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Dr. R Gopal

Oncologist, Thane

1100 at clinic
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Dr. R Gopal Oncologist, Thane
1100 at clinic
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. R Gopal
Dr. R Gopal is an experienced Oncologist in Kaushalya Medical Foundation Trust Hospital, Thane. You can consult Dr. R Gopal at Dr. R Gopal@Jupiter Hospital in Kaushalya Medical Foundation Trust Hospital, Thane. Book an appointment online with Dr. R Gopal on Lybrate.com.

Lybrate.com has a number of highly qualified Oncologists in India. You will find Oncologists with more than 25 years of experience on Lybrate.com. Find the best Oncologists online in Thane. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Cadbury Junction, Eastern Express Highway, Service Road Landmark : Next To Viviana MallThane Get Directions
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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.

3139 people found this helpful

I'm 29 years old. I have fat balls under my skin. May be they called neurofibroma or a some thing how to get rid of them is surgery the only remedy. Please let me know.

MS - General Surgery
Oncologist, Ludhiana
These may be lipoma or neurofibroma. No medicine to treat both these conditions. These are mostally multiple hence largest or symptomatic one should be removed surgically.
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Head And Neck Cancer

Fellowship In Head & Neck Oncosurger, MD - ENT , MBBS
Oncologist, Gurgaon
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Causes and symptoms of Head and Neck Cancer

My name is Dr. Manish Julaha and I practice Head & Neck Oncosurgery. Today I'll tell you some facts about Head and Neck cancer how to predict them early. So in India approxiately 1.2 million cancer patients are detected every year, and out of this one thirds of the number occur in head and neck, mainly oral cavity and throat. And this is a very big number if you compare with rest of the countries because head and neck cancer they account for less than 10% in western countries and less than 4% in U.S. So what is the cause of such high number of head and neck cancers in India. It is mainly the use of tobacco and another sad fact about head and neck cancer in India is that majority of the patients, you can say more than 65% are present in stage 3 or stage 4. And we say cancer is curable if it is detected early and when patients presents to us in such late stages it effects all the paramaeters like overall survival, treatment outcome, side effects, functional outcome, quality of life everything is affected. And when patients come in early stage, the treatment is less invasive with less side effects and the functional outcome is very good and the chances of recurrence is very less.

So what can we do to detect head and neck cancer at the earliest. We can do this if we've the knowledge of the signs and symptoms which hint towards the head and neck cancer and by doing self examination. So what are the early signs and symptoms. They're mainly any ulcer in the oral cavity which dosen't heal in three weaks or any lump in the lung or oral cavity, any red or white patches in the oral cavity, or there maybe unexplained earache or nasal blockage, mainly on one side, specially with blood stained mucous discharge, ill fitting of denture because of any swelling in the gums. So, these are the early signs and symptoms. If we find any such thing we should take expert opinion. And by doing self examination we can detect head and neck cancer at the earliest. I would say all those people who're at a high risk of getting head and neck cancer they should do the self examination at least once a month. So who're the people who're at high risk of getting head and neck cancer. Most importantly those who use tobacco in any form, then elderly people above the age of 45 and people who have exposure to ionizing radiation in past, and people who have had head and neck cancer in the past they're at high risk of getting a second cancer so they should also be very careful.

Now, how to do this self examination. It is very simple, to do this you've to stand in front of the mirror and you've to feel both the lips, upper lips and lower lips, using your thumb and index finger feel both the lips and by pulling them outward you've to see the inner lining of the upper lip and lower lip and also you have to look at the upper gums and lower gums. And using your thumb and index finger pull your cheek and look at the inner lining of your cheek on both sides and look for any ulcer or lump or any red or white patches. Now just open your mouth and say "aaa" and while saying "aaa" just look at the throat and also at the roof of the mouth. Then by touching your tongue on the back of upper teeth have a look at the under surface of the tongue and the floor of mouth. Then pull your tongue outward and look at it's upper surface, by moving the sideways look at the sides also. Again look for any ulcer or lumps or any red or white patches and you have to examine your neck also. Just by standing straight palpate below the jaw bone and above the collar bones, and by moving the head backwards look for any asymmetry of the neck, if there is any fullness on one side as compared to the other side, there maybe some lump. If you find any such thing just take expert opinion.

Thank you very much for watching this video and contacting through Lybrate . Thank You.

