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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
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Medical Termination Of Pregnancy (Mtp) Procedure
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Sir/mami have noticed some bleeding from bottom while in toilet. Some drops of red blood comes along with stool. I don't know what it is, it happens some times and some times it doesn't happens for days. I thought it would heal automatically but it hasn't. It has been some months now. Please advice me what should I do and what has happened to me. I am a boy of 22 years age. Thank you.
I have done a sexual relation ship and I get pregnant now last one month and I don't want child so what I have to do?
My wife (43 yrs) keeps experiencing a tingling sensation in her fingers and toes (right hand and foot) after working or walking for 20 mins. She feels heaviness in her hand and numbness. After some rest she feels okay. Would appreciate some advice. Thanks.
Hlo Dr. I am 22 years old. I have done a sex on june 4 with my partner and after doing that I have periods after 15 to 16 days and again in july month I also had periods but utna flow nhi tha jitna june mein sex k 15 din baad hua tha. Aur ab august month hai aur mujhr periods abi aane hain agr aaye to may be 18 -19 tk aa jayeinge. But mujhe aisa lgta hai k main pregnant hu mera pet b thoda fulla sa lgta hai aur mujhe kuch solid sa b lgta hai aise jaise pet mein kuch aur hai b naabhi k aas paas hi aur aur lette tym pet ki shape change c ho jaati hai. Please Dr. mujhe btaiye k kya sach mein main pregnant hu ya ye mera veham hai. Please Dr. Suggest me something please.
Boerhaave first described the spontaneous rupture of the esophagus in 1724. It typically occurs after forceful emesis. Boerhaave syndrome is a transmural perforation of the esophagus to be distinguished from mallory-weiss syndrome, a nontransmural esophageal tear also associated with vomiting. Because it often is associated with emesis, boerhaave syndrome usually is not truly spontaneous. However, the term is useful for distinguishing it from iatrogenic perforation, which accounts for 85-90% of cases of esophageal rupture.
Diagnosis of boerhaave syndrome can be difficult because often no classic symptoms are present and delays in presentation for medical care are common. Approximately one third of all cases of boerhaave syndrome are clinically atypical. Prompt recognition of this potentially lethal condition is vital to ensure appropriate treatment. Mediastinitis, sepsis, and shock frequently are seen late in the course of illness, which further confuses the diagnostic picture.
See can't-miss gastrointestinal diagnoses, a critical images slideshow, to help diagnose the potentially life-threatening conditions that present with gastrointestinal symptoms.
A reported mortality estimate is approximately 35%, making it the most lethal perforation of the gi tract. The best outcomes are associated with early diagnosis and definitive surgical management within 12 hours of rupture. If intervention is delayed longer than 24 hours, the mortality rate (even with surgical intervention) rises to higher than 50% and to nearly 90% after 48 hours. Left untreated, the mortality rate is close to 100%.
Esophageal rupture in boerhaave syndrome is postulated to be the result of a sudden rise in intraluminal esophageal pressure produced during vomiting, as a result of neuromuscular incoordination causing failure of the cricopharyngeus muscle to relax. The syndrome commonly is associated with overindulgence in food and/or alcohol. The most common anatomical location of the tear in boerhaave syndrome is at the left posterolateral wall of the lower third of the esophagus, 2-3 cm proximal to the gastroesophageal junction, along the longitudinal wall of the esophagus. The second most common site of rupture is in the subdiaphragmatic or upper thoracic area. [1, 2]
Although likely underreported, the incidence of boerhaave syndrome is relatively rare. A 1980 review by kish cited 300 cases in the literature worldwide.  a 1986 summary by bladergroen et al described 127 cases.  of these, 114 were diagnosed antemortem; the others were diagnosed at autopsy. Overall, boerhaave syndrome accounts for 15% of all cases of traumatic rupture or perforation of the esophagus.
Race-, sex-, and age-related demographics
Cases have been reported in all races and on virtually every continent, affecting males more commonly than females, with ratios ranging from 2: 1 to 5: 1.
Boerhaave syndrome is seen most frequently among patients aged 50-70 years. Reports suggest that 80% of all patients are middle-aged men. However, this condiction has also been described in neonates and in persons older than 90 years. Although no clear explanation exists for this, the least susceptible age group appears to be children aged 1-17 years.
Prognosis is directly contingent on early recognition and appropriate intervention. Early diagnosis of boerhaave syndrome allows prompt surgical repair. Diagnosis and surgery within 24 hours carry a 75% survival rate. This drops to approximately 50% after a 24-hour delay and approximately 10% after 48 hours.
The mortality rate is high. Esophageal perforation is the most lethal perforation of the gi tract. Survival is contingent largely upon early recognition and appropriate surgical intervention.
Overall, the mortality rate is approximately 30%. Mortality is usually due to subsequent infection, including mediastinitis, pneumonitis, pericarditis, or empyema.
Patients who undergo surgical repair within 24 hours of injury have a 70-75% chance of survival. This falls to 35-50% if surgery is delayed longer than 24 hours and to approximately 10% if delayed longer than 48 hours.
