Doctors in K C General Hospital
Treatment of Pregnancy and related Disorder
Treatment of Irregular Periods
Management of Pregnancy
Treatment of Ovarian Cysts
Management of Pregnancy Query
Management of Abortion
Treatment of Painful Periods
Avoiding Pregnancy Procedures
Treatment of Painful Sexual Intercourse
Treatment of Heavy Periods
Treatment of Polycystic Ovary Syndrome
Treatment of Breast Pain
Treatment of Vaginal Discharge
Treatment of Miscarriage
Treatment of Vaginal Itching
Treatment of Fertility
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When you travel in an airplane or just come out of the swimming pool, your ears may sometimes block up and even be painful. This is what is known ear barotrauma and is caused by pressure differences inside and outside the ear drum. Severe cases may cause damage to the ear and impede your hearing.
Symptoms of ear barotrauma: Ear barotrauma usually occurs when the Eustachian tube is blocked due to differences in air pressure. The Eustachian tube is a long narrow tube that runs from the middle of your ear to the pharynx or the back of the throat and is thus very important in relevance to the ear, nose and throat. Thus ear barotrauma can also translate to pain in the ear and throat as well.
Some of the symptoms are:
- Discomfort in the ear, or aggravated pain in extreme cases
- The ears being blocked or full, in severe cases may feel like being underwater
- Temporary hearing loss
- Nose bleeding in severe cases
- Health care providers may see an inward caving or outward bulging in the ear drum. In severe cases, the eardrum may look bruised as well.
- Some severe cases may even exhibit signs typical of an ear infection along with some of the other symptoms mentioned above.
Precautions and self treatment: There are certain steps you can take to either prevent barotrauma or reduce the symptoms, these are:
yawning or gulping. This is very helpful when air pressure differences are caused in cases of travelling by aircraft.
- Inhale slowly and then exhale while your mouth is closed and you are holding your nostrils closed by fingers. This will help increase the pressure within the tube to try and open it forcefully.
- Sucking on candy is another way to prevent barotraumas as you are constantly swallowing and keeping your Eustachian tube from being blocked in the first place.
- Keep a few chewing gums handy and has similar effects on your ears as it forces the Eustachian tube to remain open despite pressure differences.
- After diving or swimming, come out of the water slowly. Scuba divers and deep swimmers need to come up slowly to ensure that the Eustachian tube is given enough time to acclimatize and slowly come back to normal.
Usually, ear barotrauma goes away automatically after sometime and no medications are required. However, if symptoms still persist, it is best to go to a relevant doctor or a health care provider for pain relief and long term solutions.
Nicotine addiction or tobacco addiction refers to an acute dependence upon tobacco products primarily due to the presence of the nicotine drug. In other words, nicotine addiction refers to an inability to stop using tobacco products despite the knowledge and awareness that it is harmful to you. While nicotine only induces addiction, it is the presence of other substances in tobacco which makes it damaging and injurious to health.
Nicotine has the tendency to produce effects in the brain, both physical as well as mind-altering, that give temporary satisfaction. This is precisely why people get hooked into the habit of tobacco consumption which eventually leads to addiction.
Unfortunately, stopping tobacco use immediately can also lead to several withdrawal symptoms, like agitation and restlessness.
The main reason why tobacco is so addictive is due to the fact that nicotine releases neurotransmitters such as dopamine in the reward centre; of the brain, which in turn improves your mood and gives you temporary pleasure.
Causes of nicotine addiction can either be physical or behavioral, for instance situations or feelings which make you crave for tobacco. These include:
1. Specific times during the day, say after every meal or during breaks at work
2. While defecating
3. While drinking alcohol
4. Stressful or depressive situations
5. At the sight or smell of a burning cigarette
6. Peer pressure
7. While driving
Symptoms of nicotine addiction include:
1. You are unable to quit smoking despite frequent attempts.
2. You experience withdrawal symptoms after attempting to quit.
3. You continue to smoke despite the awareness that it is injurious to your health.
4. You forego social as well as recreational activities because of your need to smoke.
A problem in the nervous system which causes individuals to make sudden sounds or movements called tic is Tourette’s syndrome. These movements cannot be controlled by the patient. This syndrome usually starts in childhood and often stays in milder form for many even after they have reached adulthood. Many people can live without taking any kind of treatment for these tics, unless it really bothers them. Patients are often observed to start coughing or blinking their eyes uncontrollably when affected by this syndrome. They may be associated with obsessive compulsive disorder.
