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Dr. Parweker

Oncologist, Mumbai

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Dr. Parweker Oncologist, Mumbai
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Personal Statement

My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Parweker
Dr. Parweker is an experienced Oncologist in Bandra West, Mumbai. He is currently associated with Pratham Clinic in Bandra West, Mumbai. Book an appointment online with Dr. Parweker and consult privately on Lybrate.com.

Find numerous Oncologists in India from the comfort of your home on Lybrate.com. You will find Oncologists with more than 28 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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English
Hindi

Location

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Pratham Clinic

Hill N Dane, 160, Near Police Station, , Hill Road, Bandra West,Landmark:-Behind Abhyudaya Bank, MumbaiMumbai Get Directions
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Nothing posted by this doctor yet. Here are some posts by similar doctors.

Suffering from tonsil stones. Can you please help me to cure these tonsil stone. What are home remedies to cure tonsil stones. Is tonsil stones are cancer cancer causing disease. Plzz help me.

MBBS, MD - Medicine, MD - Oncology, Fellow of the Royal Society of Tropical Medicine and Hygiene (FRSTM & H)
Oncologist, Delhi
I have not heard of tonsil stone but they do occur in salivary glands. These need to be removed and and analysed to take the necessary precautions for reformation.
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I want to know what are the symptoms of skin cancer. I have a chronic problem of skin rash in different parts of the body at different times. Can this develop into a cancerous growth? I am 74 years old now. Also, where can I get myself checked for skin cancer?

DNB, MBBS
Oncologist, Faridabad
I want to know what are the symptoms of skin cancer. I have a chronic problem of skin rash in different parts of the ...
Skin cancers usually presents as non healing ulcer or lump, skin discolouration or mole. Rashes may not be cancerous you must check for allergy as it is in different parts and consult dermatologist. They also can take scrapings for biopsy to know the cause of recurrent rashes.
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I'm 48 Years old man and my Prostate has some enlargement about 31 CC with some pain. I have prostatitis problems for prostatic massage how to do or perform that. Please guide me. thanks& regard's.

BHMS
Homeopath, Hooghly
I'm 48 Years old man and my Prostate has some enlargement about 31 CC with some pain.
I have prostatitis problems for...
You need to do pelvic floor exercise, just think your urinating at mid point of time you have to control it for some reason, just feel the muscle which is doing that control over that, contract that muscle and relax it, it will helpful, with this you need proper homeopathic treatment to cure your problem permanently.
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I am Aslam aged 60. My prostate is enlarged in size and measures 4.1*4.4*3.9cm vol 36.9cc Impression: prostatomegaly bilateral large simple renal cortical cyst what should I do?

M.Ch - Urology/Genito-Urinary Surgery, Fellowship in Advanced Laparoscopic Urology and Renal Transplant, MS - General Surgery
Urologist, Hyderabad
I am Aslam aged 60. My prostate is enlarged in size and measures 4.1*4.4*3.9cm vol 36.9cc
Impression: prostatomegaly ...
Dear your scan reports mention prostatomegaly approx 37 cc with bilateral large simple renal cyst. Firstly, treatment of prostate enlargement depends on your symptoms. If you don't have any urinary complaints you may not require treatment at all or if they are mild can be treated with medicines. If moderate to severe, surgery might be required. Secondly, I would like to know the size of renal cyst even though if they are simple. As such for simple cyst no active treatment is required.
2 people found this helpful
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27 mm calculus in lumen and prostate enlarged 42x37x51 mm (vol 40.5 cc) what to do I am 59 years

FMAS, MS - General Surgery, MBBS
General Surgeon, Ahmedabad
27 mm calculus in lumen and prostate enlarged 42x37x51 mm (vol 40.5 cc) what to do
I am 59 years
Enlarged prostate causing symptoms, urine obstruction and resultant stone formation .may need prostatectomy. See a surgeon.
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Prostate Cancer - What Is Bone Directed Therapy?

MBBS, DM - Oncology, MD - General Medicine
Oncologist, Nashik
Prostate Cancer - What Is Bone Directed Therapy?

If prostate cancer spreads to other parts of the body, it targets and goes to the bones first. And, if the cancer has spread outside the prostate, preventing or slowing its spread to the bones is a major goal of treatment.
If the cancer has already spread to the bones, relieving pain and other complications is also a very important part of the cancer treatment. There are a number of ways and means to prevent and treat prostate cancer’s spread to bones.

Understanding them in detail

Bone metastasis or spread of cancer to the bone is an extremely painful condition. This can also cause fractures or potentially fatal conditions like high blood calcium levels. Bone-targeted treatments such as hormone therapy, chemotherapy, and vaccines are used but so are a slew of other treatments more specifically targeting bone metastasis and its side effects. These are:

1. Bisphosphonates: Bisphosphonates are drugs that work by slowing down the reproduction of bone cells or osteoclasts. These cells work by breaking down the hard mineral structure of bones to keep them healthy. These bone cells often become overactive when prostate cancer spreads to the bones.

