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Chin Reduction Treatment
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Sir, mujhe toilet 4-5 bar jana padta hai matlab ek bar jane ke bad 10 minute ke bad firse pressure aata hai aur aise 4-5 bar jana padta hai to iska problem rectocele ho sakta hai? Rectocele main kya hota hai? Rectocele ka pata kese chalta hai? Rectocele ki surgery ka cost kitna hota hoga?
A common headache can have a number of reasons behind it, such as defective vision, hetrophoria or convergence deficiency, etc. Now, the question arises as to how they can cause headache. Read on to know more...
Q. Why should defective vision cause headache?
To attain a perfect vision, eyes with defective vision have to make sustained extra efforts, which results in headache. Even if the refractive error is very small, it can be the cause of headache. More prolonged the working and smaller the print, higher the incidence of headache.
Q. Can this occur at all ages?
Yes, it can occur at all ages. However, with age, the resistance decreases and hence elderly people are more prone to get headache. More the use of computer, mobiles, TV or prolonged studies precipitates headache
Q What is Hetrophoria?
Normally, both eyes always remain parallel, but in some cases, eyes have slight tendency to develop minor squint, may be convergent or divergent. This is called Hetrophoria or Latent squint. Such patients have to take extra strain to keep the eyes straight
Q. What is convergence deficiency?
For reading, both eyes have to converge and if there is weakness of convergence, extra strain has to be put on the eyes, which cause headache.
Q. What is the ideal method of refraction in young patients, I,e below 40 years?
Ideal method is to dilate the pupil with Tropicasyl plus drops. This has the advantage that the doctor can see the retina and Optic Disc. This is important to exclude any involvement of brain as the cause of headache. It also relaxes accommodation and hence provides correct refraction. In cases of Hypermetropia, it is extremely essential to dilate the pupil.
Q. What is the role of Autorefractmeter (a computer) in refraction?
It is a very important instrument to provide correct refraction, but it cannot be totally relied upon. Some opticians rely on it and give wrong numbers.
Q. What is acceptance Test?
You have refracted the eyes with Autorefractmeter or Streak Retinoscope but exact power is what a patient accepts. This is very important.
Q. What is astigmatism?
There is a difference in refraction in different meridians and it is important that a cylinder number is prescribed in correct axis. This is a difficult task and needs lot of experience.
Q. Is it important to correct astigmatism?
To relieve headache and strain on the eyes, it is very important that exact cylinder is prescribed.
Q. What is the role of exact centring of Optical Lenses?
.You may give correct number, but if the centre of the Optical lenses and cornea do not coincide, satisfactory results are not obtained. To dispense correct lenses is a big art and the Optician must be qualified and well experienced.
Q. Does the quality of lens affect the visual comfort?
Yes, it is important that quality of lenses should be good, preferable fibre lenses which are Ant reflect coated. Crizal coating with capability to block the UV rays are very popular.
Conclusion: Refractive errors are important cause of headache and needs proper examination of the eyes, preferably after dilating the pupil. Astigmatic error even if too small may be the cause of headache. Spectacle dispensing is an art and a patient must select proper optician. Spectacles if advised for constant use must be used constantly to get full relief.
Sir, I have problem that penis end side small pimples like and it will coming white creamy and Smell like bad smell how it will be good.
Ian loosing hair quickly and I am tried many shampoos but no effects. Please help me out. Wat I huv to do? What shampoo you suggest for me? Is here any solution. Feeling tensed please help sir thanks.
Any body answer to my question ,how to get glow nd glamour on face in simple way. Please I need proper answer.
I am 49 years old I had taken my lipid profile test my LDL level is 55 below normal level is it alarming or normal? othe test like HDL 38; VLDL 30; triglycerides 152, total cholesterol 123; cholesterol/HDL ratio 3.2- kindly reply with your opinion. thanks. I am diabetic sugar level fasting 97, post: 136.
I am feeding my 5 months baby I want to become fat day by day i'm losing my weight i'm not able to eat anything. please suggest me something to become fat soon i'm fed up this weight lose.?
I am applying coconut oil on my penis for masturbating if oil enters into penis hole is it harmful I am worried a lot and I am using ordinary coconut oil.
