Doctor in Vinay Nursing Home
Caesarean Section Procedure
Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
Well Woman Healthcheck
Treatment Of Female Sexual Problems
Treatment Of Medical Diseases In Pregnancy
Treatment Of Menstrual Problems
Intra-Uterine Insemination (IUI) Treatment
Medical Termination Of Pregnancy (Mtp) Procedure
Gynecology Laparoscopy Procedures
Pap Smear Procedure
Urinary Incontinence (Ui) Treatment
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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.
- 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.
- 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.
- Preterm labor: Women with PCOS are at a slightly higher risk of premature labor.
- 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.
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:
- 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.
- 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.
- 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.
- 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.
- Avoid whites – pasta, rice, and bread
- Baked and processed foods
- Candies, chocolates, snacks
- Salty and spicy fried snacks
- Aerated drinks and soda
PCOS in pregnancy presents a combination risk, and dietary changes and weight management are essential for a safe pregnancy.
A left ventricular assist device is an electromechanical device used in cases of advanced heart failure. In later stages of heart failure when the heart is weakened and no longer able to pump the necessary amount of blood, a left ventricular assist device can be surgically implanted to assist the heart’s functions.
A left ventricular assist device is often used as a short term solution and is different from a pacemaker, which is a long term cardiac assist device. The cases in which a left ventricular assist device is often used are:
- As a temporary solution while a cardiac failure patient is on a transplant list or otherwise waiting for a heart transplant.
- During recovery from cardiac surgery when the heart is not strong enough to function on its own. The device would soon be removed as the patient recovers.
- During recovery from heart attacks
Having a left ventricular assist device implanted gives the heart time to rest and recover, leading you to the point where your heart can go back to functioning on its own. However, there are cases where a left ventricular assist device can be implanted as a long term solution. This treatment is called Destination Therapy and requires implanting a left ventricular assist device for several months or several years.
How a Left Ventricular Assist Device works?
A Left Ventricular Assist Device can only be surgically implanted. It has both internal and external components with a pump attached to your heart and a controller on the outside of the body. The pump is attached to the heart with a tube that directs blood into the aorta. The pump and the controller are connected through a cable called the driveline. Since the Left Ventricular Assist Device is powered by electricity or batteries, a power source is also worn outside the body and is attached to the controller, powering both the controller and the pump.
How a Left Ventricular Assist Device can affect your lifestyle?
Many people around the world have Left Ventricular Assist Devices implanted on both a temporary and permanent basis. While a person should be resting while recovering from a heart attack or cardiac surgery, it is possible to go about your normal daily life whilst having a Left Ventricular Assist Device implanted. While certain exercises and stress should be avoided when having a heart condition or when implanted with a Left Ventricular Assist Device, with carrying cases for power sources and controller that can operate from various different power sources, it is easy to live a normal productive life.
Foot arch pain is used in broader context for describing pain in bones, ligaments, muscles and nerve on the foot bottom. Slight damage to any of the components in the foot bottom can cause great pain. For starters, the pain lasts for a brief period, but increases over time if the condition is left untreated. Foot arch pain is more commonly witnessed in people over the age of 60 and among athletes engaged in sports of high impact.
The treatment plan of the pain totally depends on the cause. An early and right diagnosis goes a long way in treating the condition faster. For occasional mild to moderate pain, simple solutions such as footwear change can do the trick. Doctors often suggest four simple methods. This starts with rest followed by applying ice and then trying compression and elevation.
Anti-inflammatory medications are used to treat foot arch pain. Cases that are severe in nature can be treated with steroid and anti-inflammatory injections. For extreme cases, cortisol injections are prescribed too. This is done to relieve pain and release plantar fascia. Even stretching exercises are known to give relief from the pain. Some of the recommended exercises during this period are:
- Stretch-related to plantar fascia: This exercise should be performed by crossing the legs at the junction of the knee. The body weight should be rested on the unaffected leg and it should gradually come down to touch the toe. The idea is to stretch the plantar fascia. A set of 20 such movements should be practised on a daily basis. Each movement should last for about 10 seconds.
- Foot flexing: This exercise can be practised before getting out of bed. This is the tie when the pain from the plantar fascia is felt the most. This exercise should be repeated 20 times each lasting for about 10 seconds.
- Rolling stretch: This exercise should be started by sitting in a chair. A tennis ball should be placed under the foot arch and the same should be rolled back and forth for ten times at a time. The same should be repeated with the second foot. Once this posture gets comfortable, the same should be practised by standing on the ball. It is known to be extremely useful for people suffering from foot arch pain.
