Raja Shri Grandhim Speciality Hospital

A nasal reconstruction surgery is required to correct deformities in the nasal area formed as a result of birth defects, injuries, trauma etc. It is also used to correct missing parts of the nasal anatomy if required. Recent developments in techniques such as microsurgery, expansion of the tissue and so on, have helped surgeons improve the methods of nasal reconstruction surgery to a great extent. At this point, a patient has a great number of reconstruction methods to choose from, depending on his/her particular case. 

Types of Nasal Reconstruction Surgery: 

1. Local flaps 
2. Regional flaps 
3. Secondary Intention Healing 
4. Simple Suture closure 
5. Skin grafts 
6. One stage nasolabial flap 
7. Two stage nasolabial flap 
8. Forehead flap Bone and Cartilage frame work reconstruction 

Indicators of the need for Nasal Reconstruction surgery 

1. One indicator of the need for this type of surgery is fractures in the nose that have changed the shape of the organ. Patients opt for this kind of surgery in order to improve their overall appearance. 
2. Another indicator is fractures or other deformities that lead to breathing problems. Living with such problems is difficult; hence it is important to get nasal reconstruction surgery. 
3. The presence of the Deviated Nasal Septum prevents proper breathing and increases vulnerability to ENT infections. Nasal reconstruction surgery can be used to fix this problem. 
4. Deformities formed as a result of treatment of skin cancer can be fixed with the help of nasal reconstruction surgery. 

Things to know about recovering from Nasal Reconstruction Surgery 

1. Medication taken orally can help to counter the discomfort experienced right after a nasal reconstruction surgery. 
2. Usually, splints are used inside the nose during the surgery. 
3. These are generally removed within a week. Patients are able to get up and walk about within a few days. Normal daily activities may be resumed upon the doctor's instructions. 
4. At times, a swelling may be observed in the nasal area, but this goes away within a few weeks.

In case you have a concern or query you can always consult an expert & get answers to your questions!

Pregnancy can wreak havoc in your body; be it your hormones overflowing or the constant crying of your newborn that makes you agitated after a point of time. Your baby will probably be your top priority in times like these but maybe, you can put yourself on the list as well once in a while because carrying a human inside isn’t a very easy task.

Vaginal soreness
On the off chance that you suffered a vaginal tear or an episiotomy while delivering, the injury may sting for a couple of weeks. Broad tears may take more time to heal. Meanwhile, you can promote healing by:

1. In case of sitting becoming uncomfortable, try sitting on a cushion or cushioned ring.
2. Utilize a squeezer-bottle in order to pour lukewarm water over the vulva while you're urinating. Press a cleansed washcloth immovably against the injury when you hunker down for passing stool.
3. Cool the injury using an ice compress, or place a cool witch hazel cushion between the wound and a clean sanitary napkin.
4. Take stool softeners or analgesics as prescribed by your healthcare provider.
5. For treatment of episiotomy wound in 1st week - betadine wash should be used 3-4 times a day.

While you're recovering, anticipate that the uneasiness will gradually reduce. Contact your doctor if the pain increases; the injury gets swollen, hot and excruciating; or if you notice a discharge with pus.

Vaginal discharge
Vaginal discharge (lochia) might be a problem for several weeks post-delivery. Expect a red, overwhelming stream of blood for the initial few days. The release will continuously decrease, getting to be watery and changing from pink or chestnut to yellow and finally white. Contact your doctor if:

1. You have substantial vaginal drying
2. The discharge has a foul scent
3. You have a temperature of 100.4 F (38 C) or more

Contractions
You may feel contractions for the initial few days post-delivery. These constrictions, which frequently seem like menstrual cramps help in preventing excess bleeding by compressing the vessels. These contractions have a tendency to get more intense with subsequent deliveries. Your healthcare supplier may suggest an OTC pain reliever as well. Contact your healthcare personnel in the event of fever or if the stomach area is tender to your touch. These symptoms and side effects could show a uterine disease.

In this advanced day and age where we witness miracles daily, IVF treatment has proved its worth by helping people change their lives completely. IVF or In Vitro Fertilization treatment is one of the biggest blessings to humankind. With the help of IVF, numerous couples, who had lost all hopes, have successfully conceived a child. Even though IVF treatment has been a savior in many cases, it is still a complicated procedure and needs to be researched upon thoroughly. You need to be very careful about your health during and after the IVF treatment is done, so that your baby is born in a healthy and safe manner. Given below are certain tips for taking care of oneself after undergoing an IVF procedure -

Risks You Should Be Willing To Take With IVF
There are a number of things which should be considered before going through the procedure of IVF. While considering IVF treatments, patients need to know about the possibility of having multiple pregnancies. This can be problematic to many as multiple pregnancies mean that the pain and weakness which comes with pregnancies will also increase. You have to be very careful in such cases. The  risk of premature deli very and low birth rate are also alarmingly high in the case of IVF treatments. Your child may also have birth defects if he/she is born via this treatment.

To minimise this risk, many doctors prefer to transfer a maximum of two embryos and encourage single embryo transfer wherever possible. This reduces the risk of multiple pregnancy without reducing the chances of pregnancy, because here at Nova we prefer blastocyst stage transfer and we have a high Implantation Rate.

