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Dr. Gourav Naroola

Oncologist, Mumbai

Dr. Gourav Naroola Oncologist, Mumbai
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Gourav Naroola
Dr. Gourav Naroola is one of the best Oncologists in Parel, Mumbai. You can consult Dr. Gourav Naroola at Tata Mamorial Hospital in Parel, Mumbai. Don’t wait in a queue, book an instant appointment online with Dr. Gourav Naroola on Lybrate.com.

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# 48, Dept Of Medical Oncology,Parel, MumbaiMumbai Get Directions
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Anal Cancer: Are You at Risk?

MBBS, MS - General Surgery , DNB (General Surgery), MNAMS (Membership of the National Academy), Fellow HPB Surgery & Liver Transplant (Singapore) , FICS - RPSLH - RPSLH
Gastroenterologist, Hyderabad
Anal Cancer: Are You at Risk?

Cancer, the name itself sends chills down the spine! But every time we hear someone has cancer, though we feel sorry for them, we never think it could happen to us. But even though the probability of it may not be high at all, a disease that is rare can still hit you like a bolt from the blue! This is exactly the case with anal cancer, which is a very rare form of cancer. But, since the rates of its incidence are rising, it is well worth learning a few things about it.

Who is at Risk?
While it is unlikely that a person will contract anal cancer over the course of his life, asking himself a few questions about it so as to assess the risk he or she is at makes sense. To start off, age is an important factor. If a person is somewhere between middle age and old age, there is a far greater risk of anal cancer than a person who is not.

A person can easily reduce the risk of contracting anal cancer quite dramatically by doing something which is quite simple: refraining from anal sexual activity. This goes a rather long way as it means that a person is at a much lower risk of contracting HIV or HPV. HPV is far more common and affects most adults in sexual contact with each other. That being said, it is usually the type 16 variant of HPV which is linked to anal cancer. In order to reduce the chance of this, making good use of condoms is a very good idea but this does not eliminate the risk of transmission of HPV.

Smoking a cigarette may be great for a person to obtain a little bit of mental peace, but it has a really disastrous effect on the prospects of developing anal cancer at the same time. The chemicals that the body takes in are as harmful as they affect so many body tissues. There are many reasons to quit smoking but the fact that smokers have an eight time higher risk of developing anal cancer is probably among the good ones!

If a person is suffering from low immunity, it is quite possible that he or she is at a higher risk of developing the cancer, at least on a relative basis. This is because the ability of the body to fight back is lower. A person is especially weak after an organ transplant has taken place and if a person has HIV it further increases his or her risk of developing anal cancer.

Now, cutting the risk of anal cancer also involves possibly getting an HPV vaccination. The doctor is the person to talk to regarding this! When the risk of anal cancer is anyway minimal, it makes sense to cut it even further, by following a fit and healthy lifestyle.

4347 people found this helpful

Mam my name is vishakh. I am suffering from Syphilis. How can I survive from this.

MBBS- 1996 & MD - (OBG)/DVD/DPM/Dip.Andrology.
Gynaecologist, Hyderabad
Hello you must want to take antibiotics, please you take all types of blood n urine test n culture test also. Then tell me. Ok.
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What are the symptoms of skin cancer? I have a hard round shaped structure in thigh. Is it the sign of a tumor which would be harmful?

BAMS
Ayurveda, Ambala
The most common warning sign of skin cancer is a CHANGE to your skin. And the most common change is something growing on your skin. This growth can appear on the skin in many ways. The following explains the signs (what you see) and symptoms (what you feel) of the most common types of skin cancer. *. Reddish patch of dry skin that won’t heal *. Flesh-colored (or pink, red, or brown) pearl-shaped lump*. Pimple that just won’t clear *. Sore that bleeds, heals, and then returns *. Scar that feels waxy — may beskin-colored, white, or yellow *. Group of slow-growing, shiny pink or red growths — look like sores, often scaly and bleed easily *. Flat or sunken growth — feels hard, may be white or yellow. A mole on the skin that is growing, changing shape, or changing color *. A mole that looks scaly, oozes, or bleeds *. New dark spot on the skin thatlooks like a mole, but grows quickly *. Pain, itch, or bleeding in a newspot on the skin *. Streak (usually brown or black) underneath a fingernail or toenail *. Bruise on the foot that does not heal.
1 person found this helpful
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Hi Doctor, can neck ultrasound detect Throat cancer? Can it give an clear understanding of Throat cancer?

