MEDICAL BLOGS:TREATMENT OF NON SMALL CELL LUNG CANCER (Part 4)

1) SURGERY 

If your doctor thinks the lung cancer can be treated with surgery, pulmonary function tests will be done beforehand to see if you would still have enough healthy lung tissue left after surgery.

·      Other tests will check the function of your heart and other organs to be sure you’re healthy enough for surgery.

·      SURGERY to remove the cancer (often along with other treatments) may be AN OPTION ONLY FOR EARLY STAGE LUNG CANCER ( NSCLC)

·      If surgery can be done, it provides the best chance to cure NSCLC.

·      Lung cancer surgery is a complex operation that can have serious consequences, so it should be done by a Thoracic surgeon or Onco-surgeon, who has a lot of experience operating on lung cancers.

·      The cancer has already spread to the lymph nodes between the lungs. This is often done just before surgery with mediastinoscopy.

Types of lung surgery

Different operations can be used to treat (and possibly cure) NSCLC:
If one can imagine a large airway with a tumour, as similar to the sleeve of a shirt with a stain a couple of inches above the wrist, the sleeve resection would be like cutting across the sleeve above and below the stain and then sewing the cuff back onto the shortened sleeve. 
   *With any of these operations, nearby lymph nodes are also removed to look for possible spread of the cancer.
Increasingly, doctors now treat early-stage lung cancers in the outer parts of the lung with a procedure called video-assisted thoracic surgery (VATS), which requires smaller incisions than a thoracotomy.
Radiation therapy uses high-energy rays (such as x-rays) or particles to kill cancer cells.
There are 2 main types of radiation therapy:
    *Brachytherapy (internal radiation therapy)
External beam radiation therapy (EBRT) focuses radiation from outside the body on the cancer. This is the type of radiation therapy most often used to treat NSCLC or its spread to other organs.
In people with NSCLC, brachytherapy is sometimes used to shrink tumors in the airway to relieve symptoms.
Before surgery to shrink tumour size.
Concurrent therapy along with radiation for cancer that cannot be removed by surgery. As main therapy for advanced stages of cancer.
*Carboplatin
*Paclitaxel (Taxol)
*Albumin-bound paclitaxel (nab-paclitaxel, Abraxane)
*Docetaxel (Taxotere)
*Gemcitabine (Gemzar)
*Vinorelbine (Navelbine)
*Irinotecan (Camptosar)
*Etoposide (VP-16)
*Vinblastine
*Pemetrexed (Alimta)
Targeted drugs work differently from standard chemotherapy. At this time, they are most often used for advanced lung cancers, either along with chemo or by themselves. Drugs that target tumor blood vessel growth (angiogenesis) For tumors to grow, they need to form new blood vessels to keep them nourished. This process is called angiogenesis. Some targeted drugs, called angiogenesis inhibitors, block this new blood vessel growth:
This drug is often used with chemo for a time. 
Then if the cancer responds, the chemo may be stopped and the bevacizumab given by itself until the cancer starts growing again.
Ramucirumab (Cyramza) can also be used to treat advanced NSCLC. VEGF has to bind to cell proteins called receptors to act. This drug is a monoclonal antibody that targets a VEGF receptor. This helps stop the formation of new blood vessels. This drug is most often given after another treatment stops working. It is often combined with chemo.
Drugs that target cells with EGFR changes
Epidermal growth factor receptor (EGFR) is a protein on the surface of cells.
Erlotinib (Tarceva) 
Afatinib (Gilotrif)
Gefitinib (Iressa) 
These drugs can be used alone (without chemo) as the first treatment for advanced NSCLCs that have certain mutations in the EGFR gene.
EGFR inhibitors used for squamous cell NSCLC
Necitumumab (Portrazza) is a monoclonal antibody (a man-made version of an immune system protein) that targets EGFR. It can be used along with chemotherapy as the first treatment in people with advanced squamous cell NSCLC. This drug is given as an infusion into a vein (IV).
About 5% of NSCLCs have a rearrangement in a gene called ALK.
Ceritinib (Zykadia)
Alectinib (Alecensa)
These drugs can often shrink tumors in people whose lung cancers have the ALK gene change.

