Colon or large intestine is the last part of the digestive tract. Colon cancer is a cancer that usually occurs in elderly people but it can occur at any age.At CMCS Health , we are associated with best Indian colon or colorectal cancer specialists for cost effective and comprehensive and complete colon or colorectal cancer treatment in India.
Colon cancer usually start as non cancerous (Benign) growth in the inner lining of intestinal lumen called polyps. Over time some of these polyps can become colon cancers.
Colon cancer is sometimes also called as Colo rectal cancers.
The Risk factors associated with colon cancer are:
1.Colon cancer usually is diagnosed in people above 50 years of age , but there are increasing incidences of younger people getting colon cancer.
2.People of African-American are at a higher risk.
3.Ulcerative colitis and crohn’s disease.
4.Diets high in red meat and processed meat.
5.Low-fiber, high-fat diet
6.A sedentary lifestyle and obesity
7.Diabetes
8.Smoking and heavy alcohol consumption
9. Only a small percentage of colon cancers are linked to inherited genes. The most common inherited syndromes that increase colon cancer risk are familial adenomatous polyposis (FAP) and Lynch syndrome, which is also known as hereditary nonpolyposis colorectal cancer (HNPCC).
Signs and symptoms of Colon or colorectal cancer:
1.A persistent change in your bowel habits, including diarrhea or constipation or a change in the consistency of your stool.
2. Rectal bleeding or blood in your stool
3.Persistent abdominal discomfort, such as cramps, gas or pain.
4.Weakness or fatigue,
5.Unexplained weight loss
Diagnosis of colon or colorectal cancer :
If a doctor suspect Colon or colerectal cancer in a patient , he recommends following tests for confirmation of diagnosis.
Blood tests consisting of prostate specific antigen.
Colonoscopy
Stool immunochemistry
Stool DNA
Imaging tests like MRIs, CT scans and PET CT
Colon or colorectal cancer treatment in India:
Colon or colorectal cancer treatment in India involves following protocols , doctor may club one or more from the following for offering comprehensive colon or colorectal cancer treatment in India.
Surgery
Chemotherapy
Radiation therapy
Targeted drug therapy
Immunotherapy
Radio frequency ablation
Dr Vinod Raina is one of the leading cancer specialist ( Medical Oncology ) of India and is currently Chairman - Onco sciences at Fortis memorial research Institute , Gurgaon , Haryana , India.
Click on Link below to know more about Colon or colo-rectal cancer in India.
Bringing in the cutting edge technology for better clinical outcome in spine surgery in India.
Advantages of neuro monitoring in spine surgery:
Intraoperative neuro monitoring is a newer approach for spine surgery. Intra operative neuro monitoring is helpful for neuro surgeons performing complex spine surgery in preventing any possible damage to spinal chord during the spine surgery.
Intra operative neuro monitoring has improved the safety profile for spine surgery in India.
It has been used frequently in all advanced spine surgery centers all across the globe and it has been brought in India for better clinical outcome in complex spine surgeries.
The benefits clearly outweigh the slight increase in cost of surgery.We are committed to provide the best experience for our spine surgery patients in India by adopting the latest techniques prevalent internationally.
To know more about safest spine surgery in India with the cutting edge technology Neuro-montoring click om link below
Endoscopic vein harvesting or Endovein is a new less invasive way of removing saphenous vein from a CABG ( Bypass heart surgery) requiring patient's leg for doing the bypass graft.
Traditional vessel harvesting procedures require a long incision or a series of incisions down the length of the patient's leg, from the groin to the ankle. The greater saphenous vein is harvested intact through this large incision.
Recent technological advances have made it possible to perform this procedure in a new, less invasive way, called Endoscopic Vessel Harvesting, or EVH.
Endo vein harvesting causes less muscle and tissue damage when harvesting the vein graft. This procedure has eliminated many of the complications associated with the former technique. This may offer significant benefits to you.
How we do Endo Vein harvesting ?
An endoscope is a special instrument, used to view the inside of a hollow area, is connected to a video camera and inserted through a small incision in the leg. The endoscope is used to view the saphenous vein inside the leg and allows us to remove the vein with minimal stress to the leg.
What benefit a CABG requiring patient gets from Endoscopic vein harvesting?
