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Dr. Subhaprakash Sanyal

Oncologist, Navi Mumbai

250 at clinic
Dr. Subhaprakash Sanyal Oncologist, Navi Mumbai
250 at clinic
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Subhaprakash Sanyal
Dr. Subhaprakash Sanyal is a popular Oncologist in Vashi, Navi Mumbai. You can meet Dr. Subhaprakash Sanyal personally at Fortis Hiranandani Hospital - Vashi in Vashi, Navi Mumbai. Save your time and book an appointment online with Dr. Subhaprakash Sanyal on Lybrate.com.

Lybrate.com has a nexus of the most experienced Oncologists in India. You will find Oncologists with more than 38 years of experience on Lybrate.com. Find the best Oncologists online in Navi Mumbai. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Mini Seashore Road, A-Block, Vashi Sector 10,Vashi. Landmark: Near Shabri Restaurant & Behind Municipal Hospital, Navi MumbaiNavi Mumbai Get Directions
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Dear sir, My prostrate is enlarged in size and weighs approx 27 gms. Impression: hypertrophy of prostrate grade I by sonography. Kindly suggest remedy.

BHMS
Homeopath,
Dear sir,
My prostrate is enlarged in size and weighs approx 27 gms. Impression: hypertrophy of prostrate grade I by ...
Dear Lybrate User, Benign Hypertrophy of Prostate is a non-cancerous enlargement of the prostate gland. In this clinical condition multiple nodules are formed inside the prostate gland. These nodules often compress the urethra resulting in the narrowing of the lumen of urethra & producing a resistance to the urine flow. Resistance to urine flow requires the bladder to work harder during voiding, possibly leading to progressive enlargement, instability, or weakness of the bladder muscle. Benign Hypertrophy of Prostate can be easily diagnosed by an USG of whole abdomen along with blood test for Prostate Specific Antigen (PSA). Follow the given medication as directed:- 1) 5 drops of Homoeopathic CAUSTICUM 30 at early morning daily before brushing teeth 2) 5 drops of Homoeopathic CONIUM MAC 30 before going to bath daily. 3) 5 drops of Homoeopathic BARYTA CARB 30 just one hour before dinner daily. 4) Homoeopathic Mother Tincture SABAL SERRULATA Q, 30 drops, twice daily, after meals, in a cup of water. Along with the aforesaid medication few changes in your lifestyle are also necessary. Lifestyle alterations to address the symptoms include decreasing fluid intake before bedtime, moderating the consumption of alcohol and caffeine-containing products, and following a timed voiding schedule. Also it would be better if you could void the urine in sitting position.
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Gastric Cancer - In a Nutshell!

Post Doctoral Research (Ph.D.) (A.M) (Oncology), Integrative Oncology for Physicians (MSKCC, N.Y, USA), Doctor of Natural Medicine (N.D/ N.M.D), Ayurveda (I) Cert., Advanced Strategic Management (APSM), B.E (Computer Sc. & Engg.), Clinically Relevant Herb-Drug Interactions (CME) - (Cine-Med Inc. USA)
Alternative Medicine Specialist, Bhubaneswar
Gastric Cancer - In a Nutshell!

Gastric (stomach) cancer occurs when malignant cells form in the lining of the stomach. By far, it is known to be the second most common cause of cancer-related deaths not only in Asia but also worldwide. Though it can affect both male and female populace, it is seen more commonly in men and in people aged 50 years or older.

  1. Type: Gastric cancers can present as one of the following types - 

    1. Adenocarcinoma: Begins in the glandular cells lining the inside of the stomach. This forms a majority of the stomach cancers.
    2. Lymphoma: Begins in immune system cells present in the walls of the stomach. Occurrence of lymphoma, in the stomach, is rare.
    3. Carcinoid Tumor: Begins in hormone producing cells of the stomach.  Occurrence of carcinoid cancer, in the stomach, is rare.
    4. Gastrointestinal Stromal Tumor (GIST): begins in nervous system cells of the stomach. Occurrence of GIST, in the stomach, is rare.
  2. Gender: It affects both male and female populace.