Symptoms of Tourette’s syndrome
Tourette’s syndrome often affects children but get better as they grow up. The symptoms of this syndrome are usually so mild that often they go unnoticed. Some of the common symptoms which are observed in patients are stress, excitement and getting tired and sick which can make the problem worse. The motor tics can make the patient blink continuously, twitch their mouth, shrug their shoulder or jerk their head and arm continuously. The symptoms of vocal tics often include yelping and barking, coughing, grunting or repeating something someone else has said, continuously. Shouting, swearing, and sniffing are also some of the vocal tics which may be caused by the Tourette’s syndrome.
What Causes the Problem?
This syndrome usually affects certain parts of the brain like the basal ganglia which control every other movement of the body. A trouble in the brain network is often suggested as the reason behind Tourette’s syndrome. A definite answer to why the problem occurs has not been established by experts yet, however, genes are believed to play a vital role in causing Tourette’s syndrome. People who have family members suffering from this problem are often at risk of being affected by the syndrome. However, the symptoms may vary from one person to another.
Treatment for Tourette’s syndrome
If you suspect your child of having Tourette’s syndrome, then a neurologist should be seen immediately. No special tests are held for the condition; however, imaging tests of your brain may be carried out by your doctor. CT scan and MRI are often suggested. Doctors may often recommend medications like Haloperidol, fluphenazine and pimozide among others to control these tics. However, very often the tics are very mild and do not need any medication at all.
A talk therapy along with ongoing medications might also be required for some patients as the psychologist may help your child in dealing with social issues which can be caused by these uncontrollable tics. Along with that, behavior therapy may also come in use for many.
Diabetes is an abnormal condition where the sugar-level in humans are higher than usual. Ayurveda can be used efficiently in treating this condition. It is diagnosed as Madhumeha in Ayurveda. Intake of oily, spicy food that are heavy on the digestion often lead to this problem.
Along with drugs and medications, Ayurveda stresses on the importance of a balanced diet and exercise. The management modules that can be categorized are:
- Vyaayam (Exercise)
- Panchakarma (Procedures for Bio-purification)
- Pathya (Regulation in diet)
- The use of therapy (Medications)
The individual’s constitution highly affects the ayurvedic treatment of prameha. Some of them are:
- Dietary habits
- Hereditary factor
Management of diabetes can be done using a variety of herbs. Some of them are:
- Eugenia jambolana (Jamun beej churna)
- Pterocarpus marsupium (Vijaysar churna)
- Ficus bengalensis (Nyagrodha twaka churna – banyan tree bark)
- Momordica chirantia Karvellaka (Karella – Bitter Gourd)
- Kirat tikata (Chirayata)
- Emblica officinalis (Amla)
In ayurveda too, its been told to be difficult to cure to incurable. It is told to be a manageable disorder.
Management Module -
It is possible that certain patients are unable to respond to insulin or hypoglemic medicines. In this case, an ayurvedic physician may prescribe some ayurvedic drugs such as:
- Dhatri Nisha
- Chandraprabha vati
- Vasant kusumakar rasa
Diabetes is not just a lack of insulin. It is the most probable cause is plain poor maintenance of your body. Its cure will need to include all of these things discussed. By doing all, diet, herbs, exercise and stress management, you can certainly take care of your Diabetes.
The benefits of Ayurvedic therapy taken at the earliest is that they avoid or atleast delay the onset of neuropathy, nephropathy, retinopathy and other diabetes relates complications due to prolonged presence of diabetes.