3825 people found this helpful

DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Mumbai
Regular pap tests i.e. Tests which look for any signs of cervical cancer should be conducted regularly so that it can be detected at its initial stage and can be treated accordingly.
5 people found this helpful

I am 26 yers old, non smoker non drinker, I eat healthy too. From one and half year I have a small lump on mu right nipple, it does not go, few girls told me its normal, But I am scared now, I do not see any other symptoms, no pain or swelling or any rashes. And my left breast does not have any lump.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Noida
Hi As you asked about your problems related to your Lump over right breast's nipple, I would like to advise you not to worry for it but aware of its increasing or any over growth. If you feel uncomfortable or stressful about it then you may have consult with local Gynaec specialist for complete diagnosis and proper treatment.
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Whether broken tooth can lead to oral cancer? Enamel has changed colour.How to make it white again?

MDS Prosthodontics, BDS
Dentist, Chandigarh
Yes chronic irritation by a sharp broken tooth can lead to oral cancer,and also infection from that tooth can pass to nearby spaces and can lead to ludwig angina. Which can lead to death. And yes enamel can be whitened by dental bleeching.
4 people found this helpful
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What are the real causes of Cancer disease? I have observed that even people who don't smoke & chew tobacco are developing cancer at a faster pace. And is there a way to avoid it completely by changing lifestyle & food habits?

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Do follow regular balanced diet and hyderated regular Stipulated sleep pattern with clean manner in everything With Physical activity and breathing exercises for about about 20 minutes regularly Best wishes
1 person found this helpful
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What are the symptoms of skin cancer. If a person suffer from the skin cancer. How can he will be safe from the skin cancer and what is the limit of the skin cancer.

DNB, MBBS
Oncologist, Faridabad
Skin cancers present as ulceration or growth over skin, pigmentation or mole which starts increasing suddenly, lymph node enlargement or swelling etc. Since skin is external organ most problems are identified easily unless ignored. One of the risk factors is ultraviolet radiation exposure, one should avoid too much exposure and use sunscreen. Black skin people are naturally protected due to pigment melanin in our skin. Limit use of chemicals over skin directly and any ulceration or infection should be promptly treated.
289 people found this helpful
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My father is 66 year's old and he was fight a gainest prostate cancer and spread in bones also resent psa is 12.6, so please advice for me a doctor's splesition opinion what can I do or I will taken treatment as continue.

MD - Radiation Oncology, MBBS, DNB (Radiotherapy)
Oncologist, Howrah
Your father is suffering from prostate cancer which has spread to bones. Primary treatment at this stage is hormone therapy. However if he has severe pain in bony metastatic site local radiotherapy can also be given. Do reply with detailed patient profile so that I can assess present condition and advise accordingly.
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I am 26 years female married for 1 and half years. 8 years back when I was 17yr old I had undergone chemotherapy for gem cell tumour and my left ovary is removed surgically. I had given 6 cycle of chemotherapy totally. 4 cycle before the operation and 2cycle after the operation. Chemotherapy is given as an a injection. Which is a combination of cisplatin (30mg each day in a cycle of 5 days) and etosid (150mg each day in cycle of 5 days). I would like to know what is my chance for being pregnant? does this chemo which I undergone can cause infertility.

MS, MBBS
Gynaecologist, Noida
I am 26 years female married for 1 and half years. 8 years back when I was 17yr old I had undergone chemotherapy for ...
Hello you said yor one ovary is already removed surgically and you recieved chxemotherapy also. Are you getting yor periods regularily? genrally after chemo there are chances of ovarian failured or insufficiency which can be confrmed by usg -tvs and few hormonal tests in case of ovarian failure or insufficiency you can opt for ivf pregnancy with ovum donation
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Klatskin Tumour - Understanding It In Detail!

MD, MBBS
Oncologist, Ernakulam
Klatskin Tumour - Understanding It In Detail!

A fifty-four years old Marwari patient from Assam presented with progressive jaundice and intermittent episodes of abdominal pain for three months. CT scan of abdomen showed a small (1.5 x 1.5 cm) mass in the bifurcation of common bile duct which is causing biliary tract obstruction and hence jaundice. Portal nodes were not enlarged and there was no lesion in the liver parenchyma. At presentation, serum bilirubin level was high (14.7 mg/dl). Endoscopic biopsy and brushing cytology was adenocarcinoma and clinic-radiological diagnosis was ‘Klatskin tumour’. 

