A hysterectomy is an operation to remove the uterus and, usually, the cervix. The ovaries and tubes may or may not be removed during this procedure, depending on the reasons for the surgery being performed. If the ovaries are removed, you will commence menopause. A hysterectomy is a major surgical procedure with physical and psychological consequences.

Why is a hysterectomy performed?

Common reasons include painful or heavy periods, pelvic pain, fibroids or as a part of therapy for cancer. You should have a clear understanding of your reason for this surgery.

How is this done?

The procedure is normally performed under a general anesthetic and takes approximately one hour. To commence your anesthetic a drip is inserted into your arm. Once you are asleep, you will have a urinary catheter inserted. The importance of the catheter is to reduce the size of your bladder, keeping it away from the operation site and reducing the risk of complications.

There are three ways to remove the uterus:

Vaginal hysterectomy - The removal of the uterus and the closing of the wound is performed through the vagina. There is no cut in the abdomen. 
Laparoscopic hysterectomy - About four small keyhole cuts are made in the abdomen to divide the attachments of uterus, ovaries, and tubes in the pelvis. The uterus is usually then removed through the vagina.
Abdominal hysterectomy - The uterus is removed through a cut in the lower abdomen. The cut is about 15 20 cm in length and runs across your abdomen, usually below the bikini line. Less commonly, it may be necessary to have a cut that runs from the belly button down to the pubic area.
What are the risks of undergoing this procedure?

Although the risks associated with hysterectomy are low, you should be aware that every surgical procedure has some risk. This may also depend upon the type of surgery you have. 
Severe bleeding from large blood vessels around the uterus or top of the vagina. This is not common. A blood transfusion may be required to replace blood loss. A vaginal pack may also be used to control the bleeding.
Infection in the operation site, pelvis or urinary tract.
Nearby organs such as the ureter (tube leading from kidney to bladder), bladder or bowel may be injured expected to happen to approximately one in every 140 women. Further surgery will be needed to repair the injuries.
The bowel may not work well after the operation; this is usually temporary. Treatment may include a drip to give fluids into the vein and no food or fluids by mouth.
Things to do before you come to the hospital

It is important for you to have all the tests ordered at your outpatient clinic appointment completed prior to coming to the hospital these include blood tests and an ECG and chest X-ray, if you are more than 50 years old

You may be required to have a bowel preparation, which will empty your bowel prior to the surgery.

You should stop eating and drinking at the following times on the day of your surgery unless otherwise notified

At midnight if your procedure is in the morning

At 6 am if your procedure is in the afternoon.

You will need to shower and dress in clean clothes prior to coming into hospital. It is important that you do not shave your operation site as this increases the risk of wound infection.

Please remove all body jewelry.

After your surgery

When you wake from the anesthetic, you will be ready to be transferred, in your bed, for recovery.

Having an anesthetic can make you feel sick and may cause vomiting. You will have a drip in your arm which is necessary to maintain fluid intake and provide pain relief. This will remain in until you can tolerate food and fluids and your pain control is changed to oral medication.

Your nurse will take frequent observations of your vital signs e.g. temperature, pulse, blood pressure.

You may have small amounts of water or ice to suck, then progress from fluids to a normal diet as tolerated.

If you have pain or nausea, please tell your nurse. Effective pain management is important.

You will have a urinary catheter in place. The catheter will normally be removed the day following your surgery.

Recovering at home

What to expect

You may have a blood-stained vaginal discharge which is similar to a light period. This will gradually reduce to nil over 4-6 weeks as your internal wounds heal

You may need to take some simple analgesia for pain/discomfort, especially on waking and settling at night

You may feel fatigued

You may require up to four to six weeks off work. You should have returned to normal activity by two to three months, depending on the type of surgery, although full recovery may take longer

After the operation, you will no longer have a period

For the majority of women, hysterectomy surgery does not have a negative effect on sexual function

What to avoid

For the first two to three weeks lift nothing greater than two kilograms. Increase gently as tolerated over six weeks.

