Doctors in Shri Mahavir Mutispeciality Hospital
Back Pain Treatment
Treatment of Pregnancy and related Disorder
Treatment of Joint Pain
Treatment of Leg Pain
Treatment of Knee Pain
Treatment of Cold Cough
Treatment of Irregular Periods
Treatment of Hand Pain
Treatment of Abdominal Pain
Treatment of Swelling
Treatment of Hemorrhoids
Management of Pregnancy
Treatment of Shoulder Pain
Treatment of Ovarian Cysts
Treatment of Ear Pain
Treatment of Sneezing
Management of Pregnancy Query
Treatment of Sinusitis
Management of Abortion
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Pregnancy is that wonderful and beautiful phase that most women rejoice about. However, many may find it hard to believe that pregnancy can bring with it a condition known as ‘antenatal depression’. This is a common condition in expecting mothers and should not be ignored.
Depression during pregnancy like regular depression is a clinical condition and requires further investigation and management. Pregnancy is related to the female hormones and therefore, mood swings are common (as during PMS and menopause). However, depressed pregnant women would typically have the following associated symptoms too.
- Altered eating habits
- Altered sleeping patterns (too much or too less)
- Loss of attention/ability to focus
- Losing interest in activities which usually interest the person
- Feeling very anxious
- Constant feeling of sadness
- Uncertainty about the future
- Feeling of worthlessness
- Suicidal tendencies
It has been noted about 25% of women can get depressed during pregnancy for varying periods of time. Some potential reasons for this are as below.
- Strained relationships: One of the most important factors for a healthy pregnancy is a happy relationship, not just with the partner, but with immediate and close family members with whom there is a high level of regular interaction.
- Work stress: For working women, a stressful office environment could take a toll on their moods.
- Previous miscarriages: This can cause anxiety and depression about possible repeat incident.
- Potential complications: If the periodic examinations showed up possibility for complications in pregnancy, the chance of depression in the mother increase.
How it affects pregnancy?
A depressed mother would not be able to care for herself and therefore, the baby may not get adequate nutrition for its development. Additionally, the potential for nicotine and alcohol abuse increases, which also negatively impacts the baby’s growth. There could be low birth weight, premature birth and developmental delays after birth.
How it can be managed?
While the hormonal changes during pregnancy causes mood swings, diagnosing if it is depression is important. A consultation with a psychiatrist may be required for some women.
Some of the options available for treatment include support groups, individual counseling, and medications.
- It is important to understand that this is a common condition and you are not the only one going through this. Talking to other women who feel depressed can help in mood uplifting of all involved.
- If you are too shy about it, individual counseling could be the next best thing.
- Stress management including light exercise, music, meditation, rest, diet, and support from close friends and family are highly recommended.
- Since most antidepressants would reach the baby, it is advisable to avoid these less you need them as a last resort.
The tube transporting urine from the bladder out of the body is known as the urethra. Under normal circumstances, this tube is wide enough for urine to flow freely but in some cases, one or more section can get narrowed and restrict the flow of urine. This may be diagnosed as a urethral stricture. This length of this stricture can range from 1 cm to affecting the entire length of the urethra.
This is caused by scar tissue or inflammation of tissue in the urethra. While this is a common condition that affects men, it is rarely seen to affect women. An enlarged prostate, exposure to STDs like gonorrhoea or chlamydia, suffering from an infection that causes urethral inflammation and irritation or having had a catheter recently inserted can increase the risk of suffering from a urethral stricture. An injury or tumour located near the urethra can also cause this condition. Hence, preventing this condition is not always a possibility.
Common symptoms to look out for include:
- Inability to urinate
- Reduction in the flow of urine
- Increased urge to urinate frequently
- Pain while urinating
- Urinary incontinence
- Abdominal pain
- Swelling of the penis
- Discharge from the urethra
- Blood in the urine or semen
- Dark urine
- The bladder feeling gull even after urinating
A physical examination and tests that measure the rate of urine flow and chemical composition of the urine can help a doctor determine a diagnosis of urethral strictures. You may also need to undergo STD tests and a cystoscopy. An X-ray may also help locate the stricture. The treatment for this condition depends on the severity of the symptoms.
Non-surgical treatment for this condition involves using a dilator to widen the urethra. However, there is no guarantee the blockage will not recur at a later date. Alternatively, a permanent catheter may also be inserted.
There are two forms of surgical treatment for a urethral stricture.
- Open urethroplasty: This involves removing the infected or scar tissue and restructuring the urethra. The results of this procedure depend on the size of the blockage. It is usually advised only in cases of long, severe strictures.
- Urine flow diversion: In the case of a severe blockage and damage to the bladder, the doctor may advise rerouting the flow of urine to an abdominal opening. This process involves connecting the ureters to an incision in the abdomen with the help of part of the intestines.
- Endoscopic cutting of stricture ( D.V.I.U.): A thin tube with a camera (endoscope) is inserted into the urethra to visualize the stricture. DVIU may be repeated if the stricture recurs, however, after the third treatment or recurrence of the stricture less than three months after the procedure, repeat DVIU offers no long-term success.
Acne is a very common problem that affects people, mostly teenagers worldwide. The problem of acne can be extremely annoying, making most of the people to opt for self medication. However, it is advisable to consult a dermatologist to avoid unwanted complications. The following common but serious mistakes should be avoided while self-treating acne:
- Fight acne the dermatologist way: During adolescence, hormonal imbalance is one of the major factors resulting in acne. However, factors like prolonged illness, pollution, dermatological problems cannot be sidelined either. It should be noted that acne is an inflammation which needs proper investigation. A dermatologist should be consulted at the very onset. Use of any medicated lotions or creams without proper recommendation can aggravate the problem.
- The lesser the better: Using too many products at a time will do you more harm than good. Use one product at a time. If you think a product can magically treat your acne in a day, then you are in for some disappointment. Optimism is good, but being realistic is better. Not all products show positive results in a day. One needs to have patience. Use the product diligently for a week before trying out a new product.
- Complete what you started: It is a crime to stop any medications mid way. Complete the full course of the medication, even if your acne is fully treated.
- Popping away to ugly spots and scars: Popping or picking only worsens the inflammation and acne. It will leave your face with some really ugly spots. When the acne head turns white, do not try to squeeze it out. Show some resilience. It is a very common mistake that should be strictly avoided.
- Exfoliants should be chosen carefully. Understand your skin type well. Micro-beads-enriched exfoliants are the best to use. Avoid scrubbing or over washing the face. Always use a sunscreen before stepping out in the sun. If you are into make-ups, remove them before retiring to bed. Use make-ups that suit your skin type. Minimal application of make-up is advisable in case of acne.
- Many well-wishers might suggest innumerable acne treatments. Listen to all, but choose what you feel and know is the best.
A flawless and acne-free face is very much achievable.