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Management of Abortion
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Treatment Of Female Sexual Problems
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Hello Dr. I want to know that ,I did sex with my boyfriend so many times ,and now I am not Virgin, but my marriage have been fixed with someone else, my questions is can I get back my virginity again ,please suggest me DR,
Maine period ke 10din sex kiya 28 ko meri deta hai per mere ko roj sir main pain hota hai aur apne aap teek bhi ho jata hai aalas aata hai pet main ruke ruke hai ka pain hota hai kahi main pregnant to nahi hu ne.
Dear Doctor. I had a protected sex with a masseuse in a spa on 12th of May and I used condom for the whole duration and it did not break. I did hiv combo test (hiv1/2+p24 antigen test) on 18th, 24th and 29th day from Dr. lal path labs. All were non reactive with values 0.04, 0.05, 0.07 respectively. I can see the value is increasing every time. Is it ok? I have also heard that the combo test is conclusive after 28 days so I want to ask are my tests relevant or l need more tests. Thanks in advance.
Hi, I have my periods on Nov 20 after that still now I didn't have my periods, I am married and already I have a kid with two years and I took pregnancy test it's showing negative. So my husband went to medical shop and bought menofit plus tablets to get my menses but I did not the periods. Then I don't want to take risk so I went to doctor on Jan 1 they tested the same pregnancy test and that showing negative. Doctor suggested me to take maxogest tablets for give five days for morning and night. I took the tablets but still now I did get my menses. Actually myself and my husband decided not to have any baby right now bcoz just now we both get the good job we don't want to spoil that. We want to get out from this problem kindly guide me in proper way to get my periods. Please do the needful. Waiting for the right reply at right time.
Diabetic nephropathy refers to diabetic kidney disease (nehpro=kidneys, pathy=disease). In 2011, diabetes caused nearly 44% of kidney failure cases. This makes diabetic kidney disease the number one complication of diabetes; one that is likely to affect almost every diabetic to some extent. In nearly half the cases of kidney disease, it could lead to kidney failure as well.
Diabetes and kidneys:
The kidneys filter nearly 200 quarts of our blood every day. Diabetes is a disease of excess sugar in our blood. Read these two sentences together and the link between diabetes and kidneys becomes obvious!
Every single day of our lives, the kidneys perform these functions:
Remove waste from our body (in the form of urine) retain whatever proteins, vitamins and other nutrients we can still usebalance the fluids in the bodyhelp maintain proper blood pressure by managing potassium and calcium levelskeep bones healthyhelp make red blood cells.
Diabetes damages the kidneys and the urinary system in three main ways:
Damage to blood vessels in the kidneys: too much sugar damages the filters in the kidneysdamage to nerves: fine nerves in the hands, feet, etc. Are corroded by the extra sugar in the blooddamage to the urinary tract: nerves run from our bladder to our brain and let us know when the bladder is full and we need to go. Damage to these nerves could mean we don’t react when our bladder is full. Result: extra pressure on the kidneys. Retained urine can also allow urinary tract infections to grow and migrate back to the kidneys.
Diabetes damage to blood vessels inside kidneys: The filtering units of the kidneys are called glomerules. They have tiny blood vessels that are easily clogged and damaged by excess sugar in our blood. Damage to these vessels also causes albumin, a kind of protein to leak via the urine. Ideally, albumin should be retained in the body. It is a condition called microalbuminuria in the early stages and albuminuria in the later stages.
Diabetes damage to nerves: Diabetes can also damage nerves everywhere in the body, a condition that is called diabetic neuropathy. When this happens in our hands and feet, we lose sensation there or begin to feel ‘pins and needles’. Nerves also convey messages from the brain to the urinary bladder and back. They inform the brain when our bladder is full. However, when these nerves are damaged by excess blood sugar, the brain does not realize when the bladder is full. The pressure from a full bladder can damage our kidneys over time.
Diabetes damage to urinary tract damage: When urine is retained in the bladder for long, the risk of bacterial infections increases. Bacteria also thrive on sugar, so diabetes increases infection risk. These infections usually stay limited to the urinary bladder. However, if they last for long, they may migrate to the kidneys and damage them too.
Consider all this in an organ that is working 24×7. Now you see why diabetic kidney failure is such a real danger for diabetics over the long term.
Diabetic kidney failure: early stages and symptoms
Diabetic kidney failure is a very real threat. It is a slow but relentless process that is divided into five stages of deterioration. The last stage called diabetic kidney failure or end stage renal disease (esrd)
The 5 stages leading to diabetic kidney failure are:
Stage 1: Kidney damage with normal gfr (90 or more). Gfr or glomuler filtration rate is the most widely accepted measure of kidney function. There are often no symptoms at this stage.
