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Asked for Female | 36 Years

What causes stress and how to treat it?

Patient's Query

Can stress or lack of sleep increase the risk of breast cancer? I’ve been hearing this a lot recently.

Answered by Dr. Garvit Chitkara

 While stress and sleep deprivation affect overall health, there’s no direct evidence linking them as major causes of breast cancer. However, chronic stress can affect hormones and immunity. A healthy lifestyle with regular exercise, good sleep, and balanced nutrition is always beneficial.

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Questions & Answers on "Cancer" (371)

There is a lump on my nipple and if I press against it, it hurts

Male | 13

Lumps in the breast may be a sign of breast cancer. You should be evaluated by a professional if you have the pain when you pushing on the lump. But do not panic,need to evaluate for confirmation. Please do not delay
 

Answered on 23rd May '24

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One of my friend is suffering from CLL, he is 23, and sometimes he go through bleeding and fever, are there chances of him being fine again?

Male | 23

There is no guaranteed cure for chronic lymphocytic leukemia. Long term outlook may vary with individual specific cases. Chemotherapy may help to manage the disease, but the goal is usually to help manage symptoms and slow down the progression of the disease.

Answered on 23rd May '24

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How i knew i had uterine cancer?

Female | 54

If you have uterine cancer, you may notice:

  • Bleeding per vaginum
  • and then go ahead with USG abdomen

Answered on 23rd May '24

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Total expenditure for lymphoma

Male | 52

Please share your investigations and consult once for us to prepare a personalised treatment plan for the patient. We can discuss regarding the expenditure subsequently.

Answered on 23rd May '24

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. Heterogeneous Soft Tissue Nodule in the Right Lower Lobe (RLL) Size: 14 x 8 mm This nodule is described as heterogeneously enhancing, which suggests it may have varying levels of blood flow or different tissue densities within it. This could be indicative of a tumor. 2. Air Space Opacification in the Right Upper Lobe (RUL) Finding: There is patchy air space opacification with interlobular septal thickening in the posterior segment of RUL. This could represent infection, inflammation, or more concerningly, metastatic disease or lung cancer causing these changes. 3. Left-sided Pleural Effusion and Subsegmental Atelectasis Pleural Effusion: Mild left-sided pleural effusion is noted. Pleural effusion can occur in the context of metastatic disease or cancer. Atelectasis: This refers to partial lung collapse, which may occur when there is a mass obstructing the airflow or due to pleural fluid. 4. Enlarged Mediastinal and Hilar Lymph Nodes Lymphadenopathy: There are multiple enlarged and necrotic lymph nodes, most notably in the right hilar region, with the largest measuring 35 x 25 mm. Enlargement and necrosis of lymph nodes can be a sign of metastatic spread. The presence of enlarged lymph nodes in the mediastinum and hilum is typical of malignancy spreading beyond the primary lung site. 5. Liver Lesion Size: 14 x 13 mm lesion in the right hepatic lobe, which is well-defined and peripherally enhancing. A hypodense lesion could indicate a metastatic tumor, especially since it shows peripheral enhancement, a characteristic of some types of metastases. 6. Skeletal Lesions Multiple Lesions: There are mixed lytic and sclerotic bony lesions, some with soft tissue components. These lesions involve the vertebrae, ribs, glenoids, sternum, sacral ala, iliac bones, and femur. Soft Tissue Components: Some of the lesions, such as those in the ribs and iliac bones, have a soft tissue component, which suggests more advanced involvement, possibly indicating metastases. 7. Other Findings: No signs of emphysema, bronchiectasis, or pneumothorax were noted, which is reassuring as it reduces the likelihood of certain types of lung diseases. The liver, spleen, pancreas, kidneys, urinary bladder, and prostate all appear normal on imaging, which helps to rule out major issues in these organs. Impression: The findings of a heterogeneously enhancing solitary pulmonary nodule in the right lung, with associated hilar and mediastinal lymphadenopathy, along with a hepatic lesion and extensive skeletal involvement (with mixed lytic and sclerotic lesions), strongly raise concern for metastatic disease, most likely originating from the lung. The primary lung cancer is a potential consideration, though other primary sites are also possible. Next Steps: Histopathological correlation: This means a biopsy or tissue sample should be taken from one of the lesions (pulmonary, hepatic, or bone) to confirm whether the lesions are malignant and, if so, to identify the type of cancer. This will help determine the best course of treatment. The overall picture suggests a metastatic malignancy, likely of pulmonary origin, but further investigations and biopsy are essential to establish a definitive diagnosis and treatment plan.

