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She has usual cycle with early periods of 2 to 3 days. Her last period date was on 26th of june. She has not got this time. She said she was on nightout with her bf but they didnt go for intercourse on 3rd of july. What to do? consult doctor immediately or wait? any probable reasons?
1. Take protein rich diet such as pulses, soya protein egg white etc
2. Do not starve take healthy snacks
3. Drink loads of water daily at least 6-7 litre
4. Do routine workout
5. Consider natural fat burners
6. Avoid fatty as well as sweet food
7. Limit your sleep to 6 hours for a day
8. Do not do over snacking between meals
More than one year over, my wife is not able to conceive. I think I have problem with my sperm. It's week. How to correct it? What is the correct time to have sex to have child?
I am 40 years female. I feel very sleepy between 10 am to 4 pm in the day. It seems bp is very low. But when I go to doc my bp I find normal. All blood tests r done. Doc says you r perfect. No disease. But I know I am not. In this slot of day I do not like to talk or listen loud conversation. I feel very tired without doing work. What do I do Please help me. This is going since last 10 to 15 years.
During periods I have not much of bleeding on 1st day. From sevmcond day onwards flow rate become normal. Why there is not much flow in Ist day.
Hi, I am 25 years old and have a kid of 3 yrs. I am taking medication for thyroid since my pregnancy. At present, I weigh 80 kg and diagnosed to have PCOs. I am reported to have deficient of vitamin d and low calcium levels. Suggest me some ways to raise my calcium levels and to reduce my weight. Thanks in advance.
Hello Doctor, Actually me and and my hubby are trying for a kid from 3 months. I am taking folvite 5 mg from 3 days now. I am really curious and bit nervous as this is my first time. I am already 29 years old. So I want to know if I and my hubby have to undergo any fertility tests. If so what are those tests? Is it painful tests? Please can you mention the tests and how it will be done?
Back pain is one of the most common debilitating disorder in the world today. The pain affects 90% of people at some point of their lives. Human back comprises of various structures (see figure) which are nerves, bones, muscles, ligaments, and tendons, any or all of which can be a source of pain. Once back pain occurs, it may become chronic (more than 4 weeks) and you shall need to consult a pain physician for relief and accurate diagnosis.
Since prevention is always better than cure, you can save yourself from having back pain if you follow these basic tips:
Regular Exercise in Correct Form: Regular exercise is important to maintain proper muscular strength of the back. Human back is supported by several big muscle groups (see figure). They serve two functions - one is to facilitate the posture and movements of the back itself and the other is to help movements of the rest of the body appendages (arms, head, pelvis and legs).The health of these muscle group is important to take stress off the spinal bones and maintain proper function. Most of these muscles are red muscle fibers as they need to maintain their activity for prolonged periods of time. Just to give you an idea - your biceps (arm muscles) have to work only when you bend your arm. But your back muscles have to function all the time - whether you sit, walk, stand or even sleep. But the point is what kind of exercises are good for your back? The best exercises for back include body weight low impact aerobics like brisk walking, swimming, stationary bicycling, extension exercises and yoga. What is important to remember while doing these exercises if that you need to be gentle in your movements and achieve correct "form" - this is possible if you can ask someone (preferably a trainer) to observe and point out whether the back stays straight during the exercise. It has been seen that arching and excessive bending is associated with injury to the back while exercising.
Stay Hydrated and Eat Natural Nutritious diet:The inter vertebral discs contain 70 - 80% water. The muscles and tissues have 60% water content. Therefore, it is important to stay hydrated. In addition, you must eat a nutritious diet consisting of green leafy vegetables, good protein source and just enough carbohydrates. Deficiencies of essential nutrients like Vitamin D can result in diseases like osteoporosis. Another important aspect is to maintain body weight within healthy limits. This is very important as increased belly fat is linked to increased back pain due to mechanical factors.
