Find numerous Oncologists in India from the comfort of your home on Lybrate.com. You will find Oncologists with more than 35 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.
Book Clinic Appointment
Submit a review for Dr. Prince JohnYour feedback matters!
I have recently done a blood test and it shows tha t my PSA level is 5.130.Does this mean I have cancer. Two years back I have done the same test it had shown 4.36 and mg doctor had recommended me a biopsy which I had gone through and the result was negative. But why has my PSA level risen so much. My age is 54 .please help me out.
Hampered drive for physical intimacy may not be the case with everybody suffering from cancer. Since, each individual is different with varied sexual needs, it is rather impossible to predict how cancer would affect a person’s sex drive. But certain treatments of cancer might take a toll on your libido and subsequently, your sex life.
Cancer and certain treatments of cancer, can be the reason behind your low libido as they can cause:
1. Imbalance in the sex hormones
2. Scarring of the skin
3. Breathing problems
4. Diarrhea or bowel problems
6. Tension or anxiety
7. Depression or sadness
9. Fatigue (Tiredness)
10. Persistent sickness
With any of these side-effects, you may not have the urge of indulging in sexual intercourse because of the constant irritability and pain, essentially resulting from weakness. You might also think less of yourself, with no care for the way you dress up, make up or do your hair as you used to do before. With fatigue playing nemesis to your libido, you may feel entirely washed out, exhausted and spent after your intensive chemotherapy sessions.
How do you address this problem?
1. Speak out: Try unburdening yourself of the worries and anxiety in front of your partner or the doctor and make them understand how you truly feel about yourself. They may be able to guide you home.
2. Plan your rumble beforehand: You can plan your sexual activity by taking pain killers an hour prior to lovemaking.
3. Foreplay helps: Remember, sexual contact cannot spread cancer, ever. An intense session of foreplay has never disappointed anybody and it might work wonders if you have been going through all the rigor of cancer and its treatment lately. It would make you feel genuinely cared for; this might just egg you on to come out of that shell of depression and anxiety and enjoy sex like the way you used to.
Hi sir, my father diagnosed with lung cancer in 2014, now it's metastatic , due you treat it?Please tell.
Hi doing job since last five years. I don't have any symptom of cancer but I'm fear about it's dangerous effect on us. Now-a-days it's becoming family decease. I am very much conscious about the decease. In family we didn't have anyone who suffered from cancer, neither on mother side nor from father side. As a chemical engineer have to work in such environment few of them (chemicals) tends to have carcinogenic in character. I still don't have any symptoms to cancer. To make sure is there any test that tells me about the tendency of cancer in future or not? Also please give details about the appointment in Kolkata if any. Thank you.
Hello sir. Me and my wife just recently married .and we have some couple of romantic nights together. But now she is having blood clot in her nipples region. She is in real pain. please tell me a solution please. I'll be really glad.
My friend's father is suffering from Mouth Cancer. Everyday he is suffering from pain. Please let us know what would be the best way to get rid from it.
The prostate gland in males surrounds the urethra, through which urine and sperm are passed out of the body. Its function is to secrete a fluid, which provides nourishment to the sperm. It is about the shape of a walnut and is present between the pubic bone and the rectum.
As a man crosses 40, the prostate gland begins to increase in size due to an increase in the number of cells. This is known as hyperplasia. The condition is usually benign and therefore the name benign prostate hyperplasia (BPH). As it continues to grow, there is an increased pressure on the urethra. Therefore, there can be problems with urination. The bladder, being a muscular organ, compensates to some extent and so the problems with urination are mostly managed. If left untreated, this can continue to be a major problem and the bladder may not be able to compensate. In men who are 60-plus, BPH is very common.
Signs and symptoms
- One of the initial symptoms of BPH is when the urine stream begins to grow weak.
- There could also be a reduced speed of passing urine.
- Men with BPH never have a feeling of complete emptying of the bladder.
- On the other hand, there is also a constant difficulty in initiating a urine stream. There could be intermittent breaks in the urine stream.
- The person may feel the need to strain to initiate the stream and to ensure complete emptying.
- There could be dribbling of urine after passing urine.
- The duration between two bathroom visits can constantly reduce, with the constant urge to urinate.
- There is a constant urge to visit the bathroom, which is more common in the night. One of the most annoying features of BPH is the walking up at night to urinate, but with an inability to initiate a stream and an inability to completely empty the bladder, it leaves the person very irritated and frustrated.
