#Biliary System

[diseaseinfohub]

The average weight of a gallbladder in a healthy adult ranges from 2 to 3 ounces (50 to 85 grams). Situated beneath the liver, this small organ plays a vital role in digestion by storing bile, which aids in breaking down fats. Factors like age, gender, and overall health can influence gallbladder weight. Surgical removal, or cholecystectomy, is a common intervention for issues like gallstones. Understanding the normal weight of the gallbladder provides insights into digestive system health, and variations may indicate underlying conditions impacting this essential organ's function.

[dratefahmed1]

MCQS Biliary Tract & Gallbladder/ Medical Exam/Medical Student Exam/ Mrcs/FRCS/ USMLE Qs / No1doctor

#Gallbladder #Biliary_Tract #bile #biliary #infection #surgery #MCQs #Exam #medical #doctor #medical_exam #medical_student #no1doctor #dratef #Mrcs #frcs #usmle Please Subscribe to our Channel Like ,Share our Videos Press Alarm Button Free Medical Android applications Follow Us At Social Media Accounts Join our Telegram Group Free Medical Applications can gallbladder problems cause gas, can your…

[does-truth-matter]

The CDC has quietly changed who should AVOID the MMR vaccine.

https://www.cdc.gov/vaccines/vpd/mmr/public/index.html

They now state that ANYONE that “Has a parent, brother or sister with a history of immune system problems” should AVOID THE MMR VACCINE!

What exactly is an 'immune system problem?" Every autoimmune disorder.

* Achalasia

* Addison’s disease

* Adult Still's disease

* Agammaglobulinemia

* Alopecia areata

* Amyloidosis

* Amyotrophic lateral sclerosis (Lou Gehrigs)

* Ankylosing spondylitis

* Anti-GBM/Anti-TBM nephritis

* Antiphospholipid syndrome

* Autoimmune angioedema

* Autoimmune dysautonomia

* Autoimmune encephalomyelitis

* Autoimmune hepatitis

* Autoimmune inner ear disease (AIED)

* Autoimmune myocarditis

* Autoimmune oophoritis

* Autoimmune orchitis

* Autoimmune pancreatitis

* Autoimmune retinopathy

* Autoimmune urticaria

* Axonal & neuronal neuropathy (AMAN)

* Baló disease

* Behcet’s disease

* Benign mucosal pemphigoid

* Bullous pemphigoid

* Castleman disease (CD)

* Celiac disease

* Chagas disease

* Chronic inflammatory demyelinating polyneuropathy (CIDP)

* Chronic recurrent multifocal osteomyelitis (CRMO)

* Churg-Strauss Syndrome (CSS) or Eosinophilic Granulomatosis (EGPA)

* Cicatricial pemphigoid

* Cogan’s syndrome

* Cold agglutinin disease

* Congenital heart block

* Coxsackie myocarditis

* CREST syndrome

* Crohn’s disease

* Dermatitis herpetiformis

* Dermatomyositis

* Devic’s disease (neuromyelitis optica)

* Discoid lupus

* Dressler’s syndrome

* Endometriosis

* Eosinophilic esophagitis (EoE)

* Eosinophilic fasciitis

* Erythema nodosum

* Essential mixed cryoglobulinemia

* Evans syndrome

* Fibromyalgia

* Fibrosing alveolitis

* Giant cell arteritis (temporal arteritis)

* Giant cell myocarditis

* Glomerulonephritis

* Goodpasture’s syndrome

* Granulomatosis with Polyangiitis

* Graves’ disease

* Guillain-Barre syndrome

* Hashimoto’s thyroiditis

* Hemolytic anemia

* Henoch-Schonlein purpura (HSP)

* Herpes gestationis or pemphigoid gestationis (PG)

* Hidradenitis Suppurativa (HS) (Acne Inversa)

* Hypogammalglobulinemia

* IgA Nephropathy

* IgG4-related sclerosing disease

* Immune thrombocytopenic purpura (ITP)