Lift objects correctly and maintain proper posture: While lifting objects, keep them as close to body as possible. Do not slouch or bend excessively while lifting. Just keep your back straight at all times. You may bend your knees a little if required (see figure). Think before you lift and get help if needed.
While working, you must not sit for more than 45 minutes at a stretch. Walk for two minutes, go to a colleague's desk and say hi or even just drink some water or visit the washroom. Humans evolved as hunter - gatherers and our bodies are more adapted to walking / standing than to sitting for prolonged periods. Those of you who travel more and have to sit for long periods of time also need to follow above tips - avoid prolonged sitting in same posture.While exercising, improper position can do more harm than good. Therefore, proper form and posture is a must.
Bonus tip: Avoid cigarette smoking and those who smoke cigarettes to decrease your chances of having degenerative disc diseases leading to chronic back pain early in life.
Word of caution to prevent permanent damage: In case of back pain, which is not responding to home remedies or over the counter painkillers, please contact a Pain Physician to pinpoint the diagnosis and appropriate management.
I am 37 yes old female. Pregnant for 3.5 months. I am having sleeping disorder since my second trimester started. I sleep at night but after 2-3 hrs I wake up could not able to sleep. I tried everything from hot milk to meditation nothing is working. My doctor prescribed me with medicine to sleep valium 10 mg in night.
When a blow or a fall causes an injury, where the top of your arm bone pops out from your shoulder socket, it’s called shoulder dislocation. It is a very painful condition and you need to get this relocated to its position immediately. The tissues and bone related to that particular joint get damaged.
If you ignore this situation or keep the shoulder like this, it will be more harmful and painful for you. There may appear a bump in front or at the back of your shoulder that hurts.
What can lead to a dislocated shoulder injury?
- Sharp or a very fast twist of your arm.
- Falling down on a hard surface.
- A sudden hurt or hit.
- It may also happen when you fall down and try to save yourself using your hand. The force of the hit indirectly gets into the shoulder and your shoulder joint may slip from its place.
In some of the outdoor games, there are high chances to get hurt in the shoulder. Hockey, football, rugby, rock climbing, volleyball etc. bring in high probabilities of injuring the shoulder, thereby resulting in a shoulder dislocation.
What is the treatment or therapy of a dislocated shoulder?
The dislocated shoulder should be very urgently treated. As this injury of the shoulder is very painful, you should consult to a specialized orthopaedist as fast as possible to fix up the shoulder to its proper joint. As it is very painful and swollen, the faster the treatment, the better it is. When your doctor fixes your shoulder in its actual place or the bone of your arm comes back to the socket, most of your pain will go away and you get huge relief from pain. After the shoulder bone is relocated, you can use further conservative treatment to reduce the pain and swelling of that place. Dislocated shoulder may take 3 to 12 weeks to recover. But this is the approximate time and it depends on the seriousness of the injury.
After the treatment, when all the symptoms are gone, the doctor will suggest some exercises for better results and normal shoulder movement and to prevent future shoulder injury. Ones the shoulder is dislocated, the chances of dislocation in future is further increased as the tissue supporting the head of humerus into its socket is torn. Such patients may land up with recurrent dislocation of shoulder wherein shoulder dislocates easily on specific movement and patients are afraid to do over-head activities. The problem is best diagnosed by MRI Scan.
The best treatment for this is Arthroscopic (Key-Hole Surgery) Bankart's Repair. Following operation shoulder is kept at rest for 2 weeks then Physiotherapy is started. Day to day activities are started after 2 weeks and sports activity is started after 3 to 5 months.
I had oral sex and the pregnancy test result was also negative and I m getting my periods are there any chances that I can be pregnant?
I am 38 year old female. In last six month I got infatuation in my vaginal area. I got some relief when I get treatment but it occur again after some time again I take treatment but it is not proper yet. Last two to three time my periods get very long at lest for 10 days and very painful. I am worries about it kindly suggest me what I do. Thanks.
