Dr. Akash Umesh Tiwari
Oncologist
11 years of experience
M.D.S.,B.D.S.
Dr. Akash Umesh Tiwari Visits
Nariman Point, Mumbai
Plot Number B-504, 31 Queens Barracks, Maharshi Karve Road, Cooperage
₹ 1500
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Questions Answered By Dr. Akash Umesh Tiwari
Asked for Female, 70
My mother is 70 years old had diagnosed with ovarian cancer involving both ovaries and peritoneal and omental metastasis What could be the treatment option ?
Answered on 23rd May '24
First, evaluate her general condition as well as her disease progression. According to her histopathological report and staging of the disease proper treatment plan has to be made. Starting with Chemotherapy as it affects the disease, further plans of action will be made. But the entire treatment plan will be made by an oncologist depending on her general condition to undergo the treatment.
Asked for Male, 6
Good morning sir My son 6 years old age ,he is suffering from cyclical vomiting cyndrome from last 3 years ,but now he is some better comparative to previous years,but he has frequently stomach upset,then loose motions come,then vomitings occurred.what should he ate again vomiting occurred.please help us sir.Thanking you
Answered on 23rd May '24
Cyclical vomiting is also associated with many gastric problems. You need to get an upper Gastrointestinal scope to rule out any lesions associated with the gastrointestinal tract. You need to focus on healthy food habits to prevent such events. It is always advisable to investigate the condition so that we can catch any problem at an early stage.
I have no lumps, no changes in breasts etc. But I have pain in my armpit. It isn't there all the time, but I feel it throughout the day. Has anyone else had this? Is it just hormonal or could this be a sign of tumor and breast cancer?
Answered on 23rd May '24
Pain in the arm pit can be due to many reasons, infections and breast pathologies being most common. Hormonal changes are also associated with some pain in the arm pit areas. But it is always wise to get yourself examined by a Surgical Oncologist to rule out any pathologies associated with breasts. Self examination is the key to early diagnosis and management of Breast Cancers. Undergoing a simple Mammography can rule out any queries regarding breast lumps or tumors.
Hello, I am 64 years now. I was diagnosed with throat cancer. It's been six months since I finished radiotherapy. But I'm still nauseous all of the time and can't eat or swallow anything. The discomfort in my mouth and throat, as well as the ulcers, are excruciating.
Answered on 23rd May '24
Radiation therapy in throat cancer is a very common treatment modality. It is associated with some side effects which reduce after a certain time period. Nausea, difficulty in swallowing, stomatitis and dryness of mouth are common side effects after Radiation therapy. These side effects can be managed through some saliva substitutes for keeping the mouth moist. You can use some lubricating anaesthesia solutions suggested by oncologist to help in reducing pain because of ulceration. Nutrition is the key to general well being of the body, so if difficulty in swallowing you can opt for temporary feeding tube to fulfill the nutritional needs of the body.
My masi had whipple surgery in Feb 2021. Since November she has been feeling pain, bloating stomach and cramps but initially she ignored it as it is very common in people. But recently it became severe and so I consulted our doctor. Few reports are yet to come but doctor is thinking there might be peritoneal carcinomas to her stomach lining. That can lead to the early stage of Peritoneal cancer. Can you please show some light on this? We are extremely confused
Answered on 23rd May '24
Yes post Whipple surgery pain and discomfort for limited time period is a common complain. A thorough examination and investigations are mandatory if we are suspecting any progression of disease. There are specific Cancer markers which can help us diagnose the condition. Peritoneal Carcinoma has to be ruled out as soon as possible. Exact comment on treatment planning can only be done once all the investigations are done. So be in touch with your surgical oncologist and for any help.
I'd want to ask a few questions about colon cancer. My brother is a colon cancer patient and is undergoing chemotherapy. I'd appreciate it if you could let me know if nausea, vomiting, diarrhea and chest pain are usual symptoms.
Answered on 23rd May '24
Chemotherapy always has mild to moderate side effects. Nausea, Vomiting, hyperacidity and weakness are common side effects.