- There could be blood in the urine. In fact, blood in the urine accompanied by fever, chills, nausea and vomiting are indications of an emergency.
- There could be blockage of urine completely, if the enlargement is quite severe.
If you are having any of these symptoms, then the doctor will first test for an enlarged prostate through a digital rectal exam. Then a test is done to check a chemical called prostate specific antigen. Increased levels of this chemical is almost always indicative of BPH. In addition, X-rays and scanning may be used to confirm diagnosis.
Though medications are available, confirmatory treatment is through surgical removal. The procedure needs a inimum of 2 to 3 days. If you wish to discuss about any specific problem, you can consult a urologist and ask a free question.
Dr. I can feel something hard in my half breast. And very little pain when I press it. What can be this.
I diagnosed with tongue cancer in October 2015 Surgery has been done what kind of treatment will be given to me after surgery and it is curable or not.
I am 22 years unmarried girl. I have absent periods my last period was in december. Later whenever I take tabs I get periods else I wont get. Recently I have visited my gynecologist she took hormones test where in the leutinizing hormone was 14.92 which she said was slight higher and she gave me tabs and asked to continue til 3 months. If this leutinizing hormone is high what does it mean is there any disease? I have very bloated stomach and sometimes pain too. Is there any chance of any type of cancer bcz when I browsed it is giving that the bloated stomach and absent periods can be the signs of any type of cancer. please do reply am worried. Thank you in advance.
I have got a lump in my breast should I remove it or will it gradually go. I is been there for three years?
My wife 's cousin suffering from breast pain and she is 15 years old she is living jakarta with parents could please tell me there is a doctor who join lybra+e and they comfortable to talk.
I'm suffering from enlarged prostate and related problems such as urgency to pass urine as well as getting up many a times at night to pass urine which disturbs my sleep. I'm 60 years of age without any other health issues. Please prescribe treatment. Thanks.
I have prostrate cancer And I am at very last stage My check up is going on But I just wanted to know that is there any treatment fir this and if yes then where?
Do all the tumors are cancerous If it is can it be caused in 18 years of age If it cancerous. Is it pain full or not.
Lung cancer is also known as pulmonary carcinoma or cancer of the lung. It occurs when DNA mutations develop in the cells/ tissues of the lungs leading up to uncontrolled growth in the tissues of the lung. By far, it is known to be the most common cancer in Asia.
1. Type: lung cancers can present as one of the following types:
- Non-Small Cell Lung Cancer (NSCLC): Most common type of lung cancer and constitutes nearly 85% of all lung cancers. The sub-types of NSCLC are as follows:
- Large cell carcinoma
- Squamous cell carcinoma (SqCC) (Epidermoid)
- Adenocarcinoma – accounts for majority of the NSCLC.
- Small Cell Lung Cancer (SCLC): It is also known as oat meal cancer and tends to spread (metastasize) quickly. This constitutes about 15% of the lung cancers.
- Mesothelioma: It is a rare cancer that develops in the mesothelial cells of the pleural or peritoneal surfaces. It usually arises in the pleural membrane lining the lungs, known as pleural mesothelioma. One that arises from the peritoneum is called the peritoneal mesothelioma and the one that arises from the pericardium is known as pericardial mesothelioma. Lastly, it can also arise from the tunica vaginalis known as testicular mesothelioma. People working with or prior exposure to asbestos are mostly at risk of developing mesothelioma. The latency period between time of exposure and development of mesothelioma can be somewhere between 20 to 40 years. Maximum of the patients who develop mesothelioma are men.
2. Gender: It affects the male populace predominantly. It is more common in men than in women and in those of lower economic status. However, the incidence of lung cancer, in women too, is on the rise of late.
3. Etiology: Cigarette/ Tobacco smoking remains the most important cause of lung cancer accounting for 85 – 90% of the cases. Incidence/ risk is proportionate to the number of cigarettes smoked irrespective of the age. Also, environmental toxins including smoke from burning black tar, exhaust gases from automobiles etc. too contribute actively to various lung diseases including cancer. People working in asbestos manufacturing factories who are exposed to asbestos dust are also likely to get lung cancer. Tuberculosis too is an additive risk factor. Again, people who have received ionizing radiation especially to treat Hodgkin Lymphoma or other malignancies also run the risk of developing lung cancer. Above-mentioned causes apart, genetic factors may also play a role.
