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Alliance Hospital

Multi-speciality Hospital (Physiotherapist, Dentist & more)

Tulinj Road, Near Atma Vallabh Society, Nalasopara East Landmark : Near State Bank Thane
44 Doctors · ₹0 - 1000
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Alliance Hospital Multi-speciality Hospital (Physiotherapist, Dentist & more) Tulinj Road, Near Atma Vallabh Society, Nalasopara East Landmark : Near State Bank Thane
44 Doctors · ₹0 - 1000
Book Appointment
Call Clinic
Report Issue
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Services

About

Our mission is to blend state-of-the-art medical technology & research with a dedication to patient welfare & healing to provide you with the best possible health care....more
Our mission is to blend state-of-the-art medical technology & research with a dedication to patient welfare & healing to provide you with the best possible health care.
More about Alliance Hospital
Alliance Hospital is known for housing experienced General Surgeons. Dr. Parag Adkar, a well-reputed General Surgeon, practices in Thane. Visit this medical health centre for General Surgeons recommended by 90 patients.

Timings

MON, WED, FRI
08:00 AM - 09:00 PM
TUE, THU, SAT
04:00 AM - 09:00 PM

Location

Tulinj Road, Near Atma Vallabh Society, Nalasopara East Landmark : Near State Bank
Thane, Maharashtra - 401209
Get Directions

Doctors

Dr. Parag Adkar

DNB ( General Surgery )
General Surgeon
5 Years experience
250 at clinic
Unavailable today
270 at clinic
Available today
12:00 PM - 02:00 PM

Dr. Sangamlal B Pal

MBBS, MS - ENT
ENT Specialist
11 Years experience
250 at clinic
Available today
04:00 PM - 06:00 PM

Dr. Sachin Chaudhari

MBBS, MD - Skin,VD & Leprosy, Fellow of the American Academy of Dermatology (FAAD)
Dermatologist
9 Years experience
Available today
09:00 AM - 09:00 PM
270 at clinic
Available today
04:00 PM - 05:00 PM
270 at clinic
Available today
06:00 PM - 07:00 PM
270 at clinic
Available today
12:00 PM - 02:00 PM
270 at clinic
Available today
12:00 PM - 01:00 PM

Dr. Anil Goyal

MBBS, DCH
Pediatrician
24 Years experience
Available today
08:00 AM - 10:00 AM
270 at clinic
Unavailable today
270 at clinic
Available today
08:00 AM - 12:00 PM

Dr. Rajesh Ingole

MBBS, MD - Pathology
Pathologist
27 Years experience
270 at clinic
Available today
05:30 PM - 07:00 PM

Dr. Kaushik Joshi

Gastroenterologist
270 at clinic
Unavailable today

Dr. S. B. Kudalkar

MBBS, MD - Obstetrics & Gynaecology
Gynaecologist
33 Years experience
270 at clinic
Available today
01:00 PM - 02:00 PM

Dr. Nitin Sonavane

MBBS, MD - General Medicine, DNB - Nephrology
Nephrologist
18 Years experience
270 at clinic
Unavailable today
500 at clinic
Available today
10:00 AM - 12:00 PM

Dr. Deepak Raut

ENT Specialist
270 at clinic
Unavailable today

Dr. Sudipa S. Ghosal

MBBS
General Physician
270 at clinic
Unavailable today
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Services

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Is it Appropriate to Have Sex During Teenage?

Fellow,European Committee of Sexual Medicine, Diploma in Psychological Medicine, M.B.,B.S
Sexologist, Jaipur
Is it Appropriate to Have Sex During Teenage?

Well, very tough one to answer. There can be no right or wrong answers. Most parents will wish their kids to abstain till marriage and youngsters will always question it with lots of reasoning. Some will argue to have grown up enough to take appropriate decisions and with easy availability of contraceptives, "what's the big deal"they may ask ? They will always label their parents and those in favour of abstinence as old fashioned persons always giving unsolicited advice because it is their life after all ! Why should they listen to anyone? 