Hi My age is 27. I have kid of 1.2 years. I got diabetic during my 1st pregnancy and it is still there. I have taken only home made remedies and no tablets. Now for the past 1-2 weeks there are some changes in the body system. I am feeling tied, drowsiness in morning, vomiting feeling, slight head ache, more tensed, pain below the right side abdomen, more urination, wound often in urinal area, itching. I need to know what is the cause for these symptoms which irritating me n making me feel tied.
My pregnancy of 9th month completed and 3 days in 10th month. Still my baby not come down. From last 2 days I see the white liquid in my vagina. Its harmful? When I get labor pain?
In Ayurveda Cervical spondylosis is discussed as “GRIVA SANDHIGATA VATA”.
Cervcical spondylosis the most common disorder of the cervical spine.
Cervical spondylosis is a term used for age related wear and tear affecting the bones (vertebrae),joints and discs of the neck (cervical spine),usually occurs in men and women older than 40 and progresses with age,men usually develop it in earlier age than women.With the increase of age discs gradually breakdown and become stiffer as a result of which body reacts and develops bony growths (osteophytes) these osteophytes put pressure on the on the spinal nerve roots or spinal cord resulting in pain.
CERVICAL SPONDYLOSIS-AYURVEDIC CONCEPT
According to Ayurveda the Vata, the principle of movement is the predominant function with the skeleto-muscular system and the nervous system. Problems relating to these systems are predominantly caused by vitiated Vata. The vitiation of vata is caused by two mechanisms. One of them is obstruction to vata due to malfunctioning of kapha and pitta. The other one is increase of vata independently (the degenerative problems). The sacrum is situated in the Vata area of the body and this disease is caused by aggravated Vata and ama (toxins), which cause stiffness and reduce mobility in this area. Treatment involves detoxification and elimination of ama and also a Vata pacifying diet, lifestyle and herbal preparations.
1.Basic cause of cervical spondylosis is age related wear and tear.
2.Most of the people show age related wear and tear in the age of thirty as evidenced by x-rays but symptoms does not appear until later ages of life.
3.Drying and loss of elasticity in the spinal and cervical disks
4.Bulging and sometimes herniation of disks so that disk material protrudes from between two vertebrae
5.Stiffening of the ligaments connecting neck bones and muscles
Cervical spondylosis is caused by chronic degeneration of the cervical spine, the cushions between the neck vertebrae, and joints between the bones of the cervical spine. A previous neck injury can predispose to a person to cervical spondylosis.
The signs and symptoms of cervical spondylosis are:
- A stiff, painful neck
- Shoulder, arm or chest pain
- Tingling and pinprick sensations in the arms, hands, legs or feet
- Numbness and weakness in the arms, hands, legs or feet
- Lack of coordination
- Difficulty walking
- Abnormal reflexes
- Loss of bladder or bowel control, or urinary or bowel retention
INVESTIGATION AND DIAGNOSIS
Your symptoms and history, along with an examination, may suggest that you have cervical spondylosis. You may also have imaging tests. The workup may include:
Neck flexibility assessment.
. Cervical spondylosis limits the range of motion in your neck. To observe this effect, your doctor may have you tilt your head toward each of your shoulders and rotate your neck from side to side.
To find out if there’s pressure on your spinal nerves or spinal cord, your doctor will test your reflexes and make sure you have sensation all along your arms and legs. He or she may watch you walk to see if spinal compression is affecting your gait.
Neck or spinal X-ray.
An X-ray may show abnormalities, such as bone spurs, that indicate cervical spondylosis.
Computerized tomography (CT) scan or magnetic resonance imaging (MRI).
These tests may help your doctor determine the extent of damage to your cervical spine.
Home Remedies For Cervical Spondylitis
- Use Cow’s ghee in your food. It is a best natural “Vata” reliever and gives nourishment to the nerves and other body parts.
- 1 tablespoonful of Turmeric should be consumed once every day, after boiling it in milk for half an hour. It is a very useful herbal treatment for cervical spondylitis.
- Constipation must be avoided at all costs. Constipation may increase pain in Cervical Spondylitis.
