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She is suffering from pain in uterus for last 6 months. Infact, it started 6-7 years back but due to medication it stopped sometimes and she left medicine. Now she is unable to even walk, sit or travel. Sever pain has made her weak and no medicine helps. Its old case. Please help.
Hi, I am 34 years old female today is my 11th day. I was taking siphene tablets for 5 day's from 2nd day of my periods. But being my 11th day there was no follicle developed in both my ovaries. Can I continue scan. Will there be a chance for follicle development. Please help.
I hv pcos problem. So im not conceiving too nd im proper periods. hormonal im balance. Pls help out hw. Dis pcos will solve. Pls doc.
My last lmp was 17/02. We are on ttc. My periods was a week late. We thought that i concieved. Suddenly on sunday i.E on 22nd post evening at 7am i started spotting pinkish later i midnight i started bleeding heavily. But yes from morning the bleeding stopped. Nly pinkish spotting. What it could be. Can i still be pregnant?
Ma apne husband ka sath sex Krti hu to mere niche k part me lubricant kam banta hai. Or during sex, kafi jalan bhi hoti hai. please koi gharelu ilaz bataye.
She is my close friend when she will come to home I am getting diff kind of feeling shall I ask to sex ?
I am 29 years old female married, my menstrual are very painful I feel dizziness, sweating ,Bloating in the belly area. Now I want to know the reason of severe cramps and what would be the best time to conceive the baby my periods cycle are as under 9th july16 14th Aug'16 19th Sep'16 24th Sep'16 pls suggest.
What you will find here
What is this condition?
Why do your ears get blocked in an Aeroplane?
Who is more likely to get Aeroplane Ear?
What can you do during the flight to prevent blocked ear?
How can you prevent very young children from getting aeroplane ear?
How can you unblock your ears after the Flight?
When should you visit a Doctor?
What is Aeroplane Ear?
Pain in the ear, popping ear, blocked ear during air travel is the most common medical problem faced by flyers. Aeroplane ear is the better known name for Barotitis media or Aerotitis media. Aeroplane ear or Barotitis media is the condition where there occurs damage to the ear due to difficulty in adjustment of the air pressure between Middle ear and External ear
Why do your ears get blocked in an Aeroplane?
I have to go into a bit of physics for a proper explanation. Please excuse the science Lecture! As you know according to Boyle’s Law : The pressure and the volume of an enclosed mass o gas are inversely proportional. When the plane rises in the air, there is a progressive decrease in air/atmospheric pressure. Basically at 18,000 ft above sea level, the air pressure is half that at sea level.During the rise through the atmosphere , as the pressure falls ,a particular mass of air in an elastic structure expands .Similarly during descent, the air contracts and the volume of cash decreases.
So what happens in the ear during Flying?
Imagine your ear is made up of 3 rooms.The outermost part of the ear which connects the entryway with the other rooms is the external ear.This is the part involving your ear canal. The ear drum separates your external ear from the middle ear, where the small bones (malleus, incus, stapes), which help transmit sound live.The ear drum is somewhat flexible and can move with change in volume of air in the middle ear. Two windows oval window (covered by stapes footplate) and round window (covered by round window membrane) connect your middle ear and the inner ear.
The inner ear has your hearing and balance apparatus It’s called the labyrinth. A tube connects your middle ear with the part of your oral cavity behind the nose (nasopharynx) .It’s called the Eustachian tube.Easily the most important structure which helps keep up the normal air volume inside your middle ear. It’s through your Eustachian tube that air enters or exits to equalise air pressure between outside atmosphere and your middle ear.
What happens during Ascent?
Air pressure outside falls. Middle ear pressure falls. Air in your middle ear expands (following Boyle law) This excess air pushes the tympanic membrane outwards to its natural limit.This is normally followed by escape of air through your Eustachian tube. Movement of the ear drum may be restricted due to scarring (previous infection).This may cause ear pain during ascent.
What happens during Descent?
