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Dr. Manoj Chandiramani

Radiologist, Mumbai

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Dr. Manoj Chandiramani Radiologist, 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. Manoj Chandiramani
Dr. Manoj Chandiramani is a renowned Radiologist in Khar West, Mumbai. You can consult Dr. Manoj Chandiramani at Dr. Chandi Ramani's Clinic in Khar West, Mumbai. Book an appointment online with Dr. Manoj Chandiramani and consult privately on Lybrate.com.

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Dr. Chandi Ramani's Clinic

Mangal Bhavan,, Jn Off 14th Rd,Khar Pali Naka Road,Linking Rd Khar West,Landmark:Above Domino's Pizza, MumbaiMumbai Get Directions
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Breastfeeding - Can It Lower The Risk Of Breast Cancer?

MD - General Medicine, D.M. Medical oncology
Oncologist, Delhi
Breastfeeding - Can It Lower The Risk Of Breast Cancer?

Women love the fact that breastfeeding can safeguard them from general illnesses such as cold and fever. However, there is a bigger pie to cheer about. Apparently, it has been found that breastfeeding can lower the risk of breast cancer as well. Not to forget, breastfeeding is extremely crucial for a baby. It can help him/her to increase immunity and stay away from major diseases.

Facts from major studies:

  1. A study published in the Lancet, 2002 showed that women who breastfeed for 12 months at a stretch can reduce the chances of breast cancer by a good 4.3 percent compared to the ones who did not breastfeed. The study was performed on over 1,50,000 women and brought enough substance to the theory.
  2. A study conducted on 60,000 women and published in the Archives of Internal Medicine reported that a woman who has a family history of breast cancer can mitigate the risk of breast cancer, if she breastfed before her menopause.
  3. A study published in the Journal of the National Cancer Institute reported that women from African ancestry often develop an acute form of cancer known as the estrogen receptor-negative and triple-negative. Breastfeeding can significantly hedge the risk of developing this form of breast cancer.
  4. A collaborative study published in Annals of Oncology, a famous journal, reported that the chances of developing hormone-receptor negative breast cancer can be negated by 20 percent if a woman breastfed before her menopause.

How does breastfeeding reduce the risk of cancer?
Some researches suggest that women who breastfeed get fewer menstrual cycle compared to the ones who do not. This means low exposure to estrogen for breastfeeding women. It is a common knowledge that estrogen can fuel breast cancer. There is a second theory that suggests that breastfeeding makes the cells of the breasts more resistive to mutation. Therefore, the breast can block cancer.
There is the other factor of lifestyle changes. Women tend to do away with drinking, smoking, eating junk food, and leading an undisciplined life. Once these are given up and replaced with healthy lifestyle practices, the chances of breast cancer automatically come down.

How long should one breastfeed to refrain from breast cancer?
There is no concrete answer to this question. Most studies show that longer the duration of breastfeeding, lower the chances of breast cancer. But, in general, a year of breast feeding is a safe number and can reduce the chance of breast cancer by almost 20 percent, as revealed by many studies. If, however, a woman fails to breastfeed, there is no need to stress. A healthy lifestyle can go a long way in surviving breast cancer.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2005 people found this helpful

I suffered from l4-l5 disc operation and after operation I have numbness in left side leg what I do for relief from this and became normal person. With normal walking and running.

MBBSalternative Medicine, diploma in comunity medicine services
Alternative Medicine Specialist, Delhi
Hi, Ankit, sometimes when we have get done some orthopaedic operation then some nerves left blocked and our blood circulation doesn't work for that. after that we feel pain and numbness of that part. best way to circulate your blood is do physiotherapy session. it will help you to improve your blood circulation.
1 person found this helpful
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I am 20 years old. But my weight is 85 and my height is 5.11 so is it correct weight or should reduce my weight? tell me how to reduce. And I have a backache means one disk in my back has pressed inside than the normal of other disks. So please give a perfect solution.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
I am 20 years old. But my weight is 85 and my height is 5.11 so is it correct weight or should reduce my weight? tell...
Sleep on a hard bed with soft bedding on it. SPRING BEDS, FOLDING BEDS OR THICK MATTRESS ARE HARMFUL Use no pillow under the head. DO HOT FOMENTATION. Paracetamol 250mg OD & SOS x 5days. Caldikind plus 1tab OD x10. Do neck back knee & general exercises. It may have to be further investigated. Make sure you are not allergic to any of the medicines you are going to take. For emergency treatment contact your nearest hospital or family doctor. Weight reduction can not be done overnight. You have to take it as a way of life. Do Diet control. no sugar in tea,coffee,milk etc. NO sweets Take small frequent meals. When you get used to it, skip one meal. Then after 3 months skip another meal, & so on? You should do non weight bearing Yoga exercises. Do ask for detailed treatment plan. Do not ignore It. could be beginning of a serious problem. Why not discuss with me in a video conference?( Facility Provided by lybrate.com) Why not discuss with me in a video conference? (Facility provided by lybrate.com)
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Breast Cancer - Why Go For Early Diagnosis?

