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Breast health Breast health begins with a sense of what's normal for your breasts (breast awareness). For many women, breast health includes concerns about breast lumps, breast pain or nipple discharge. Know what's normal — and when to consult your doctor. WHAT ARE THE TIPS TO MAINTAIN BREAST HEALTH? To promote breast health, consider doing the following: Maintain Healthy Weight: Women who are overweight and obese have a higher risk of developing breast cancer. Oestrogen-sensitive tissues in the breast are exposed to more oestrogen in obese women than those who are of a healthy weight, and this can stimulate the growth of breast cancer. In addition, women with a body mass index of 30 or higher tend to be diagnosed with a more advanced disease than women with a lower BMI. They also face lower survival rates and a greater risk of the metastasis. Maintaining a healthy weight can eliminate this preventable risk factor and help you improve your breast health. Exercise Regularly: Physical exercise can help boost your immune system, defend against obesity, and reduce levels of insulin and oestrogen in the body, all of which can help prevent breast cancer. Plus, it can help boost bone mass, which is vital for women who have undergone endocrine therapy and chemotherapy. Take Vitamins: Low vitamin D levels have been linked to an increased risk of breast cancer. In addition, low levels can increase disease recurrence and lower survival rates in women with breast cancer. Getting enough sun exposure, or getting vitamin D through supplements or fortified foods, is an important step in improving your breast health. Intake of Omega-3 Fatty Acids: Studies have shown that the higher the amount of omega- 3 fatty acids in the body, the lower the incidence of metastasis. Maintaining Hormone Levels: Hormones play a significant role in breast cancer. Anything that changes your hormone levels in an unnatural way, such as hormone-replacement therapy or contraceptives, can increase your risk of breast cancer because they can lead to excess oestrogen compounds. Get Regular Breast Cancer Screenings: Whether you book an appointment for a mammogram or clinical breast exam at a doctor’s office or take self-breast exams in the shower, make sure to screen for breast cancer regularly. Detecting the disease in its early stages is the number one way to increase your chances of survival. Breast Cancer specialist in Jalandhar
What is premature ovarian failure? This is a condition where the ovaries stop functioning before the age of 35 years. The patient presents either with absence of periods or very irregular and scanty periods. It can be diagnosed by doing FSH and Amh levels where the FSH levels are high and Amh levels are very low. The only treatment available is doing ivf using donor oocytes. Hence doing Amh and FSH levels is very important in patients above 32 yrs of age and in younger patients also if they have irregular cycles or long standing secondary amenorrhea. Problems related ovarian in Jalandhar Gynecologist in Jalandhar
PARATHYROID SURGERY Hyperparathyroidism (parathyroid disease caused by a parathyroid tumor resulting in high blood calcium) is easy if you know about the facts and the myths of parathyroid disease and hyperparathyroidism. These are the parathyroid facts There are no drugs that will make parathyroid disease better. Nearly all parathyroid patients have symptoms; 95% know it--and feel bad. Most of the rest just don't know it until the disease is fixed. Symptoms of parathyroid disease do NOT correlate with the level of calcium in the blood. Many patients with only slightly elevated calcium and parathyroid hormone will have BAD symptoms and develop lots of secondary health issues. All patients with parathyroid disease have calcium levels and PTH levels that go up and down. Fluctuating levels of calcium are typical of parathyroid disease. How high the calcium has become has nothing to do with the severity of hyperparathyroidism. It is the duration (in years) that the calcium is high that causes problems. Osteoporosis drugs have no place in the treatment of parathyroid disease. Parathyroid disease is a lethal disease. But just like high cholesterol and high blood pressure, it takes 25 years before it starts killing. There is only one treatment for parathyroid disease (hyperparathyroidism): Surgery to remove the parathyroid tumor The success rate and complication rate for parathyroid surgery is VERY dependent upon the surgeon's experience. PARATHYROID SURGERY TREATMENT IN JALANDHAR
Fibroid Uterus Uterine Fibroids are non-cancerous tumours in the uterus. This is a most common health problem among women of child bearing age. Generally the complaint of uterine fibroid comes between the age group of 30 to 45 years. This benign tumour can cause pain, excessive menstrual bleeding, infertility. It can vary in size, from that of a few mm to as large as a melon. Small fibroids may not need treatment while large fibroid can be treated only through surgery. Very large fibroids as large as water-melon are not very common. Some women have no symptoms to indicate that they have fibroids, and will find out only on a routine ultrasound or gynaecological examination. Fibroids affect at least 20% of all women during their life. Overweight and obese women are at significantly higher risk of developing fibroids, compared to women of normal weight. Symptoms of Fibroids Anaemia (as a result of heavy periods) Discomfort in the lower abdomen (especially if fibroids are large) Retention/frequent urination Heavy painful periods Painful sex Swelling in the lower abdomen (especially if fibroids are large) Other symptoms may include: Pregnancy problems Fertility problems Repeated miscarriages A fibroid can sometimes degenerate causing fever and severe pain. During a woman's reproductive years her oestrogen and progesterone levels are high. When oestrogen levels are high, especially during pregnancy, fibroids tend to swell. When oestrogen levels are low fibroids may shrink as can be seen after menopause. Gyne doctor in Jalandhar
