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My father is having rectal cancer which we diagnosed after 1 month. The doctor has done the surgery but now the cancer has reached stage IIIb nd 4 lymph nodes are infiltrated. The doctor is now saying tht we will have to do 6 chemotherapy in every 21 days. Is there a danger to wait 21 days as the tumour is spreading nd we do not want it reach stage IIIb or stage 4. Please suggest something.
I am a patient of BHP and same is under control by taking tab afdura daily once in night since 2 months. Can tab afdura of above dose be taken as maintenance dose or to shift to other med. E in.
I have swollen lymph nodes under jaw and chin and also have fever and cold I also lost my 1 kg weight my family doctor and ent says it's nothing other than infection please give your opinion thank you.
What type of cancer do I have? Where is it located? What are the risk factors for this disease? Is this type of cancer caused by genetic factors? Are other members of my family at risk?
How to reduce prostate. He is suffering with it since 1 year and none of the medicines work for him. He is diabetic and ages 58. Please guide us how to treat it. Thank you.
My family member 48 years old has got prostate cancer i. E in 3rd stage and now facing only urination not in continuation and PSA 23 and he is not interested in surgery for removal of prostrate and wants to go for Radiation and Ayurved medicine treatment. Your valuable suggestion required in this regard.
Dear doctor sir, Good morning sir, My requested question is about my father was affected with stomach cancer. He is on treatment with chemotherapy. during chemotherapy with injection and drugs he dose? T take vomiting and he is able to take some liquid type foods and semi-solid foods. Now our doctor started chemotherapy without injection (after finishing six cycle of injection chemotherapy) first cycle tablet name capnat (capecitabine tablets ip) during that first two week he not vomited on third week ending onwards he affect with vomiting and his in-taking liquid foods also reduced suddenly. While he going to consultation with our doctor for second cycle he checked blood test and find that blood-hb is drop to 6.75% (before 11.5%) and he advice to admit and trips him with 2 unit of blood hb and he asked my father to take second cycle with entirely changed diseases. The second cycle is started today (27/11/15) but father still vomiting once daily and struggle to take even water because he has heartburn since also. Now our doctor is out of station he return on monday only. So I kindly request you please guide me with the precaution measure and kindly explain me about the vomiting and sudden drop of blood hb whether the cancer is spread or not. So I kindly request you replly me as early as possible. Thank you.
I m suffering from cancer I m condition so bad please send me some medicine I am so bad please help I m so bad condition.
Respected Sir this is to inform you that I am having benign fibroadenoma sice 2 years and on may 2016 I again did thoroughly check up and I did biopsy too. Result came negative like before. And size is 2 cm. Since two years the tumor is not growing. No discomfort is there but if pressed pain in there. No family history of fibroadenoma. Actually I was having irregular periods and I took medicine for 5 years primolut tablet, now it's been a year I have stopped medicine. Fibroadenoma will increase the chances of breast cancer. If I will not remove the tumor in lifetime what will happen. If surgery has to be done at what age I have to do ? Right now I am 24 and I am married. What will be the best option sir?
Sir, my age 52 years I have prostate enlarged problem since 3 month, I consult urologist, He advised to take tab alfuzsion 10 mg, daily and review after 3 months, request for any treatment in ayurveda, or only in allopathy, pl suggest or after taking tab feel some better, or maybe in future avoid any operation, or can be cured by tab or any specific treatment in ayurveda, pl advice, regards.
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?
My father is 61 years old and has been diagnosed with enlarged prostate .PSA is coming at 33.5 what are my options. He has a high blood sugar condition as well.
Dear sir, My prostrate is enlarged in size and weighs approx 27 gms. Impression: hypertrophy of prostrate grade I by sonography. Kindly suggest remedy.
Hi I am 50 year old female with a history of breast cancer and taking tamoxifen 20 mg daily for past 4 years. December 2015, I took an abdomen scan and the endometrial thickness was 8 mm. But last week july 2016 the thickness increased to 14 mm. Am I having cancer of endometrium? Other symptoms for the cancer are missing. Should I go for an Hysterectomy? Please advice.
With terminal illnesses like cancer, the disease is not the only thing that requires treatment. In addition to controlling the severity and spread of the main disease, the effect it has on the other body systems including emotional, social, psychological problems and also physical issues like pain and inflammation. Though the disease has reached an advanced stage and cannot be cured, the patient can be made to be pain-free and at peace to the extent possible.
The goal of palliative care is not to cure - in fact, palliative care is in place for diseases like cancer from the time it is diagnosed and treatment is begun but becomes the major component of treatment once the cancer is identified to be in terminal stages. Therapeutic care aimed at curing the cancer is gradually reduced and palliative care assumes a bigger role. This is also called as symptomatic care, supportive care, or comfort care.
Aspects of palliative care: Once the disease is identified to be in terminal stages, then the following become considerations:
- Stay at home or hospital
- Withdraw chemotherapy and radiation?
- Withdraw feeding tube
- Spiritual discussions
- Reduce anxiety
- Good quality time with the family
- Reduce pain and suffering
As is evident, there is a huge component of social/emotional/spiritual management in addition to reducing pain and suffering:
- Physical: Pain, fatigue, shortness of breath, sleeplessness, loss of appetite are some symptoms that need to be managed. In addition to pain killers, small exercises can be included to make them feel better, even if it is just getting a breath of fresh air.
- Social: Depression (learn the ways to handle depression), anxiety, uncertainty, fear are all looming large and they are not sure how to manage these feelings. Talking to a counselor or some close family member or friend can be a big relief - the burden is off their chest.
- Legal: There could be issues related to property, insurance, property that also need to be discussed. External help can be sought if required to provide financial counselling and legal advice.
- Spiritual: Looking into the spiritual needs and understanding the deeper meaning of life, restoring faith are some things that also can help them feel better. "Why did this happen to me?" is a question most people keep asking and while there is no answer, some solace can be provided through talks.
It is to be noted that palliative care is not just for the patient. The caretakers (family and close friends) are equally in need of some support. So, once the patient is identified to be in terminal stages, all effort is made so the final leg of the journey is peaceful and as painless as possible.