MBBS, MD(General Medicine), Fellowship Hemato - Oncology (Hemat-Oncology), DM(Medical Oncology), DNB(Medical Oncology)
Oncologist, Kolkata
Breast Cancer - Why Go For Early Diagnosis?

Breast cancer is an abnormal growth of cells in the tissues of the breast. Mainly it occurs in females but less than 1% of all the breast cancer cases develop in males. The majority of breast cancers start in the milk ducts. A small number start in the milk sacs or lobules. It can spread to the lymph nodes and to the other parts of the body such as bones, liver, lungs and to the brain.

With more reliable early detection methods as well as the trend towards less invasive surgery, there is hope that even more women with breast cancer will be treated successfully and will go on to resume their normal lives.

Signs & Symptoms 
It is painless, especially, during the early stage. Watch out for the following changes in the breast:

  1. A persistent lump or thickening in the breast or in the axilla. 
  2. A change in the size or shape of the breast. 
  3. A change in the colour or appearance of the skin of the breast such as redness, puckering or dimpling. 
  4. Bloody discharge from the nipple. 
  5. A change in the nipple or areola such as scaliness, persistent rash or nipple retraction (nipple pulled into the breast).

Consult a doctor immediately if you notice any of these changes.

Risk Factors 
Being a woman puts you at risk of getting breast cancer. There are certain factors that increase the risk of breast cancer. Some of them have been listed below:

  1. The risk increases with age; most cases of breast cancer develop after the age of 50 
  2. Genetic alterations in certain genes such as BRCA1 and BRCA2 
  3. Family history of breast cancer 
  4. Being overweight 
  5. Early menarche (onset of menstruation before the age of 12) 
  6. Late menopause (after the age of 55) 
  7. Never had children 
  8. Late childbearing 
  9. No breast feeding 
  10. Excessive consumption of alcohol 
  11. Use of hormonal replacement therapy (HRT) for a long period of time

However, most women who have breast cancer have none of the above risk factors. Likewise, not having any of these risk factors does not mean that you will not get breast cancer.

Early Detection and Screening

More treatment options are available when breast cancer is diagnosed at an early stage and hence the chances of recovery is also higher. So regular breast screening is important for early detection even if there are no symptoms. Following are the ways of screening:

  1. Breast Self-Examination (BSE): Perform BSE once a month about a week after your menses are over. If you no longer menstruate, choose a date each month which is easy to remember e.g. your date of birth or anniversary.
  2. Clinical Breast Examination: Get a breast specialist to examine your breast once a year if you are 40 years and above.
  3. Mammogram: Go for a screening mammogram once a year if you are 40 to 49 years old and once every two years if you are 50 years and above even if you do not have any symptom. It is not recommended for younger women (less than 40 years of age) as they have dense breasts, making it difficult for small changes to be detected on a mammogram. So ultrasonography of the breasts is advisable to them.

Types of Breast cancer

  1. Non-Invasive Breast cancer: These are confined to the ducts within the breasts. They are known as Ductal carcinoma in-situ (DCIS).
  2. Invasive Breast cancer: It occurs when cancer cells spread beyond the ducts or lobules. Cancer cells first spread to the surrounding breast tissue and subsequently to the lymph nodes in the armpit (Axillary lymph nodes). These cells can also travel to the other parts of the body such as bones, liver, lungs or brain and hence known as metastatic breast cancer.

Making A Diagnosis 

If you notice any unusual changes in your breasts, you should see a doctor immediately. He will examine you clinically and may ask you to undergo some tests so that a definitive diagnosis can be made. Further, the staging work up is done to find out the stage of the disease and management accordingly.

Treatment options 
Treatment of breast cancer may include various methods such as surgery with or without breast reconstruction, chemotherapy, radiation therapy, hormonal therapy and targeted therapy. Treatment options offered, depend upon the number of factors such as the stage of cancer and likelihood of cure, your general health and your preference.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2587 people found this helpful

Brain Surgery - Know The Purpose Behind It!

