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Thread: Online Doctor help for free

  1. #1
    if anyone of you want to ask anything here;I as a female practising gynaecologist will be glad to help you out for free.Females who are uncomfortable asking openly can pvt.message me and i will answer back the same way

    My first set of questions are as under:
    Try to be honest with your answers please
    10 Questions for Your Doctor About Breast Cancer
    What stage cancer do I have? What are my treatment options?
    Will I need to have a mastectomy?
    Will I need to take chemotherapy? If so, what drugs and what side effects can I expect and how can I minimize them?
    Would hormone therapy be right for me?
    Can I continue my usual routine while I'm in treatment?
    Will the treatment affect my fertility? What if I want to have children later on?
    How do I explain my condition to my family, friends, and colleagues?
    Are there foods, over-the-counter drugs, or supplements I should use or avoid?
    Can you recommend support groups or counseling?
    Are there any clinical trials I could participate in?

    Thanks
    Dr.Kadambari

  2. #2
    Thank you Kadambari. But please let us know what are you initial or alarming signs for breast cancer? When should a normal female get concerned about it?

  3. #3
    Every year, more than 1.2 million people are told they have breast cancer. Very rarely, even men will develop this disease.

    Breast cancer is second only to heart disease as the leading killer of adult aged women the worldover. Thanks to recent advancements in medical science, being diagnosed with breast cancer doesn't have to be the death sentence it once was. It is now possible to detect and get breast cancer treatment done at an early stage.

    You can reduce the risk of breast cancer with a few simple lifestyle changes.

    A growing body of research is showing that women really can make a difference in their breast health through diet, exercise, and weight management.

    These simple steps can help optimize your body's hormonal balance and reduce the risk of developing breast cancer, and provide additional health, anti-aging, and disease-prevention benefits. We need to emphasize that everyone should be focusing on what we can control not what we can't.

    The best way for premenopausal and postmenopausal women to know if their bodies have an imbalance of estrogen, progesterone and testosterone is to do a saliva test.

    We can change our habits: reduce alcohol consumption and quit smoking.

    We can manage our weight and exercise daily. Studies also show that maintaining a healthy, average weight is just as important in favorably influencing the estrogen/progesterone ratio. Regular exercise is equally important. On the other hand, obesity, high insulin levels, alcohol intake, smoking, oral contraceptives, hormones from meat and meat products, pesticides, and herbicides can swing this ratio in the wrong direction.

    We can eat a balanced diet. Choosing Eat organic to avoid pesticides, herbicides, and estrogens in meat and dairy products. Include one to three servings of cruciferous vegetables like broccoli, bok choy, cauliflower, brussel sprouts, and cabbage in your diet each day. Studies show that Indole 3 Carbinol the active ingredient helps balance estrogen levels.

    We can do BSE's - breast self exams becoming more familiar with our own body.

    Signs, Symptoms and Self Examination for Breast Lumps

    The first symptom, or subjective sign, of breast cancer is typically a lump that feels different than the surrounding breast tissue. Lumps found in lymph nodes located in the armpits and or collarbone can also indicate breast cancer. Indications of breast cancer other than a lump may include changes in breast size or shape, skin dimpling, nipple inversion, or spontaneous single-nipple discharge.

    Mammographies

    A Mammography (plural mammographies) is the process of using low dose X-rays to examine the breast. The objective of having a mammography is the early detection of breast cancer through detection of masses and/or microcalcifications.

    Mammography is still the modality of choice for screening of early breast cancer, since it is relatively fast, reasonably accurate. Mammography has been estimated to reduce breast cancer-related mortality by 20-30%. Annual mammography of women older than age 40 is recommended.

    Magnetic resonance imaging (MRI) has been shown to detect cancers not visible on mammograms, but has long been regarded to have disadvantages. For example, although it is 27 - 36% more sensitive, it is less specific than mammography.

    How to perform BSE (Breast Self Examination)

    Stand in front of a mirror with top exposed.

    Place hands on hips.

    Look for signs of dimpling, swelling, soreness, or redness in all parts of your breasts in the mirror.

    Repeat with arms raised above your head.

    While still standing, palpate your breasts with your fingers, feeling for lumps. Try to use a larger area of your fingers rather than prodding. Feel both for the area just beneath the skin and for the tissue deeper within. Go over the entire breast while examining. One method is to divide the breast into quadrants and palpate each quadrant carefully. Also examine the "axillary tail" of each breast that extends toward the axilla (armpit).

    Repeat palpation while lying down.

    Check the nipples and the area just beneath them. Gently squeeze each nipple to check for any discharge.

