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.

Diagnosis
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.

Treatment
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.

Hunner's Ulcer In Urinary Bladder - How They Can Be Treated?

Summer vacations can make you very lazy and it becomes difficult for you to indulge in physical activities because of the hot and sweaty weather. However, here are a few ways in which, you can avoid weight gain during the season:

Never Arrive Hungry: Eating before hand can help you stay away from different kinds of temptations as you go to a celebratory event or a gathering. This way you do not end up eating a lot of junk food.
Redirect Your Attention: Many people overlook that there is a whole other world to an event or a party than the food. Try not to look at the gathering as only a feast occasion.
Pace Yourself: In case that you pack in as much as you can in thirty minutes, you bite faster. Biting slowly will fill you up easily and this way you do not consume too much.
Number Your food items: At the point when there are food items that you can count as you eat them, put a toothpick in your pocket for every bite you take. Set the farthest point for a number of toothpicks you can collect.
Outmanoeuvre the buffet: At the point when food is served in buffet-style, use a small plate and do not stack your food. Restrict your servings to a small amount. 
Restrain Alcohol: Abstain from drinking an excessive amount of liquor at parties. It is not just about calories but rather about control. In case that alcohol does tempt you, try to drink some water and then ask yourself if you still need that drink. Most of the times, it is because of lack of water that you feel the urge to drink other beverages.
Be Choosy About Sweets: With regards to sweet, be extremely particular. Confine your desires to little servings and only to what is exceptionally tempting to you. In case that you know you are the type who cannot stop at one chomp, it could be very unhealthy for you. Try to tell someone else about it and let them help you.
Present to Your Own Treats: Whether you are heading off to a gathering or an office potluck, think about bringing as a low-calorie treat that you know you will appreciate. Bringing your own pastry will make other options less enticing.
Confine "Tastes" While Cooking: In case that you do a great deal of cooking during the occasions, get serious about every one of those "tastes." People lose their cravings when they have been cooking than they have been eating the entire time.
Walk It Off: Other than consuming some additional calories, this will make tracks in an opposite direction from the food for a while. Get people off the chair and move. Go out for a stroll as a family before or after the dinner.

10 Tips To Avoid Weight Gain During Summers!

People with bulging waistlines no longer need to undergo a surgical liposuction technique. There are non-surgical procedures available now that can bring down abdominal fat.

Procedure of Non-Surgical Tummy Tuck:

The procedure involves two processes: fat reduction and skin tightening. It is also known as sculpting.

Fat Reduction: The first step in this type of treatment is Fat Reduction. The procedure for fat reduction in a non-surgical tummy tuck is done by working on fat cells. This is done by specialised devices which exclusively target fat cells and don t disturb the surrounding tissue. Once the procedure is over, the lymphatic system metabolizes it. However, this takes time. Some doctors also do it by melting the fat with laser . The technique may differ depending upon the amount of fat and other health conditions of the body.

Skin Tightening: During or after the reduction of fat, the skin gets saggy and bulgy. Skin tightening helps tighten the sagging skin. This can be done by using radio frequency, laser , or ultrasound. All these techniques induce collagen production helping in tightening of the skin.

How Long Does the Result Last?

Despite all the technical excellence and promising results, it is natural for any aspiring candidate to ask as to how long does the result of such tummy tuck last.

The similarity between a surgical tummy tuck and a non-surgical tummy tuck is that in both cases fat has to be worked upon and the skin has to be tightened.

However, the procedure and processes differ. Candidates aspiring to remove fat from their waistline or other areas and achieve a sporty belly need to know that it is difficult to maintain the results of even a surgical tummy tuck, if there is a fluctuation in lifestyle and diet.

This implies that the candidate has to maintain a stable weight after the procedure in order to achieve long term effects One also needs to follow a healthy diet, exercise regularly, and abstain from snacking, smoking, and drinking. If a person can do that, he/she can achieve long term results.

Conclusion:

Whether it is surgical or non-surgical fat reduction or skin tightening, it is always advisable to consult an experienced and skilled Medical Practitioner. If a person goes back to his or her old lifestyle and does not do anything to maintain his weight and diet, the bulge in the treated area may return. The result of such treatment depends on the maintenance of weight and lifestyle to a large extent. Visit your nearest and reputed Medical Cosmetologist to understand what suits you best.

Non-Surgical Tummy Tuck - Does It Last Long Enough?

If you are experiencing pain in urination along with a burning sensation, a health condition known as dysuria is indicated. This condition is usually common in women and men alike. However, older men are more prone to face this problem. Pain during urination may occur because of various reasons. The most common causes are as follows:
Infections

Urinary tract infections (UTIs) are a common cause of painful urination. Infections may occur in any part of your urinary tract, such as in the kidneys, bladder, and the ureters. These infections occur due to bacteria, which gets into the urinary tract via the urethra. There are several factors, which increase your chances of being affected by UTI. They include diabetes, an enlarged prostate, old age, pregnancy, and kidney stones. UTI is signified by other symptoms such as fever, bloody urines, flank pain, stronger smelling urine, and an increased urge for urination.
At times, painful urination may also be associated with vaginal infections in women, like yeast infection. Vaginal discharge and foul odor are indicated in the case of vaginal infections.
Painful urination is also caused because of certain sexually transmitted infections (STIs) such as gonorrhea, genital herpes and Chlamydia.
Inflammation and irritation
There are several problems, which can cause inflammation of your urinary tract and genital region. This further results in painful urination. Inflammation and irritations also occur because of other factors such as urinary tract stones, vaginal changes associated with menopause, certain physical activities and the side effects of several medicines, treatment procedures and health supplements.