·      Pneumonectomy: This surgery removes an entire lung. This might be needed if the tumor is close to the center of the chest.

·      Lobectomy: The lungs are made up of 5 lobes (3 on the right and 2 on the left). In this surgery, the entire lobe containing the tumor(s) is removed. This is often the preferred type of operation for NSCLC if it can be done.

·      Segmentectomy or wedge resection: In these surgeries, only part of a lobe is removed. This approach might be used, for example, if a person doesn’t have enough lung function to withstand removing the whole lobe. 

·      Sleeve resection: This operation may be used to treat some cancers in large airways in the lungs. 

 *A surgeon may be able to do this operation instead of a pneumonectomy to preserve more lung function.

These operations require general anesthesia (where you are in a deep sleep) and are usually done through a surgical incision between the ribs in the side of the chest (called a thoracotomy).

The type of operation your doctor recommends depends on the size and location of the tumor and on how well your lungs are functioning.

Doctors often prefer to do a more extensive operation (for example, a lobectomy instead of a segmentectomy) if a person’s lungs are healthy enough, as it may provide a better chance to cure the cancer.

When you wake up from surgery, you will have a tube (or tubes) coming out of your chest and attached to a special canister to allow excess fluid and air to drain out. The tube(s) will be removed once the fluid drainage and air leak subside. Generally, you will need to spend 5 to 7 days in the hospital after the surgery.

Video-assisted thoracic surgery (VATS)

·      During this operation, a thin, rigid tube with a tiny video camera on the end is placed through a small cut in the side of the chest to help the surgeon see inside the chest on a TV monitor.

·      One or two other small cuts are created in the skin, and long instruments are passed through these cuts to do the same operation that would be done using an open approach (thoracotomy).

·      One of the incisions is enlarged if a lobectomy or pneumonectomy is done to allow the specimen to be removed.

·      Because only small incisions are needed, there is usually less pain after the surgery and a shorter hospital stay – typically 4 to 5 days.

·      Most experts recommend that only early-stage tumors near the outside of the lung be treated this way.

·      The cure rate after this surgery seems to be the same as with surgery done with a larger incision.

·      But it’s important that the surgeon doing this procedure is experienced, because it requires a great deal of technical

RECOVERY AFTER LUNG SURGERY

Surgery for lung cancer is a major operation. Recovering from lung cancer surgery typically takes weeks to months.

·      If the surgery is done through a thoracotomy (a long incision in the chest), activity might be limited for at least a month or two.

·      People who have VATS instead of thoracotomy tend to have less pain after surgery and to recover more quickly.

·      If the lungs are in good condition (other than the presence of the cancer) usually return to normal activities occurs after some time if a lobe or even an entire lung has been removed.

·      If one also has another lung disease such as emphysema or chronic bronchitis (which are common among long-time smokers), you might become short of breath with certain levels of activity after surgery.

2) RADIO FREQUENCY ABLATION (RFA) for NSCLC

This treatment might be an option for some people some small lung tumors that are near the outer edge of the lungs, especially if they can’t tolerate surgery.

·      RFA uses high-energy radio waves to heat the tumor. A thin, needle-like probe is put through the skin and moved in until the tip is in the tumor. Placement of the probe is guided by CT scans. Once the tip is in place, an electric current is passed through the probe, which heats the tumor and destroys the cancer cells.

·      RFA is usually done as an outpatient procedure, using local anesthesia (numbing medicine) where the probe is inserted. You may be given medicine to help you relax as well.

Radiation Therapy

·      *As main treatment approach along with chemotherapy if Surgery not possible (due to location or size of tumour or patient not fit)

·      After surgery ( alone or with chemo) to kill any remaining cancer cells

·      Before surgery ( along with chemo) to shrink tumour size.

·      To treat a single area of cancer spread, such as a tumour in the brain or an adrenal gland.

·      To relieve (palliate) symptoms of advanced NSCLC such as pain, bleeding, trouble swallowing, cough, or problems caused by spread to other organs such as the brain.

