ever being exposed to the virus. HPV vaccine also produces a more robust immune response during the preteen years. Finally, older teens are less likely to get heath check-ups than preteens. If your teen hasn't gotten the vaccine yet, talk to their doctor or nurse about getting it for them as soon as possible

3 Things Parents Need to Know about Preventing Cancers
The HPV vaccine is given in 3 shots. The second shot is given 1 or 2 months after the first shot. Then a third shot is given 6 months after the first shot.
IN new current concept
Girls between 9-15 years need two doses of Cervical cancer vaccine ( HPV Vaccine) at 6 months apart
After 15 years Three Doses are required at 0 ,6 ,24 months
44 people found this helpful

Being Taller Increases Your Risk of Cancer!

MBBS, AFIH, PGDMLS, MD-HRM, MD-HM
General Physician, Gurgaon
Being Taller Increases Your Risk of Cancer!

According to a major study that provides a connection between height and cancer, it is stated that taller people are more prone to developing cancer. Research has found that the risk of developing any kind of cancer in women rises by 18% for an increase of every 10 cm in height. In men, the risk rises by 11%, even though height is not as major a factor as are obesity, smoking and a bad, unhealthy diet.

Several reasons have been put forward for the above statement. One of the reasons is that the number of body cells in taller people is more than people with average height. This leads to an increase in the number of cells which could potentially turn malignant.

While individually analysing the impact of height on different cancer forms, it was found that the highest increase in risk was in skin cancer (30% for every 10 cm increase in height), while a 20% increase was noted in taller women developing breast cancer.

Development of cancer in regions including the colon and rectum is known as colorectal cancer. Long legs have been surprisingly associated with this form of cancer. In comparison with shorter people, it was reported that taller people had a higher risk percentage of developing colorectal cancer. Two hypotheses regarding the formation of colorectal cancer have been developed. One hypothesis is that taller people have longer colons, which in turn result in more surface area where colon cancer can develop. The other hypothesis is that taller people experience increased levels of growth hormones. These particularly affect the length of their legs. The growth hormone called 'insulin-like growth factor 1' is increased during puberty and is considered to be a risk factor for colorectal cancers occurring at later stages.

4583 people found this helpful

Sir my mother is suffering from cervix cancer stage 3rdb.Now she is taking 25no of 250cgy radition along with 3 brachytherapy treatment.Sir wheather the treatment is enough or not? again after ultrasound if no maligant tumour found then will i have do anything more?

MD - Radiothrapy
Oncologist, Hubli-Dharwad
Cervical cancer is managed with Radiotherapy with weekly chemotherapy followed by brachytherapy. Then disease response assessment with clinical examination and Imaging. If there is no disease after the therapy, can be followed up.
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Hi doctor My breast sizes are different. My right side breast is 2 cms bigger than my left one. One of my friend said it is one of the symptoms of early cancer of breast and she only said but breast cancer may start after 40. Is it right. Tell me the details and the possible methods to make my both breasts equal.

MBBS, DNB (Surgical Oncology)
Oncologist, Delhi
Some people have different sized breasts since childhood. If it is so then it is not cancerous. A recent change in size of the breast with swelling and redness requires consultation with breast surgeon. Most of the breast cancer occur in women older than 40. About 15 - 20 % occur in women less than 40. Plastic surgery may be required to correct the asymmetry if the difference is too much.
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2 days ago I see that round black spot inside cheek of mouth is it symptoms of cancer. Hear no pain no any problem I feel that but also I fee irritation and before 2 day I take a hookah. I am very very scare about it please please please help me what I do?

DHMS (Hons.)
Homeopath, Patna
2 days ago I see that round black spot inside cheek of mouth is it symptoms of cancer. Hear no pain no any problem I ...
Hello, are you asthmatic & using inhaler? It so happens, often due to irregular bowel, acidity & difficiency of vit'B' Tk, plenty of water to hydrate your body. Go for meditation to nourish your body including mucus lining of mouth. Your diet be regular, easily digestible on time to check gastric disorder. Tk, apples, carrots, spinach, milk etc. Avoid, junk food, alcohol & nicotine. Tk, homoeopathic medicine: Merc sol 1000-6 pills, weekly. Acid carbolic 30-6 pills, thrice. Tk, care.
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I am a mother of 4 months old baby. And my one breast size is just double then other. Is this sign of breast cancer? Please advise.

MS - General Surgery
Oncologist, Ludhiana
Are you feeding the baby from both breasts equally. If yes and even then if there is so much difference in the size of breasts then go for ultrasuond of both breast.
1 person found this helpful
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My uncle got diagnosed with cholangiocarcinoma 4 months back, then he underwent whipple surgery for the same on 24th of march, then nhe developed a complication in between. His chemotherapy started in AIIMS 2 weeks back with capecitabine 1500 mg twice daily for 14 days, the doctor there also advised for radiotherapy first but then when we went to take the appointment for the same doctor told us its late now for radiotherapy, so we are quite confused for the future course of action, and need some advice.

MD - Radiothrapy
Oncologist, Mumbai
Chlangiocarcinoma the first treatment of choice is surgery. Complete resection is feasible only in 20% cases and hence most cases with positive margins, sub-total resection and positive nodes require postoperative chemoradiation to achieve local control. Though most oncologists give chemotherapy and keep radiation as reserve option. So in your case radiation can be given if it is only a loco-regional disease.
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Inbiltily empty balder, frequent urine nation Reports- All blood test normal Urine complete and culture test normal Prostate size normal No urine stricture present Psa test normal Problem- Post voidal urine in usg report 350 ml Uro flow test- very low After urine stricture test doctor advice me antibiotic zanocin 400 mg. While I have taking this antibiotic my urine flow is better for short period. But few days same problem.

BHMS
Homeopath,
Inbiltily empty balder, frequent urine nation
Reports-
All blood test normal
Urine complete and culture test normal
P...
Follow the given medication as directed:- 1) 5 drops of homoeopathic causticum 30 at early morning daily before brushing teeth 2) 5 drops of homoeopathic conium mac 30 before going to bath daily. 3) 5 drops of homoeopathic baryta carb 30 just one hour before dinner daily. 4) homoeopathic mother tincture sabal serrulata q, 30 drops, twice daily, after meals, in a cup of water. Along with the aforesaid medication few changes in your lifestyle are also necessary. Lifestyle alterations to address the symptoms include decreasing fluid intake before bedtime, moderating the consumption of alcohol and caffeine-containing products, and following a timed voiding schedule. Also it would be better if you could void the urine in sitting position.
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Ultrasound report states. Ureters: Are not Dilated. U Bladder: Shows normal contour and outline in distension, No Echogenic Shadow, Suggesting Calculi Seen. Bladder Wall is Slightly Thickened. Prostatic Wt 19gms/ PVRU 28 ml d/d prostate 1) Is Prostate is normal in size? 2) Is prostate can lead to problem in urine flow in this size? 3) What is treatment? Thanks.

MBBS
General Physician, Jalgaon
Ultrasound report states. Ureters: Are not Dilated.
U Bladder: Shows normal contour and outline in distension, No Ech...
Please if bladder wall is thickened, there may be urethral obstruction, please do urethrogram, send me report on lybrate meanwhile take tab himplasia by himalaya 1 1 chandnasav 15 ml twice a day in water.
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She is feeling pain in her nipples by touching from last 2-months. Also we marry each other 3-months back. Can you please suggest some treatment.

MBBS, MD - Medicine, MD - Oncology
Oncologist, Delhi
It is hormonal change. Do not press nipples aggressively. Slowly the pain will disappear of its own.
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