MBBS, Diploma in Otorhinolaryngology (DLO)
ENT Specialist, Bangalore
The neck ultrasound will spot the nodal metastases but these findings have to be correlated with Direct Video-Laryngoscopy findings and confirmed by CT or PET-CTscans to stage the cancer and plan the treatment.
4 people found this helpful
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My dad is 82 years old has diabetes and now has diagnose with tongue cancer on the right side of the tongue , we are taking him for radiation from 13 days and giving him l- glutamine in water mutaine gargals and tryptomer now he is acting unconcious day by day and talking anything has pain in the tongue too any suggestions from the docters here and we cant give chemo injection as he has high creatine also

MD - Radiothrapy
Oncologist, Gurgaon
Radiation mucositis is a common problem / side effect during radiation . It results in pain which decrease oral intake of food and fluids. A step ladder approach of analgesics is advised and if required a ryles tube is also inserted through nose. In your case you should check whether your father has normal serum sodium and potassium levels as lower levels can cause altered sensorium. Thanks.
1 person found this helpful
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I am 67 years old male person. I am experiencing some prostate problem for the last one and half years sometimes there is no free flow of passing urin. Please advise.

M.S.
General Surgeon, Jaipur
Increase in size of prostate is a common problem in males with increasing age and as it is present at outlet of urinary bladder it obstructs passage of urine. Do not ignore. Get a usg done. And psa levels. Get examined by a surgeon or urologist who can advise medicine.
1 person found this helpful
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My Mother is 45 years old. She has Breast Cancer. Now she is under Chemotherapy. What will do to prevent from it in future.

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
Nothing much can be done. Response to chemotherapy depends on a nos of factors like type of tumour, stage, grade, hormone receptors present and inherent patient response. I would advice her to do as the Oncologist advices.
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Mai 27 years, ki hu meri left breast me pain hota, h aur bhot sagging v h kya, ye cancer k symptom h kya kru. please tell me.

Fellowship in Indian Association of Gastrointestinal Endo-Surgeons, Fellowship in Minimal Access Surgery, M.S. - Master of Surgery, MBBS
General Surgeon, Delhi
do self examination of breast and check for any lumps. if you have no lumps but pain is there then go for mammography and u/s breast. it should clear the things.
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I am having blood cancer B ALL stage. My stage of induction is going to over shortly but I want to stop the chemotherapy. Will there be any side effect?

MBBS, MD - Oncology, DNB - Super Speciality, Immuno Oncology
Oncologist, Delhi
It is very important for you to continue your complete treatment which is of around 21/2 years Please don't be tempted to stop treatment midway as you feel normal at present.
16 people found this helpful
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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
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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What is the symptoms of breast cancer and how can it be treated easily other than chemotherapy which causes psoriasis?

DNB, MBBS
Oncologist, Faridabad
Breast cancer most commonly presents as painless lump, nipple discharge, redness of skin , Asymmetric breasts, lump in armpits, enlargement of one of the breast etc. It is treated by surgery primarily follow ed by other treatments like chemotherapy, radiotherapy hormonal therapy depending on histopathology and immunohistochemistry.
107 people found this helpful
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How to cure pain in right side (hand and leg} after chemotherapy in third stage breast cancer?

MD - Radiation Oncology, MBBS, DNB (Radiotherapy)
Oncologist, Howrah
Chemotherapy induced neuropathy may cause pain in the distal extremities. Neuropathic pain usually occurs in the nature of tingling and numbness and may extend to severe burning sensation in extreme cases. Severity depends on chemotherapy drug used, number of cycles and other comorbid factors like diabetes. Share the details of chemotherapy drug used and blood reports for treatment.
10 people found this helpful
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Ultrasonography report says Urinary bladder: Normally distended. Irregular bladder wall thickening 4 mm. PVR-200 cc Prostrate: Enlarged in size (vol-32 cc) Urologist suggests surgery. But age is 75+ Is it good to go for surgery? Pl. Guide.

MS
General Surgeon, Panipat
Mr. lybrate-user. Your report is suggestive of BPH I.e. Is enlarged prostate. Residual urine amount is more which suggest immediate release of obstruction. But consult your urologist other options. Otherwise operation is only solution.
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I have tumor on beside of knee since 6-7 years. It is benign tumors. Sometimes it had been grown, and painful. After some days it come back to normal size and painless. In later stage it can be malignant or not? It it dangerous to me? Please give me your opinion.

