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Prudent International Health Clinic

Oncologist Clinic

#C1/101, Silver Oak Society pune
1 Doctor · ₹500
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Prudent International Health Clinic Oncologist Clinic #C1/101, Silver Oak Society pune
1 Doctor · ₹500
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Our goal is to offer our patients, and all our community the most affordable, trustworthy and professional service to ensure your best health....more
Our goal is to offer our patients, and all our community the most affordable, trustworthy and professional service to ensure your best health.
More about Prudent International Health Clinic
Prudent International Health Clinic is known for housing experienced Oncologists. Dr. Amol Dumbre, a well-reputed Oncologist, practices in pune. Visit this medical health centre for Oncologists recommended by 104 patients.

Timings

MON-SUN
09:00 AM - 09:00 PM

Location

#C1/101, Silver Oak Society
pune, Maharashtra - 411006
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Doctor in Prudent International Health Clinic

Dr. Amol Dumbre

DNB (Surgical Oncology), MBBS
Oncologist
15 Years experience
500 at clinic
Available today
09:00 AM - 09:00 PM
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Pain Management During Cancer - An Inherent Part Of The Treatment!

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery
Oncologist, Agra
Pain Management During Cancer - An Inherent Part Of The Treatment!

With every passing day, there are new advancements in the field of medicine, and cancer care is no exception either. A condition that still frightens the mass has come a long way in terms of cure and management. Cancer is life threatening but when diagnosed in the early stages, can be cured with proper medical intervention.

Many cancer patients experience pain which is caused as a result of the disease or as the result of the treatments for cancer. When the cancer spreads or the malignant tumor increases in size, it puts pressure on the surrounding (bones, tissues, etc.) which intrigues the pain. The cancer treatments like chemotherapy, radiation therapy, and surgery may also cause pain in the patients.

Here is an account on managing pain during cancer:

Treatment for Cancer Pain:

Cancer pain can be dull, sharp, or achy. It can be constant or intermittent and can be mild, severe, or moderate. There are several over-the-counter or prescription medicines available in the market which can reduce the pain caused by the growing tissues or the treatments/therapies. A few such pain relievers include aspirin, acetaminophen, and ibuprofen.

Treatment According to Severity:

For pain which is mild or moderate, you can opt for Non-opioids which are anti-inflammatory medicines and can be bought without the prescription from the drug counters. If you are having moderate to severe symptoms of pain, then you may be prescribed opioids like hydromorphone, hydrocodone, fentanyl, etc.

For burning and tingling sensation, antidepressants like imipramine or the trazodone, etc., can provide relief. You must not confuse antidepressant with medicines for depression; these are for pain management as well. You can also opt for the antiepileptics drugs which can reduce the burning or tingling sensation of cancer and have it doesn’t refer that you get seizures. If there is swelling, then steroids are the option for you to control the swelling and the pain caused from it.

Ways to Take Medicines for Cancer Pain:

Most of the medications that your doctor would prescribe you have to be taken orally if not directed otherwise. The medications are usually in the pills form. If the patient, for any reason, is not able to take the drugs orally, then he/she may have to take them as rectal suppositories and even transdermal patches.

It can also be injected into your body through an intravenous opening in which the needle with the medicine is inserted directly into the veins. There is also a subcutaneous process where the medicine is injected with a small needle just under the first layer of your skin.

Studies report that often cancer pain is under-treated. A common reason is the reluctance of the patients to speak about the pain. Other reasons for not opting for pain medications are the fear of addiction and side-effects.

Cancer pain management is indeed an important part of the cancer treatment, and the goal is to manage the pain at a bearable level. And, the best part is that the goal is often achieved.
 

1 person found this helpful

I was diagnosed for enlargement of prostate gland and I was taking urimax table for the last 9 years. Suddenly I felt a sort of itching on the breasts, and soon I noticed that the teat on the breast enlarging. Can it reduced to the original size.

