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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
HEAVY PERIODS Many women think that heavy periods are a normal fact of life – ‘my mum suffered it and I am suffering it’ therefore it is considered a normal part of womanhood. Heavy periods are very common in women, and usually are not a sign of anything serious – but they can cause a big disruption to your life. Heavy periods can cause tiredness from low iron in the blood, or less commonly, anemia (low red blood cells). Best lady gynecologist hospital in Jalandhar DO YOU FIND HEAVY PERIODS A PROBLEM? You may find it hard to judge whether your periods are heavy. Even talking to friends about it may not help. Women often have different ideas about what it means to have heavy periods. Here's a list of things that may mean your periods are heavy. >You use more than nine pads or tampons (or both pads and tampons) on your heaviest days. >You have to wear both a tampon and a pad (double protection). >Your period lasts more than six days. >You have to get up at night to change your protection. >You pass clots of blood. >You stain your bedding or clothes despite wearing tampons and pads. >You stay at home during your period because you are worried about having an 'accident'. >You feel tired, especially during your period. This could mean your body is low on iron. Doctors call this anemia. It happens when your body is not able to make enough new red blood cells to make up for blood you lost during your period. Your doctor can find out if you have anemia by testing a sample of your blood. If your red cell count is low, you may need treatment, such as iron tablets, to help you make more red cells. Best gyne hospital in Jalandhar
WHAT IS CERVICAL CANCER? Cancer is a disease in which cells in the body grow out of control. Cancer is always named for the part of the body where it starts, even if it spreads to other body parts later. When cancer starts in the cervix, it is called cervical cancer. The cervix is the lower, narrow end of the uterus. The cervix connects the vagina (the birth canal) to the upper part of the uterus. The uterus (or womb) is where a baby grows when a woman is pregnant. Cervical cancer is the easiest gynecologic cancer to prevent with regular screening tests and follow-up . It also is highly curable when found and treated early. WHO GETS CERVICAL CANCER? All women are at risk for cervical cancer. It occurs most often in women over age 30. Each year, approximately 12, 000 women in the United States get cervical cancer. The human papilla virus (HPV)is the main cause of cervical cancer.HPV is a common virus that is passed from one person to another during sex. At least half of sexually active people will have HPV at some point in their lives, but few women will get cervical cancer. WHAT ARE THE SYMPTOMS? Early on, cervical cancer may not cause signs and symptoms. Advanced cervical cancer may cause bleeding or discharge from the vagina that is not normal for you, such as bleeding after sex.If you have any of these signs, see your doctor. They may because by something other than cancer, but the only way to know is to see your doctor. Are there tests that can prevent cervical cancer or find it early ? There are two tests that can either help prevent cervical cancer or find it early: The Pap test(or Papsmear)looks for pre cancers, cell changes, on the cervix that can be treated, so that cervical cancer is prevented.The Pap test also can find cervical cancer early, when treatment is most effective .The Pap test is recommended for women aged 21-65 years old. The Paptest only screens for cervical cancer .It does not screen for any other gynecologic cancer. The HPV test looks for HPV—the virus that can cause precancerous cell changes and cervical cancer. CERVICAL CANCER TREATMENT IN JALANDHAR Thursday | 26 April, 2018 | 05:19 PM preview HEAVY PERIODS Many women think that heavy periods are a normal fact of life – ‘my mum suffered it and I am suffering it’ therefore it is considered a normal part of womanhood. Heavy periods are very common in women, and usually are not a sign of anything serious – but they can cause a big disruption to your life. Heavy periods can cause tiredness from low iron in the blood, or less commonly, anemia (low red blood cells). Best lady gynecologist hospital in Jalandhar DO YOU FIND HEAVY PERIODS A PROBLEM? You may find it hard to judge whether your periods are heavy. Even talking to friends about it may not help. Women often have different ideas about what it means to have heavy periods. Here's a list of things that may mean your periods are heavy. >You use more than nine pads or tampons (or both pads and tampons) on your heaviest days. >You have to wear both a tampon and a pad (double protection). >Your period lasts more than six days. >You have to get up at night to change your protection. >You pass clots of blood. >You stain your bedding or clothes despite wearing tampons and pads. >You stay at home during your period because you are worried about having an 'accident'. >You feel tired, especially during your period. This could mean your body is low on iron. Doctors call this anemia. It happens when your body is not able to make enough new red blood cells to make up for blood you lost during your period. Your doctor can find out if you have anemia by testing a sample of your blood. If your red cell count is low, you may need treatment, such as iron tablets, to help you make more red cells. Best gyne hospital in Jalandhar