Membership of the Royal College of Surgeons (MRCS), MS - General Surgery, MBBS
General Surgeon, Mohali
Should not be dangerous as per the symptoms explained.But please get a MRI done to get a clear diagnosis.
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I want to know the stages of cancer cell. Means how the cell effected and become a cancer cell?

MS ( General Surgery)
Oncologist, Mandsaur
The cell is the fundamental unit of life. It is the smallest structure of the body capable of performing all of the processes that define life. Each of the organs in the body, such as the lung, breast, colon, and brain, consists of specialized cells that carry out the organ's functions such as the transportation of oxygen, digestion of nutrients, excretion of waste materials, locomotion, reproduction, thinking, etc. To assure the proper performance of each organ, worn out or injured cells must be replaced, and particular types of cells must increase in response to environmental changes. For example, the bone marrow increases its production of oxygen-carrying red blood cells sevenfold or greater in response to bleeding or high altitude. Certain white blood cells are produced more rapidly during an infection. Similarly, the liver or endocrine organs frequently respond to injury by regenerating damaged cells. Reproduction of cells is a process of cell division. The division of normal cells is a highly regulated process. The cell growth, inheritance and containment is controlled by its DNA (deoxyribonucleic acid). DNA is a highly complex molecule manufactured in the cell nucleus and serves as the cell's" brain. DNA is the blueprint for everything the cell does. In a human cell, the DNA is arranged in 46 distinct sections called chromosomes. They are arranged in pairs, 23 chromosomes from each biological parent. Together, the 46 chromosomes contain more than 100, 000 genes. A gene is a segment of DNA that determines the structure of a protein, which is needed for development and growth as well as carrying out vital chemical functions in the body. Like the chromosomes, genes are arranged in pairs — one gene from the mother and one from the father. Each gene occupies a specific location on a chromosome. Through a number of biochemical steps, each gene tells a cell to make a different protein. Some genes instruct the cell to manufacture structural proteins, which serve as building blocks. Other genes tell the cell to produce hormones, growth factors or cytokines, which exit the cell and communicate with other cells. Still other genes tell the cell to produce regulatory proteins that control the function of other proteins or tell other genes when to turn" on" or" off. When a gene is turned on, it manufactures another complex molecule called ribonucleic acid (RNA), which contains all the information the cell needs to make new proteins. Cells divide only when they receive the proper signals from growth factors that circulate in the bloodstream or from a cell they directly contact. For example, if a person loses blood, a growth factor called erythropoietin, which is produced in the kidneys, circulates in the bloodstream and tells the bone marrow to manufacture more blood cells. When a cell receives the message to divide, it goes through the cell cycle, which includes several phases for the division to be completed. Checkpoints along each step of the process make sure that everything goes the way it should. Many processes are involved in cell reproduction and all these processes have to take place correctly for a cell to divide properly. If anything goes wrong during this complicated process, a cell may become cancerous. A cancer cell is a cell that grows out of control. Unlike normal cells, cancer cells ignore signals to stop dividing, to specialize, or to die and be shed. Growing in an uncontrollable manner and unable to recognize its own natural boundary, the cancer cells may spread to areas of the body where they do not belong. In a cancer cell, several genes change (mutate) and the cell becomes defective. There are two general types of gene mutations. One type, dominant mutation, is caused by an abnormality in one gene in a pair. An example is a mutated gene that produces a defective protein that causes the growth-factor receptor on a cell's surface to be constantly" on" when, in fact, no growth factor is present. The result is that the cell receives a constant message to divide. This dominant" gain of function gene" is often called an oncogene (onco = cancer). The second general type of mutation, recessive mutation, is characterized by both genes in the pair being damaged. For example, a normal gene called p53 produces a protein that turns" off" the cell cycle and thus helps to control cell growth. The primary function of the p53 gene is to repair or destroy defective cells, thereby controlling potential cancerous cells. This type of gene is called an anti-oncogene or tumor suppressor gene. If only one p53 gene in the pair is mutated, the other gene will still be able to control the cell cycle. However, if both genes are mutated, the" off" switch is lost, and the cell division is no longer under control. Abnormal cell division can occur either when active oncogenes are expressed or when tumor suppressor genes are lost. In fact, for a cell to become malignant, numerous mutations are necessary. In some cases, both types of mutations — dominant and recessive — may occur. A gene mutation may allow an already abnormal cell to invade the normal tissue where the cancer started or to travel in the bloodstream (metastasize) to remote parts of the body, where it continues to divide. A normal cell can become damaged in different ways. A cell can become abnormal when part of a gene is lost (deleted), when part of a chromosome is rearranged and ends up in the wrong place (translocation), or when an extremely small defect occurs in the DNA, which results in an abnormal DNA" blueprint" and production of a defective protein occurs. Abnormal cell division can also be caused by viruses. In this case, genes may be normal, but the protein may not function normally because the cell contains a cancer-producing virus. How a specific cancer cell behaves depends on which processes are not functioning properly. Some cancer cells simply divide and produce more cancer cells, and the tumor mass stays where it began. Other cancer cells are able to invade normal tissue, enter the bloodstream, and metastasize to a remote site in the body. In summary, cancer cells have defects in normal cellular functions that allow them to divide, invade the surrounding tissue, and spread by way of vascular and/or lymphatic systems. These defects are the result of gene mutations sometimes caused by infectious viruses.
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I have tumour on my penis for it is paining is happen and I am suffering from 3 years.Please tell.