It will take about three weeks before you should drive a car. Only when you know you can act confidently with emergency breaking should you attempt driving the car.

Avoid sexual intercourse for six weeks to allow healing to take place.

Avoid inserting anything into the vagina for six weeks to allow time for healing to take place (e.g. use sanitary pads and not tampons).

It is important to avoid constipation and straining immediately after your surgery as this will assist healing and improve your comfort.

Contact your doctor if you develop any of the following complications:

Your wound becomes red or inflamed, painful.

You have heavy vaginal bleeding heavier than a normal period.

You have offensive vaginal discharge.

You develop a fever i.e. temperature of about 38  C, or you are feeling unwell.

You have pain that is not relieved by simple analgesia.

You are having difficulty passing urine or opening your bowels.

 In case you have a concern or query you can always consult an expert & get answers to your questions!

Surgery For Womb Removal - What You Need To Be Aware Of?

Anger is among the gamut of emotions we exhibit as a reaction to a situation, and it is a'normal' emotion too as long as it is kept under control. Some people have the propensity to explode when pushed to the extreme. They keep swallowing their emotions until they can finally do it no more, and erupt like a volcano. Others dealing with extreme anger are like a ticking time bomb. You'll never know what you unwittingly say or do can trigger an explosion. In either case, anger that cannot be controlled comes with a physical reaction.

Your heart beats faster preparing you for both action and reaction. Your breathing quickens. You may clench your fist, tighten your shoulders and go into a defensive position. The problem arises out of the fact that it is almost impossible to feel anger and empathy at the same time. An angry person is seldom sensitive to the well being of his victim, and hence may lash out verbally and sometimes physically. Such things done in the heat of the moment mostly leaves us with regrets. So here are a few ways to deal with extreme anger.


	Acknowledge it: the first step in solving a problem is recognizing that you have one. The fundamental problem here is that people believe they are on the right track and refuse to budge from their views. It is essential to realize that this step is not about deciding whether you are right or wrong, but acknowledging the fact that your reaction to the situation can be channeled in a better way. When getting someone to acknowledge their anger problem, be careful as to not use negative words like wrong, false and shouldn't. Instead, influence with positive words like can and should. Instead of saying'you are wrong to react like this, you can say'i understand what you are feeling. Is there a way we can resolve this situation'
	Recognize the signs: once you know that your problems exist, you can try devising ways that will work for you in dealing with the situation. You can count to 10 to calm yourself or simply decide to not speak until you can calm yourself. Knowing that you may enter into an argument in a situation, you can list down the points that you feel strongly about and discuss each of them one by one. Working your way through a finite list gives a better opportunity to reach closure at the end.
	Find ways to let it go: not all arguments end in closure. A lot of unsaid justifications cloud our mind repeatedly leaving us seething from the inside. Research has shown that the neurological anger response lasts less than two seconds. Beyond that it takes a strong will to stay angry. Once you realize how much your anger is consuming your mind, decide to free your mind with meditation and other calming exercises. Tell yourself that some people and issues simply don't deserve your anger, emotion, reaction or time.


If you or someone you know is suffering from anger management issues, consult a doctor today.


How To Control Extreme Anger

According to Ayurveda,  Jwara  or fever refers to the irregularities of body temperature. In majority of the cases, there is reduced heat in the GIT (gastrointestinal tract) and an increased temperature in the external body. Fever might be a symptom of a disease or can be a disease in itself. According to Ayurveda, fever happens because of an imbalance in the following doshas:
1. Vata
2. Aghantuja
3. Pitta
4. Kapha
5. Vata-Kapha
6. Vata-Pitta
7. Vata-Pitta-Kapha
8. Pitta-Kapha

Fever Management Rules
Light food or fasting is advised at the early stage of fever. This helps in drawing away heat from the external parts nd shifts it to the center. You should drink warm water in all fevers, except Pitta fever. Doing so balances the stomach heat. Warm liquid foods that include sago or barley should be consumed. Vegetable soup help as well, but astringent foods should be avoided at the early stages of the fever. During the early fever stages, antipyretic medications are to be avoided. These medicines reduce the stomach s temperature and by doing so, render the Ayurvedic treatment redundant as the GIT s heat is lowered.