MBBS, MS - Urology, MCh - Urology
Urologist, Kolkata
I was diagnosed for enlargement of prostate gland and I was taking urimax table for the last 9 years.
Suddenly I felt...
If you are taking urimax 0.4 it is unlikely to be the cause of your present problem. Some people can have mild breast pain with urimax d or urimax f. Please consult a general surgeon for this problem and he may guide you after examination.
1 person found this helpful

I am having enlarged prostate problem since from 2 years. I am presently taking urimax 0.4 mg tab one daily at night. I can manage with that and urine flow is nearly normal my case. Now pl let me know whether should (1) I go for prostate surgery? And (2) which type should I go for. Please advice me so as not to have any problem after surgery. Thanks!

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery, Genito Urinary Surgery
Urologist, Ludhiana
I am having enlarged prostate problem since from 2 years. I am presently taking urimax 0.4 mg
tab one daily at night....
if you are happy on medicine then please continue it for as long as you feel comfortable with it. once medicine is not helping you can plan for surgery. laser surgery called holep is better than turp.
1 person found this helpful

Ewing's Sarcoma - Know Signs Of It!

DM - Oncology
Oncologist, Guwahati
Ewing's Sarcoma - Know Signs Of It!

Collectively grouped under the Ewing sarcoma family of tumors, Ewing's sarcoma is the second most common primary bone cancer occurring predominantly in children and in adolescents. Very rarely is it experienced in adults above the age of 30.

Typically forming in the bones of the chest, pelvis, head, back or trunk and in the long bones of the arms and legs, Ewing's sarcoma is believed to originate in certain kinds of primitive cells. When it begins to affect similar kind of cells found outside the bone, it is usually called an extraosseous Ewing's sarcoma.

Causes

1. Similar to all types of Ewing tumors, Ewing's sarcoma is generally caused by an alteration in a certain cell compelling a gene named EWS found on chromosome no. 22 to move over to a DNA section on any one of the surrounding chromosomes resulting in the activation of the EWS gene.
2. While it is not a hereditary condition, it usually occurs after childbirth, but no substantial evidence has been found as to why it happens so.

Symptoms

Symptoms of Ewing's sarcoma may include:

1. Swelling and pain especially in the arms, legs, back, chest or pelvis
2. Swelling accompanied by joint immobility
3. A bone breaks having no apparent cause
4. Swelling which may or may not be accompanied by a warm, tingling sensation
5. Fever resulting from unknown causes
6. Lumps or bumps which do not subside over time
7. Abnormal weight loss
8. High levels of fatigue
9. Tumors which have spread over to the lungs may cause shortness of breath
10.Tumors spread over to the spine may cause weakness or even paralysis.

Because the symptoms of Ewing's sarcoma can hardly be distinguished from symptoms caused by other infections or injuries, an early diagnosis is absolutely necessary for a successive treatment.

How Can You Reduce The Risk Of Cancer?

DNB - Medical Oncology, MD - Medicine, MBBS
Oncologist, Mohali
How Can You Reduce The Risk Of Cancer?

We live in an age where every single individual, more or less, is exposed to the risk of cancer. It is probably an unfavorable lifestyle we lead that deprives us of good health. This might alarm many but considerable changes in lifestyle can help you realize cancer as a preventable disease. Cancer does not only make you undergo severe suffering but it also affects your friends and family. The pallor of misery spreads wider than you think.