Sweet sixteen is a very tender age when lots of hormonal changes take place. Surge of chemicals in the body make you feel very different like never before. There is a strong but sweet attraction to someone of the opposite gender you knew for quite some time. Your friends tell you a lot of interesting and romantic stories about their own life , some of them may be a work of fiction . You may feel aroused while watching some intimate scenes in a movie. Many of you try to calm down by masturbating , which is perfectly safe way to experience ultimate pleasure in absence of the "real one" .During one of "those" discussions with your friends, their may be a mention of virginity and wish to try the real thing. I find lots and lots of youngsters to have tried that real thing but is it appropriate? 
One thing is sure. As you grow up, there are a lot of mile stones or possible goals to be achieved like doing well in studies, working hard for a good career, achieving both emotional, social and economical independence and of course experience this pleasure which will inculcate intimacy and help you mature as a person. Making babies is a very minor mile stone and many may not opt for this but other goals are inescapable. 
Now what ever your parents want , they can't accompany you all the time . It is you and only you who will decide what you want to do with your life . You need to set your priorities right. No one can stop you from experiencing the "real thing " at the time you chose . You can argue that you are mature enough to focus hard on studies, prepare for career and experience "that thing"     

In my opinion , it may become too much of a multi tasking.  I know for myself I am not good at it. I have also been through all these chemical "locha " There was a strong urge to experience "that joy" with someone changing each day in fantasies . Probably I didn't have the courage to ask someone for a date so waited till marriage Fine, that may have been a blessing in disguise if I look back on all those wonderful years of my school and college. It was not this common as well  those days ,as it is today but I could focus very hard on my studies and today, I am what I am. Really, was it something so great I wish I should have done it earlier? It was great and still is , but studies is the real asset I Accumulated to reach here. All people are different so others may be more efficient in multitasking  but There is a chance that you are driven more by the raging chemicals and start focusing on it more than it deserves. Really, if by any chance, it so happens, you lose lots of time and may not achieve your potential. This chance to work for career will not come twice . Still you may be capable of doing everything perfectly but it becomes a high risk path. You want to tread a safer approach or walk on a superhighway is your choice. At the end of the day, people will judge you by what you have achieved . It is of no importance at what age you lose virginity. 
So decide for yourself what is right for you at which age. My job is to tell you positives and negatives 

3 people found this helpful

Dental Check Up During Summer's

MDS, BDS, Diploma in Forensic Medicine
Dentist, Allahabad
Dental Check Up During Summer's

Brush twice daily and regular dental check up with cleaning of teeth in every 4-6 months.

Summer Steps for Healthy Living

BHMS
Homeopath, Solan
Summer Steps for Healthy Living

In the warmer, longer, laziest days of summer, the living may to be easy but your life probably feels less chaotic.

Give Your Diet a Berry Boost

If you do one thing this summer to improve your diet, have a cup of mixed fresh berries -- blackberries, blueberries, or strawberries -- every day. They'll help you load up on antioxidants, which may help prevent damage to tissues and reduce the risks of age-related illnesses. Blueberries and blackberries are especially antioxidant-rich.

A big bonus: Berries are also tops in fiber, which helps keep cholesterol low and may even help prevent some cancers.

Floss Daily

You know you need to, now it's time to start: floss every single day. Do it at the beach (in a secluded spot), while reading on your patio, or when watching TV -- and the task will breeze by.

Flossing reduces oral bacteria, which improves overall body health, and if oral bacteria is low, your body has more resources to fight bacteria elsewhere. Floss daily and you're doing better than at least 85% of people.

Get Outside to Exercise

Pick one outdoor activity -- going on a hike, taking a nature walk, playing games such as tag with your kids, cycling, roller blading, or swimming -- to shed that cooped-up feeling of gym workouts.

And remember, the family that plays together not only gets fit together -- it's also a great way to create bonding time.

Be Good to Your Eyes

To protect your vision at work and at play, wear protective eyewear. When outdoors, wear sunglasses that block at least 99% of ultraviolet A and B rays. Sunglasses can help prevent cataractscataracts, as well as wrinkles around the eyes.

And when playing sports or doing tasks such as mowing the lawn, wear protective eyewear.

Vacation Time!

mprove your heart health: take advantage of summer's slower schedule by using your vacation time to unwind.

Vacations have multiple benefits: They can help lower your blood pressureheart rate, and stress hormones such as cortisol, which contributes to a widening waist and an increased risk of heart disease.