Types of radiation therapy

    *External beam radiation therapy

External beam radiation therapy

Brachytherapy (internal radiation therapy)

CHEMOTHERAPY for NSCLC:

Adjuvant chemotherapy After surgery ( sometimes along with radiation) to kill any cancer cells left behind. 

Drugs used to treat NSCLC

The chemo drugs most often used for NSCLC include:

*Cisplatin

·      Most often, treatment for NSCLC uses a combination of 2 chemo drugs.

·      Studies have shown that adding a third chemo drug doesn’t add much benefit and is likely to cause more side effects.

·      Single-drug chemo is sometimes used for people who might not tolerate combination chemotherapy well, such as those in poor overall health or who are elderly.

·      If a combination is used, it often includes cisplatin or carboplatin plus one other drug.

·      Sometimes gemcitabine with vinorelbine or paclitaxel, may be used.

·      For people with advanced lung cancers who meet certain criteria, targeted therapy a drug such as bevacizumab (Avastin), ramucirumab (Cyramza), or necitumumab (Portrazza) may be added to treatment as well.

·      Doctors give chemo in cycles, with a period of treatment (usually 1 to 3 days) followed by a rest period to allow the body time to recover.

·      Some chemo drugs, though, are given every day.

·      Chemo cycles generally last about 3 to 4 weeks.

·      For advanced cancers, the initial chemo combination is often given for 4 to 6 cycles.

·      If the initial chemo treatment for advanced lung cancer is no longer working, the doctor may recommend second-line treatment with a single chemo drug such as docetaxel or pemetrexed, or with a targeted therapy or immunotherapy drug.

Targeted therapy drugs for NSCLC:

Bevacizumab (Avastin) is used to treat advanced NSCLC. It is a monoclonal antibody (a man-made version of a specific immune system protein) that targets vascular endothelial growth factor (VEGF), a protein that helps new blood vessels to form.

It normally helps the cells grow and divide.

Drugs called EGFR inhibitors can block the signal from EGFR that tells the cells to grow. Some of these drugs can be used to treat NSCLC.

EGFR inhibitors used in NSCLC with EGFR gene mutations

These are more common in women and people who haven’t smoked.

Erlotinib can also be used for advanced NSCLC without these mutations if chemo isn’t working. All of these medicines are taken as pills.

EGFR inhibitors that also target cells with the T790M mutation

Drugs that target cells with ALK gene changes

This change is most often seen in non-smokers (or light smokers) who have the adenocarcinoma subtype of NSCLC.

Crizotinib (Xalkori) 

Although they can help after chemo has stopped working, they are often used instead of chemo in people whose cancers have the ALKgene rearrangement.

Thanks for reading and please keep visiting our blog to discover and appreciate more Yoddhas. 
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Author- 

   

Dr. Ganjoo 

Head-Yoddhas Medical Expert Panel

MEDICAL BLOGS:LUNG CANCER (Part 2)

Tests Conducted For Investigation And Staging Of Non Small Cell Lung Cancer( NSCLC)
            
                       

Imaging tests

·      To look at suspicious areas that might be cancer

·      To learn how far cancer may have spread

·      To help determine if treatment is working

·      To look for possible signs of cancer coming back after treatment 
Chest x-ray
A CT scan uses x-rays to make detailed cross-sectional images of your body. Instead of taking one picture, like a regular x-ray, a CT scanner takes many pictures as it rotates around you while you lie on a table. A computer then combines these pictures into images of slices of the part of your body being studied.
                               