  3. Etiology: The factors that are associated with increased risk of gastric cancer include the following mostly –

    • ‘Helicobacter Pylori’ bacterial infection in the stomach is a common cause of gastric cancer of both the intestinal (expanding) & diffuse (infiltrative) type. Furthermore, studies indicate that high salt intake is synergistic with H. Pylori infection in the manner that it is likely to increase the risk of gastric cancer that is induced by H. Pylori bacteria.
    • Smoking, consuming alcohol, red meat, salty/ smoked/ processed foods, low intake of fruits and vegetables, diets rich in nitroso compounds, eating foods contaminated with aflatoxin fungus etc all.
    • Atrophic gastritis characterized by chronic stomach inflammation is known to increase the risk multi-fold. Chronic gastric inflammation can lead to atrophy of the gastric mucosa, metaplasia, dysplasia and finally carcinoma.
    • History of pernicious anaemia, gastric ulcers, adenomatous gastric polyp etc all.
    • Family history of gastric cancer. Several familial syndromes that have been associated with a pre-disposition to gastric cancer include familial adenomatous polyposis, Lynch syndrome, Peutz-Jeghers syndrome and e-cadherin mutation (diffuse type)
    • Blood group A, Obesity etc all are known to be associated with diffuse or cardia gastric cancer.
    • Low socioeconomic status - persistent lifestyle issues/ irregularities including high stress coupled with an improper diet/ dietary pattern.
    • Epidemiological evidence is indicative of a risk or pre-disposition to gastric/ stomach cancer for people suffering from diabetes mellitus (DM).
    • Very high dose ionizing radiation exposure is an uncommon risk for gastric cancer.
  4. Features: There are often no early stage symptoms. Early stage symptoms, if any, are non-specific and are likely to be ignored, thus delaying the diagnosis most often. Hence, gastric/ stomach cancer is often detected at an advanced stage where the disease is either locally advanced or metastatic. The various presentations (of signs & symptoms), by stage (early or advanced), of gastric cancer are as enumerated below:

    1. Early Stage – can present with one or more of the following non-specific symptoms/ signs -

      • Dyspepsia (Indigestion),
      • Stomach/ Epigastric discomfort,
      • Bloated feeling after eating,
      • Mild Nausea/ Vomiting,
      • Blood in Vomit (Haematemesis),
      • Heartburn,
      • weight loss (Cachexia)
      • Anaemia,
      • Occult blood in stool/ Melaena,
    2. Advanced Stage – presents with one or more of the following symptoms/ signs -
      • GI Bleeding with black tarry stools (Melaena),
      • Persistent Nausea/ Vomiting,
      • Blood in Vomit (Haematemesis),
      • Early Satiety,
      • Anaemia,
      • Loss of Appetite (Anorexia),
      • Weight loss (Cachexia),
      • Persistent pain in the abdomen,
      • Fluid build-up in the peritoneal cavity (Ascites),
      • Edema of the lower extremities,
      • Liver Enlargement (Hepatomegaly)/ Jaundice,
      • Difficulty swallowing food (Dysphagia)
  5. Screening: Is generally recommended for asymptomatic populations in high incidence areas or as surveillance for high risk individuals. The goal of screening, as usual, is to be able to detect & diagnose gastric cancer at an early stage which is potentially curable. It is mostly endoscopic/ radiologic.
  6. Diagnosis: Following are the diagnostics employed in gastic cancer -‚Äč

    • Physical Examination: May be remarkable for palpable abdominal mass, weight loss (cachexia), abdominal distension, ascites, hepatomegaly, lower extremities edema and lymphadenopathy for gastric cancers in the advanced stage. For early gastric cancers, however, physical examination is largely uninformative.
    • Blood: Hb- may be low, ESR – raised, tumor markers CEA & CA-19-9 could be raised sometimes in adenocarcinoma but are not frequently elevated. Abnormal blood test results may be indicative of malignancy, but a follow-up gastroscopy/ biopsy is always the gold standard for accurate diagnosis.
    • Stool: Occult blood may be +ve
    • Barium Meal X-Ray: Could show a filling defect at the site of the carcinoma/ cancer growth.
    • Gastroscopy/ Biopsy: Clinches the diagnosis.
    • Endoscopic Ultrasound: Maximizes tumor staging as it helps determine the depth of invasion of the tumor.
    • CT Scan: Of chest, abdomen & pelvis helps detect metastatic disease, if any, and also helps stage the disease (TNM) appropriately.
    • Bone Scan: Helps detect osseous metastasis (bone mets), if any.
  7. Treatment: Conventional treatment includes surgery, chemotherapy and radiotherapy as contextually appropriate. Surgery (i.e. gastrectomy either sub-total or total), with an adjuvant chemotherapy and/ or radiotherapy as contextually relevant, is the only treatment that is known to cure the disease in light of the prognostic indicators as briefly enumerated in the section below. Chemptherapy and/ or radiation alone cannot be curative. Mostly, it can improve symptoms, and may prolong survival. Simultaneously, an adjunctive or integrative naturopathic treatment with suitable complementary & alternative medicines (CAM) too can help improve clinical outcomes and facilitate recovery as feasible contextually.
  8. Prognosis: For gastric cancer is variable. 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 gastric 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. Distal tumors are known to be cured more often than the proximal ones. Again, intestinal-type gastric cancers are known to have a better treatment outlook in comparison to the diffuse-type gastric cancers.

