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Dr. Manoj A. Bharucha

MBBS

General Surgeon, Mumbai

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Dr. Manoj A. Bharucha MBBS General Surgeon, Mumbai
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Manoj A. Bharucha
Dr. Manoj A. Bharucha is a popular General Surgeon in Bandra West, Mumbai. He has completed MBBS . He is currently practising at Dr. Manoj A. Bharucha@Lilavati Hospital and Research Centre in Bandra West, Mumbai. Book an appointment online with Dr. Manoj A. Bharucha on Lybrate.com.

Lybrate.com has an excellent community of General Surgeons in India. You will find General Surgeons with more than 29 years of experience on Lybrate.com. You can find General Surgeons 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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Lilavati Hospital and Research Centre

#A - 791, Bandra Reclamation Landmark : Opposite Mumbai Educational TrustMumbai Get Directions
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Colorectal Cancer - In a Nutshell!

Post Doctoral Research (Ph.D.) (A.M) (Oncology), Integrative Oncology for Physicians (MSKCC, N.Y, USA), Doctor of Natural Medicine (N.D/ N.M.D), Ayurveda (I) Cert., Advanced Strategic Management (APSM), B.E (Computer Sc. & Engg.), Clinically Relevant Herb-Drug Interactions (CME) - (Cine-Med Inc. USA)
Alternative Medicine Specialist, Bhubaneswar
Colorectal Cancer - In a Nutshell!

Colorectal cancer is otherwise known as cancer of the colon or the rectum. This can affect both men and women with age being a major risk factor. Majority of such cancers are seen to occur after age of 50 years.

  1. Type: Colorectal cancers can present as one of the following types: 

    1. Adenocarcinomas are the most common type of colorectal cancers. These cancers begin in the cells making mucous and other fluids. Certain colorectal cancers begin as adenomatous polyps (adenomas) that turn cancerous over a period of time. This is precisely why the adenomas are regarded as pre-cancerous or pre-malignant.

    2. Gastrointestinal (GI) carcinoid tumors, GI stromal tumors, primary colorectal lymphoma, leiomyosarcoma, melanoma & squamous cell carcinoma are certain other colorectal cancers

      • Carcinoid tumors: start in specialized cells that produce hormones, in the intestine.

      • GI Stromal tumors: start in the interstitial cells of Cajal (ICC), in the wall of the colon.

      • Lymphomas: start typically in the lymph nodes but they may also start in colon or rectum.

      • Sarcomas: can start in the muscle and the connective tissue in the walls of the colon and rectum.

  2. Gender: It affects both male and female populace.

  3. Etiology: Mostly, the factors that are associated with increased risk of colorectal cancer include the following –

    1. Age exceeding 50 years.

    2. Racial & ethnic background such as African Americans, in the USA, are known to have the highest incidence of colorectal cancer, and mortality rates.

    3. Low fibre and high fat diet. Excessive consumption of red meat (e.g. goat meat, beef, pork, lamb, or liver), processed meats, butter, refined grains, sweets, sugary drinks etc all can increase the risk of colorectal cancer.

    4. Personal history of inflammatory bowel diseases (IBD) (e.g. ulcerative colitis), Crohn’s disease, adenomatous colorectal polyps, colorectal cancer etc all.

    5. Family history of colorectal cancer or adenomatous polyps etc all.

    6. Inherited syndromes such as familial adenomatous polyposis (FAP) and Lynch syndrome (hereditary non-polyposis colon cancer or HNPCC).

    7. Sedentary lifestyle/ associated Obesity.

    8. Type 2 diabetes.

    9. Tobacco and alcohol abuse.

  4. Features or symptoms can vary from person to person depending on the size and location of the tumour. Following are the signs & symptoms mainly -

    1. Changes in bowel habits, diarrhea or constipation or an alternating diarrhea and constipation.

    2. Occult/ blood in the stool, and 

    3. Problems related to blood loss (e.g. anemia, weakness, fatigue, intolerance to exercise, shortness of breath, increased heart rate, chest pain etc all),

