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Dr. Prathima Bangale

Radiologist, Pune

200 at clinic
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Dr. Prathima Bangale Radiologist, Pune
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Prathima Bangale
Dr. Prathima Bangale is a renowned Radiologist in Daund, Pune. She is currently associated with Dr Bhangale Clinic & Nursing Home in Daund, Pune. Don’t wait in a queue, book an instant appointment online with Dr. Prathima Bangale on Lybrate.com.

Lybrate.com has top trusted Radiologists from across India. You will find Radiologists with more than 37 years of experience on Lybrate.com. You can find Radiologists online in Pune 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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Dr Bhangale Clinic & Nursing Home

Daund,Landmark: Near State Bank Of India, PunePune Get Directions
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Breast Cancer - Surgical Procedure For Treating It!

MBBS, MS - Gen Surgery
General Surgeon, Mumbai
Breast Cancer - Surgical Procedure For Treating It!

With the recent number of breast cancer cases on the rise, it is important that we should get the examination done on a regular basis as a preventive measure. Even if someone is suffering from it, it is important that we should make an effort and learn about.

If you have breast cancer then a surgery will be part of your treatment. Based on the condition, surgery will be carried out due to any of the following reasons :

1. To remove the cancerous tissues from the breast
2. To reconstruct the breast once the cancer is removed
3. To check whether the cancer has spread to the lymph nodes below the arm
4. To treat symptoms of cancer that has progressed to an advanced stage

Breast cancer surgery may be classified into two types

1. Mastectomy: Mastectomy involves removing the entire breast; tissues in the adjoining region may also be removed. A double mastectomy is a procedure where both the breasts are removed.
2. Breast-conserving surgery: In this surgery, only parts of the breast affected by cancer are removed. The area of the breast that is to be removed will depend on the severity of the cancer. Some healthy tissues may also be removed in this surgery.

Usually, if a woman is in the initial stages of cancer then she may opt for the latter as it entails removing parts of the breast. They may also undergo radiation therapy along with these surgeries.
For checking if the cancer has spread to the lymph nodes below the arm, the lymph nodes are removed from the body. Once they are removed, they are studied under a microscope to check if it has spread, if yes then the extent of their damage. This procedure is carried out along with the surgery to remove the cancer.

Once the mastectomy procedure is completed, you can opt for a breast reconstruction surgery to rebuild the area. You may opt for this procedure at the time of breast cancer removal or at a later stage. If you are considering breast reconstruction surgery then you should discuss it with your surgeon.

Surgery is sometimes not used to treat cancer, but in slowing the progression of cancer or even reducing its symptoms.It is important you talk to your surgeon before the procedure to understand the goal of the surgery.

2569 people found this helpful

Breast Cancer - New Advancements That Can Help!

MBBS, DM - Oncology, MD - General Medicine
Oncologist, Nashik
Breast Cancer - New Advancements That Can Help!

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.

  1. 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.
  2. 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:

  1. Megestrol acetate
  2. Androgens
  3. High doses of estrogen

Side Effects:
Unfortunately, Hormonal breast cancer therapy has lots of side effects. They are-

  1. Hot flashes
  2. Mood swings
  3. Vagina discharge or dryness
  4. Developing uterine cancer
  5. Blood clots
  6. Stroke
  7. Night sweat
  8. Headache
  9. Mild nausea
  10. Bone pain
  11. Injection site pain
  12. Muscle pain and joint stiffness and pain
  13. Bone thinning
  14. Menopause

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!

3772 people found this helpful

I Suffering from bulging disc in My L1S5 Region Due To Which It Gets Difficult For me to work out Please Suggest me some Solutions To permanently recovery.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
That is called as Lumbar Vertebrae. And there are 5 Lumbar Vertebrae and the 5th Lumbar Vertebrae is always is located in the lower end where the body weight is taken and it is generally fused with Sacral Vertebrae. That is where the Sciatic nerve passes by and the nerve gets compressed that's the reason you have pain and sensation is disturbed.
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One of my friend he is suffering due to dislocation of l5/s1 disc. The residual ap canal diameter at this level measures 6.7 mm only. Few of the doctors suggested him to do surgery but few of them not recommending surgery because he is just 27 years old. Now he is taking Ayurveda medicine. Kindly recommend the best solution or medication for this problem.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Zirakpur
Surgery should be avoided on vertebral column and spinal cord. It's better to get full panchakarma at good ayurveda hospital near you. Yoga postures, deep breathing will also help. Ayurvedic medicine once suit you, will be immensely beneficial.
2 people found this helpful
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Slip Disk - Know Prevention Of It!

