Credits: Health and me
When you hear the word cancer, your first instinct may be fear but not all diagnoses carry the same weight. One of the most misunderstood terms in oncology is Stage 0 cancer, also called carcinoma in situ. It is, in fact, the earliest stage possible, where abnormal cells are detected but have not yet spread.
Cancer is rarely a one-size-fits-all diagnosis. Among its many stages, Stage 0 stands out as a unique opportunity, an early alert rather than a full-blown disease. Also known as carcinoma in situ, it signals the presence of abnormal cells confined to their original location, offering patients the best chance for effective intervention and cure.
To demystify what this really means for patients and families, we spoke with Dr. Nikhil Suresh Ghadyalpatil, Director of Medical Oncology at Apollo Cancer Centre, Hyderabad, who has treated countless patients diagnosed at this critical stage.
Stage 0 cancer, or carcinoma in situ, represents the earliest form of cancer. Abnormal cells exist but remain localized, without invading surrounding tissues or spreading to other organs. Though non-invasive, these cells have the potential to progress, making timely detection and treatment essential to prevent future complications.
Dr. Ghadyalpatil explains it with a simple analogy, “Think of Stage 0 cancer like finding a weed seed in your garden before it sprouts. You’ve caught it at the very beginning, before it has grown roots or spread.”
At this stage, the cells are considered cancerous but remain “in situ,” meaning “in their original place.” They haven’t invaded surrounding healthy tissue or metastasized to other parts of the body.
That’s important because once abnormal cells begin spreading, treatment becomes more complex. At Stage 0, the odds are overwhelmingly in favor of successful treatment, often with less invasive procedures.
The diagnosis often sparks confusion. Patients wonder if it’s “real cancer” or just a warning sign.
“The cells are cancerous, just non-invasive,” says Dr. Ghadyalpatil. “If untreated, many can progress to invasive cancer. That’s why we treat it seriously at this stage.”
In reality, Stage 0 rarely causes pain, lumps, or any visible changes. It’s typically picked up during routine screenings—a mammogram, Pap smear, colonoscopy, or skin check. “Patients often blame themselves for missing signs, but the truth is, the screening test did exactly what it was supposed to do: catch cancer early,” Dr. Ghadyalpatil emphasizes.
Not all Stage 0 cancers turn dangerous. But since doctors cannot predict which cases will progress, the safer medical approach is to treat or closely monitor.
Stage 0 cancers are often silent, causing no symptoms, and are usually discovered through routine screenings. Mammograms, Pap smears, colonoscopies, and skin checks are the most common methods, often followed by a biopsy to confirm abnormal cells. Early detection is key to achieving high treatment success and long-term survival. Because the disease is silent, screenings are the unsung heroes.
Diagnosis is usually confirmed with a biopsy, where a small tissue sample is examined under a microscope.
A Stage 0 diagnosis doesn’t automatically mean aggressive therapy. Treatment is personalized based on the cancer type and location. Surgery is the most common route. Doctors remove the abnormal cells and sometimes a margin of healthy tissue for safety.
Radiation therapy may follow surgery to eliminate residual cells and reduce recurrence risk. Hormone therapy can be recommended for hormone-sensitive cancers, lowering the chance of future disease.
Active surveillance is an option in some cases, especially when the risk of progression is low. Doctors may suggest close monitoring with regular checkups instead of immediate treatment.
“The ultimate goal is to ensure those abnormal cells don’t get a chance to cause harm,” says Dr. Ghadyalpatil. “But it doesn’t always mean drastic treatment. In many cases, simple procedures and follow-up are enough.”
The greatest message a Stage 0 cancer diagnosis carries is hope. It underscores the effectiveness of preventive healthcare.
“This is proof that routine screenings save lives,” stresses Dr. Ghadyalpatil. “When we catch cancer at Stage 0, the prognosis is excellent. Patients have the best possible chance of a cure.”
Unlike later stages where cancer spreads and treatments become more complex, a Stage 0 diagnosis often means:
For patients, hearing the word “cancer” can trigger anxiety, even when it’s Stage 0. That’s why oncologists emphasize context. “I always tell my patients, you caught it at the right time. This is not a death sentence, it’s a wake-up call that your screening worked,” says Dr. Ghadyalpatil.
This reassurance helps patients focus on proactive steps instead of panic.
Stage 0 diagnoses also highlight broader questions about preventive healthcare. Many people delay or avoid screenings due to fear, stigma, or cost. Yet, as Dr. Ghadyalpatil points out, “Screenings are our frontline defense. Without them, Stage 0 cancers would silently progress, robbing us of the window for simple, effective treatment.”
Investing in regular checkups isn’t optional, it’s essential. A Stage 0 cancer diagnosis is not the end of the road; it’s the beginning of timely action. With proper treatment and monitoring, most people go on to live full, healthy lives.
“The most important thing,” Dr. Ghadyalpatil concludes, “is to understand that Stage 0 cancer is an opportunity. You’ve caught it early. Now, with the right medical plan, you can move forward with confidence.”
Credits: Canva
Hangover headaches are miserable. Most people know that drinking too much alcohol can leave you with a long list of next-day problems, and a headache is one of the most common. You will find no shortage of so-called hangover headache “fixes” online, in home remedies, and even on store shelves. The problem is that very few of them are backed by solid scientific evidence. The surest way to prevent a hangover headache is to watch how much alcohol you drink at one time. That said, there are a few simple, home-based steps that may lower your risk of waking up with a headache, and some practical ways to manage the pain if it has already set in.
