Dr. Akash Umesh Tiwari
Oncologist
11 years of experience
M.D.S.,B.D.S.
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.
My aunt got a tumor in the kidney in 2014 and found cancer. She was 35 at that time. Since then, she has been surviving with only the right kidney. She is a diabetic patient too. Last month diagnosed with some abnormality on her other kidney too. Though it was nothing severe and was treated with medicine. But we are worried that if the other kidney also gets affected, what are her survival chances?
Answered on 23rd May '24
Having only one kidney does not affect the quality of life to a very high extent, but any disease or disorder of the remaining kidney can be fatal and will require immediate treatment. The most important thing is such a scenario is regular follow ups with nephrologist and routine investigations such as blood tests and ultrasonography tests. This improves and also increases the chances of survivals.
My father had to go through prostate gland surgery two times. First time in 2016 in Siliguri and 2nd one is from Amri Hospital, Mukundapur, Kolkata in 2021. Both the biopsy reports came negative. But the doctor said it might happen again. My question is if we had to operate another time, would it be cancerous?
Answered on 23rd May '24
Many a time prostate gland increases in size without any cancerous component called as Benign prostate hypertrophy which occurs due to age factor. Every time the surgery is done, some tissue is always sent for histopathological investigation which shows whether the disease is cancerous or not.
After any cancer surgery and chemotherapy sessions it is mandatory to have regular follow up visits with an oncologist to check any signs of disease. There are many side effects of surgery and chemotherapy which also has to be dealt with, that is the reason why even though cancer free but regular follow up is mandatory.
Hello Sir, I am from Ludhiana. My masi had gone through breast cancer operation and chemotherapy quite a few years (7 years) back from Apollo hospital, Chennai. Since then she often falls sick (feels weak, drowsy throughout the day, bad taste) all of a sudden once in 4-6 months and then again normal. We did many tests but nothing was diagnosed and there was no sign of cancer. We want to know if it is an after effect of chemotherapy and guide how to go through with this. She is now 56.
Answered on 23rd May '24
Yes some side effects of chemotherapy following breast surgery are weakness, drowsiness and altered taste. Proper nutrition and sufficient fluid intake is of utmost importance. You need to visit oncologist for any medication for that will help her in minimizing the side effects.
My name is Pratima. Just a few days back my grandmother was diagnosed with colon cancer treatment (1st stage). She is 75 now. As she is quite aged, is there any chance of growing again? Or is there any life risk even post operation? As she is quite aged we are really worried. Please help.
Answered on 29th Aug '24
Surgery is to be done to get the disease out of body and prevent it's spread elsewhere in body. There is always a chance of spread of disease in Colon cancer, so regular follow ups with oncologist are very important to check any spread. Age factor does matter in case of recovery post surgery. General condition of the body matters alot for proper recovery post surgery.
Hi. My mother has been sick for a while, she has a swallowing problem. Her Neck CT Scan suggested a lesion in the hypopharynx that extends to the cervical esophagus. Pathological correlation needed. Please advise me on what exactly needs to be done further.
Answered on 23rd May '24
Sir this requires a biopsy first and then treatment which is most likely going to be chemotherapy combined with radiation. For more details you can visit best oncologist in delhi.
Asked for Male, 54
Hi. My name is avadh. I had lung cancer . And i had chest sonography, biopsies, IHC Final Diagnose. And many blood test. Bansal hospitals dr told me. I had 4th stage cancer. What can i do..
Answered on 23rd May '24
Please visit best cancer hospital in India for a consultation where doctors can assess disease and tell you all the newest treatment options
Asked for Male, 49
Am 49 years old. I got affected with Melanoma skin cancer 2 years back and doctors performed surgery to remove the tumor and for 2 years cancer did not come back, again last month I got a mole appeared in the same position and in biopsy it turned out to be melanoma again. When I approached the doctors in Basavatharakam they asked me to go through the Immunotherapy but Dr Mohana Vamshi from Omega suggested to go with Radiation and tablets. Wanted to check which one would be the best option
Answered on 23rd May '24
Sir can we get full details and what is the present disease status with BRAF mutation status. You can also visit Oncologist near you for more information and treatment.
Asked for Female, 61
I'm asking on behalf of my sister. She is 61 years old. She had breast cancer treatment in 2012, a mastectomy. 2018 she as diagnosed with still disease. She has other pre existing conditions, high blood Pressure, diabetes, thybroids and lupus. She has now been diagnosed with bone cancer. The hospital doctor says they can't treat the cancer because if her other conditions. She wants to fight this. Is there a realistic chance her cancer can be treated to extend her life. I've heard the proton beam is very successful.
Answered on 23rd May '24
Sir please get in touch with our experienced team of Oncologists for a consult as they have to determine whether it is same disease or new and what is best treatment strategy from a holistic point of view.
Asked for Male, 57
I am 57 year old and ,I am a Brain tumor patient my tumor size is 66*44*41*
Answered on 23rd May '24
Sir treatment has to be individualized based on type of tumor and location. Please provide us with further details for us to help you out or you can visit nearest oncologist for exact treatment