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Management of Abortion
Caesarean Section Procedure
Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
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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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Having PCOS taking fertility treatment for 1 year. Failed 2 IUI with gonadotrophins and clomid along with progesterone supplements. Have done HSG my tubes are open and semen count is normal too along with other reports. My gynaecologist suggesting hysteroscopy. Shall I undergo it? What are possible advantages and disadvantages of this procedure? What is the cost of hysteroscopy in India bangalore.
Celiac disease is an autoimmune disease caused due to intolerance to the protein called gluten found in common foods like wheat, barley, and rye. The exact reason for the disease is not known, but gluten attacks the small finger-like projections in the intestine called the villi, which help absorb nutrients during the digestion, leading to malnourishment.
Onset of the disease is usually once the child has started on solid foods and can include diarrhea, abdominal discomfort, underweight, skin rashes, anemia, mouth sores, etc. Diagnosis usually happens with a detailed discussion and checking the level of antibodies against gluten in the blood. In rare cases, an intestinal biopsy may also be required. Once confirmed, the following are ways to manage celiac disease.
Dietary changes: Avoiding gluten-containing foods is the first step to treating celiac disease. These are common food substances like wheat and barley. In some cases, the entire family may choose to or need to take this diet, just to provide moral support to the child.
- Breads, cakes (made from wheat)
- Creamed or breaded vegetables
- Processed meats
- Dry roasted nuts (as agents used in processing could have wheat)
- Fried chicken
- French fries (that are coated in flour)
- Spreads, soft cheeses, and dips
- Salad dressings
- Gravies and sauces (including some tomato and meat sauces)
- Soup mixes and canned soups
- Crab or other seafood
- Malt or malt-flavored drinks (usually made from barley)
- Modified food starch (modified corn starch is OK; modified wheat starch is not)
- Nondairy creamer
- Soy sauce and soy sauce solids (may be fermented with wheat)
- Wheat-free products (may contain barley or rye flour)
- Yogurts containing wheat starch
Read the labels of foods to ensure they are free of gluten. Organic/natural food stores and health food stores contain wide range of gluten-free products that can be used with minimal effect on the child's food habits.
Eating out: Just because the child has celiac disease, eating out is not ruled out. Carefully choosing what to eat is suggested. Also, letting the chef know is a good idea, as most chefs will prepare something safer for the child.
Cross-contamination: Avoid cross-contamination: In schools or in cases where the child could potentially eat from other children's boxes, make sure the child is well informed and ensure he does not eat from other kids' lunch boxes. It is also a good idea to keep the class teacher and a couple of his close friends informed of the child's condition.
Most children are easy to educate and adapt well to the changes required, knowing very well that it is for their own good.
I am 25 years old married woman. I am 72-78 kg (obesity) and I badly want to reduce my weight and tummy. I am having PCOD with irregular periods. Doctors told me that if you reduce weight that will be solved. After months I am going to abroad with my husband. We were planning for parenthood but just because of this PCOD, I didn't fulfill our dream. I am working as a Medical Coordinator, I mean I used to sit a lot that's why I am having tummy. Please guide me a diet and exercise so that I can trust and do as soon as possible. It will be good to give me chart so that I can stick everywhere. I used to search a lot but different site telling different things. Please advise.
Actually sir, my girlfriend monthly periods are not be continues, I means periods are comes irregular intervals in every month some time 35 day / 45 day n some time 25 day. What I do ?
I had sex with my bf on 20th May within 24 hours I had ipill & I had my period on 3rd June. I don't have to worry of getting pregnant?
My wife 40 years old had back pain are irritation for 3 days and checked with doctor. She checked and told there is a growth inside vagina. She took a biopsy check up. What will be the problem?
Last menses 9 may-14 may. 28 day cycle usually. Had postpone 72 on 18 may (after 28 hours of sex) and ipill on 25 may (after 1 hour of sex). Bleeding 31 may- 2 june (lighter but decent amount) & light spotting - 2 days. Feeling bloated, very gassy & nauseated. Sour taste & lot of saliva. Why digestive problems? Could I b pregnant? Wen will my next period be?
Hello doctor, I am 6 weeks pregnant. But I have no nausea, vomiting and constipation. I am so much of tensed. Please suggest me what can I do? before that on April I lost my 1st pregnancy at 7 weeks. As per doctor's advice I'm taking folvite, progesterone sustained release tab 300, glyciphage 500mg, aspirin gastro resistant 50mg. For protection. please sir /madam help me why I'm not feeling that common symptoms of pregnancy.
My wife is completed 3 months. I want to give her saffron at this time. Is there any problem if she take it. At which month she has to eat saffron? How she use it. I want complete information with regards to that.
46f suffering from prolonged and heavy flow periods. Other than heavy there is no other complaint. Periods are regular Dark patches (brown) on nose ,below the back neck,
Hi, i'm actually a 17 year old girl. Last month I was expecting I came to know about this around 2nd june. Friends suggested to eat lots and lots of papaya. I did so and within 2 days I felt strong cramps and bleeding started. My issue is the bleeding was not exactly blood much more like brown stains but a heavy flow of it. Now after 2 weeks i'm again experiencing vomiting, fatigue, frequent urination. So is there a chance I might still be pregnant?
Hello, I am 92 kg, 29 years old, I have pcod, vit B12, vit D deficiency, anaemia,have pains and pricking like sensations in foot soul legs, pains in joints and muscles. Unable to walk, the heel region is pretty much painful, unable to stand for long hours lack of stamina, feel so lethargic and exhausted. I am a vegetarian, I dnt eat meat not even boiled eggs. Pls advice .I am using homeopathic medicines from 8 months but my periods are not regularised. Do homeopathy has permanent solution? Pls suggest calcium diet, to improve haemoglobin level, vit B12, good fibre diet (which kind of millets can be used for weight loss), foods for weight loss pls.