Stage 2: Kidney damage with mild decrease in gfr (60 to 89). Again, most patients feel no specific symptoms till this point.
Stage 3: Moderate decrease in gfr (30 to 59). At this stage, you may be losing too much protein, calcium and other nutrients. Some patients may feel breathless (due to loss of iron and anemia). Some puffiness and water retention could also be visible in the body. Urine may turn brown in colour. Some patients feel back pain too.
Stage 4: Severe reduction in gfr (15 to 29). All of the symptoms of stage 3 will are felt even more acutely now. Some blood may be seen in the urine. Breathlessness and swelling are usually quite severe. The stage at which you will need to finalize dialysis or kidney transplant options
Stage 5: Kidney failure (gfr less than 15). The kidneys give up at this stage. You will need dialysis or a kidney transplant.
Symptoms of kidney disease in diabetic patients
• Frequent urination, especially at night
• Blood or other dark discharge in the urine
• Swelling in the ankles
• Cramps in the calf muscles of the legs
• Feeling sick, feeling like throwing up, first thing in the morning
• Feeling weak, tired, breathless, looking pale
• Unexplained and consistent high blood pressure
• Unexplained urge to itch
• Lab tests: protein or albumin in the urine
• Lab tests: higher than normal levels of creatinine or bun in the blood
Diabetes and kidneys: how to protect yourself
First, you doctor needs to be sure that the underlying diabetes is the main cause of the kidney damage. Once this is done, the standard approach is to keep the kidneys working well for as long as possible. You doctor will likely add the hypertension-reducing medications called angiotensin converting enzyme (ace) inhibitors to your regimen. This is because ace inhibitors have been shown to help slow the loss of kidney function.
Here’s what diabetics can do to protect themselves from kidney damage:
• Control your blood sugar better. Don’t rely only on medications, but make changes to diet and lifestyle too. Many doctors endorse intermittent fasting to reverse diabetes today.
• Control high blood pressure. Take prescribed medicines on time. Daily moderate exercise and stress management techniques like meditation can help too.
• Watch out for and get timely treatment for urinary tract infections
• Don’t take medications like over-the-counter pain medications without telling your doctor. These may damage the kidneys, especially if you’re already at risk.
• Watch out for and take steps to prevent diabetic neuropathy. Damaged urinary tract nerves can lead to urinary retention and kidney damage. Some drugs like& metformin can contribute to diabetic nerve damage and supplements like vitamin b12 (as part of a good vitamin b complex) and alpha lipoic acid can help prevent this. Be aware and act soon.
• For people with diabetes, kidney screening once a year is mandatory. This can help to detect any protein or other substances that shouldn’t normally be in the urine.
• Use the right dietary supplements to protect your kidneys from diabetes damage.
Diabetic nephropathy: dietary supplements that help
Vitamin c (200mg- 1250mg per day)
Vitamin c is known to reduce excretion of urinary albumin. This suggests it may slow progression of diabetic nephropathy.
In a study published in the scientific journal nephron, researchers found that supplementation with vitamin c (also known as ascorbic acid or aa) reduced micro albumin loss in diabetic patients. The researchers concluded that “dietary supplementation of aa in diabetic subjects may have long-term benefits in attenuating the progression of diabetic complications”
Vitamin e (100iu-680iu per day)
Studies have found that vitamin e, when administered along with vitamin c, has the ability to reduce urinary albumin excretion. In the first study, published in the journal diabetes care, one groups was given just vitamin e and vitamin c. A second group received these and also the minerals magnesium and zinc. Both groups showed improved kidney function on lab parameters. In the second study, published in the diabetic medicine journal, type 2 diabetics took 1250mg of vitamin c plus 680 iu of vitamin e daily. In four weeks, their albumin excretion rate or aer was 19% lower compared to the placebo group.
Alpha lipoic acid (600mg per day).
Alpha lipoic acid (ala) is found in spinach, broccoli and potatoes and is a known anti-oxidant. A research study in 2001 set out to see if ala could help patients with diabetic kidney damage. The study group received 600 mg of alpha lipoic acid as a supplement. Another group received no supplement. The first group was able to maintain the same rate of urinary albumin loss, while the control group, saw their albumin loss worsen during the same period. Since alpha lipoic acid helps diabetics fight diabetic nerve damage too, it may well be a useful addition to all diabetics.
Everything we eat, including dietary supplements, has to be processed by the kidneys at some point of time. So do involve your doctor in your choice of dietary supplements if you have diabetic kidney disease.