* Inclusion body myositis (IBM)

* Interstitial cystitis (IC)

* Juvenile arthritis

* Juvenile diabetes (Type 1 diabetes)

* Juvenile myositis (JM)

* Kawasaki disease

* Lambert-Eaton syndrome

* Leukocytoclastic vasculitis

* Lichen planus

* Lichen sclerosus

* Ligneous conjunctivitis

* Linear IgA disease (LAD)

* Lupus

* Lyme disease chronic

* Meniere’s disease

* Microscopic polyangiitis (MPA)

* Mixed connective tissue disease (MCTD)

* Mooren’s ulcer

* Mucha-Habermann disease

* Multifocal Motor Neuropathy (MMN) or MMNCB

* Multiple sclerosis

* Myasthenia gravis

* Myositis

* Narcolepsy

* Neonatal Lupus

* Neuromyelitis optica

* Neutropenia

* Ocular cicatricial pemphigoid

* Optic neuritis

* Palindromic rheumatism (PR)

* PANDAS

* Parkinson's disease

* Paraneoplastic cerebellar degeneration (PCD)

* Paroxysmal nocturnal hemoglobinuria (PNH)

* Parry Romberg syndrome

* Pars planitis (peripheral uveitis)

* Parsonage-Turner syndrome

* Pemphigus

* Peripheral neuropathy

* Perivenous encephalomyelitis

* Pernicious anemia (PA)

* POEMS syndrome

* Polyarteritis nodosa

* Polyglandular syndromes type I, II, III

* Polymyalgia rheumatica

* Polymyositis

* Postmyocardial infarction syndrome

* Postpericardiotomy syndrome

* Primary biliary cirrhosis

* Primary sclerosing cholangitis

* Progesterone dermatitis

* Psoriasis

* Psoriatic arthritis

* Pure red cell aplasia (PRCA)

* Pyoderma gangrenosum

* Raynaud’s phenomenon

* Reactive Arthritis

* Reflex sympathetic dystrophy

* Relapsing polychondritis

* Restless legs syndrome (RLS)

* Retroperitoneal fibrosis

* Rheumatic fever

* Rheumatoid arthritis

* Sarcoidosis

* Schmidt syndrome

* Scleritis

* Scleroderma

* Sjögren’s syndrome

* Sperm & testicular autoimmunity

* Stiff person syndrome (SPS)

* Subacute bacterial endocarditis (SBE)

* Susac’s syndrome

* Sympathetic ophthalmia (SO)

* Takayasu’s arteritis

* Temporal arteritis/Giant cell arteritis

* Thrombocytopenic purpura (TTP)

* Tolosa-Hunt syndrome (THS)

* Transverse myelitis

* Type 1 diabetes

* Ulcerative colitis (UC)

* Undifferentiated connective tissue disease (UCTD)

* Uveitis

* Vasculitis

* Vitiligo

* Vogt-Koyanagi-Harada Disease

Wonder how many doctors are paying attention?

~shared from Jodi Wilson

[expertacademicassignmenthelp]

How Does The Drug Got Excreted / Eliminated From The Body?

Drug excretion is an important process in pharmacology, encompassing the elimination of pharmaceutical substances from the body. While the ultimate elimination of all drugs is inevitable, the specific pathways involved can vary significantly. Some drugs undergo extensive metabolic transformations before being excreted, while others are expelled from the body in their original form.

The kidneys play a central role in excreting water-soluble substances, effectively filtering them from the bloodstream. Meanwhile, the biliary system handles drugs that remain unabsorbed from the gastrointestinal tract, providing an alternative route for elimination. Although excretion through auxiliary channels such as the intestines, saliva, sweat, breast milk, and lungs is typically minimal, certain volatile anesthetics and residual drug traces in breast milk can have notable impacts, particularly on vulnerable populations such as infants.