How to prevent foot arch pain?
1. Wear shoes that are half an inch lose as they will make feel comfortable while walking
2. Losing weight; obese tends to cause pain in the foot arch
3. Performing free hand exercise and simple stretching on a daily basis
4. Not to overuse the foot. People who stand for more than 5-6 hours at stretch on a daily basis are observed to have foot arch pain.
Fistula-in-Ano is a type of an abnormal hollow cavity that is lined with granulation tissue. It connects a primary opening inside the anal canal to the second opening in the perianal skin. Ayurveda has perfect surgical techniques which can help you root out this problem without leaving any chances of recurrence.
Kshar Sutra is basically an ayurvedic parasurgical treatment that involves management of Anorectal disorders for treating Fistula-in-Ano. The technique is minimally invasive in nature. Following are some of the tips related to the Ayurvedic Management & Kshar Sutra in Fistula-in-Ano:
Safe and Extremely Cost-Effective: This type of surgery uses a thread, also known as Kshar Sutra, especially prepared by herbal chemical cauterization. Cauterization is the medical practice of getting part of the body burnt, for either removing or closing off a particular part to cure diseases like Fistula-in-Ano. Hence, people can safely go for this treatment procedure because there is absolutely no risk element involved. Moreover, as the use of thread is involved in treating the problem, so basically, the minimum expense is involved. So, patients need not pay much.
Customized Treatment: Usually, three kinds of Kshar Sutra get used, depending upon the number of coatings and the quality of materials implemented. Coatings are created with ayurvedic herbs and treatment for each and every patient takes place in a customized manner depending upon their individual requirements.
Can Get Rid of Other Disorders: While undergoing the Kshar Sutra treatment for Fistula-in-Ano, patients are even routinely investigated with a special type of reference for any other associated disorder like Hypertension, Tuberculosis, Diabetes Mellitus etc.
So, Kshar Sutra not only helps people to get relief from the problem of Fistula-in-Ano but also assists in getting rid of other associated problems.
- Maintenance of Diet as Part of Ayurvedic Management: Those patients, who suffer from the painful disease of Fistula-in- Ano, Ayurveda instructs them to maintain a healthy diet in the form of fruits and vegetables. On the contrary, they must avoid the excess amount of spicy foods, along with items that cause constipation and even make sure to not have too much of garlic, chillies and potato.
- Keep Yourself Hydrated: Drinking plenty of water is extremely essential as this helps to clear off the channels and also allow people to flush off stools and toxins from the body.
Diseases which are caused by some sort of genetic mutations in the mitochondria, can be quite deadly. This is the reason why Mitochondrial Replacement Therapy, also known as Three-Person IVF is being seen as a much more desired option for those women, who carry mitochondrial mutations.
Almost all the genes in a cell remain trapped in the nucleus but a small fraction of them remain present in the mitochondria as well. During the fertilisation of eggs, the genes in the egg’s nucleus get combined with the genes in the nucleus of the sperm, which in turn creates a new cell. On the other hand, mitochondrial genes are involved in this mixing. Rather they are passed on from mother to child.
The main reason behind three-person IVF is to help find a way, so that the mitochondrial genes can be replaced in an affected cell of the egg prior to the time they get passed on to the child. This is carried out when the egg cell of the donor gets acquired and the nucleus is removed from the cell, hence leaving the cell with healthy mitochondria. After that, the mother’s nucleus, which stays unaffected, is removed and gets placed in the donor’s egg cell, thereby creating an egg cell which must contain healthy genes not only in the nucleus but also in the mitochondria.
Genes Are Complex in Nature
- Genes communicate with one another. Cells get engaged in a variety of complex processes like division of cells or respiration, which are highly unlikely to be performed only by single genes acting in an isolated manner. So a network of genes works together, with each one making a contribution of certain particular components.
- Genes tend to be variable in nature, which basically means that no two genomes are similar. Due to this reason, the result of a typical pair of genes interacting with one another will at times be different for different individuals. This is the dark side of genetics, which has not been studied in a comprehensive manner and experts are not aware of exactly how widespread this might be.
- Experts call this type of effect as Epistasis, which can occur between individual genes, between two or more sets of genes or even between whole genomes. The one occurring between whole genomes, has relevance to discuss about the safety and ethics of MRT. The reason is that, when a mitochondrial genome from a donor replaces the affected mitochondria, the parents’ nuclear DNA must communicate with a completely new genomic partner. The ethical implications related to the epistasis getting changed between nuclear DNA and mitochondrial have thus far been completely ignored.
