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Management of Abortion
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Treatment Of Female Sexual Problems
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I am 15 years girl my periods came on 5th may and ended on 8th may and now it came on 31st may? Why it came on 31st.
My wife had her period on 15/11/2016 but she had a positive pregnancy report so had a MTP kit for abortion on 3/12/2016 and had bleeding for almost a week. So when will she have next period and is it safe to have sex now.
Diabetic nephropathy refers to diabetic kidney disease (nehpro=kidneys, pathy=disease). In 2011, diabetes caused nearly 44% of kidney failure cases. This makes diabetic kidney disease the number one complication of diabetes; one that is likely to affect almost every diabetic to some extent. In nearly half the cases of kidney disease, it could lead to kidney failure as well.
Diabetes and kidneys:
The kidneys filter nearly 200 quarts of our blood every day. Diabetes is a disease of excess sugar in our blood. Read these two sentences together and the link between diabetes and kidneys becomes obvious!
Every single day of our lives, the kidneys perform these functions:
Remove waste from our body (in the form of urine) retain whatever proteins, vitamins and other nutrients we can still usebalance the fluids in the bodyhelp maintain proper blood pressure by managing potassium and calcium levelskeep bones healthyhelp make red blood cells.
Diabetes damages the kidneys and the urinary system in three main ways:
Damage to blood vessels in the kidneys: too much sugar damages the filters in the kidneysdamage to nerves: fine nerves in the hands, feet, etc. Are corroded by the extra sugar in the blooddamage to the urinary tract: nerves run from our bladder to our brain and let us know when the bladder is full and we need to go. Damage to these nerves could mean we don’t react when our bladder is full. Result: extra pressure on the kidneys. Retained urine can also allow urinary tract infections to grow and migrate back to the kidneys.
Diabetes damage to blood vessels inside kidneys: The filtering units of the kidneys are called glomerules. They have tiny blood vessels that are easily clogged and damaged by excess sugar in our blood. Damage to these vessels also causes albumin, a kind of protein to leak via the urine. Ideally, albumin should be retained in the body. It is a condition called microalbuminuria in the early stages and albuminuria in the later stages.
Diabetes damage to nerves: Diabetes can also damage nerves everywhere in the body, a condition that is called diabetic neuropathy. When this happens in our hands and feet, we lose sensation there or begin to feel ‘pins and needles’. Nerves also convey messages from the brain to the urinary bladder and back. They inform the brain when our bladder is full. However, when these nerves are damaged by excess blood sugar, the brain does not realize when the bladder is full. The pressure from a full bladder can damage our kidneys over time.
Diabetes damage to urinary tract damage: When urine is retained in the bladder for long, the risk of bacterial infections increases. Bacteria also thrive on sugar, so diabetes increases infection risk. These infections usually stay limited to the urinary bladder. However, if they last for long, they may migrate to the kidneys and damage them too.
Consider all this in an organ that is working 24×7. Now you see why diabetic kidney failure is such a real danger for diabetics over the long term.
Diabetic kidney failure: early stages and symptoms
Diabetic kidney failure is a very real threat. It is a slow but relentless process that is divided into five stages of deterioration. The last stage called diabetic kidney failure or end stage renal disease (esrd)
The 5 stages leading to diabetic kidney failure are:
Stage 1: Kidney damage with normal gfr (90 or more). Gfr or glomuler filtration rate is the most widely accepted measure of kidney function. There are often no symptoms at this stage.
Stage 2: Kidney damage with mild decrease in gfr (60 to 89). Again, most patients feel no specific symptoms till this point.
Stage 3: Moderate decrease in gfr (30 to 59). At this stage, you may be losing too much protein, calcium and other nutrients. Some patients may feel breathless (due to loss of iron and anemia). Some puffiness and water retention could also be visible in the body. Urine may turn brown in colour. Some patients feel back pain too.
Stage 4: Severe reduction in gfr (15 to 29). All of the symptoms of stage 3 will are felt even more acutely now. Some blood may be seen in the urine. Breathlessness and swelling are usually quite severe. The stage at which you will need to finalize dialysis or kidney transplant options
Stage 5: Kidney failure (gfr less than 15). The kidneys give up at this stage. You will need dialysis or a kidney transplant.
Symptoms of kidney disease in diabetic patients
• Frequent urination, especially at night
• Blood or other dark discharge in the urine
• Swelling in the ankles
• Cramps in the calf muscles of the legs
• Feeling sick, feeling like throwing up, first thing in the morning
• Feeling weak, tired, breathless, looking pale
• Unexplained and consistent high blood pressure
• Unexplained urge to itch
• Lab tests: protein or albumin in the urine
• Lab tests: higher than normal levels of creatinine or bun in the blood
Diabetes and kidneys: how to protect yourself
First, you doctor needs to be sure that the underlying diabetes is the main cause of the kidney damage. Once this is done, the standard approach is to keep the kidneys working well for as long as possible. You doctor will likely add the hypertension-reducing medications called angiotensin converting enzyme (ace) inhibitors to your regimen. This is because ace inhibitors have been shown to help slow the loss of kidney function.