Endoscopic vein harvesting generally results in less muscle and tissue damage and therefore, may reduce the surgical trauma to the patient , quicker wound healing and less chances of infection , due to smaller incision.
In other words:
you should experience less tissue scarring
your leg wounds should be less painful
you should avoid an unsightly scar
you will be able to concentrate on your cardiac rehabilitation!
Uterus or endometrium cancer is one of the common cancers in women.Early diagnosis of uterine cancer is possible, if the initial symptoms are noticed by a woman and immediately approaches a clinician with her complaints.We are well equipped to offer the best uterus or endometrium cancer treatment in India.
What are the types of Uterus cancer ?
Uterus cancer usually occurs in the lining of uterus called endometrium but other less common cancers can also occur in women like uterine sarcoma.
Signs and symptoms of uterine cancer
The initial and most important symptom is abnormal bleeding in a woman,like bleeding in between the periods or a vaginal bleed post menopause.
Unusual Vaginal discharge which can be foul smelling, pus like or may be blood tinged.
Painful coitus
Constant and persisting pain in pelvic region, feeling of pressure or mass in pelvic region.
Sudden and unexplained weight loss.
Loss of appetite.
Unusual pain during urination or bowel movement.
Who are at risk of developing uterine cancer
Women in whom periods have started at an early age
Women who have delayed menopause
women who has never delivered a child
Being Overweight or obese
Post menopausal women who are taking estrogen only HRT
Estrogen producing ovarian tumors
PCOs
Women who have been treated with Tamoxifen for more than two years for breast cancer treatment
Woman who had a previous radiation therapy of lower abdomen
Sickle cell anemia is a severe form of anemia caused by genetic mutation in the Red blood cells. It is a genetic disorder which is inherited by the patient from the two faulty hemoglobin genes from both the parents. Because of the genetic mutation,the shape of RBC ,which is flexible circular disc shaped changes to rigid sickle or crescent shaped rods. Hemoglobin a protein in RBCs,works as a transporter of nutrients and oxygen to cells all across the body.Normal RBCs are disc shaped,with the centers partially scooped out. They are flexible and soft and therefore have the capacity to squeeze through even the tiniest of blood vessels to reach every cell in the body.Due to genetic mutation the RBCs acquire the shape of a crescent moon or Sickle and become rigid and brittle.These Abnormal shaped RBCs which are not flexible get struck in small blood vessels causing slow or blockage of blood flow to other tissues of body and disrupt supply of Oxygen to those parts. Moreover the lifespan of abnormal sickle shaped RBCs is only 10-20 days as compared to 120 days of normal RBCs.Human body keeps on forming new RBCs to replace the old ones,but in a person with sickle cell disease the balance in formation of new RBCs and Destruction of existing RBCs is disturbed. This results in lower RBC count or anemia in a person suffering with Sickle cell disease. Bone marrow transplant in India offers a viable option for Sickle cell treatment in India.
At CMCS Health , we are associated with best Indian bone marrow transplant hospitals for Sickle cell treatment in India.
What are complications of Sickle cell disease?
Sickle cell anemia may have different complications in different people at different stages of disease,but the major and severe complications for a person suffering from sickle cell anemia can be broadly classified as Acute and chronic.
Acute Complication:
Sickle cell crisis:
Sickle cell crisis or VAS ( Vaso occlusive crisis ) manifests as acute severe pain.Sickle cells disrupts blood supply through smaller capillaries resulting in ischemia. Sudden pain across body that may persist from a few hours to a few days.The pain usually occurs in limbs,chest and back.
Fever and infections:
Patients with sickle cell disease are prone to severe bacterial infections because of reduction or absence of splenic function. This may expose the patient to extremely high risk of septicemia and meningitis.Pneumonia is the most common infection ,meningitis,influenza and hepatitis are other infections occurring in sickle cell disease patients.
A Stroke:
Sickle cell disease may cause a a stroke in an affected person because of oxygen deprivation due to blockage in supply of blood to tissue of brain. Some of the sickle cell anemia patients may experience a Transient ischemic attack.
Acute Chest Syndrome:
Pneumonia like complications in a child or adult suffering from sickle cell disease. The reason could be an infection or sickle cells trapped in micro capillaries of lungs.
