Category Archives: Celiac Disease


Lung cancer formation

Lung cancer formation: Types of lung cancer

Lung cancer formation

Lung cancer formation. When a member of the family is affected, the whole family is too and a collective support is necessary

It is believed that lung cancer formation starts right in the lungs and then spreads to other parts of the body. This disease starts in the walls of the lungs airways scientifically known as bronchi or bronchioles or in the air sacs known as alveoli. Once present, the lung cancer stages advances to other body parts. A patient can identify lung cancer from certain symptoms like shortness of breath, coughing, bloody mucus and wheezing. This disease can be treated using surgery, chemotherapy and radiation. With the help of experts from AWAREmed health and wellness resource center, we will be discussing these progressively. In the meantime, we have over 20 types of lung cancers with the two major ones being non-small cell lung cancer and small-cell lung cancer.

Lung cancer formation: Non-small cell lung cancer

Adenocarcinoma is the most common kind of non-small cell lung cancer with up to 40% cases. It affects mostly smokers or those who had quitted smoking. It also top the list of among non-smokers. Women are more vulnerable to this cancer than men. It can spread rapidly to the lymph nodes, bones, or other organs like the liver.

Squamous cell carcinoma. This often starts in the lung’s largest branches, also known as central bronchi. It accounts for about 30% of all lung cancer cases with men being more vulnerable besides smokers. It may form a cavity within the tumor and can cause the patient to cough up some blood. Squamous cell carcinoma can also spread to the lymph nodes, bones, and other organs such as the liver.

Large-cell carcinomas are a group of cancers with large cells that tend to start along the lungs’ outer edges. They’re fewer than adenocarcinoma or squamous cell carcinoma, making up 10%-15% of lung cancers. This type of tumor can grow faster and often spreads to nearby lymph nodes and distant parts of the body.

Lung cancer formation: Small cell lung cancer

This is the most destructive form of lung cancer. It begins from the lungs’ large, central bronchi. It affects mostly the smokers and spreads rapidly to other parts of the body like the liver, brain and bones even before showing symptoms. Secondhand tobacco smoke is also a cause. People who live with someone who smokes are 20% to 30% more likely to get lung cancer than those who live in a smoke-free home.

Finally, some other chemicals are risky too. Like for instance, people who work with asbestos or are exposed to uranium dust or the radioactive gas radon are more likely to get lung cancer, especially if they are smoking cigarette. Lung tissue that was scarred by a disease or infection like tuberculosis or scleroderma, becomes at risk for tumors in that tissue. Hypothetically, some researchers think that diet may also influence your risk. But that’s not clear yet.

Lung cancer formation: Types of lung cancer




Male breast cancer risks

Male breast cancer risks: Early detection of benefits

Male breast cancer risks

Male breast cancer risks. Male breast cancer risks are not new. Several factors that increase the risk

Male breast cancer risks are not new. Several factors that increase the risk of male breast cancer can be adduced to several things, events and elements. According to the expert opinion from AWAREmed health and wellness resource center under the leadership of doctor Dalal Akoury MD, we can associate male breast cancer risks to:

  • Testicle disease or surgery – Having inflamed testicles (orchitis) or surgery to remove a testicle (orchiectomy) can increase the risk of male breast cancer.
  • Radiation exposure – If you’ve received radiation treatments to your chest like those used in treating cancers of the chest, you’re more likely to develop breast cancer later in life.
  • Overweight and obesity – Fat cells convert androgens into estrogen. A higher number of fat cells in your body may result in increased estrogen and higher risk of breast cancer.
  • Old age – the risk increases as one approaches his sunset days. This may occur between the ages 68 and 71 in most cases.
  • Liver disease – Conditions like cirrhosis of the liver can reduce male hormones and increase female hormones thereby increasing the risk of breast cancer.
  • Klinefelter’s syndrome – this is a rare genetic syndrome that happens when a male child is born with more than one copy of the X chromosome. It causes abnormal development of the testicles. Men with this syndrome produce lower levels of male hormones like androgens but produces more of female hormones (estrogens).
  • Family history of breast cancer – those who come from a background where close family members had suffered the same also has a greater chance of developing the disease.
  • Coming into contact with estrogen – taking estrogen-related drugs used for hormone therapy for prostate cancer will increase your risk of breast cancer.

Male breast cancer risks: Diagnosis

Before the commencement of treatment, a number of diagnostic tests may be conducted by your doctor to establish the exact problem. Such tests may include:

  • Clinical breast exam. Under this, the doctor uses his/her fingertips to examine the breasts and the surrounding areas for lumps or any other changes. The interest is to establish how large the lumps are, how they feel, and how close they are to your skin and muscles.
  • Imaging tests. Mammogram and ultrasound can detect suspicious masses in the breast tissue.
  • Biopsy. A fine needle is inserted into the breast to remove tissue for analysis in the laboratory. Test results can reveal whether you have breast cancer and if so, the type of breast cancer you have.