IFAANS, DNB (Neurosurgery), MBBS
Neurosurgeon, Ghaziabad
Brain Surgery - Know The Purpose Behind It!

The most powerful and amazing organ in our body is the brain. It differs from many other organs of our body not only by its shape, but also by its special type of cell called neurons. When these cells gets affected or dead it can never be reverted or regenerated which is the most exclusive nature found only in brain cells. The cells in other parts of our body has the capacity to regenerate (can be replaced or new one can be grown or produced), but brain cells are exception. Hence any damage to the brain, injury or trauma is really a crucial thing to be considered with utmost care.

Brain surgeries really need skill, proper training, confidence and intelligence to perform this highly complicated and risky surgery.

Purpose:
Brain surgeries are performed to:

  1. Remove the brain tissues that are grown abnormally
  2. Aneurysm is clipped to prevent flow of blood cliff off an aneurysm
  3. Biopsy purpose or to remove the tumour
  4. Make a nerve free
  5. Drain the abnormal blood or clot collection or to drain any excessive fluid collection caused by infection.
  6. To implant artificial electronic device as a treatment for conditions like Parkinson’s disease

Types:

  1. Biopsy: A part of brain tissue is removed for the brain or whole tumour is removed.
  2. Craniotomy: The skull bone is opened to remove tumour, an aneurysm and drain fluid or blood from infection.
  3. Minimally invasive endonasal endoscopic surgery: Endoscopic devices are inserted through the nose to remove the lesions or tumour.
  4. Minimally invasive neuroendoscopy: Similar to endonasal surgery but small incision is made.

Risks:

  1. Anaesthesia risks like breathing difficulty, allergic reaction to medications, excessive bleeding or clots and infection.
  2. Risk related to the brain surgeries are seizures, coma, swelling of brain, infection to brain or meanings, surgical wound infection that intrudes to the brain structures, abnormal clot formation and bleeding.
  3. General risks include muscle weakness, disturbances in memory, speech, vision, coordination, balance and other functions that are controlled by the brain. If you wish to discuss about any specific problem, you can consult a neurosurgeon.
1753 people found this helpful

For few days when seating for a long time then suddenly arise tiny pain in lower of hip the where end of spine please suggest me sir.

MPT, BPT
Physiotherapist, Noida
Extension Exercises x 15 times x twice daily - lying on tummy, take left arm up for 3 seconds, then bring it down, right arm up for 3 seconds, bring down. Bring right leg up, hold for 3 seconds, bring it down. Then right leg up and hold for 3 seconds and bring it down. Repeat twice a day- 10 times. Bhujang Asana -- Lie flat on your stomach, keeping the palms out, bend the neck backward, take a deep breath and while holding it for 6 seconds, raise the chest up. Release breath and relax your body. Repeat the exercise 15 times twice daily. Core Strengthening Exercises- Straight Leg Raised With Toes Turned Outward, repeat 10 times, twice a day.
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I am a 38 year old married lady with 2 kids. I have herniated disc of l5 s1 with mild detention as detected in mri. What is the treatment? I am really scared. Is it dangerous?

Diploma in Radio-Diagnosis
Radiologist, Shimla
-nothing to worry -no jerky movements -avoid long standing, sitting posture. -hard bed rest. -no pillow -take Ms. Relaxant, analgesic. -click on private questions for further treatment.
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My mri shows. Posterior disc prolapse between l4 l5 causing minimal thecal sac and neural foramina compression my doctor suggest me regular walking. What can I do for full recovery from the disc bulge.

MBBS, D'Ortho, DNB (Orthopedics)
Orthopedist, Mumbai
Hello lybrate-user, l4-l5 disc prolapse common yea you can continue walking avoid sitting for prolong period ,lifting heavy weight, floor activity and start core stabilising exercises if you proper physiotherapy protocol you don't have to worry at all and you will get full recovery.
2 people found this helpful
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Myths And Malpractices Related To Breast Cancer

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery
Oncologist, Pune
Myths And Malpractices Related To Breast Cancer

Breast Cancer:

These two words are enough to instil anxiety and assumptions in the minds of many. Replete with prejudices, myths and malpractices, this disease is more feared than managed or treated. For example, how often have women wondered if wearing a bra can cause breast cancer? How often have your spouse or a loved one talked themselves out of a diagnosis, because they were shy of the procedure, and also because they thought that there was no way they could have the disease? How often have they concluded that they need to get their breasts removed knowing a close blood relative had the disease or undergo an extremely painful chemotherapy regime if they were diagnosed with breast cancer?