- Herbs have divine healing powers and they have the ability to cure any disease from the root. They were gifted to us by God when he created life. So believe in God if you want to get rid of your problems!
- Ayurvedic herbs are unique natural remedies for Cervical Spondylitis. Ayurvedic principles are different in many ways from modern medicine for example - Drinking water from a copper pan after keeping it overnight is also very useful in Rheumatoid arthritis and Cervical Spondylitis.
- Consuming castor oil at night with milk or alone is a very useful herbal remedy for arthritis, especially rheumatoid arthritis and Cervical Spondylitis.
- Improve your nutrition as the first step.It plays an important role to fight diseases. When nothing works, nutrition works a lot!
- Use herbal juices like Aloe vera juice (Kumari Saar) and Amla Juice ( Amla Saar) in routine. Amla is the richest source of natural Vitamin C. Vitamin C improves the natural immunity of the body. 100 gm of Amla juice contains 30 times more vitamin C than 100 gm of oranges.
DIET AND LIFESTYLE
Diet Sour things particularly curd, are strictly prohibited. Fried things, pulses and various preparations of pulses are also contra- indicated in this condition. Bitter vegetables like bitter variety of drumstick, neem flowers, and bitter gourd are very useful. Wheat is better than rice for the patient.
- Exposure to cold , cold bath and any violent exercise of the neck muscles, including pressure, are very bad for the patients. Under the impression that this pain is being caused by some defects in the muscles, people undertake different types of neck exercises.
- While reading and writing, one should maintain a comfortable posture.
- Morning walk gives some relief to the patient, but if it is cold outside the patient should always use a woollen scarf around his neck while going out of the house.
SELF CARE TIPS
- For mild neck pain or stiffness:
- Take a long, hot shower every day
- Wear a cervical collar (which you can buy in a drugstore) during the day
What are some signs or symptoms of swallowing disorders?
Several diseases, conditions, or surgical interventions can result in swallowing problems.
General signs may include:
- Coughing during or right after eating or drinking
- Wet or gurgly sounding voice during or after eating or drinking
- Extra effort or time needed to chew or swallow
- Food or liquid leaking from the mouth or getting stuck in the mouth
- Recurring pneumonia or chest congestion after eating
- Weight loss or dehydration from not being able to eat enough
As a result, adults may have:
- Poor nutrition or dehydration
- Risk of aspiration (food or liquid entering the airway), which can lead to pneumonia and chronic lung disease
- Less enjoyment of eating or drinking
- Embarrassment or isolation in social situations involving eating
Most swallowing problems can be treated, although the treatment you receive will depend on the type of dysphagia you have.
Treatment will depend on whether your swallowing problem&nbsp;is in the mouth or throat (oropharyngeal, or 'high' dysphagia), or in the oesophagus (oesophageal, or 'low' dysphagia).
The cause of dysphagia is also considered when deciding on treatment. In some cases, treating the underlying cause, such as mouth cancer or oesophageal cancer, can help relieve swallowing problems.
Treatment for dysphagia may be managed by a group of specialists known as a multidisciplinary team (mdt). Your mdt may include a speech and language therapist (slt), a surgeon, and a dietitian.
High (oropharyngeal) dysphagia
High dysphagia is swallowing difficulties caused by problems with the mouth or throat.
It can be difficult to treat if it's caused by a condition that affects the nervous system. This is because these problems can't usually be corrected using medication or surgery.
There are three main treatments for high dysphagia:
- Swallowing therapy
- Dietary changes and
- Feeding tubes
You may be referred to a speech and language therapist (slt) for swallowing therapy if you have high dysphagia.
An slt (speech language therapist) is a healthcare professional trained to work with people with feeding or swallowing difficulties.
Slts use a range of techniques that can be tailored to your specific problem, such as teaching you swallowing exercises.
You may be referred to a dietitian (specialist in nutrition) for advice about changes to your diet to make sure you receive a healthy, balanced diet.