    4. Abdominal discomfort (frequent gas/ flatulence, bloating, fullness, cramps, and pain), vomiting etc.

    5. Unexplained weight loss,

    6. Pain with bowel movement,

    7. Feeling that bowel does not empty completely,

    8. Stools are narrower than usual.

  5. Diagnosis: Following are the diagnostics employed. Abnormal blood test results may be indicative of malignancy, but a follow-up imaging/ biopsy is always the gold standard for accurate diagnosis.
    1. Blood: fecal occult blood test, Carcinoembryonic Antigen (CEA) assay values are raised, Hb/ RBC counts may be low.
    2. Imaging: Colonoscopy, Endorectal Scan/ CT Scan followed by Biopsy clinches the diagnosis and the nature of the disease.
    3. Apart from the above-mentioned barium enema X-Ray, USG, Chest X-ray, PET CT scan etc all help detect metastasis, if any. An increase in level of the serum tumor marker ‘CEA’ is indicative of metastatic spread/ proliferation that can be ascertained through a PET CT scan.
  6. Treatment: Conventional treatment includes surgery, radiation and chemotherapy as contextually appropriate. Simultaneously, an adjunctive/ integrative naturopathic treatment with suitable complementary & alternative medicines (CAM)/ therapies too can help improve clinical outcomes and facilitate recovery as feasible contextually.
  7. Prognosis: Preventive measures, earlier diagnosis and right early treatment is key for better prognosis and efficient/ effective therapeutic management. Usually, the chances of cure for an early stage cancer are more. Above-mentioned apart, recovery chances are influenced by the grade, stage of cancer, recurrence and the patient’s general health & vitality etc all too.

  8. Prevention: Rightly said, prevention is always a better choice. Although genetic risks are difficult to modify, still an adherence to a Mediterranean diet, maintaining an ideal body weight and an active lifestyle with due emphasis on regular exercising (for at least 30 minutes daily), de-stressing and relaxation is highly recommended for prevention or reducing the risks of colorectal cancer. A healthy eating plate comprises essentially a low fat diet, fibre rich foods including whole grain cereals, green leafy vegetables cooked using healthy vegetable oils, fresh fruits of all colours as seasonally available and healthy proteins/ fats including fresh fish, poultry, beans, nuts etc all. It is advisable to limit milk/ dairy, preferably of low fat content, to 1 to 2 servings max daily. Although alcohol is optional and is not for everyone, the consumption of the same, if any, has to be strictly in moderation, and is best avoided. Smoking is to be avoided as well. Again, red meat, butter, refined grains, sweets, sugary drinks including carbonated beverages and other high calorie foods etc all, if any, are to be taken sparingly or are best avoided too. Apart from the generic preventive measures as mentioned above, certain pre-malignant conditions, of which adenomas are the most common, can be successfully treated with complementary and alternative medicines too.

3248 people found this helpful

Sir I am 24 year boy suffering from prostatitis from last 6 months. 10-12 pus cell in sperm. No growth in culture. Doctor give me 3 months of ofloxion 400mg no cure. I go to uroglist he give me levofloxion 500mg for 6 weeks. In how many weeks antibiotics start working. Please reply me sir.

Fellowship of the Royal College of Surgeons (FRCS), MS - Urology, MBBS
Urologist, Ahmedabad
Dear at your age prostatitis is not likely unless you have had sexual intercourse with women had vajinitis or you have some other urinary problem your complaints may help me. You must be suffering from seminal vesiculitis and one needs to take suitable antibiotics for 4-6 weeks and take proper precautions not to get reinfection.
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In my face dark spots and marks are there please solve my problem immediate curing solution.

BHMS
Homeopath, Faridabad
1. Homoeopathic medicine for fair skin is berberis aquafolium mother tincture. Take 5 drops of it mix with water, twice a day. 2. Apply this tincture in diluted form on your face with cotton once a day. 3. Wash your face with besan and curd, mix a pinch of turmeric also. 4. Apply bio valley's skin lightening cream. 5. Apply rose water to your face at night. 6. Apply cucumber juice+ lemon juice+ tomato juice on dark spots. 7. Apply multani mitti pack on the affected areas.
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I am 26 old female married with two kids ,4 years back I had tubal ligation and now this year's from last three months I missed periods, light burning sensation in stomach above belly .feeling hunger. And one more thing every year in may or June in summer I used to get blood stools. But now from last three days in again having blood stools having pain in anal While going to stool after that no pain .can you explain the reasons for wat this going on.

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
Hello- It has nothing to do with your tubal ligation. You might be suffering from internal piles. Avoid spicy diet. Skip fasting. Make your bowel clear with the use of ayurvedic laxatives. Don't strain during defecation. Start Abhyaristha 2 tsp twice daily with equal water after meals.
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I am suffering from skin infection for 9 months. We go to the many doctors but they can't. So please help me.