Renal excretion constitutes a significant portion of drug elimination, accounting for approximately 20% of the plasma that is filtered through the glomeruli. While most water and electrolytes are reabsorbed back into circulation, polar compounds like drug metabolites are excreted predominantly in urine. However, it’s important to note that renal excretion tends to decrease with age, necessitating careful dosage adjustments for elderly patients to mitigate potential adverse effects.

Numerous factors influence the process of renal excretion, including the extent of protein binding, the degree of drug ionization affecting reabsorption rates, fluctuations in urine pH that can alter excretion dynamics, and the impact of metabolic inhibitors on tubular secretion mechanisms.

Biliary elimination, on the other hand, occurs when drugs traverse the biliary epithelium via active transport mechanisms. However, this process is not without limitations, as transporter saturation can impose constraints on drug excretion rates. Typically, larger molecules containing polar and lipophilic groups are excreted through bile, while smaller molecules tend to favor renal elimination pathways.

In addition to renal and biliary routes, drugs may also be eliminated to varying extents through auxiliary pathways such as saliva, tears, feces, sweat, and exhalation. While the quantities eliminated through these routes are generally minimal, drug excretion in breast milk can pose significant concerns for lactating mothers, potentially exposing nursing infants to pharmacological agents.

Understanding the pharmacokinetic parameters governing drug excretion is paramount for optimizing therapeutic regimens and minimizing the risk of adverse effects. Key parameters include the rate of elimination, clearance, elimination rate constant, and biologic half-life for drugs undergoing first-order elimination kinetics.

In conclusion, drug excretion represents a broad process influenced by a myriad of factors, necessitating comprehensive consideration to ensure the safe and efficacious use of pharmacotherapy.

For medical students navigating the complexities of their studies, Expert Academic Assignment Help serves as a beacon of professionalism and expertise. With a steadfast dedication to excellence and competency, our team provides invaluable support and guidance tailored to your academic needs. Do not hesitate to reach out to us for assistance on your academic journey, email: expertassignment46@gmail.com 

Your excellence our pride.

[daidi-dragan-glas]

Gmornin Sunshines and happy Monday

Some of you know, I've been fighting stage 4a Colon cancer with extensive mets to liver, lungs and lymph nodes for the past little while.. (since my diagnosis in Sept of 2022). To begin with, I was told I had about a year and a half, well, I've obviously passed that little mile marker by a few months. There for awhile, it seemed as if the systemic chemo was gonna kick it, I was down to just one or 2 small lesions in my liver that were shrinking. But October of last year, I had new spots in my lungs, lymph nodes and liver, so we kicked up the chemo a notch(about as aggressively as possible) and they began shrinking again by December. My oncologist pointed out a month or so ago that it looked like I might actually be a candidate for surgery to remove a portion of my liver and that it might even be a curative procedure, so scheduled consults with a hepatic biliary surgeon and an interventional radiologist to look into it. I got my hopes way up, only to essentially get a kick in the teeth. Seems I didn't only have one or two lesions in my liver (that were growing by the way), I have 6 or 7 that are growing pretty quickly, and I am NOT a candidate for that surgery.

So at this point my only option is still just continuing the course of a systemic chemotherapy, stay as aggressive with it as possible, constantly having to harp at my oncologist that I would much rather put up with more side effects than to "keep my quality of life" high... I would much prefer to feel like absolute shit for awhile and have a good chance of beating this shit, than to live only 6 months or a year as if little is wrong.

So, I'm putting this out there, not for sympathy, but for added good thoughts and energy my way, and just to prepare those I care for, that there may come a day when I disappear.

