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Hello friends. I am Dr Saurabh Mishra. I am a senior consultant in Urology in Lajpat Nagar, New Delhi. Now I am going to discuss something about Prostate. As you know prostate is a very common problem and it is not only seen by the urologist but so many other colleagues in the medical specialities, specially the physician. There are lot of myths and confusions about the Prostate in patients as well as the health care professionals. So, I would like to simplify the treatment methods for the prostate specially from the patient's point of view.
For the treatment protocol, we keep the patients into three categories;
- Those patients who are asymptomatic and incidently been detected an emlarged prostate. Anything above 20g prostate, we call it as enlarged prostate. So, suppose a patient have some symptoms, he has undergone ultarsound and enlarged prostate was picked up. Such patients lie in Group-1. They do not need any treatment and kept under observation. Once they face any problem, they are given appropriate treatment.
- Group-2 are those patients who suffer some urinary problems. Most commonly, they face frequent urine at night. In this category, they can have some obstructive features also. For example, they take long time to pass urine, the last part of the utine comes slowly that is called dribbling of urine. If these symptoms are present, the patient goes to the doctor and doctor evaluates and if no complicated factors are found then the medical treatment is started. So many medicines are available for the medical treatment of the Prostate. But unfortunately, most of them belong to same family. Due to this, if one drug fails to work then the options are least.
- Group-3 patients are those who have complications. The complication may include the recurrent urinary tract infection, recurrent blood in urine, either of the kidney or both the kidneys are enlarged, bladder stones etc. If these symptoms are present, then it becomes the complicated factor. If any of tehse factors or all of these are present in the patient, then these patients may directly be planned for the surgery and no medical treatment is incorporated in such patients.
Few things we come to know. I have never dicussed about the size of the prostate. That means the size of the prostate will not tell about the treatment. There are so many patients who took treatment from the physician also. So, to such patients, I want to clarify the thing that the treatment is not that complicated but the treatment should be incorporated. The patient should be clarifies about the problem and the treatment and the group should be evaluated for the patient.
Thank you so much.
Hi i am suffering from pancreatic cancer. Please suggest what can I do in obstruction jaundice caused by 22mm mass on head of pancreas.
The cancer of the ovaries is known as ovarian cancer. In women there are two ovaries present on each side of the uterus. These ovaries are as big as an almond in size and produce egg also known as ova. They also secrete the hormones progesterone and estrogen.
Ovarian cancer goes undetected until it spreads to the abdomen and pelvis. When detected at this stage then it might be fatal and the treatment gets difficult. An early stage ovarian cancer where the cancer is restricted in the ovaries is much easier to treat with high success rates.
Risk Factors of Ovarian Cancer
1. Age - With increasing age the risk of ovarian cancer is higher and is more common in women who are 60 and above. It is less common in women below 40 years of age and develops often after menopause.
Obesity Women who have a body mass index of 30 are at a risk of developing ovarian cancer.
2. History of Reproduction - It is believed that women who conceive before 26 and carry the full term have a lower risk of ovarian cancer. However, the risk is higher in those women who get pregnant after 35 or who do not have a full term pregnancy. Also, breastfeeding the baby lowers the risk.
3. Gene Mutation - Inherited gene mutation causes some percentage of ovarian cancer. These genes are called breast cancer genes 1 and 2 (BRCA1 and BRCA2). These were initially found in cases with breast cancer but also pose great risk for ovarian cancer. Also, gene mutation leading to Lynch syndrome plays an important role in increasing the risk of ovarian cancer.
4. Family History - If a woman's mother, sister or daughter is suffering from ovarian cancer then she is at a higher risk of developing the same. The risk also increases if someone from the father's side also has ovarian cancer.
5. Fertility Drugs - Drugs like clomiphene citrate, if used for more than a year can increase the risk of the cancer. The risk is even higher if a woman taking the drug does not get pregnant.
6. Hormone Therapy and Estrogen Therapy - Long term use and large doses of estrogen can cause an increased risk. However, if estrogen is used in combination with progesterone then the risk is less.
7. Age of menstruation and menopause - If menstruation starts before 12 and menopause occurs before 52 then there is a higher risk of getting the cancer.
8. Diet - A low fat vegetarian diet has less risk of the disease. Fresh fruit and vegetables should be included in diet along with pulses, rice, pasta, beans, cereals and breads. If you wish to discuss about any specific problem, you can consult a gynaecologist.
Hi Sir, What is the sign of throat cancer and and which types of doctor treat these type of cancer and where I can test for throat cancer.
If you use these three ingredients every day, almost certainly there is no possibility of getting any kind of tumor.
The recipe is as follows:
Mix 1/4 teaspoon of turmeric with half a teaspoon of olive oil. In doing so, add a pinch of higher fresh black pepper. Mix these three ingredients in a cup.
You can consume this mixture as an addition in a variety of dishes, soups and salads. Just make sure that if you use them in cooked dishes, that these ingredients do not cook too much, it is best to add them to the very end.
If you drink them as the recipe states above, mix with a little water.
But what exactly prevents cancer and cancer spread?
All knowledge lies in turmeric. Turmeric is a spice in the form of a yellow powder, which is one of the components of curry.
Its anti-inflammatory abilities are incredibly powerful.
There is no other natural ingredient in the world that is more effective in reducing inflammation in the body.
Recent studies have revealed that turmeric prevents many types of cancer, such as colorectal cancer, prostate cancer, brain cancer.
Turmeric has only one flaw, which is that turmeric is difficult to degrade in the digestive tract.
Therefore, the ideal combination for the treatment and prevention of cancer is turmeric with pepper and ginger.
Pepper, according to research increases the efficiency of turmeric for up to 200 percent. In order to successfully prevent cancer and destroy cancer cells, this mixture should be used every day on many occasions.
Use it as often as it has no side effects.