The disease is multi focal in origin, meaning that the whole mucosa from kidney to bladder is unstable and in pre malignant condition. This means that even if one tumor at point A in the bladder is successfully treated, similar lesions are very likely to appear at points B and C, and that continued surveillance is essential.

The association between exposure to certain industrial chemicals and the development of bladder cancer in heavy tobacco smokers and heavy coffee drinkers as well as in certain persons with some inborn error of tryptophan metabolism. All these circumstances, occupational, social, and metabolic, result in the excretion of chemical carcinogens in the urine. There are also other urinary carcinogens that have still to be identified.

Bladder cancer usually makes its presence known by hematuria. Other symptoms are increased frequency and urgency micturition, resulting from diminished bladder capacity, and finally local pain. The condition is diagnosed, assesses, and in early cases treated by cystoscopy the passage of a fiberoptic telescope along the uthera into the bladder under anesthesia.

Small Lesions and lesions that are still clearly towards the bening end of the spectrum can be treated satisfactorily by cystoscopic electrocoagulation. Larger lesions may require that this procedure be carried out through the open bladder, or, if the tumor is invisible but still comparatively localized, that the whole tumor bearing segment of the bladder be removed.

For still larger and more deeply invasive tumors, the first choice of treatment is usually megavoltage radiotherapy, which, although individually rather unpredictable in response, can often methods fail to control the disease, the final choice is total removal of the urinary bladder.

Such a procedure clearly requires some form of urinary diversion, either by implanting the ureters to drain into the sigmoid colon or by implanting them into an artificial bladder formed from an isolated loop of small intestine opening through the abdominal wall.

The former procedure subjects the patient to the risk of renal infections and biochemical disturbances, while the latter necessitates the constant wearing of an ileostomy bag. Bladder cancer is relatively slow growing and tends, to cause symptoms more by infiltration of adjacent organs than by distant metastases.

Total cystectomy is by any standard major surgery, with an appreciable operative risk and considerable port operative morbidity. However, the alternative, to leave such a patient untreated, condemns him to a particularly cruel and miserable death.

Related posts:

1. Kidney Cancer Treatment
2. Pancreas Cancer Treatment
3. Rectum Cancer Treatment

The biochemical processes that occur in the brain cells are mediated be chemicals called neurotransmitters, which carry nerve impulses from one set of brain cells to another.

The neurotransmitter serotonin is known to play a major role in pain experience. We manufacture seretonin from the amino acid tryptohan, and tryptohan enriched diets have been found in scientific studies to increase both pain tolerance and the pain relief gained from electrical stimulatory methods such as TENS ( Transcutaneous Electrical Nerve Stimulation)

You should try eating the following tryptohan rish foods:

- lamp, beef, liver, chicken and turkey
- cod, trout and shrimp
- milk and cottage cheese
- soya beans and soya products
- roasted peanuts, brazils, pumpkin seeds and sesame seeds
- dried dates
- bananas

The passage of tryptophan into the brain is enhanced when we digest and absorb carbohydrates, and experts suggest eating a protein meal with as high  a tryptophan content as possible, followed a couple of hours later by a carbohydrate snack. You can use whole foods instead of chocolate, such as a tablespoon of maple syrup, a carob bar, honey on a rice cake, or a biscuit or slice of cake made with honey or molasses, wholemeal flour, etc.

Depression is also relived by tryptophan, and by the amino acid tyrosine, which we manufacture from another amino acid, phenylalanine, present in most protein foods and converted in the brain, through a number of stages, into the mood lifting neurotransmitters adrenaline and noradrenaline.

The most effective dietary approach is to eat phenylalanine rich foods.
These include all the above mentioned sources of tryptophan, as well as lima beans, chick peas, almonds and walnuts.

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Vitamin A
Oily fish containing the essential fatty acids EPA and DHA, liver, and dairy products. The use of reduced fat dairy products and a low consumption of liver and or oily fish can create a need for vitamin A from other sources. Plant foods especially rich in the vitamin A precursor, cantaloupe melon, carrots, lettuce, mustard’s and cress, pumpkin, spinach, watermelon and sweet potatoes.

Vitamin B-complex
B vitamins are water soluble, so many excess is excreted in the urine and must be replaced daily. Like vitamin E taken together with the trace element selenium, the B vitamins act synergistic ally. They are present in many plant and animal foods:

- vitamin B1 (thiamine). Found in yeast, bran, whole wheat, oatmeal, most vegetables, peanuts, pork, salmon, peanuts and sunflower seeds.

- vitamin B2 (riboflavin). Brewer’s yeast, wheat germ, almonds, chicken, cheese, liver, kidneys and heart.

- vitamin B3 (niacin). Brewer’s yeast, beef liver, veal, pork, chicken, turkey, salmon, swordfish, halibut, tuna, peanuts and sunflower seeds.

- vitamin b5. Lean meat, liver, lobster, eggs, blue cheese, wheat germ, peas, sweet corn, so ya, beans, peanuts and sunflower seeds.

- vitamin b6 (pyridoxine). Brewer’s yeast, wheat bran, avocado, carrots, lentils, rice, soys, salmon, shrimps, tuna, hazelnuts, bananas,

- vitamin B9 (folic acid). Brewer’s yeast, calves liver, eggs, avocado, gree leafy, peas etc.

- vitamin B12. Beef, calves’s and ox liver, clams, flounder, mackerel, red snapper, sardines, eggs, milk and milk products.

Vitamin C
Like the B vitamin, vitamin C is water soluble. It is found in many fruits and vegetables, particularly broccoli, brussels sprouts, carnage, kale, peppers, potatoes, spinach, watercress, tomatoes, black currants, grapefruit, oranges, lemons, tangerines, uglies, limes, rose hips, mango’s, guavas, strawberries and paw paws.

Vitamin E
Vitamin E is fat soluble, so is stored  in the body. It can be found in wholewheat flour and products, wheat germ, wholegrain, cereals, cooking oil, eggs, green leafy, soy beens and soya products, peanuts, hazelnuts, walnuts and sunflower seeds.

Calcium
Calcium is typically found in milk and other dairy products, but it is also present in many other foods, such as shrimp, salmon, sardines, caviar, swordfish, molasses, kelp, dried beans, green vegetables, almonds, brazil’s and walnuts.

Magnesium
Found in green leafy vegetables and in fish, sanils, molasses, wheat germ, apples, figs, lemons, nuts and sunflower seeds.

Zinc
Found in plant and animal foods such as beef , lamb, pork, chicken, heart and liver, turkeys, herring and other fish, shellfish, black strap molasses, maple syrup, brewer’s yeast, wholegrain cereals and their products.

Selenium

Selenium is synergistic action with vitamin E is reflected by its occurrence is many vitamin E rich foods, such as wholegrain products, wholewheat and wheat Gram, green leafy vegetables, eggs and in chicken, tuna, seafood, kidneys, celery, garlic, milk, onions, mushrooms and cucumbers.

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