I've worked and practiced my whole life to become the BEST dirty old man that I can be, and now that I'm on the cusp of achieving that, fucking cancer wants to take it away from me... Well, fuck that noise! I'm not done yet 😉

[fallingmaddlyinlove]

health update letsgooo:

UGHH i think my fourth procedure of this month was finally 100% successful, which means there will be no more complications!!!! (hopefully!!) 😩 i also think i can finally get rid of the drainage tubes too soon!! 🥰🤞i apparently also got 15 staples across my abdomen and four more down another incision site, so that's fun. it's healing well tho. no more 8/10 pain!! :)

moral of the story? (a little disclaimer/PSA 🥰): all of these complications (drainage tubes, 4 hour long open abdominal surgery, 2 endoscopic procedures, opioid withdrawal from 24/7 use) were 100% my fault. i ignored my gallbladder issues for literal years and ruined my biliary system in the process. all for the purpose of avoiding surgery in the first place 😀 (don't do what i did. don't ignore your health if you are able to treat it PLEASE I'M NOT JOKING LMAO)

i have been in the hospital for 20 days 🙂

[marutiagrifoods]

How Phloroglucinol 150 + Trimethylphloroglucinol 150 Suppositories Work in Treating Gastrointestinal Disorders

Gastrointestinal disorders affect millions of people worldwide, causing discomfort, pain, and disruption to daily life.  Among the effective treatments for these conditions are phloroglucinol 150 + Trimethylphloroglucinol 150 suppositories, which have gained prominence for their antispasmodic properties.  As a leading phloroglucinol 150 + trimethylphloroglucinol 150 suppository manufacturer in Senegal, Centurion Healthcare Pvt. Ltd. is proud to shed light on how these suppositories work and their role in managing gastrointestinal health.

Understanding Phloroglucinol and Trimethylphloroglucinol

Phloroglucinol and trimethylphloroglucinol are active ingredients widely used to relieve spasms in smooth muscles.  Together, they form a potent combination that addresses various gastrointestinal issues by reducing spasmodic pain and improving patient comfort.

Key Properties of the Active Ingredients

Phloroglucinol:  A spasmolytic agent that relaxes smooth muscles, especially in the gastrointestinal tract.  It works by targeting hyperactive muscles, thus reducing contractions.

Trimethylphloroglucinol:  A derivative of Phloroglucinol that enhances its efficacy and provides prolonged relief from spasms.

Mechanism of Action

The suppository form of Phloroglucinol 150 + Trimethylphloroglucinol allows for direct absorption into the bloodstream, offering faster relief compared to oral medications.  Here is how it works:

Inhibits Muscle Spasms:  The active ingredients block the calcium channels in smooth muscle cells, preventing excessive contractions.

Reduces Pain:  By relaxing the muscles, the suppositories alleviate pain caused by cramping or spasms.

Targets Specific Disorders:  Conditions like irritable bowel syndrome (IBS), colitis, and biliary colic benefit significantly from this treatment.

Applications of Phloroglucinol 150 + Trimethylphloroglucinol Suppositories

Irritable Bowel Syndrome (IBS):  IBS is characterized by abdominal pain, bloating, and irregular bowel movements.  The antispasmodic action of Phloroglucinol 150 + Trimethylphloroglucinol suppositories helps reduce abdominal discomfort and improve bowel function.

Renal and Biliary Colic:  These conditions involve severe pain due to spasms in the urinary or biliary tract.  The suppositories provide rapid relief by relaxing the affected smooth muscles.

Postoperative Spasms:  Following abdominal surgeries, patients often experience spasms in the gastrointestinal tract.  These suppositories are effective in minimizing such discomfort and speeding up recovery.

Why Choose Suppositories?

Suppositories offer several advantages over other forms of medication:

Rapid Absorption:  The rectal route bypasses the digestive system, ensuring faster onset of action.

Minimized Side Effects:  Unlike oral medications, suppositories reduce the risk of gastrointestinal irritation.

Convenience for Patients with Nausea:  Patients unable to take oral medications due to vomiting or nausea benefit significantly from suppositories.