Bisphosphonates can also be used:

  • To help control and relieve bone pain
  • To control the high calcium levels caused by prostate cancer metastasizing to bones
  • To help slow the growth of cancer
  • To help delay or prevent fractures
  • To help strengthen bones in men on hormone therapy

Zoledronic acid or Zometa is the most commonly used bisphosphonate for prostate cancer. This is given as an intravenous (IV) injection, usually once every 3 or 4 weeks. The patients on this drug are also advised to take supplements containing calcium and vitamin D to prevent low blood calcium levels. Side effects include flu-like symptoms and bone or joint pain as well as kidney problems and sometimes osteonecrosis of the jaw (ONJ). In ONJ, part of the jaw bone loses its blood supply and dies, leading to tooth loss and infections of the jaw bone.

2. Denosumab: This is another drug that can help when prostate cancer spreads to bones. Like the bisphosphonates, denosumab also works by blocking osteoclasts. This drug is used:

  • To help prevent or delay fractures
  • To help slow the spread of cancer to the bones despite hormone therapy
  • This drug is injected intravenously every 4 weeks.
  • Common side effects include diarrhea, nausea, and fatigue.

3. Corticosteroids: These lower bone pain in some men in whom cancer has spread to the bones.
4. External radiation therapy: This helps if the pain is limited to one or only a few areas of bone. Radiation can also be aimed at tumors on the spine and other parts of the body.
5. Radiopharmaceuticals: These are drugs that contain radioactive elements and these are injected into a vein and go and settle in areas of damaged bones, where they give off radiation that kills cancer cells. The major side effects of these drugs is a decrease in blood cell counts which makes the body of the patient more prone to infections and bleeding.

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

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How to I identity the skin cancer before it come. And is that a spreadable disease.

MBBS
General Physician, Faridabad
growth of the skin. It starts from cells that begin as normal skin cells and transform into those with the potential to reproduce in an out-of-control manner. Unlike other cancers, the vast majority of skin cancers have no potential to spread to other parts of the body (metastasize) and threaten your life. it does not spread to other parts of the body. no danger to lifee. thanks
1 person found this helpful
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I had fibroadenoma excision surgery 10 days before there were no pain or discomfort till yesterday. Yesterday accidentally excision site got pressed becoz of my hand bag. After that m feeling very little pain while bending or moving. Pain is not continuous but m feeling it sometimes. Is it normal to have such kind of pain or should I consult to dr.

MBBS, MS - General Surgery, MRCS (Edinburgh), Fellowship In Breast Surgery, Fellowship In Onco-plastic Breast Surgery
Oncologist, Gurgaon
lybrate-user, Such pain is normal after a breast surgery and can persist for upto 2 weeks after surgery. I would suggest taking a mild pain killer like paracetamol 650 mg. You can try wearing a sports bra, as it will reduce your pain.
1 person found this helpful
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Hi, My aunt is detected with breast cancer. She was panic. Can I know the process of treatment. Please suggest her the diet.

MD - Internal Medicine ,Alternate Medicine, Phd - Medical BioPhysics
Oncologist, Delhi
Initial treatment is surgery with removal of lymph nodes if they are also involved. Later a radiation and chemo IV or oral may be suggested. This will also be based on the ER, PR and Her 2 scores of the biopsy taken to confirm the nature or type of cancer. More I would be able to suggest after the reports. Wish this helps.
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My age is 80 years and large prostate. I am taking Dutas T for last 2-3 years and urine flow is mostly normal. Is Excess of Dutas T is harmful?

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
My age is 80 years and large prostate. I am taking Dutas T for last 2-3 years and urine flow is mostly normal. Is  Ex...
Since when you have this condition? to help control the symptoms of an enlarged prostate, try to: limit beverages in the evening. Don't drink anything for an hour or two before bedtime to avoid middle-of-the-night trips to the toilet. Limit caffeine and alcohol. They can increase urine production, irritate the bladder and worsen symptoms. Limit decongestants or antihistamines. These drugs tighten the band of muscles around the urethra that control urine flow, making it harder to urinate. Go when you first feel the urge. Waiting too long might overstretch the bladder muscle and cause damage. Schedule bathroom visits. Try to urinate at regular times such as every four to six hours during the day to" retrain" the bladder. This can be especially useful if you have severe frequency and urgency. Follow a healthy diet prescribed by registered dietitan. Obesity is associated with enlarged prostate. Stay active. Inactivity contributes to urine retention. Even a small amount of exercise can help reduce urinary problems caused by an enlarged prostate. Urinate and then urinate again a few moments later. This practice is known as double voiding. Keep warm. Colder temperatures can cause urine retention and increase the urgency to urinate. Do reply back for medication prescriptions. Being also a general physician and registered dietitian, I prescribe both evidence based herbal as well as allopathic medicines complementing with dietary guidelines and home remedies carefully personalized for each individual patient.
4 people found this helpful
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