What is the pancreas? The pancreas is a 6-inch long organ located behind the stomach in the back of the abdomen. It is spongy and shaped somewhat like a fish, extended horizontally across the abdomen. The head of the pancreas is on the right side of the abdomen where the stomach is attached to the first part of the small intestine (the duodenum). The tail of the pancreas - its narrowest part - extends to the left side of the abdomen next to the spleen. The pancreas contains exocrine and endocrine glands that create pancreatic juices, hormones, and insulin. Pancreatic juices, or enzymes, made by the exocrine glands are released into the intestines by way of a series of ducts in order to help digest fat, proteins, and carbohydrates. Over 95% of the pancreas is made up of exocrine glands and ducts. The endocrine cells are arranged in small clusters called islets of Langerhans, which release insulin and glucagon into the bloodstream. These two hormones manage levels of sugar in the blood. When they are not working properly, the result is often diabetes. Pancreas Treatment In Jalandhar ________________________________________ Classification of pancreatic cancer Pancreatic cancer is categorized depending on whether it affects the exocrine or endocrine functions of the pancreas. There is an important distinction between the two broad types of pancreatic cancer because they have different risk factors, causes, symptoms, diagnostic tests, treatments, and prognoses. A CT scan of the pancreas. Tumors that affect the exocrine functions are the most common type of pancreatic cancer. Sometimes these tumors or cysts are benign, called cystadenomas. However, it is more likely to find malignant tumors called adenocarcinomas, which account for 95% of exocrine pancreatic cancers. Adenocarcinomas typically start in gland cells in the ducts of the pancreas, but they can also arise from pancreatic enzyme cells (acinar cell carcinoma). Other types of pancreatic cancers that are associated with exocrine functions include adenosquamous carcinomas, squamous cell carcinomas, and giant cell carcinomas, named for their appearances underneath a microscope. There is also a disease called ampullary cancer (carcinoma of the ampulla of Vater) that starts where the bile duct and pancreatic duct meet the duodenum of the small intestine. Tumors that affect the endocrine functions of the pancreas are called neuroendocrine or islet cell tumors, but these are fairly uncommon. These tumors are named for the type of hormone-producing cell that is initially affected. For example: insulinomas (insulin), glucagonomas (glucagon), gastrinomas (gastrin), somatostatinomas (somatostatin), and VIPomas (vasoactive intestinal peptide or VIP). Functioning islet cell tumors still make hormones, while non-functioning ones do not. Most of these tumors are benign, but non-functioning tumors are more likely to be malignant, islet cell carcinomas. Cancer treatment Hospital in Jalandhar
POLYCYSTIC OVARY SYNDROME (PCOS) PCOS is one of the most common causes of infertility in women worldwide, accounting for almost 70 percent of all infertility cases. A disorder of the endocrine system, PCOS results in multiple cysts in one or both ovaries, leading to problems with ovulation or the release of egg, which in turn hinders conception. Statistics indicate that approximately 5-10% of women in their reproductive age are affected by PCOS.Apart from causing problems in natural conception, untreated PCOS can increase the risk of health disorders such as diabetes, hypertension and heart disease. Polycystic ovary syndrome (PCOS) is a health problem that can affect a woman's: Menstrual cycle Ability to have children Hormones Heart Blood vessels Appearance ith PCOS, women typically have: High levels of androgens. These are sometimes called male hormones, though females also make them. Missed or irregular periods (monthly bleeding) Many small cysts (sists) (fluid­filled sacs) in their ovaries. POLYCYSTIC OVARY SYNDROME (PCOS) Treatment in Jalandhar PCOS treatment in Jalandhar
WHIPPLE OPERATION (Pancreaticoduodenectomy) The Whipple Procedure, known as a a pancreaticoduodenectomy, is performed to treat the following conditions: Cancer of the ampulla of Vater (Ampullary Cancer) Cancer of the distal (lower part) of the bile duct Chronic Pancreatitis Duodenal cancer Neuroendocrine (Islet Cell) Tumors Pancreatic Cancer The pancreas is an organ about the size of a hand located in the abdomen in the vicinity of the stomach, intestines, and other organs. It lies behind the stomach and in front of the spine. The pancreas has two critical functions in the body: The production juices that help digest food The production of hormones such as insulin and glucagon that maintain optimal blood sugar levels and help the body  use and store energy from food. In the Whipple procedure, the surgeon removes cancerous parts of the pancreas, duodenum, common bile duct, and if required,  portions of the stomach.  Dr Rupinder Bhargava Surgical Oncologist has long experience of over 15 yrs of performing this complicated operation with excellent outcome and survival.