Centurion Healthcare Pvt. Ltd.:  A Trusted Partner in Pharmaceuticals

Centurion Healthcare Pvt. Ltd. stands out as a leading name in the pharmaceutical industry in India, renowned for its commitment to quality and innovation.  As one of the top pharmaceutical companies in India, we specialize in manufacturing and exporting high-quality medications, including Phloroglucinol 150 + Trimethylphloroglucinol 150 suppositories.

Our Expertise

Phloroglucinol 150 + trimethylphloroglucinol 150 suppository exporter in Senegal:  We ensure timely delivery and adherence to international quality standards for our global clients.

State-of-the-Art Facilities:  Our advanced manufacturing units adhere to stringent GMP guidelines, ensuring the highest quality products.

Comprehensive Solutions:  From research and development to manufacturing and distribution, we cover every aspect of the pharmaceutical value chain.

The Role of Indian Pharma Companies in Global Healthcare

India has established itself as a global leader in the pharmaceutical sector, supplying affordable and high-quality medicines worldwide.  Pharmaceutical companies in India, like Centurion Healthcare Pvt. Ltd., are at the forefront of this success story.  Here is why:

Affordable Innovation:  Indian pharma companies combine innovation with cost-efficiency, making medications accessible to millions.

Global Reach:  As a prominent phloroglucinol 150 + trimethylphloroglucinol 150 suppository supplier in Senegal, we exemplify the international presence of Indian pharmaceuticals.

Diverse Product Range:  From generics to specialized medications, Indian pharma manufacturing companies in India cater to diverse healthcare needs.

Challenges in Gastrointestinal Health and the Need for Effective Solutions

Gastrointestinal disorders are on the rise globally due to factors like poor diet, stress, and sedentary lifestyles.  These conditions require effective and targeted treatments to improve patient quality of life.  Phloroglucinol 150 + Trimethylphloroglucinol suppositories address this need by:

Providing Quick Relief:  Their rapid absorption ensures faster alleviation of symptoms.

Enhancing Patient Compliance:  Easy-to-administer and effective, these suppositories are a preferred choice for many patients.

Reducing Healthcare Costs:  By preventing complications and hospitalizations, they offer cost-effective solutions for gastrointestinal care.

Centurion Healthcare Pvt. Ltd.:  A Leader among Pharmaceutical Companies

As one of the top 10 pharmaceutical companies in India, Centurion Healthcare Pvt. Ltd. is dedicated to improving global healthcare through innovative products.  Our pharma companies in India are known for their commitment to excellence, making us a trusted partner for healthcare providers and patients alike.

Why Partner with Us?

Global Expertise:  We have a strong presence in international markets, including Senegal, where we are recognized as a leading phloroglucinol 150 + trimethylphloroglucinol 150 suppository manufacturer in Senegal.

Quality Assurance:  Our products undergo rigorous quality checks to meet the highest standards.

Customer-Centric Approach:  We prioritize the needs of our clients and patients, ensuring effective and reliable solutions.

The Future of Gastrointestinal Treatment

The pharmaceutical industry is constantly evolving, with new advancements shaping the future of healthcare.  As a leader in the pharmaceutical industry in India, Centurion Healthcare Pvt. Ltd. is committed to staying at the forefront of innovation.

Key Trends to Watch:

Personalized Medicine:  Tailored treatments based on individual patient needs.

Advanced Drug Delivery Systems:  Innovations like sustained-release formulations and targeted therapies.

Global Collaboration:  Strengthening ties between Indian pharma companies and international healthcare providers.

Conclusion

Phloroglucinol 150 + Trimethylphloroglucinol 150 suppositories represent a significant advancement in the treatment of gastrointestinal disorders.  Their effectiveness in relieving spasms and improving patient outcomes makes them a vital tool in modern healthcare.

As a trusted phloroglucinol 150 + trimethylphloroglucinol 150 suppository exporter in Senegal and one of the top pharmaceutical companies in India, Centurion Healthcare Pvt. Ltd. is proud to contribute to global health through high-quality products.  Partner with us to access reliable and innovative solutions for your healthcare needs.