Male | 58

Answered on 8th Mar '25

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Sir, I am a 30 yrs old Indian Army soldier presently treated in Pune Command Hospital and have stomach cancer. I had gone through Laprotomy operation (found GIST of High Grade in Histopath) on 30 Nov 2018 and post op PET scan revealed certain other tumours in 1 segment of liver, multiple mesentric lymph nodes in Stomach after which I would be on chemotherapy treatment IMATINIB from 3 Jan 2019 for the same. But on 28 Jan 19 there was found Ascities (No Malignancy)for which the next CECT on 4 feb shows the disease progression even after the running drugs. Plz suggest the best treatment with your valuable opinion. Suggest any hospitals in Pune/ Mumbai.

Homeopathic treatment is Best

Answered on 23rd May '24

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My farther is 67year old. He was diagnosed as stage four prostate cancer and we are living in Johor. Can you advise me the specialist in urology oncologist nearby me. Thanks in advance!

Male | 67

Stage 4 prostate cancer is usually managed with medicines that can easily be prescribed. Please share his reports, for optimal guidance.

Answered on 23rd May '24

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My father is suffering from cancer. He has esophagus stage 4 and lungs also affected . Now blockage are increasing and able to take liquids only. He is able to roam little bit. We are taking some ayurvedic medicine which are not working well. what are the options we have to treat him. Can we go chemotherapy to control disease.

Male | 74

Menstruation Disorders: Symptoms, Causes & More

 

Menstruation disorders – the menstrual cycle (menstruation) is a condition indicating a change in the functioning of the organs of the reproductive system. This disorder occurs in almost all women, the cause of their development can be both physiological and pathological disorders.  

 

Before treating menstruation disorders, it is important to undergo a series of examinations, the results of which will help the doctor determine the main etiological factor and prescribe the necessary therapy.

Causes of menstruation disorders

The main cause of menstrual irregularities is considered to be hormonal dysfunction in women, which entails an unstable manifestation of bleeding. This condition can be conditionally divided into 3 main groups:

Violation of menstruation in women after 40 years is most often associated with age- related changes in the reproductive system. At this age, the depletion of the ovarian follicular reserve occurs, and the frequency of anovulatory cycles increases.  Such changes in the female body are initially caused by irregular periods, dysfunctional uterine bleeding, then menopause.

In young girls, menstruation disorders is often associated with uneven maturation of the hypothalamic-pituitary and ovarian systems. Less commonly, congenital or acquired syndromes, chromosomal disorders, or reproductive system abnormalities can be the cause. Regardless of the cause, the treatment of the failure of menstruation should be carried out under the guidance of a gynecologist.

Symptoms of menstruation disorders

Depending on the etiological factor, menstrual irregularities can manifest themselves in different ways, therefore, a classification of clinical manifestations has been derived in gynecology, including:

  • Algodismenorrhea – accompanied by pulling pains in the lower abdomen, nausea, headaches, menstruation failure
  • Dysmenorrhea – an unstable cycle, manifests itself sharply without accompanying symptoms
  • Hypermenorrhea – profuse flow of menstruation with a normal duration
  • Menorrhagia – the cycle lasts up to 12 days with profuse bleeding
  • Hypomenorrhea – scanty spotting
  • Polymenorrhea – the interval between menstruation is not more than 21 days
  • Oligomenorrhea – short periods with a duration of 1 – 2 days
  • Opsomenorrhea – rare discharge at intervals of 1 time in 3 months.

In addition to the main clinical signs, there may be other symptoms that worsen a woman’s well-being and quality of life:

  • Increased fatigue
  • Irritability
  • Decrease or increase in body weight
  • Pain in the lower back or lower abdomen of varying intensity
  • Nausea
     
  • Frequent headaches, migraines.