  9. Prevention: Rightly said, prevention is always a better choice. Although genetic risks are difficult to modify, still an adherence to a relative Mediterranean diet, maintaining an ideal body weight and an active lifestyle with due emphasis on regular exercising, de-stressing and relaxation is highly recommended for reducing the risks of many cancers including gastric cancer. A healthy eating plate comprises essentially a low fat diet, fibre rich foods including whole grain cereals, green leafy vegetables cooked using healthy vegetable oils, fresh fruits of all colours as seasonally available and healthy proteins/ fats including fresh fish, poultry, beans, nuts etc all. The consumption of alcohol, if any, has to be strictly in moderation, and is best avoided in a high risk scenario. Smoking is to be avoided too. Again, red meat, butter, refined grains, sweets, sugary drinks including carbonated beverages and other high calorie foods etc all, if any, are to be taken sparingly. Not only it is important to eat healthy, but also it is equally important to eat properly. Insufficient chewing, eating until full, eating meals within a short time etc all are best avoided so as to ease off digestive burden on the stomach/ other organs in the GI tract. Last but not the least, consumption of clean and filtered water, natural probiotics like freshly prepared yogurt/ butter milk, maintenance of cleanliness & hygiene including oral hygiene etc. all can help guard against H. Pylori infections. Breastfeeding is known to be protective against H. Pylori infections too.

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My age is 23 years. Height is 6 ft. Weight 76 kg. What are the blood test to detect pituitary cancer.

Diploma in Radio Therapy, MBBS
Oncologist, Chennai
Pituitary cancer is a systemic disease. That means the manifestation of the disease is more pronounced in the body than the actual cancer symptoms. There is no direct blood test to diagnose Pituitary cancer. A image guided biopsy is the one which can give a diagnosis. Pituitary gland being the main controller of hormones in the body, there is abnormal distribution of hormones. Hormonal studies for Growth hormone, Thyroid stimulating hormones and 24 hrs Urine Cortisol level can be assessed to know the status of hormone production from the Pituitary gland. You can consult me if you want to know more details.
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Can we share our food with the cancer patients. Or can we eat with him or his left food ?

Fellowship in Bleeding and Thrombotic disorders, F.N.B Pediatric Hematology Oncology, MD - Paediatrics, Diploma in Child Health (DCH), M.B.B.S.
Pediatrician, Delhi
It is not proper for a cancer patient to eat someone else's left over food. You could however eat with him and share the same food cooked at home.
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I am 62 year old. In the uterus 2nd stage cancer. I want to know, if I treat it with radiotherapy, can it remove permanently for lifelong. If we cure with both then is possible the diseases is permanently clear for lifelong. And there is no chance to face problem of this type diseases in future.

MBBS, DNB (Surgical Oncology)
Oncologist, Delhi
For stage 2 uterine cancer the treatment of choice is surgery and based on the final report further radiation maybe required. Whereas for cervical cancer if it is early stage surgery is required and in stage II B onwards chemoradiation is the treatment of choice.
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Hello I am taking Urimax -D every night for Benign Prostate hyperplasia with BOO. Prostate measures 6.0 x 3.6 x 4.5 cm in size, Volume 52.4 cc. But I have to get up every night several times for urine. So my question is. Do I can take Urimax -D (tamsulosin dutasteride) during daytime so that I can have a sound sleep in night. I am 70 years old.

MS
General Surgeon, Panipat
Hello I am taking Urimax -D every night for Benign Prostate hyperplasia with BOO. Prostate measures 6.0 x 3.6 x 4.5 c...
Mr. lybrate-user. You have moderately enlarged prostate with residual urine volume about 54. Cc. Since when you are taking urimax-D it is a good drug. One thing you can try to reduce water intake after 6 pm your night frequency may reduce. please try this and contact me after 15 days, and also please don't go out in cold days avoid excess of alcohol if you are taking. Take bath with warm water and sit in warm water.
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Sir. I am a hodgkin lymphoma patient. Finished chemo ABVD in feb 17 and radiation therapy on 4th apr 17. I have some side effects from radiation like no taste in mouth, having bad breadth, and excessive saliva in the mouth. Please advice how to reduce these.

MBBS, MD - Medicine, MD - Oncology
Oncologist, Delhi
DEAR RAZA, NOW YOUR TREATMENT FOR LYMPHOMA IS OVER. SOME SIDE EFFECTS POST CHEMOTHERAPY AND RADIOTHERAPY DO OCCUR AND PERSOST FOR SOME TIME. HAVE GOOD FOOD, FRUITS AND JUICES, SLOWLY ALL YOUR PROBLEMS WILL VANISH. SEE THAT YOU ARE HAVING GOOD MOTIONS. IF YOU SMOKE OR USE PAAM MASALA DOS CONTINUE IT. BREATH FRESH EVERY THING WOLL COME TO NORMAL.
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I am 27 years old female, unmarried, i'm having problem with my left breast its swollen and very paining and the paining was starting since my teen age. So please give me suggestion what should I do and what happen to me.