[glacialswordsman]

home and so, so tired... 🫠 medical stuff under cut

i got diagnosed with many-a-thing! gallstones, biliary colic, PUD, and pancreatitis. sighs

they gave me morphine and it barely helped. in fact, bc ive never had morphine before, the initial shock of it flushing through my system made me cry lmao. i did Nawt feel better--until i vommed. then i felt much better for a bit, but now i'm not doing well again. but it's not as bad fortunately

[highqueenseleni]

17 God Damned Years, that is how long it took until SOMEONE listened to me when I said what was wrong with my bowels wasn't IBS, that it was all related to my gallbladder getting removed. I never had gut problems until then, then after the surgery I developed hell problems (I will spare you the details, but it is a nightmare)

Five different GI specialists who all just waved it off and told me to try FODmaps (which made it worse) or Gluten Free (which made it worse) or antidepressants (which did nothing) or antispasmodics (which made it worse) It took until I had biliary colic so bad that the ER was convinced it was appendicitis and then several more specialists being baffled, I had so many 'we need to have emergency surgery...wait no, we need to do more testing' before a normal ol' internal medicine doctor listened to me and was like 'oh I know what that is' and immediately fixed the problem. A dose of Bile Salts, Acid blocker, and antinausea medicine later and then I got to go home because the pain stopped. My heart rate stabilized, and I no longer thought I was dying. I have Postcholecystectomy syndrome. It has a name, I wasn't crazy or untreatable this whole time. I likely have to drink Cholestyramine every morning for the rest of my life and might have to be on acid blockers indefinitely too, but that is fine. Because it is a medication and treatment that actually works. I could go on a very long and angry rant about how I have been utterly fucked by the medical system so many times over now and the trauma I have developed from it, but for right now I am just going to enjoy having a result that works and for the first time in 17 long years no stomach ache to speak of.

[bpod-bpod]

Renewal Noticed

The gall bladder and bile ducts and associated small glands are a part of the digestive system, distinct from the liver, known as the extrahepatic biliary tree. This study reveals the mechanisms underlying how, like the gut, these components constantly renew their lining cells (epithelium)

Read the published research paper here

Image from work by Serrena Singh and colleagues

Section of Digestive Diseases, Department of Internal Medicine, Yale University School of Medicine, New Haven, CT, USA

Image originally published with a Creative Commons Attribution 4.0 International (CC BY 4.0)

Published in Developmental Cell, October 2023

You can also follow BPoD on Instagram, Twitter and Facebook

[pain-and-persistence]

Causes and risk factors in Chronic pancreatitis

Title: Understanding the Causes and Risk Factors of Chronic Pancreatitis

Chronic pancreatitis is a debilitating condition characterized by inflammation and irreversible damage to the pancreas. While the exact cause of chronic pancreatitis can vary from person to person, several factors contribute to its development. By understanding these causes and risk factors, individuals can take proactive steps to minimize their risk and manage the condition effectively.

1. Alcohol Consumption: Chronic alcohol abuse is one of the leading causes of chronic pancreatitis. Excessive alcohol consumption over a prolonged period can damage pancreatic cells, leading to inflammation and scarring. It's essential to moderate alcohol intake and seek help if struggling with alcohol dependence.

2. Genetics: Genetic factors play a significant role in predisposing individuals to chronic pancreatitis. Certain genetic mutations, such as mutations in the PRSS1, SPINK1, and CFTR genes, can increase the risk of developing the condition. Family history of pancreatitis or other pancreatic disorders also elevates the risk.

3. Smoking: Smoking is a well-established risk factor for chronic pancreatitis. The harmful chemicals in tobacco smoke can damage the pancreas and impair its function over time. Quitting smoking is crucial for reducing the risk of developing chronic pancreatitis and improving overall health.

4. Gallstones: Gallstones, which are hardened deposits in the gallbladder, can obstruct the pancreatic duct and lead to inflammation of the pancreas. This condition, known as biliary pancreatitis, can progress to chronic pancreatitis if left untreated. Managing gallstones promptly through medication or surgical removal can help prevent complications.