4. Features: Lung cancer clinically presents in the following ways mainly.Signs & symptoms of malignant mesothelioma are as enumerated below
1. Difficult/ labored breathing (Dyspnea)
2. Chest pain
3. Palpable chest wall mass
4. Discordant chest wall expansion
5. Weight loss (Cachexia)
6. Loss of appetite (Anorexia)
7. Night sweats
Signs & symptoms of non-small cell lung cancer (NSCLC) are as enumerated below. Majority of patients are symptomatic at diagnosis
8. Chronic cough
9. Difficult/ labored breathing (Dyspnea)
10. Chest pain
11. Blood stained sputum (Hemoptysis)
13. Weight loss (Cachexia)
14. Loss of appetite (Anorexia)
16. Bone pain
17. Pleural or pericardial effusion
18. Superior vena cava syndrome
19. Brachial plexopathy
20. Neurologic pain
21. Hypercalcemia of malignancy
Signs & symptoms of small cell lung cancer (SCLC) are as enumerated below
Symptoms as per the points 8 – 18 depicted above for NSCLC are applicable for SCLC as well. Additionally, patients suffering from SCLC may have:
23. Horner syndrome
5. Screening: is generally recommended for asymptomatic/ symptomatic populations as surveillance for high risk individuals – who are either current or former smokers (quit smoking within the last 15 years), have at least a 30 pack year smoking history and those who do not have any prior history of lung cancer. The goal of screening, as usual, is to be able to detect & diagnose lung cancer at an early stage which is potentially curable. It is mostly radiologic with a low dose helical computed tomography (CT) scan being more effective in detecting early stage lung cancer than a chest radiograph can.
6. Diagnosis: Abnormal blood test results may be indicative of malignancy, but a follow up imaging/ biopsy is always the gold standard for accurate diagnosis. Following are the diagnostics employed mainly:
- Blood: Hb may be low, TLC, ESR and polymorphs increased. Adenocarcinomas are likely to express thyroid transcription factor 1 (TTF-1) or carcinoembyonic antigen (CEA). On the other hand, mesotheliomas are likely to express Wilms Tumor -1 (WT-1) protein and Calretinin.
- Imaging: Thoracoscopy, Bronchoscopy, X-Ray, CT Scan etc all. Positron Emission Tomography (PET) / CT scan and Magnetic Resonance Imaging (MRI) scan help detect metastasis, if any.
- Biopsy: It clinches the histologic diagnosis, and the nature of the disease.
7. Treatment: Conventional treatment includes surgery, chemotherapy and radiotherapy as contextually appropriate. Simultaneously, an adjunctive or integrative naturopathic treatment with suitable complementary & alternative medicines (CAM) too can help improve clinical outcomes and facilitate recovery as would be feasible contextually.
8. Prognosis: preventive measures, earlier diagnosis and right early treatment is key for an effective therapeutic management & better prognosis. Like most other cancers, the chances of cure for an early stage lung cancer are more. The cure/ recovery chances are influenced by the grade, stage of cancer, recurrence and the patient’s general health & vitality etc all. The primary determinant of prognosis in NSCLC is the stage at which the cancer is diagnosed. For non-metastatic cancers, however, it is the nodal status that determines the stage and hence the prognosis.
9. Prevention: rightly said, prevention is always a better choice. Cigarette smoking is to be avoided by all means as it is the single major cause of lung cancer. Even exposure to cigarette smoke (passive or secondhand) is also an established cause of lung cancer and is known to increase the risk of lung cancer in non-smokers as well. Preventing exposure to secondhand smoke can be helpful in decreasing the incidence and mortality from primary lung cancers. Above-mentioned apart, other important risk factors such as exposure to ionizing radiation, environmental carcinogens like smoke from burning black tar, exhaust gases from automobiles, outdoor air pollution, and occupational exposure to asbestos, arsenic, beryllium, nickel, cadmium, chromium etc all too are known to increase the risk for lung cancer and mortality thereof. In fact, cigarette smoking is known to potentiate the effect and hence the lung cancer risk of many of the above-mentioned carcinogens, multi-fold, in smokers. Thus, either eliminating or reducing the exposure to the above-mentioned carcinogens can lead to a decrease in the risk of lung cancer and incidences thereof. Furthermore, randomized clinical trials indicate that high intensity smokers (only) who take supplementation of beta-carotene have an increased risk/ incidence of lung cancer. Vitamin E supplementation, on the other hand, does not affect the risk of lung cancer as indicated by the trials. If you wish to discuss about any specific problem, you can consult a doctor.