Wondering and presuming these things isn’t their fault- it’s because of the general lack of awareness and hence, several myths the disease brings in its wake. In this section, we answer some of the most common myths surrounding breast cancer, in detail. It is of utmost importance to make women aware of these myths since this often leads to bad practices such as avoiding proper check-ups, which ultimately culminates into the delay in diagnosis treatment breast cancer, which can prove to be fatal.

Myth: Breast cancer risk is very low.

Fact: This misconception is one of the leading causes of a late diagnosis in India. Breast cancer is the most common cancer in Indian women, and according to the National Cancer Registry Program of India, it accounts for 27% of all cancer in women, as of 2012. About 1.5 lakh new cases are diagnosed every year of which, 0.75 lakh cases succumb to the disease within the 1st five years. India has the dubious distinction of having the highest incidence-to-mortality conversion in the world attributed to lack of awareness about symptoms, late-stage detection and poor treatment outcomes. In our country, this disease occurs at a much younger, premenopausal age, that is, the average age of around 45 in India as compared to 65 in the West. Approximately 1 in 22  Indian women carries a lifetime risk of developing the disease. Also, approximately 1 in 3 breast cancers will be identified as a triple negative breast cancer which is a aggressive breast cancer and is most prevalent in Indian women, compared to the 10-15% risk in other ethnicities.

Owing to the assumption that the risk is low and that cancer occurs at a much later age group, middle-aged women at a higher risk of breast cancer shy away from diagnosis and do not get annual mammograms done. In fact, according to a study carried out in Oldham, England in 2010, only 35% of Asian women were likely to attend the routine check-up done by National Health Service of England, as opposed to 70% of non-Asian women. The reasons behind shying away from getting an annual check-up done after 40 years of age could be ignorance, financial reasons, discomfort with the check-up procedure or anxiety of the reports. Regardless, this inertia in undergoing routine medically advised check-up of the breasts can result in missing an early diagnosis which then decreases the chances of effective treatment of the disease. At our clinic, we have seen cases where breast cancer has been diagnosed at a very early stage because the women underwent annual mammograms, and thus could be easily managed and cured. It is our humble request to all the women to break their inhibitions and get an annual breast check-up done under the supervision of a breast cancer expert after the age of 40.

Myth: If a woman is diagnosed with breast cancer, her breasts will be removed (mastectomized).

Fact: If breast cancer occurs, then there is 80% chance that the breasts will not be removed. Most women will have a single cancerous lump in their breast and the breast can always be saved by a well-planned, cosmetic surgery. Breast reconstruction is done in the same procedure with the same anaesthesia, resulting in better-looking breasts and cosmetics as they can be lifted and shaped according to the patient’s desire. A questionnaire conducted by our centre reported no depression and out of 147 patients surveyed, most were very satisfied with the reconstruction outcomes (94%). Mastectomy, or breast removal surgery, is performed in few percentages of patients- may be 20%, where there are multiple tumours. Therefore, it is of utmost importance that a woman does not fear the outcome of a diagnosis and delay getting examined altogether. Such bad practice can result in an advanced-stage breast cancer, which could have been diagnosed at an early stage and treated, now being treated by mastectomy, owing to the consequent delay in treatment.   

Myth: General health check-ups are excellent for every diagnosis, including breast cancer.

Fact: This is one of the biggest and most dangerous myths. General health check-ups cannot diagnose any cancer, let alone breast cancer. Therefore it is pivotal for a woman to get a mammogram and clinical breast examination done at a specialized breast health centre, under the care of specialists and professionals. National expert panels do not recommend general health check-ups. The Canadian Task Force on the Periodic Health Examination as well as the United States Preventative Service Task Force, recommended focused health checks, as opposed to general ones, in 1979 and 1989, respectively. One review published in the Cochrane Library by Krogsbøllet al. in 2012 reported that “general health checks did not reduce morbidity or mortality, neither overall nor for cardiovascular or cancer causes”, based on the trials that they conducted. According to an article published in 2015, in which a joint analysis was undertaken by medical liability insurers (Doctors Co. and CRICO, USA), amongst the 562 malpractice claims between 2009 to 2014, 39% related to the alleged negligent treatment of patients, including misinterpretation of diagnostic studies in general health check-up schemes.