Breast pain Breast pain (mastalgia) is the most common breast related complaint among women; nearly 70% of women experience breast pain at some point in their lives. Breast pain may occur in one or both breasts or in the underarm (axilla) region of the body. The severity of breast pain varies from woman to woman; approximately 15% of women require treatment. Though breast pain is not normally associated with breast cancer, women who experience any breast abnormalities, including breast pain, should consult their physicians. Breast pain can range from mild to severe. It may occur: Just a few days a month, in the two to three days leading up to your period. This normal, mild-to-moderate pain affects both breasts. A week or longer each month, starting before your period and sometimes continuing through your menstrual cycle. The pain may be moderate or severe, and affects both breasts. Throughout the month, not related to your menstrual cycle. When to see a doctor Make an appointment with your doctor if breast pain: Continues daily for more than a couple of weeks Occurs in one specific area of your breast Seems to be getting worse over time Interferes with daily activities Breast specialist in Jalandhar Breast Treatment in Jalandhar
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
How to Gain Weight After Radiation Therapy Cancer therapy can be an extremely physical and emotional time for the patient. In patients with cancer of the head and neck for instance, the immune system is often not functioning properly. The immune system does not destroy cancer cells. Causes of the failure of the immune system include severe malnutrition. To exacerbate the problem, radiation can severely effect the taste buds and saliva glands. The loss of appetite, difficulties in swallowing, no taste buds and the inability to dissolve food will result in a tremendous amount of weight loss. To gain weight after radiation therapy it takes patience and focus. Some cancer patients have gone days without a meal because they simply did not think to eat. No hunger pains or cravings for food means the brain doesn’t doesn’t let us know to do so. It has to be a conscious thought to sit down and eat a meal. There are a number of things to do and eat that can help the patient to gain weight. Some are obvious but need to be mentioned none the less. 1. It is important to eat and maintain good nutrition despite changes in taste. Prepare foods that appeal to you. Try and focus on foods from the food pyramid to help with a well balance diet. 2. Use a powdered or liquid diet supplement. Available on the market also include weight gain supplements in a gel tab form, with all the nutrition needed, enhance appetite and slow down metabolism to better absorb nutrition and calories. Even if you’re not very hungry, it’s important to keep your protein and calorie intake high. A weight gain supplement in gel tab form might be the answer. Doctors have found that patients who eat well can better deal with having cancer and with the side effects of treatment. 3. Eat five or six small meals during the day rather than three large ones. Eat when you are hungry, even if it is not mealtime. Moisten food with gravies and sauces to make eating easier. Try changing the consistency of foods by adding fluids and using sauces and gravies to make them softer. 4. Change your diet and try new recipes. If you enjoy people around while eating, try to have meals with family or friends. It may be helpful to have the radio or television on while you eat. Use low lighting, soft music, brightly colored table settings, or whatever helps you feel good while eating. 5. Keep easy meals in the freezer to use when you feel hungry. If other people offer to cook for you, let them. Don’t be afraid about telling them what you can eat. Keep healthy snacks for nibbling if you get the urge. 6. If you live alone, you might want to look into “Meals on Wheels” to bring food to you. Ask your doctor or local social service agencies about “Meals on Wheels.” This service is available in most cities and towns. 7. Add butter or margarine to your meals. Mix canned cream soups with milk or half-and-half instead of water. Drinking milkshakes between meals may help keep caloric intake high. Add cream sauce or melted cheese to your vegetables. Some people find they can drink large amounts of liquids even when they don’t feel like eating solid foods. If this is the case, take advantage of each glassful by making drinks enriched with powdered milk, yogurt or honey. A weight gain supplement in gel tab form may be a lot easier to manage. It can also help in making you hungry so you want to eat. 8. If the foods you like no longer taste good, try new foods and use different methods of food preparation. 9. Avoid spices and coarse foods such as raw vegetables, dry crackers or nuts. Remember that acidic foods and liquids can cause mouth and throat irritation. As you start to heal from the radiation you may be able to slowly add these types of foods to your diet. In conclusion, be patient and focused on the task at hand. It is a task. Weigh yourself often to keep track of your progress. If you are doing what is suggested and you still are not gaining weight, ask your physician or dietitian for help. Dr Rupinder Bhargava Oncology doctor in Jalandhar