  • Metallic stenting was done to relieve jaundice and after stenting serum bilirubin level came down rapidly. PET scan showed increased uptake in the biliary duct region mass without any sign of metastasis. He was evaluated and planned for treatment with robotic radiosurgery. He was treated using robotic radiosurgery (CyberKnife) with high precision radiotherapy technique after fiducial placement (gold seeds) near the tumour. After one year, the patient had no obvious complain, liver function (no jaundice) was normal and CT scan evaluation showed completed resolution of the mass.  
  • Klatskin tumour is an uncommon tumour that arises from the bifurcation of common bile duct in the abdomen (duct that drains bile from liver). Patients usually present with progressive (increasing) persistent jaundice followed by pain in the upper abdomen. Surgical excision is the mainstay of treatment. However, surgery is not possible in majority of the patients owing to the location of the tumour, high jaundice and medical condition. Chemotherapy may not be an optimal option in majority of the patients as they present with high jaundice. Majority of such patients with poor medical condition are treated with only supportive care and prognosis is dismal (survival for a few months only).
  • Patients with metallic stent have relief from jaundice but unfortunately in a few weeks time, the stent gets blocked with tumour growth. Patients again present with high jaundice and have severely impaired quality of life. They complain of severe itching of entire body, loss of appetite and succumb due to impaired liver function from high jaundice/obstruction. The treatment is to have a longer ‘jaundice-free period’ which in turn improves quality of life and possibly survival function as well.  
  • Stereotactic body radiation therapy’s high dose radiation ‘sterilizes’ the metallic stent and bile duct region. It is assumed that with radiation therapy, blockage of bile duct and stent is delayed and patients have longer jaundice-free period.In Klatskin tumour, CyberKnife allows to deliver high dose of radiation in a short duration to the target without significant morbidity. If you wish to discuss about any specific problem, you can consult an Oncologist.
3107 people found this helpful

Cancer - Ayurvedic Treatment For It!

Bachelor of Ayurveda, Medicine and Surgery (BAMS), Advance Diploma in Psychological Counseling, Advance Diploma in Nutrition and Dietetics, MD - Alternate Medicine, M.A. Sanskrit
Ayurveda, Indore
Cancer - Ayurvedic Treatment For It!

Cancer indicates the growth of certain unusual cells, generally uncontrolled in nature, in any part of your body. It may also refer to a malignant tumor and it can affect any organ or any part of your body. There are many different cancers accordingly, such as lung cancer, bladder cancer, skin cancer or blood cancer. Ayurveda offers effective measures for preventing cancer.

Read on to find more about the tips and get better prepared to fight this killer:

  1. According to Ayurveda, having fresh foods can help you to prevent cancer. Consuming more of green leafy vegetables and fresh fruits may prove to be helpful.
  2. Avoiding fat based foods or fried foods can be effective in preventing cancer. Strike off hydrogenated fats (such as cookies, peanut butter, crackers etc) or saturated animal fats from your diet.
  3. Exercising on a regular basis may be very helpful. Stretching exercises, walking, breathing exercises and aerobics are considered to be useful preventive measures for cancer.
  4. Meditation and yoga are also effective ways to prevent cancer. These can help you to reduce stress and remain calm.
  5. Drinking green tea regularly can be very useful for killing any growth of cancerous cells in your body and thus help you to prevent cancer.
  6. Cutting down on foods with higher quantities of sugar can help you to prevent cancer.
  7. Include foods replete in vitamin D and vitamin C or citrus foods as these help to combat many kinds of cancer.
  8. Incorporate spices like turmeric in your daily cooking regimen. The 'curcumin' present in turmeric coupled with a few other accompanying properties can help to prevent the growth of cancer cells in your body.
  9. Garlic, whether consumed raw or cooked, can help you to fight the killer that cancer is. If you wish to discuss about any specific problem, you can consult an Ayurveda.
3436 people found this helpful

I am an 18 year old girl and I had unprotected sex 10/3/16. It's been 3 days and I am experiencing red patches on my breast and hands along with frequent urination trips. What should I do? Am I pregnant? Is Mifeprin advisable?

Diploma in Obstetrics & Gynaecology, MBBS, MD - Community Medicine
Gynaecologist, Lucknow
Hello the patches are not due to sex, it may be some allergic reaction. Take medicine and get a urine test done to rule out infection.
1 person found this helpful
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What are symptoms of cancer and can cancer spread from one person to another? How.

