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Dr. Vikram D. Sanghvi

Oncologist, Mumbai

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Dr. Vikram D. Sanghvi Oncologist, Mumbai
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Personal Statement

I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Vikram D. Sanghvi
Dr. Vikram D. Sanghvi is a trusted Oncologist in Mumbai, Mumbai. He is currently practising at Bombay Hospital & Medical Research Centre in Mumbai, Mumbai. Book an appointment online with Dr. Vikram D. Sanghvi on Lybrate.com.

Lybrate.com has an excellent community of Oncologists in India. You will find Oncologists with more than 27 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

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Bombay Hospital & Medical Research Centre

#117, Marine Lines. Landmark: Next To Liberty Cinema, MumbaiMumbai Get Directions
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I have been smoking since 2 years. and I have pain in my chest. Should I go for cancer test, please reply ?

MBBS
General Physician, Mumbai
Just do routine investigation and never think of cancer first and leave it to your dr to diagnose it and let you know.
3 people found this helpful
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I am a patient had a operation in 2013 for thyroid cancer. But nowthistime I am having some toubles of speach colloid and feelings of troubles during walk. Sir pl explain this nature and treatment for this situatuion.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am a patient had a operation in 2013 for thyroid cancer. But nowthistime I am having some toubles of speach colloid...
GARGLE with warm water. tests lipid profile,blood sugar, cbc,. IN HYPOTHYROIDISM:--- where there is deficiency of thyroxine hormone leading to sluggishness, tired feeling, weight increase, slow heart beats, intolerance to cold, swelling of legs, feet and face, difficulty in concentrating and at times in speech. Treatment for hypothyroidism is giving thyroxine tablets. And dose are according to level of thyroid for life time. Avoid bad habits . Avoid stress. Some Relax during work. Go for walk, Take plenty of water, high-carbohydrate foods such as potatoes, rice, pasta and bread. Nutrient-rich foods that improve your health may also benefit your thyroid gland, antioxidant-rich fruits and vegetables more plenty of water: Blueberries, tomatoes, bell peppers, and other foods rich in antioxidants can improve overall health and benefit the thyroid gland. Eating foods high in B vitamins, like whole grains, may also help. flax oil, Selenium: Tiny amounts of selenium are needed for enzymes that make thyroid hormones to work properly. Eating selenium-rich foods, such as sunflower seeds or Brazil nuts, can be beneficial. Tyrosine: This amino acid is used by the thyroid gland to produce T3 and T4. Taking a supplement may help, avoid oily foods,junk foods, go for walk. Do Tests every 3 to 6 months. And consult doctor on time.
1 person found this helpful
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I am suffering from chest pain from two weeks, I feel like pain is from both lungs ,I am child smoker , smoking from 2 years daily 7 cigrate ,is this related to some cancer give me some solutions to quit smoking.

MD - Radiation Oncology, MBBS
Oncologist,
I am suffering from chest pain from two weeks, I feel like pain is from both lungs ,I am child smoker , smoking from ...
Dear lybrate user, chest pain can have have multiple reasons. It can be a simple pain originating from the muscles or bones in the chest wall. If pain is brought on by any effort like lifting weights or climbing stairs it might be due to conditions of heart. If it's constant and not brought on by effort, pricking in type it could be due to infection in lung or fluid collection in pleura. I would advise you to consult a physician. Also I would recommend you to take the effort to quit smoking as it poses the highest risk of developing cancer, anywhere in the body.
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Palliative Care for Cancer Patients

MD - Ayurveda
Ayurveda, Bargarh
Palliative Care for Cancer Patients

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:

  1. Stay at home or hospital
  2. Withdraw chemotherapy and radiation?
  3. Withdraw feeding tube
  4. Spiritual discussions
  5. Reduce anxiety
  6. Good quality time with the family
  7. 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.

3283 people found this helpful

Hello, I am 40 yrs. Old female. I am suffering from breast cancer and have completed with my 2nd out of 8 chemotherapy cycle. I cannot eat or drink anything & feel like vomiting as soon as I eat something. Pls suggest me some food or liquid that feel cool and give me energy.

