Doctors in Milann The Fertility Center
Treatment of Pregnancy and related Disorder
Prevention & Treatment of Diabetes
Treatment of Irregular Periods
Treatment of Thyroid Disorders
Management of Pregnancy
Treatment of Ovarian Cysts
Management of Pregnancy Query
Management of Abortion
Treatment of Painful Periods
Avoiding Pregnancy Procedures
Treatment Of Erectile Dysfunction
Treatment of Painful Sexual Intercourse
Treatment Of Male Sexual Problems
Treatment of Heavy Periods
Treatment of Polycystic Ovary Syndrome
Treatment of Underactive Thyroid
Treatment of Breast Pain
Treatment of Vaginal Discharge
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The ear is made up of three parts that is outer, middle and the inner part. Infections, disorders and ailments in the ear can occur across all age groups and in any part of the ear. Ear ailments are more common in children than in adults as the Eustachian tubes (tubes which drain out ear fluid) are smaller in children.
Here are a few common ailments which occur in children:
- Acute otitis media: AOM is the most common ear infection in children. Some parts of the middle ear are infected, resulting in swelling and blockage of fluid behind the eardrum. This condition is characterised by earache in children and in graver conditions, can also cause fever.
- Otitis media with effusion: This condition usually occurs due to the infestation of an infection when the fluid gets restricted behind the ear drum. This condition doesn’t exhibit too many symptoms except mild earache. You should visit an ENT specialist who can diagnose this condition by checking the concentration of fluid behind the eardrum using special instruments.
- Chronic otitis media with effusion: This condition occurs in children when the fluid remains trapped behind the eardrum for a long period of time. It can lead to serious infection and cause problems in hearing in children.
- Barotrauma: Barotrauma occurs due to changes in atmospheric pressure changes. It can cause problems in the Eustachian tube and causes trapping of air in the middle ear. Middle ear problems can become severe if left untreated and result in a burst in the eardrum, causing excessive bleeding.
- Meniere's disease: This is a disorder, which comes in bouts and is characterised by vertigo and fluctuating hearing loss. This condition usually affects one ear. It can result in tinnitus (ringing in the ear) or permanent loss of hearing if left untreated.
- Swimmer’s ear: Swimmer’s ear, also known as otitis externa, is a common condition which is caused in the outer area of the ear. This condition is caused due to remnants of chlorine water in the ear or because of inserting swabs too deep inside the canal. This condition is characterised by earache, discomfort and itching of the ear.
Toxic shock syndrome (TSS) is a potentially life-threatening condition that causes a steep drop in blood pressure, resulting in deprivation of oxygen to the organs, which in severe cases leads to death. This disease has been associated with menstruating women who use superabsorbent tampons. It was first recognized in the 1970s and 80s when women using tampons of certain brands were affected by this syndrome and those brands were immediately taken off the market. This disease primarily affects tampon wearers and harmful effects of cervical caps, diaphragms, and menstrual sponges have surfaced.
New mothers are susceptible to TSS as well as those who are recovering from a surgery, are wounded or are using prosthetics. It is important to know about its symptoms so that you can identify the disease and seek professional help at the earliest.
Warning signs of TSS include:
An overgrowth of bacteria called staphylococcus aureus (staph) causes this disease. It can be found primarily in female bodies. This is one of the many staph bacteria that lead to skin infections in burn victims and patients recovering from surgical wounds. Group a streptococcus (strep) bacteria is another cause of this syndrome.
Siblings are most definitely, the best thing to have ever happened to anyone. We fight, we laugh, we play and we defend. No matter, whether you are the best buddies or you cannot even stand being in the same room, you two (or three or four!) share an inseparable bond, which will last for a lifetime. Siblings are surely in for the long haul, while friends and colleagues may just come and go. But do our sibs really influence us?
The weight issues!
Obesity has been known to run in generations and families, but there have been studies which show that siblings have an influence, especially when we talk of the waistline. Researches’ conducted from a 2014 based study at Duke University from the Sanford School of Public Policy show that if the older sibling is obese, the chances of the younger one, being the same increase fivefold. This is regardless of the fact that the parents are obese or not.
Though there is little evidence supporting the theory of birth order affecting personality, there sure is enough to support that siblings do shape the same for each other. Siblings do develop separate identities for themselves and in the same run, affect and shape the personality and characteristics as well as the behavior of the other, to a major extent. For instance, a person would make more of an effort to become an outgoing person, if his/ her sibling is shy and quiet. In case of families with three kids, this is more likely to happen among siblings of the same gender instead of the opposite genders.
The first teachers!
Navigating social situations are what we first learn from our siblings. A daily practice in understanding foreign minds and getting an insight of the outer world is what we first get from our siblings. Strong bonds between two kids at home have shown better and more successful connections with peers at school.
Saving marriages is their task!
