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Laparoscopic, G.I. & colorectal surgery, Navi Mumbai, India

  Click to call +919833290590

Colon Cancer Causes

Colorectal Cancer: Detection and Treatment

There are various measures that may tell you if you are suffering from colon cancer that includes alteration of bowel habits (diarrhea, constipation etc) lasting for several days, continuous feeling that you need to go for bowel movement which doesn’t occur, dark stools with blood, rectal bleeding, abdominal pain, sustaining weakness and fatigue etc. It is highly advised that if you are suffering from any such symptoms then consult Gastroenterologist or Colorectal surgeon immediately.


Certain tests may be recommended for screening of colorectal cancer.

  • FOBT (Fecal Occult Blood Test) is done to examine for the hidden blood in stool.
  • Sigmoidoscopy- through Sigmoidoscope the lower and rectum colon is tested to detect cancerous or any precancerous growth. They are further tested or removed for more clarity.
  • Colonoscopy- through colonoscope the entire colon and rectum is tested to detect the presence of cancerous or any precancerous growth. They are further tested or removed for more clarity.
  • Virtual or computerized tomography colonoscopy- through a special X-ray equipment 3-D pictures are taken out of colon and rectum and later through the arrangements of these pictures by computer shows detailed information about any abnormalities and polyps.


Among the various methods of treating colorectal cancer, three standard treatments are:

1) Surgery – it could be called as the most effective measure as the cancer affected zone is removed through this treatment. It is highly recommended for treating local colorectal tumors.

During colonoscopy a small tumor may be removed but removing the entire area with the surrounding fats and lymph nodes is undoubtedly the best way to treat. This surgery may be performed by open surgery method or by laparoscopy as suggested by your doctor.

In a process called colostomy the waste product is collected in a bag placed over stoma which is an opening made by surgeons. After the healing of bowel colon and rectum is reconnecting through another operation. In rectal cancer permanent colostomy is essential.

Painkillers along with medicines are often provided to the patients after operation to get relief from the pain.

Nutritious foods which are rich in protein and calories are advised to the patient to heal faster.

2)Chemotherapy – this treatment for cancer utilizes drugs to arrest the growth of cancerous cells by killing them or restricting them from further division. The drugs consumed through injection or mouth directly hits the bloodstream and reach cancer cells and when it is taken through spinal column it affect the area having cancer cells.

Combination of Xeloda (Capecitabine), Oxaliplatin, 5-fluouracil and Camptosar (Irinotecan) are used to treat the diverse stages of this cancer. Directly the chemotherapy may be provided to the liver if the cancer is metastasized there. The five drugs Cetuximab (Erbitux). Bevacizumab, ziv-aflibercept, panitumumab and regorafenib is approved by FDA for treating this cancer. These drugs together arrest the protein or blood which is helping in the growth of cancer.

3)Radiation therapy – this therapy utilizes the highly advanced X-Ray or radiation to restrict or kill the cancer cells. Two methods of radiation therapies are there.

The first one is external radiation where the machine is used to send radiation from outside part of the body to the cancer affected area.

The second method called internal radiation therapy utilizes substances of radioactive which are sealed in wires, seeds, catheters, needles and are injected directly on the infected area. It is done after the surgery with the Chemotherapy to kill all the possible existing cancer cells. If the tumor of the patient had stick to another part of the abdomen or if it is present on the point of cancer which was removed then radiation therapy is highly recommended.

You can live a normal life after the treatment as per the advice of the surgeon but remember to keep a regular follow-up as suggested by your healthcare provider.


What patient says about Dr. Nitish Jhawar

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    I was diagnosed with gall stones a year ago in Delhi, I showed it to a doctor at M.... hospital, he .... asked me to get a surgery done and get my gall removed on any date of my choice, I was sacred and too young to get it done I got a vibe from doctor that for him it’s just a small things, however according to for a patient it’s important first be convinced on the urgency to get it done and feel safe . A year later I shifted to Mumbai and started having a frequent pain in shoulder blades and gall area. It went sharp this time. We went to Dr Nitish , as oppose to Delhi doc, Dr Nitish was very polite, first asked us to get the scan done and understand the current scenario, the scan showed one big 17 mm stone which was earlier also there but this time also there were multiple various sized stones as well along with the big one. Dr Nitish examined the scan, explained me and my husband about the condition and need of surgery or else the stone Would have slipped in the panacea or bile calling for a bigger operation. He explained diagramatically . He was patient in explaining, gave us time to think and be convinced. We were ready and then he performed it . It was flawless, quick and went well. He is a very experienced and fine surgeon , he is caring and doesn’t create panic at all rather he takes it slowly and makes patient comfortable. It was lapro, it’s been 2 months I m writing this . I faced no issues till now. Fortis staff was also very caring and good. I would mention fortis Vashi in specific. Good follow up diet makes it normal. I would strongly recommend Dr Nitish. He knows his job perfectly. He is not money minded at all. He would recommend surgery only if it’s required.

  • I had surgery of my left hydrocele on 27th May 2017 by Dr Nitish Jhawar. An excellent experience of service I got particularly from Dr Jhawar. He is not only a qualified experienced doctor but also a splendid human being. Thanks a lot.

  • It was a Laparoscopic operation for the removal of Gall Bladder (stones). I had developed on and off pain in abdomen before the operation, after the operation feeling good, totally pain free. Thanks and respect for handling my case very well.

  • Person Image

    I met doctor Nitish for piles problem and wanted to undergo LASER procedure only, my operation is successful and I thank doctor for being a good human being and great surgeon.

  • Person Image

    I was suffering from piles since long time. For bleeding heavily I met Dr Nitish Jhawar and after meeting him decided to go for Stapler surgery for piles. I found him a doctor who listens to our problem and explains properly.

  • Person Image

    I got diagnosed about a year back but was avoiding operation for Hernia repair, Dr Nitish Jhawar explained me why surgery should be done and I chose surgery by laparoscopy method. I am happy with the doctor and the hospital.

  • Person Image

    I visited for Gall Bladder removal by Laparoscopy after searching for best laparoscopic surgeon. After meeting dr my fear for surgery was vanished and my surgery went well and recovery was smooth.

  • Person Image

    Honest doctor, expert in his field....can trust his words

  • Person Image

    Very good he describe everything in very pleasant manner about the problem which was very helpful to me to understand my disease.

  • Person Image

    Very nice. Doctor is very patient and gives you correct advice.

  • Person Image

    He is very erudite and smart at getting to the bottleneck of the problem. And before realized he had pinched away d growth bothering me near my anal area.

  • Person Image

    Dr. Jhawar is few of the best doctors in town. Extremely pleasant and comfortable experience