  • Abstain from tobacco: Consuming raw tobacco or smoking tobacco can be equally detrimental to your health. Tobacco increases your chances of contracting the disease. As is known, passive smoking can also affect your health adversely. Tobacco can be the potential cause behind cancer of the mouth, throat, larynx, lungs, oral cavity and even the pancreas. It might harm your kidneys and cervix. It is upon you to quit tobacco at the earliest possible. One should also try and persuade friends and relatives to give up smoking.
  • Drink alcohol in moderation: Complete abstinence from alcohol might not be possible if you have already been ushered into your work- life. The society might require you to be an occasional drinker. It is important to drink in moderation. Crossing the limit can propel consequences as serious as cancer of the stomach, pancreas, liver and the heart.
  • A balanced and nutritious dietDeciding on a plant- based diet or a Mediterranean diet can aid your fight against the risk of cancer. A Mediterranean diet will involve green leafy vegetables, lots of fresh fruits, whole grains, mixed nuts, legumes and also the use of extra- virgin olive oil. Fish can be a safe bet but red meat should be avoided. One must also try to avoid processed meat as they tend to make you prone to the risk of cancer.
  • Immunization: Hepatitis B and HPV or Human papilloma virus vaccines are extremely necessary to protect you against the sexually transmitted types of cancer.
  • Sun protection: Caring for your skin doesn't arise from vanity. Skin cancer is one of the most prevalent kinds of cancer; the chances of this disease can be restricted by remaining in shade especially during midday, by wearing covered clothes and by using a good sunscreen lotion repeatedly while outside.
  • Exercise diligently: Did you think it was okay to have weaker muscles and bulging layers of fat? If yes, you probably have grown numb to the inadequacies you face in result. Unchecked fat can lead to obesity which further complicates health conditions. Metabolic activity differs from person to person. Regular exercising can help regulate metabolism according to the needs of your body. Physical exercise protects you against the risk of breast and colon cancer. Moderate or vigorous physical activity for 150 to 75 minutes a week respectively can reduce the risk of cancer.
1 person found this helpful

Robotic Cancer Surgery - How Can It Benefit You?

MCh (Surgical Oncology, MBBS
Surgical Oncology, Guwahati
Robotic Cancer Surgery - How Can It Benefit You?

With the dawn of modern technology, the sight of robots performing a surgery is fast turning into a reality. Robotic surgery is one of the latest and greatest advancements in surgical cancer care. It is mostly sought for its unmatched levels of precision and control.

The da Vinci Robot, which is a widely used robotic surgery, employs the use of 3D modelling, touch screen controls, ultra-modern surgical attachments and other robotic tools. This surgical method is one of the greatest inventions in modern surgery that aims to provide greater control to the surgeon at all times. For patients, this means quicker recovery times, minimal scarring, lower complications and higher satisfaction.

Robotic cancer surgery can be performed under the following conditions:

Benefits of robotic cancer surgery:

  • Less scarring: The minimally invasive approach of robotic surgery contributes to minimal scarring. Instead of having a deeper incision of up to 5 or 6” on the skin, patients can have a series of small incisions or one relatively smaller incision, based on the nature of the surgery.
  • Shorter hospitalization: With minimal incisions, postoperative care is speeded and pain is lessened. This surgery will not require the patients to stay for a prolonged period of time in the hospital. At the most, they tend to spend up to two nights in the hospital, if the situation demands so. As a result of this, within no time, you can get back to your normal life.
  • Less drugs: With traditional surgery, typically a patient is administered a lot of painkillers to alleviate pain. However, with robotic surgeries, thanks to decreased postoperative pain after surgery, the patient will not need excessive painkillers to help them deal with pain.
  • No blood loss: During traditional open surgery, patients tend to typically lose between 600cc to 1000cc of blood, depending on the area of treatment. As a result, postoperative transfusion of blood becomes a necessity. However, during robotic surgery, blood loss is usually 200cc or less and so there is no need for transfusions.
  • Accuracy and precision: The 3D modelling techniques and other advanced tools employed by robotic surgery allows for better planning and accuracy, which is greatly needed in cancer surgeries. Especially in the case of prostate cancer, if the tumour is in a critical location, then a robotic surgery is handy to carry out the procedure, without damaging the important nerves of erections.

Breast Cysts - How To Administer It?

MS - Obstetrics and Gynaecology, DNB - Obstetrics and Gynecology, Diploma in Hospital Management
Gynaecologist, Trivandrum
Breast Cysts - How To Administer It?

One ailment that affects a large number of women all over the world is that of breast cysts. Breast cysts are essentially benign abscesses that grow on and around the mammary glands. These cysts primarily develop on account of hormonal changes and are often assumed to develop naturally along with the development of breasts. These cysts are generally filled with fluids which can be traced around the milk ducts.  