Air pressure outside rises. Middle ear pressure rises. Air in your middle contracts and volume decreases (Boyle law). The ear drum moves inwards. (retraction). The opening of your Eustachian tube must be opened to allow air from the nasopharynx to enter and adjust the volume.The Eustachian tube will open with swallowing movement. If this mechanism fails (if you fall asleep, or have a cold), or is delayed, the increasing pressure difference closes the naspharyngeal end of Eustachian tube.When the pressure difference is more than 90 mm,Hg, your tubal dilator muscles are unable to open the Eustachian tube and it stays locked.The ear then feels blocked.
Barotrauma occurs during flying due to:
1) Very rapid air pressure changes.Sudden ascent/descent. 2) Blocked Eustachian tube.
It may also occur in:
Hyperbaric oxygen chamber
Decompression and compression chambers
Who is more likely to get Aeroplane Ear?
Anybody who has some nasal or Nasopharyngeal problem which blocks the Eustachian tube.
Acute infection in the nose.
Chronic infection in the nose
Malformation of nose
Sleeping during ascent or descent
Small narrow Eustachian tube; infants toddlers.
How will you know whether you are developing aeroplane ear?
Symptoms ( most common)
Discomfort in the ear
Ear Muffled hearing
Blocked ear/fullness of ear
Excruciating pain in ear
Severely blocked ear
Ringing, buzzing sound in ear (Tinnitus)
Severe Hearing loss
Spinning sensation (Vertigo)
Bleeding from ear
If you have any of the severe problems.Or if the symptoms persist even after …..hours “check..
What will your doctor See?
An ENT surgeon may do an otoscopic examinations to see your ear drum.
Signs on otoscopy:
Invaginated/retracted ear drum
Congested ear drum
Solitary or multiple blood filled blisters on your ear drum
Signs of serous otitis media
Ruptured ear drum, with blood clot.
Otoendoscopy may also be done where you will also be able to see these findings along with your doctor.
Are there any long term complications ?
Rarely the ringing sound in ear or tinnitus may be permanent.
If inner ear barotrauma occurs hearing loss may not improve
What other tests can you do?
Pure tone audiometry; to check your hearing and rule out inner ear barotrauma Tympanometry:To check the air pressure in the middle ear.and find out if there is any fluid.
Aeroplane ear:How to prevent it during flights
Don’t fall asleep during flying, specially during ascent or descent.
Avoid flying if you are having a severe cold.If emergency then use a Nasal decongestant spray just before takeoff and landing.Also take a decongestant orally, before getting on the .Dont use over the counter sprays .They may cause even more problem in the long run.
Take plenty of chewing gum so that you can actively help in Eustachian tube opening during flight.The chewing and swallowing movement helps to open Eustachian tube.
Try Valsalva maneuvre.This is a pressure equalizing technique which helps to pop the ear.You can try this if repeated swallowing and yawning doesn’t help.
Pinch your nostril, take a mouthful of air,close your mouth and try to gently direct the air into the back of your nose.Imagine you are trying to blow your nose gently. You should feel a pressure buildup.But do not let the air out.If you hear a pop you will know the ear is unblocked.
What can young children do to prevent aeroplane ear?
Very young children have difficulty during fflying.Often you will find them irritable crabby , pulling at their ears and may also cry incessantly. This is because the Eustachian tube in infants and very young children are not mature enough to handle the extreme change in pressure.
But you can help them too.
Dont let them fall asleep.
Play with them.
Carry a few pacifiers so that the suck and swallow reflex constantly works.
Talk to your baby doctor whether a decongestant oral medicine is advice able for your child.
A plain saline nasal drop given just before take off and landing helps to increase the swallowing movement and equalise pressure effectively.
What can you do to unblock the ear post flight?
Continue the Valsalva maneuvre/pressure equalizing technique
Normally it’s self healing and gets better within a few hours to few days.