My mouth was not open properly because I m eating gutkha from few year. What are the precise to open my mouth.
Sleep apnea is a sleeping disorder in which you experience frequent breathing pauses while sleeping. In case of some, the pauses may last for just a few seconds, while for others, it may continue for a few minutes. Sleep apnea is generally chronic in nature. There are three types of sleep apnea, namely Central, Obstructive and Complex sleep apnea. Central sleep apnea occurs if the brain fails to transmit signals to the muscles responsible for your breathing functions. Obstructive sleep apnea occurs due to relaxation of your throat muscles. Complex sleep apnea refers to a combined condition of both central and obstructive sleep apnea.
Some of the possible causes of sleep apnea are as follows:
- Blockage of airway during sleep can cause sleep apnea
- Putting on weight can cause obstructive sleep apnea
- In some cases, large tonsil tissues can lead to obstructive sleep apnea in small children
- Intake of certain medicines like Oxycontin or MS Contin can cause central sleep apnea
- Male people are more prone to sleep apnea
- Smoking is also a potent trigger for sleep apnea
- At times, high blood pressure can induce sleep apnea
- Suffering from sinus can also lead to sleep apnea
- Large neck size (more than 16 inches) may cause sleep apnea
In case of some people, sleep apnea might be an inherited condition.
The most common symptoms of sleep apnea are mentioned below:
- Sometimes, obstructive sleep apnea is accompanied by choking or snorting sounds.
- You may encounter breathing trouble while sleeping, leading to a disruption of your sleep.
- Maximum times, sleep apnea is accompanied by snoring.
- Sleep apnea leads to a dry mouth, which can disturb your sleep.
- You may feel dizzy during daytime.
My father is 70 years old having urine problem infection and postal glands problem which medicine should give for that.
Hii, I am male 22 years old have acne red type on my chick both side and blackheads. And have small acne whiteheads on forehead and hyperpigment on one side on forehead since 2 yr. Pls suggest me complete cure and homeopath medicine.
I am suffering from itching and burning sensation around the vaginal area. Also noticed swelling and redness. Presently, cleaning the vaginal area by using wash (twice a day ). Kindly suggest wash is good or not. For itching and burning, what should I do.
I am a 21 weeks pregnant women. Now am suffered joints pain near pelvic and leg. Past few days I suffered lot. While standing and sitting doesn't pain created but in sleeping position I can't turn from left side to right side it creates more pain. Also while wakeup from bed its create more pain. Please give me some suggestions.
Doctor I am not using any oil on hair form 1 years and now my hair is very hard & rough. And my style of hair is spiky when I am using shampoo or oil my hair is not set properly I am using hair wax also please give me a suggestion to make smooth hair.
Hello sir, I don't know whether the problem is dust allergy or not. Some times in dusty while I take a breathe my nose becomes to squeeze, n if I start to touch my nose it becomes more squeezy n water flows through my eyes, please provide me better solution sir.
Hello sir My son almost at 18, he penis is small of his age, I was afraiding it could be problem. It should be worrying problem? I want many solutions as possible to grow his pennis size with commonly available item in markets. Some times sperms come fastly seeing a blue film to him. In night normally sperms coming. I want solution to grow size. And it would be any problem. And also he was interested to have sex.
My father is using sleeping tablets daily and some depression tablets quetiapine, pacitane benfomet . Is it safe to use for 10 date. He says that he is loosing balance, shaking, tongue sleeping, please advise.
There are women who feel their looks are spoilt because of the presence of excessive body hair. While hair on women's body is common, excessive body hair isn't a normal condition and must be taken seriously. Women are generally unaware that the condition is known as Hirsutism.
What is Hirsutism?
Hirsutism can be defined as growth of excessive facial and body hair in women. With the world obsessed with flawless skin, such changes from feminine hair pattern (soft, fine, vellus hair) to masculine hair pattern (hard, dark, terminal hair) in a woman is generally unwelcoming and, hence, very distressing for the woman.
Why do some women develop Hirsutism?
