The incidence of pain and lumps in the breast is on the rise. Breast cancer has grown in incidence over the years. More women are getting diagnosed with it, and the age at which they are being diagnosed has reduced too. Therefore, preventative checks and screenings have gone up significantly. The number of women diagnosed with small lumps has gone up drastically. The good thing is that since these are diagnosed in the early stages, the treatment is simpler and the prognosis far better than women who get diagnosed much later in life.

In a majority of cases, once a lump is identified the most preferred treatment is removal. This is known as lumpectomy. However, before a final decision is made to remove the lump, there are certain tests that are run by the doctor to confirm the diagnosis and extent of spread.

A thorough breast exam to identify if this is an isolated lump or if there are more lumps in either breast. The exact shape and size of the lump also need to be identified so that treatment can be planned accordingly.
Imaging to see if the lymph nodes have been involved. In most cases, there could be spread to the lymph nodes in the armpits which also need to be removed if required. If the lump is too big or too many in number, then a mastectomy may be required instead of a lumpectomy. This requires removal of the entire breast tissue on one or both sides (rarely) along with involved lymph nodes.
Pre-surgery: Once the diagnosis is confirmed, then the doctor will plan treatment. Prior to the surgery,

Talk to your doctor about your other medical conditions and medications and allergies, if any
Gynecologic history is very important to be discussed in detail
Blood thinners have to be stopped prior to the surgery
Post-surgery care needs to be planned, including a caretaker for a few days and postop care
During surgery:

Lumpectomy or mastectomy is often done under general anaesthesia
This requires hospitalization and carries the risks associated with anaesthesia
The outlined breast tissue or complete breast and surrounding lymph nodes will be removed. The area will be closed using sutures and bandaged
Post-surgery:

The wound needs to heal, and so postop care is very important
For the first few days, painkillers and antibiotics are used to control pain and infection
As a follow-up, some women may require radiation therapy to contain the suspicious tissue that may be left behind after lumpectomy
If extensive breast tissue was removed, some women may prefer to have reconstructive surgery done
Remember that lumpectomy is not a definitive procedure, and there could be cases that require a repeat operation
Advantages:

Less invasive compared to a mastectomy
The appearance of the breast is minimally affected, and symmetry is maintained
Disadvantages:

May not ensure complete removal
May require additional radiation therapy
May require repeat surgery

Surgical Treatment For Pain And Lumps In Breasts Of Women!

What is endometriosis?

Endometriosis is a common condition where cells of the lining of the womb (the endometrium) are found elsewhere, usually in the pelvis and around the womb, ovaries and fallopian tubes. It mainly affects women during their reproductive years. Endometriosis is not an infection and it is not contagious.

What are the symptoms?

The main symptoms of endometriosis are pelvic pain, pain during or after sex and painful, sometimes heavy periods. It may cause problems with getting pregnant. It can affect many areas of a woman s life including her general physical health, emotional wellbeing and daily routine. Many women may have no symptoms. It is a long-term condition. Some women with endometriosis become pregnant easily while others have difficulty getting pregnant.

What causes endometriosis?

Endometriosis occurs when the cells of the lining of the womb are found in other parts of the body, usually the pelvis. Each month this tissue outside the womb thickens and breaks down and bleeds in the same way as the lining of the womb. This internal bleeding into the pelvis, unlike a period, has no way of leaving the body. This causes inflammation, pain and damage to the reproductive organs. Less commonly, endometriosis may occur on the bowel and bladder, or deep within the muscle wall of the uterus (adenomyosis). It can also rarely be found in other parts of the body.

The symptoms of endometriosis are common and could be caused by a number of other conditions such as irritable bowel syndrome (IBS) and pelvic inflammatory disease (PID).

There is no simple test for endometriosis.
Your gynaecologist may examine your pelvic area, this will include an internal examination.
You may be offered a scan. This can identify whether there is an endometriosis cyst in the ovaries. A normal scan does not rule out endometriosis.
For most women, having a laparoscopy is the only way to confirm endometriosis; because of this, it is often referred to as the  gold standard  test. This allows the gynaecologist to see the pelvic organs clearly and look for any endometriosis.
Several factors may influence your decision about treatment. These include:

How you feel about your situation
Your age
Whether your main symptom is pain or problems getting pregnant
What treatment can I get?

The options for treatment may be:

Pain relief

Hormone treatments: There is a range of hormone treatments to stop or reduce ovulation (the release of an egg) to allow the endometriosis to shrink or disappear. The hormonal methods below are contraceptives and will prevent you from becoming pregnant:

The combined oral contraceptive (COC) pill or patch. These contain the hormones estrogen and progestogen and work by preventing ovulation and can make your periods lighter, shorter and less painful.
The intrauterine system (IUS): this is a small T-shaped device which releases the hormone progestogen. This helps to reduce the pain and makes periods lighter. Some women get no periods at all.
The hormonal methods below are non-contraceptive, so contraception will be needed if you do not want to become pregnant:
Use of hormonal progestogens or testosterone derivatives
GnRH agonists are drugs that prevent estrogen being produced by the ovaries and cause a temporary and reversible menopause.
Some women find that recreational exercise improves their wellbeing, which may help to improve some symptoms of endometriosis.