Being a part of a bigger family reduces the chance of divorce due to more chances of being accustomed to adjustment. Ohio State University concluded in a 2013 study that every sibling reduces divorce risk by 2%.
Squabbling of siblings is as natural as the rain. Yet, the reasons for the fight can have major health implications. Quarrelling about issues like fairness and equality can lead to experiencing higher levels of depression. The same has been concluded by a 2012 study of the University of Missouri. Fighting over personal space can lead to development of low self-esteem and anxiety.
But they are happiness boosters too
You know that already! Having siblings is in itself a joyful experience.
An abnormal junction or connection between two organs or tissues is referred to as a “fistula”. It targets two hollow organs, vessels, or tissue structures. It occurs mostly in the rectum, vagina, however can affect the intestines and the eyes too. It results in extreme pain, discomfort and should be treated as immediately as possible to prevent infection.
It can induce sensations of:
- Extreme irritation or itching
- Discharge with unusual odor (if the fistula is located near the anus/vagina)
- Irritable bowel syndrome
- Excess pus
- High body temperature
- Blood discharge
In case or prolonged tension and pain in these areas, a proctoscopy should be conducted for diagnosis. It most commonly occurs in women who have sustained prolonged labor (over 2-3 days). However, other causes include:
- Digestive malfunction
- Abscesses(formation of pus in hollow organs)
- An unhealthy lifestyle which includes excessive indulgence in alcohol and tobacco
Ayurvedic treatment for fistulas are available which aim to sooth the inflammation by slowly remedying the wound through natural and safe measures. Since Ayurvedic practices are non-toxic, non invasive and completely safe, one can avoid the drastic measures that surgery consists of, and also avoid the side effects of medicines.
Ayurvedic remedies of fistulas include
Ayurvedic doctors have developed several oils, ointments and medications that are readily available in the market. The medications usually consist of a mixture of herbs, roots and plants that aim to restore the physical systems and also soothe the affected area.
- The importance of buttermilk added with rock salt and black pepper also allows the enzymes of our body to multiply and thereby cure the fistulas internally.
- Radish juice with a pinch of cumin is also recommended to be consumed after meals to improve digestion and empower the immune system.
- A healthy lifestyle and fitness routine consisting of yoga and exercises also contribute to improve conditions in the patient by facilitating blood circulation and metabolism.
The thyroid is a small gland located on the neck. When the thyroid gland functions normally, it is easy to ignore it but an underactive or overactive thyroid gland can cause a number of problems. An underactive thyroid gland is known as hypothyroidism. In this case, the gland does not produce enough thyroid hormone. This, in turn, lowers metabolism. Your diet plays a large role in influencing the functioning of the thyroid gland. Some of the foods you should avoid in cases of hypothyroidism are:
This includes vegetables such as cabbage, bok choi, kale, sprouts, and broccoli. These vegetables restrict the thyroid’s ability to absorb iodine which in turn lowers the functionality of the thyroid gland. While you do not need to completely avoid these vegetables, you should restrict their intake to less than 5 ounces each day. Cooking these vegetables can also help reduce their effect.
Soy products are rich in plant-based phytoestrogen. This hormone interferes with the body’s ability to use the thyroid hormone. It can worsen hypothyroidism and even increase the risk of hypothyroidism. However, this has not been scientifically proven and hence there are no specific dietary guidelines on how much should be eaten. To be on the safe side, consume soy products in moderation and avoid them whenever possible.
Hypothyroidism is yet another reason to avoid fatty foods. Fats interfere with the body’s ability to absorb thyroid hormone as well as thyroid hormone replacement drugs. It also lowers the production of thyroid hormone and thus aggravates hypothyroidism. Ideally, you should avoid fatty foods such as red meat, fatty fish, butter, mayonnaise etc. You should also avoid foods that are deep fried. Instead, try steaming or baking your food.
Many dieticians refer to sugar as empty calories. These calories do not have any nutrients but can slow down the body’s metabolism rate. It also leads to weight gain that furthers aggravates hypothyroidism as well as other lifestyle disorders such as diabetes. Limit your sugar consumption to 1-2 spoons a day or try and eliminate it completely. You could also try replacing sugar with honey to sweeten your tea.
An excessive amount of anything including fiber can be detrimental to the body. Too much fiber can create complications in the treatment of hypothyroidism. Thus, you should not consume more than 35 grams of fiber a day. This can take the form of whole grains, legumes, fruits, vegetables, and beans.
The In Vitro Fertilization (IVF) technique manually involves combining the eggs of a woman with the male sperm outside the body through medical procedure. It is a popular treatment method for those who are unable to conceive. IVF treatment occurs through a number of stages –
- The ovaries are stimulated to produce eggs through the process of ovulation induction
- The eggs are retrieved from the woman and fertilized with male sperm outside the body and,
- The embryo is implanted back into the uterus.