Ethics Comes First
The review of the ethics related to MRT or Three-Person IVF came up with the conclusion that if the procedure was safe, then it could be considered as ethical. In other words, they concluded that if the trials carried out on humans showed that the treatment undertaken was safe, then it could also be considered as ethical as well.
One part of the human body is essential for the efficient functioning of another. The hip joint provides support to your overall body weight while you are at ease or in motion. Suffering from medical problems pertaining to the hip can impede free movement; walking, running, stooping, sitting or even lying down will cause immense pain and discomfort in such a situation. While certain bodily disabilities come with old age and are in most cases unavoidable; some others can actually be controlled through physical exercise.
1. Stretch like a pigeon- This yoga loosens up muscle tension in and around a person's hip. Your right leg must be stretched behind while the upper part of your body bends over a folded left leg in front. Your head rests on your coupled hands. This stretch improves the shape of your hip as well.
2. Try to be an eagle for hip firmness- To align your body in the perfect eagle pose; you probably need to be a conjurer; that is the kind of flexibility the posture requires. Be a half chair making your hands intersect above your head while your left leg crosses the right one. The pressure is on your hip making it strong. Your body has to be in one single line.
3. Sit in the chair pose- Crouching on your haunches with your torso inclined to the front is a good way to better hip mobility. This exercise also relieves you of back pain. It adds potency to the muscles of your upper thighs thus giving a well- rounded hip extra support.
4. Stoop in the downward doggy pose- The downward doggy pose helps you concentrate on the fullness of your hips. The back muscles are stretched and the problem of a small, rickety hip is dealt with through this yoga. Your legs should be erect at the knees and should be stretched apart depending upon the width of your hip. The rest of your body should bend in a forward arch while your spread hands touch the ground.
5. Try out the benefits of World's Greatest Stretch- World's greatest stretch involves a series of stretches that not only accentuates your hipline making your hip muscles adaptable to stress but also tones muscles in other parts of your body. It is a three- fold exercise. The second step is the most difficult where your body is balanced on a half folded right leg and you're required to touch the ground with your right elbow.
The amount of emotional upheaval that periods, or no periods (for that matter) can cause, is something that every woman is aware of. It's normal to miss your period for different reasons occasionally, but it is a matter of concern if this absence persists over a period of time. The condition is then termed as a case of secondary amenorrhea. Although most people are quick to consider pregnancywhile dealing with the various reasons for missed periods, there are a number of possibilities which are seldom mulled over, but should be considered in order to take effective precautions and seek proper medical care:
- Weight: Body weight is responsible for affecting hypothalamus and this may, in turn, upset your menstrual cycle. BMI level under 18-19 may result in triggering irregularities since enough estrogen will not be created. This is also why underweight women, who suffer from bulimia or anorexia, tend to miss their periods frequently. On the other hand, overweight women may stop ovulating due to increase in the production of estrogen and therefore, have heavy, infrequent periods. Therefore, it is essential that body weight be regulated to avoid any disappointment at 'the time of the month.'
- Stress: Any type of physical or emotional stress is bound to affect your cycle. This is because, the production of stress hormones in the body increases and an elevated level of adrenaline and cortisol may impair the functioning of the reproductive system. Under stressful situations, the body employs its amino acids to assist the neurotransmitters to produce stress hormones over sex hormones. As a consequence, the chances of missing your periods increase.
- Exercising Too Much: While regular workout is indispensable for battling a sedentary lifestyle, overdoing it might cause your body to produce lesser estrogen and delay your periods. Women, who are into athletics and gymnastics, are more likely to suffer from amenorrhea. In fact, other aspects of over-exercising, like sleeping less, fasting, and infections also contribute to such irregularities.
- Breastfeeding: Prolactin is the hormone that aids in milk production and may also repress ovulation for a while. Many breastfeeding moms may not get their periods for a month or more as a result. But this doesn't do away with your chances of getting pregnant. A span of three months is expected to pass before the abnormalities are done away with.
- Food Allergies: Celiac disease or untreated gluten allergy can directly harm hormone production. They are directly related to your gut health and your adrenal glands which is why they can influence the sex hormone creation.
When you are expecting, you are eating not only to nourish your body, but also to nourish the foetus growing within you. This has led to the common saying that when pregnancy, ‘eat for two’. However, more than the quantity you eat, it is important for you to make the right choices when it comes to what you are eating. Here are a few foods you should include in your diet to have a healthy pregnancy.