Male breast cancer risks: Establishing the stage of the cancer

Determining the stage of cancer helps your doctor evaluate treatment options. Biopsy, blood tests and imaging tests can be used to stage male breast cancer. And like with other types of cancers, the stages of male breast cancer ranges from I to IV where stage I the cancer tumor is smaller and in IV the cancer has spread immensely to other parts of the body organs. This spreading is not good news and it makes treatment at stage IV difficult. It is therefore necessary that early diagnosis is prioritized for effective treatment. For all your concerns AWAREmed health center doors are open for you. Schedule an appointment with us today and we will help you professionally.

Male breast cancer risks: Early diagnosis

orange mold

DCIS treatment

DCIS treatment: Lumpectomy and radiation

DCIS treatment

DCIS treatment is one with high hopes of giving positive outcome

Treatment of ductal carcinoma in situ (DCIS) is one with high hopes of giving positive outcome. The success rate of removing the tumor and preventing any reoccurrence is almost guaranteed says doctor Dalal Akoury MD, President and founder of AWAREmed Health and Wellness Resource Center. In most cases, DCIS treatment options includes lumpectomy and radiation therapy as well as a simple mastectomy.

DCIS treatment: Surgery

Any patient diagnose with DCIS will have to make a decision between treating the disease using breast-conserving surgery (lumpectomy) or breast-removing surgery (mastectomy).

Lumpectomy this type of surgery is essential in removing the area of DCIS alongside a margin of healthy tissue that surrounds it. The advantage of the procedure is that it allows the patient to sparingly remove portions of the affected breast thereby limiting the need for breast reconstruction

Mastectomy – a simple mastectomy is essential for treating DCIS by removing the breast tissue, skin, areola and nipple, and possibly the underarm lymph nodes (sentinel node biopsy) is one option. In most instance, this treatment will be followed by breast reconstruction if the patient wishes to do so. Doctor Akoury reiterates that, most women with DCIS are direct candidates for lumpectomy. However, mastectomy may be recommended if:

You have a large area of DCIS – In the event that the area is big compared with the size of the breast, a lumpectomy may not produce acceptable cosmetic results.

There’s more than one area of DCIS (multifocal or multicentric disease). It’s difficult to remove multiple areas of DCIS with a lumpectomy. This is true if DCIS is found in different sections of the breast.

Tissue samples taken for biopsy show abnormal cells at or near the edge of the tissue specimen – where the DCIS is more than what was anticipated, in that case a lumpectomy may be inadequate to remove all areas of DCIS. Therefore, additional tissue may be excised. This may require removing the breast (mastectomy) if the area of DCIS involvement is larger relative to the size of the breast.

You’re not a candidate for radiation therapy. Radiation is usually given after a lumpectomy. You may not be a candidate if you’re diagnosed in the first trimester of pregnancy, you’ve received prior radiation to your chest or breast, or you have a condition that makes you more sensitive to the side effects of radiation therapy, such as systemic lupus erythematosus.

DCIS treatment: Radiation therapy

Radiation therapy uses high-energy beams, such as X-rays, to kill abnormal cells. Radiation therapy after lumpectomy reduces the chance that DCIS will come back (recur) or that it will progress to invasive cancer.

A type of radiation therapy called external beam radiation is most commonly used to treat DCIS.

Radiation is typically used after lumpectomy. But for some women, radiation may not be necessary. This might include those with only a small area of DCIS that is considered low grade and was completely removed during surgery.

DCIS treatment: Tamoxifen

The drug tamoxifen blocks the action of estrogen — a hormone that fuels some breast cancer cells and promotes tumor growth — to reduce your risk of developing invasive breast cancer.

Tamoxifen is effective only against cancers that grow in response to hormones Tamoxifen isn’t a treatment for DCIS in and of itself, but it can be considered as additional (adjuvant) therapy after surgery or radiation in an attempt to decrease your chance of developing a recurrence of DCIS or invasive breast cancer in either breast in the future.

DCIS treatment: Lumpectomy and radiation



Brain Cancer Signs

Brain Cancer Signs: Causes of Brain Cancer

Brain cancer signs

Brain cancer signs are many but, scientifically, the exact cause of most brain cancer have not been established.

As it is on the norm, we cannot talk about causes of brain cancer without touching on the brain cancer signs. Just as it is with tumors in different parts of the body, scientifically, the exact cause of most brain cancer have not been established. Nevertheless, various factors like the genes, head radiation, cigarette smoking, HIV infections and various environmental toxins has been associated with cancers of the brain hypothetically. However, in most cases, no clear cause can be shown reiterates doctor Dalal Akoury MD and President of AWAREmed Health and Wellness Resource Center.

That is to say, not all brain tumors cause symptoms. In fact, some brain cancers like tumors of the pituitary gland are evident until a CT scan or MRI is done professionally. It is however important to note that brain cancer signs (symptoms) can be numerous but not necessarily explicit to brain tumors denoting that they can be caused by other diseases. This therefore leaves us undergoing professional diagnostic tests as a remedy of ascertaining what is causing the symptoms. According to the experts at AWAREmed Health Center, it is important to note that in many cases, symptoms can be caused by:

  • A tumor pressing on or intruding on other parts of the brain thereby hindering normal functions.
  • Bulging in the brain triggered by the tumor or surrounding inflammation.