Cases of patients surviving without surgery exist but are rare enough to warrant case reports in the medical literature.
Esophageal rupture may lead to the development of septicemia, pneumomediastinum, mediastinitis, massive pleural effusion, empyema, pneumomediastinum, or subcutaneous emphysema.
If the esophageal rupture extends directly into the pleura, hydropneumothorax is expected. In adults, this occurs more commonly on the left side of the pleura. In neonates, esophageal rupture usually occurs on the right side.
After esophageal rupture, free air enters the mediastinum and also may spread to the adjacent structures, resulting in mediastinal abscess or superimposed secondary infection.
Other complications include acute respiratory distress syndrome, pneumomediastinum, pneumothorax, and hydrothorax.
I am 28 years female. Recently I got to know that i am having thyroid. T3 and t4 are normal but tsh is 8.06. Please suggest me is there any effect to get pregnancy.
Hello doctor, I have a cyst in my left Overy that size is 62.5mm. Please tell me how should it remove.
Hello madam/sir we are recently got married we are trying for pregnancy from 3 months but it's not working and mainly I'm having white discharge from 6 months is their any problem to me? Can you please clarify me, White discharge is a problem to not get pregnancy?
My follicular study report says right overy 18*18Mm 24*18mm 20*17Mm On 16th day those three are ruptured I had intercourse with my husband on 16th and 18th day will it possible to get pregnant.
I have 1 months pregnancy. I don't want it, so what should I do? abortion or any pills for unwanted pregnancy. Please help me.
This soft disc can degenerate leading to a rupture of the disc and leakage of the jelly like material. This is one of the common causes of compression of the nerve the patient will suffer from significant pain in lower back that radiates down to the leg - sciatica
What is the cost for these std card test cost Chlamydia Gonorrhea Hepatitis A Hepatitis B Hepatitis C Herpes 1 Herpes 2 HIV 1 & 2 Syphilis What tests should I do to know my status.
I am 42 years old female. Got pregnant a few months back. Now afraid of sex. What should I do or tell my husband to do so that I do not get pregnant again. I want to have 100% safe sex, how is it possible?
I am having thyroid. I am taking 75 mg dose for thyroid. I am going to conceive, but unable to do so. please suggest what should I do?
Hello my hubby has night blindness in left eye as congenital. He is 33 years old. What is treatment on this? I am 34years old. We got married ago 4 yrs. We both are deaf dumb. I got miscarriage ago 3 years 1st time. After that I consulted to Dr. but not become successfully nowadays for pregnancy. My USG report n all blood reports r normal. His semen report also normal. Only my ovulation is late i. E. On 17th day. Can hubby's problem (night blindness) become in baby in future? My all families n his all families r normal. My mummy papa got married in relationship n his mummy papa also. I am in tension please help me.
Ragi has always been known as a highly nutritious foodgrain, rich in calcium. You might notice the power of ragi when you visit the maharashtrian countryside. Known colloquially as'nachni, a staple diet of these'naachni bhaakris' and'pitla' has been the main reason behind generations of lean yet robust kids.
Finger millet is the english equivalent of ragi. Also, predominantly, used in south india, it is also a rich source of protein, fiber, iron and other minerals.
It is more nutritious than other cereals and has a host of health benefits.
1. Weight loss
Ragi is very high on fiber. Hence, it digests slowly, keeping you full for a longer time and helps you avoid excessive food consumption. This helps you shed kilos and keeps you fit.
The high fiber in ragi helps to clear bowels smoothly everyday and prevents constipation.
Due to its slow digestion rate, ragi helps lower blood sugar levels. Hence, diabetics can enjoy ragi rotis/pancakes without the fear of affecting their sugar levels.
3. Bone strength
Ragi is very rich in calcium. It can be easily substituted for milk (in case of lactose intolerance) to get your daily calcium dose. You can also have ragi flour kanji as a great source of calcium. Ragi porridge can be given to growing children for bone development and to elders to avoid osteoporosis.
4. Gluten free
Ragi is free of gluten which is found in wheat and its products. Hence ragi can be easily taken by gluten sensitive people.
5. Cholesterol control
Highly fibrous, ragi helps control and lower bad cholesterol levels.
Ragi is also rich in iron and hence can be beneficial for people with anemia.
Ragi mixed with milk works wonders for infants. For the elder kids, naachni khakrashighlight the health-conscious man's snack section during tea breaks. There is a huge list of south indian dishes which feature several ragi permutations and combinations (eg. Ragi idlis, ragi dosas, ragi rasam, etc.)
All in all, in the company of ragi, you have no choice but to stay healthy!
I am 26 years old and my wife is 18 years old .I am newly married about 2 months ago and I intercourse properly all signs of pregnancy shows but urine pregnancy test negative after 15 days of intercourse and now periods starts.
Some of the most effective home remedies for varicose veins include the use of olive oil, garlic, cayenne pepper, apple cider vinegar, witch hazel, parsley, horse chestnut, grapeseed oil, pine bark, marigold, and various lifestyle changes.