I am suffering from genital herpes for last three years.I want permanent cure as I cannot afford costly medicine for indefinite period of time. Is it possible?
I had sex with my boyfriend before 2 days. After that I am feeling tired and stomach pain is starting not so severe but there is a pain which is not continuous hate to eat. Is this says am pregnant ?
I had cesarean on June 1 and also occurring family planning operation. First cesarean did in 2013. My problem is up to July 1 bleeding was come it was gradually decreased with color change. And again on20th July fresh bleeding is occurring on 4 days not highly. From onwards white discharge is occurring highly with back ache. When I consult doctor she gave calcium and iron tablets and multi vitamin syrup I am using these medicine but no results observe so please tell me what I am do and why it is occurring is it normal.
I am 33 years old. Currently I am suffering from a breast cancer. I don't have child since last 4 years of marriage. I had taken treatment for it but failed. I have question that after recovering from cancer, Will I be able to take treatment for fertility.
Q1. What exactly is Laparoscopy?
Laparoscopy is an alternative to 'Open' surgery wherein the abdomen is opened by tiny 'key hole' incisions and surgery is done. 'Scopy' means the use of an endoscope or telescope to see inside the abdomen. This is attached to a camera and a light source and the inside of the abdomen is projected on to a monitor. The surgeon performs surgery looking at this screen. The surgeon makes a total of 2-4 small cuts on the abdomen ranging from half to 1 cm through which the telescope and other thin surgical instruments are passed into the abdomen. When the uterus is removed , known as hysterectomy, there is also a cut at the top of the vagina where the uterus is attached.
Q2. What kind of gynaecological surgeries can be performed by Laparoscopy?
Most surgeries done in gynaecology can now be performed by Laparoscopy and do not require the large incision as for open surgery. Laparoscopy can be done sometimes only for diagnosis and is called Diagnostic Laparoscopy, as in checking whether the tubes are open or not and to look for any causes of infertility or pain outside the uterus. In women who are unable to conceive, Diagnostic Laparoscopy is often combined with Hysteroscopy (endoscope inside the uterus, inserted from below, via the vagina). When laparoscopy is done to perform some surgical procedure inside the abdomen it is called Operative Laparoscopy. This may be for simple procedures like sterilization, minor adhesions, drilling ovaries; or for intermediate or major reasons like fibroids, endometriosis, removal of ovaries or tubes or both or removal of uterus, for staging of cancers or radical surgeries for cancer. However, about 5% of all surgeries including those for cancer or very large tumours may benefit from open surgery.
Q3. Why does an expert surgeon recommend Laparoscopy over Open Surgery?
Laparoscopic surgery has many advantages above open surgery: the incisions are much smaller (open surgery incisions are 8-10 cms long), therefore pain is much less; requirement for pain killers (which can have side-effects like sleepiness, impaired judgement) is lesser; hospital stay is shorter; complications fewer; requirement for blood transfusions infrequent; recovery in terms of physical, emotional and mental state is much better and quicker; return to work is faster with consequent lesser loss of working and earning days. Surgery with laparoscope is more precise because it is magnified view. Further vision is much better because it's like having your eye behind the structure because you can see with the telescope at places where the surgeon's eye cannot reach.
Q4. If the cuts on the abdomen are so small in Laparoscopic surgery, how do you remove the uterus or a large tumour from inside the abdomen?
Quite often if the tumour is not malignant and contains fluid, it is punctured to collapse it into a smaller size. If it is solid, it can be cut into smaller pieces inside the abdomen using a special instrument. The collapsed or cut structures can be removed gently through the 1 cm cut on the abdomen which may be increased a bit if required. After hysterectomy, the uterus can be removed easily from below, through the vagina.
Q5. Will there be much pain or discomfort after Laparoscopic Surgery?
There may be some pain and discomfort in lower abdomen for one day to few days after Laparoscopic surgery but this is much less as compared to open surgery because the incisions on the abdomen are much smaller and there is much less tissue handling inside the abdomen by fine instruments instead of rough, big, gloved hands which can cause tissue injury in open surgery. There may be some pain in the shoulder following laparoscopy. This is not serious and is due to the gas used in the surgery to make space for instruments.
Q6. When can I be discharged from hospital?
Following Diagnostic Laparoscopy or with simple Operative Laparoscopy you can expect to be discharged from hospital latest by the morning after surgery. In most other cases of intermediate or even major surgery, discharge is generally 1-2 days following the surgery unless there is some health issues prior to the surgery or any complication during the surgery. The complication rates for Laparoscopic surgery are not more than for open surgery and depend upon patient factors like anaemia, diabetes, obesity and skill of the surgeon.
Q7. When can I perform routine household activities or return to work after Laparoscopic Surgery?
Recovery after surgery depends upon many factors: presence of health problems before surgery; why the surgery is required; what surgery is being done; problems or complications of surgery, anaesthesia or blood transfusions. If all is well, one can perform routine household activities by 1 week, provided one doesn't feel tired. Although there may not be any harm, it may be unwise to be normally active within 48 hours of procedure. Following Diagnostic Laparoscopy or Operative Laparoscopy for simple procedures, one can return to work in 1 week. For other procedures, a 2-3 week off from work is reasonable. It depends on the type of work you are returning to. Avoid too rapid return to work if it is manually hard or requires standing for long durations of time. Sometimes a surgical procedure brings on a well needed rest and break from a lifetime of work. Mostly, when you return to work depends upon your own body and its signals of tiredness. You need to listen to those signals.