Cysts are usually reported among women approaching menopause. While some cysts are of a temporary kind, there may be others with a more prolonged run. Early diagnosis and prompt medication ensure that their growth gets arrested at the earliest. Although it is necessary to be vigilant about these eruptions, one need not fear any further exacerbation. Most cysts are harmless in nature and do not proceed to breast cancer. The symptoms, as well as the causes of the latter, are completely disparate.

However, some classes of cysts are more threatening than others. These mostly comprise suspended solid elements besides the regular fluid content. Some might even have thicker walls compared to the others. Accordingly, they are called complicated and complex cysts. In these cases, one must exercise caution and get them treated immediately. Some of the most popular remedies include drainage through needle aspiration. On certain occasions, physicians also recommend biopsy. Wherein a different mode of treatment ensues. Other ways of tackling breast cysts are ultrasound guidance using local anesthesia. In most cases, however, depending upon the traits of the cysts, physicians leave them unaltered. One might choose to remove them for cosmetic as well as comfort purposes. Women come to such decision because breast cysts prove to be painful during menstrual cycles and some might even resent its appearance. 

One unavoidable repercussion of needle aspiration is that the cysts tend to come back periodically. Dealing with it then becomes a fairly tedious task. This was known to cause anxiety and depression in a lot of women. Counselling and support group can prove beneficial here. But, the most crucial factor in learning to deal with breast cysts would be generating more awareness with regard to the causes and effects of breast cysts.

Testicular Cancer - Know Its Risks!

DNB - Urology/Genito - Urinary Surgery
Urologist, Dehradun
Testicular Cancer - Know Its Risks!

Here are a few things you should know about Testicular Cancer (TC): 

  1. Age: The commonest affected age group is 20-45 years with germ cell tumours. Half of all cases occur in men less than 35 years. Non-seminomatous germ cell tumours (NSGCT) are more common at ages 20-35, while seminoma is more common at age 35-45 years. Rarely, infants and boys below 10 years develop yolk sac tumours and 50% men above 60 years with TC have lymphoma.
  2. Race: White Caucasian people living in Europe and the US have the highest risk. Whites are three times more likely to develop TC than blacks in the US. With the exception of the New Zealand Maoris, TC is rare in non-Caucasian races.
  3. Previous TC: Confers a 12-fold increased risk of metachronous TC. Bilateral TC occurs in 1-2% of cases.
  4. Cryptorchidism: 5-10% of TC patients have a history of cryptorchidism. Ultrastructural changes are present in these testes by age 3 years, although earlier orchidopexy does not completely eliminate the risk of developing TC. According to a large Swedish study, cryptorchidism is associated with a two-fold increased risk of TC in men who underwent orchiopexy less than 13 year, but risk is increased 5-fold in men who underwent orchiopexy aged above13 years. A meta-analysis showed risk of contralateral TC almost doubles while ipsilateral TC risk is increased 6-fold in men with unilateral cryptorchidism.
  5. Intratubular germ cell neoplasia (testicular intraepithelial neoplasia, TIN): Synonymous with carcinoma in situ, although the disease arises from malignant change in spermatogonia; 50% of cases develop invasive germ cell TC within 5 years. The population incidence is 0.8%. Risk factors include cryptorchidism, extragonadal germ cell tumour, atrophic contralateral testis, 45XO karyotype, Klinefelter's syndrome, previous or contralateral TC (5%), and infertility.
  6. Human immunodeficiency virus (HIV): Patients develop seminoma 35% more frequently than expected. Genetic factors: appear to play a role, given that first-degree relatives are at higher risk by 4-9-fold, but a defined familial inheritance pattern is not apparent.
  7. Maternal oestrogen exposure: At higher than usual levels during pregnancy appears to increase risk of cryptorchidism, urethral anomalies, and TC in male offspring.

Trauma and viral-induced atrophy have not been convincingly implicated as risk factors for TC.

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