An slt can give you advice about softer foods and thickened fluids that you may find easier to swallow. They may also try to ensure you're getting the support you need at meal times.
Feeding tubes can be used to provide nutrition while you're recovering your ability to swallow. They may also be required in severe cases of dysphagia that put you at risk of malnutrition and dehydration.
A feeding tube can also make it easier for you to take the medication you may need for other conditions.
There are two types of feeding tubes:
- A nasogastric tube - a tube that is passed down your nose and into your stomach
- A percutaneous endoscopic gastrostomy (peg) tube - a tube that is implanted directly into your stomach
Nasogastric tubes are designed for short-term use. The tube will need to be replaced and swapped to the other nostril after about a month. Peg tubes are designed for long-term use and last several months before they need to be replaced.
Most people with dysphagia prefer to use a peg tube because it can be hidden under clothing. However, they carry a greater risk of complications compared with nasogastric tubes.
Minor complications of peg tubes include tube displacement, skin infection, and a blocked or leaking tube. Two major complications of peg tubes are infection and internal bleeding.
Resuming normal feeding may be more difficult with a peg tube compared with using a nasogastric tube. The convenience of peg tubes can make people less willing to carry out swallowing exercises and dietary changes than those who use nasogastric tubes.
You should discuss the pros and cons of both types of feeding tubes with your treatment team.
Low (oesophageal) dysphagia
Low dysphagia is swallowing difficulties caused by problems with the oesophagus.
Depending on the cause of low dysphagia, it may be possible to treat it with medication. For example, proton pump inhibitors (ppis) used to treat&nbsp;indigestion&nbsp;may improve symptoms caused by narrowing or scarring of the oesophagus.&nbsp;
Botulinum toxin can sometimes be used to treat achalasia. This is a condition where the muscles in the oesophagus become too stiff to allow food and liquid to enter the stomach.
It can be used to paralyse the tightened muscles that prevent food from reaching the stomach. However, the effects only last for around six months.
Other cases of low dysphagia can usually be treated with surgery.
Endoscopic dilation is widely used to treat dysphagia caused by obstruction. It can also be used to stretch your oesophagus if it's scarred.
Endoscopic dilatation will be carried out during an internal examination of your oesophagus (gastroscopy) using an endoscopy.
An endoscope is passed down your throat and into your oesophagus, and images of the inside of your body are transmitted to a television screen.
Using the image as guidance, a small balloon or a bougie (a thin, flexible medical instrument) is passed through the narrowed part of your oesophagus to widen it. If a balloon is used, it will be gradually inflated to widen your oesophagus before being deflated and removed.
You may be given a mild sedative before the procedure to relax you. There's a small risk that the procedure could cause a tear or perforate your oesophagus.
Find out more about gastroscopy.
Inserting a stent
If you have oesophageal cancer that can't be removed, it's usually recommended that you have a stent inserted instead of endoscopic dilatation. This is because, if you have cancer, there's a higher risk of perforating your oesophagus if it's stretched.
A stent (usually a metal mesh tube) is inserted into your oesophagus during an endoscopy or under x-ray guidance.
The stent then gradually expands to create a passage wide enough to allow food to pass through. You'll need to follow a particular diet to keep the stent open without having blockages.
If your baby is born with difficulty swallowing (congenital dysphagia), their treatment will depend on the cause.
Dysphagia caused by cerebral palsy can be treated with speech and language therapy. Your child will be taught how to swallow, how to adjust the type of food they eat, and how to use feeding tubes.
Cleft lip and palate is a facial birth defect that can cause dysphagia. It's usually treated with surgery.
Narrowing of the oesophagus
Narrowing of the oesophagus may be treated with a type of surgery called dilatation to widen the oesophagus.
Gastro-oesophageal reflux disease (gord)
Dysphagia caused by gastro-oesophageal reflux disease (gord) can be treated using specially thickened feeds instead of your usual breast or formula milk. Sometimes medication may also be used.