The symptoms of primary and metastatic brain cancers are similar and may include seizures, headache, feebleness, difficulty walking and clumsiness. Besides that, there’re other nonspecific signs and symptoms like:

  • Altered mental status like changes in concentration, memory, attention, or alertness
  • Nausea, vomiting
  • Vision impairment
  • Communication difficulties
  • Slow changes in intellectual capacity including emotional response

It is worth noting that for most patients, brain cancer signs are often gradual and may not be noticed easily by both the direct and indirect victims. But at times this can happen rapidly. When this happens, the patient will demonstrate some signs of ones who has suffered a stroke.

Brain Cancer Signs: When to Seek Medical Care

Professionally, doctor Akoury recommend that if you have the following symptoms, you will need to seek medical care immediately:

  • Mysterious and persistent vomiting
  • Double vision or unexplained blurring of vision more so when its affecting only one side
  • Tiredness or increased sleepiness
  • New seizures
  • New pattern or type of headaches

Although headaches are thought to be a common symptom of brain cancer, they may not occur until late in the progression of the disease. Finally, for those with known brain tumor history, any new symptoms must be taken seriously by visiting the nearest hospital emergency department. As a matter of precaution, the following new symptoms must be taken seriously:

  • Visual changes and other sensory problems
  • Unexplained onset of fever more so after chemotherapy.
  • Seizures
  • Nausea or vomiting (especially in middle-aged or older people)
  • Difficulty with speech or in expressing yourself
  • Clumsiness or difficulty walking
  • Changes in mental status, such as excessive sleepiness, memory problems, or inability to concentrate
  • Changes in behavior or personality

In all these, remember that brain cancer signs must be taken seriously by seeking professional help immediately. For more professional guide you can always schedule an appointment with doctor Dalal Akoury for more professional assistance.

Brain Cancer Signs: Causes of Brain Cancer

Getting the basics about brain cancer


Integrative Addiction Medicine

Diagnosing Brain Cancer

Diagnosing Brain Cancer: Medical interview with AWAREmed

Diagnosing Brain Cancer

Diagnosing Brain Cancer effectively is the beginning of the right and effective treatment.

At the mention of brain cancer, many will skip a breath for obvious reasons. Cancer is a life threatening disease and one that needs timely remedy. It becomes even complicated when it is brain cancer. And that explains why diagnosing brain cancer in good time is a step in the right direction for all cancer patients. It is important to appreciate that fear is the greatest enemy to finding lasting solutions for brain cancer. And according to the experts at AWAREmed Health and Wellness Resource Center under the able leadership of doctor Dalal Akoury, periodic findings of your medical interview and physical examination are essential as they will in all probability suggest to your health care provider any possibilities that you’re having a problem in the brain or brain stem.

In most cases, your physician will carry out a CT scan test on your brain. Remember that CT scan procedure is relatively similar to tests like an X-ray. The only different is that, its findings is more detailed in three dimensions. As a cancer patient, it will interest you to note that, under normal circumstances, a contrast dye is injected into your bloodstream primarily to highlight any abnormalities on the scan.

Besides the CT scan, we also have a more sophisticated diagnostic procedure known as MRI scan. This (MRI scan) is used in place of a CT scan for suspected brain tumors. MRI has a higher sensitivity for detecting the presence of, or changes within a tumor. Doctor Akoury explains that most patients suffering from brain cancer often has other health problems, and because of this periodic lab tests like blood analysis, electrolytes and liver functions among many other tests becomes necessary. Alongside that, however, for those with mental health problems, blood or urine tests becomes necessary to detect drug use. Where these tests detects a formation of brain tumor, visiting a cancer specialist (an oncologist) must be prioritised. And in this case a specialist in brain tumors, known as a neuro-oncologist becomes your best choice.

Diagnosing Brain Cancer: The Biopsy process

The next step in diagnosis is confirmation that you have a cancer, usually by taking and testing a sample of the tumor. This is called a biopsy:

Surgery is the most common technique used for obtaining a biopsy. It therefore means that, the skull will be opened to remove the whole tumor where possible. A biopsy is then taken from the tumor. In the event that the whole tumor can’t be removed, then a small piece of the tumor is removed. Nonetheless, in certain cases, it is possible to collect a biopsy without opening the skull. The exact location of the tumor in the brain is determined by using a CT or MRI scan. A small hole is made in the skull and a needle guided through the hole to the tumor. The needle collects the biopsy and is removed. This technique is called stereotaxis, or stereotactic biopsy. Finally, the biopsy is examined under a microscope by a pathologist (a doctor who specializes in diagnosing diseases by looking at cells and tissues). Now that you know the process of diagnosing brain cancer, you can do the right thing by scheduling an appointment with AWAREmed Health Center for more professional advice.

Diagnosing Brain Cancer: Medical interview with AWAREmed