1 person found this helpful

Aloe Vera Ke Fayde Aur Nuksan - एलोवेरा के फायदे और नुकसान

B.Sc - Dietitics / Nutrition, M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Delhi
Aloe Vera Ke Fayde Aur Nuksan - एलोवेरा के फायदे और नुकसान

एलोवेरा  एक  रसीला  पौधे है  और  इसके  पत्तों  में  पानी  का  भंडार  है,  जो  मोटी  और  मांसल  हैं। इसकी पत्तियां दो पदार्थ उत्पन्न करती हैं - जेल, जो कि कई अन्य पोषक तत्वों में मिश्रित होती है, और रस, जिसे एलो लेटेक्स भी कहा जाता है। एलोवेरा जेल व्यापक रूप से सनबर्न को दूर करने और घावों को ठीक करने के लिए जाना जाता है। जेल आमतौर पर कच्चे रूप में और सीधे प्रभावित त्वचा पर लगाया जाता है। एलोवेरा जेल त्वचा के लिए बहुत फायदेमंद हो सकता है, धूप की कालिमा, कीट के काटने, चकत्ते, कटौती और घावों के साथ मदद कर सकता है। यह एंटिफंगल, जीवाणुरोधी है और कोशिकाओं के उत्थान में मदद करता है। एलोवेरा  लेटेक्स  का  स्वाभाविक  रूप  से  अवसाद,  कब्ज,  अस्थमा  और मधुमेह  के  इलाज  के  लिए  प्रयोग  किया  जाता  है।
एलोवेरा में कई विटामिन और खनिज शामिल हैं जो शरीर के सभी प्रणालियों के उचित विकास और कार्य के लिए महत्वपूर्ण हैं।


एलोवेरा के लाभ:
1. झुर्रियों से मुक्त त्वचा के लिए: 
इसमें त्वचा, शरीर और स्वास्थ्य के लिए बहुत से लाभ हैं। एक शानदार एंटी-बैक्टीरिया, अनुत्तेजक पौधे के रूप में काम करने के अलावा, यह झुर्रियों से छुटकारा पाने में भी मदद करता है। यह त्वचा को मॉइस्चराइज करने में मदद करता है और त्वचा से मृत कोशिकाओं को हटाता है।
2. कब्ज से राहत: एलोवेरा का रस पीने से पेट और आंतों में जलन को कम करने में मदद मिलती है। इसका रस चिड़चिड़ा आंत्र सिंड्रोम, कोलाइटिस और आंत के अन्य सूजन संबंधी विकारों में सूजन को कम कर सकता है। इसके अलावा, यह आंतों में स्वस्थ बैक्टीरिया बढ़ा सकते हैं जो पाचन में मदद करते हैं।
3. मुँह के छाले को ठीक करता है: यदि इससे मूह के छल्लों पर दिन में कई बार लगाया जाए तो चिकित्सा प्रक्रिया को गति देने में मदद करता है।
4. कोलेस्ट्रॉल के स्तर को कम करता है: एलोवेरा रस में बीटा (β) सीटिस्टरोल नामक एक यौगिक होता है, जो शरीर में कोलेस्ट्रोल स्तर को कम करने में मदद करता है।
5. प्रतिरक्षा प्रणाली को बढ़ावा देता है: एलोवेरा में मौजूद ब्रैडीक्नास प्रतिरक्षा प्रणाली को उत्तेजित करता है और संक्रमण को मारता है। एलोवेरा में जस्ता भी शामिल है, इससे हमें रोगों को बंद करने, जीवाणुओं को मारने और हमारे सेल झिल्ली के कार्य की रक्षा करने में मदद मिलती है। 
6. तनाव कम कर देता है: एलोवेरा को एक अनुकूलन माना जाता है। एलोवेरा का रस न केवल मानसिक तनाव से राहत देता है बल्कि शारीरिक तनाव से निपटने में भी मदद कर सकता है। 
7. यह मधुमेह के इलाज में मदद करता है: एलोवेरा रक्त शर्करा के स्तर को कम करने के लिए जाना जाता है। इसमें ग्लूकोमान्स मौजूद हैं जो रक्त शर्करा के स्तर को कम कर देता है।
8. एंटीसेप्टिक है: यह आपकी पाचन तंत्र को साफ करने में मदद करता है। यह खून को शुद्ध करने में भी मदद करता है। 
9. रक्त प्रवाह में सुधार: एलोवेरा आपके केशिकालों के आकार को बढ़ाने में मदद कर सकता है जिससे आपके शरीर में रक्त परिसंचरण में सुधार हो सकता है।
 