In order to understand the reasons for such excessive growth in some women, it is important to understand the differences in the physiology of men and women. The male or female appearance of one's body is dependent on a delicate balance between male and female sex hormones. There is a predominance of the hormone estrogen in a woman's body, whereas androgens (testosterone) are the predominant sex hormones among men. However, some amount of androgens is secreted by the ovaries and adrenal glands (located next to kidneys) in women also. But, an excessive production of these hormones results in Hirsutism. Hormonal imbalance is by far the most common cause of Hirsutism.
Causes of Hirsutism
The common causes of hirsutism include:
1. Endocrine causes
- Polycystic Ovarian Syndrome (PCOS) - PCOS is a condition of hormonal imbalance in the body, which can result in an irregular menstrual cycle, enlarged ovaries with a cystic appearance on USG, infertility, obesity and hirsutism. For more information on the causes and management of PCOS.
- Cushing's syndrome - Excessive production of hormone Cortisol by the adrenal glands can lead to symptoms such as high blood pressure, abdominal obesity, skin discoloration, muscle weakness, irregular menstruation, and hirsutism etc. This syndrome is known as Cushing's syndrome.
- Congenital Adrenal Hyperplasia (CAH) - CAH is a condition of excessive production of hormones Androgens and Cortisol by the adrenal glands and generally manifests in childhood in the form of virilization. In such cases, CAH can present with symptoms such as ambiguous genitals, obesity, hypertension etc. However, sometimes the manifestation of CAH is deferred to early adulthood and results in milder symptoms, hirsutism being one of them.
2. Tumors - Tumors in ovary or adrenal glands can again cause hirsutism due to excessive production of androgens
- Long term steroid consumption (commonly used for immunosuppression, rheumatoid arthritis, and multiple sclerosis)
- Performance enhancing drugs (often used by athletes)
4. Idiopathic - the woman may be having hirsutism despite normal hormone levels
There are essentially two lines of treatment for hirsutism - one is medical management and the other is a cosmetic treatment.
Medical treatments for hirsutism -
A. Birth control pills - It's possible to reduce the severity and intensity of hair growth using birth control pills- the most commonly prescribed medical intervention! The birth control pills help by decreasing the production of androgens by ovaries. Besides this, estrogen present in the pills also helps the liver to produce more of sex hormone binding protein- these proteins bind to circulating androgens, thereby reducing their action on the body. Both these actions help in reducing the growth of hair on the body.
B. Anti-androgen medications - There are three categories of anti-androgen medications, which are commonly used for the treatment of hirsutism.
- I. Spironolactone - Spironolactone is a diuretic medicine, which blocks the effects of androgens on the hair follicles, thus controlling hair growth.
- II. Finasteride - Finasteride works by blocking the conversion of body testosterone into its more potent chemical entity, thereby limiting the effect of testosterone on hair growth.
- III. Flutamide - Flutamide is a potent anti-androgen, which blocks the actions of androgens and helps in controlling the hair growth.
However, we have to ensure that the woman is not pregnant when taking any of these three medications. These medicines are often combined with oral contraceptives, which also have a synergistic effect in reducing the severity of hirsutism. One should also seek an expert opinion before starting these medications as there can be serious side effects, especially on liver.
C. Steroids - Low dose dexamethasone can be used to control the overactive adrenal glands when used carefully. However, long-term steroid therapy has got its own side effects and this therapy should only be considered under expert care and guidance.
D. Insulin sensitizing medicines - Medicines such as Metformin and Pioglitazone (Basically these are anti-diabetic medications) help in reducing insulin resistance in the body, which, in turn, helps in controlling the effects of excessive circulating androgens.
Cosmetic treatment for hirsutism -
One very important aspect of cosmetic management of hirsutism is self-care. This can include shaving, waxing, use of depilators and bleaching creams. All these measures help to reduce the amount of visible hair in undesired parts of the body. But, this needs to be done very frequently for a sustained visible effect.
Permanent hair removal is also possible using electrolysis or LASER treatment. In electrolysis treatment, electric current is passed into the hair follicle using a needle, which damages the root of the hair permanently. Similarly, LASER treatment uses LASER to destroy the hair follicle. Both these are effective methods to get rid of the undesired hair. However, we do not yet know if there are any long-term complications or side effects of these methods and these methods are not yet approved by the US FDA.
Related Tip: How Safe is Laser Surgery for Facial Hair Removal??