Like CT scans, MRI scans provide detailed images of soft tissues. But MRI scans use radio waves and strong magnets instead of x-rays. A contrast material called gadolinium is often injected into a vein before the scan to better see details.
For this test, a form of radioactive sugar (known as FDG) is injected into the blood. Because cancer cells in the body are growing quickly, they absorb more of the radioactive sugar. This radioactivity can be seen with a special camera.
For this test, a small amount of low-level radioactive material is injected into the blood. The substance settles in areas of bone changes throughout the entire skeleton. This radioactivity can be seen with a special camera.
The actual diagnosis of lung cancer is made by looking at Lung Cells or Secretions under microscope:
A sample of mucus you cough up from the lungs (sputum) is looked at under a microscope to see if it has cancer cells.
If there is a buildup of fluid around the lungs (called a pleural effusion), doctors can perform thoracentesis to find out if it is caused by cancer spreading to the lining of the lungs (pleura).
An advantage of needle biopsies is that they don’t require a surgical incision.
Bronchoscopy
If lung cancer has been found, it’s often important to know if it has spread to the lymph nodes in the space between the lungs (mediastinum) or other nearby areas. This can affect a person’s treatment options.
Ultrasound is a type of imaging test that uses sound waves to create pictures of the inside of your body. For this test, a small, microphone-like instrument called a transducer gives off sound waves and picks up the echoes as they bounce off body tissues. The echoes are converted by a computer into an image on a computer screen.
This test is like endobronchial ultrasound, except the doctor passes an endoscope (a lighted, flexible scope) down the throat and into the esophagus (the tube connecting the throat to the stomach). This is done with numbing medicine (local anesthesia) and light sedation.
These procedures may be done to look more directly at and get samples from the structures in the mediastinum (the area between the lungs). They are done in an operating room by a surgeon while you are under general anesthesia (in a deep sleep). The main difference between the two is in the location and size of the incision.
Thoracoscopy can be done to find out if cancer has spread to the spaces between the lungs and the chest wall, or to the linings of these spaces.
For this test, very thin slices of the samples are attached to glass microscope slides. The samples are then treated with special proteins (antibodies) that attach only to a specific substance found in certain cancer cells.
In some cases, doctors may look for specific gene changes in the cancer cells that could mean certain targeted drugs help treat the cancer. For example:
Blood tests are not used to diagnose lung cancer, but they can help to get a sense of a person’s overall health and fitness for surgery.
Pulmonary function tests (PFTs) are often done after lung cancer is diagnosed to see how well your lungs are working

·      This is often the first test your doctor will do to look for any abnormal areas in the lungs.

Computed tomography (CT) scan

·      A CT scan is more likely to show lung tumors than routine chest x-rays.

·      It can also show the size, shape, and position of any lung tumors and can help find enlarged lymph nodes that might contain cancer that has spread from the lung.

·      This test can also be used to look for masses in the adrenal glands, liver, brain, and other internal organs that might be due to the spread of lung cancer.

CT-guided needle biopsy: If a suspected area of cancer is deep within your body, a CT scan can be used to guide a biopsy needle into the suspected area.

Magnetic resonance imaging (MRI) scan

·      MRI scans are most often used to look for possible spread of lung cancer to the brain or spinal cord.

·      Rarely, MRI of the chest may be done to see if the cancer has grown into central structures in the chest.

Positron emission tomography (PET) scan

PET/CT scan: Often a PET scan is combined with a CT scan using a special machine that can do both at the same time. This lets the doctor compare areas of higher radioactivity on the PET scan with the more detailed appearance of that area on the CT scan. This is the type of PET scan most often used in patients with lung cancer.

·      If you appear to have early stage lung cancer, your doctor can use this test to help see if the cancer has spread to nearby lymph nodes or other areas, which can help determine if surgery may be an option for you.

·      This test can also be helpful in getting a better idea if an abnormal area on another imaging test might be cancer.

·      PET/CT scans can also be useful if your doctor thinks the cancer might have spread but doesn’t know where. They can show spread of cancer to the liver, bones, adrenal glands, or some other organs.

·      They are not as useful for looking at the brain, since all brain cells use a lot of glucose.

·      PET/CT scans are often helpful in diagnosing lung cancer, but their role in checking whether treatment is working is unproven.

·      Most doctors do not recommend PET/CT scans for routine follow up of patients with lung cancer after treatment.

Bone scan

·      A bone scan can help show if a cancer has spread to the bones.

·      But this test isn’t needed very often because PET scans, which are often done in patients with non-small cell lung cancer, can usually show if cancer has spread to the bones.

·      Bone scans are done mainly when there is reason to think the cancer may have spread to the bones (because of symptoms such as bone pain) and other test results aren’t clear.