Just remember: diabetic nephropathy or kidney damage is a result of the underlying diabetes. M. D. S are today saying that type 2 diabetes is reversible, through dietary and lifestyle changes. The better your control over the underlying blood sugar levels, the fewer the complications of diabetes. There are dietary supplements that are proven to help you improve blood sugar control, often without the side effects of prescription medications.
I am 24 years old unmarried female. One of my nipple is not coming out and other one is partially out. So i'm confused about this. Is it cause any problem in future? Kindly tell me the solution.
I got sex on 16 june, and my periods were last time 4 june but now these are not coming. and my pregnancy test is negative. My period is always regular. Am I pregnant?
8 days past I had sex with my girlfriend and today 20 Jan is date of her cycle which has not occurred. What could be the reason? Is she pregnant?
What are the natural foods and otc medicines that induce menstruation and abortion if pregnancy is there? Pls reply.
Some basic components for good sleep
1. Regular physical exercise (preferably not in evening's)
2. Minimise daytime napping
3. Avoid fluid intake or heavy meals just before going to bed
4. Avoid caffeine intake (tea, coffee, cola drinks) before sleeping hours.
5. Avoid regular use of alcohol (especially avoid alcohol as hypnotic for promoting sleep)
6. Avoid reading or watching television in bed.
7. Sleep in dark, quiet and comfortable environment.
8. Regularize time for going to sleep and waking up.
9. Try relaxation exercise.
At april 11 I had sex. My natural date was at 14th but due to medication for delaying period I had period at 18th. Period was normal with heavy bleeding, clots and cramps for 5 days. At the 5th day I had home pregnancy test. Result was negative. Month of may and june I had normal periods. This month i.e. July I am late by 2 days. I am worried. I am over-weighted and last month I ate roadside foods in greater portion. Please help me.
20 week pregnant now currently suffering severe cold and sneezing problem since last three days. What to do as antibiotics cud be harmful for baby As of only iron, calcium and folic acid supplements are taking.
Hi Me and my hubby was planning for a baby for past 2 months. I keep track of my cycle and ovulation day. I had my last period on 28.08.17. And my ovulation on 09.09.17. We had IC on my last ovulation (also before and after ovulation day) till now. Im about to have my periods in 4 days as per the cycle. Is there any chance to get pregnant ?pls answer my query.
Im suffering for irregular mensural problem from beginning, I had treatment so many time. It goes good sometimes. But now its been 2 months it did not happen. I feel so heavy and congested due to this. Please suggest.
My sister s pregnant and now she s 7 months.Totally 3 scaning was taken.In the first two scanning doctor said tat there s a cyst measuring 88*54mm found in ovary.But in the third scanning doctor said tat no cyst found.Wil this be a problem during her delivery ?
I am 26 years old and after delivery my weight increased to 83. Can you please suggest me diet or else what to do ?
Good morning doctor. I am a working female, married just 4 days before. And my leave will end in 2 days and will go to other country. My husband do sex with me 2-3 times every day without condom. Is there any complication in it.
Alcohol can it affect your intimacy level with your partner, yes! But with this you might be wondering how can that be possible when you actually sustain yourself for long, maybe longer than you should be. It is probably the “whiskey penis”. Alcohol may give you a sense of elation at one point of time, but it is essentially a nervous depressant. The over consumption of alcohol mainly has a reduced effect on sensitivity for both men and women.
How alcohol affects sex life in men: The effect of alcohol on the sex life of men is immense. In most cases, chronic and acute cases of alcohol consumption have shown to reduce the production of testosterone in men. Since testosterone is the hormone that results in the increase in libido in men, the effects of alcohol really reduce the performance in men. It has shown to reduce pleasurability and it can also reduce the intensity of orgasms. Sometimes, it can cause difficulty in ejaculation or delayed ejaculation.
How alcohol affects sex life in women: Alcohol can have a very mixed effect on women in general. While it can increase sexual arousal and desire, it can also result in low sensitivity. Women have a higher percentage of fat as compared to water in their bodies, this means that alcohol has a more profound effect on their bodies as compared to that in men. Their bodies also take longer to process and eliminate the alcohol. While some women report a heightened sense of sexual arousal and an increase in the duration of the orgasm, a large number of women also complain of lesser lubrication.
Alcohol also has a psychological effect; that is the loss of inhibition that may help in developing carnal instincts when intoxicated. This psychological effect may have a more profound effect than the physiological effects as a result of which women might claim that alcohol does indeed help in better sex. If you wish to discuss about any specific problem, you can consult a sexologist.