Pelvic inflammatory disease (PID) refers to the infection that occurs in the female reproductive organs. It happens when sexually transmitted bacteria infect the uterus, ovaries or fallopian tubes on spreading from the vagina. Generally, the cervix plays the role of preventing the bacteria from entering the vagina and infecting the reproductive organs. But when the cervix becomes exposed to an STD, it loses its power to put a stop to the spread of these microorganisms to the reproductive organs.

What causes this condition?
STDs like gonorrhea and chlamydia have been found to be responsible for about 90% of PID cases.

Some of the other causes include
- Abortion
- Childbirth
- Pelvic procedures

The condition is only detected later in life when you face difficulty in getting pregnant or have chronic pelvic pain complaints. If you experience symptoms like vomiting, high fever, pain in the lower abdomen and instances of fainting, you should immediately seek a doctor.

What puts you at risk for PID?
Certain factors may put you at a higher risk for PID and these are:

- Instances of sexually transmitted diseases like Chlamydia (an STD that can occur from anal, oral or vaginal sex) and gonorrhea (a condition that causes discharge from the vagina or urethra) can make you prone to developing PID.

- Douching on a regular basis can increase your risk of PID as it disrupts the equilibrium of good and bad bacteria in your vagina, and may hide the symptoms of the condition as well.

- Even a previous history of PID can increase your chances of having another episode of PID.

- Compared to older women, teenagers who are sexually active are more prone to developing PID.

- Having multiple sexual partners can also put you at a greater risk for PID and STDs.

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Could you be at a risk of pelvic inflammatory disease (PID)?

If you are finding certain symptoms like stomach pain, cramping, frequent diarrhoea, weight loss of your child or fever, then there are chances that he is suffering from crohn's disease. Crohn's disease is a bowel disease that causes swelling and inflammation along the digestive tract of your child. Mostly, it affects the end of the small intestine, but it can occur anywhere from the mouth to the anus.

Causes behind the disease
It is not common in children, but if your child is showing symptoms, then one of the following may be the reason:
1. Immunity system of the child,
2. Genetics, and
3. Environment.
The main cause behind such a disease can be any of the above. However, it has been found that if you have someone suffering from this disease in the family, then your child has more chances of getting affected by it.

Diagnosing crohn's disease
If you find the above-mentioned symptoms in your child, then it is better to take him or her to a doctor. Mostly, this disease is chronic in nature, meaning that it will continue even if it is treated. However, with proper treatment the symptoms can be reduced.
For diagnosing this disease the following tests may be done
1. Different lab tests that include a blood test for blood count and white blood cell count, and stool test to look for the bacteria that cause the inflammation and urine.
2. X-ray for detecting whether your child is suffering from crohn's disease and what is the exact position of it in the digestive tract.
3. If further required, they may do an endoscopy to find out the exact location and get more details.

Complications arising out of crohn's disease
If your child is suffering from this disease and is left without treatment for long, he or she may suffer from the following complications.
1. When the disease thickens, it may obstruct the intestinal walls by swelling of the intestine. Thus, the space from where the digestive matter passes becomes less and may lead to bowel obstruction.
2. Fissures may develop at the mucus membrane of the anus.
3. Fistulas or ulcers can occur as they tunnel through the affected area to the nearby tissues. All these are painful for your child to bear.
4. Your child cannot absorb the nutrients of the food like any other child and hence there are chances that they suffer from nutritional deficiencies.

With such problems that may not seem very huge in the beginning, your child may lose his appetite and forget about normal living. Thus, the moment you find any such symptoms, discuss them with your doctor.

What You Must Know About It if Your Child Suffers From Crohn's Disease

Eczema is not a disease per se, but is a name given collectively to a group of medical conditions, which can cause the skin to become inflamed and irritated. Atopic dermatitis is one of the most common types of eczema.

Causes

While the exact cause of eczema is not known, the most commonly attributed reason is an increasingly sensitive immune system. The overactive immune system produces antibodies, which cause these skin reactions. It is also noted that people with allergies including hay fever and asthma are more likely to develop eczema.