Self-care Tips to Take Care of Yourself after IVF

1. Consuming a good diet: The most important thing which needs to be kept in mind during any kind of pregnancies, especially pregnancies through IVF treatment, is eating the right foods. A good diet is a must to avoid any kind of complications that may arise in the future. Taking care of yourself during this time and eating good food is important for the baby. However, make sure that you don’t eat anything in excess as well. Try to eat a lot of fresh green vegetables, fruits and whole foods.
2. Try to be positive: Although this may not seem as important, but it still needs to be kept in mind that your baby’s health has a lot to do with your physical and mental health. Try to be as positive as possible as the baby gets closely impacted by your state of mind.
3. Sufficient amount of rest and workout is required: During your pregnancy days, you need to make sure to work out and get enough rest. Make sure to get at least 7-8 hours of sleep daily. Go for walks for half an hour on a regular basis and also do some light stretching and warm-up exercises as well.

In case you have a concern or query you can always consult an expert & get answers to your questions!

It is common belief that alcohol consumption is a social menace and is injurious to health. It is the third leading lifestyle causes of death in the United States and takes a toll on the health care costs of the country. Many organs like the liver, kidney, heart, and brain are affected in people who are addicted to alcohol. However, it has been proven that alcohol consumption in minor amounts can have beneficial effects on the human body including the heart.

The side effects depend on a number of factors listed below.

• Type of alcohol consumption (social or habitual drinker)
• Amount of alcohol consumed
• Frequency of drinking
• Age, gender, and genetic predisposition of the person to develop alcohol-related diseases
• Family history of alcoholism and its related diseases
• Age at which the person started drinking
• The number of years that a person has been consuming alcohol
• Overall health condition of the person
• Exposure to alcohol as a fetus

Like the adage goes, anything in excess is bad. It is not necessary that a habitual or social drinker who consumes a drink or two per week would end up with these issues. In fact, if recent studies are to be believed, mild to moderate intake of alcohol does have a benefit to overall health.

• The cardiovascular benefits are the most prominent. Red wine and beer, in particular, are shown to provide benefits against cardiovascular damage in the long run. This could be due to the antioxidant properties of red wine. Alcohol itself (ethanol or ethyl alcohol) also has a positive effect. Some varieties of beer, porter and stout varieties in particular, are also shown to be beneficial. The anti-inflammatory properties and antiatherogenic (effect on plaque formation in the blood vessel) are what contribute to these positive effects.
• There is evidence to show that cholesterol profile is improved (good cholesterol increase) and clotting function is improved in people who have mild alcohol consumption.
• The insulin sensitivity is also better, leading to better control of sugar levels.
• Light alcohol consumption also is believed to reduce the risk of hemorrhagic stroke. However, heavy alcohol consumption is believed to increase the risk of stroke and other cerebral events.
• Limited alcohol use is also linked with reduced risk of dementia. Heavy consumption leads to faster memory decline.
• The key to note is that these benefits are only when the alcohol consumption is mild to moderate. In excess, the negative effects of alcohol are well established and numerous. Some of the most significant ones being cirrhosis of the liver and cancers of various organs including mouth, liver, larynx, oesophagus, colon, breast, pancreas, etc. To reduce these effects, alcohol screening and brief counselling to reduce habituation are helpful.

You must be aware that while emotional intimacy is highly required for a healthy relationship, physical intimacy is equally important. And, to keep things exciting and satisfying for both the partners trying out several sex positions could be the key.

If you are looking for ways to stimulate your woman to achieve orgasm and ensure pleasurable intercourse moments, mission in-her-possible, a variant of the popular missionary position, can be a good option to try. Understand the intricacies involved with this position by reading further.

What it has to offer to the women?
Women who face difficulties in having an orgasm very often can find this particular sex positions, especially known for its stimulation, is an ideal position to try. Offering the perfect clitoris and G-spot stimulation in its every thrust, it can be one of the best sex positions that can give a woman that perfect long elusive taste of pleasure when a man presses his pelvis against her clitoris. With one leg placing up in the air and one leg placing on the bed, it lets women feel the pleasure of sex and stimulation like never before.

Why will men love it too?
Men who often feel self-conscious and worried about not being able to make their partners achieve an orgasm or stimulate properly, this position can take away all their worries. Though it may demand a bit of endurance from the men's side as they have to lean forward, relying upon the resting leg of women for further guidance and support, and also a certain penis size, still, considering the results, trying this position is worth all the efforts.

Some quick facts about the position

1. Numbered as 13, mission in-her-possible is for specifically experienced couples. Yes, considering the difficulty levels of it, sexologists recommend it to those who have previous experience in trying various sex positions.
2. It doesn’t require much of stretching, despite appearing to be so. While the level of pleasure, acquired from this position, can be low for men but as far as women are concerned, pleasure level it provides is high.
3. The position may not be very suitable for men with a small penis and for the women who experience pain during intercourse. Men with a penis size of 7 inches or more may be perfectly suitable for this position.
4. The requirement of both stamina and flexibility for this position is medium and the pleasure quotient is high.

Remember, whenever trying this particular sex position, both the man and the woman must feel comfortable with each other. Trying ‘mission in-her-possible' indeed helps in improving the chances of women having an orgasm, but it is only possible when the interest of trying it develops in both the partners, participating in the sexual act.

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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. In case you have a concern or query you can always consult an expert & get answers to your questions!