    For premenopausal women, BSE is best done at the same stage of their period every month to minimize changes due to the menstrual cycle. The recommended time is just after the end of the last period when the breasts are least likely to be swollen and tender. Older, menopausal women should do BSE once a month, perhaps on the first or last day of every month.

    Breast Cancer Treatments

    A prognosis is the medical team's "best guess" in how cancer will affect a patient. There are many prognostic factors associated with breast cancer: staging, tumour size and location, grade, whether disease is systemic (has metastasized, or traveled to other parts of the body), recurrence of the disease, and age of patient.

    Breast cancer treatment depends on how advanced the cancer is. TNM Staging is commonly used worldwide to judge what treatment is necessary. Judging the tumor, or tumors, the nodes and if it has transferred to a different part of the body, also known as metastases.

    Once these items have been evaluated, the doctor will decide on a course of treatment. The two main types of cancer are high grade and low grade. High-grade cancer is when there is a large risk of the cancer coming back even after surgery. In this case, chemotherapy will be prescribed once the patient has healed from surgery. Some cancer specialists may opt out of surgery if the cancer has not spread to other parts of the body beyond the breast. Since it is still in one area, chemotherapy may be the first course of treatment, which may be combined with radiotherapy.

    The earlier you find the cancer, the easier it will be to treat and the more options you will have. The early stage is defined when the cancer has not spread to other places in the body outside of the breast. Depending on how far the cancer has gone, there are several types of surgical options open for breast cancer treatment.

    Conservative Surgery

    The most common type of surgery for breast cancer treatment is called conservative surgery. This is when the surgeon removes the diseased tissue from the breast, being careful not to take too much healthy tissue. While he is removing the cancer, a small amount of healthy tissue is removed as well. This is then sent to the lab for evaluation. If the lab reports that it is 'clear' or 'healthy', the surgeon knows he got all the cancer.

    Care and Treatment for Post Breast Cancer Surgery

    Hormone therapy is one of the post-surgery options you have. When the tumor is determined to be sensitive to estrogen, this is the common treatment. The higher the tumors estrogen receptor level, the more benefits will come from hormone therapy.

    Another option for post surgery breast cancer treatment is chemotherapy. Depending on the size and how aggressive the cancer is, this may be used before surgery to reduce the size of the tumor.

    Chemotherapy

    Chemotherapy is the most commonly used breast cancer treatment. This treatment uses drugs to destroy any cancer cells it finds. These are called anti-cancer drugs. Some chemotherapy drugs are given on their own, some are offered in combination chemotherapy doses. There are over fifty drugs used when giving chemotherapy treatments. The type of treatment received depends, again, on how far the caner has spread and where in the body it was first found.

    When receiving chemotherapy, it is given in short doses, followed by periods of rest. Chemotherapy is very hard on your body and can make the patient very sick. Recovery periods are essential to the overall health of the patent. While the chemotherapy kills the cancer cells, it will leave the patient weak. Resting periods give non-cancerous cells the chance to recover.

    While chemotherapy and surgery are the main ways to treat breast cancer, there are various treatments available. Research is always your best tool so you know your options when it comes to treatments and surgery. Cancer treatments are getting more successful all the time. If one type of breast cancer treatment doesn't work for you, another may. Don't give up hope! Summary:

    Cancer treatments are getting more advanced all the time. Breast cancer is second only to heart disease as the leading killer of adult aged women, with 1.2 million new cases each year.

    Moving on after Breast Cancer Diagnosis

    Breast cancer is a life-threatening disease and some very good work is being done to raise awareness and explore preventative measures. Unfortunately, there is still a downside.

    This is the fact that these two words "breast cancer" strike fear into the hearts of most women. We all know that it is these dreaded words that sets the alarm bells ringing. The psychological aspect of this means that when a woman is diagnosed with breast cancer her stress levels skyrocket, putting an extra load on the body when she can cope with it the least.

    It is of course her attitude towards these words that could be the greatest influence in her recovery.

    The Law of attraction states that you will attract what you think about the most. If you spend your time expecting the cancer to come back, the odds are pretty good that it will. .

    Overcoming breast cancer is not easy, but advances in medical science help surgeons work miracles. Then it's down to the individual to decide what part their attitude can play in effecting a lasting cure.

  4. #4
    am i pregnant?

    the first day of my last period was november 29 2010, i have a 28 days cycle. today is january 11 2011. i have see some light blood spotts on my panties an it last for 3 days. i want to take a pregnancy test but im afraid.:secret:

  5. #5
    You should go for it or better consult a doctor.

  6. #6
    Very helpful site and thanks for all information.

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