Here’s what diabetics can do to protect themselves from kidney damage:
• Control your blood sugar better. Don’t rely only on medications, but make changes to diet and lifestyle too. Many doctors endorse intermittent fasting to reverse diabetes today.
• Control high blood pressure. Take prescribed medicines on time. Daily moderate exercise and stress management techniques like meditation can help too.
• Watch out for and get timely treatment for urinary tract infections
• Don’t take medications like over-the-counter pain medications without telling your doctor. These may damage the kidneys, especially if you’re already at risk.
• Watch out for and take steps to prevent diabetic neuropathy. Damaged urinary tract nerves can lead to urinary retention and kidney damage. Some drugs like& metformin can contribute to diabetic nerve damage and supplements like vitamin b12 (as part of a good vitamin b complex) and alpha lipoic acid can help prevent this. Be aware and act soon.
• For people with diabetes, kidney screening once a year is mandatory. This can help to detect any protein or other substances that shouldn’t normally be in the urine.
• Use the right dietary supplements to protect your kidneys from diabetes damage.
Diabetic nephropathy: dietary supplements that help
Vitamin c (200mg- 1250mg per day)
Vitamin c is known to reduce excretion of urinary albumin. This suggests it may slow progression of diabetic nephropathy.
In a study published in the scientific journal nephron, researchers found that supplementation with vitamin c (also known as ascorbic acid or aa) reduced micro albumin loss in diabetic patients. The researchers concluded that “dietary supplementation of aa in diabetic subjects may have long-term benefits in attenuating the progression of diabetic complications”
Vitamin e (100iu-680iu per day)
Studies have found that vitamin e, when administered along with vitamin c, has the ability to reduce urinary albumin excretion. In the first study, published in the journal diabetes care, one groups was given just vitamin e and vitamin c. A second group received these and also the minerals magnesium and zinc. Both groups showed improved kidney function on lab parameters. In the second study, published in the diabetic medicine journal, type 2 diabetics took 1250mg of vitamin c plus 680 iu of vitamin e daily. In four weeks, their albumin excretion rate or aer was 19% lower compared to the placebo group.
Alpha lipoic acid (600mg per day).
Alpha lipoic acid (ala) is found in spinach, broccoli and potatoes and is a known anti-oxidant. A research study in 2001 set out to see if ala could help patients with diabetic kidney damage. The study group received 600 mg of alpha lipoic acid as a supplement. Another group received no supplement. The first group was able to maintain the same rate of urinary albumin loss, while the control group, saw their albumin loss worsen during the same period. Since alpha lipoic acid helps diabetics fight diabetic nerve damage too, it may well be a useful addition to all diabetics.
Everything we eat, including dietary supplements, has to be processed by the kidneys at some point of time. So do involve your doctor in your choice of dietary supplements if you have diabetic kidney disease.
Just remember: diabetic nephropathy or kidney damage is a result of the underlying diabetes. M. D. S are today saying that type 2 diabetes is reversible, through dietary and lifestyle changes. The better your control over the underlying blood sugar levels, the fewer the complications of diabetes. There are dietary supplements that are proven to help you improve blood sugar control, often without the side effects of prescription medications.
The food we eat affects our mind and body in various ways. There are many kinds of foods that have varied kinds of effects on how our body behaves due to the nutritional properties of the same. Spinach is a well known green vegetable that is rich in iron and various other nutrients. Since time immemorial, this vegetable has been used in various forms like soups, curries and much more so that we may enjoy the health benefits of the same.
Let us find out more about the health benefits of spinach with these quick pieces of information.
- Prevents cancer: One of the foremost qualities of having spinach on a regular basis is that it helps in the prevention of cancer. This is due to the fact that the level of chlorophyll that one may find in spinach is absolutely apt when it comes to blocking the entry and effect of carcinogenic material and elements in our body. These are the elements that may enter our body due to pollution as well as through some kinds of processed food. So one will need to eat plenty of spinach, especially in today’s day and age of adulterated food and pollution, so as to mitigate the effect of these elements and prevent cancer. Spinach is also highly recommended for those people who have a history of cancer in their family, and hence, are at a higher risk of getting the same.
- Helps in managing one’s diabetes: Alpha lipoid acid is one of the most well-known antioxidants that can be found in spinach. This is one of the rare elements that helps in lowering the glucose levels in the body even as it increases sensitivity towards insulin. This, in turn, helps in taking care of one’s diabetes without constant hospitalisation and medication. It also helps in managing diabetes through a neuropathy approach.
- Brings down blood pressure: Spinach is of great value for patients who have been suffering from problems like hypertension as it brings down the blood pressure levels. This is because spinach manages to negate the effect of sodium, which may be found in the body. This happens due to the high potassium content, which may be found in this leafy green vegetable.