Myelopathy refers to any neurological deficit in the spinal cord. The three most common types of myelopathy are cervical myelopathy, lumbar myelopathy and thoracic myelopathy.
Here are the causes and symptoms of myelopathy.
This is a very common cause of myelopathy. Any type of accident or even a traumatic event can cause myelopathy and perhaps even paralysis.
2. Spinal stenosis
This is a condition in which the spinal cord narrows. It is one of the leading causes of myelopathy.
3. Degenerative disc disorders
As you get older, these get more likely as well as other conditions which affect the spinal column such as osteoporosis.
It is a little known fact that tumors very often do cause myelopathy.
5. Multiple sclerosis
There are many other diseases which may cause myelopathy and multiple sclerosis is one of them.
There are many indications that you are having a form of myelopathy and should consult a medical expert. Here are some of them.
1. Changes in coordination
What this means is that all of a sudden you may find it harder to move certain limbs the way you want to. Sometimes, this can affect the whole body.
2. Sudden muscle weakness
It is highly likely that if you have myelopathy then you will have sudden weakness in your muscles.
3. Decreased hand-eye coordination
This is perhaps the biggest indicator of myelopathy since hand eye coordination is directly linked to your spinal cord and brain and if they are not functioning properly then hand-eye coordination will be worse.
These are just some of the symptoms of myelopathy, however the doctor cannot diagnose myelopathy until he does certain tests. These tests include MRI scans and other tests as well as a regular physical check-up in addition to a look at your medical history.
Hypertension or high blood pressure is common in pregnant women, even in those who have no previous history of high blood pressure. This leads to complications in about 6% to 10% of all pregnancies around the world. High blood pressure may develop before or after conception and as such needs special medical attention.
Hypertension prevents sufficient flow of blood to the placenta and this inhibits the normal growth of the fetus. This could result in low birth weight of the child. However, if diagnosed in time and treated properly, hypertension does not affect the child's health too much.
1. Gestational hypertension
This type of hypertension is developed about 20 weeks after conception. There is no abnormality in urine or any signs of other organ damage (as is common with hypertension during pregnancy) but the condition can worsen and complicate very quickly. Pregnant women below the age of 20 and above the age of 40 are often diagnosed with high levels of blood pressure. Women who have heart or kidney conditions before pregnancy and women carrying more than one child are also likely to develop gestational hypertension.
2. Chronic hypertension
Chronic hypertension is high blood pressure which develops around 20 weeks before conception and does not normalize within 12 weeks after childbirth. The patient may also have been suffering from high blood pressure for a long time but the complications appear only during pregnancy because high blood pressure rarely exhibits symptoms without an associated condition.
3. Chronic hypertension superimposed with Preeclampsia
Women who have hypertension before pregnancy may develop even higher blood pressure levels during pregnancy. This leads to several health disorders like frequent headaches, fatigue and depression. Sometimes, protein is found in the urine.
Preeclampsia is often a serious complication of gestational pregnancy and affects about 5% to 7% of all pregnancies globally. Gestational pregnancy does not always develop into preeclampsia but it needs to be diagnosed and treated in time to avoid the complication. Women who have conceived for the first time or have a history of hypertension in the family are at a greater risk of preeclampsia. The symptoms of the condition are throbbing headaches, blurred vision, nausea and vomiting, pain in the upper abdominal region and shortness of breath.
Infertility has emerged as a common problem as a result of the modern day lifestyle. Extremely hectic schedules, stress, burnout, depression and unhealthy diets can contribute to fertility issues. As per a study published by Pharmion, around 30 million Indian couples were estimated to suffering from lifetime infertility, in 2015. Also, the Total Fertility Rate (TFR) fell to 2.3% in 2013 against 3.9% in 1990.
Couples often seek help with methods such as artificial insemination and in vitro fertilization (IVF), but the problem can be solved in natural ways too. Sometimes, the root cause of infertility is simply irregular functioning or blockages in the body systems. The basic principle of Ayurveda is to get the body functioning to its optimum capacity and this is often all that is needed to treat diseases.