During the chemotherapy sessions and even after it some pre and post Chemotherapy drugs are prescribed to prevent or reduce these side effects. In case of extensive discomfort you should always consult your medical oncologist and seek his/her opinion
Hello, I'm a 22 year old recently visited a breast clinic in Bhopal. It's almost a month now I am having breast pain, swelling, and my left nipple was inverted more than usual. After the ultrasound I was just given a leaflet about fibroadenoma and she didn't explain. My left nipple has become much more inverted and sunken in and it takes a long time to emerge. Is this something that happens with cancer? I've been worried for months now that this could be cancer even though my doctor didn't seem concerned that it was. Because I am quite young and have no such family history of cancer maybe she overlooked the situation.
Answered on 23rd May '24
Swelling or lump in breast, inverted nipple, pain in breast and lumps in axilla should always be checked thoroughly. These are very common signs which can be seen in Fibroadenoma and also early stage breast cancers. Regular Mammography and biopsy is very important to assess the exact nature of disease. So we would suggest you to undergo a biopsy and visit oncologist to know the exact nature of swelling and it's treatment plan.
My husband was diagnosed with cancer four months ago. Doctors initially assumed it was bone cancer, but after the pathology report came, we came to know that it's stage 4 kidney cancer. Some of our known people suggested immunotherapy as chemotherapy doesn't go for kidney cancer. We want an expert opinion on whether this is true and in that case what we should do now.
Answered on 23rd May '24
In case of Cancer involving Kidneys and has spread to other parts of body requires chemotherapy or immunotherapy. The exact plan for treatment can be decided after studying the involvement of disease and its effects on the normal functioning of the body. So if you can share all your reports with oncologist near you. He will be able to guide you towards the exact treatment plan.
Hello sir my name is sujit I have salivary gland tumors in my mouth. My pain is terrible.I am not diagnosed whether it's benign or malignant. Any suggestions would be highly appreciated.
Answered on 23rd May '24
For the tumors of the salivary glands in the mouth first most important study is to have a biopsy and radiographic investigations such as MRI to assess the nature of the disease whether Benign or Malignant. So Visit oncologist with your biopsy and MRI for the exact nature of the tumor.
I'm 52 years old and have stopped periods since December 2019. Three years ago, I had left breast pain. I consulted a clinic and everything turned out well after mammograms and other procedures. Now after three years I'm still getting the pain and some discomfort in the left breast. I spoke with my usual doctor, but she advised me to visit a breast clinic. She believes it is hormonal but just wants to ensure. Is it possible that this type of breast pain is caused by cancer? I am pretty anxious now and searching on google made me more restless. Is it common in women or something terrible?
Answered on 23rd May '24
Post menopause (after periods) in females may cause many hormonal imbalances which cause pain in breasts, pain in stomach and some discomfort. But a regular check up of breast, PAP smears and ultrasonography investigations at regular intervals is mandatory to check and catch any disorder or disease in early stage. Only after a thorough investigation we can rule out and cancers. For more information you can visit nearest oncologist.
About
Registration
- A-42777 Maharashtra State Dental Council 2020Services
- Surgical Oncology
- Oral Maxillofacial Surgery
- Head And Neck Tumor Cancer Surgery
Specializations
- Oncologist
Education
- M.D.S. - Oral & Maxillofacial Surgery A.C.P.M. Dental College & Hospital, Dhule
- B.D.S. - A.C.P.M. Dental College & Hospital, Dhule
Experience
Consultant Head & Neck Surgical OncologyHCG ICS Khubchandani Hospital, Colaba, Mumbai2019 - 2022
Consultant Head & Neck Surgical OncologyBharat Cancer Hospital and Research Centre, Saroli, Surat2017 - 2019
Senior ResidentDept. of E.N.T., Shri Bhausaheb Hire Govt. Medical College & Hospital, Dhule2015 - 2016
ResidentDept. of Plastic & Reconstructive Surgery, Seth G. S. Medical College & K.E.M. Hospital, Mumbai2015 - 2015
Senior LecturerDept. of Oral & Maxillofacial Surgery, A.C.P.M. Dental College & Hospital, Dhule2013 - 2015
Awards
- Keynote Speaker at AOMSI State Conference 2020
Memberships
- Indian Dental Association
- Association of Oral and Maxillofacial Surgeons of India
- Association of Medical Consultants, Mumbai
- Foundation for Head and Neck Oncology