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I am experiencing inching and anus cramps from 1 year and with some search in the web I came to know that it is a pinworm as I too can see a white parasite in my underwear at night. My grandmother says that it will be killed own its on and no need for medication but I feel it is because I read it can lead to urine or uterus infection or so. I'm really worried doctor. Shall I consult a doctor or try some home remedies. please help doctor. Will I died? It has been 1 years though I have been experiencing this.
I have a weak digestive system. How can I improve my digestive system naturally. Suggest some measures which I can inhabit.
Hi, I am suffering from Anal fissure problem. Last one month blood is coming out. I am facing this issue from last 8 years (once in year). Most of the time healing occurs without any medication with in 4-5 days, but this time from last one month I am facing this issue. Please help. Regards.
I'm a 40 years old man suffering from hyper-acidity and other abdomen problem for the last couple of years. What should I do?
I would like to know about loosening of rectal mucosa. Surgery methods available. Is surgery only method for rectal mucosa partial prolapse. Can not it be treated by medicines. Describe this condition rectal mucosa loosening or partial prolapse and treatment methods surgical as well as non surgical.
Whether tuberculinum 200 can use for treatment of ibs, gastric disorder flatulence mucus stool diarrhea etc.
Hello, Dear doctors from the last three months when I take vinegar with bowel potatoes so I get heartburning for two to three hours please guide what should I do?
HI, I’m suffering from swelling in large intestine both sides Also suffering from loose motions and anal fissures from 2 years.
I am suffering from a digestion problem. After eating just after I have to go washroom to fresh up? What to do?
Hunner's ulcers, simply put are painful ulcers in your urinary bladder. These ulcers are inextricably linked to another disorder called the painful bladder syndrome or intestinal cystitis. They occur in 10 to 15 percent of people with interstitia cystitis. These, in fact, are red patches or lesions on the bladder wall which can stiffen tissue and cause reduced bladder capacity. Hunner’s ulcers bleed, ooze pus and can be of different sizes. The ulcers in the bladder can be extremely painful and uncomfortable.
These are called Hunner’s ulcers because they were first described by Dr. Guy LeRoy Hunner, a Johns Hopkins gynecologist, in 1915. Since Hunner’s ulcers are seen only in people with intestinal cystitis, it’s important to know more about this painful life-altering bladder disorder before we can even understand how to deal with them.
Interstitial cystitis (IC)
IC is also called painful bladder syndrome. Another important thing to know about IC is that it strikes more women than men. IC is a chronic disorder and there’s no cure for it. It causes recurring bouts of pain and pressure in the urinary bladder and the pelvic area. This is often accompanied by an urgent and frequent need to urinate. Sufferers may have to rush to the ‘loo’ as much as 40, 50, or 60 times a day.
Hunner's ulcers can only be accurately diagnosed by doing a cytoscopy which involves inserting a fibre-optic tube through the urethra to look at the bladder wall closely. During this procedure, a tissue sample from the bladder wall is usually also taken to rule out bladder cancer. Cytoscopy is usually done with hydrodistention under local anesthesia. This involves filling the bladder with a liquid for stretching it to provide a closer view of the bladder wall. Usually, a urologist performs this surgery along with a gynaecologist. IC and also Hunner’s ulcers are both a diagnosis of exclusion. This means that they’re diagnosed only after a number of other conditions have been ruled out.
Hence, the urologist will first take your thorough medical history, followed by a physical exam and a pelvic exam for women patients and perform tests for ruling out infection, and other disorders like bladder stones and cancer, kidney disease, multiple sclerosis, endometriosis, sexually transmitted diseases amongst others. Only after these tests are inconclusive or uncertain and if there is blood in urine, will the urologist go for cystoscopy.
There's no cure for IC, but Hunner’s ulcers can be cured by burning them off the bladder wall. Called fulguration, the process uses electricity or laser to burn the ulcers on the bladder wall. Resection is also used in which skin from around the Hunner’s ulcer is cut for removing both the ulcer and the inflamed tissue around it. The problem is that ulcers may recur in the same location.
So, managing IC becomes critical. Your doctor can try to treat the patient with one treatment or with a combination of treatment depending on the condition of the patient.
Pain medicines are the first line of treatment to manage Hunner’s ulcers and IC both, and many patients do go in for this. Patients also find relief by modifying their diet to remove foods and drinks like caffeinated beverages- tea, coffee, colas etc. Sodas, artificial sugars and fruit juices, especially Cranberry juice can trigger intense pain and discomfort, so these are usually contraindicated. Another important aspect is patient education about normal bladder function and tips on self-care and behavioural modifications like stress control to manage Hunner’s ulcers.
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