• Constipation-predominant – alternate between constipation with normal stool.
• Diarrhea- predominant – diarrhea symptoms are experienced first thing in the morning or after a meal.
• Alternate between diarrhea and constipation.

• Abdominal pain or cramps.
• Diarrhea or constipation – sometimes occur alternating phases.
• Bloating and passing excessive gas
• Mucus in the stool.
• Feeling that the bowel is not completely empty after motion.

• Infection – A case of gastroenteritis may cause IBS, even after the infection has cured.
• Food intolerance – Food intolerance or allergies may trigger IBS. This may be due to poor absorption of sugar lactose is commonly activates the condition.

• Sometimes high spice or sugar levels can cause problems.
• Emotional stress can affect the nerves of the bowel in some people.
• Medication – certain medications (antibiotics, antacids, and painkillers) can cause diarrhea or constipation.
• Hormones – Women get affected by IBS more than men. Symptoms can worsen during menstruation.

• Rome Criteria includes abdominal pain and discomfort lasting for at least one day a week for at least three months. The criteria are associated with the following symptoms:-

• Pain relieved after defecation
• Pain linked with an increase or decrease in stool frequency
• The consistency of the stool is either hard or soft.
• Manning Criteria focuses on the pain relieved by passing stool, inconsistent stool, mucus in stool, and incomplete bowel movement.

• Anemia
• Blood in stool
• Inexplicable weight loss
• Fever
• Family history of Celiac disease or colon cancer.

• Lactose intolerance tests
• Breath analysis for bacteria overgrowth
• Upper endoscopy
• Stool tests

• Increase the fiber content in your diet.
• Reduce or eliminate gas-producing food
• Reduce or eliminate dairy food.

World Cancer Day is organized by the Union for International Cancer control and is celebrated on 4th February is aimed at raising awareness in the international community to end the injustice of those needless suffering from cancer.  World cancer day aims to raise awareness and reduce misconceptions and stigma associated with the disease.  Cancer is the second leading causing of death globally.

The theme selected for 2020 is “I can and I will” stresses that all of us can act in the face of cancer. This year World Cancer Day celebrates its 20th Anniversary, the rising cases of cancer worldwide have made the discussion more significant.

What is Cancer?

Cancer occurs when there are changes in a group of cells in your body leading to abnormal growth forming a lump also called tumors. All types of cancers other than leukemia (cancer of the blood) start with a tumor. If left untreated tumors can grow and spread to adjoining tissues or other parts of the body through your lymphatic system and bloodstream.

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Tumors can be broadly classified into three groups:-

• Benign tumors are not cancerous and rarely threaten life.  They tend to grow slowly and do not spread to other parts of the body.
• Malignant tumors are cancerous. They grow faster than benign tumors and can spread and destroy surrounding tissues. Malignant tumors can break and spread to other parts of the body, the process is called metastasis.
• Precancer tumors are tumors that may develop into cancer.

There are five main types of cancers:-

• Carcinoma Cancer
• Sarcoma cancer
• Lymphoma and Myeloma
• Leukemia
• Brain and spinal cord cancer.

Cancer is caused by a combination of environmental, genetic or lifestyle factors. The use of tobacco and tobacco products remains the leading cause of cancer. Tobacco use has been linked to many types of cancer such as lung cancer, larynx cancer, and stomach cancer.

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World Cancer Day is observed by the global cancer community, governments, and individuals around the world. Every year events and activities are organized around the world.  Every year 9.6 million people die from the dreaded disease according to estimates this number may increase to 13.2 million by 2030. 

Cancer cases are rising in India. According to leading oncologists in the country, the top three cancers in the country are breast cancer, cervical cancer, and oral cancer. According to the National Cancer Registry Program over 1300 Indians die every day because of cancer.

Statistics also show the greatest increase in cancer has been in low and middle-income countries where resources to cope with the disease are smaller. Some of these deaths are preventable by increased government support to increase funding for prevention, detection, and treatment programs.

