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Tuesday 25 December 2018

fast growing breast lump


                                                       Breast lump




A breast lump is swelling, a growth, or a lump in the breast.
Breast lumps in both men and women raise concern for breast cancer, even though most lumps are not cancer.
Considerations Both males and females of all ages have normal breast tissue. This tissue responds to hormone changes. Because of this, lumps can come and go.
Breast lumps may appear at any age.

Both male and female infants may have breast lumps from their mother's estrogen when they are born. The lump will usually go away on its own as the estrogen clears from the baby's body.

Young girls often develop "breast buds" that appear just before the beginning of puberty. These bumps may be tender. They are common around age 9, but may happen as early as age 6.

Teenage boys may develop breast enlargement and lumps because of hormone changes in mid-puberty. Although this may be upsetting to boys, the lumps or growth almost always go away on their own over a period of months.

Causes:

Lumps in a woman are often caused by fibrocystic changes, fibroadenomas, and cysts.

Fibrocystic changes are painful, lumpy breasts. Fibrocystic breast changes do not increase your risk of breast cancer. Symptoms are usually worse right before your menstrual period, and then improve after your period starts.

Fibroadenomas are noncancerous lumps that feel rubbery. They move easily inside the breast tissue. Like fibrocystic changes, they occur most often during the reproductive years. Usually, they are not tender. Except in rare cases, they do not become cancerous later. A doctor can feel during an exam whether a lump is a fibroadenoma. The only way to be sure, however, is to remove or biopsy the lump.

Cysts are fluid-filled sacs that often feel like soft grapes. These can sometimes be tender, especially just before your menstrual period.


Other causes of breast lumps include:


Breast cancer:

Injury -- sometimes if your breast is badly bruised, there will be a collection of blood that feels like a lump. These lumps tend to get better on their own in a few days or weeks. If they do not improve, your doctor may have to drain the blood.

Lipoma -- a collection of fatty tissue
Milk cysts (sacs filled with milk) and infections (mastitis), which may turn into an abscess. These typically occur if you are breastfeeding or have recently given birth.

The skin on your breast appears dimpled or wrinkled (like the peel of an orange), you find a new breast lump during your monthly self-exam, you have to bruise on your breast, but did not experience any injury you have nipple discharge, especially if it is bloody or pinkish (blood-tinged)
Your nipple is inverted (turned inward) but normally is not inverted

Also call if:

You are a woman, age 20 or older, and want guidance on how to perform a breast self-examination.
You are a woman over age 40 and have not had a mammogram in the past year.  

What to Expect at Your Office Visit:

Your doctor will get a complete history from you, asking about factors that may increase your risk of breast cancer. The health care provider will perform a thorough breast examination. If you don't know how to perform a breast self-examination, ask your health care provider to teach you the proper method.

You may be asked medical history questions such as:

When and how did you first notice the lump?
Do you have other symptoms such as pain, nipple discharge, or fever?

Where is the lump located?

Do you do breast self-exams, and is this lump a recent change?

Have you had any type of injury to your breast?

Are you taking any hormones, medications, or supplements?

Steps your health care provider may take next include:

Order a mammogram to look for cancer, or a breast ultrasound to see if the lump is solid or a cyst
Use a needle to draw fluid out of a cyst, which will be examined under a microscope to look for cancer cells
Order a breast biopsy
Study any nipple discharge under a microscope
How a breast lump is treated depends on the cause.

Solid breast lumps are often removed with surgery.
Cysts can be drained in the doctor's office. If the fluid removed is clear or greenish, and the lump disappears after it is drained, you do not need further treatment. If the lump does not disappear or comes back, it is usually removed with surgery.

Breast infections are treated with antibiotics.
homeopathic treatment.... phytolacca 200....calc fl 12x....conium 200....calc sulph 6x.... belladonna 200 ( if painful )
200....calc fl 12x....conium 200....calc sulph 6x.... belladonna 200 ( if painful )


Tuesday 11 December 2018

Bombay Blood Group

                                        
                             Bombay Blood Group



  It is called the HH group, the peculiarity is that they do not express the H antigen. As a result, they cannot form A antigens or B antigens on their red blood cells. Thus they can donate blood to anybody with ABO grouping but can receive blood only from Bombay blood group. Bombay blood group is a rare blood type. This blood phenotype was first discovered in Bombay, now knows as Mumbai. Dr. Y. M. Bhende in 1952. It is mostly found in India, Pakistan, and Iran. 


  The first person found to have the Bombay phenotype had an interesting blood type that reacted to other blood types in a way never seen before. The serum contained antibodies that reacted with all red blood cells normal ABO phenotypes. The red blood cells appeared to lack all of the ABO blood group antigens and to have an additional antigen that was previously unknown.
   Individuals with the rare Bombay phenotype (hh) do not express H antigen (also called substance H), the antigen which is present in blood group O. As a result, they cannot make A antigen  (also called substance A) or B antigen (substance B) on their red blood cells, whatever alleles they may have of the A and B blood-group genes, because A antigen and B antigen are made from H antigen. For this reason people who have Bombay phenotype can donate red blood cells to any member of the ABO blood group system (unless some other blood factor gene, such as Rh, is incompatible), but they cannot receive blood from any member of the ABO blood group system (which always contains one or more of A, B or H antigens), but only from other people who have Bombay phenotype.