Here are a few ways in which Ayurvedic medicine can help treat infertility:
- Phal Ghrit: The medicine is made by combining a number of herbs and it is taken with warm milk. It has been developed especially to treat infertility by controlling the level of hormones secreted in the body. It cannot remedy structural problems, but it can effectively treat functional disorders in the reproductive system.
- Shatavari (Asparagus): This plant is used to treat female infertility by regulating the cycles of menstruation and ovulation.
- Triphala Churna: A combination of three different fruits - baheda, amla and haritaki, this medicine helps to cleanse the body of toxins, strengthens the immune system and clears blockages in the fallopian tubes.
- Ashwagandha Churna (Indian ginseng): The medicine is used to treat male infertility by naturally increasing the production of sperm in the system.
There are also a few Ayurvedic therapies which can help to cure infertility:
- Vamanam: In this treatment procedure, medicated oil is swallowed to induce vomiting, which expels all the contaminating elements in the body. This process can be done regularly depending upon the overall health of the patient and also helps to combat digestive and psychological conditions.
- Swedanam: This therapy is usually done before other Ayurvedic therapies to prepare the body systems. For patients of infertility, the patient is made to sweat excessively. This also flushes most nitrous compounds out of the body.
- Dhatu Nirman Karma: The cells of the body are made to metabolize, absorb and assimilate nutrients leading to the formation of healthy cells and destruction of the unhealthy ones. This is turn rejuvenates the organs. Usually, this is helpful for female infertility.
Loss or impairment of hearing can happen due to a variety of causes and may be temporary or permanent in nature, depending on the type and severity of the condition. One of the most common causes of hearing impairment is age. The degeneration of one's vital organs and senses becomes a reality for many people as the advancement of age happens, and the delicate insides of the ears are no different. Noise pollution, injury to the ear drum or any other part of the ear, as well as the movement of particles inside are only a few of the many reasons for loss of hearing. One of the many ways of dealing with long term hearing impairment is by using a hearing aid.
Read on to know how you can regain your hearing with hearing aids:
- Long Forgotten Sound: A hearing aid will help you reacquaint yourself with long forgotten and subtle sounds that you may not have been able to hear for a long time. Many times, this kind of impairment also makes us forget to notice the fact that we do not hear so many normal sounds in our everyday lives - sounds that we probably did not notice even earlier. This may include the whirring of a fan, the whoosh of the air, the pitter patter of pets' feet and so much more. A hearing aid will help in bringing about an adjustment to these sounds that you will actually end up discovering again.
- Technicalities: The hearing aid basically works by letting your hearing and ears readjust to the various volumes, intensity and vibrations that one feels when different sounds reach the ears. This helps in hearing better.
- Amplification: A hearing aid is basically an electroacoustic device that fits in neatly behind your ear where it is tucked away from plain sight. This device helps in amplifying sounds so that you can catch them and hear them more clearly.
- Modulation: The Audiologist, who are specalized in hearing assessment and diagnosis, will prescribe the type and detail of hearing aid based on your individual condition in terms of volume, size, power and circulation. These factors help in modulating the sounds in a certain way so that they reach the nerve pathways from the inner ear and travel to the brain in a proper and effective way. This is usually done in a customised way to cater to the specific type and cause of your hearing loss.
Using a hearing aid is a matter of retraining your hearing rather than restoring it completely. These aids will be helpful in regaining a better sense of hearing within the condition you are going through, rather than reversing the condition completely.
When the appendix (present at the junction of the small intestine and the large intestine) becomes swollen, it is called appendicitis. It can be acute or chronic and is a common cause of abdominal pain. It can happen at any age but it usually occurs between the ages of 10 and 30.
The appendix is an organ whose function is not yet known. It is believed that the appendix helps in recovering from diarrhoea and infections of the small or large intestine. However, the body can function normally without the appendix.
Symptoms of appendicitis
When the appendix inflames, bacteria start to multiply and this leads to the formation of pus inside the appendix. The build-up bacteria are accompanied by the following symptoms-
Appendicitis requires immediate medical intervention. If it bursts, it expels poisonous pus into the abdominal cavity and it can be life-threatening.