Signs And Symptoms of Colon Cancer You Should Not Ignore Descriptions of Warning Signs of Colon Cancer You Shouldn’t Ignore: According to the American Cancer Society, 1 in 20 people are at a risk of developing colorectal cancer during their lifetime must get colon cancer clinical trials.. The exact cause of colorectal or bowel cancer is not known. However, it is believed to develop when healthy cells become abnormal and start growing in number and accumulate in the lining of the colon, forming polyps. Left untreated, polyps may become cancerous. As it can be difficult to treat colon cancer after it spreads to nearby areas, it is important to know what the early symptoms are. This can help you seek early treatment and give you a better chance in recovery at all you must do colon cancer treatment options and know early about what is treatment for colon cancer. Here are the top 5 sign and symptoms of colorectal cancer. 1. Constipation 01:02 Constipation is an important sign of cancer in the colon. A 2011 study published in the Asian Pacific Journal of Cancer Prevention highlights the link between constipation and colorectal cancer risk. An earlier 2004 study published in the European Journal of Cancer supported the hypothesis that constipation or laxative use increases the risk of colon cancer. A tumor present at the far end of the colon can make it very difficult to eliminate waste products, thereby causing constipation. If you persistently have fewer bowel movements per week, without any prior problem of constipation, consult your doctor to find out the exact cause. 2. Diarrhea 01:59 If you suffer from diarrhea for more than a couple of weeks, it may be an early symptom of colon cancer. When a tumor partially obstructs the bowel, it can cause alternating constipation and diarrhea due to leakage of liquid stool. You may also experience frequent gas, abdominal pain, nausea and vomiting. Plus, a tumor may irritate or narrow the lining of the intestine. It is important to consult your doctor when you have diarrhea that lasts more than a few days, as it can lead to dehydration, drain your body of nutrients and signal other serious problems, such as cancer. 3. Blood in Stools 02:35 Most often, blood in the stool is due to piles (hemorrhoids), where the veins in the back passage become fragile and cause a little bleeding during a bowel movement. This type of bleeding is generally red. However, if you notice dark red or black blood in your stool, it can be a sign of cancer, such as bowel, rectal or colon cancer. It can also be due to a stomach ulcer. Whether bleeding is due to piles, a stomach ulcer or cancer, it’s important to get it checked by a doctor. Proper diagnosis is essential for appropriate treatment. 4. Constant Feeling of a Bowel Movement 03:25 If you have a constant feeling of urgently needing to have a bowel movement or to strain but no stool is passed, it is not a good sign. This feeling can occur even after having a bowel movement. Changes in your pattern of bowel movements can be a sign of colon cancer. It can occur when a tumor blocks the bowel and prevents you from completely emptying your bowels. If you persistently have the sensation of incomplete evacuation after a bowel movement, discuss the problem with your doctor. 5. Narrow Stools 04:16 Thin, narrow stools are also a warning of possible colon cancer. A tumor present in the left side of the colon obstructs the passageway and often leads to narrow stools. Do not delay discussing any change in your stools with your doctor. Diverticulitis and anal cancer can also cause narrowing of the stools. Colon Cancer treatment in Jalandhar
ENDOMETRIOSIS Endometriosis is a painful disorder in which tissue that normally lines the inside of your uterus — the endometrium — grows outside your uterus. Endometriosis most commonly involves your ovaries, fallopian tubes and the tissue lining your pelvis. Rarely, endometrial tissue may spread beyond pelvic organs. With endometriosis, displaced endometrial tissue continues to act as it normally would — it thickens, breaks down and bleeds with each menstrual cycle. Because this displaced tissue has no way to exit your body, it becomes trapped. When endometriosis involves the ovaries, cysts called endometriomas may form. Surrounding tissue can become irritated, eventually developing scar tissue and adhesions — abnormal bands of fibrous tissue that can cause pelvic tissues and organs to stick to each other. Endometriosis can cause pain — sometimes severe — especially during your period. Fertility problems also may develop. Fortunately, effective treatments are available. Symptoms The primary symptom of endometriosis is pelvic pain, often associated with your menstrual period. Although many women experience cramping during their menstrual