5. Autoimmune Diseases: Autoimmune conditions such as autoimmune pancreatitis (AIP) can cause chronic inflammation of the pancreas. In AIP, the body's immune system mistakenly attacks the pancreatic tissue, triggering inflammation and scarring. Proper diagnosis and treatment are essential for managing autoimmune-related pancreatitis effectively.

6. Hereditary Factors: In some cases, chronic pancreatitis can be inherited as a familial disorder. Individuals with a family history of the condition are at an increased risk of developing it themselves. Genetic counseling and screening may be recommended for those with a family history of chronic pancreatitis.

7. Hypertriglyceridemia: Elevated levels of triglycerides in the blood, a condition known as hypertriglyceridemia, can contribute to the development of chronic pancreatitis. High triglyceride levels can lead to pancreatic inflammation and damage. Managing triglyceride levels through diet, exercise, and medication can help reduce the risk.

8. Other Risk Factors: Obesity, certain medications, such as corticosteroids and diuretics, and certain medical conditions, such as cystic fibrosis and hypercalcemia, can also increase the risk of chronic pancreatitis. Identifying and addressing these risk factors early on is crucial for prevention and management.

Conclusion: Chronic pancreatitis is a complex condition with multiple contributing factors. By understanding the causes and risk factors associated with the disease, individuals can make informed lifestyle choices and seek appropriate medical care to reduce their risk and manage the condition effectively. It's essential to adopt a holistic approach to health, including maintaining a healthy weight, avoiding excessive alcohol consumption, quitting smoking, and addressing underlying medical conditions, to promote pancreatic health and overall well-being.

[mcatmemoranda]

Helpful template for transgender care:

Pt presents today to discuss HRT for transition

Preferred name/pronouns:

Pt has or is establishing w/ counseling/therapy

Reviewed support systems in place such as family, friends, therapy

Hx of SI/HI/anx/dep:

Sexual activity:

STI screening:

Pt is attracted to:

Feminizing effects: decreased libido, erections, breast growth (max at 2-3 yrs), decreased testes volume, decreased sperm counts, redistribution of fat, decreased muscle mass, softening of skin, decreased terminal hair

Estrogen therapy risks: VTE risk, CV disease/event risk, weight gain, hypertriglyceridemia, HTN, decreased glucose tolerance, biliary disease, benign prolactinoma, mental health effects, infertility

Nonreversible changes: breast enlargement

Reversible changes: fertility (though sperm counts may drop), variations in libido, voice changes

Other considerations: risks of tucking, management of residual facial/body hair

Reviewed to please not acquire hormone tx from non-clinical/pharmacy sources

Reviewed recs regarding risks associated w/ tucking and testicular entrapment

Considered speech referral to help manage voice changes

Lab work intervals:

Hgb/Hct at baseline and then annually

Lipids, LFT's, A1c as indicated

Estradiol at 3, 6, 13 mo and then routinely every 6-12 months

Testosterone at 6 and 12 months and then annually

Electrolytes and Bun/Cr at baseline and then routinely every 6-12 months

Goals:

Androgen blocker therapy goal: uptitrated until testosterone is suppressed to below 55ng/dL

Estradiol level: 100-200 pg/mL

Spironolactone: 50-300 mg daily (oral)

Spironolactone SE's: increased urination, hypotension, hyperkalemia, dehydration

Finasteride: 1-5mg daily (stops hair loss) (oral)

Lupron: GnRH agonist (injectable)

Casodex: androgen receptor inhibitor (injectable)

Cyproterone acetate: synthetic progestagen (transdermal)

Prometrium/provera/depo-provera (progestins) - risks include CV disease increase, breast CA, weight gain, depression. Benefits: weight gain, increased energy/libedo

[delhiapollo]

Trusted Oncological Care With Trusted Hands

It is but natural that the best cancer hospital in Delhi is the right place to find the best oncologist in Delhi. Equipped with the highest qualifications and ably assisted by an efficient support staff, the oncologists at the world-class Indraprastha Apollo Hospital provide cancer patients the best care possible. The top-end facilities, equipment and techniques available to a cancer specialist here go a long way in strongly backing the healing process of every patient.