UICC International Fellow in Oncollogy , ESTRO certification in Head and neck oncology, MD - Radiothrapy
Oncologist, Jamnagar
Its due to sensitivity to female hormones. It must be severe during your periods. Start tab primerose oil bd for three months.
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Suffered from breast cancer last Jan but still feel very tired after doing some work.

DNB, MBBS
Oncologist, Faridabad
Are you taking hormonal tablets and going for regular follow ups to rule out relapse. If yes then get dexa scan done to rule out osteoporotic bones and take a proper healthy diet. Usually post treatment it may take an year or so to regain power and immunity back to normal. Some hormonal tablets can cause weakening of bones and lack of calcium causing pain and tiredness. You can also get pet scan done to rule out any recurrence.
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My father suffered in throat cancer in 3rd stage what can I do? Recovery is possible in this stage?

MBBS, MD
Oncologist, Delhi
Throat cancer is curable. Treatment depends on which area of throat is affected. He may need radiotherapy, surgery or chemotherapy or a combination. Attend a well equipped hospital for treatment.
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I am 36 years old male I am suffering burning in abdominal and vomiting last 1 months. It's stomach cancer?

MS - General Surgery, MBBS
General Surgeon, Delhi
I am 36 years old male
I am suffering burning in abdominal and vomiting last 1 months. It's stomach cancer?
1. Avoid outside spicy and fried food. 2. Walk about 3-5 kms daily. 3. There should be gap of 2 hrs after dinner and sleep. 4. Small and frequent meals is of help 5. Chew your food properly at time of lunch and dinner. 6. Keep your blood sugar controlled. 7. Raise your bed about 4" from headend side. 8. Get your gastroendoscopy/USG done. 9. Tab Pantium-l 1 tab empty stomach. 10.Maintain good hygiene. 11.Dont think of cancer.
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My mother is suffering from tumor in her stomach. So is it important to operate it. Or medicine can work on it. please help.

MBBS, MS- Surgery , M.Ch - Surgical Oncology , FIAGES
Oncologist, Delhi
Surgery is mainstay of treatment for carcinoma stomach. Adjuvant/neoadjuvant chemotehrapy/ chemoradiation is given as per indications.
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I had uterine cancer scare in 2015. I had undergone hysterectomy. Though all the tests were negative for cancer I have developed a fobia of cancer. I always feel sick. My stomach aches all the time. N in dreams also I always see sickness or sick people. Most of the time myself .Is this neurological disorders. I try to remain happy n keep myself busy. But subconsciously I always see myself taking medication and injections. Please advice.

MBBS, DPM
Psychiatrist, Bangalore
Dear lybrate-user, Health anxiety is one of the disorders of mind. It is not neurological - it is psychological. That means, your mind finds you sick though your brain knows you are not having cancer. This kind of health anxiety is common in hypothyroidism. With whatever dose of thyronorm you are taking, please get TSH level done on your blood. With that report, please consult a psychiatrist or clinical psychologist who can treat you with psychotherapy. It needs many sessions and your co operation. All the best.
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I am just 19 ,and I think my liver is not working properly because my stomach is gurgling (gudgudana) so much specially in night and also I had so much gas? Is this is symptoms of liver cancer, because my uncle had some condition and at the last stage we found he had liver cancer?

C.S.C, D.C.H, M.B.B.S
General Physician,
No it is not liver cancer and the sounds are borborygmi (normal intestinal movement sounds) if you want to confirm you can do a USG abdomen and see.
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Hello doctor. My father was diagnosed with ca prostate two years back. He was treated with hormone therapy and radiations. The hormone therapy is over now and he was advised to undergo a pet scan as a follow up. The report says that he has a 21x21 mm lump in the right lobe of the lung with positive feeding sign max suv 10. What does this mean? is this a case of metastasis in the lungs or a primary malignancy? please help. I am worried. And please throw some light on the treatment. Thanks.

MBBS, DGO (cal)
General Physician,
Prostate ca do metastasizes. Check bones and ct brain also. Hope your oncologist must have done these. Lung sol appears to be a metastasis than a separate primary focus. However oncologists are best person who can and should speak to you about yours father's prognosis. Pet scan is better investigation for malignancy. Please follow their advice. You need treatment again. Aiims, New Delhi, Tata memorial, at Mumbai, cmc vellore, Chennai - any one of them are some best centers in our country for treatment and/or opinion.
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Sir what are the symptoms of mouth cancer. I smoke hukka Thrice a week. And I have got sore mouth. Is this a symptom of cancer?

MBBS, MD - Medicine, MD - Oncology
Oncologist, Delhi
Dear, it is not necessary it may be the sign of cancer but it can occur which is aggravated because of bad hygiene caused by smoking.
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