एलोवेरा रस के दुष्प्रभाव:
एलोवेरा जेल को इस्तेमाल करना सुरक्षित माना जाता है, लेकिन लेटेक्स से निकाले जाने वाले अप्रसारित रस का सेवन करने से कई साइड इफेक्ट्स पैदा हो सकते हैं, जैसे कि:
1. एलोवेरा रस में एन्थ्राक्विनोन नामक एक पदार्थ होता है, जो रेचक होता है और बड़ी मात्रा मंन डायरिया पैदा कर सकता है।
2. एलोवेरा में मौजूद लेटेक्स कोलाइटिस, क्रोहन रोग, एपेंडीसिटीस, डायवर्टिकुलोसिस, आंतों की बाधा, रक्त स्राव, पेट दर्द और अल्सर जैसी समस्याएं का कारण बन सकता ह ।
3. एलोवेरा का रस पीने से एलर्जी की प्रतिक्रिया हो सकती है जैसे कि त्वचा के दाने या पित्ती, खुजली या सूजी हुई त्वचा, साँस लेने में कठिनाई, सीने में दर्द और गले में जलन।
4. गर्भ और स्तनपान कराने वाली महिलाओं को अल्युवेरा जूस लेना सक्त मना है। यह गर्भवती महिलाओं में गर्भाशय के संकुचन को प्रोत्साहित कर सकता है, जिससे गर्भपात और जन्म दोष हो सकते हैं।
5. एलोवेरा के रस से शरीर को अत्यधिक मात्रा में एड्रेनालाईन उत्पन्न हो सकता है, जो दिल की स्थिति से पीड़ित लोगों के लिए हानिकारक हो सकता है।
6. लंबे समय तक की अवधि के लिए अतिरिक्त खपत स्यूडोममेलाइसोस कोली का कारण हो सकता है। यह कोलोरेक्टल कैंसर का खतरा बढ़ा देता है।
7. एलोवेरा रस की अधिक मात्रा में लेने से श्रोणि में रक्त का निर्माण हो सकता है, जिससे आपके गुर्दे को नुकसान हो सकता है।

11 people found this helpful

Pimples- All You Need to Know About It!!

MBBS, DPD-Cardiff (U.K)
Cosmetic Physician, Noida
Pimples- All You Need to Know About It!!
What is Acne ?

Both males and females suffer from acne.

Acne means a condition when you have blackheads, white heads ( small white bumps on skin giving uneven look ), pimples that may eventually lead to pus filled painful large pimples that leave marks and scars on face.

Why does Acne occur?

It can occur due to improper diet, hormonal fluctuations, using inappropriate cosmetic products and sticky creams, humidity, sweating and dead skin collection causing blocked pores or due to some medicines.

How can i get a permanent solution for acne and get a clean glowing face ?

Its your over all diet and exercise routine, with proper sleep and water intake, under guidance of a skin doctor that will help you get a permanent solution for acne. There are 3 steps of acne treatments.

First to stop and heal the acne, then to take care of the marks and spots, and lastly to get rid of scars to get a smooth skin. A combination treatment is required including oral medicines, vitamins and antioxidants, creams and sunscreen, chemical peels, medical facials, resurfacing and rejuvenating lasers and PRP. 6-8 months are required for complete recovery.

Tips to prevent and deal with acne :

Do not touch, press or rub the pimples.

Do not use hair products, creams and cosmetics without doctor’s advice.

Always remove your make up before going to bed.

Use non sticky sunscreen that suits your skin.

Use mild pH balanced cleansers for your face.

Apply ice on painful pimples, it will help in reducing pain and redness. 

If you have acne, consult a dermatologist and get complete treatment following proper protocol.

Stay Healthy

M.D. Internal Medicine
Endocrinologist, Mumbai
Stay Healthy

When 24-year-old Erin learned that she had type 2 diabetes she simply could not believe it was true. This could never happen to her, she felt. The diagnosis must be wrong. During the next few weeks Erin was prescribed appropriate treatment, and given advice on self-managing her condition, to control symptoms and reduce the risk of long-term problems. But before too long it became clear that Erin was continuing to suffer symptoms. Her diabetes was clearly not under control.

Erin was eventually referred to our clinic, where we discovered why the standard therapeutic approach was not working for her. Deep down, she still did not believe that she had diabetes. When faced with pressures in her daily life – Erin had recently moved to another country to take up a demanding job – she would feel overwhelmed and simply stop managing her diabetes, which seemed much less important than the immediate issues facing her. We helped Erin to recognize and understand this pattern of behavior, and to learn to cope with her disease. She has now finally accepted that she has diabetes, and understands clearly that she can benefit by taking responsibility for her treatment, complying with instructions and adopting a healthy lifestyle.