- Fruit and vegetables: Fruits and vegetables are rich sources of vitamins and minerals essential for your baby’s growth and development and to give you the energy you need. They also add fibre to your food and help prevent constipation thereby helping the digestive system function smoothly. To get the most benefits from fruits and vegetables, try eating them raw as much as possible.
- Starchy foods: Cereals and grains are essential carbohydrates that are needed when pregnant. To avoid excessive calorie intake, stay away from processed carbohydrates and instead pick whole grains, potatoes, unpolished rice, maize, millets etc to be part of your diet.
- Protein: Protein helps build muscle tissue and promotes development in the growing baby. It also helps with the development of the baby’s brain. Meat, fish, eggs, legumes, pulses and nuts are rich sources of proteins that should be essential parts of your diet. However, avoid excessive protein as it can lead to indigestion. Pick lean meats without skin and ensure that they are cooked properly before eating them. Avoid raw preparations such as sushi and raw oysters when pregnant.
- Dairy: To build strong bones your baby needs plenty of calcium. Calcium also helps regulate the use of fluids in your body. For this, it is essential that you have plenty of milk and milk products when pregnant. Wherever possible, choose fat-free variants to avoid excessive calorie intake.
- Lentils and nuts: Dried beans, lentils and nuts are rich sources of folic acid. Folic acid helps prevent congenital defects like spinal bifida etc that can affect the development of the baby’s spinal cord and brain. The liver is also a rich source of folic acid.
Not everything is good for you. Some things like saturate fats and foods that are high in sugar and salt content are best avoided when pregnant. These foods do not contribute much to your health but lead to weight gain, water retention (swelling of feet) and increased blood pressure especially during last trimester. You should also try and limit your caffeine intake when pregnant.
It starts bleeding any time without periods. Even I don't understand when my periods start and finish. I usually see the white discharge having some blood in it. I have taken many treatments but it's not cured. I have been suffering from this problem for 2 years. My vagina bleeds at least once in a day and in blood clots. Why is it happening please tell me.
Homoepathic treatment Vulva (Pruritis Vulva)
Itchy vulva (pruritis vulva)- Itchy vulva (pruritus vulvae) is itching of the skin of the vulva. The vulva is the skin outside the vagina, including the lips of the vagina and the skin between the vagina and the anus.
An itchy vulva (pruritus vulvae) is a symptom, not a condition in itself.
Vulval itching can affect any woman, at any age. It can lead to scratching and rubbing which can break the skin and can lead to soreness, bleeding and skin infections.
The problem of pruritus vulvae or itchy vulva can affect any woman at any age and that can be mild or severe depending upon a number of other factors. There are some factors which can aggravate or cause pruritus vulvae. Here are some of the causes of pruritus vulvae or itchy vulva-
- Infections- Thrush, threadworms, scabies, some sexually transmitted infections, such as trichomoniasis and genital warts.
- Sensitivity of the vulval skin is the most common cause of persistent vulval itch. The vulval skin can become sensitive to anything that comes into contact with it, such as: creams, soaps,
- Perfumes, deodorants, excessive sweat, condoms, wet wipes, textile dyes (in coloured underwear) detergents
- Fabric conditioners- may cause an itchy vulva or just irritate a vulva that is already itchy. (panty liners, sanitary pads and tampons)
- Skin conditions that may affect vulval skin- Atopic eczema, psoriasis. Lichen simplex can affect the vulva. It is caused by scratching, usually initially triggered by the itch of eczema. Lichen planus affects the vulval skin and the entrance to the vagina. Urinary or faecal incontinence. This can make the skin of the vulva moist and irritated. In little girls a particularly common cause is careless or inadequate washing or drying of the area, and wiping the bottom in the'wrong' direction (towards the front). Scrubbing too vigorously with toilet tissue can also contribute.
- Menopause- Because of lower oestrogen levels, the vulval skin tends to become thinner and drier during and after the menopause. This can make it prone to itch. The low oestrogen levels can also cause vaginal dryness.
- Pregnancy- This can cause itch due to swelling of the veins in the vulva (vulval engorgement). There is also an increased risk of vaginal discharge and thrush during pregnancy, which may also cause itch.
- Breastfeeding- Can cause itch due to low oestrogen levels.
Generalised body itch -
Any cause of generalised body itch may also cause itching of the vulva. A generalised body itch may be a side-effect of some medicines or due to some blood disorders, thyroid problems or kidney or liver disease.
