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Management of Abortion
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
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Since 3rd month of my pregnancy I have got severe acne. Earlier I had very mild acne. I also have PCOD even before my pregnancy. I had occasional mild acne since I was 22 years but PCOD since I was 28. But from 3rd month of my pregnancy I have got severe cystic acne which gets aggravated sometimes. I was treated with isotretinoin 20 mg for 2 months but since I am planning for my second baby I have left it and again I am getting occasional breakouts. What will be the right form of treatment for me. Please advise if I need hormonal therapy or a full course of isotretinoin will solve my issue so that I can start treatment accordingly post delivery? Since isotretinoin or hormonal therapy is not advised during pregnancy can I do something else to check my acne? One doctor advised me to take PCO care for 4 months. Is it safe to take during planning? Please help. I am 31 years old now.
Hi I am 25 married 3 months ago. I need ask some personal sex life question i. E I got hairs on my penies so that I am not able to have sex. When ever we try to have sex she get pain because the trimmed hair. Is there any solutions to solve that problem and have happy sex life.
Dear Sir, I would like to know my married daughter got pregnant and found diabetes her Fasting sugar 120 and 2 hours after lunch 173. Now doctors advised to take insulin. Is use of insulin harmful to child or mother if it continued till delivery? Is any treatment available other than insulin in Ayurveda? Pl reply.
Hello I am 28 yrs old married woman. Height 5'4" and weight 75kg. Recently I joined gym but within 2 days of cardiovascular experience I faced slight bleeding in my vigina and I am facing this next day also. Which made me scared. Please help me out.
Ma'am or sir, Mere right side breast me pain h or swelling v ho gayi hai, or touch krne pe v pain hota hai or hard v ho gya hai. Mai unmarried hu or meri age 32 hai. Plz suggest what I do. One thing is mai Dr. se check up nahin karna chati.
Hello doc Mam I have hormonal imbalance problem. My tsh and prolactin tests r normal but testosterone is 52.8.menstruation problem. Nd hair growth on chin. Even a little bit gain in weight. I go for walk daily. controlled diet. Is there any serious problem. My age 27 years old unmarried. In future any prob during conceive? Bp normal level. please Guide me how to cure.
Sir/ma'am please help. My girlfriends period started from 10aug an ended on 15th aug. We had you protected sex on 27th of aug. I believe I did not cum Inside her but since she was not sure so she took ipill (ecp) after 6 hours of intercourse. After four days i.e. On 1st aug at 1: 30 am, she started bleeding and she said that the pain and blood was just like her periods. We both are very tensed as we don't want any pregnancy. please help. We will be grateful to you.
Lehsun ki kali khane se garbhpat hota h kya? Agar hota h to kitte percent chance hota ki garbhpat nhi hoga.
Good afternoon lyb doc, I stil not had my periods. Last month I had on 18 Feb. V had our intercourse on 13 March. So please suggest me. I usually have my periods 30- 33 days. Nd stil I have not undergo pregnancy test. Shall I wait for another 4- 5 days or undergone test. Or shall I take menstrual tablets after 4 days. I am confused. please suggest me.
What is exercise-induced asthma? — exercise-induced asthma is when a person with asthma has breathing problems during or after exercise. Doctors often call it" exercise-induced bronchoconstriction" instead. That's because exercise does not actually cause asthma. But it can trigger symptoms in some people who already have asthma.
What are the symptoms of exercise-induced asthma? — symptoms can include:
●a tight feeling in the chest
●shortness of breath
●wheezing (hearing a whistling sound when you breathe)
Symptoms happen when the airways in the lungs become narrow and inflamed (figure 1). In people with exercise-induced asthma, this usually happens about 10 to 15 minutes after starting to exercise. In most cases, the symptoms go away after about 1 hour.
These symptoms are different from shortness of breath that happens during an asthma" attack" or flare-up. A person having an asthma flare-up might have more trouble breathing if he or she tries to exercise. That's because the airways are already narrowed.
Is there a test for exercise-induced asthma? — yes. But if you already know you have asthma, you might not need testing. Your doctor might be able to tell that you have exercise-induced asthma based on your symptoms. Or, your doctor might have you do a breathing test, such as:
●an" exercise challenge test" – this involves using a treadmill or exercise bike for several minutes, then doing a breathing test. The test shows your doctor how your lungs are working. A similar test involves inhaling a special mixture of dry air while breathing fast, like you would if you were exercising.
●a test that involves breathing in a special medicine – for this, you do a breathing test before and after inhaling the medicine. If you have asthma, the medicine will cause your airways to narrow.
Your doctor might also check for other problems that can cause similar symptoms. For example, people with vocal cord narrowing, lung disease, and some heart problems can have trouble breathing after exercising.
How is exercise-induced asthma treated? — if you get exercise-induced asthma, you can treat it with a" quick-relief" medicine. It comes in an inhaler and treats asthma attacks or flare-ups. The medicines used for this are short-acting beta agonists (called" sabas" or" short-acting bronchodilators").
Examples of sabas are albuterol and levalbuterol.
Your doctor or nurse will tell you how and when to use your inhaler. Most people need 2 puffs to relieve symptoms. If you keep having symptoms, you can take 2 puffs again after 20 minutes. If you get exercise-induced asthma, make sure you have your" quick-relief" inhaler with you anytime you plan to exercise.
If you are having symptoms but don't have your inhaler, or if you still have trouble breathing after using it, call for an ambulance.
Some people feel shaky after taking a saba. If this happens, talk to your doctor or nurse. He or she might switch you to a different medicine or lower your dose.