If doctors suggest some blood tests or diagnostic tests, then you can search the diagnostic center or book blood test at home at an affordable price using Ziffytech.

India has formulated the National cancer control program. The program aims to control tobacco-related cancers, early diagnosis, and treatment of cervical cancer and breast cancer. The program also aims to provide pain and palliative care by increasing the health infrastructure

Experts in India say tackling cancer must have a two-pronged approach –

• Promoting healthy lifestyle habits – obesity, smoking, excessive drinking increases the risks of the disease.  Exercise and a healthy balanced diet lower the risks.
• Prevention and early detection by use of HPV vaccination, regular health-checkups, regular pap smears for women between 35-64 years and self-examination of the breasts can help early detection of breast cancer.

Governments in India hope to set up diagnostic facilities across the country for early detection and to provide minimal treatment.  The government hopes to set up a regional cancer center for the treatment of cancer.

• Intramural fibroids are the most common grow on the uterus wall.
• Subserosal fibroids project outside the uterus.
• Submucosal fibroids protrude into the uterine cavity.

• Heavy bleeding during periods that can be painful
• Menstrual cycles lasting longer than a week
• Pain in the pelvis and lower back
• Frequent need to urinate
• Pain during sexual intercourse
• Complication during pregnancy

• Genetic abnormalities in the uterus.
• Hormonal changes in the body – Estrogen and progesterone are hormones produced in your ovaries. These hormones help create the lining during menstruation and can stimulate fibroids.
• Genetic – Uterine fibroids run in some families.
• Pregnancy – Your estrogen and progesterone level increase during pregnancy. Uterine Fibroids may develop and grow while you are pregnant.

• Imaging tests such as ultrasonogram and MRI
• Saline sonohystergram is a vaginal sonogram which is performed by putting fluid into the uterus. The expanded uterine cavity provides a better view of the fibroids growing in the uterus.
• Blood tests at home to rule out other potential causes for the symptoms.

• Laparoscopy   a tiny incision is made near or on your navel and a thin flexible wire with a camera is inserted. This allows them to view the uterus.
• Hysteroscopy the thin flexible wire is entered through the vagina and cervix. 

• Medication – The gynecologist near me may prescribe over the counter pain medication to deal with the pain and iron supplement if you are anemic. Birth control medication may control the symptoms. Hormonal medication that helps control the estrogen and progesterone levels can help shrink fibroids. Some medicines may have side effects you need to discuss this with your gynecologist in Lucknow.
• Surgery – Severe fibroids may not respond to medical treatment. Some common surgeries performed by the best gynecologists in Lucknow are:-
  • Myomectomy is done to remove fibroids from the uterus.
  • Hysterectomy is the partial or complete removal of your uterus. This is an extreme measure done when the fibroid is very large or there is excessive bleeding.
  • Endometrial ablation is done by removing uterus lining. The procedure is done using laser, heat, or electric current.
  • Myolysis a needle inserted into the fibroid during laparoscopy.
  • Uterine Fibroid Embolization or Uterine artery embolization is done by cutting off blood supply to fibroid. The fibroid will eventually shrink and die. During the procedure, embolic agents are injected into the arteries supplying blood to the uterus.

• They are specifically trained to look after children
• Since they only see children they can diagnose and treat childhood diseases better.
• If your child was premature or has a chronic ailment, specialist care of a childcare specialist near me is recommended. 

• They should enjoy interacting and dealing with children. They should be able to communicate effectively and professionally with you and their staff. Many children are scared during their visit, the child doctor in Lucknow should be able to deal with them calmly and patiently. The doctor should be able to explain procedures to both children and their parents.
• They should be open and truthful while answering queries of parents. They should not be dismissive about their concerns.
• They should document your child’s medical history carefully and keep a track of the medication administered.
• The best pediatricians in Lucknow should keep themselves abreast of the latest advances in pediatric medicine. They should also be aware of the latest vaccination charts recommended by the government. New parents rely on them regarding well-being, diet, and breastfeeding information.
• The child doctor in Lucknow should have received positive feedback from colleagues and patients.