Carcinoma of stomach is very commonly found especially in males (2: 1) passed 60 years. It is uncommon under 40 years. It is common in blood group A subjects. Blacks are more affected than the white. Some regions of the globe, e.g Chile , Central America , Colombia , Japan have very high incidence. It is common in lower socio-economic group having a positive family history. Rich diet particularly with salt ,meat, spicy vegetable and smoked food may be associated with the development of his condition. Nitrates in the diet may also be positively related with gastric carcinoma.
Tumours mostly arise de novo or it may complicate a benign gastric ulcer (ulcer-cancer 10% ). Chronic atrophic gastritis with or without pernicious anaemia may precede carcinoma in 0% of cases. Adenomatous polyp. More than 2 cm may develop into gastric carcinoma. It may also be associated with subtotal gastrectomy. Chronic H . pylori gastritis is a strong risk factor for development of Ca in distal stomach. This risk is increased 4-6 times in its presence.
About 30% to 90% cases of gastric Ca may be attributable to H. Pylori infection in some way or other. Early metastasis is common. Tumours usually develop in the distal portion of stomach (antrum0. Adenocarcinoma is the common variety, the interstitial type and the diffuse infiltrative type may also be seen.
Symptoms are usually present in well advanced cases. Anorexia, nausea, vomiting (Coffee-ground) , upper abdominal discomfort or pain , recent dyspepsia, distaste for meat, weakness , wasting, haematemesis and /or melaena may be present.
Classical symptoms of peptic ulcer may be present in 25% of the patients and usually with ulcerated lesion. Weight loss is present in 50% of the cases. Symptoms of pyloric obstruction and dysphagia due to lower oesophageal obstruction may also develop. In early cases there may be no symptoms.
General Survey –Emaciation ,anaemia and jaundice may be present, virchow’s nodes are often present. These are hard, fixed, enlarge lymph nodes on the left side of the root of the neck in between the two heads of the sternomastoid muscles. This is called Troisier’s sign.Sometimes evidence of the metastasis in the left axillary nodes may be seen. Dependent oedema may be present.Recurrent thrombophlebitis (Troussseau’s syndrome) ,Dermatomyositis, Acanthosis nigricans,Gastrocolic fistula, etc. may develop simulating paraneoplastic syndrome.
Examination of Abdomen- A hard lump may be left in the abdomen in about less than 30% of the cases. Liver may be enlarged,hard.irregular and tender due to metastasis. Ascites may be present. Visible gastric peristalsis may be seen. Small nodules may be felt around umbilicus due to metastasis (Sister mary joseph’s nodule) Rectal examination may reveal a mass in perirectal pouch due to enlarged lymph nodes called ;Blumer’s Shelf. In vaginal examination Krukenberg’s tumour may be felt due to metastasis in ovary.
Barium meal X-ray (double contrast method) of the stomch will show the filling defect or ulcer usually near the pyloric region or in the greater curvature whose diameter is more than 2.5 cm . Abdominal CT scan is valuable for identifying metastasis or direct involvement of adjacent structures. Endoscopic ultrasound imaging is said to be superior to CT scan.
Gastric secretory test will show non-histamine fast achlorhydria or polychlorhydria, Gastric pH more than 6.0 , even after stimulation with pentagastrin is very suggestive of malignancy. The colour of the gastric juice is coffee ground. Blood test is positive in all samples.
Exfoliative cytology may show malignant cells in the gastric washings.
Lymph node biopsy will show the nature of the mother tumour.
Gastroscopy will show thw tumour directly and has been accepted as standard method for diagnosis. Endoscopic biopsy may be taken (minimum 8 to 10)
Blood examination shows high ESR andFe- deficiency anaemia. Abnormal liver function tests may also be present.
Treatment: Homoeopathic medicine will help to stop and suspending the carcinoma cell to grow for that survival of the patient is increasing day by day.
Our Homoeopathic Medicine- can be taken with all other medicine or alone as you like. It is harmless. It is prepared from Plant. It is completely safe . No side effect , It is diluted in microns No any adverse reaction, It is very-very safe. It will increase the immunity power against disease and increase the survival life of the patient.
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Medicines Prescribed are following
BISMUTH: Cancer of stomach. Raue advices it for violent crampy pains, burning pains, burning and stinging in the region of stomach . stomach enlarged, hanging down to the crest of ilium. hard lump between navel and edges of the lower ribs on the right side. scirrhus of the pylorus. abdomen bloated on ridges, with great rumbling of the wind along colon which is rarely passed off but then gives relief. vomiting only in intervals of several days. when stomach has been filled with food and then of enormous quantities and lasting a whole day. (T.S.Hoyne)
CAUSTICUM: Cancer of the stomach , when the flesh is very tender over that organ. cannot bear even the clothing to touch it. the lightest food, or lightest pressure over the stomach causes violent lancinating pains in that region. 3x three times a day is recommended. (Dr.Chugha)
CONDURANGO: This remedy has achieved considerable reputation in cancer of stomach and various forms of carcinoma. many cases have improved under 1x. open cancer and cancerous ulcers. it modifies the pains . Bernstein believes the field of this remedy to be in epithelioma, especially in open and ulcerated types. he recommends the 6x potency and has had remarkable results from its use (DEWEY)
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