Doctor in Mukta Cancer Clinic
Treatment of Cancer
Breast Cancer Surgery Treatment
Treatment of Breast Cancer
Treatment of Tumors
Treatment of Testicular Cancer
Treatment of Blood Cancer
Treatment of Brain Tumor
Treatment of Lung Cancer
Treatment of Colon Cancer
Treatment of Cancer Pain
Treatment of Oral Cancer
Treatment of Prostate Cancer
Treatment of Liver Cancer
Treatment of Throat Cancer
Treatment of Gastric Cancer
Treatment of Acute Lymphoblastic Leukemia
Treatment of Lymphoma
Treatment of Cervical Cancer
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Patient Review Highlights
Surendra Singh Rajput
I found the answers provided by the Dr. Mukul Gharote to be very helpful. Thanks docter but you didn't tell about headache.
Dr. Mukul Gharote provides answers that are very helpful, saved my life, caring, inspiring and thorough. Thanks dr
I found the answers provided by the Dr. Mukul Gharote to be very helpful. Thakw doctor
Cancer is as much a psychological issue as it is a physical disease. When a person is diagnosed with cancer, it is not just the person who is affected but the entire family and friends too. There is a lot of research that has been carried out on cancer psychology, due to which, the doctors are currently in a much better state to manage the psychology of the patient and family compared to a couple of decades earlier.
So, when a person is diagnosed with cancer, known as the big C, there are stages that a person goes through.
The first one is of shock and disbelief, with most people unable to digest the fact. There is often the question of “why me?” The fact is that the risk factors for cancer are constantly evolving, and so it is difficult to answer this if there is no clear reason evident.
- Anxiety and depression: Given that there is still a lot of fear and uncertainty about a complete cure for cancer, patients get anxious and distressed. They slowly begin to come to terms and realize that they need to start working on the treatment plan, so the condition improves. There is also another angle, as there are various options, and the treatment they choose will determine the course of the disease. There may be periods of sadness, isolation, lack of interest in regular activities, appetite loss, and restlessness.
- Guilt: There is also an angle of guilt, especially when there is a definite cause associated with it, like alcohol, smoking, high-risk sexual behavior, etc.
- Coming to terms: It is within a couple of months that the patients come to terms with the situation and realize that there are things which are under their control, which can make a difference. They begin to focus on good food choices, meditation and staying positive. They also do financial planning in terms of insurance and sorting out legal issues in case of an eventuality. Many also are open to seeking support in terms of family and friends and social networks. This can help them give a feeling of inclusion and that they are not alone in what they are experiencing.
All said and done, cancer psychology is as unique as each individual. The response would depend on the patient’s personality, his support system, stage of identification of cancer, and how well it responds.
There is no prescription available readily to manage the person’s psychology once they are diagnosed with cancer. This can be managed via:
- Counseling with a close friend or family member, social worker, psychologist, social support groups, etc.
- Other things which can help include meditation, antidepressant medications, exercising, and spending time with family, etc.
Recently I got pap test done and it shows epithelial cell abnormality in the squamous or granular epithelium. Does that mean I have hpv?
Hello, My father's age is 65. He suffers from lung cancer. Met spread in spine, brain and stomach. Doctor prescribed geffon 250 mg tablets It's helpful.
With cancer incidence on the rise, more and more people are receiving chemotherapy. This is, however, not without its set of side effects. These side effects have a bearing on both the physical as well as the emotional health of the patient. There were some reasons due to which chemotherapy side effects were often ignored.
Cancer assumes a bigger disease condition, and so side effects of chemotherapy (or anything else for that matter) assumes a much smaller role. Discussions always revolve around how the situation of the cancer is, and chemotherapy assumes a less role.
- The patient thinks that it was the expected response to the chemotherapy.
- They also assume that there might be no cure for that side effect.
All these necessitated the need for a systematic assessment tool. This has multiple benefits as below.
- It gives a structured framework for the doctor and the patient so that no points are missed during the discussion.
- It gives a guideline for the patient to look for chemotherapy side effects.
- It improves confidence, as the patient known what to expect from the chemotherapy.
- Overall patient outcomes can be improved
The Chemotherapy Symptom Assessment Scale (C-SAS) contains a checklist that contains symptoms which arise only out of chemotherapy treatment.