Test for diagnosis of Lung Cancer

Sputum cytology

·      The best way to do this is to get early morning samples for 3 days in a row. This test is more likely to help find cancers that start in the major airways of the lung, such as squamous cell lung cancers.

·      It may not be as helpful for finding other types of non-small cell lung cancer.

Thoracentesis 

·      For this procedure, the skin is numbed and a hollow needle is inserted between the ribs to drain the fluid.

·      If a malignant pleural effusion has been diagnosed, thoracentesis may be repeated to remove more fluid.

Fine needle aspiration (FNA) biopsy, the doctor uses a syringe with a very thin, hollow needle to withdraw (aspirate) cells and small fragments of tissue.

In a core biopsy, a larger needle is used to remove one or more small cores of tissue. Samples from core biopsies are larger than FNA biopsies, so they are often preferred. 

The drawback is that they remove only a small amount of tissue.

In some cases (particularly with FNA biopsies), the amount removed might not be enough to both make a diagnosis and to classify DNA changes in the cancer cells that can help doctors choose anticancer drugs.

Transthoracic needle biopsy: If the suspected tumor is in the outer part of the lungs, the biopsy needle can be inserted through the skin on the chest wall. The area where the needle is to be inserted may be numbed with local anesthesia first. The doctor then guides the needle into the area while looking at the lungs with either fluoroscopy (which is like an x-ray, but creates a moving image on a screen rather than a single picture on film) or CT scans.

If CT is used, the needle is inserted toward the mass (tumor), a CT image is taken, and the direction of the needle is guided based on the image. This is repeated a few times until the needle is within the mass.

Other approaches to needle biopsies: An FNA biopsy may also be done to check for cancer in the lymph nodes between the lungs:

·      Transtracheal FNA or transbronchial FNA is done by passing the needle through the wall of the trachea (windpipe) or bronchi (the large airways leading into the lungs) during bronchoscopy or endobronchial ultrasound 

·      In some patients an FNA biopsy is done during endoscopic esophageal ultrasound by passing the needle through the wall of the esophagus. 

·      Bronchoscopy can help the doctor find some tumors or blockages in the larger airways of the lungs, which can often be biopsied during the procedure.

For this exam, a lighted, flexible fiber-optic tube (called a bronchoscope) is passed through the mouth or nose and down into the windpipe and bronchi. The mouth and throat are sprayed first with a numbing medicine. You may also be given medicine through an intravenous (IV) line to make you feel relaxed.

Small instruments can be passed down the bronchoscope to take biopsy samples. The doctor can also sample cells from the lining of the airways with a small brush (bronchial brushing) or by rinsing the airways with sterile saltwater (bronchial washing). These tissue and cell samples are then looked at under a microscope.

Tests to find lung cancer spread in the chest:

Several types of tests can be used to look for this cancer spread.

Endobronchial ultrasound

·      For endobronchial ultrasound, a bronchoscope is fitted with an ultrasound transducer at its tip and is passed down into the windpipe. This is done with numbing medicine (local anesthesia) and light sedation.

·      The transducer can be pointed in different directions to look at lymph nodes and other structures in the mediastinum (the area between the lungs).

·      If suspicious areas such as enlarged lymph nodes are seen on the ultrasound, a hollow needle can be passed through the bronchoscope and guided into these areas to obtain a biopsy.

The samples are then sent to a lab to be looked at under a microscope.

Endoscopic esophageal ultrasound

The esophagus is just behind the windpipe and is close to some lymph nodes inside the chest to which lung cancer may spread.

As with endobronchial ultrasound, the transducer can be pointed in different directions to look at lymph nodes and other structures inside the chest that might contain lung cancer. If enlarged lymph nodes are seen on the ultrasound, a hollow needle can be passed through the endoscope to get biopsy samples of them.

The samples are then sent to a lab to be looked at under a microscope.

Mediastinoscopy and mediastinotomy

·      Mediastinoscopy: A small cut is made in the front of the neck and a thin, hollow, lighted tube is inserted behind the sternum (breast bone) and in front of the windpipe to look at the area. Instruments can be passed through this tube to take tissue samples from the lymph nodes along the windpipe and the major bronchial tube areas. Looking at the samples under a microscope can show if they have cancer cells.