DHMS (Hons.)
Homeopath, Patna
Hello, Lybrate user, •Tk, plenty of water to eliminate toxins restoring metabolism to absorb neutrients to nourish your whole body •Go for meditation to reduce stress and  nourishing cells & tissues making your skin more flexible.•Your diet be normal, high in protiene, non-irritant in small intervals avoiding gastric disorder. •Avoid, junk food, alcohol, caffiene,  nicotine, piza,  burger. Tk, homoeopathic medicine: @ Azadirechta Q-5 drops with 1/2 cup of water, thrice. Report, fortnightly. Tk. Care.
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I am having dry and oily both skin some times it become so dry and after waking it's oily face. During cooking face become red. Whiteheads and blackheads is almost on the nose and near the nose area. Which cream is suitable for both dry and oily skin. And which brand face wash, face cream, cleanser. please suggest me.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Hi apply pranacharya face glow on your face for 15 minutes then wash it with warm water. Take pranacharya b clean syrup 2-2 tsf twice a day. Take pranacharya allergin capsule 1-1 twice a day. Wash your face with chandrika soap.
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I'm 28years old female, I've acne & scars problem on my face. My skin type is sensitive. My skin gt tanned day by day:/. And my face color is quite darker than my body. What should I do. please suggest me.

BHMS
Homeopath, Faridabad
You can take homoeopathic medicines – Berberis Aquefolium Q/ 10 drops in 1/2 cup of water/ thrice a day and Kali Brom. 200/ thrice a day – for 20 days. Wash your face with Bakson's Facewash (wash your face with warm water only) and followed by CTMP, i.e., cleansing, toning, moisturising and protection (apply liberally Sunscreen Gel with SPF-30) after washing your face daily. Use home-made remedies: - Take 1 tbsp of fuller's earth (multani mitti) + a dash of lime + bit of rosewater – apply this on your face till it gets dried up, then rinse it off. - Take 1 tsp of Alum (or fitkari), make it slightly wet with water and apply this on your wet face, spread it well; let it dry and rinse it off. Alum remove your excessive moisture or oil and it also tightens the skin's tonicity.
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My son is 12years old his height is 132cm his growth has stopped and height is also not increasing he has white spots on face what should we do to increased his height.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
There is a hormone in the body known as Human Growth Hormone (HGH) that regulates height... Here are the top 10 ways to increase your height. Take ashwagandha and lakshadi guggul with milk twice a day Drink milk Indulge in Yoga Stretch your body Engage in exercise and sports Get proper sleep Eat a balanced diet Enjoy the sunlight...vitamin D Practice good posture
1 person found this helpful
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I have a birth mark on my face and I want to remove it bt without stitches or surgery. Is it possible?

BHMS
Homeopath, Faridabad
Even though pigmentation birthmarks (moles) cannot be treated, vascular birthmarks (s) can be treated well with homeopathic medicines. In homeopathy, is not considered as a pure surgical disease. Also, it won?t just rely on external treatment such as creams / ointments / injections, etc for management, since they all have very little or no value in treatment of . According to homeopathy, localized approach or treatment will usually suppress / mask the complaint for a time being and will fix the disease else where. Homeopathy can fade them with its effective internal medicines & constitutional approach.. So for proper constitutional prescription contact a homoeopath
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Skin Pigmentation Treatment

Dermatology Backed Expert Skin & Hair Care Solution
Dermatologist, Nashik
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Causes, symptoms and treatment for Skin Pigmentation

3993 people found this helpful

I have got some red colored zit or pimple on my upper part of thigh and its paining like anything when I walk or sit. The rash is long and is red and the pimple is in center. What should I do?

DHMS (Hons.)
Homeopath, Patna
Hello, pimples are the out come of stress, anxiety, insomnia, causing due to irregular life style. - tk, plenty of water to eliminate toxins, regulate metabolism and to moisten your skin & muscle. - tk, protein rich diet on time. - tk, apples, carrots, cheese, banana, papaya, spinach, almonds, walnuts, pumpkins, regularly. - maintain personal hygiene, locally. Tk, homoeo medicines which are gentle, rapid in action with no adverse effect, thereof. @ belladonna 30-6 pills, thrice a day. @ echineceaq - 20'drops, with 20 drops of water, apply locally, twice. Avoid, caffeine, nicotine, junkfood, alcohol, conteminated water. Pizza, burger, wear full covering clothes to safeguard from sun tenning, dust, pollution. Tk, care.
1 person found this helpful
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I have black spots as well as pimples on my back. I used scar removal cream for 4 months but didn't see any changes. What should I do?