MBBS, MD - Medicine, MD - Oncology
Oncologist, Delhi
Dear, better is to get it checked. If this is a real tumor you need to have biopsy of it. This needs to be surgically removed and further treatment given after seeing the histo pathology report.
1 person found this helpful
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10 Concrete Ways To Minimize Cancer Risk

MD - Oncology
Oncologist, Hubli-Dharwad
10 Concrete Ways To Minimize Cancer Risk
Today is World Cancer Day.

Though there are no proven ways to prevent cancer, you can do a lot of things reduce your risk of getting the disease. Here are 10 good important ways to do so:

1. Eat a healthy balanced diet
2. Maintain a healthy weight
3. Drink less alcohol
4. Quit smoking
5. Say No to any form of Tobaco including Pan and Gutka
6. Do regular exercise. At least, Walking.
7. Protect your skin from sun damage
9. Cervical smear tests for women every 3-5 years
9. Breast examination for signs of lumps, dimples or puckering
10. Last but not the least, in case of any lump or doubtful mass, consult an Oncologist without delay.
307 people found this helpful

Prostatitis - Causes And Symptoms

MBBS, D.N.B. (General Surgery), D.N.B. (Genito Urinary Surgery)
Urologist, Mumbai
Prostatitis - Causes And Symptoms

Prostatitis is a very common infection of the prostate. However, it is worth to note that prostatitis can also be an inflammation of the prostate without infection. Only 5 to 10 percent of prostatitis is caused by bacterial infection. Prostate cancer does not normally have its chances increased by prostatitis. There are several forms of prostatitis, including acute bacterial prostatitis, chronic bacterial prostatitis and chronic nonbacterial prostatitis (which is also known as chronic pelvic pain syndrome).

The exact cause for prostatitis is not known, but here are some factors which increase its risk, particularly acute bacterial prostatitis.

Possible causes:

  1. Medical instrumentation: Putting an instrument like a urinary catheter may well cause prostatitis.
  2. Rectal intercourse: This is basically another name for anal sex.
  3. Abnormal urinary tract: The urinary tract comprises of the bladders, kidneys, ureters and urethra. If any one of these organs gets infected, then prostatitis is much more likely.
  4. Bladder infection: A bladder infection may well spread to the prostate.

Symptoms
Prostatitis has a variety of symptoms. Here are the most common symptoms of prostatitis.

  1. Constant need of urination: This is one of the most common symptoms of prostatitis.
  2. Difficulty when urinating: Just like the constant need of urination, difficulty urinating is also a sign that you may have prostatitis.
  3. Pain while urinating: This is because the prostate gland is a part of your urinary tract and if it does not work properly, there will be pain.
  4. Chills and fever: This is a rarer symptom, but may indicate prostatitis if it is coupled with the other symptoms.
  5. Pain in perineal area and genital organs: If you are experiencing pain in genital organs, than it may indicate prostatitis. 
  6. Painful ejaculations or relief of perineal pain after ejaculations: If you are having painful ejaculation or the pain arises after ejaculation, then it may be due to prostatitis.
  7. Hematospermia: Pinkish or brownish semen.

If these symptoms are persistent or bothersome, then a proper consultation is required. Evaluation includes physical examination along with few simple tests. This can be followed by proper treatment for cure or relief of symptoms. If you wish to discuss about any specific problem, you can consult an urologist and ask a free question.

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