MS - Orthopaedics
Orthopedist, Mumbai
Slip Disk - Know Prevention Of It!

Slip disk is a condition of the spinal column which consists of a stack of vertebras from the cervical, thoracic and the lumbar spine.The bones of the spine are cushioned by disks that are present to absorb shocks. Trauma to the spine may cause the disk to bulge or be ruptured. This may lead to pain in the neck and the back. 

Causes of slip disk

Slip disk is caused when the jelly like substance present in the disks bulges out. The damaged disk thus puts pressure on the adjacent nerve causing excruciating pain. The various causes of a slipped disk are:

1. Incorrect form during exercise

If you are into weight lifting, it is important that you use proper form during exercising. Moves like barbell squat and deadlifts can put pressure on the spine and lead to disk problems, if not done correctly. Make sure you work on your core strength and keep your lower back straight while exercising. 

2. Smoking

Smoking causes the disks to lose their flexibility and thus, increases the risk of slipped disk.

3. Ageing

Ageing decreases the content of water in the spine, thus leading to inflexibility.

Symptoms

The symptoms of slip disk are:
1. Pain on one side of the body that tends to aggravate over time
2. Activities such as sitting and coughing may lead to pressure on the spine causing pain
3. Your range of motion on certain movements may be restricted
4. Pain in the neck while moving it
5. Numbness in the shoulder and the neck region
6. You may experience tingling sensations in the genitals, hips and the legs
7. You may have muscles spasms which lead to sudden contraction of the muscles
8. It may also lead to partial paralysis of the lower body

Prevention

1. If you are overweight, try to reduce weight and then focus on maintaining healthy weight levels
2. Maintain proper posture while sitting or standing
3. Exercise on a regular basis to build strength and keep your joints healthy
4. Don't remain in seated position for an extended period of time. Take small breaks in between to stretch

3561 people found this helpful

5 Ways to Deal With Uterine Cysts

Diploma in Advance Endoscopy, Royal College of Obstetricians and Gynaecologists (MRCOG), MS, MBBS
Gynaecologist, Delhi
5 Ways to Deal With Uterine Cysts

A uterine cyst, also called as ovarian cyst, is the formation of a fluid-filled sac within the ovary of a woman. Uterine cysts may sometimes cause several physical symptoms. They can cause great pain and unpleasant sensations. Most cysts go away by themselves, but still sufficient measures should be taken to deal with the inconvenience caused by a uterine cyst. In severe cases, the cyst can damage the ovaries. Scar tissue is also likely to build up in such cysts to form an adhesion, which causes discomfort.

Uterine cysts can cause great damage to the sexual organs of a woman, and hence, it should never be ignored. Here are 5 ways to deal with uterine cysts:

  1. Using Birth Control Pills: In case of recurrent uterine cysts, you can take oral contraceptives with the prescription of a doctor. This will prohibit ovulation, and the development of new cysts will be prevented. The risk of ovarian cancer is also reduced.

  2. Laparoscopy: In case the cyst is small, a laparoscopy surgery can be conducted by a doctor. This will enable the surgical removal of the cyst. The process of laparoscopy involves making of a small incision around the navel region. A small instrument or device is inserted into the abdomen, which removes the cyst.

  3. Laparotomy: Laparotomy is a surgical procedure of removing a large uterine cyst. This procedure is applied when a cyst becomes too large to be removed using laparoscopy. The procedure involves the removal of the cyst via an incision made in the abdomen. An immediate biopsy is conducted and in case the cyst is found out to be cancerous, a hysterectomy surgery is conducted, which removes the ovaries and uterus completely.

  4. Herbal Tea: Moving from medical procedures to natural ways for dealing with uterine cysts, herbal tea is believed to be one of the best natural treatments for uterine cysts. Herbal tea helps in the breakdown of large cysts and the side effects of the cysts such as discomfort or pain are eased. Have a cup of herbal tea every day to get rid of uterine cysts.

  5. Diet: Uterine cysts may develop due to an unhealthy diet. Modern food items contain synthetic and natural estrogens, which cause disruption in ovarian health. Consuming adulterated meat, where the animals are given hormones, and antibiotics may result in uterine cysts. Soy contains a great amount of estrogen, which leads to uterine cysts. All the food items which may lead to ovarian cysts should be avoided.

Uterine cysts are common in women and are caused due to several complications. You should not let uterine cysts develop as development increases severity.