Can exercise-induced asthma be prevented? — yes. First, it's important to take all your asthma medicines the way your doctor or nurse tells you to. Keeping your asthma controlled can lower the chances of having symptoms when you exercise.
You can also:
●take medicine before you exercise – this usually involves using your" quick-relief" inhaler 5 to 15 minutes before exercising, to help prevent symptoms. Sabas are the medicines most often used to prevent exercise-induced asthma. But some people, such as children who are physically active many times a day, get another type of asthma medicine instead.
If you exercise most days of the week and need your" quick-relief" medicine each time, your doctor might suggest an asthma controller medicine if you don't already take one. This is a medicine you take every day, even when you are not having symptoms. This way you won't need the" quick-relief" medicine as often.
●avoid exercising in certain conditions – very cold, dry air can make symptoms worse. If you do exercise outside on a very cold day, it might help to wear a loose scarf or mask over your nose and mouth. It can also help to avoid exercising in polluted air, or around pollen or mold if you are allergic.
●warm up before you exercise – some people find that a warm-up period helps prevent exercise-induced asthma. But this isn't true for everyone.
You should not avoid exercise completely in order to prevent exercise-induced asthma. Exercise is important for staying healthy. Plus, regular exercise and better fitness can actually help reduce asthma symptoms. Your doctor and nurse can help you figure out what kind of exercise is best for you, and how to prevent and treat symptoms.
Low libido or a decreased sexual activity can affect a relationship in a big way. Time and again, an individual, irrespective of their age, sex or occupation can go through periods of low libido. Decreased sexual desire over a longer period of time needs thorough investigation. It could be an indication of something big and serious lying ahead.
Critical factors that attribute to low libido are:
- Stress: An individual's mental and emotional state is greatly reflected in their sexual performance. A sound mental health can enhance a performance thousand folds. On the contrary, factors like depression, anxiety and stress, lowers the sexual desires in a person. To enjoy a healthy and normal sexual life, it is important to keep stress and chronically blue moods at bay.
- Sound sleep: The benefits of a sound sleep are beyond imagination. A good 6 - 8 hours of sleep can do your sexual desires or libido a world of good. A sleep deprived soul will be agitated and cranky, both on and off the bed. Continuous sleep deprivation can also lower the testosterone level, resulting in low libido.
- Smoking: A killer habit, which affects a person's sexual activity is smoking. Drug abuse and drinking (to some extent) can be equally responsible for a low libido.
- Change in weight: A sudden change in body weight (gain or loss) can play a significant role in low libido. Take pride in your body structure. There is nothing to be ashamed of.
- Take a break: Boredom can mask your sexual life greatly. Break the monotony, take short breaks, go on vacations and low libido will be a thing of the past. If you wish to discuss about any specific problem, you can consult a sexologist.
There are veins which carry blood from the various digestive organs to the liver. When there is an obstruction in the free flow of blood in the liver, it increases the pressure and is known as portal hypertension. This increased blood pressure stresses the blood vessels in the esophagus, stomach, and other digestive organs and results in internal bleeding.
What causes portal hypertension?
Cirrhosis is the most common cause of portal hypertension. The cirrhosis could be a result of excessive consumption of alcohol, chronic hepatitis, or thrombosis in the liver vessels. Blood clots in the portal vein are schistosomiasis ( a parasitic infection) are some other causes of portal hypertension. It is also important to know that in some cases, the causes of this condition remain unknown.
What are the symptoms?
Although, the symptoms of portal hypertension may not be very evident until you identify that there is some damage in the liver. the chances of developing a portal hypertension are increased if you suffer from a liver disease.
- Ascites, which is fluid accumulation in the abdominal cavity
- Bleeding in the abdominal vessels
- Blood in the stools and/or vomitus (black tarry stools or blood in the vomitus)
- Reduced platelet count
- Encephalopathy, fluid accumulation in the brain, which can lead to confusion and other issues
How can it be managed?
Once diagnosed, treatment of portal hypertension is at two levels.
At the first level, dietary and lifestyle changes and medical treatment should suffice.
- Alcohol, a street drug, and tobacco use should be completely stopped. Sodium and protein intake should be reduced.
- Avoid taking any over-the-counter medications without consulting a medical personnel.
- Have a good, balanced nutrition
- Medications like propranolol are given to control blood pressure
- Medications are also given to prevent internal bleeding
- If there is encephalopathy, then lactulose is given to clear confusion
- The ends of the bleeding vessels are tied and cut off (ligated) endoscopically, and this is known as sclerotherapy. Alternately, bands may be applied to the cut vessels to prevent further bleeding. This is known as banding.
If this first line does not work, then the next level of interventional therapy is initiated.
- TIPS, which is a transjugular intrahepatic portosystemic shunt, which is a shunt that is placed into the liver to reduce pressure.
- Distal splenorenal shunt (DRSR) is when a shunt or link is created between the splenic vein and the left kidney vein. This also helps control variceal pressure and bleeding.
- Both these shunts are widely performed and require follow up once in 6 months to ensure they are performing well and without any blockages.
- In cases where a shunt is not possible, then devascularization is done. This involves removal of the bleeding varices.
- The fluid in the abdomen may be removed surgically by paracentesis.
- As a last option, a liver transplant surgery may also be considered.
So, while portal hypertension definitely is a serious medical condition, there are different levels of treatment. The important thing is to alert yourself once any symptoms set in. Early intervention always ensures minimal intervention and good prognosis.
In case you have a concern or query you can always consult an expert & get answers to your questions!