Incidence:
   
This very rare phenotype is generally present in about 0.0004% (about 4 per million) of the human population, though in some places such as Mumbai (formerly Bombay) locals can have occurrences in as much as 0.01% (1 in 10,000) of inhabitants. Given that this condition is very rare, any person with this blood group who needs an urgent blood transfusion will probably be unable to get it, as no blood bank would have any in stock. Those anticipating the need for blood transfusion may bank blood for their own use, but of course, this option is not available in cases of accidental injury. For example, by 2017 only one Colombian person was known to have this phenotype, and blood had to be imported from Brazil for a transfusion.

Genetics: 

 Bombay phenotype occurs in individuals who have inherited two recessive alleles of the H gene (i.e.: their genotype is hh). These individuals do not produce the H carbohydrate that is the precursor to the A and B antigens, meaning that individuals may possess alleles for either or both of the A and B alleles without being able to express them. Because both parents must carry this recessive allele to transmit this blood type to their children, the condition mainly occurs in small closed-off communities where there is a good chance of both parents of a child either being of Bombay type or being heterozygous for the h allele and so carrying the Bombay characteristic as recessive. Other examples may include noble families, which are inbred due to custom rather than local genetic variety. 

Hemolytic Disease of the Newborn:
 In theory, the maternal production of anti-H during pregnancy might cause hemolytic disease in a fetus who did not inherit the mother's Bombay phenotype. In practice, cases of HDN caused in this way have not been described. This may be possible due to the rarity of the Bombay phenotype but also because of the IgM produced by the immune system of the mother. Since IgMs are not transported across the microscopic placental blood vessels (like IgG are) they cannot reach the bloodstream of the fetus to provoke the expected acute hemolytic reaction.

what is Bombay(Mumbai) Blood group?
 To understand Bombay blood group we must understand the details of blood grouping. When we say someone has blood group A, it means that the person has antigen of type A and antibody of type B in blood. People with AB have both antigen A & B in their blood and no antigens. However what is not generally known is that all these groups have an antigen H in the blood as well. There are very few people who do not have this antigen H in their blood. Instead, they have antibody H because of which no other blood can be given to them. 


Sunday 9 December 2018

Let's Understand the rubrics- Part 2

                                Let's Understand the rubrics- Part 2


CANNOT BREAK THE SPELL:---means UNDER THE INFLUENCE OF SOMETHING OR SOMEONE THAT WHATEVER U DO IS OUT OF UR CONTROL
Some pts travel miles to take medicine from a specific doc, coz they are so much charmed by  the results of that doc.: LACH


So collectively this rubric is applied to that person who is strongly attracted towards someone or towards something, that he himself cannot come out of that attraction or influence.

DESPAIR recovery: "Hopelessness; a hopeless state; destitution of hope or expectation". Equated by Kent with Hopeless. cf. Discouraged.

Delusions, appreciated, she is not: Use lagta hai ki uske achy work/qulity ki koi tarif nahi karta

Delusion poor he is: Sir hamare pase paise nahi hai.

Delusion diseases incurable: Main thik nahi hosakta.

Desires, grander for: splendor and impressiveness, especially of appearance or style.

GRANDEUR, desire for (see Delusions; great person): He show I know minister and I know big person but he only talk lie. Main minister ko janta hun, main bade logo ko janta hun.


Disgust: Fed up with all modalities of 

treatment now stopped everything. Main ne

medicine hi lene chod diya kuch faida hi nahi
 hora.

Fear, sleep go to, dark in the: many times pts say that their child never sleeps when there is dark in the room: Caust


Fear, suffocation of in the dark: when pt of in the dark when pt says that he feels suffocated in dark(ghutan mehsoos hoti hai andhere me): Aeth cyn.


Fear of exertion, slight: Pt fear of exertion, even he fears of slighest exertion: Thora ss bhi kucch karny se darta hai : Sulph iod.


Fear marriage: Lach

Kahi aisa na ho ki ye bimari jindagi bhar pich

 lag jaye (jaisa marriage ke bad us ko jindigi

 bhar nimbana padta hai)

Fear recurrent: pts kehte hai k jaise pehle

 huaa tha darr lagta hai phir waisa na hojaye


Looked at, evading the look of other persons:  Many times we see, when we look at a patient, he starts seeing at some other things. (Medicines: Agar, cupr and stram)

Naive: Showing a lack experience, wisdom, or judgement, natural and unaffected innocent (bholapan)



Tough, wants to be: Bell-p

Doctor kuch aisa dava do ki majbut ho jaun. Bar bar bimar na hun, ekdom strong bana do. 

Weeping, Touched when: Dukti rag par hath rakh denaKoi purani baat nikal jaye tho wo ronye lagti hai. 








Monday 3 December 2018

Smoothie challenge & Rainbow meal (Hindi)

                 

        Smoothie challenge & Rainbow meal (Hindi)

                        




                                https://www.youtube.com/watch?v=EuIo04R2Aq4


In this video, you get all the information about the smoothie and Rainbow meal how to take? How many day?






         https://www.youtube.com/watch?v=EuIo04R2Aq4

Dr. Farooq Khan's Elite Clinic
Shop No. 6, Darul Falah colony,
Kausa-mumbra. Thane 400612

Phone no: 022-25350699
WhatsApp: 8097166756
Facebook page: Dr. Farooq khan's Elite clinic


Skype for online consultation: Khan.farooq0