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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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I am 30 year old unmarried girl. From last year my period gradually decreased from 4 days to 3-2 days. Now my period lasts only two days. Not any problems I feel during my period. Normal bleeding occurs. I had sex with my bf 3 (on August 2015, Dec 2015, September 2016) time last year. After each sex I took unwanted 72 ipil for preventing from pregnancy. After that I found that my period is getting less bleeding with less days. From last year 2016 my period lasts two days only. Now I am worried about it. Maybe any problem in my pregnancy after marriage because of less days period? My period is regular as it was. Not any delay in my period I had. Please help me. Should I contact with doctor?
I have prl- 47.3 what is the symptoms of getting high of prolactin hormone and how would I get relief from this?
Dengue fever is a painful mosquito-borne disease. It is caused by any one of four types of dengue virus, which is transmitted by the bite of an infected female Aedes aegypti mosquito.
Previous dengue infection with similar serotype provides immunity but different serotype causes more severe infection.
Common symptoms of dengue include high fever, runny nose, a mild skin rash, cough, and pain behind the eyes and in the joints. However, some people may develop a red and white patchy skin rash followed by loss of appetite, nausea, vomiting, etc.
Patients suffering from dengue should seek medical advice, rest and drink plenty of fluids. Paracetamol can be taken to bring down fever and reduce joint pains. However, aspirin or ibuprofen should not be taken since they can increase the risk of bleeding.
The risk of complications is in less than 1% of dengue cases and, if warning signals are known to the public, all deaths from dengue can be avoided.
Best test is NS1, specific
Cannot be false +ve
Is + from day 1 to 7 ideally.
If on day 1 is -ve, repeat it next day.
Always ask for ELISA based NS1 tests as card tests are misleading.
IgG & IgM dengue
In a pt with reduced platelets and looking "sick" on day 3 or 4 of illness, a very high titre of IgG with borderline rise in IgM signifies secondary dengue. These pts are more prone to complications.
In primary dengue IgG becomes + at end of 7 days, while IgM is + after day 4.
Immature Platelet fraction (IPF)
A very useful test in Dengue for patients with thrombocytopenia.
If IPF in such a pt is > 10%, despite a platelet count of 20, 000, he is out of danger & platelets will rise in 24 hrs.
If its 6%, repeat the same next day. Now if IPF has increased to 8% his platelets will certainly increase within 48 hrs.
If its less then 5%, then his bone marrow will not respond for 3-4 days & may be a likely candidate for platelet transfusion.
Better to do an IPF even with borderline low platelet count.
A low Mean Platelet volume or MPV means platelets are functionally inefficient and such patients need more attention.
The primary cause of death in patients suffering from dengue is capillary leakage, which causes fluid deficiency in the intravascular compartment, leading to multi-organ failure. Platelet deficiency is not the cause of death in most of the patient suffering from Dengue .
According to International guidelines, unless a patient’s platelet count is below 10,000 or there is spontaneous, active bleeding, no platelet transfusion is required. The outbreak of dengue in the City and Hospital beds are full and families are seen running around in search of platelets for transfusion. However what most people do not realize is that the first line of treatment for dengue is not platelet transfusion. In fact, it does more harm than good if used in a patient whose counts are over 10,000.
At the first instance of plasma leakage from the intravascular compartment to the extravascular compartment, fluid replacement amounting to 20 ml per kg body weight per hour must be administered. This must be continued till the difference between the upper and lower blood pressure is over 40 mmHg, or the patient passes adequate urine. This is all that is required to treat the patient. Giving unnecessary platelet transfusion can make the patient more sick.
“While treating dengue patients, physicians should remember the ‘Formula of 20' i.e. rise in pulse by more than 20; fall of BP by more than 20; difference between lower and upper BP of less than 20 and presence of more than 20 hemorrhagic spots on the arm after a tourniquet test suggest a high-risk situation and the person needs immediate medical attention.”
Read WHO guidelines for further fluid management strategies & Hematocrit monitoring.
Hello Doctor, I am 27 years married. My period was regular but next month it come before 5 days from due date. My last date is 10 July 2017 and I expected next date is 5 August or 10 August. My hubby and me try for baby and having daily intercourse. Now 10 August I feel mc pain for only 5 minutes and also only 1 drop bleeding but after that no pain no bleeding. Then 20 Aug I check urine by prega news pregnancy test kit and I saw early morning urine (10 am) show two pink line in a kit. 1 dark pink and 1 dark light pink line. I also feel tired. So please can you suggest me or explain me. I am pregnant or not. And if yes so what can I do for further treatment. Thanking you.