In general, it is believed that about 48% of the delayed-diagnosis cases involved radiology, with primary care physicians or other clinicians have misread or misinterpreted the radiology report. General health check-ups is also a scheme by hospitals to pick up patients for treatment, with surgeons performing open breast biopsies (i.e, a surgical procedure where a cut is made through the skin to expose and remove tissues), which is an obsolete diagnostic modality for breast cancer. In fact, in America, according to sources, a doctor doing an open breast biopsy is liable to lose his registration. The biopsies should be done after careful radiological investigation and are only minimally invasive needle biopsies. Due to such myths and malpractices, women are afraid to present themselves for diagnosis, because they fear that every lump will be removed with a surgery. The fact is that out of 100 women presented with lumps, maybe 1 or 2 actually need a surgery. 

Myth: Chemotherapy and radiation therapy should be avoided as they are extremely painful.

Fact: Both these types of therapies have been exaggerated to be ‘worse than death itself’. This is absolutely not true. Chemotherapy has improved leaps and bounds with drugs that are much easier to tolerate as they are targeted, which means that they predominantly affect the cancer cells and not the normal ones. Earlier, the known side effects of chemotherapy were nausea, vomiting, reduction of blood counts, and infections. Today with current improvements in the drugs with chemotherapy as well as antidotes against complications, chemotherapy has become extremely safe and the side effects have substantially reduced. In fact, some determined women take chemo and go to work. The only major, common side effect of chemotherapy as of today is the hair loss which is a temporary and reversible phenomenon A daycare facility is extremely proficient with the treatment, with most of the regimens needing just 5 hours or less. Many hospitals admit patients for chemotherapy, more for financial gains than an actual need for inpatient admission procedures. At our facility, chemotherapy is a procedure requiring maximum 5 hours, with loungers and personalized TVs, a counsellor and a nutritionist for free, private consultation in a spa-like ambience.

There are fewer side-effects of radiotherapy as well if done by adept radiotherapists and physicists with extremely sophisticated and state-of-the-art equipment. Both these procedures are extremely safe, with the woman not even needing hospitalization.

Myth: Wearing a bra, antiperspirants and deodorants can cause breast cancer.

Fact: It is due to the existence of these myths that the focus has been shifted from the actual risk factors to such obsolete ones. None of the aforementioned items has been shown to cause breast cancer. The real risk factors leading to breast cancer are of two types: the modifiable and the non-modifiable. The modifiable risk factors include alcohol, smoking, sedentary lifestyle, obesity, birth control pills, hormone replacement therapy, not breastfeeding and not having children or having them late. The non-modifiable ones include genetics, having a family history of breast cancer, older age, exposure to radiation, race and ethnicity, early menarche and late menopause. Most of the modifiable risk factors can be avoided if one took care of their health, diet and got sufficient exercise.

Myth: If a woman has a family history of breast cancer, she is likely to develop breast cancer as well.

Fact: While it is true that women who have a family history of breast cancer are at a higher risk of getting the disease, it is also true that most women who have breast cancer have no family history of the disease. Statistically, only 10% of the women diagnosed with breast cancer have a family history.
So what should you do if you have a family history of this disease?

That depends on your relation to that particular family member.
If you have a first-degree relative with breast cancer, that is, if your mother, sister or daughter developed breast cancer under the age of 50, you should consider some form of regular diagnostic breast imaging as well as genetic testing.

When should you consider it?

Starting ten years before the age of your relative’s diagnosis.

Having a first-degree male relative with breast cancer- however rare, but a clinically observed phenomenon also raises a woman’s risk of getting breast cancer.
If you have a second-degree relative with breast cancer, such as a grandmother or an aunt, your risk increases moderately, however, definitely not as much if you had a first-degree relative with breast cancer.
If you have multiple generations diagnosed with breast cancer on the same side of the family, or if there are several individuals who are first-degree relatives to one another or several family members diagnosed at the age of 50, you should be careful, as you have an increased probability of having a defective breast cancer-causing gene, given your breast cancer-prone family history.

In such scenarios, you should consult with a breast cancer specialist and undergo appropriate genetic testing only after prior genetic counselling of the family.

I am suffering from slip disc l4 l5 problem from last 5 yrs. I have tried all the treatment. But. please provide some tips.

Fellowship in Shoulder and Knee Surgeries, DNB (Orthopedics), Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Nagpur
Do not lift weight Use hot fomantation twice daily Don't bend forward Show MRI for further information on the problem
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