Pelvic pain is generally referred to as the pain in the lower abdominal region. Pelvic pain might be acute, sudden, or chronic, recurrent, cyclical in nature. It may present as central or lateralized pain and might spread to the thighs and buttocks. Pelvic pain might be an indication that something is wrong with the internal reproductive organs located in the pelvic region such as ovaries, fallopian tube, uterus and vagina in which case occurrence of pain may be related to particular time in menstrual cycle.

Pelvic pain can be indicative of a pelvic infection or related to the pelvic bones/spine problems.

Also it may indicate that there is something wrong with the digestive system or urinary system.

Causes-

The causes are as follows:

Pelvic pain occurs commonly in disorders of the internal reproductive organs such as ovarian cysts or pelvic inflammatory disease (where in sexually transmitted bacteria spread through the reproductive organs and cause infection) or pain during ovulation.

Pelvic pain might also occur due to endometriosis (a form of disorder where the endometrial tissues that are located inside the uterus tend to grow outside the uterus resulting in severe pain), adenomyosis (a disorder wherein the endometrial tissues which line the wall of the uterus tend to grow within the uterus), , pelvic adhesions or ectopic pregnancy (when the fertilized egg gets inserted somewhere else other than the main uterine cavity),

Pelvic pain can occur due to bladder disorders, kidney stones, infection in the urinary tract, constipation, flatulence,inflammatory bowel disease, irritable bowel syndrome and chronic hernia.

It can also be a symptom in some cancers such as ovarian cancer, colonic cancer, advanced ovarian , endometrial and cervical cancer.

The following symptoms might occur along with pelvic pain:

Sustained pain in the hips and the groin

Sudden fever

Severe pain while urinating , passing stools or during sexual intercourse (dysparuenia)

Vaginal bleeding or vaginal discharge .

Blood in stool

Severe menstrual pain ( dysmenorrhoea)

Repeated instances of constipation or diarrhoea

Increase In pain with stress and physical movements

Investigations-

The Gynaecologist will do physical examination including bimanual internal examination. Also, complete blood count, urine for microscopy, vaginal swabs if discharge, stool examination. Ultrasound examination of the pelvis is an important investigation.

Treatment-

If the pain is gynaecological and depending on the cause doctors might suggest different therapies. In cases where pain is due to an ovarian cyst or endometriosis, doctors may prescribe birth-control pills. In cases of suspected pelvic infection, antibiotics are prescribed. Also, laparoscopic surgery might be advised in cases of acute pain due to cyst, endometriosis, or pelvic adhesions: for confirmation of diagnosis and excision or removal of cysts and endometriotic implants and division of adhesions respectively. In some cases of chronic pain, the gynaecologist may manage the case with inputs from gastroenterologist and pain consultant.

Causes and Symptoms of Pelvic Pain

Introduction to Panchkarma therapy: Panchkarma is not only a common term in today s Ayurveda treatment, it has been put to use from the time of Acharya Susruta. While Ayurveda is a genuine and very effective field of medicine, its therapies are also to the point. Panchkarma, by definition, is a spa, or power massage with Ayurvedic help. It keeps the whole body fit and healthy by curing and also preventing diseases. It eliminates doshas and malas from the body and purifies the skin. Ayurvedic massage experts perform this therapy skillfully with dry herbal powder or herbal paste and medicated oil. They give the rubbing and strokes in the opposite direction of a conventional massage.

Brief Description: As the name says, Panchkarma is a combination of five different processes that are acted one after another. They are-

Vamana (Emetic therapy)
Virecana (Purgative therapy)
Nasya (Inhalation therapy or Errhine)
Anuvasana basti (Type of Enema)
Niruha basti (Type of Enema)
These processes eliminate Kapha, Pitta and Vata and bring tenderness to the body. Before all these processes, it is important to check if the patient is physically and mentally capable of undergoing the treatment. So there are some pre-monitoring procedures where one must take the necessary precautions and diet. There are also post-treatment measures that consist of some special medicines and procedures.

Works in Belly Fat Reduction: Even though Panchkarma therapy mainly removes toxins from the skin, still Ayurvedic doctors have recommended it for fat reduction too. It reduces fat by removing the excess cellulite accumulated under the skin. The power massage gives rubbing strokes on certain pressure points for fat loss. There are two types of actions-

Snigadh
Ruksha
According to Susruta Samhita, there are three categories of actions-

Utsadana
Udgharshana
Udvartana
Herbs Used In Panchkarma for Fat Loss: Amalaki, Bibhitaki and Haritaki are three herbs that are called Triphala. They are used to reduce cellulite and fat by rubbing and massaging as a paste on the body. All these three should be mixed in equal proportions before applying.