All of the above symptoms should not be ignored by the doctor, who, after the results of the examination, will be able to determine the cause, make the correct diagnosis, choose the necessary therapy, and give recommendations.

How and what to treat

When a woman has a menstrual disorder, the doctor will necessarily prescribe a number of instrumental and laboratory tests:

  • Ultrasound
  • Histological analysis
  • Colposcopy
  • Flora smear
  • Dad test
  • Analysis of blood, urine
  • Infectious screening.

The research results will help the doctor get a complete picture, determine the cause, and, if necessary, select drug therapy.

Treatment for menstrual irregularities directly depends on the cause, concomitant symptoms and characteristics of the patient’s body. If physiological reasons are the cause, it is enough to normalize the regime of the day and rest, monitor nutrition, and avoid physical and psychological stress.

When the cycle is disrupted due to infections, inflammatory processes of the ovaries, antibacterial drugs, uroseptics, hormonal drugs, physiotherapy, vitamin therapy are prescribed.  Herbal medicine is prescribed as an aid. The choice of any drug always remains with the attending physician, who will select the required dose and duration of administration.

To regulate menstruation, doctors often advise to follow a diet, to exclude contact with any provoking factors. If the failure of menstruation occurs due to damage to the cervix, the woman may be prescribed surgical treatment.

Treatment and Prevention Tips

In order to avoid menstrual irregularities, doctors in the field of gynecology recommend women and girls to monitor their health, not to self-medicate. Every woman must follow certain rules, as well as have the necessary information:

  • Girls’ periods should begin at the age of 10-14 years
  • Keep a menstrual calendar
  • Visit a gynecologist at least once every 6 months
  • Timely treat all gynecological diseases
  • Not to self-medicate, uncontrolled intake of medications
  • Balance the menu
  • Lead an active and healthy lifestyle.

Answered on 23rd May '24

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I am writing for my father's treatment. He has been diagnosed with stage 4 lung cancer in April 2018. He had gone through 6 cycles of of Alimta and carboplatin till October and then two cylces of Alimta only till December 2018. Up to October, he was doing great, had no side effects and his tumor size went down. After that he became very fatigued and also his tumor size increased significantly. In January 2019, Doctor put him on Docetaxel and so far he is doing good with no side effect. But, we would like to continue his treatment in your reputed hospital. I have attached his initial PET scan (April 2018) and recent PET scan (January 2019) along with few other CT scan. I appreciate if you could suggest me the doctor for his treatment and help me getting the appointments. Also, it would be very helpful if you can give me idea about the expenses. Since he will be coming from Bangladesh, it will take time to get visa and arrange rest of the stuff. Currently I am in Canada and planning to join him during his initial treatment at your hospital, preferably in March.

He will have to consult medical oncologist to make a treatment plan. everything will have to be looked into in detail before advising a plan. I suggest you to continue Docetaxel until that time. 

Answered on 23rd May '24

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My father in law is diagnosed with Oral Submucuos Fibrosis. Doctors have said this is a pre-cancerous disease. We want to do a biopsy and start treatment if biopsy shows an unfortunate positive result. We are from Guwahati, Assam. Kindly suggest where its best in India and expected cost of treatment.

Dr Rahul Maheshwari oral surgeon assam

Answered on 23rd May '24

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I have breast cancer, but there are no mutations in the genetic test in 70 genes, what could cause cancer?

Female | 28

Breast cancer can have various causes, and not all cases are linked to genetic mutations. Factors like age, family history, hormones, reproductive history, etc. can also contribute to breast cancer risk. It's a complex disease and personalized treatment plans are required. Consult with an oncologist for accurate guidance.

Answered on 23rd May '24

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My aunt has heart cancer and she’s on the last stage. The doctor said that there’s no treatment but I’m hoping for a cure? Is there any possibilities?

Female | 49

Heart cancer is a very vague term. Usually atrial myxoma is the most common tumour in the heart. And the only best option of treatment of atrial myxomas is surgical removal. Whether the case is operable or inoperable will decide the prognosis.

Answered on 23rd May '24

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