Erin's case is by no means unique. Studies suggest that less than 50 percent of patients with a chronic disease follow their management plans correctly, for a wide variety of reasons. Many people with diabetes, for example, do not adhere to their prescribed diet or take their prescribed medication, resulting in poor metabolic control and a high risk of developing long-term complications.


Two major external factors influence the course of diabetes in an individual patient. Healthcare professionals control one of these when they establish a management plan, involving specific treatments, lifestyle modifications and regular assessment. The other factor, controlled by patients, is their ability to self-manage the disease, adapting the plan according to daily circumstances.

Few people – if any – will have this ability when diagnosed, and it is the responsibility of health professionals to help patients develop the necessary knowledge and skills. Patient education is widely recognized as vital for effective long-term care. However, its implementation is often inadequate, and too often it involves little more than putting information in front of the patient. Key issues for the patient, such as understanding the implications of the disease and learning how to incorporate its management into their day-to-day life, are sometimes not addressed.

1 person found this helpful

I am 25 year old. I had sex with my partner but now we are no more together and I am getting married with other person. I don't want to have any complications my future husband. I have heard about hymenoplasty and I want to consult you about it.

MD, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Pune
I am 25 year old. I had sex with my partner but now we are no more together and I am getting married with other perso...
Hymenoplasty may not serve your purpose. Because, even that artificial hymen may rupture on it's own. Better, you go for vaginal tightening treatment from Ayurveda medicine. This will make him feel like a virgin.
1 person found this helpful
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How much time did it get of my hair back in transplanted area after hair transplantation, Which nutrition should I take for my regrowth of hair.

MBBS, MD - Dermatology
Dermatologist, Bangalore
How much time did it get of my hair back in transplanted area after hair transplantation, Which nutrition should I ta...
Usually 3-4 months. Take lot of sprouts, eggs, walnut and flax seeds. Exercise regulalry as it is a natural rejuvenation process. Start Minoxidil solution after consulting your hair transplant surgeon.
1 person found this helpful
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Hello doctor My friend had c section before one month. And the c section is absorbable. And she is having a baby girl. Can she do sex from now. Does it have any side effects or any harm in the stitches. Please let me know Thanking you.

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
Hello doctor
My friend had c section before one month. And the c section is absorbable. And she is having a baby girl...
Hello- Whether you give birth vaginally or by C-section, your body will need time to heal. Consider waiting to have sex until your health care provider gives you the green light (often four to six weeks after childbirth).
2 people found this helpful
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Hi Mujhe premature ejaculation ki pareshani hai. Mai jab bhi masturbate Ya gf k sath sex karne ki kosis karta hu. Mujhe is problem ko face karna padta hai.

BHMS, M.D.
Homeopath, Gorakhpur
Hi Mujhe premature ejaculation ki pareshani hai. Mai jab bhi masturbate Ya gf k sath sex karne ki kosis karta hu. Muj...
Hello Lybrate user, premature ejaculation is usually the aftereffect of sexual excesses. So avoid sexual contact and masturbating. Eat high protein diet, green vegetables and fresh fruits. For further help consult privately through Lybrate.
1 person found this helpful
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I am suffering from low immunity and catch the disease very easily but it will difficult to cure the same. Stamina, immunity, body pain, stomach pain et are the common problem with me. As per the blood test report I have eosinophilia. Please help me.

Homeopath, Hyderabad
I am suffering from low immunity and catch the disease very easily but it will difficult to cure the same. Stamina, i...
Hello Lybrate customer eosinophilia is the common allergy faced by people. In your case it seems bit more severe effecting you badly. Please do under go IgE levels and an absolute eosinophil count as your condition is severe. Treatment and time period required varies. Will definitely helpful in this.
1 person found this helpful
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My gf got pregnant its conformed by urine test. Right now its not correct time for baby v want to abort how to abort naturally last period was 28 march. Suggest me quick plz.

Obstetrician, Pune
Hello lybrate-user. As you have written that your girl friend is pregnant and confirmation is done by urine pregnancy test. I advice you to take her for ultrasonography with the letter of obstetrician, USG will give very clear idea about the duration of pregnancy and location of the pregnancy. If her pregnancy size is small and intra uterine then she can undergo medical termination of pregnancy under the care of experienced obstetrician. She should do haemogram and blood group before this procedure.
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Signs and symptoms of bile duct cancer

MD, DTDC , MBBS
General Physician, Delhi
Signs and symptoms of bile duct cancer

Cholangiocarcinoma (Bile duct cancer), like any other cancer, leaves a person physically, mentally and emotionally drained. It has been mostly found to affect people above 60 years of age. The signs and symptoms associated are so common that very few people consult a physician. A delayed diagnosis implies delayed treatment. This goes on to aggravate and complicate the situation further. One needs to be a little alert. Any symptoms, no matter how common, should not be taken lightly. Look for the early signs and symptoms and bile duct cancer can be fully cured.