Varicose veins are the unsightly and uncomfortable veins, most often occurring in the leg, that have become twisted or enlarged, preventing proper blood flow to extremities and forcing your cardiovascular system to work harder to achieve proper unidirectional blood flow. As people age, or if they have professions that make them stand for long periods of time, the veins can often become tangled in this way, preventing the normal leaflets of our veins from directing blood in one direction. When blood begins flowing in opposite directions, it can become extremely painful, whether one is standing or not. While varicose veins rarely result in life-threatening complications, it can still manifest in the form of leg swelling, edema, venous eczema, skin thickening, and visible vein knots in the legs or affected area. While this affliction most commonly affects the legs, as that is where the body must work hardest to overcome gravity and pump the blood back to the chest, it can also occur on other parts of the body.
￼Symptoms of varicose veins include aching legs, swollen ankles or knees, unexplained fatigue in the legs, slow healing time on small wounds or cuts on the legs, cramps, and skin discoloration or irritation on the calves or feet. If you believe that you are suffering from varicose veins, there are some in-hospital treatments that can alleviate some of the symptoms, but these are often temporary, expensive, and, as with all surgeries, carry a degree of risk. Instead, there are dozens of herbal remedies that have been developed, tested, and relied on for years to eliminate varicose veins, treat its symptoms, or keep them under control in a healthy, effective way. Let’s take a closer look at some of these treatments below.
10 effective home remedies for varicose veins
1. Horse chestnut: the extract from horse chestnut seeds is considered extremely effective against varicose veins, as horse chestnuts are astringent in nature and contain a powerful compound called aescin, which inhibits the destructive enzymes that damage capillary walls. Patients suffering from varicose veins can experience a reduction in swelling and pain when the extract is consumed. However, only the extract can be consumed, as raw horse chestnuts contain other compounds that are actually toxic.
2. Grapeseed oil: grapeseed is a very powerful type of natural oil that has long been used to relieve inflammation and muscle pain when applied in a topical manner. Grapeseedextract can also be consumed, but the unpleasant taste often makes people prefer the topical application of the oil. The proanthocyanids contained in the oil can strengthen the capillary walls and resist degradation, while also reducing inflammation and even promoting healthy blood flow to the extremities.
3. Marigold: marigold is rich in antioxidant compounds and vitamin c, both of which are essential for protecting the skin and maintaining the health and strength of veins and capillaries. You can eat marigold petalsdirectly, but that isn’t considered as effective as boiling the petals and then dipping a hot cloth in the boiled water, which should be infused with the beneficial compounds and chemicals. Apply that cloth to the affected area of your leg to experience reduced swelling, an elimination of pain, and and important collagen transfer that can help your body rebuild damaged capillaries and veins to prevent varicose veins from spreading.
4. Pine bark: the proanthocyanid compoundsfound in grapeseed are also present in the bark of pine trees, in addition to other unique compounds in the extracts that strengthen capillary walls, bind collagen to veins, promote elasticity of the veins, improves blood circulation, and even lowers blood pressure. Pine bark extract is widely available and can be used safely for long periods of time if the problem persists.
5. Parsley: this common herb is another popular home remedy for varicose veins, as its high level of vitamin c promotes the creation of collage and subsequent repair of damaged blood vessels. Rutin is the powerful organic compound in parsley that directly affects capillary strength, making it a key herb to add to your diet if you’re suffering from unsightly varicose veins.
6. Apple cider vinegar: as always, it seems like almost any condition can be improved somehow by this magical cure-all. In terms of varicose veins, consuming apple cider vinegar has been shown to detoxify the blood, while also promoting circulation and reduce inflammation. These three factors together make it an ideal tonic for varicose vein conditions. The easiest remedy is mixing two teaspoons of apple cider vinegar in a glass of water and drinking it two times a day. You can also get undiluted apple cider vinegar and combine it with your normal lotion and apply it to the affected areas. Both remedies are highly effective.
7. Cayenne pepper: the bioflavonoids and vitamin c found in cayenne pepper are able to promote healthy blood flow to the extremities and ease the pain of swollen or aching joints and leg muscles. The pain of varicose veins is often worse than the appearance, and consuming or topically applying a paste of cayenne pepper can definitely help alleviate those uncomfortable situations.
8. Olive oil: as with grapeseed oil, olive oil is able to significantly improve your health. You can rub olive oil on the affected area and allow the rich mixture of organic compounds so the inflammation and pain, and also stimulate repair on injured or degraded capillaries and blood vessels.
9. Garlic: as another apparent cure-all, garlic can break up toxins in the body and stimulate their release, in addition to reducing inflammation and increasing healthy circulation throughout the body. Adding garlic to your diet or regularly applying a garlic paste to the varicose veins can quickly reduce their appearance and discomfort.
10. Lifestyle changes: a number of lifestyle habits can exacerbate varicose veins, including standing for long periods of time, impact exercises or sports, being overweight, wearing high heels, sedentary lifestyle where you don’t walk or move your legs for periods of 30 minutes or longer, excessive alcohol intake, and smoking, which slows down circulation throughout your body. Eliminate or change some of these lifestyle factors and you will see a definite improvements in your varicose vein symptoms.