DNB, MBBS
Oncologist, Faridabad
Cancer does not spread from one individual to other. It is a non communicable disease. However some cancers may be inherited and may run in family or may be due to common risk factor in community like pollutants, soil, water source or some industry in surrounding areas you can see multiple people in family or surrounding suffering from cancer. It may present as pain less lump, ulceration which doesn't heal, change in bowelor bladder habits, difficulty in swallowing, bleeding from Anywhere, weight loss etc depending on organ affected.
1 person found this helpful
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My friend sister is getting pain in left side of the breast last 10 days. Local Doctor has advised it may be tumor. Please advice good lady Doctor. Thanks,

Fellowship in Minimal Access Surgery, MS - General Surgery, MBBS, FICS
General Surgeon, Delhi
Don't worry. Pain doesn't mean tumour. For tumour to be there there has to be a lump (swelling). If you are still worried about it, then tell her to seek appointment of a surgeon. (surgeon is the right person to diagnose breast tumour) thanks and god bless.
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Hi my husband 44 years just underwent surgery for oral cancer and a month of radiation and chemotherapy after that. His entire left upper and lower palate have been removed and reconstructed. As a result he can't eat properly and the pain inside is very bad. He has contracted klebsiella pneumoniae now. He has become very irrational and aggressive and is always negative and hyper. Can homeopathy help him.

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
Hi, I appreciate you seeking help for your husband. In order that he is able to take his food, it is advisable to mix the food (as cooked) properly and churn it to almost liquid form so that he can take the same with ease without requiring to strain his mouth. Additionally, nutritional supplements, preferably as shakes, can be given too on a daily basis to make up for loss in nutrition, if any. For pains, if any, he can gargle with a suitable mouthwash (germicidal/ antiseptic) & apply a pain relieving gel as recommended by his oncologist, locally. Also, infection, if any, has to be addressed promptly through antibiotics, as decided by his physician. Once the active infection is arrested, he can gargle with a warm solution of chamomile tea, lemon and honey, three times daily. He can also try warm saline gargling, with a pinch of fresh turmeric/ salt added to warm water. He can take green tea, to which fresh juice of one-fourth of a lemon is added, up to 2 times daily and stay well hydrated. It is also necessary to maintain oral hygiene on a regular basis - keep mouth clean and healthy. He can reduce the risk of damage to his mouth by using good quality & soft toothbrushes and also by leveling off rough edges of teeth/ dentures, if any. Physiotherapeutic exercises (of mouth) may also help improve the mobility. However, diet / lifestyle apart, as mentioned above, certain natural/ alternative medications, including homeopathy, can be of significant help in boosting immunity, reducing pain and in improving clinical outcomes as possible contextually, recommendation of which would require me to know his detailed case history/ diagnostics. You may revert in private with the relevant details for further naturopathic traction. Hope this helps. Do take care, and all the very best.
1 person found this helpful
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May I know what are the symptoms of cancer and how we could stop it. What is the life span when it affects a person. Is there any vegetables to affect us.

DNB, MBBS
Oncologist, Faridabad
Dear sir, cancer is caused by abnormal uncontrolled proliferation of cells Leading to symptoms like palpable lump or lymphadenopathy, Ulceration which doesn't heal, bleeding from Anywhere, weight loss, fever, change in bowelor bladder habits, change in voice, breathing difficulty constipation and loose motions etc. Patients life span depends on the stage and histopathology of disease and response to the treatment it's not fixed for any body or any cancer. Fruits and vegetables contain natural vitamin, minerals, antioxidants to prevent from cancer.
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Sir, My mother is suffering from In Situ Malignant Melanoma in left great toe. One excision has done. The biopsy report says --- In Situ Malignant Melanoma and still some melanocyte are present in the toe. Then I have consulted with a surgeon and he says again a deep excision and skin grafting is required and this the end of the treatment. Because,there is no chemotherapy or radiotherapy of In Situ Malignant Melanoma. Sir,will it be better to cut off the whole toe?

Registrar in Surgical Oncology, Fellowship in Gynaecologic Oncology, Masters In Advanced Oncology, Fellowship in advanced laparoscopy and robotic surgery, Fellowship in Gastrointestinal Oncology, Fellowship in CRS and HIPEC, Fellowship in PIPAC
Oncologist, Mumbai
Sir, My mother is suffering from In Situ Malignant Melanoma in left great toe. One excision has done. The biopsy repo...
Melanoma needs excision of the lesions with a 2 cm margin. If that can be achieved without amputation of the toe it can be done else will need removal of the great toe. Before surgery evaluation of the whole limb for skip lesions and the groin for nodes should be done. Imaging should also be done of that limb and abdomen and chest to look for distant metastases.
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