Signs and symptoms associated with Cholangiocarcinoma:
Bile duct cancer can be Extrahepatic (occurs in the duct outside the liver) or Intrahepatic (cancer develops within the smaller ducts inside the liver). It must be noted that Intrahepatic Bile duct cancer and Liver cancer are different.
-      Bile duct cancer results in blocking the bile duct. This blockage severely effects the secretion of bilirubin and bile from the liver. Thus, the secretions (bile and bilirubin) which are supposed to flow into the intestine move back into the bloodstream. An elevated level of bilirubin in the blood gives rise to a condition, known as Jaundice (a condition resulting in yellowing of the eyes and the skin). The problem lies in the fact that many other factors can equally contribute to Jaundice. Consulting a physician at the earliest is the best resort.
-      A sudden or drastic weight loss and loss of appetite is an alarming sign of Cholangiocarcinoma.
-      Excessive itching can be an indication of something as big as bile duct cancer. Itching can be an outcome of the increased bilirubin (blood) reaching the skin.
-      At an advanced stage of Cholangiocarcinoma, a patient may experience severe abdominal pain.
-      At times, the tumour in the bile duct might exert immense pressure on the nearby organs. This can give rise to an enlarged abdominal mass. Bloated feeling is also very common amongst the patients.
-      An unusual change in the colour of the stool and urine should not be neglected. The elevated bilirubin level from the intestine is usually eliminated out of the system through the urine.  Thus the stool appears lighter and the urine a shade darker.
-      A cholangiocarcinoma patient can, at times feel nauseated. Fever is also a common but an extremely important indication.

Bile duct cancer or cholangiocarcinoma can lead to many other complications. Click below to know every minute detail associated with Cholangiocarcinoma.

Lung 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
Lung Cancer - In A Nutshell!

Lung cancer is also known as pulmonary carcinoma or cancer of the lung. It occurs when DNA mutations develop in the cells/ tissues of the lungs leading up to uncontrolled growth in the tissues of the lung. By far, it is known to be the most common cancer in Asia.

1. Type: lung cancers can present as one of the following types: 

  1. Non-Small Cell Lung Cancer (NSCLC): Most common type of lung cancer and constitutes nearly 85% of all lung cancers. The sub-types of NSCLC are as follows:
    • Large cell carcinoma
    • Squamous cell carcinoma (SqCC) (Epidermoid)
    • Adenocarcinoma – accounts for majority of the NSCLC.
  2. Small Cell Lung Cancer (SCLC): It is also known as oat meal cancer and tends to spread (metastasize) quickly. This constitutes about 15% of the lung cancers.
  3. Mesothelioma: It is a rare cancer that develops in the mesothelial cells of the pleural or peritoneal surfaces. It usually arises in the pleural membrane lining the lungs, known as pleural mesothelioma. One that arises from the peritoneum is called the peritoneal mesothelioma and the one that arises from the pericardium is known as pericardial mesothelioma. Lastly, it can also arise from the tunica vaginalis known as testicular mesothelioma. People working with or prior exposure to asbestos are mostly at risk of developing mesothelioma. The latency period between time of exposure and development of mesothelioma can be somewhere between 20 to 40 years. Maximum of the patients who develop mesothelioma are men.

2. Gender: It affects the male populace predominantly. It is more common in men than in women and in those of lower economic status. However, the incidence of lung cancer, in women too, is on the rise of late.

3. Etiology: Cigarette/ Tobacco smoking remains the most important cause of lung cancer accounting for 85 – 90% of the cases. Incidence/ risk is proportionate to the number of cigarettes smoked irrespective of the age. Also, environmental toxins including smoke from burning black tar, exhaust gases from automobiles etc. too contribute actively to various lung diseases including cancer. People working in asbestos manufacturing factories who are exposed to asbestos dust are also likely to get lung cancer. Tuberculosis too is an additive risk factor. Again, people who have received ionizing radiation especially to treat Hodgkin Lymphoma or other malignancies also run the risk of developing lung cancer. Above-mentioned causes apart, genetic factors may also play a role.