A hangover refers to the uncomfortable physical and mental effects you experience after drinking too much alcohol the night before. According to the Cleveland Clinic, hangovers are extremely common among people who overdrink. One study found that nearly 75% of people who consumed excessive alcohol reported hangover symptoms the following day. The same research suggested that about 25% to 30% of drinkers may not experience hangovers at all.
Drinking more than one alcoholic beverage per hour can lead to a hangover. Your body generally needs about an hour to break down and process a single drink. As explained by the Cleveland Clinic, one drink is roughly equal to:
Many products and home remedies claim they can cure a hangover, but most are not supported by science, and some may even do harm. For instance, having more alcohol the next morning does not fix a hangover. It simply adds more toxins to your system.
Instead, consider these self-care measures for hangover relief:
Consider aspirin or other nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen to relieve aches and pains. NSAIDs are generally the most effective medications for hangover-related pain, but they should be used cautiously because they can irritate your stomach. Avoid acetaminophen (Tylenol), as combining it with alcohol can damage your liver.
Give it time. Hangover symptoms usually improve within eight to 24 hours. During this period, your body works to eliminate alcohol toxins, restore hydration, repair tissues, and return normal body functions to baseline.
Credits: Canva
Although many people are only now becoming aware of it, adenovirus is being widely described as a “mystery illness spreading worldwide,” and that description feels accurate when you consider how many people are reporting symptoms at the moment. Adenovirus can cause fever, a runny nose, sore throat, and stomach discomfort, which makes it difficult to distinguish from a regular cold or the so-called “super flu” that is currently circulating. If you are feeling unwell, or concerned about catching an infection just before the holiday season, Dr Deborah Lee from Dr Fox Online Pharmacy explains how to tell adenovirus apart from the common cold and from the H3N2 flu strain.
Adenovirus refers to a large group of viruses that can lead to infections ranging from mild to more severe. These viruses can affect the respiratory tract, eyes, digestive system, and urinary tract, often causing symptoms that look very similar to a cold or flu.
Adenoviruses are hardy, spread mainly through respiratory droplets, and can infect people throughout the year. Children and individuals with weaker immune systems may experience more serious illness, but most people recover with rest and fluids, according to the Cleveland Clinic.
Adenovirus is one of several viruses that can trigger cold-like symptoms. It helps to think of a cold as a set of symptoms rather than a single illness, with adenovirus being just one possible cause. “Adenovirus is just one virus that can cause the common cold,” says Dr Lee. She adds that many other viruses can also be responsible, including respiratory syncytial virus (RSV), rhinoviruses, parainfluenza viruses, and coronaviruses.
Identifying the exact virus behind your cold symptoms is very difficult. “It is pretty much impossible for you or a doctor to know which virus is causing your cold symptoms,” Dr Lee explains.
“The flu can be extremely unpleasant, whereas adenovirus is usually mild,” Dr Lee says when comparing the two. She explains that flu symptoms often appear suddenly, sometimes within hours, and are usually marked by a high fever and severe discomfort.
According to Dr Lee, flu symptoms can include:
In contrast, adenovirus symptoms, when they appear at all, tend to develop slowly over several days, Dr Lee notes.
Other important differences between adenovirus and flu include:
Although adenovirus and common cold symptoms often overlap, the intensity of “super flu” symptoms usually stands out. Even so, Dr Lee explains, “The only way to really know the cause of your symptoms is to have a swab taken by a medical practitioner. This may be from the nose, throat, eye, urine, or stool.”
In most cases, testing is unnecessary and unlikely to be offered. “Because the vast majority of these viral infections are mild and self-limiting, this is rarely done,” says Dr Lee. “Treatment for any cold is symptomatic only.” She adds that extra caution is needed for babies and young children, older adults, pregnant women, and people with weakened immune systems.
Credits: Canva
A newly identified flu strain that spreads easily and causes more severe illness is driving infections this season. The strain, a mutated form of influenza A H3N2 known as subclade K, has been linked to a growing number of cases worldwide, including across the United States.
According to the World Health Organization, the K variant represents “a notable evolution in influenza A (H3N2) viruses,” prompting concerns among experts about how well this season’s flu vaccine may work against it.
Health specialists say the K variant is associated with stronger flu symptoms such as fever, chills, headaches, exhaustion, cough, sore throat, and a runny nose. A CDC report found that of the 216 influenza A(H3N2) samples collected since September 28, nearly 90 percent were identified as subclade K. As this strain continues to circulate, here is a closer look at the symptoms being reported and the areas where flu activity is currently highest.
Doctors say the symptoms caused by the mutated H3N2 strain closely resemble those of typical seasonal influenza A. Common symptoms include:
Flu symptoms often come on abruptly, Hopkins explains, describing it as a sudden, overwhelming feeling of being unwell.
The CDC notes that flu symptoms can overlap with those of COVID-19 and other respiratory viruses, making testing important. Three-in-one rapid home tests that check for influenza A, influenza B, and COVID-19 are now available, and experts advise keeping them on hand when possible. If you test positive for the flu, antiviral medications may help shorten the illness and lessen symptom severity, Hopkins adds.
Below are the states and regions reporting the highest levels of medical visits related to flu-like illness, which may not reflect confirmed flu cases. The data reflects CDC reporting for the week ending December 25.
Very High (Level 1)
Very High (Level 2)
Very High (Level 3)
High (Level 1)
High (Level 2)
High (Level 3)
The CDC estimates that the flu has already caused at least 4.6 million illnesses, 49,000 hospitalizations, and 1,900 deaths so far this season. Health officials continue to recommend the flu vaccine as the most effective way to reduce the risk of serious illness.
During peak respiratory virus season, experts advise taking basic precautions to lower your risk and protect others:
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