The formulas of pastes are different for Kapha-type and Pitta-type people.

Kapha: Ingredients Proportion
Amalaki 20%
Bibhitaki 20%
Haritaki 20%
Soap nut 10%
Pushkarmool 5%
Dried Ginger 5%
Vacha 5%
Black pepper 5%
Long pepper 5%
Barley 5%

Pitta: Ingredients Proportion
Nut grass 50%
Barley 20%
Amalaki 15%
Tagara 5%
Haritaki 5%
Gotu Kola 5%

There are two other formulas for fat reduction in Panchkarma-

Kolakulathadi Choornam
Kottamchukkadi Choornam
Pros and Cons:
Clearly, Ayurveda is a better option than chemical medicines because it does not harm the body in any way and it makes the skin beautiful. Although there may be a little pain, excessive dryness, thirst, weakness and stiffness as side effects of the therapy.

To conclude, even if there are some cons, Ayurveda is always better than anything else. So Panchkarma therapy is a well-recommended option for belly fat reduction.

Importance of Panchkarma Therapies for Belly Fat Reduction!

Do you know that dandruff causes acne?

Acne is a skin condition that happens when pores get clogged with dead skin cells and oil, giving rise to pimples. It can be caused by numerous reasons like hormonal changes, improper diet, stress, consumption of specific drugs, excessive use of cosmetic products etc. In addition to these factors, acne can be caused by dandruff too, which may not be known to most of you. It has been observed that people who suffer from dandruff problems are more prone to getting pimples.

How does dandruff cause acne?

Dandruff has been associated with presence of yeast or fungi, it is also associated with abnormal skin ultrastructure. Dandruff makes the skin on your scalp flaky. These dry flakes of skin are often responsible for clogging the pores on your face, mostly affecting your forehead. In this way, dandruff triggers appearance of acne and can worsen the condition of your skin if you already have pimples. Though acne is more common among teenagers, acne due to dandruff is mostly experienced by people above the age of 20.

How can you prevent acne due to dandruff?

Eradicating dandruff from your scalp is the best way to prevent acne breakouts on your skin due to dandruff. Here are some simple ways to keep acne due to dandruff away from your skin.

1. Ensure that your hair stays off your face

Keeping hair off your face will ensure that dandruff doesn't come in contact with your skin and clog pores, preventing pimples. For this, you can use hair bands or tie your hair in a ponytail or braid.

2. Brush your hair at least twice a day

Brushing your hair at least two times a day will ensure that the dead cells on your scalp are removed and don't get a chance to clog pores. This option is highly beneficial in getting rid of acne caused by dandruff.

3. Use medicated anti-dandruff shampoo

Topical medicated solutions like a medicated shampoo should be used as a treatment. Short contact period of shampoo with scalp is important for more benefit. Good conditioner should also be used after head wash with shampoo.

If you would like to consult with me privately, please click on consult.

Do You Know that Dandruff Causes ACNE?

What Causes Meniere s Disease?
Meniere's Disease is a disorder that basically affects the sense of balance and hearing of the patient. This condition takes place in the inner ear and it may cause problems like vertigo, where patients experience a spinning sensation and a ringing sound as well. This is a chronic disorder, which requires a number of lifestyle changes so that it can be managed and treated without becoming a debilitating problem.

Read on to know more about the symptoms and causes of the condition.

Symptoms: The various signs and symptoms of this disease include a feeling of fullness in the ear, which has been affected by the condition. Also, most patients have a spinning sensation and a ringing sound in the affected ear. Nausea and vomiting may also be caused by this condition, along with sweating and loss of balance. It is also normal to feel uncoordinated when you are suffering from this condition.

Secondary Symptoms: This condition may also cause many other complications, which are known as secondary symptoms. These include anxiety, depression and stress. This usually happens due to the problems in the ear and even the problem of vertigo. This may cause problems for people who climb heights or ladders for their work or even for other recreational causes. The constant sense of dizziness and spinning may cause a person to become anxious and undertake stress when it comes to carrying out various kinds of functions in day to day living.

Causes:  There are various causes of this condition, even though many medical reports suggest that the exact cause has not really been understood so far. As any doctor will tell you, the in the inner ear there is a labyrinth which contains fluids. When there is a problem with the composition and level of these fluids, the patient may develop Meniere s Disease. This condition specifically affects the inner part of the ear. This part is made up of passages and a cavity as well as soft membrane like structures with hair like sensors. These sensors respond to the fluid s movement within the ear. When this fluid does not have the appropriate levels, it can lead to many complications like Meniere s Disease, which affect the nerve impulse that these sensors catch and transmit to the brain.
Stages: This disease progresses over a set of three stages. In the very first stage, the patient will experience much dizziness and nausea, before that progresses to the second stage. In this stage, the patient will have moderate to severe vertigo. This is also known as the middle stage. Finally, this may culminate into the third or late stage, which leads to more frequent episodes of vertigo. The hearing of the patient and the ringing sound in the ears will also get worse in this stage.