Consulting a doctor for painful urination
Your doctor will suggest you to undertake certain laboratory tests for the proper diagnosis of the cause of your painful urination. After this, a suitable treatment method is sought and undertaken. Before this, an overall physical examination is also carried out. Your doctor is likely to ask you some important questions regarding your painful irritation, how the condition worsens, and is felt during the onset of urination. It is also likely for your doctor to know about any other symptoms, which you might be experiencing such as fever, flank pain and vaginal discharge. You must tell your doctor about any changes observed in your urine flow, such as difficulty in initiating flow, an increased urge to urinate, and dribbling.

Apart from these, your doctor may also ask whether you experienced any character in urine after painful urination. These may include colour, amount, cloudiness, presence of pus in the urine and so on. 

Pain in Urination - Common Reasons Behind it!

The liver is the second largest organ in the human body. Everything that is consumed goes through the liver and gets metabolized. Generally the liver consists of fat accumulation, in the range of 2%, but when it reaches close to 10%, the condition is termed as fatty liver. Progression of fatty liver can lead to cirrhosis and eventually liver failure. The liver has an amazing ability to regenerate itself if a part of it is damaged. 

However, if the damage is cumulative, then the repair becomes difficult. Another point to note is that the liver can be resected in parts to ensure that the non-affected liver continues to be available to take care of the metabolism.

Causes: There are two main types of fatty liver:

Alcoholic fatty liver: This is the most common type and is seen in heavy drinkers.
Non-alcoholic steatohepatitis (NASH): The causes for this type are not clear, but obesity, diabetes, and hyperlipidemia are some causes for NASH.
Symptoms: Fatty liver develops over years, and the symptoms are both vague and appear randomly. These can be attributed to any general illness, and so diagnosis is often delayed.

Unexplained weight loss
Jaundice
Loss of appetite
General malaise
Dull pain in the right upper quadrant of the abdomen
Overall physical weakness
Ascites or fluid accumulation in the abdomen
Increased tendency to bleed
Abnormal liver enzyme levels
Diagnosis: If suspected of fatty liver, the following are done to confirm the diagnosis.

Blood tests to check for liver enzyme levels.
Imaging studies including x-ray, CT and/or MRI scan
Biopsy to confirm the diagnosis
Treatment: Fatty liver is a completely reversible condition. If a person with alcoholic fatty liver quits drinking for about 8 to 10 weeks, the damage can be totally reversed.

If there is no history of alcoholism but obesity, then switching to a non-fatty diet with lots of fresh fruits and vegetables, multigrain, dairy products, etc., can help in controlling fat accumulation and use the stored fat. Increasing the levels of physical activity also helps in burning stored fat.

As noted, the liver is capable of self-repair and self-regeneration, so if further triggers are stopped, it can heal itself.

If fatty liver is not controlled, it can develop into cirrhosis and liver failure. If it reaches liver failure, then survival rates and prognosis look very gloomy.

Prevention: Fatty liver disease can be prevented by controlling alcohol intake, adopting a healthy lifestyle, eating non-fatty and non-sugary products, and maintaining an active and healthy lifestyle.

Monitor health periodically to check on liver function, diabetes, and cholesterol levels.

Fatty Liver - All You Need To Know!

Malaria refers to the disease transmitted through the bite of an infected mosquito. The primary agent of transmission of this disease is the  Anopheles  mosquito. This particular breed of mosquito carries the species causing organism, a parasitic protozoan, known as  Plasmodium species .

The parasite, upon entering the bloodstream, attaches itself to the liver. It is at this location that the parasite matures and after a few days begins to infect the red blood cells that are secreted by the liver. The red blood cells that are infected tend to explode in about forty eight to seventy two hours due to the rapid multiplication of parasites inside them. The subtropical regions and regions that exist in a broad band around the equator are known to be the hotspots of species.

Symptoms

Upon being infected, the symptoms and signs show up within 10 days to 4 weeks. Some of the general symptoms include:

Nausea

High fever

Headache

Extreme sweating

Moderate to severe chills

Vomiting

Anaemia

Diarrhoea

Pain in muscles

Blood in stools

In some cases, malaria can lead to further severe complications, such as:

Kidney, spleen or liver failure

Cerebral malaria (swollen blood vessels in the brain)

Low blood sugar

Pulmonary oedema (fluid accumulation in the lungs which causes breathing difficulties)

The medications administered for malaria depend on factors such as:

Severity of the infection

Physical conditions such as allergies, pregnancy and other health problems,

Age

Some of the most common medicines used to address malaria include:

Chloroquine

Malarone

Doxycycline

Quinine sulphate

Mefloquine

Hydroxychloroquine

A mix of Proguanil and Atovaquone

Malaria - 10 Signs You Must Know!

Don't wait any longer, manage your Ayurvedic Doctor online with a Lybrate doctor today

Consult for Ayurvedic Doctor - Online and Easy!

FilterClear All

COMMON SPECIALITIES

COMMON ISSUES