Lybrate.com has an excellent community of Oncologists in India. You will find Oncologists with more than 36 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. Vikram D. SanghviYour feedback matters!
Hi Dr. after the n c my two heavy period n after that my Dr. give me novelon tab course 21 days bt I have pain in breast n increase in size is it normal or other problem with my breast please help.
My age is 29, I am smoking from last 10 years now I am feeling little uneasiness in my throat. Is the chances of cancer.
I am 50 years old I heard sometime that we consume more water a day than max. Required quantity can cause or possible to suffer cancer after long time . Is it really true or misunderstanding. I want to clear myself.
Hello doctor. I have been diagnosed with enlargement of prostrate gland 5 years back. I am taking flodart 0.4 mg. The problem is under control. Which homeopathic medicine should I take?? suggest please thank you.
Is chronic anxiety very detrimental for health? And can a prolonged severe anxiety cause tumor or cancers?
Hi, I have a girl child of 21 days. While feeding to her I feel pain in left breast, & it is hard compared to right side breast. Due to it I got fever. Is it any problem with left breast? How it will become soft? Please answer!
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.
Enlarged prostate surgery is a very common type of surgery that many have to undergo nowadays. An enlarged prostate causes many health problems including urinary tract obstructions and urinary tract infections. It may also lead to the passing of blood via urine. Thus, enlarged prostate must be treated as soon as possible as neglect may lead to prostate cancer and its associated health issues. There are various types of prostate surgeries that a doctor performs on his/her patients. However, of late, radical prostatectomy is the most popular of them all.
What is Radical Prostatectomy?
This process can be handled in two ways. Firstly, the prostate can be reached through an incision in the abdomen. This would help the doctor work with precision and carefully avoid all the other nerves and muscles in the area the operation take places. The prostate is examined and any nodule or lymph formed over it is carefully removed. The advantage of this surgery is that the patient is less likely to suffer from any erectile problems post- surgery. The second option would be to make an incision between the scrotum and the anus. This process is best for those who are obese. The surgery is performed quickly and there is less loss of blood. Furthermore, the healing time is less too.
How To Recover From The Surgery?
Like most other prostate operations, even in radical prostatectomy, you would have to wear a catheter till you recover completely. For a few days post the surgery your urine would be collected through a urine bag attached to the catheter. One might feel a little sore in his/her genitals after the surgery, but that is quite normal to occur. The soreness is caused due to the surgery and the incisions made and would heal in a matter of a few days. Interestingly, since the urethra plays an important role in this surgery, the catheter has to be in place for at least two to three weeks but the patient can be discharged after a two to three night stay at the hospital. It is advised that the patient takes ample rest. But this does not mean all rest and no work. In fact, it is seen that patients can walk a little and even go back to a normal diet within a week to ten days of the operation. But regular checkups, till the urethra is healed, are compulsory.
Hence, these are some of the recovery procedures after an enlarged prostate surgery. Such surgeries are quite common and heal quickly. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.