General fever treatment therapies

Sudarshana Choorna should be taken twice daily and about 2 grams should suffice. This  Choorna  can be taken along with any of the above mentioned treatments.
Vasaka leaf is another simple remedy for treating fever. It should be mixed with  Shukti Bhasma  (10%) and should be taken twice daily in 2 gram doses.
Ginger tea is another remedy that always turns out to be comforting and is of great value. Consume a concoction made by adding half a teaspoon of fennel seeds, cinnamon, ginger powder and a little clove to a hot cup of water helps. The herbs should be soaked for about 10 minutes. They should be filtered afterwards before drinking the tea. It should be kept in mind that both ginger and aspirin dilute the blood. Thus, ginger tea should be avoided for two hours after consuming aspirin.
Fasting for about a day is advised for fever without any other symptom as the body gets rid of toxins. A strict diet regimen should be followed after consulting a doctor. Steamed vegetables without spices are recommended.

Suffering from Fever? Try these Ayurvedic Remedies

Dementia is a general classification of brain disease that causes a long haul and the frequent steady abatement in the capacity to think and recall. This causes negative  influence a man's every day functioning. Other normal manifestations include issues with dialect and a lessening in motivation. An individual's sense of awareness is not influenced. It affects the person s thinking, language, sense of judgement and behavior. Major cases of dementia are degenerative in nature and cannot be treated.


Homeopathy is an effective and trusted form of medicine used in the treatment of dementia. A holistic approach is used in homeopathy, which ensures the removal of all signs and symptoms of any disorder. Homeopathic medicines do not only treat dementia, but also address the underlying causes.


Here is a list of important homeopathic medicines and the cases of dementia when they are used.


Nux Vom: This homeopathic medicine is used in cases of dementia where the patient is extremely sensitive to the words and actions of others and is always seeking attention. There is suicidal tendency in the patient and he also is inclined towards killing friends. Although suicidal, the patient does not have the courage to perform the act. Extreme irritation is noticed. The patient becomes vindictive and quarrelsome in nature.
Mercurius: This homeopathic medicine is given to patients with dementia who have lost all sense of decency. They become filthy and develop a groveling mentality. Memory weakens to a great extent and the patient has problems with vision, unpleasant breath odour and a heavily coated tongue.
Ignatia: This homeopathic medicine is given to people who have extreme sensitivity of the mind, which further leads to depression and grief. This may occur due to failure in love relationships.
Calcaria Carb: Calcaria Carb is an effective homeopathic medicine used in cases of dementia where the brain and other organs do not develop properly. The patient becomes forgetful and very slow in learning something.
Lycopodium: This medicine is used when the dementia affected people experience great depression, become despondent and constantly worry about themselves and their activities. They become fearful, irritable and angry. Constipation is also observed in such cases.
Staphisagria: Staphisagria is used to treatment dementia characterized by sleeplessness. The patient becomes cowardly and is full of shamefulness, disgust, humiliation and shyness. He would rather be alone than have company.
Chamomilla: This is another homeopathic medicine for treating dementia with acute sensitiveness. Irritation and peevishness are common, and the patient tends to get angry very easily.


Among the various forms of medicines and treatments for dementia, homeopathy is the most natural and effective remedy. There are homeopathic medicines developed for all types of dementia cases, which work proficiently. However, it is still advisable that without consulting your doctor, you must never take a medicine. 