Diabetes- Can cause itch in the vulval area, particularly if the diabetes is not well controlled and sugar levels are tending to run high.
Stress- Stress can cause an itchy vulva. It may also make an itchy vulva which is due to some other cause last long after the original cause has settled.
Management and homoeopathic treatment for itchy vulva-
· identifying and stopping the use of anything that may be sensitive the vulval skin.
· in young girls, learning to wipe gently from front to back, and to wash and rinse well and dry even when showering (when the vulva can be missed or left soapy).
· wear loose 100% cotton panty. Avoid nylon or synthetic panty material which tends to block fresh air and causes you to sweat more.
· change panty daily.
· avoid wearing tight-fitting clothes such as cycling shorts or leggings. Skirts and dresses are probably better than trousers.
· consider wearing no underwear - for example, at home, and at night.
· wash vulva gently, once a day. Do not scrub or wash vigorously and avoid using a sponge or flannel to wash with. Over-cleaning may make symptoms worse.
· taking a shower is generally better than having a bath, as it's easier to wash the vulva - but take care to wash off any soap.
· don't put on underwear until vulva is fully dry. Dry the skin gently by dabbing it with a soft towel.
· try to avoid getting shampoo (which runs down the body in a shower) on to the vulva, where it may irritate.
· avoid antiseptics or special vaginal washes.
· avoid condoms that are lubricated with spermicide, as they can be sensitising. Similarly, avoid perfumed lubricants.
Homoeopathic treatment for itchy vulva-
The selection of remedy is based upon the theory of individualization and symptoms similarity by using holistic approach.
Homeopathy for itchy vulva can help this increasingly common condition without harmful side effects of traditional medicines.
Several remedies are available to treat itchy vulva that can be selected on the basis of cause, sensations and modalities of the complaints.
- Apis mel- Follicular vulvitis with abscesses of labia ; neuralgia of external pudenda.
- Calcarea carb- Itching and stitches either in the internal or external vulva or in both at the same time.
- Cantharis- Burning and violent itching with dysuria, cutting and burning with frequent micturition.
- Carbo veg- Itching of vulva and anus from varicose veins in the genitals producing even dysuria; red and sore places about the vulva with itching and leucorrhcea.
- Coffea- Excessive sensitiveness about vulva with voluptuous itching would like to rub or scratch the parts but they are too sensitive.
- Conium- Violent itching of vulva followed by pressing-down of uterus especially after menses ; urine flowing and stopping alternately at every emission.
- Croton tig- Intense itching relieved by gentle scratching.
- Dulcamara- Herpetic eruption on vulva aggravated by every cold change of weather or by exposure in cold, damp places.
- Graphites- Itching vesicles and pimples on labia which smart and are painful ; painless pimples on inside of labia ; itching, smarting, painful vesicles on vulva ; itching worse before menses.
- Helonias- Mucous membrane of labia red, swollen, and covered with a white, curdy deposit like aphthae ; no sexual excitement.
- Hydrastis- Excessive pruritus with profuse albuminous ieucorrhoea and great sexual excitement.
- Kali brom- Excessive pruritus of the genitals from uterine or ovarian irritation or from venous hyperesthesia ; great sexual excitement, nearly nymphomania.
- Kreasote- Corrosive itching of the vulva with soreness and burning when scratching ; aphthous or inflammatory state of external parts, symptomatic of ovarian or uterine disease.
- Lycopodium- Great sense of dryness of the parts and much itching, especially during and after menses ; abdominal flatulence.
- Mercurius- Long-lasting itching of vulva shortly before menses aggravated by a single drop even of urine, it has to be washed off; itching of the vulva, with pimples on raous veneris.
- Natrum mur- Itching of vulva particularly if there is much falling off of hair; pimples on mons veneris.
- Nitric acid- Violent itching of vulva always worse towards evening; when walking, with soreness; swelling and burning itching of one side of the vagina and of nymphee.
- Petroleum- Itching in meatus urinarius during micturition, preceded by an urgent desire to urinate.
- Sepia- Burning and itching with swelling and redness, and humid eruption within the labia ; weight in the anus.
- Silicea- Itching of vulva from acrid leucorrhcea ; constipation; stool slipping back when partly evacuated.
- Sulphur- Troublesome itching of the vulva with pimples all around; violent itching of the clitoris.
- Tarantula- Dryness and heat of the parts ; intense itching, worse at night, accompanied by thin, acrid, yellow leucorrhcea ; urine with thick white sediment.
- Thuja- Itching of vulva when walking.
- Zincum- Itching of vulva during menses.