PG Diploma In Clinical Cosmetology (PGDCC), PG Diploma in Aesthetic Medicine & Hair Transplant, MBBS
Dermatologist, Mumbai
Please do the nano fractional rf technology for the marks and scars on the back. Can be done once in 4 weeks and along with that use the scar removal cream.
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Hey doctor its emergency when I was siting the blood came from my anus kindly help me its urgent I am feeling nervous.

FMAS, MS
General Surgeon, Gandhinagar
Respected lybrate-user hi don't get nervous if it's for first time & not severe in quantity. It may be related to hard stool or developing piles or fissure. Presently avoid hard stools avoid oily spicy stuffs. Have more liquids green leafy veg fiber content fruits curd etc
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Lips and skin around mouth are turning so dark these days. How can I get bright skin in those areas?

B.Sc. - Dietitics / Nutrition, Nutrition Certification,Registered Dietitian
Dietitian/Nutritionist, Delhi
Drink 12 glasses of water as your skin is dehydrated. In the morning wash with Body Shop tea tree face wash and sunscreen. at bedtime apply kojic acid cream that will help get rid of dead skin.
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I have some red marks over the face, I have a oily typ of skin and had pimples, the level of pimples have reduced but those marks arnt off yet, please suggest me some home remedies or some ointment for such thing.

DHMS (Hons.)
Homeopath, Patna
Hello,mr Mohit, Pimples,acne,shedding under eyes,oily skin,Tenning ,dryness of skin, & wrinkles cause due to irregular life style,insomnia.junk food,stress,anxiety but taking d natural recourse will ,carry away the tresses making your skin sebum free and soothing. No cream can moisturise nor repair your skin to get your complexion,fairer. * Tk, plenty of water free from contaminants to eliminate toxins &'regulate your metabolism to absorb protein, vitamins,minerals, energy & other important substance, essential to upkeep ,repair & energise the body, hydrating your skin. * Go, for meditation to reduce your stress and to nourish your cells,tissues and whole body to allow your skin to b fresh,non oily & glowing. * Tk your meal easily digestible,non-oily,non-irritant,simple,on time. * Tk,apples,cheese,carrots,papaya,rajama,soyabeen,spinach,almond,walnuts to enjoy wellness . Tk homoe medicines: @ Berb.Aqua Q-10 drops,thrice with little water. * ensure sound sleep at least for 7/8 hrs in d night. * Avoid,junk food,caffiene,dust,scorching sun,fried,spicy intake, cookies,pizza & burger. Your feedback will highly b appreciated for further,follow up . Tk,care
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I am 29 years old male. please suggest me treatment for tanning of skin of forearm n face. Also treatment of darkening under eyes.

B.Sc(hons), Physics, B.H.M.S., PGDIT (software Engg)
Homeopath, Delhi
Medicine german reckeweg carbo veg 200, single dose (4-5 drops in mouth) morning. Buy medicine from good homoeopathic shop. Food mixed fruit juice daily evening. Please continue treatment.
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I am 18 years old I recently met with an accident. How do I get rid of the scars on my hand?

Fellowship in Minimal Access Surgery, F.I.A.G.E.S, M.S. ( General Surgery)
Gastroenterologist, Lucknow
How long it has been that you have had the accident if possible just send me the pic of your hand. Can guide you better.
1 person found this helpful
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My age is 23 only but my face is dots and wrinkles so what soup using in my face.

Diploma in Practical Dermatology, MD - Dermatology , Venereology & Leprosy, MBBS
Dermatologist, Delhi
Hello lybrate-user, rather than a soap you should use a good face wash/cleanser. Glogeous face wash by torrent pharmaceuticals would be a good face wash to bring back glow to your face.
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Hello Sir, I am 25 year old man and I have grown dark spot around my eye. It has been around my eyes for almost 5 years or so. Is it curable?

MBBS
General Physician, Cuttack
1.Apply fresh lemon juice with a cotton ball on the affected area ,leave it for 15-20 minutes wash it off with water. Repeat the process twice daily for few months 2.Massage vitamin E oil into affected area for 10 minutes twice daily for few week 3.Mix one tsf of turmeric powder and one tsf of lemon juice. Apply it on affected area, leave it for 20 minutes, rinse it off with water. Continue it daily for few weeks. 4.apply fresh Aloevera gel on affected area before going to bed, leave it over night, rinse it off in the morning. Repeat it daily for few week 5.Consult skin specialist for further advice.
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Due to spent more time playing during afternoon I got tanning due to which my face has become from white to nearly black what is the best way to detanning & I get my face once again in same colour?

MD - Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Jammu
Apply phytobright sun screen whenever you go out in sun. Use phytobright whitening essence cream to detann your skin.
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