- Increases the health of bones: When we have spinach on a regular basis, our bones also get the benefit of the same. The risk of bone fracture is literally reduced to half due to the high level of vitamin K and protein content of this vegetable.
- Gives you good skin and hair: With the constant ingestion of spinach, one can also get shining hair and glowing skin due to Vitamin C and collagen element that is found in abundance in this vegetable. If you wish to discuss about any specific problem, you can consult an Ayurveda.
I am a 22 years old female. My periods are regular. I don't have any other health problems and even my medical tests have been performed and reports are all normal. I am having hairfall since last year and during past few months severity has increased. I am also having hair thinning. Recently I have visited a dermatologist. According to him in the places where I have lost hair, the pores have been closed on scalp and therefore there is no growth in that area. The remaining hair also became very weak he told. Please suggest anything what can I do. Will I my hair grow back again. I am very fond of hair. I don't want any homeopathic solution.
Breast augmentation like silicon insertion are permanent or needs to be replaced over the period? Like 10 years to 12 years after insertion.
I am 24 years old, got married recently in jan 2015, till jan my periods were perfect, I didn't have any problems, but last 3 months my blood flow during periods is fluctuating, in feb I have blood clots and heavy flow for 9 hours, in march it is very very less, april it is too heavy like feb with blood clots and in may it is moderate but these 3 months my blood flow was like water, like liquid. Please help me I am worried about this. And I travalled internationally these 3 months, I visited us and came back to india. Let me know what can I do to get back my normal periods.
Me and my bf did not had sex but just rubbing of genitals. There was pre cum. We don't know if it is near vagina or not. Now after 4 days there is no white discharge. Usually I do get discharge daily. But it suddenly stopped. I'm really worried that if I'm pregnant. Can you please help me?
Last night I make love with my husband without any protection. I don't want baby at this time & my date hasn't come yet. My last date was 28 feb. Can I take pills to avoid. Previously 5 months before I had taken pills. Can it be risky to take 2nd time pills. Is there any problem for our baby when I want. I'm in big problem please help me.
Sir or madam my age 25 years old my wait just 41 kgs I face very problem from white discharge. Please how to solved my problem. How to increase weight growth.
Can we take mercy noni ayurvedic syrup in pregnancy. Because it is good for digestion. And for concentration.
I think m suffering with lukkorhea. M having thick discharge some times. And thin white discharge daily. M suffering from indigestion weight loose hair fall. Is there any test for lukkorhea. Which doctor shud I see for it.
Hello Doctor. I had dry sex with my gf on 30th march. My sperm came out from my cloth and she got afraid. So she took I pill after 48 hours and on 8th april she got lightly bleeding. It was for 3 days. On 15th april we did p-test and it was negative and her period cycle is on 28 but nw its almost 3 months over nd she didn't got her menstruation. Plsss tell me when she will get her menstruation. Still how many days it will take. Plsss help me.
My wife is now 44 years old. Two year before remove her uterus. Now she have no interest in sex life. She is now to much dry. Please suggest how to solve this problem I enjoy again married life.
I am 30 years old female mother of 2 kids I had delivered 7 months back and I am breastfeeding my baby till now. I have still not got my periods n I feel that I am pregnant again however I have not done any home test is there any chances of pregnancy with breastfeeding?
Emergency contraception refers to method of contraception that can be used after sexual intercourse
Methods of emergency contraception are
- 1insertion of cu-t within 5 days of sexual contact
- 2 emergency contraceptive pills --tab levonorgesterol (i-pill, unwanted 72) to be taken within 72 hours but are more effective if taken within 24 hours
- Tab ulipristal acetate 30 mg
- 3.3-5 tablets of oral contraceptive pill.
Tab levonorgesterol 1.5 mg single dose is most commonly used emergency contraception. Here we will be discussing emergency contraceptive pill -levonorgesterol (ecp)
Ecp prevents pregnancy by delaying ovulation (egg release). It does not interrupt an existing pregnancy
Ecp should be used in following conditions -
- Unprotected intercourse
- Concerned about regular contraceptive failure. Like condom tears or slips. Missed pill for regular 3 days etc
- Incorrect use of contraceptive
- Sexual assault
Ecp prevents 95% of pregnancy if taken within 72hours of unprotected intercourse
There are no medical contraindication to use of ecp but it should not be used regularly, after the use of ecp a regular contraceptive method should be resumed. Like oral contraceptive pill or iucd or injectable contraceptives
Side effects of ecp use are-
- Nausea, vomiting, breast tenderness, abdominal cramps, headache, dizziness
- Regular intake of ecp may cause menstrual irregularities like---
- Inter menstrual spotting
- Delayed or early periods
- Heavy periods
If periods are delayed after intake of ecp urine pregnancy test should be done
Thus emergency contraceptive pill should not be considered an alternative to regular contraceptive method. Regular contraceptive method should be adopted and ecp should be used only in emergency.