Hepatobiliary complications:
Hepatobiliary tract abnormalities are common in sickle cell disease patients.They may include cholelithiasis, acute cholecystitis, biliary sludge, and acute choledocholithiasis,acute Hepatic Sequestration and acute intrahepatic cholestasis.
Acute renal failure:
A decrease in kidney functions due to dehydration or obstruction or even because of intrinsic renal disease.
Acute Anemia:
May be because of Splenic sequestration.
Multisystem Organ failure:
A systemic failure of lungs,liver and kidney is a life threatening medical condition for sickle cell anemia patients.
Chronic Complications:
Vision Problems:
A sickle cell disease patient may develop vision problems over a period of time.It may include proliferative sickle retinopathy and vitreous hemorrhage. Complete vision loss is also possible.
Avascular Necrosis:
Avascular or aseptic necrosis can occur when capillaries are occluded by sickled erythrocytes at distal portions of a bone, near a joint, where hypoxia is maximal and collateral circulation is inadequate .The most common site for sickle cell anemia induced avascular necrosis is femoral neck.
Leg Ulcers:
Leg ulcers appear in patients of sickle cell anemia.
Pulmonary Hypertension:
Pulmonary hypertension occur in sickle cell disease patients.
Sickle cell treatment in India | BMT :
Sickle cell anemia patients are usually referred to a Hematologist ( A doctor who has specialized in blood disease management). Treatment of sickle cell anemia may involve determining many factors by the treating hematologist.Treatment of sickle cell anemia includes regular monitoring and follow up with a hematologist,Medications for management of symptoms and complications,pain management,blood transfusions, oxygen supplementation and allogeneic Bone Marrow transplant.
Stem cell or Bone marrow transplant is a viable treatment option for those young sickle cell anemia patients where the diseases condition is severe and can not be managed with conventional methods. A sickle cell anemia child who is having a matching sibling donor is referred for a bone marrow transplant by the hematologist considering all the pros and cons. Risk involved is big but a stem cell or bone marrow transplant is the only cure for sickle cell anemia child or young adult.
Before the transplant, bone marrow cells are taken from a close matching healthy brother or sister. The patient with sickle cell disease is then treated with chemotherapy and radiation that destroy his or her bone marrow cells. After that, the donated bone marrow stem cells are transplanted in the patient.
Prostate Cancer is a one of the serious and life threatening medical condition affecting prostate. Prostate cancer usually affect elderly and above 65 year old men but it may affect younger men too. Prostate cancer is the second largest cancer in men.Prostate cancer generally metastasizes to bones. Since the growth of prostate cancer is slow it may not affect or diagnosed in early stages but there are instances where the cancerous prostate cells have grown rapidly. We are associated with Best Indian Urology surgeon well versed with da Vinci robotic surgery , Medical oncologist well versed with chemotherapy and immunotherapy and Radiation oncologistfor comprehensive and complete Prostate cancer treatment in India.
Who are at risk for prostate Cancer?
Prostate cancer affects men above 50 years of age.Over a period of time the survival rate in prostate cancer have improved dramatically from 30% in 1970's to 80% presently.
Prostate cancer may affect any men above the age of 50 years,but the African or African Caribbean are at a three fold higher risk than white people.The man whose father or brother have been diagnosed with prostate cancer stand two and a half time higher chances than the men who never had a prostate cancer family history.
Black men are at three times higher risk of being diagnosed with prostate cancer as compared to white men.
Some studies suggest that men among the populations where consumption of "red meat" is more common are at a higher risk of developing prostate cancer.
Prevention of Prostate Cancer
Certain life style changes may reduce risk of prostate cancer. Quitting smoking and regular physical exercises at least for 30 minutes a day and five days a week can cut down risk of prostate cancer. Reduction in consumption of animal fat or red meat also cut down the risk for prostate cancer. A study although not confirmed that a diet high in tomatoes may also be helpful in reducing the risk of prostate cancer.
How Prostate Cancer is diagnosed?
Prostate cancer is usually diagnosed through screening as symptoms appear quite late in patients.The usual diagnostic procedures are a blood test called PSA or prostate specific antigen test. A higher PSA test result indicated possibility of prostate cancer. Although it may be non confirmatory too as Prostatitis may also cause elevated PSA levels.