In most cases, surgery is the only permanent cure for appendicitis. Appendicitis often causes an abscess. Your doctor will recommend a course of antibiotics and then drain the abscess through your skin. After the treatment for infection, the doctor will prepare you for surgery.
Appendicectomy can be a laparoscopic surgery or an open surgery. If you are already taking some over-the-counter medicines, or are pregnant or if you are allergic to some medicines, you must inform your doctor before the surgery. On the day of the surgery, the doctor will ask you to not drink any water for seven or eight hours prior to the operation.
• If the surgery is laparoscopic, the surgeon makes three minute incisions in the abdomen. Then a camera (which displays images of the inside of the abdomen) and surgical instruments are inserted through the three holes into the abdomen. With the help of these, the surgeon extracts the appendix. A laparoscopic surgery is more advantageous than an open surgery because laparoscopic surgery reduces the risk of infection, causes less pain after surgery.
• When an appendix bursts, you will need immediate surgery. And for this, a surgeon will opt for an open surgery. In case of an open surgery, an incision is made in the lower right side of the abdomen. Then the appendix is removed and the wound is closed with stitches. Since it is an open surgery, the surgeon gets the opportunity to clear up your abdominal cavity if the appendix had burst. An open surgery is the most preferred type of surgery when it comes to a ruptured appendix.
The benefit of the surgery lies in the fact that you will never again get appendicitis. Moreover, a surgery can prevent the complications that arise from appendicitis.
Recovery after an appendicectomy-
• If the surgery is laparoscopic, you will be discharged from the hospital within a day.
• If the surgery followed a burst appendix, you may be required to stay in the hospital for around a week. The doctor will recommend bed rest for at least three weeks and you will be able to get back to work in a month.
If you have appendicitis, you will continuously have to endure pain in your abdomen. The situation becomes grave when your inflamed appendix bursts. Doctors advise people with appendicitis to undergo surgery so that the eventuality of a burst appendix does not arise.
Postpartum is the period after one's labour and delivery. Pregnancy and postpartum are a time when a woman's body changes to a great extent in order to first accommodate the baby and then go through labour and delivery. A vaginal delivery can have many implications when it comes to the postpartum. The same goes for a Caesarean Section or C Section as well. Let us find out what your postpartum care routine should include.
- Vaginal Soreness: Deal with vaginal soreness with the help of stool softeners and pain relievers, as prescribed by your gynaecologist. You should also make hygiene a priority at this time. Use a wash cloth and warm water to clean the area every time you urinate. Also, you can use an ice pack if the wound is particularly painful.
- Discharge: Vaginal discharge in the postpartum period is called lochia, and it usually carries on for a few weeks after the baby is born. You must use a sanitary napkin during this period and clean up regularly. If your bleeding or discharge is accompanied by fever, then you should contact your gynaecologist immediately.
- C Section Wound: In case there is redness and swelling in the wound, accompanied by symptoms like pain and foul smelling discharge from the vagina, you will need to get in touch with your doctor immediately so that he or she can check for possibility of infections.
- Movement: After a C Section, you will need to take as much rest as possible so that the wound heals properly. This includes avoiding making too many trips up and down the stairs as well. It would be a good idea to have a family member or partner around who can help as well. Gentle walks after a week or two are usually recommended for the body to come back to normal gradually.
- Kegels: Do kegels or contracting exercises for the strength of the pelvic floor to return, especially after a vaginal delivery. This will help in alleviating pain and burning sensation during urination at this time.
- Nutrition: Take special care to eat nutritious and home cooked food, especially if you are breast feeding. This will also help in the healing of the vaginal or C Section wound. Also, a high fibre diet will help in better bowel movements which will lessen the pain while visiting the bathroom.
Taking care of your body in postpartum is a matter of bringing it back to normal gradually even as you deal with the side effects of delivery. Ensure that you are in touch with your doctor.