Gururaj Clinic

Benign prostatic hyperplasia (BPH), also called prostate enlargement, is a noncancerous increase in size of the prostate. Complications can include urinary tract infections, bladder stones, and chronic kidney problems.

Polycystic Ovarian Syndrome or Disease (PCOS) is a very common condition, wherein there are multiple cysts in the ovaries. As a result, there are many changes which the body undergoes and it is not limited to the gynecologic system. A woman with PCOS may also find it difficult to conceive, and so, once she is pregnant, precautions are essential to ensure there are no complications.

Pcos predisposes women to diabetes, hypertension, obesity, cardiovascular complications, lipid metabolism disorders, uterine cancer in long run. Some of them are listed below:

1. Preeclampsia: When the blood pressure readings are high during pregnancy, it is known as preeclampsia. It brings with it a whole lot of complications including the need to cesarean section, premature birth, etc. So, it is best avoided, and diet can help to some extent.
2. Diabetes: Gestational diabetes which manifests as higher sugar levels only during the pregnancy is very common in women with PCOS. The increased hormone levels in PCOS increase insulin resistance, thereby increasing sugar levels. This needs to be managed through a combination of diet, exercise, and lifestyle changes.
3. Preterm labor: Women with PCOS are at a slightly higher risk of premature labor.
4. Weight-related issues: PCOS leads to weight gain, and this could be a problem during pregnancy. It is essential to discuss with the doctor as to what would be a good weight range and stay within that range throughout pregnancy. Weight gain brings with it a host of complications and so best avoided.

Dietary changes:

With PCOS, during pregnancy, strict cautious diet planning can help in avoiding complications and allow for an easier pregnancy. Though they may not solve every problem associated with PCOS, dietary modifications can have a significant effect on the overall health and well-being. Listed below are some easy-to-make changes:

1. Increase consumption of fibres like greens, nuts, pumpkin, berries, whole grains, almonds, etc. are included. This ensures that digestion is a prolonged and gradual spike in blood sugar levels.
2. Increase protein-rich foods like soya, tofu, eggs, and chicken, which help in avoiding binging. They are light on the stomach and help in weight management.
3. Foods which are generally anti-inflammatory including tomatoes, olive oil, spinach, fresh fruits, and omega-3 fatty acids help in controlling blood pressure and cholesterol levels.
4. Supplements to include omega-3 fatty acids, prenatal vitamins, vitamin D, and calcium if required ensure that the baby gets the required nutrients for optimal growth.

What to avoid:

Anything that can spike up calories and is of low nutritional value should be avoided.

1. Avoid whites – pasta, rice, and bread
2. Baked and processed foods
3. Candies, chocolates, snacks
4. Salty and spicy fried snacks
5. Aerated drinks and soda

PCOS in pregnancy presents a combination risk, and dietary changes and weight management are essential for a safe pregnancy.

Interstitial lung disease is a condition that causes inflammation and scar tissues in the lungs, making it harder for them to work. The airways, air sacs and outer aspect of the lungs, and the blood vessels may be affected as well.

Diabulimia is a type of eating disorder in which patients of Type 1 diabetes intake less amount of insulin purposely, in order to lose weight. This disorder, however, is not a formal diagnosis. The disorder may be defined as disturbed eating behavior. 

Our body requires insulin for moving glucose from the blood to the cells. In type 1 diabetes patients, the pancreas stop producing insulin and glucose gets stored in our bloodstream. This causes extra stress on the kidney in getting rid of excess of sugar. The body gets devoid of glucose and the calories associated with it and a rapid loss in weight occurs. Patients develop binge eating,  with more emphasis on sugar and carbohydrate enriched foods. The excess sugar gets out of the body by urinating.

The symptoms of this disease are:

1. Occurrence of hyperglycemia
2. Developing a habit of eating more, but still experiencing weight loss
3. The shift in weight may be dramatic
4. The energy level is low
5. Eating patterns turn unusual
6. Binge eating
7. Developing an obsession for food
8. Enhanced awareness about body image
9. Feeling anxious about the weight
10. A delay occurs in sexual maturity or attaining puberty
11. Occurrence of stress
12. Hospitalization is required frequently for diabetic patients
13. Exercising amount increases
14. The patient tends to hide food
15. There is a smell of ketones from the breath and urine of the patient
16. Frequency of urination gets enhanced
17. Malnutrition occurs signalled by hair loss or drying of skin

Health hazards of Diabulimia

1. Diabulimia can cause a great amount of permanent effects on the body, irrespective of age.
2. Patients with diabulimia have a risk of getting early comorbidities.
3. Health issues similar to issues arising from diabetes are observed, but are more adverse in nature.
4. Dehydration happens along with excess urination.
5. The patient experiences fatigue and the level of concentration falls down.
6. An electrolyte disbalance is caused.
7. There may be risk of heart attack, stroke, retinopathy, neuropathy, gastroparesis.
8. Vascular disorders, gum infections and infertility in women may also occur.
9. In the most extreme cases, death occurs.