4. Features: Lung cancer clinically presents in the following ways mainly.Signs & symptoms of malignant mesothelioma are as enumerated below

1. Difficult/ labored breathing (Dyspnea)

2. Chest pain

3. Palpable chest wall mass

4. Discordant chest wall expansion

5. Weight loss (Cachexia)

6. Loss of appetite (Anorexia)

7. Night sweats

Signs & symptoms of non-small cell lung cancer (NSCLC) are as enumerated below. Majority of patients are symptomatic at diagnosis

8. Chronic cough

9. Difficult/ labored breathing (Dyspnea)

10. Chest pain

11. Blood stained sputum (Hemoptysis)

12. Hoarseness

13. Weight loss (Cachexia)

14. Loss of appetite (Anorexia)

15. Weakness

16. Bone pain

17. Pleural or pericardial effusion

18. Superior vena cava syndrome

19. Brachial plexopathy

20. Neurologic pain

21. Hypercalcemia of malignancy

Signs & symptoms of small cell lung cancer (SCLC) are as enumerated below

Symptoms as per the points 8 – 18 depicted above for NSCLC are applicable for SCLC as well. Additionally, patients suffering from SCLC may have:

22. Fever associated with chest infections like bronchitis/ pneumonia that refuse to go away or keep coming back

23. Horner syndrome

24. Paraneoplastic syndromes including encephalitis/ sub-acute sensory neuropathy, hyponatremia, acromegaly, cancer associated retinopathy, ectopic corticotropic syndrome etc all.

5. Screening: is generally recommended for asymptomatic/ symptomatic populations as surveillance for high risk individuals – who are either current or former smokers (quit smoking within the last 15 years), have at least a 30 pack year smoking history and those who do not have any prior history of lung cancer. The goal of screening, as usual, is to be able to detect & diagnose lung cancer at an early stage which is potentially curable. It is mostly radiologic with a low dose helical computed tomography (CT) scan being more effective in detecting early stage lung cancer than a chest radiograph can.

6. Diagnosis: Abnormal blood test results may be indicative of malignancy, but a follow up imaging/ biopsy is always the gold standard for accurate diagnosis. Following are the diagnostics employed mainly:

  1. Blood: Hb may be low, TLC, ESR and polymorphs increased. Adenocarcinomas are likely to express thyroid transcription factor 1 (TTF-1) or carcinoembyonic antigen (CEA). On the other hand, mesotheliomas are likely to express Wilms Tumor -1 (WT-1) protein and Calretinin.
  2. Imaging: Thoracoscopy, Bronchoscopy, X-Ray, CT Scan etc all. Positron Emission Tomography (PET) / CT scan and Magnetic Resonance Imaging (MRI) scan help detect metastasis, if any.
  3. Biopsy: It clinches the histologic diagnosis, and the nature of the disease.

7. Treatment: Conventional treatment includes surgery, chemotherapy and radiotherapy as contextually appropriate. Simultaneously, an adjunctive or integrative naturopathic treatment with suitable complementary & alternative medicines (CAM) too can help improve clinical outcomes and facilitate recovery as would be feasible contextually.

8. Prognosis: 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 lung 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. The primary determinant of prognosis in NSCLC is the stage at which the cancer is diagnosed. For non-metastatic cancers, however, it is the nodal status that determines the stage and hence the prognosis.

9. Prevention: rightly said, prevention is always a better choice. Cigarette smoking is to be avoided by all means as it is the single major cause of lung cancer. Even exposure to cigarette smoke (passive or secondhand) is also an established cause of lung cancer and is known to increase the risk of lung cancer in non-smokers as well. Preventing exposure to secondhand smoke can be helpful in decreasing the incidence and mortality from primary lung cancers. Above-mentioned apart, other important risk factors such as exposure to ionizing radiation, environmental carcinogens like smoke from burning black tar, exhaust gases from automobiles, outdoor air pollution, and occupational exposure to asbestos, arsenic, beryllium, nickel, cadmium, chromium etc all too are known to increase the risk for lung cancer and mortality thereof. In fact, cigarette smoking is known to potentiate the effect and hence the lung cancer risk of many of the above-mentioned carcinogens, multi-fold, in smokers. Thus, either eliminating or reducing the exposure to the above-mentioned carcinogens can lead to a decrease in the risk of lung cancer and incidences thereof. Furthermore, randomized clinical trials indicate that high intensity smokers (only) who take supplementation of beta-carotene have an increased risk/ incidence of lung cancer. Vitamin E supplementation, on the other hand, does not affect the risk of lung cancer as indicated by the trials. If you wish to discuss about any specific problem, you can consult a doctor.