Besides qualifications and experience, empathy and compassion are equally important qualities to look for in the best oncologist in Delhi. At the Indraprastha Apollo Hospital, each member of the Apollo Cancer Institute is committed to providing cancer patients with every life-saving treatment available. For example, Image Guided Radiotherapy (IGRT), Stereotactic Body Radiotherapy (SBRT), Frameless Stereotactic Radiosurgery (SRS), 3D Conformal Radiotherapy, Intensity Modulated Radiotherapy (IMRT), and High Dose Rate (HDR) Brachytherapy are offered here for early detection of cancer and advanced surgical technology known as da Vinci robotical surgical system help cancer surgeons perform complicated surgeries with ease ensuring best outcome. In addition, the Tumour Board and Group Tumour Board meetings foster discussions between surgical, medical and radiation oncologists as do the Cancer Awareness Programs and counselling sessions offered at the Apollo Cancer Institute.

Follow-up constitutes an important component of treatment and is an integral part of the management protocols carried out by the Apollo Cancer Institute. Early detection and timely management of recurrence is the principle objective of follow-up in cancer management. The best oncologist in Delhi firmly believes this not only enhances survival but improves quality of life of patients.

Take a look at some of the top cancer specialists at Indraprastha Apollo Institute, who would each qualify to be the best oncologist in Delhi:

Dr Anil D’Cruz

MBBS, MS, DNB, FRCS (HON.

With over three decades of experience, Dr D’Cruz is a renowned surgical oncologist focusing primarily on head and neck cancers. His major areas are management of neck metastasis, conservative laryngeal surgery, cancers of the oral cavity, thyroid, quality of life issues and global health.

Dr Manish Singhal

MBBS, MD, DM(AIIMS)ECMO

Dr Singhal’s career spans over twenty years, largely covering all types of chemotherapy, intensive protocols, immunotherapy, hormonal therapy in addition to dealing with oncological emergencies, including medical care of patients.

Dr Dipanjan Panda

MBBS, MD, DM

One of the best medical oncologists in Delhi, Dr Panda’s area of expertise lies in gastrointestinal and hepatic pancreatico biliary malignancy, breast and gynaecological malignancy, lung and head neck cancer, genito-urinary malignancy, lymphoma and myeloma (haematological malignancy) and rare tumours like neuroendocrine tumours.

Dr Shuaib Zaidi

MBBS, MS (SURGERY), DNB (SURGERY), MCH (SURGICAL ONCOLOGY)

The Academic Coordinator and Senior Consultant in the Department of Surgical Oncology, Dr Zaidi has over twenty years of experience as a surgical oncologist. He specialises in the treatment of thoractic cancer, gastrointestinal cancer, PIPAC (Pressurised Intraperitoneal Chemotherapy), breast cancer and complex gynaecologic oncology.

Dr Praveen Garg

MBBS, M.S.(GEN.SURGERY), M.CH.(ONCOSURGERY)

Dr Garg specialises in the diagnosis, treatment and surgical management of malignant conditions in various parts of the body, and has advanced training in parathyroid and thyroid cancer surgeries, breast conservation surgeries, mastectomies and breast tissue reconstructions.

Dr Ruqaya Ahmed Mir

MBBS, DNB

Trained in robotic surgery, Dr Mir routinely performs major oncological resectional surgical procedures for head and neck cancers, lung and oesophageal cancers, major gastrointestinal malignancies, breast and gynaecological malignancies and soft tissue sarcomas.

To get in touch with the best oncologist in Delhi, contact Indraprastha Apollo Hospital