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May18
EARLY CANCER COMPLAINS IN FEMALE TO BE TAKEN SERIOUSLY
-----------DR.RANJU NAKIPURIA,SR.GYNAECOLOGIST 07503303359,DR.D.R.NAKIPURIA SR.MED.CONSULTANT 07838059592

Cancer is highly prevalent in India previously it was thought that cancer except for oral cancer in both sex (which is highest in India due to our tobacco and supari chewing habits) is less here in comparison to whole world but as we grow economically and change our life style now a days beside cervical cancer and ovary cancers,cancer of Breast (27-30/1000) is increasing in female and in male lung,liver,stomach,oesophagus prostate cancer beside blood cancer and lymphomas arequite common.
The estimated number of new cancers in India per year is about 7 lakhs and over 3.5 lakhs people die of cancer each year. Out of these 7 lakhs new cancers about 2.3 lakhs (33%) cancers are tobacco related. India officially recorded over half a million deaths due to cancer in 2011 – 5.35 lakhs as against 5.14 lakh (2009) and 5.24 lakh (2010). UP recorded 89,224 deaths due to cancer, while Maharashtra saw 50,989 fatalities. The Union health ministry says there are about 28 lakh cases of cancer at any given point of time in India, with 10 lakh new cases being reported annually. World Health Organization (WHO) says, the estimated cancer deaths in India are projected to increase to 7 lakh by 2015.on. In whole world and particularly in less educated and economically sound contries like India ,mostly when CANCER is diagnosed till then it reaches in advanced stage and where cure is mostly canot be achieved and we are forced to die early taking simple palliative treatment.so,here lies our concern for this fatal disease if our mother,sisters and daughters take care of following simple complains or abnormality in their physical health and body and report to their physician early ,then Cancer will be diagnosed in early stage or period and when full cure is possible in most cancers.
therefore,we are enumerating few early features or abnormal changes whcih should be taken seriously and to be reported to physician for exclusion of any cancer present,it is not necessary that these are related to cancer only ,many other diseases or some time simple pshysiological variations or our envionmental changes bring these changes,so nothing to be taken very seriously but insteading of ignoring it or simple house hold measures to tackle it or submitted our self to many treatment modalities offer by many pathies and socalled quacks in society ,we should take them to our good family or other Gynaecologists physicians ,sugeons of repute and should get advice for these problems.
No. 1: Unexplained Weight Loss
Many women would be delighted to lose weight without trying. But unexplained weight loss -- say 10 pounds in a month without an increase in exercise or a decrease in food intake -- should be checked out
No. 2: Bloating (Abnormal general swelling, or increase in diameter of the abdominal area)Bloating is so common that many women just live with it. But it could point to ovarian cancer. Other symptoms of ovarian cancer include abdominal pain or pelvic pain, feeling full quickly -- even when you haven't eaten much -- and urinary problems, such as having an urgent need to go to the bathroom. If the bloating occurs almost every day and persists for more than a few weeks, you should consult your physician.
No. 3: Breast Changes
Most women know their breasts well, even if they don't do regular self-exams, and know to be on the lookout for lumps. But that's not the only breast symptom that could point to cancer. Redness and thickening of the skin on the breast, which could indicate a very rare but aggressive form of breast cancer, inflammatory breast cancer, also needs to be examined.Simple breast examination is very helpful if any abnormlity detected must be confirmed by ultrasound,mammography and MRI or simple fnabc or fene needle biopsy to exclude cancer.Without any examination simple submission to these tests are not helpful so simple mammography screening.for fear of exposure to radiation is no more recommended.
No. 4: Between-Period Bleeding or Other Unusual Bleeding
''Premenopausal women tend to ignore between-period bleeding,". They also tend to ignore bleeding from the GI tract (Stomach & Intestine), mistakenly thinking it is from their period. But between-period bleeding, especially if you are typically regular, bears checking out, she says. So does bleeding after menopause, as it could be a symptom of endometrial cancer. GI bleeding could be a symptom of colorectal cancer.