Although in most cases IVF treatment yields positive results, there are certain guidelines one must follow during the treatment in order to avoid any complications -
Eat healthy meals in small portions throughout the day. Working women are bound to spend long hours at the workplace. There may be occasions when you are put under too much pressure and do not get enough time to look after yourself. But in spite of all the workload, you will need to maintain a healthy diet. It is advisable that you stick to light and nutritious food- a wholesome salad rich in veggies and fruits, sprouts, healthy snacks which consist of cheese and yogurt, meat and eggs. Omega-3 and Folate supplements are very important for staying healthy.
Do not stress yourself too much
While doctors normally prescribe you to walk and move around sometimes after the treatment, too much activity can be dangerous during this condition. Do not engage yourself in exercises that are too strenuous for your health. Working women are required to take extra care of their health because they are expected to commute to their place of work every day till they are on maternity leave. Commuting via public transports can be dangerous immediately after an IVF treatment and during pregnancy. It is advisable that you use a private car or cab to commute daily, or you can ask your colleague to pick you up to work.
There are too many things to keep in mind while undergoing the treatment and after the procedure. You need to keep a tab on all the prescriptions, medications, and follow up dates with your doctor. You can keep a notepad to write down specific details such as appointments or list down a few do’s and don’ts as a reminder. This will help you keep a check on your health even when you’re at work.
Pregnancy post IVF treatment can lead to stress and health issues, and since the pressure at your workplace cannot be completely stalled, these tips can help you deal with the condition with much ease.
CML refers to Chronic Myeloid Leukemia. This type of cancer originates in the bone marrow. It occurs when a genetic change takes place in immature myeloid cells. These cells are responsible for the production of platelets, red blood cells and many types of white blood cells. As a result of these changes an abnormal gene known as BCR-ABL is formed. In turn, this gene converts the myeloid cells into CML cells.
As cancer progresses, the cells spill out of the bone marrow and enter the circulatory system. The cells are transported through the blood to other organs and can settle in various other parts of the body. CML is a slow growing cancer but in some cases, it can turn into fast-growing cancer that is hard to treat. It is more common amongst adult and is rarely seen among children.
Studies on CML are directed towards both the understanding of how cancer develops and how it can be treated. Scientists are making steady progress towards understanding how a person’s DNA can change and in turn cause a mutating of bone marrow cells into CML cells. For this, researchers are studying what changes can make a cell grow fast, live longer than usual etc.
There are a few drugs that have proven to be effective in the treatment of CML. These drugs target proteins like BCR-ABL. However, not all patients benefit from it. Hence, studies are now underway to evaluate how it could be combined with other forms of treatment such as cancer vaccines, interferon or chemotherapy to be more effective. It is also being combined with other medicines to study the effects.
New drugs have also been developed to target and treat CML. In cases where CML cells create a mutation known as T315I by changing the BCR-ABL cells, the cancer is resistant to many different types of therapy. This includes targeted therapies like nilotinib, imatinib, and dasatinib. Thus, drugs are being created that can treat this mutation. Another type of drug that is being developed is known as farnesyl transferase inhibitors. In some tests, these are also being combined with imatinib.
Vaccinations that can protect a person from CML are also being studied. For this several vaccines have been developed and are currently being tested for effectiveness. CMLVAX100 is one such vaccine. Some studies have shown that when this vaccine is combined with imatinib, it is more effective.
Keeping the blood sugar at the recommended level can be a challenging task at times. While timely medication is a key prerequisite for controlling diabetes, lifestyle changes plays an important role in keeping the blood sugar under control.
Here is a list of simple yet effective ways of managing diabetes.
- Portion size and carbohydrate count: Carbohydrates are the single most important food element that impacts the level of blood sugar in body. People taking insulin shots should ensure that the portion size of carbohydrates does not exceed the recommended level. Maintaining a diary to keep a check on the carbohydrate count can help in this case.
- Balanced diet: For people suffering from diabetes, it is necessary to have a good mix of fruits, vegetables, fat, starch and protein in each meal. Carbohydrates should be consumed in the form of fruits and whole grains. A doctor advice in this matter can be of great help.
- Avoid sweetened beverages: Sweetened beverages with high sucrose and fructose content have high-calorie content that can directly impact the blood-sugar level. Refraining from these sweetened drinks is a must for diabetes patients.
- Make an exercise plan: Exercising for half hour on a daily basis is highly beneficial for diabetes patients. It makes sense to consult a doctor about the type of exercise that can be done regularly. The right mix of aerobic, cardio and muscle exercise should do the trick.
- Stay hydrated: Staying hydrated is very important during exercise. Dehydration can bring down the blood-sugar level drastically.
- Be prepared: Carrying a small dose of glucose or a snack can come in handy. In case the blood-sugar level drops to an alarming level while exercising, the glucose will ensure that it brings it back to normal quickly.