Meniere s Disease -  What are the Reasons Behind It 

What is diabetic kidney disease?
Diabetic nephropathy, also known as Diabetic Kidney Disease is a type of complication that occurs in people who are a victim to diabetes. That does not mean every individual with diabetes will have this disease, but if the necessary precautions are not taken, then it can lead to this disease. Diabetic Kidney Disease is characterised by excessive amounts of albumin as well as protein in the urine. In diabetics, certain chemicals in the kidneys shoot up and hamper the function of the glomeruli.

The glomeruli are the main units of kidneys that are responsible for the filtration. Diabetic kidney diseases result in the leakage of essential products like albumin and protein into the urine. When this happens, the protein levels in the blood reduce. If proper precautions are not taken and treatment is not done, then the disease may worsen and the condition will progress to  end-stage renal failure .

How to avoid diabetic kidney disease?
The best way to treat diabetic kidney disease is to prevent it in the first place. Foremost, you should prevent the risk factors in order to avoid coming down with Diabetic Nephropathy. The risk factors include high blood pressure, high levels of blood sugar, dyslipidemia and smoking. Avoid excess of following 5S Sugar, Salt, smoke, stress and sedentary life.

Intensive control over blood sugar
According to certain clinical trials, maintaining and keeping a good control over your blood sugar levels drastically reduces the risk of developing diabetic kidney disease. If you are diabetic, make it a point to get your regular checkups and maintain your diet to prevent the levels of sugar in your blood to shoot up. Other things that you must keep in your mind are to take proper medication that has been prescribed to you. You must adhere to your treatment plans and follow the guidelines that have been given to you.

Intensive control over blood pressure
Hypertension is common in patients who are diabetic. Hypertension alone can result in end-organ damage due to excess pressure build up in the blood vessels. Hypertension associated with hyperglycaemia (diabetes) is a ticking bomb for your kidneys. Hence it is advised to keep your blood pressure under control as well to prevent diabetic kidney disease.

Diabetic nephropathy is not something that happens to every individual with diabetes, so if you follow the above simple tips, the chances of the same reduce, and thus the quality of your life goes up. Many diabetics will get kidney failure due to causes other than diabetes and that may be treatable. Hence early consult with nephrologist is a must.

Diabetic Kidney Disease - How It Can Be Prevented?

Our teeth are most definitely, vital for our living. Our everyday choices, pertaining to our lifestyle would call for changes, adjustments and lots of sacrifices without them. Though, a number of replacement options are available for the people with missing teeth, the most recommended are dental implants. Ask why?

They are simply the ideal solution due to their look and feel, which is similar to the natural teeth.

What happens if replacement is not considered?
To prevent the nasty repercussions from occurring, it is necessary that any missing teeth are replaced in time. Though, the symptoms of problems due to missing teeth only appear to be superficial in the early stages, the long term effects may certainly prove to be quite severe.

Some of the short term consequences of missing teeth are as follows
People with missing teeth tend to feel self-conscious or even embarrassed at times, while they talk to others or smile.
Problem in speech is a common issue that may arise due to tooth loss.
When teeth are missing, people find it difficult to consume some certain food types. These may include ones which contain some essential nutrients, hence leading to possible malnutrition.
Increased wear or stress can also lead to the weakening of the teeth that are remaining.
People with tooth loss find it difficult to chew the food properly.
When teeth are missing, there is movement of the teeth that remain, to compensate for the gap places created. This leads to ugly looking gap teeth.

Though, these were the short term issues, the major consequence of not getting any lost teeth replaced is the gradual bone loss. Our teeth are firmly embedded in the jaw bone. Chewing and biting are the constant uses, which are required by the jaw bone to remain hale and hearty as well as active. You may believe it or not, be it at the beginning or at the end; the major focus is not on the teeth, but on the bones.

Maintaining form as well as density of the bone requires regular stimulation, coming from the teeth, as mentioned above. The contact with teeth causes small stresses, which the periodontal ligament transmits to the bone and prompts its continual rebuilding as well as remodelling. When any missing teeth are not replaced, it leads to the gradual deterioration in the jaw bones, over time. This not only results in facial shape changes but also will eventually burn a huge hole in your pockets, as increased complications will also lead to increased costs required for rectifying the problems.

So, now it's up to you. Choose healthy and wise. Go for teeth replacement at the earliest, if and when, need arises.

Consequences of Unreplaced Missing Teeth

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