If symptoms are uncomfortable and persists , or the ear doesn’t pop you should visit a doctor specialised in ear diseases
If your nose is blocked , avoid forceful nose blowing and take steam through your nose.This helps to relieve nasal congestion and open up the Eustachian tube.
What your doctor may advice?
Nasal spray; decongestants/steroids
Non steroidal anti inflammatory drugs for relieving pain
Once medication have improved Eustachian tube function Valsalva maneuver helps to force open the blocked tube.. Surgery is rarely needed.
If fluid in the middle ear persists even after 3 months myringotomy (incision in the ear drum) is done to drain the fluid.
If the perforation in ear drum does not improve after 3 months tympanoplasty to repair the ear drum may be needed. I hope next time you are flying you will be carrying some chewing gum or hard candy with you.
Write to me at email@example.com or comment below to let me know how your ears fared this time.
My wife is pregnant 3 month 10 days approx or less if we don't want child can we option. Is it any ayurvedic or any method for not wanting a child.
I am 23 years old and I have discovered 2 big lumps on my shoulder. What should I do now. Is it very serious?
Hi Intercourse last on 14th july. Was on pills. Pill pack ended on 28th july bleeding from 1-6 aug. No pills or intercourse after that. Next period due on 1st sept as it did not occur till 8th Did a serum beta hcg on 8th sept (last intercourse was on 14th july) Usg showing pcod same day. Usg on 21st sept also showing pcod only. As I was feeling shortness of breath and gassy. I did several hpt. At 4,5,6,7,8,11,12 weeks from last intercourse as well as today. Also. I always used hpt with first morning urine and checked with 2 brands prega news and ican Prega news had always shown negative. But ican from 11th weeks (may be have not noticed earlier) showed very white line on test area within thw manufacturer time limit. It was their on 11 weeks, 12 weeks and now 13 weeks from intercourse. Sometimes their is a single white or grey line on test region or their are 2 lines on test region. No intercourse after 14th july. 2 bleeding which continued for 5-6 days. Is their any risk that m pregnant? Do I need to repeat the test? Moreover in the store the kit is store in refrigerator but I generally store in bag coz its not possible for me to store in refrigerator. Will it affect the result?
E study of basic human values by psychologists is not new. Probably the best-known theory of basic values in psychology is abraham maslow's hierarchy of needs, which dates from the early 1940s. But the psychological study of values has been growing, in both volume and empirical quality of research, and philosophers interested in ethics ought to know something about it.
Unfortunately, growing though it may be, the psychological study of values is nevertheless not in a particularly advanced state of development. Accordingly, there are multiple, conflicting theories of human values (and corresponding virtues) in the psychological literature. A sampling that I spent just a few minutes pulling together is: braithwaite and law (1985), cawley, martin, and johnson (2000), crosby, bitner, and gill (1990), feather and peay (1975), hofstede (1980), maloney and katz (1976), peterson and seligman (2004), rokeach (1973), schwartz (1994, 2012), and wicker et al. (1984). My impression is that on the one hand there is considerable loose agreement in the results of these studies, but on the other hand the agreement is indeed loose, and there are significant differences between theories, especially when it comes to the conceptualization of the results.
I myself am not well enough acquainted with this research to comment on these differences. What I want to do in this post is just describe the one of these theories that seems to me to be the most serious, ambitious, well-developed, and well-supported, namely the schwartz theory of basic values, due to shalom schwartz (1994, 2012). At the end I will briefly discuss some implications of schwartz's theory for political philosophy.
By values we refer to beliefs concerning what situations and actions are desirable. However, values for schwartz are not attitudes toward particular situations or actions, like having a chicken dinner right now or having $20k in my bank account. He restricts the term value to broad motivational goals. Schwartz sees values as stable standards by which we evaluate everything else, including the appropriateness of any norms, attitudes, traits, or virtues that may be suggested to us. It is also characteristic of values that some are more important than others. Multiple values are normally implicated in any proposed action, for better or worse, and the all-things-considered evaluation of an action will depend on the relative importance of the competing values it implicates.