DRE (Digital Rectal examination) may also suggest presence of prostate cancer, where a qualified and experienced doctor puts a gloved lubricated finger inside the rectum of the patient to feel any bump or hard surface on prostate suggesting a cancerous growth.
Transrectal ultrasound (TRUS) or Transrectal ultrasound guided biopsy are more confirmatory and reliable tests for diagnosing the presence of prostate cancer in a patient.
Prostate cancer treatment in India:
The treatment options for prostate cancer depend on stage and overall general health of patient.
It may involve watchful waiting or active surveillance.
Prostatectomy the surgical removal of part or whole of prostate.
Robot assisted prostate surgery are the latest surgical techniques for smaller incision,quicker healing and precise results for prostate cancer . Doctors do consider nerve sparing surgical removal of part or whole prostate that does not affect the normal sexual capacity and active sexual life of patient.
We at CMCS Healthare associated with the most experienced cancer surgeons and well equipped hospitals for prostate cancer treatment in India of our global guests.Expertise of a urological cancer surgeon is very crucial for treatment outcome of prostatectomy.
Other treatment options are Radiation Therapy, it could be external beam radiation therapy. With a 3D conformal radiotherapy assisted with CT scans and MRI for precise results with optimum dose to cancerous cell within the prostate gland.
IMRT or Intensity modulated radiation therapy give more flexibility of dose modulation to Radiation doctors thereby more precise results and avoiding side effect of radiation on bowel and bladder overtime.
Proton therapy is considered superior to external beam radiation therapy for more precise and less side effect associated radiation therapy for prostate cancer treatment.
Brachytherapy for prsoate cancer can be used for patients who want to avoid daily visit to radiation therapy center or do not want to stay in India for long.
The expertise of Radiation Oncology doctor is again vital for treatment outcome. CMCS Health is associated with the most experienced Radiation oncology doctors and hospitals with latest diagnostics and radiation therapy machines for better treatment outcome of prostate cancer for our global guests.
Hormonal therapies are also used along with surgical and radiation therapies for better treatment options and results for prostate cancer treatments.
Chemotherapy is used for hormone resistant and metastatic or advanced prostate cancer. A combination of chemotherapeutic drugs or single agent therapy are used for better results and lower side effects.
Targeted chemotherapy for prostate cancer holds big promise for recurrent and advanced or prolapsed prostate cancer treatment.
Dr. Deepak Singla - Medical Oncologist is Unit Chief and consultant Medical Oncologist at Dept. of Medical Oncology at Paras Hospitals,Gurgaon,Haryana,India.
Spinal stenosis is a narrowing of the spaces within your spine, which can put pressure on the nerves that travel through the spine. Spinal stenosis occurs most often in the lower back and the neck.
Some people with spinal stenosis may not have symptoms. Others may experience pain, tingling, numbness and muscle weakness. Symptoms can worsen over time.
Spinal stenosis is most commonly caused by wear-and-tear changes in the spine related to osteoarthritis. In severe cases of spinal stenosis, doctors may recommend surgery to create additional space for the spinal cord or nerves.
Types of spinal stenosis
The types of spinal stenosis are classified according to where on the spine the condition occurs. It's possible to have more than one type. The two main types of spinal stenosis are:
Cervical stenosis. In this condition, the narrowing occurs in the part of the spine in your neck.
Lumbar stenosis. In this condition, the narrowing occurs in the part of the spine in your lower back. It's the most common form of spinal stenosis.
Many people have evidence of spinal stenosis on an MRI or CT scan but may not have symptoms. When they do occur, they often start gradually and worsen over time. Symptoms vary depending on the location of the stenosis and which nerves are affected.
In the neck (cervical spine)
Numbness or tingling in a hand, arm, foot or leg
Weakness in a hand, arm, foot or leg
Problems with walking and balance
Neck pain
In severe cases, bowel or bladder dysfunction (urinary urgency and incontinence)
In the lower back (lumbar spine)
Numbness or tingling in a foot or leg
Weakness in a foot or leg
Pain or cramping in one or both legs when you stand for long periods of time or when you walk, which usually eases when you bend forward or sit
Back pain
When to see a doctor
See your doctor if you have any of the symptoms listed.