Other conditions which can lead to eczema include allergic dermatitis, irritant dermatitis, stasis dermatitis, scabies, fungal infections, xerotic dermatitis, lichen planus and scalp infections.

There is also a genetic predisposition, and children whose parents have had eczema are likely to develop eczema.

Symptoms

In most people, eczema is present in the form of small blisters, which are filled with fluid and can ooze. Gradually, there could be dryness, crusting, scaling and thickening of the skin with plaque formation. The most common symptom would be itching. The different types of eczema as noted above would have diagnostic features. For instance, when testing for irritant or contact dermatitis, there would be an irritant that is causing this. Stasis dermatitis would have circulatory issues and often affects the lower legs.

In fair-skinned people, these lesions begin as red and then turn brown. There also could be lightening of the affected skin area in people with slightly darker skin.

Diagnosis

For a trained medical eye, diagnosis of eczema is not a tough task. A complete physical examination may be done to assess the extent of eczema spread. Blood tests may be done to test for allergies. In very rare cases, a biopsy may also be required.

Treatment

The goal of treatment is to reduce itching and improve moisturization. Eczema, unless associated with an infection, is not contagious.

Using copious amounts of creams and lotions help in improving hydration and moisturization, as they are allowed to soak into the skin.

Topical steroids may be required if allergy is suspected. In most cases, hydrocortisone and corticosteroid creams are very effective.

Associated infections like scalp infections and fungal infections should also be treated with suitable products.

Immunomodulator creams like Elidel are useful by suppressing the immune system and preventing flare up of the allergic reactions.

Cold compresses may be used to relieve itching.

Prevention

Since there is a strong genetic component related to eczema, prevention is helpful.

Constantly keep the skin moist and hydrated by using moisturizers, especially during winters.

Avoid clothes and metals which can cause allergy- like wool, nickel, harsh soaps, detergents, etc.

Avoid or be careful about food items which are known to cause allergies.

Eczema - Causes, Symptoms and Treatments 

A red eye is one of the first and most common symptoms of conjunctivitis. Conjunctivitis is the inflammation of the tissue that lies over the white part of the eye and lines the inner side of the eyelid. It is usually the result of a viral infection and can easily spread from one person to another. Conjunctivitis can also be a symptom of STDs like Gonorrhea or Chlamydia. In newborns, conjunctivitis can be vision threatening, while in grownups it is not considered a serious health risk. The symptoms of conjunctivitis differ according to the cause of the infection. 

Some common symptoms of conjunctivitis are:
1. Green or white discharge from the eye
2. Redness of the white part of the eye
3. Inflammation of the eyelid
4. Waking up to crusted yellow discharge
5. Itchiness and burning in the eyes
6. Increased sensitivity to light
7. Blurred vision

An eye examination and testing a sample of the fluid secreted by the eye can be used to diagnose conjunctivitis.  It can easily be treated at home and does not require hospitalization. Antibiotics are often given in the form of eye drops and ointments to treat conjunctivitis. These usually need to be applied 3 to 4 times a day for a period of 5 to 6 days. Wash your eyes before putting the eye drops. Once applied, close your eyes and roll the eyeball around to distribute the medicine and keep it from overflowing out of the eye. Wash your hands immediately after applying the eye drops.

Viral conjunctivitis is highly contagious. If you are suffering from it, you should take a few days off work and restrict your social interactions. Wash your hands frequently as you may unconsciously rub your eyes. This is especially important with regards to meals and finger foods. Also, avoid sharing towels, pillowcases, etc. to minimize the transmission of the disease from one person to another.  

Avoid using makeup while being treated for conjunctivitis. With conjunctivitis, the eye is more sensitive to irritants and thus, a speck of makeup can worsen the situation. Also avoid contacts. If you wear contacts regularly, dispose the current set and start using a fresh set after your doctor gives you a clean chit. 
Artificial tears or non prescription eye drops can also be used to relieve the itchiness and burning in the infected eye. If only one eye had been affected by conjunctivitis, do not use the same eye drop bottle for both eyes.