·      Mediastinotomy: The surgeon makes a slightly larger incision (usually about 2 inches long) between the left second and third ribs next to the breast bone. This lets the surgeon reach some lymph nodes that can’t be reached by mediastinoscopy.

Thoracoscopy

·      It can also be used to sample tumors on the outer parts of the lungs as well as nearby lymph nodes and fluid, and to assess whether a tumor is growing into nearby tissues or organs.

·      This procedure is not often done just to diagnose lung cancer, unless other tests such as needle biopsies are unable to get enough samples for the diagnosis.

·      Thoracoscopy is done in the operating room while you are under general anesthesia (in a deep sleep). A small cut (incision) is made in the side of the chest wall. (Sometimes more than one cut is made.)

·      The doctor then puts a thin, lighted tube with a small video camera on the end through the incision to view the space between the lungs and the chest wall.

·      Using this, the doctor can see possible cancer deposits on the lining of the lung or chest wall and remove small pieces of tissue for examination. (When certain areas can’t be reached with thoracoscopy, the surgeon may need to make a larger incision in the chest wall, known as a thoracotomy.)

·      Thoracoscopy can also be used as part of the treatment to remove part of a lung in some early-stage lung cancers. This type of operation, known as video-assisted thoracic surgery (VATS).

Lab tests of biopsy and other samples

Samples that have been collected during biopsies or other tests are sent to a pathology lab.The results of these tests are described in a pathology report, which is usually available within about a week.

Immunohistochemical tests 

·      If the cancer cells have that substance, the antibody will attach to the cells.

·      Chemicals are then added so that antibodies change color.

·      The doctor who looks at the sample under a microscope can see this color change.

Molecular tests

·      The epidermal growth factor receptor (EGFR) is a protein that sometimes appears in high amounts on the surface of cancer cells and helps them grow. Some drugs that target EGFR seem to work best against lung cancers with certain changes in the EGFR gene, which are more common in certain groups, such as non-smokers, women, and Asians. 

·      But these drugs don’t seem to be as helpful in patients whose cancer cells have changes in the KRAS gene. 

·      Many doctors now test for changes in genes such as EGFR and KRAS to determine if these newer treatments are likely to be helpful. 

·      About 5% of non-small cell lung cancers (NSCLCs) have a change in a gene called ALK. This change is most often seen in non-smokers (or light smokers) who have the adenocarcinoma sub type of NSCLC. Doctors may test cancers for changes in the ALK gene to see if drugs that target this change may help them.

Blood tests

·      A complete blood count (CBC) looks at whether your blood has normal numbers of different types of blood cells. It also indicates if you are anemic

·      Blood chemistry tests can help spot abnormalities in some of your organs, such as the liver or kidneys.

Pulmonary function tests

·      This is especially important if surgery might be an option in treating the cancer.

Surgery to remove lung cancer may mean removing part or all of a lung, so it’s important to know how well the lungs are working beforehand.

Some people with poor lung function (like those with lung damage from smoking) don’t have enough lung reserve to withstand removing even part of a lung. These tests can give the surgeon an idea of whether surgery is a good option, and if so, how much lung can safely be removed.

Thanks for reading and please keep visiting our blog to discover and appreciate more Yoddhas. 
Feel free to contact the Yoddhas team at team@yoddhas.com 
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Author- 

   

Dr. Ganjoo 

Head-Yoddhas Medical Expert Panel

DR. PANKAJ BHATNAGAR: Healing cancer with Homeopathy

A sigh of relief for those looking for treatment of cancer through homeopathy!

                    

DR. PANKAJ BHATNAGAR,considered a ‘GOD SENT HEALER’ by his patients is a homeopath who is reestablishing well-being and hope to cancer patients everywhere.