The backbone (spine) runs from your neck to your lower back. The bones of your spine form a spinal canal, which protects your spinal cord (nerves).
Some people are born with a small spinal canal. But most spinal stenosis occurs when something happens to narrow the open space within the spine. Causes of spinal stenosis may include:
Overgrowth of bone. Wear and tear damage from osteoarthritis on your spinal bones can prompt the formation of bone spurs, which can grow into the spinal canal. Paget's disease, a bone disease that usually affects adults, also can cause bone overgrowth in the spine.
Herniated disks. The soft cushions that act as shock absorbers between your vertebrae tend to dry out with age. Cracks in a disk's exterior may allow some of the soft inner material to escape and press on the spinal cord or nerves.
Thickened ligaments. The tough cords that help hold the bones of your spine together can become stiff and thickened over time. These thickened ligaments can bulge into the spinal canal.
Tumors. Abnormal growths can form inside the spinal cord, within the membranes that cover the spinal cord or in the space between the spinal cord and vertebrae. These are uncommon and identifiable on spine imaging with an MRI or CT.
Spinal injuries. Car accidents and other trauma can cause dislocations or fractures of one or more vertebrae. Displaced bone from a spinal fracture may damage the contents of the spinal canal. Swelling of nearby tissue immediately after back surgery also can put pressure on the spinal cord or nerves.
Risk factors
Most people with spinal stenosis are over the age of 50. Though degenerative changes can cause spinal stenosis in younger people, other causes need to be considered. These include trauma, congenital spinal deformity such as scoliosis, and a genetic disease affecting bone and muscle development throughout the body. Spinal imaging can differentiate these causes.
Complications
Rarely, untreated severe spinal stenosis may progress and cause permanent:
Cardiothoracic Surgery involves surgical procedures involving organs in the thoracic cavity,i.e. heart ,lungs,esophagus and other organs in chest.
At CMCS Health ,we offer the best and most cost-effective Cardio - thoracic surgery in India with most experienced Indian cardiac surgeons at best equipped and well managed Hospitals.
The Cardio - Thoracic surgeries we offer for our Global guests includes :
CABG ( By pass Heart Surgery ) :
Valve Replacement Surgery :
Heart failure Surgery:
Minimally Invasive Surgery:
Thoracic Surgery:
Dr Rajneesh Malhotra is the chief of cardiac surgery at Max Super speciality hospital ,Saket,New Delhi. Dr Rajneesh has specialized in minimally invasive cardiac surgery ,CABG (Bypass Heart surgery),Mitral valve replacement and repairs,Aortic valve replacement and repair and Atrial septal defects .
Multiple Myeloma is a diseased medical condition involving plasma cells. Normal plasma cells are found in the bone marrow and form an integral God gifted immune system for a healthy Individual. We offer complete and comprehensive multiple myeloma treatments in India at our state of art and well managed bone marrow transplant unit.
At CMCS Health we are associated with Best Hematologist and BMT specialist from India for cost effective treatment of hematological malignancies in India. We Offer cost effective Multiple Myeloma treatment in India for our Global guests seeking specialized medical treatment in India.
What is Multiple Myeloma:
Multiple Myeloma is a diseased medical condition involving plasma cells. Normal plasma cells are found in the bone marrow and form an integral God gifted immune system for a healthy Individual.
In Multiple Myeloma patients the normal plasma cells are converted into Malignant plasma cells. These Myeloma plasma cells produce large quantities of abnormal immunoglobulins called M Protien.
The large quantities of this abnormal immunoglobulin hampers the production of normal blood cells in Multiple myeloma patients.
Symptoms of Multiple Myeloma:
Although many of the patients suffering from multiple myeloma may not exhibit or feel any symptoms and it is diagnosed because of some lab. tests recommended by a clinician for other health complaints of the patients.
The common symptoms of Multiple myeloma experienced by patients are:
Pain in bones ,which could be in all skeleton system but more prominent in skull,back or hips. Patients of multiple myeloma can easily fracture their bones even with a slight stress or injury because of weakening of bone (osteoporosis ) either in the entire skeletal system or at a place of plasmacytoma.