MBBS, DNB ( Radiation Oncology)
Oncologist, Mumbai
Hello, I am 40 yrs. Old female. I am suffering from breast cancer and have completed with my 2nd out of 8 chemotherap...
Hello It must be extremely difficult on your part to undergo chemotherapy. I hope you are the taking the medicines for nausea and vomiting. The best thing to do is eat small frequent meals. Try eating cold foods too. Eat calorie dense food. That will give you more energy Please take care. All the best !
58 people found this helpful
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My mother is diagnosed with breast cancer stage 2 after surgery doctor started chemotherapy with herhope 440 mg injection can you describe her condition and how many chemo necessary for her and is their any other bttr process of treatment.

MBBS, M.S. General Surgery, M.R.C.S. England, M.Ch. Surgical Oncology, DNB Surgical Oncology, FEBS Surgical Oncology, DNB General Surgery, MNAMS, FMAS, FIAGES, FAIS, FICS, FEBS Breast Surgery, FACS, Fellowship IFHNOS & MSKCC USA, Fellowship in breast and oncplastic Surgery
Oncologist, Mumbai
Herhope is Transtuzumab, which is an anti Her 2 receptor antibody. If the tumor is Her 2 receptor positive, then it is recommended to give 3 weekly Transtuzumab for a year. It is a costly drug (Herceptin, the original brand by rosche costs 55k to 75k per vial of 440 mg) hence biosimilars are used which cost anywhere between 20K to 45K per vial. There are various schedules of chemotherapy which are used. The most common being 4 cycles of dose dense (2weekly) Adriamycin + cyclophosphamide followed by Taxanes (4 cycles of 3 weekly Docetaxel or 12x weekly paclitaxel). Transtuzumab is usually started with the Taxane chemotherapy and continued for a year. If radiation therapy is indicated (all Breast conservation or mastectomies for large tumour or node positives) The it is given after completion of the chemotherapy. Also, after completing the chemotherapy if your tumor was hormone receptor positive (ER/PR), then hormonal therapy would be started. It may be in the form of Tamoxifen or Aromatase inhibitor, for 5 -10 years. Sometimes we consider Adjuvant Bisphosphonate or Denosumab in postmenopausal women (6 monthly for 2 years, but kidney function must be normal and after dental prophylaxis. I would be able to guide you better if you could send the details of the surgery and the histopathology report. If you have any doubts or if you want to discuss this further, feel free to contact me directly.
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Please let me know if cancer is contagious .Will it spread through sexual contact, blood contact, through any other sort.

MD (Radiation Oncology), DNB (Radiotherapy)
Oncologist, Noida
No, cancer is not contagious in itself by sexual contact or even blood products. However, sexual contact transfers the following viruses - hepatitis B, Hepatitis C, hiv, HPV which can lead to different types of cancer later (though cancer causation due to these viruses is still relatively rare even after the infection)
7 people found this helpful
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How to diagnose kidney cancer? By which tests I will come to know that I have kidney cancer or not?

DNB, MBBS
Oncologist, Faridabad
Dear sir, renal cancers are diagnosis radiologically. You can get a ct scan done to look for any deformity in kidney. Histopathologically only after surgery we can categorise the type and extent.
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While having sex yesterday while I was sucking my girlfriend's breast some fluid came out we're worried now what is that fluid about. Is it normal or is she pregnant? Very scared please help me over it.

MD - Psychiatry
Psychiatrist, Chennai
Some fluids can come from breast other than milk, so nothing wrong. Pregnant if so can only be confirmed by strip test available in medical shops. All the best.
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I am 31 years old and I have cancer. What treatment should be taken during the first stage?

MBBS, DNB ( Radiation Oncology)
Oncologist, Mumbai
Hello it would be very helpful if you could tell what cancer you have. However stage 1 cancers usually have good survival if treated at proper time. Most cancers in 1st stage need single modality treament. Usually surgery in solid tumors and some cancers like lymphomas respond well to chemptharpy.
5 people found this helpful
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