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what medicine should take for enlarge prostate. I have to go to loo 3/4 times at night. Somebody suggested Himplasia which is ayurvedic treatment .Should I take it? Pl advice. RI am 75 years old and do not want to get it operated.
One of the most common issues with old age in men is the enlarged prostate. Any difficulty with urination (no constant stream, difficulty initiating, or incomplete emptying of the bladder for instance), and the first suspect is an enlarged prostate. These symptoms are followed by a digital rectal exam to check for an enlarged prostate. Once confirmed, the next step is to check for levels of prostate-specific antigen (PSA). If both the exam and the PSA are positive, it could mean prostate cancer. As with any cancer, it is believed that sooner it is diagnosed and the treatment is started, the better.
Historically, the best way to rule out the prostate cancer had been to do a prostate biopsy. This is a minor invasive procedure, wherein biopsies are taken from various regions of the prostate which are known to develop cancer (about 12). A disadvantage of this procedure includes missing out on the front part of the prostate which can also develop cancer. Secondly, it is not a very pleasant experience and given a chance, most men would not want to have it done.
There is good news for these men who would like to avoid prostate biopsies. The first is the multiparametric MRI which uses no x-rays and is considered very safe with extremely accurate results. This MRI exam requires about an hour, and once the images are obtained, the doctor will analyse these images and check for several parameters to assess for prostate cancer. The absence of cancer can be confirmed with up to 90% accuracy, which is far greater than with usual biopsies. If there is a possibility of cancer, then a biopsy can be done to confirm it.
Also, these images indicate the exact region where cancer likely is, and this guides the doctor to biopsy only where absolutely essential. The chances of false positive and false negative results are reduced drastically. The one disadvantage here is that MRI detected biopsies usually tend to be of a higher grade which requires immediate treatment.
Another way to reduce chances of the biopsy by 30% to 50% is by the 4K test. It helps detect a variety of prostate issues including cancer. It can be used once higher levels of PSA is identified and before going for a biopsy. It combined 4 prostate-specific biomarkers with clinical information to accurately provide men with a risk of developing prostate cancer. It can be used even after negative biopsies to confirm the diagnosis of prostate cancer.
These two measures can drastically reduce the incidence of prostate biopsies, which is neither pleasant for the patient nor very effective for the doctor.
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I have a problem with my mouth it smells. I want some suggestion regarding problem. And I want to know that what is cancer?
My mother operated in 2010 for breast cancer in PGI chandigarh. Her right breast removed completely with limf nodes also. No chemotherapy starts after that but temoxifan 30 mg starts. Now in this month the cause complete. In this period regular mammography done, the reports shows nothing new. Now pl tell me if any further treatment requires for her good health.
Cancer is an uncontrolled proliferation of transformed cells in any part of the body. Neoplasm or tumor are used variably to describe any swelling or new growth. Benign growths don't have the potential to spread to other organs or parts of the body while malignancy or malignant growths have uncontrolled proliferation and metastatic potential. Transformation is a multistep process with genetic alterations by which normal cells acquire malignant potential, uncontrolled proliferation capacity and capacity to spread to other parts of the body (metastasis) worldwide cancer is responsible for 1 in 8 deaths. Most common cancers are:
Men: oral cancer (in India), prostate, lung
Women: breast, cervix and endometrium, colorectal, lung
What causes cancer? cancer is usually multifactorial
1. Age- more in age group greater than 60 yrs compared to younger age group
2. Obesity- body mass index greater than 30
3. Tobacco - cigarette, cigar, bidi, hookah, smokeless tobacco like gutka, zarda etc. There is no safe form of tobacco.
4. Pan masala and supari
6. Ultraviolet rays exposure
7. Radiation exposure
8. Genetic factors
9. Others- pollution, certain chemicals, infections
Prevention of cancer:
1. Stay away from tobacco products
2. Eat healthy and daily physical activity- fresh fruits and vegetable are good, maintain optimal body weight
3. Be safe in sun
4. Cancer awareness and early detection: alarming signs are (caution)-
- Change in bowel or bladder habits
- A sore that will not heal
- Unusual discharge or bleeding
- Thickening or lump in the breast, testicles or elsewhere
- Indigestion or difficulty swallowing
- Obvious change in a wart or mole
- A nagging cough or hoarseness
5. Cancer screening: screening is for healthy individuals with education. Rather than going for unnecessary blind tests, a programme for screening should be planned in consultation with your oncologist as requirements are different for different cancers and differ as per age groups and gender. Also, screening is not effective in all cancers. Cancer education and awareness have due importance. Some cancers in which screening has been shown to be effective includes breast, colon, rectum, cervix, prostate, lung in high-risk groups but as mentioned earlier it is planned with participation of both individual and oncologist.
Types of cancer treatment:
Cancer treatment is now a multidisciplinary management in which different surgical, medical and radiation oncologist plan treatment protocol for best possible chances of cure. Advancement in all these fields and their contribution in comprehensive management results in 25-30% improvement in cure rate over previous decades.
- Surgery: involves surgical principles to remove the tumor with adequate margins and possible draining lymph nodes regions. Improvements and understanding of surgical principles even make resection of distant disease or cure of stage iv disease in some selected cases.
- Chemotherapy: cytotoxic drugs are given either in injectable or oral forms which acts on uncontrolled cancer cells. Advances in this fields result in drugs with better efficacy and less side effect profile and at the same time resulting in better cancer control. Targetted therapy acts on specific pathways of cancer growth. Hormone therapy targets specific hormone receptors for controlling cancer.
- Radiation therapy: is the delivery of radiation generated by radioactive source over the region of cancer. More and more advances in radiation technologists are emerging like imrt, sbrt to focus radiation over the specific location so as to avoid toxic effect over surrounding area.