Prevention
It has been proven by research that almost 30% of type 1 diabetes patients are the ones who abstain from or avoid using insulin in order to lose weight. This habit leads to the risk of many other fatal diseases which may be permanent in nature. Dibulimia is more common among teenage girls who suffer from type 1 diabetes and are generally obsessed with body image. Diabulimia is an eating disorder which leaves a patient at risk of acquiring many other severe diseases. It is advised not to neglect your insulin.

If you are experiencing pain in urination along with a burning sensation, a health condition known as dysuria is indicated. This condition is usually common in women and men alike. However, older men are more prone to face this problem. Pain during urination may occur because of various reasons. The most common causes are as follows:

Infections

1. Urinary tract infections (UTIs) are a common cause of painful urination. Infections may occur in any part of your urinary tract, such as in the kidneys, bladder, and the ureters. These infections occur due to bacteria, which gets into the urinary tract via the urethra. There are several factors, which increase your chances of being affected by UTI. They include diabetes, an enlarged prostate, old age, pregnancy, and kidney stones. UTI is signified by other symptoms such as fever, bloody urines, flank pain, stronger smelling urine, and an increased urge for urination.
2. At times, painful urination may also be associated with vaginal infections in women, like yeast infection. Vaginal discharge and foul odor are indicated in the case of vaginal infections.
3. Painful urination is also caused because of certain sexually transmitted infections (STIs) such as gonorrhea, genital herpes and Chlamydia.

Inflammation and irritation
There are several problems, which can cause inflammation of your urinary tract and genital region. This further results in painful urination. Inflammation and irritations also occur because of other factors such as urinary tract stones, vaginal changes associated with menopause, certain physical activities and the side effects of several medicines, treatment procedures and health supplements.

Consulting a doctor for painful urination
Your doctor will suggest you to undertake certain laboratory tests for the proper diagnosis of the cause of your painful urination. After this, a suitable treatment method is sought and undertaken. Before this, an overall physical examination is also carried out. Your doctor is likely to ask you some important questions regarding your painful irritation, how the condition worsens, and is felt during the onset of urination. It is also likely for your doctor to know about any other symptoms, which you might be experiencing such as fever, flank pain and vaginal discharge. You must tell your doctor about any changes observed in your urine flow, such as difficulty in initiating flow, an increased urge to urinate, and dribbling.

Apart from these, your doctor may also ask whether you experienced any character in urine after painful urination. These may include colour, amount, cloudiness, presence of pus in the urine and so on.

The problem of morning back and neck pain may be due to the position of sleeping or it may be related to inflammatory arthritis which can be familial. Morning back pain is largely related to wrong sleeping posture and less commonly due to arthritic conditions like Ankylosing Spondylitis or Rheumatoid Arthritis. Whatever be the cause- this condition requires attention by an Orthopedic doctor as it may worsen in due course of time and should not be taken lightly.

Some common factors causing this are:

1. Mattress: Too soft or too hard a mattress might induce back ache after sleep. For people with waist and hips of equal proportion, a firmer mattress would do well. For those with narrower waist than their hips, a flexible and softer mattress that can move with the pelvic weight would be a perfect choice. Refrain from using old hardened mattresses.

2. Pillow: The pillow you use must be able to render support to your neck naturally. Instead of using excessively firm or soft pillow, try substituting it with memory foam pillows, refillable water pillows or cervical support pillows.

3. Posture: Not changing your position while sleeping or sleeping on the belly exerts strain on the back muscles, causing pain. On the other hand, sleeping on the back or on the sides causes comparatively less strain on the spine.

4. Other causes such as strenuous workouts or physical activities or sitting at a stretch during the day might cause pain while sleeping or after getting up from bed.

Remedies for Morning Back Pain:

Fortunately, there are some home remedies to cure the morning back pain.

1. Switching your mattress is a more expensive remedy for back pain, but may often be the ultimate cure. Most people sleep the best on medium-firm mattresses. Be sure to try out the mattress before you buy it.

2. For occasional back pain after sleeping, apply heat to your back to relax your muscles before you go to bed and when you get up in the morning.

3. Massage your back with pain relieving creams and apply heat on it with a heating pad for quick relief.

4. Specific spinal stretching exercises and Planks (a type of exercise) can greatly help in easing back pain, if done on a regular basis.

5. It is always recommended to CONSULT an Orthopaedic doctor if you suffer from morning back pain.