- It was introduced in 2002 and includes not just physical problems but also psychological and sexual issues.
- Developed with extensive inputs from both the patient and the doctor community, it has 24 questions. There is also a section for reporting of spontaneous symptoms.
- The patient records his symptoms on a regular basis, and this becomes a basis for discussion with the doctor at his next visit. It captures incidence, severity, and also how bothersome it is to the patient.
- There is also a section for nurses to include their comments, so the response to treatment to these symptoms is recorded.
Objectives: The C-SAS tool aims to:
- Improve reporting of symptoms pertaining to chemotherapy
- Help the patient understand the response to chemotherapy
- Help the medical fraternity understand the drug behavior
- Provide a structured framework for the doctor and patient discussions
- Collect more side effects for a particular chemotherapy regimen
- Improve overall quality of care
Challenges: Though the C-SAS is quite useful, there are still challenges to it, as below.
- Encouraging patients to use it. In many cases, the patients feel uncertain if a symptom is due to chemotherapy or part of cancer.
- Ensuring that the staff use it, not just to collect the symptoms but review and treat the symptoms.
- Getting some insights out of it, to get a holistic view of patient health.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Brain tablet name is Lapatinib tablet Tykerb 250 mg this the name Wife has cancer last 2.5 years not months but active and busy in music with children and Satsang also We member or AOL organisation Will you predicted the life span of 3 or 4 th stage cancer patient Tranzuma injection still continue to take With these tablets Very high expenditure Any cheap medicine? Regard
Meri cousin ke breast me ganth hai, press Karne per dard karti hai ,phle bhi this per gynaecologist ko dikhaya that aur 1 month me medicine aur vitamin E tablets lene per thik ho gyi this. Docter ne harmonal problem bataya that. Kya ye cancer symptoms hai aur Kya ye phir medicine se thik ho sakti hai? Ye gharelu upchar see thik ho sakti hai Kya?
Chemotherapy has been the remedy for cancer since the late 90s. But in today’s world the medical field has been improved so much that new methods have been invented. One of them is Hormonal therapy. It is used to cure some types of breast cancer that are affected by hormones. Receptor proteins in the breast cancer cells attach to estrogen and help the cells grow. This therapy stops the receptors attaching to estrogen in various ways.
When it is used?
Hormonal breast cancer therapy is performed after surgery to prevent the cancer from coming back. It is also applied to treat the cancer that has come back or to prevent the cancer from spreading to other parts of the body. Sometimes, if needed, it starts before the surgery. It takes five years, generally.
How it works?
Hormonal therapy mainly stops estrogen from acting on the cancer cells or lowers the estrogen level. There are different ways to do that.
- Blocking Estrogen Receptors: These drugs stop estrogen from helping breast cancer cells.
- Tamoxifen: It acts as anti-estrogen in the breast cells, but acts like estrogen in other cells. It lowers the risk of breast cancer and also stops cancer from coming back.
- Toremifene: It works in a similar way, but it is only used in metastatic breast cancer. It also decreases the pain and swelling in the muscles and bones.
- Fulvestrant: It blocks and damages estrogen receptors. It is given by injections after other drugs stop working.
- Lowering Estrogen Levels: These drugs slow the growth of cancer by lowering estrogen levels.
- Aromatase Inhibitors: These drugs stop estrogen production in women whose ovaries are not working due to menopause or other treatments. There are three types of this drug- Letrozole, Anastrozole and Exemestane.
- Ovarian Suppression: In this method, ovaries are removed or shut down to turn pre-menopausal women to post-menopausal. There are several ways to do this, and they are- Oophorectomy or surgery, LHRH analogs and applying chemotherapy drugs.
There are some other types of hormone therapy that are less common. They were used more in the past. They are:
- Megestrol acetate
- High doses of estrogen
Unfortunately, Hormonal breast cancer therapy has lots of side effects. They are-
- Hot flashes
- Mood swings
- Vagina discharge or dryness
- Developing uterine cancer
- Blood clots
- Night sweat
- Mild nausea
- Bone pain
- Injection site pain
- Muscle pain and joint stiffness and pain
- Bone thinning
Although hormonal therapy has lots of side effects, they are limited to different kinds of hormonal therapies and it is not necessary that they will surely happen. But it is best to undergo any kind of treatment with a doctor’s advice. So patients should consult the doctor first. In case you have a concern or query you can always consult an expert & get answers to your questions!