2464 people found this helpful

Causes and Symptoms of Ewing's Sarcoma

European Society For Medical Oncology certification, DM - Oncology, MD - General Medicine, MBBS, Fellowship in Bone Marrow Transplant
Oncologist, Faridabad
Causes and Symptoms of Ewing's Sarcoma

Collectively grouped under the Ewing sarcoma family of tumors, Ewing's sarcoma is the second most common form of bone cancer, which is commonly seen in children and 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. If you wish to discuss about any specific problem, you can consult an oncologist and ask a free question.

1968 people found this helpful

Hi doctor, My mom was diagnosed with breast cancer and went through Surgery, Chemo,radiations and treatment ended in May. After that she started getting severe leg and hand pain. Oncologist suggested Pregaba tablet but she is still getting severe pain. Please let me know if this is common after chemo or anything wrong?

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
Most of medical challanges need doctor to listen to detailed medical history in form of questions and answers, examination of patient and sometimes reports so meet concerned doctor.
1 person found this helpful
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MRI IMPRESSION 29 August 2016 -Posterior diffuse disc herniation at L4 -5 level with bilateral ligamentum flavum hypertrophy causing narrowing of bilateral neural recesses with compression of bilateral traversing nerve roots at same level. -Posterior diffuse disc bulge at L5-S1 level indenting ventral thecal space at same level -Changes of lumbar spondylosis I was having pain at my right hip joint on 15/8/16. It went unbearable extending to RT leg. On 3rd September night as usual on bed all the 24 hours trying to sleep on 4th at 5 am all my pain went. Till then no pain but having burning sensation on right foot, tingling, falling rt foot asleep when I sit on chair. Please advise:- 1. Surgical intervention required? Or 2.Pregabalin,Tolperisone, methylcobalamin,Calcium and D3 with rest will cure me fully? Or 3. Somekind of spinal exercises also required? ERODHA.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
MRI IMPRESSION 29 August 2016
-Posterior diffuse disc herniation at L4 -5 level with bilateral ligamentum flavum hype...
This treatment is being suggested on bases of the information provided. I would like to examine & investigate you in detail. Any way it may be tried, --. Dolokind Plus (Mankind) [Aceclofenac 100 mg +Paracetamol 350 mg 1 tab. OD & SOS. X 5 days. --. Caldikind plus (Mankind) 1 tab OD x 10 days. (You may need help of your local doctor to get these medicines.)--. Fomentation with warm water. Avoid direct flow of AC or Cooler. --. Sleep on a hard bed with soft bedding. --. Use no pillow under the head. --. Avoid painful acts & activities. -- .Do mild exercises for Back Do not ignore, let it not become beginning of a major problem. Do ask for a detailed treatment plan. If no relief in 2-3 days, contact me again (through this platform only) Kindly make sure, there is no allergy to any of these medicines. (Contact your family doctor, if needed). For emergency treatment visit nearest hospital. I hope I have answered your question to your satisfaction. Kindly rate the answer.Wish you a quick recovery & good health.
9 people found this helpful
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Breast Cancer - Preventive Measures That Can Help!

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery
Oncologist, Pune
Breast Cancer - Preventive Measures That Can Help!

Breast Cancer is cancer that develops in the cells of the breasts. In the United States, breast cancer happens to be the second most common cancer diagnosed in women. General signs and symptoms of breast cancer include, a lump in the breast, noticeable change in breast shape, liquid oozing out from the nipple, there might be a newly inverted nipple or a red patch of skin. Before going into the treatment and most importantly see how can this be prevented from affecting women, we will look closely into the causes, which lead to breast cancer.

Prevention of breast cancer
Doctors do not guarantee that breast cancer can be prevented. Still, women can be cautious and through reviewing the risk factors, that lead to development of cancerous cells or increase the chances of them getting affected, can go a long way in minimizing the risk.

Some of the preventive measures are:

  • Keeping a good body weight is a must. Being overweight increases the risk of breast cancer.
  • Risk of breast cancer can be reduced through medicines like tamoxifen and raloxifene. Both these medicines block the effects of estrogen on breast tissue.
  • Aromase inhibitors, as medications, can be used to prevent the production of small amounts of estrogen, which are usually produced in women during post menopause period.
  • Group of patients, who have a very high risk of breast cancer, removal of breasts through surgery is an options which doctors consider to prevent this from happening.
  • Having healthy diet is a must. Taking more of fruits, vegetables, whole grains, legumes, nuts is desirable if you want to keep yourself away from this dreaded disease.
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