period, women with endometriosis typically describe menstrual pain that's far worse than usual. They also tend to report that the pain increases over time. Common signs and symptoms of endometriosis may include: • Pelvic pain • Painful periods (dysmenorrhea) • Pain with intercourse • Pain with bowel movements or urination. • Excessive bleeding • Infertility. Endometriosis is first diagnosed in some women who are seeking treatment for infertility. • fatigue • diarrhea • constipation • bloating or nausea, especially during menstrual periods. The severity of your pain isn't necessarily a reliable indicator of the extent of the condition. Some women with mild endometriosis have intense pain, while others with advanced endometriosis may have little pain or even no pain at all. Endometriosis is sometimes mistaken for other conditions that can cause pelvic pain, such as pelvic inflammatory disease (PID) or ovarian cysts. It may be confused with irritable bowel syndrome (IBS), a condition that causes bouts of diarrhea, constipation and abdominal cramping. IBS can accompany endometriosis, which can complicate the diagnosis. Causes Although the exact cause of endometriosis is not certain, possible explanations include: • Retrograde menstruation. In retrograde menstruation, menstrual blood containing endometrial cells flows back through the fallopian tubes and into the pelvic cavity instead of out of the body. These displaced endometrial cells stick to the pelvic walls and surfaces of pelvic organs, where they grow and continue to thicken and bleed over the course of each menstrual cycle. • Transformation of peritoneal cells. In what's known as the "induction theory, " experts propose that hormones or immune factors promote transformation of peritoneal cells — cells that line the inner side of your abdomen — into endometrial cells. • Embryonic cell transformation. Hormones such as estrogen may transform embryonic cells — cells in the earliest stages of development — into endometrial cell implants during puberty. • Surgical scar implantation. After a surgery, such as a hysterectomy or C-section, endometrial cells may attach to a surgical incision. • Endometrial cells transport. The blood vessels or tissue fluid (lymphatic) system may transport endometrial cells to other parts of the body. • Immune system disorder. It's possible that a problem with the immune system may make the body unable to recognize and destroy endometrial tissue that's growing outside the uterus. Risk factors Several factors place you at greater risk of developing endometriosis, such as: • Never giving birth • Starting your period at an early age • Going through menopause at an older age • Short menstrual cycles — for instance, less than 27 days • Having higher levels of estrogen in your body or a greater lifetime exposure to estrogen your body produces • Low body mass index • Alcohol consumption • One or more relatives (mother, aunt or sister) with endometriosis • Any medical condition that prevents the normal passage of menstrual flow out of the body • Uterine abnormalities Endometriosis usually develops several years after the onset of menstruation (menarche). Signs and symptoms of endometriosis end temporarily with pregnancy and end permanently with menopause, unless you're taking estrogen. Complications • Impaired fertility. Diagnosis • Pelvic exam • Transvaginal ultrasound • Laparoscopy. Treatment • Medications : Pain medications • Hormone therapy • Progestin therapy • Surgery ENDOMETRIOSIS TREATMENT IN JALANDHAR
Breast-conserving surgery Breast-conserving surgery (BCS) may be used as part of a treatment plan for breast cancer. It is sometimes called a lumpectomy or a partial mastectomy. During BCS, only the part of the breast that has cancer is removed. The cancer lump and some breast tissue around the lump are removed. How much of the breast is removed will depend on the lump’s size, and where it is located. The surgeon may also remove some of the lymph nodes under your arm to find out if the cancer has spread there. Radiation therapy is usually given after BCS. Who are suitable for breast-conserving surgery? BCS may be done as part of treatment for breast cancer. This surgery is an option for some women with a lump that is small. It’s also an option for many with early stage breast cancers. BCS removes a smaller part of your breast. You may worry that this might make your cancer more likely to return. But BCS can work just as well as surgery to remove the entire breast (mastectomy). Studies show that women who have BCS followed by radiation therapy have similar long-term survival rates as women who have a mastectomy. What happens during breast-conserving surgery? BCS is usually done under general anesthesia. A small cut /incision will be made over or near the breast tumor. The doctor will remove the lump or abnormality. He will also remove some of the normal breast tissue around it. For the removal of lymph nodes under your armpit, a separate surgical cut may be made in or near the armpit. You will likely go home the same day or in 1 to 2 days after BCS. Breast specialist in Jalandhar Cancer specialist doctor in Jalandhar
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