My wife is having loose motions from last two days. She is 12 week pregnant. Suggest me the medicine or home remedies for her.
I am doing sex with my girlfriend without Condom how many percentage she gott pregnant if her periods time is finish before 2 days. I think she is okk but she questions me?
Your eyes are one of the most wonderful gift given by god to see this beautiful world created by him. You need to take care of it. In thi modern era of machines physical activities are almost nil and everybody concentrates on computers, laptops, cell phone etc. These have very bad impact on your eyes. Today as you observe every second member of family is wearing glasses. Even children of 2 years age are using specticals.
I would suggest you a home remedy for your eyes. Start taking it before you have to use spectacles.
Make a mixture of the following:
4. Black pepper.-25gms
Grind all above and make a mixture of it. Take 1 tea spoon of it daily in the morning empty stomach with water.
Doctors, I masturbates twice and with that fluid I inside my wife's vagina. She was on 4th day of her periods. Her shortest day is 30 and longest is 45. Last two were 29 may and 2nd july. This tym it was 33 days. This happened on july 5. Now its almost 10 days after periods. Now she got a white fluid on 12th june which she said was Normal before she used to get before every periods. Pls explain me whats this abt. Is she pregnant. Am worried pls help me doctors.
Sir m 22 year old girl. I have thyroid problem last two year as well as period problem. And I want gain weight so what should I do.
I am 50 years old female suffering from insomnia, depression,anxiety,migraine, suffer from hot flashes in night. My uterus is removed due to fibroid but ovaries are intact. I have gone through hormonal tests and it is normal. Whether this is condition of menopause or some neuro problem or phycological problem. What should I do.?
Doctors please may I know what should be my weight according to my height so that I can exercise upto that. And if any tips to increase my height a little please guide me.
I have PCOD. Took clomifene from 2 nd day till 5 days. Went for follicular monitoring. On day 18, took injection 5000 ,follicle size was 23 mm ,2 in no. In right ovary. Today day 21 went for U/s n discovered no rupture, follicle size 28 and 30 mm. Wat r d chances of conception in this cycle? Will dese turn into cysts. U/S showed mild free fluid.
My periods are late. Dr. Suggested me mensoon tablets 3tablets per day for 3 days. I completed my course today. For how many day will my periods occur? can periods occur durin the dosage?
Had unprotected sex only in september, Then October periods got delayed so took meprate. Periods came But in november periods missed. Could it be pregnancy?
I am 17 year old female .i had sex last day and now I am bleeding while peeing. A frequent urge to urinate. Pain too. I had used protection .why is this happening .is it something serious?
My family is forcing me to get marriage with my first cousin. But i'm not interested. Because I heard something about possibilities of genetic problems that can happen for children.
So you have just found out that you are pregnant and you and your partner are over the moon about it! While congratulations are in order, so are a host of tips which will help you settle into the pregnancy. It is important to remember that the first trimester of your pregnancy is a crucial phase where you may not change that much physically, but will be prone to many emotional changes. It is also a phase where you will make way for the changes that will inevitably come in the next two trimesters and for a long time after delivery of the baby too. Read on to unravel our first trimester guide.
- Pregnancy Test: You must ensure that you know you are pregnant by monitoring your menstrual cycles closely so that even one missed period points at the possibility of pregnancy. This test can be a home based kit available at the chemists' or can even be conducted with a lab test based on a urine sample. Despite the results that you may get on a home pregnancy test, it is best to get a professional opinion as well.
- Finding the Right Doctor: In this phase of your pregnancy itself, it is imperative to home in on a gynaecologist who will put you ease. Take care to pick someone who may be recommended by family and friends. Have a talk with the doctor a few times to see how well he or she engages you as a patient and if you are suitably convinced with the sessions and appointments.
- Activity: While heavy activities may not be recommended by all doctors as the foetus needs to latch on, one can indulge in plenty of walks and a normal routine as well. Ensure that your pregnancy is a normal one and ask your doctor about any precautions that you may need to take with the progressing trimesters. Also, find ways to deal with any morning sickness with the help of the doctor.
- Supplements: In this crucial phase, ensure that your doctor gives you plenty of folic acid supplements that you must ingest on a regular basis. This will keep any risk of neural tube birth defects at bay.
- Other Medication: Find out more about over the counter drugs or any medication that you may have been taking as this may have to be stopped or adjusted for the pregnancy. The doctor should be able to guide you on this aspect too.
The other activities during the first trimester include taking pre natal appointments and choosing and interacting with your caregiver who will also be a support after you have had the baby.