Managing the Acute Red Eye

Kidney stones are caused when certain minerals of your urine are retained and are not fully released, causing them to amalgamate and form a stone. Passing a kidney stone is one of the most painful experiences you may face physically. Its magnanimity is often compared to childbirth, and those who are suffering from kidney stones dread having this experience. If you are not yet affected by kidney stones and do not want to, read further to know what type of diet you need to follow in order to prevent it.

1. Drink lots of water: On an average, a person must be drinking at least 3 liters of water every day. If you live in a more hot and humid climate, your water intake must be even more than that, so that on an average, 2.5 liters of urine is passed throughout the day, which decreases the chance of unnecessary retention of minerals from the urine and release them more easily from the body.

2. Continue eating foods rich in calcium: It is a common misconception that calcium accelerates the formation of kidney stones. Calcium is digested by the intestine, only excess calcium cannot be digested by the intestine and is sent to the kidney. Continue consuming calcium rich foods unless your doctor prescribes you against it. Make sure your diet includes enough dairy products such as milk, cheeses, etc., or other calcium rich foods, such as oats and broccoli.

3. Limit intake of oxalic acid: Oxalic acid is mostly found in foods obtained from plants. It restricts the absorption of calcium in the intestines and as a result, more calcium is passed into the kidneys; thus, forming calcium oxalate, or oxalate stones. Try to avoid foods, such as rhubarb, Swiss chard, nuts, tea, sweet potatoes, etc.;mainly leguminous plant products.

4. Decrease the ingestion of sodium salts, sugar and meat protein: Salts and sugars, mainly found in packaged foods are used to prevent them from expiring. They increase the release of calcium and oxalates into the blood, which thus increases the chance to develop kidney stones. Meat contains fibers which affect certain nutrients in the kidney, thus aggravating the formation of stones.

5. Increase the consumption of insoluble fibers: Insoluble fibers are those rough fibers which are not soluble in water during the process of digestion. They are found in rice, wheat, barley, etc., and are found to decrease calcium absorption in the kidney. They attach themselves to the calcium and oxalates, which enable them to be released as stool instead of urine.

Kidney Stones and Your Diet

Women tend to develop high levels of blood sugar during their pregnancy (especially within the 24th and 28th weeks), irrespective of whether they already had suffered from diabetes prior to their pregnancy. However, gestational diabetes, if not taken proper care of, might escalate the risks of developing diabetes in the near future for both the mother and the child, accompanied by complications in pregnancy or labor. Gestational diabetes is usually characterized by mild symptoms such as excessive urge to urinate, excessive thirst, blurred vision and fatigue.

Causes:
Insulin, a hormone produced by the pancreas, allows for the utilization of the glucose for energy. The food consumed is broken down by the digestive tract of the body, converting carbohydrates into glucose before releasing it into the bloodstream. The glucose is then absorbed by the cells to be used as an energy source. Now, at the time of pregnancy, the placenta (organ nourishing the fetus) connecting the baby to the blood supply also produces various other hormones in high levels, for instance, estrogen and human placental lactogen. Most of these hinder the normal functioning of insulin in the cells, hence raising the blood sugar count. With subsequent growth of the baby, the placenta keeps on producing more amounts of such insulin resistant hormones to an extent that they are capable of meddling with the development of the baby.

Treatment:
1. Monitoring the blood sugar count at least four to five times a day and keeping it under control might help to ease the complication.
2. A healthy diet consisting of whole grains, vegetables and fruits in the right proportion and limiting sugar or other highly refined carbs meets the nutrition and fiber requirement of the body. Guard against additional weight gain during pregnancy as that hampers the entire process.
3. Exercise or regular physical activities help to normalize blood sugar level by boosting glucose absorption in the cells. Furthermore, exercises also enhance the sensitivity of the cells towards insulin. This means that only a little amount of insulin production by your body would be enough for the transportation of sugar.
4. Medication, If exercise and diet fall inadequate, insulin injections are often administered to control blood sugar count.
5. Keeping the baby under close observation with the help of repeated ultrasound and other tests to record its growth and development is an essential part of the treatment plan.

Gestational Diabetes - How It Can Be Treated?

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