Homeopathy A Safe Treatment for Dementia

Homeopathic treatment for acne and pimples

Acne is a major problem amongst teenagers and many grownups. It is not only a cause of major distress, irrespective of age; it is also an indicator of other health problems. Homeopathy has permanent cure for acne and pimples, though the process tends to take longer as it removes the root cause of the problem. The following medicines are said to be very effective in getting cured of acne and pimples for good:

1. For boil-like pimples: hepar sulphur is advised when the eruptions in the face are painful. In such cases, the pimples take form of boils and have abscess in them. This medicine is also effective for large cyst like acnes.

2. For pus-filled acne: in situations where pimples lead to pus formation, silicea is advised. This gets worse during the winters as the person is not able to bear the cold. The body requires warmth.

3. Food induced acne: one of the reasons for pimple or acne is eating rich, spicy or junk foods. This situation also leads to irregularities in menses in girls. This condition aggravates during the summers. Delayed or scanty periods mostly lead to pimples on the face and the body. Pulsatilla is prescribed in such situations.

4. For red inflammations: yet another common reason of acne is gastric problems. One of the most common medicines in homeopathy for acne is nux vom or nux vomica. People suffering from acne because of gastric issues usually have red and blotchy skin.

5. For acne due to oily skin: natrum mur is prescribed when pimples happen because of oily skin.

Along with these, there are a few standard instructions. Keep your skin clean and avoid touching, squeezing, scratching or picking on the pimples. In fact, avoid touching your face, especially the pimple affected area. Drink a lot of water, use water based cosmetics, and avoid greasy foods.



How Homeopathy Cracks Acne Based On Its Cause

Unlike what you may think, anxiety is a common emotional response in a situation where we are worried about an outcome. It is, in fact, beneficial to us as it keeps us alert and charged for a reaction. Anxiety disorder, however, comes when you lose control over your reaction and let it take control of your life in a way that disables you from living a normal life. 
The first thing to do as a positive step is to accept that you have a disorder. Mental health problems are as big as physical problems. Just like the body needs to be treated to cure a disease, the mind too can be treated to cure you of your problems. The next thing to do is to know what type of disorder you are suffering from to get specific treatment for it.

Connection between anxiety and depression:
Anxiety is not just incessant worrying. It is sometimes an obsessive compulsive disorder that can takeover your life or a terrifying phobia that can prevent you from doing things that are routine for others. Over a period of time, living with such a disorder can take an emotional toll leading to depression. 
The chances of developing depression in addition to anxiety is quite high. In fact, almost half of all people with major depression also suffer from severe and persistent anxiety. In many cases people suffering from post traumatic stress disorder (PTSD) and anxiety are also victims of depression.

Symptoms of anxiety and depression disorder
Constant fear and worry
Loss of interest in normal life, hobbies and activities
Insomnia and fatigue with inability to relax
Panic attacks
Feeling of sadness and worthlessness

Coping with anxiety and depression disorder
The first and most important thing to know is that both conditions are treatable and patients who get regular care, medication and support from friends and family can come back to living a normal life. Here are some of the treatments available:

1. Medication: Taking proper medication is very important as it acts quickly and is quite safe. Most people do not take medication, such as sleeping pills, fearing they might get addicted to them, which is a myth. Also, medications prescribed by your doctor are safe and specific that is why they have been prescribed.

2. Cognitive behavioral therapy (CBT): It is used to first figure out what the cause behind the anxiety or depression. It is then used to teach people to manage their fears, anxieties, and depressive symptoms and also learn how to take control of their emotions. Another therapy used for treating depression is Emotive Behaviour therapy.

3. Lifestyle modification: In order to overcome, anxiety and depression, certain lifestyle changes are required, such as one should exercise daily at least for 30 minutes and eat a healthy diet.

4. Counselling: Counselling helps the person to overcome the oppressive thoughts and cope up with the feeling of worthlessness.

5. Group therapy: Knowing you are not alone with your pains and fears can often come as a big relief. Not only will the patient benefit from joining a local support group, the care giver will also learn how to cope with the developments of the disorder and how they can continue to provide care and support to their loved ones.

How to Cope with Anxiety and Depression Disorder

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