                                     

 He works on the ancient principle of “poison kills poison and has further carried out researches on herbal remedies and naturopathic techniques to improve the effectiveness of the treatment and make it more potent. The humane doctor is impartial towards everyone and treats people from all types of social background with an equal eye.He is seen to treat people suffering from all types of cancer ranging from leukemia, ovarian cancer and even cancer of esophagus and in all sorts of stages. There have been cases where people were given only about 3 months to live by modern medical practitioners and being cured in the same 90 days by Dr. Bhatnagar. They feel it’s a miraculous heal that has helped them find a new life.

Does and don’ts for cancer patients under Dr Bhatnagar’s care :

Do’s

• Sit in the sunlight for at least two hours in winter, and until 10 am in summer.
• Consume non–free–flowing, non-iodized salt.
• Have fresh legumes like moong, moth daal (haricot or dew beans), and chana.
• Rotis made of suji, dalia, milk, curds and chana are beneficial.
• Consume soup and juice made of ingenuously grown tomatoes, and seasonal vegetables and fruits
• Patients who do not have a sugar problem could have gud (jaggery)
• Tea with pepper, ginger, and tulsi is beneficial
• Have isabgol sometimes to improve digestion

Don’ts

• Avoid fish, meat, eggs and any non- vegetarian food
• No smoking or consuming tobacco in any form
• No alcohol
• No junk food or drinks with chemicals
• Don’t have any other medicines while under homeopathic treatment

Although many think of him as a healer few also believe his medication is futile. Some think that homeopathic treatment cannot surpass the normal course of treatment. 

A patient said that “The Doctor gives a very heavy dose in the form of liquid. Some minor diseases are cured but not chronic ones such as cancer”.

Contact: Dr Pankaj Bhatnagar, C 9/7, Krishna Nagar, Delhi – 110 051,

Disclaimer

We at Yoddhas want our patients to be doubly sure before seeking treatment from any homeopathic doctor and do not support or recommend this.Our first and foremost motto is to get our patients familiar with any advancement in the medical work. 

Thanks for reading and please keep visiting our blog to discover and appreciate more Yoddhas. 
Feel free to contact the Yoddhas team at team@yoddhas.com 

Lastly,

Praise the Yoddhas; Support the Yoddhas ; Love the Yoddhas!

Cheers!

Author- Srishti Jain

BEWARE: SIGNS & SYMPTOMS OF CANCER

Cancer is a group of diseases that can cause almost any sign or symptom.

The signs and symptoms will depend on :

• Where the cancer is
• How big the tumor is
• How much it affects the organs or tissues nearby
• If a cancer has spread (metastasized), signs or symptoms may appear in different parts of the body. As a cancer grows, it can begin to push on nearby organs, blood vessels, and nerves. This pressure also may cause some of the signs and symptoms of cancer.                   

• If the cancer is in a critical area with limited space, such as certain parts of the brain, even the smallest tumor can cause symptoms. But sometimes cancer starts in places where it does not cause any signs or symptoms until it has grown quite large.

We need to know some of the general signs and symptoms of cancer: 

BUT REMEMBER THAT HAVING ANY OF THESE DOES NOT MEAN THAT ONE HAS CANCER , – many other things can also cause these signs and symptoms.

But if you have any of these symptoms and they last for a long time or get worse, please see a doctor to find out what’s going on.

• Unexplained weight loss
• Fever/ night sweats
• Fatigue
• Unexplained bleeding from any site.
• Persistent pain
• Skin changes
• Change in bowel habits or bladder function
• Sores that do not heal
• White patches inside the mouth or white spots on the tongue
• Unusual bleeding or discharge
• Thickening or lump in the breast or other parts of the body
• Indigestion or trouble swallowing
• Recent change in a wart or mole or any new skin change
• Nagging cough or hoarseness
• Persistent headache with vomiting or vision disturbance.
• Post menopausal bleeding.
• Black stools.

So if you have above symptoms for a long time then do get your self checked.

Thanks for reading and please keep visiting our blog to discover and appreciate more Yoddhas. 
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Join our free patients group https://www.facebook.com/groups/yoddhathewarrior/

Lastly, Praise the Yoddhas; Support the Yoddhas ; Love the Yoddhas!

Author- 

   

Dr. Ganjoo 
Head-Yoddhas Medical Expert Panel