Cancer has unfortunately become a common condition. This is largely because of an unhealthy lifestyle and pollution that surrounds us. Some people have a higher risk of cancer as compared to others. Understanding your risk of suffering from a form of this disease can put you in a better position to fight against it.
Here are a few elements that can help you understand your risk of having cancer.
- Age: While cancer can affect people of all ages, it is more commonly seen amongst elderly men and women. The median age for cancer is 66 years. However, this depends largely on the type of cancer. Neuroblastomas are more common amongst children and adolescents as compared to adults. Similarly, 25% of bone cancer cases are diagnosed among young adults under the age of 20 years.
- Diet: Certain types of foods are considered carcinogenic i.e. they have the ability to cause cancer. Excessive consumption of such foods can greatly increase an individual’s cancer risk. These include:
- Hormones: Estrogen is often considered a human carcinogen. Thus taking hormonal therapy that involves a greater concentration of estrogen or only estrogen can increase your cancer risk. For example, hormone therapy that uses the only estrogen can cause endometrial cancer.
- Immunosuppression: People with a compromised immune system are at a high risk of cancer. For certain medical procedure, it may be necessary to temporarily suppress the immune system. This can also increase a person’s risk of cancer. An organ transplant is one such procedure. The four most common types of cancer that can be caused by a suppressed immune system are lung cancer, kidney cancer, liver cancer and non-Hodgkin lymphoma.
- Obesity: Being overweight or obese can increase a person risk of many types of cancer including breast cancer, and cancer of the colon, rectum, kidneys, esophagus, pancreas, gallbladder and endometrium.
- Radiation: Exposure to certain types of radiation can damage DNA and mutate cells causing cancer. This includes x rays, radon, gamma rays and some other forms of high energy radiation. A person may be exposed to these types of radiation during certain medical procedures such as chest X rays, PET scans, and CT scans. Working in nuclear power plants can also put a person at risk of exposure to these types of radiation. Tanning booths and sunlamps are another sources of UV radiation that can cause cancer.
CML refers to Chronic Myeloid Leukemia. This type of cancer originates in the bone marrow. It occurs when a genetic change takes place in immature myeloid cells. These cells are responsible for the production of platelets, red blood cells and many types of white blood cells. As a result of these changes an abnormal gene known as BCR-ABL is formed. In turn, this gene converts the myeloid cells into CML cells.
As cancer progresses, the cells spill out of the bone marrow and enter the circulatory system. The cells are transported through the blood to other organs and can settle in various other parts of the body. CML is a slow growing cancer but in some cases, it can turn into fast-growing cancer that is hard to treat. It is more common amongst adult and is rarely seen among children.
Studies on CML are directed towards both the understanding of how cancer develops and how it can be treated. Scientists are making steady progress towards understanding how a person’s DNA can change and in turn cause a mutating of bone marrow cells into CML cells. For this, researchers are studying what changes can make a cell grow fast, live longer than usual etc.
There are a few drugs that have proven to be effective in the treatment of CML. These drugs target proteins like BCR-ABL. However, not all patients benefit from it. Hence, studies are now underway to evaluate how it could be combined with other forms of treatment such as cancer vaccines, interferon or chemotherapy to be more effective. It is also being combined with other medicines to study the effects.
New drugs have also been developed to target and treat CML. In cases where CML cells create a mutation known as T315I by changing the BCR-ABL cells, the cancer is resistant to many different types of therapy. This includes targeted therapies like nilotinib, imatinib, and dasatinib. Thus, drugs are being created that can treat this mutation. Another type of drug that is being developed is known as farnesyl transferase inhibitors. In some tests, these are also being combined with imatinib.
Vaccinations that can protect a person from CML are also being studied. For this several vaccines have been developed and are currently being tested for effectiveness. CMLVAX100 is one such vaccine. Some studies have shown that when this vaccine is combined with imatinib, it is more effective.
In case you have a concern or query you can always consult an expert & get answers to your questions!