A routine CBC recommended by a physician to rule out a health complaint reveals low RBC , WBC and platelets.Low RBCs cause fatigue , a general feeling of malice and not being well, difficulty in breathing and dizziness. Low WBCs will make patient prone to frequent infections and some patient may have pneumonia. Low blood platelet count may culminate in delayed blood clotting time and excessive bleeding even with a minor cut or bruise .
Hypercalcemia or excess calcium in blood may cause extreme thirst and drinking of plenty of fluids and frequent urinating, dehydration,kidney problems,severe constipation, loss of appetite ,a feeling of drowsiness and confusion.
Spinal cord compression in multiple myeloma patient because of weakening of bones and collapsing of spinal vertebrae may cause muscle weakness and numbness in legs or sudden severe back pain.
Other more severe symptoms may include congestive heart failure, enlarged liver and spleen ,enlarged tongue ,skin changes, persistent diarrhoea and numbness and weakness in hands called carpal tunnel syndrome.
Diagnosis Of Multiple Myeloma:
Once a clinician suspects that a patient is having multiple myeloma ,he recommends certain blood ,urine , a bone marrow biopsy , Xrays ,CT scans and MRIs to confirm the diagnosis.
Multiple Myeloma treatment in India:
The treatment of multiple myeloma depends on staging done by a hematologist. Usually treatment of multiple myeloma consists of chemotherapy and supportive care , radiation therapy ,surgery in certain cases and Bone Marrow or Stem cell Transplant.
At CMCS Health , we offer cost effective multiple myeloma treatments in India with the best of Indian Hematologist and BMT specialists at most well equipped and well managed Indian Blood cancer treatment hospitals.
Dr Pawan Kumar Singh currently heads the Hematology and Bone Marrow Transplantation department at Artemis Hospital in Gurgaon, India.
Fibroscan is a pain free,risk free and convenient way for diagnosing Liver fibrosis. A fibroscan can monitor the progression of an individual's liver disease and gives an accurate quantitative measure of success of treatment. It can also suggest life style modifications required for maintaining a healthy liver and ensure stopping further damage to already damaged liver.
Diagnosing Liver Health - Fibroscan :
Fibroscan is the latest technology for assessment of liver stiffness. Liver tissues are spongy naturally but in a diseased liver the spongy tissues undergoes fibrosis. A fibroscan is an instant ,non-invasive and painless diagnostic test for knowing liver health. The newer and latest versions of A Fibroscan machine can also measure Liver fat.
Advantages of Fibroscan Over normal ultrasound scan:
A normal ultrasound of liver can detect only tumors of liver ,Cysts, abscesses , structural lesions of liver and gallstones. Whereas a fibroscan can detect significant liver fibrosis even in early stage. It can also estimate liver fat accurately ,even in early stage.
Who can benefit from Fibroscan :
A fibroscan can diagnose liver health accurately for everyone but those who stand a high risk of liver tissue degeneration can benefit tremendously from a fibroscan.
People known to have chronic liver disease.
Frequent Alcohol consumers.
Obese or overweight people ( When body mass index is more than 23.5)
Abnormal liver function test.
Enlarged liver.
Diagnosed with fatty liver.
Diagnosed with hepatitis-B or Hepatitis-C infection.
Diabetics.
Family history of liver disease.
A possible Liver Donor.
Duration of Fibroscan:
No Hospitalization is required for fibroscan. It takes approx. 10 minutes and reports are printed immediately. A person can go to home immediately after a fibroscan as it is pain free and done without sedation.
How Fibroscan is done:
A person undergoing fibroscan lie on his/her back with right arm raised behind the head. The Technician operating Fibroscan applies a waterbased gel to skin of the person undergoing fibroscan.
A fibroscan probe is placed with a little pressure at the abdomen of the person. The fibroscan probe sends a sheer wave into liver and the on board computer registers the data and values. Ten such readings are noted by placing the probe at different places and the average gives the result.
Who should be advised to not undergo a Fibroscan:
A Fibroscan is a generally safe diagnostic tool for diagnosing liver health but
Anyone who has implantable device such as a pacemaker or defibrillator.
Pregnant Females.
People with abdominal ascities.
Dr Pawan Rawal MBBS , MD, DM Gastroenterology is Unit Head -Department of Gastroenterology , digestive and liver diseases at Artemis Hospital ,Gurgaon.