- Follow the doctor’s instruction: Alcohol is known to cause a lot of complications for diabetic patients. For people whose diabetes is under control, make sure that the doctor gives his go ahead for alcohol consumption.
- Drink carefully: If you get a doctors nod to drink make sure that dry wines and light beer are consumed. These drinks tend to have lesser calories and carbohydrates. Their impact on the blood-sugar level, therefore, becomes minimal.
- Pattern: Stress greatly increases the blood-sugar level. While it is difficult to be stress-free, try to look for a pattern by checking the blood-sugar level after prolonged stress. This will help to identify a pattern which can then be addressed with methods such as yoga, hobby practicing, laughter therapy, etc.
- Get help: Stress management is not an easy task. If stress cannot be controlled with a conventional approached, it makes sense to get professional help to reduce stress.
Diabetes is a serious disorder which happens when your body has an unreasonably high level of blood sugar, which further leads to harmful effects. Diabetes has a wide variety of complications associated with it, and they start to build up slowly and gradually. Some of the common complications are:
- Retinopathy - In simple words, diabetes leads to eye damage by making the eye exposed and prone to severe eye disorders like cataracts and glaucoma. If you have retinopathy, then you may also have face the consequence loss of vision or permanent blindness.
- Skin conditions - During diabetes, your skin health is bound to degrade to a large extent. Your skin will become thin in texture and more prone to cuts and breakages due to internal skin cell damage. Thus, the skin gets more exposed to the bacterial and viral infections and its healing process also slows down as the cell division takes longer than usual.
- Nephropathy - Nephropathy refers to kidney damage which is caused due to diabetes. The kidneys act as a filter system to the body and they filter out waste materials from the blood. Diabetes causes damage to the blood vessels of the kidneys which may further result in serious kidney disorders and may increase the risks of a sudden kidney failure.
- Cardiovascular diseases - This means that if you are having excessive diabetes, then you are at a risk of having a major heart attack or a heart stroke. Additionally, increased blood sugar levels also lead to other heart-related diseases like chest pain, narrowing of arteries etc.
- Neuropathy - It is a complication related to the nervous system of your body. The complication generally occurs in the legs as there is a numbness, burning or tingling sensation in the legs. This happens due to the extra sugar in the body, which damages the walls of the blood vessels. In the worst case scenario, you can lose sensation in the legs.
However, it is always desirable that you go and visit a doctor if the conditions persist for a longer time. Additionally, you can also depend upon some domestic care measures to bring your blood sugar levels under control.
What is High Blood Pressure?
High blood pressure or hypertension is a condition caused when the force of the blood against the arterial walls exceeds drastically than what it normally is. A blood pressure reading exceeding 140/90 over a prolonged period of time is considered to be ‘high blood pressure’ or diagnosed as ‘hypertension’.
What is Diabetes?
Diabetes is characterized by extremely high levels of blood glucose (blood sugar) in the body, either due to the insufficient secretion of insulin by the pancreas or reduced sensitivity of the body to insulin. This makes your body unable to break down the sugars. At first glance, these two conditions seem completely unrelated, but, according to certain studies, the two conditions do have similar outcomes and could be inter-dependent.
According to the American Diabetes Association, the combination of hypertension and type 2 diabetes is particularly lethal and can significantly raise a person's risk of having a heart attack or stroke. Having type 2 diabetes and high blood pressure also increases your chances of developing other diabetes-related diseases, such as kidney disease, and retinopathy (eye blood vessels), which may cause blindness. There is substantial overlap between diabetes and hypertension, reflecting substantial overlap in their etiology and disease mechanisms. Genetic structure, Obesity, inflammation, oxidative stress, and insulin resistance are thought to be the common pathways. A prospective cohort study in the United States reported that type 2 diabetes mellitus was almost 2.5 times as likely to develop in subjects with hypertension as in subjects with normal blood pressure.
In the Hong Kong Cardiovascular Risk Factor Prevalence Study, only 42% of people with diabetes had normal blood pressure and only 56% of people with hypertension had normal glucose tolerance. There are many minor lifestyle changes that can lower your blood pressure and blood sugar. A brisk walk for 30 to 40 minutes every day, or any aerobic activity can make your heart healthier. In addition to lowering blood pressure and blood sugar, physical activity can strengthen the heart muscle and may reduce arterial stiffness. You may need minor modifications in your diet like, cutting out sugar salt, high-fat meats etc. You can take several servings of vegetables, low-fat dairy products, leans meats and fish or meat substitutes, fruits, whole (not processed) foods, whole-grain pastas, breads, and brown rice etc. While some people can improve their type 2 diabetes and hypertension with lifestyle changes, most require medication.
Depending on their overall health, some people may need more than one medication to reduce their risk. Consult your doctor to choose best possible medicines for your diabetes and / or blood pressure control.