Why thyroidectomy is done? A thyroidectomy may be recommended for conditions such as: Thyroid cancer. Cancer is the most common reason for thyroidectomy. If you have thyroid cancer, removing most, if not all, of your thyroid will likely be a treatment option. Thyroid treatment in Jalandhar Goitre (Noncancerous enlargement of the thyroid Removing all or part of your thyroid gland is an option if you have a large goitre that is uncomfortable or causes difficulty breathing or swallowing or, in some cases, if the goitre is causing hyperthyroidism. Overactive thyroid (hyperthyroidism).Hyperthyroidism is a condition in which your thyroid gland produces too much of the hormone thyroxine. If you have problems with anti-thyroid drugs and don't want radioactive iodine therapy, thyroidectomy may be an option. Thyroidectomy specialist in Jalandhar Risks Thyroidectomy is generally a safe procedure. But as with any surgery, thyroidectomy carries a risk of complications. Potential complications include: Bleeding Infection Airway obstruction caused by bleeding Permanent hoarse or weak voice due to nerve damage Damage to the four small glands located behind your thyroid (parathyroid glands), which can lead to hypoparathyroidism, resulting in abnormally low calcium levels and an increased amount of phosphorus in your blood. What you can expect Before the procedure Surgeons perform thyroidectomy during general anaesthesia. You may have a drain under the incision in your neck. This drain is usually removed the morning after surgery. After a thyroidectomy, you may experience neck pain and temporarily hoarse or weak voice. You'll be able to eat and drink as usual after surgery. Depending on the type of surgery you had, you may be able to go home the day of your procedure or your doctor may recommend you stay overnight in the hospital which provides you best medical services in the hospital for patients in Jalandhar . When you go home, you can usually return to your regular activities. Wait at least 10 days to two weeks before doing anything vigorous. Results The long-term effects of thyroidectomy depend on how much of the thyroid is removed. Partial thyroidectomy If only part of your thyroid is removed, the remaining portion typically takes over the function of the entire thyroid gland, and you might not need thyroid hormone therapy. Total thyroidectomy If your entire thyroid is removed, you'll need to take a pill every day that contains the synthetic thyroid hormone levothyroxine (Levoxyl, Synthroid, Unithroid). This hormone replacement is identical to the hormone normally made by your thyroid gland and performs all of the same functions. Dr Rupinder Bhargava Surgical Oncologist BHARGAVA ADVANCED GYNE SURGERY CANCER CENTRE In Jalandhar
Maintaining Cosmesis in Cancer in Jalandhar Once diagnosed with cancer , patients suffer at multiple levels and one of them is cosmesis, that is maintaining his or her own body shape and structure as before. The common cancers which can affect cosmesis are cancer of breast , head and neck cancer and skin cancers. Psychologically , women are affected more than men. The main reason behind the distortion of body image is surgery of the affected area and chemotherapy. Surgery can lead to inequality in the shape and size of the organ affected and can be very traumatic especially in cancer breast when the affected breast is completely removed. Second concern is the sudden and complete loss of hair from scalp and eyebrows due to chemotherapy. Nowadays , with the advancement in technology, optimal cosmetical outcome is equally important as the outcome of the whole treatment. The surgical field has narrowed down from complete excision of the breast to only removal of the lump so that the shape of the breast is preserved. This requires a complete team work between the surgeon and the oncologist. Even for patients in whom complete surgery has to be done, breast reconstruction can be done with various techniques. These days, saline and silicone implants are most commonly used as they are safe and give good cosmesis. Plastic surgeons are also more frequently involved during cancer surgeries so that a good facial and body reconstruction is done in the same go. Chemotherapy induced hair loss is reversible and normal hair grow once the treatment is over. Hair loss can be prevented by scalp cooling during chemotherapy infusion. Also regular oil massage and good diet can help hair grow faster. Thus , patients of cancer breast can maintain good cosmesis with proper treatment guidelines and adoption of newer techniques. CANCER SPECIALIST DOCTOR IN JALANDHAR
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