No. 5: Skin Changes
Most of us know to look for any changes in moles -- a well-known sign of skin cancer. But we should also watch for changes in skin pigmentation. If you suddenly develop bleeding on your skin or excessive scaling, that should be checked.
No. 6: Difficulty in Swallowing
If you have difficulty swallowing, you may have already changed your diet so chewing isn't so difficult, perhaps turning to soups or liquid foods such as protein shakes. But that difficulty could be a sign of a GI cancer.
No. 7: Blood in the Wrong Place
If you notice unexpected blood in your urine or your stool. It could be colon cancer. Blood during unusual days is something very alarming.
No. 8: Gnawing Abdominal Pain and Depression
Any woman who's got a pain in the abdomen and is feeling depressed needs a check-up. Some researchers have found a link between depression and Pancreatic Cancer, but it's a poorly understood connection.
No. 9: Indigestion
Women who have been pregnant may remember the indigestion that occurred as they gained weight. But indigestion for no apparent reason may be a red flag. It could be an early clue to cancer of the stomach or throat.
No. 10: Mouth Changes
Smokers should be especially alert for any white patches inside the mouth or white spots on the tongue, according to the American Cancer Society. Both can point to a precancerous condition called leukoplakia that can progress to oral cancer.
No. 11: Pain
As people age they seem to complain more of various aches and pains, but pain, as vague as it may be, can also be an early symptom of some cancers, although most pain complaints are not from cancer.
No. 12: Changes in the Lymph Nodes
If you notice a lump or swelling in the lymph nodes under your armpit or in your neck -- or anywhere else -- it could be worrisome.
No. 13: Fever
If you have a fever that isn't explained by influenza or other infection, it could point to cancer. Fevers more often occur after cancer has spread from its original site, but it can also point to early blood cancers such as Leukemia, according to the American Cancer Society. Other cancer symptoms can include jaundice, or a change in the color of your stool.
No. 14: Fatigue
Fatigue is another vague symptom that could point to cancer -- as well as a host of other problems. It can set in after the cancer has grown, but it may also occur early in certain cancers, such as leukemia or with some colon or stomach cancers, according to the American Cancer Society.
No. 15: Persistent Cough
Coughs are expected with colds, the flu, allergies, and sometimes are a side effect of medications. But a very prolonged cough -- defined as lasting more than three or four weeks -- should not be ignored.
16.unconsciouness/fainting
Some time we notice that we are forgetting many things instantly (loss of short memories) and family members say that you have lost rour consciousness or fully awke and alertness fos some time,these could be due to Brain cancers associated mostly with headache and convulsion or weakness of some body parts.
17.Vaginal white discharge
Very commonly complained by female but if it is excessive or mixed with blood or associated with dysuria or difficulty and pain during sex or mixed with blood,internal examination by gynaecologist and pap smear examination is a must.
18.Discharge or secretions fro any where
Discharge of any abnormal fluid or Blood from breast ,mouth or ear or from nose or by rectum or vagina or sin or eyes is always suspected badly and must be submitted for cytological examination and concerning part should be evaluated immediately.
19.swelling/Abnormal growth
If we notice any swelling or abnormality in our body part over skin or limbs or over our bones or back or breast or scalp or in neck then it must be shown to physician a simple Fine needle aspiration biopsy or cytology with or without help of ultrasound and other radiological examination will exclde cancer.
20. Dis ability
If we notice that our some part is disable as with muscloskeletal,spinal and bony tumors or we are suffering some thing for long time or our body immunity has decreased and we are submitted to different viral or tubercular or other bacterial or fungal infections then suspicion for some hidden or occult cancer in our body either of blood or reticulo endothelial system or a part of multiple endocranic neoplasia.
21.alteration of voice
If our voice get chowked or we cannot utter words with same tone as normally or facing difficulty in breathing or taking foods or discharging excessive water y saliva or blood from mouth or nose orpharharyngeal or laryngeal cancers must be suspected and ruled out.


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