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Male Impotence / Severe Erectile Dysfunction - Causes And Symptoms

MD-Pharmacology, MBBS
Sexologist, Delhi
Male Impotence / Severe Erectile Dysfunction - Causes And Symptoms

A normal healthy love life is as important as having a healthy body and mind. However, many men tend to have problems in maintaining a healthy love life due to the problem of impotence. A man is diagnosed as impotent when fails to get erection despite arousal or maintaining it during sexual intercourse.

Physical and mental impact If the failure to get erection / erectile dysfunction becomes a regular phenomenon, it can severely affect the person’s relationship status, not to mention his self-esteem. Sometimes, impotence might be an indication of a serious underlying condition.

Symptoms you might be suffering from male impotence if:

  1. You are experiencing recurrent and significant trouble in order to get and subsequently maintain an erection.
  2. You are suffering from a low sex drive for a long amount of time.
  3. A combination of the both.

Solution

Either way, a consultation with the doctor might help to cure male impotence through a prescribed dosage of medications. In extreme cases, the doctor might prescribe an artificial replacement of testosterone within the body or even a surgery in order to normalize things.  If male impotence occurs due to psychological factors, sessions of counseling might help to improve the condition. If diagnosed and treated efficiently, male impotence is an easily curable condition.

Causes 

Causes of male impotence or erectile dysfunction might occur due to numerous physical or psychological factors. Some of the known causes of erectile dysfunction are as follows:

  1. Underlying health issues: If you are suffering from major health disorders you may suffer from erectile dysfunction. Some of these could be
  2. Medication and treatments: Erectile dysfunction might occur due to side effects of certain medications such as chemotherapy and blood pressure medications.
  3. Excessive alcohol consumption, tobacco usage or drug abuseThese elements put many harmful elements within your body and may result in prostate cancer or surgery within the pelvic area. If anyone has recently undergone surgery to treat prostate cancer or other problems of the pelvic area, it may cause impotence as well.
  4. Psychological trauma: Since the brain is one of the most important agents responsible for erections, any form of psychological trauma, anxiety or stress might trigger a dysfunction in the process as well. If you wish to discuss about any specific problem, you can consult a sexologist.
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I'm 20 years old and I'm just 5'4" I want to increase my height upto 5'11" or 6'0" Is there any thing I can do? I want a homegrown remedy (exercises etc.).

Homeopath, Anand
I'm 20 years old and I'm just 5'4" I want to increase my height upto 5'11" or 6'0" Is there any thing I can do? I wan...
After 20 it's challenging to increase height. You should start yoga, surya namaskar, stretches and exercises for height. Eat balanced diet to rule out any deficiency as the cause. You can take ashwagandha in milk before going to bed. Take proper sunlight. Drink lots of water.
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Doing masturbation is any harm to health please tell me it's advantage and dis advantage of doing that.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
Doing masturbation is any harm to health please tell me it's advantage and dis advantage of doing that.
Masturbation is not really bad; it is the addiction to it that is bad. Not even the number of years is a problem but the frequency and compulsiveness to do it is to be considered for its ill-effects. At your age you may feel it difficult and it can become addictive if you have alone time, if you obsess about it, and if you are not into relationships. The problem with addiction to this is that you may go on to prefer masturbation to heterosexual contact, even when you are married. That obviously would be an insult to your wife and will lead to a lot of conflict. Heterosexual contact is very wholesome and the physiology is made exactly for penile and vaginal contact. You will instead enjoy a poor replica of this and not know or care for the difference. The second thing that can happen with addiction is that it will become compulsive and will have no boundaries or limits, since it can be done all by yourself, whenever, wherever, and however too. The big problem a lot of children get into is the guilt around this. A useful way to discharge the energy is to get into contact games, or exercises, or even hobbies to channelize it. Also you should not spend too much time alone, and you need to keep your mind occupied with other interesting things and a lot of socializing. Even if you are not interested in marriage, for whatever reasons, it will help you to get into a friendship with a girl and enjoy the relationship where there will be a lot of excitement when you fall in love. Right now your hormones may be very active and your physiological apparatus is primed and ready for sexual stimulation. But because of your age and even otherwise it is important to develop good control and not feed into your impulses. Keeping yourself occupied and living a healthy social life are the keys to manage your sexual drives.
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