Surgery: Surgery can be used to remove areas of endometriosis. There are different types of surgery, depending on where the endometriosis is and how extensive it is. How successful the surgery is can vary and you may need further surgery.

Laparoscopic surgery: The gynaecologist removes patches of endometriosis by destroying them or cutting them out.
Laparotomy: If the endometriosis is severe and extensive, you may be offered a laparotomy. This is major surgery which involves a cut in the abdomen, usually in the bikini line.
Hysterectomy: Some women have surgery to remove their womb (a hysterectomy) with or without the ovaries. Depending upon your own situation, your doctor should discuss hormone replacement therapy (HRT) with you if you have your ovaries removed.
What if I am having difficulty getting pregnant?

Getting pregnant can be a problem for some women with endometriosis. Your doctor should provide you with full information about your options such as assisted conception. If you become pregnant, endometriosis is unlikely to put your pregnancy at risk.

Endometriosis - Signs & Symptoms That Indicate It!

Cow Milk vs Buffalo milk - Which is healthier for you?

We can differentiate between the milk from a cow or a buffalo by looking at its color and thickness. While being different from one another in terms of composition and richness, both cow and buffalo milk possess properties that give them their unique nutritional value and health benefits. Including them in your daily diet can help you to stay fit and strong. Here's a look at what they offer, and which one can be the most appropriate for you:

1. Fat content - It's the fat content of these two milks that instantly make them different from one another. Of the two, buffalo milk has a higher percentage of fat content, which keeps your stomach fuller for a long time. On the other hand, cow's milk is easier to digest due to its low-fat content. When it comes to the fat percentage in buffalo milk, on an average it is two times more than that of cow milk. So, if the average fat content in cow milk is 3-4% that of buffalo milk is about 7-8%.

2. Protein content - Buffalo milk contains more protein in comparison to cow milk, which can make it more difficult to digest. It comes with a protein content that is in the range of 4.2%-4.5% and is 11% higher than that of cow milk.

3. Cholesterol content - Cholesterol levels differ in both the milk, with buffalo milk being significantly lower in cholesterol. While buffalo milk has a cholesterol content of 0.65 mg/g, cow milk records 3.14 mg/g of cholesterol.


4. Water content - Cow milk reports higher water content compared to buffalo milk. This is because it contains fewer solids with about 90% of the milk being composed of water. It's this high water percentage that gives cow milk its hydrating quality.

5. Calorie content - Since buffalo milk comes with more proteins and fat, it has more calories. For every 100ml of buffalo milk, you consume about 100Kcals. On the other hand, cow milk contains about 70 Kcals.

If you're on a diet to lose weight and improve your metabolic processes, cow milk would be the most appropriate option as it is low in fat, protein and calorie content. On the other hand, if you want to gain weight and strengthen weak bones, buffalo milk is what you should have daily.

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

Cow Milk vs Buffalo Milk - Which is More Healthy?

6 handy tips to manage repeated vaginal infections

Vaginal infections occur when the walls of the vagina get inflamed. This can be caused by several factors such as bacteria, viruses, yeast, sexually transmitted diseases (STDs), chemicals and clothing. The standard medical term for it is vaginitis and it bothers most women at some point in their lives.

Maintaining vaginal and overall genital health is very important in preventing and dealing with infections that affect the affect the area, especially those which are persistent or recurrent.

Some tips to manage repeated vaginal infections are as follows:

1. Maintaining personal hygiene. The most important aspect of maintaining vaginal health is keeping the pubic region cleansed and hydrated. Poor hygiene and dryness make it more prone to recurring infection.

2. Using the right products. Harsh chemical soaps and sprays may cause irritation to the vagina and make it susceptible to inflammation due to infection.

3. Wearing skin-friendly clothing. Certain types and materials of clothing have a harmful impact on the delicate skin of the genital area which puts the vagina at the risk of contracting infections. These include nylon underwear, tight jeans and trousers, pantyhose with no cotton lining, etc. Wearing soft cotton underwear and linen bottoms are the best ways to prevent vaginal infection and inflammation.

4. Using protection during sex. Protected sexual intercourse prevents the spread of STDs which cause vaginal infection. Hence, it is always advisable to use a condom while having sex.

5. Urinating after sex. Always urinating after sex reduces the chances of catching a vaginal infection.

6. Getting regular health checkups. The most efficient way of managing vaginal infections is by getting the vagina checked up by your gynaecologist as regularly as possible so as to prevent further complications and ensure early detection of infections or diseases.

These are some of the simple and effective ways of handling vaginal infections. Most cases are not very serious and can be easily treated and managed.




6 Ways to Stop Repeated Vaginal Infections

Everyone has a different idea of what a mother and baby needs in the first few days after childbirth, but some essentials cannot be skipped out on. With that in mind, here are 10 childcare essential you may need right after the delivery. 

Nursing pillows: A baby may be small and seem light, but carrying them can put a strain on your arms. Since babies need to be fed very often in their first few weeks, a nursing pillow is a handy thing to have around. This allows you to comfortably support your baby while feeding them.
Breast pump: Though only a mother can produce breast milk, other people can feed this milk to the baby. A breast pump will allow you to express milk at a time convenient to you and store it in bottles to be fed to the baby as needed.
Bottles and nipples: A set of bottles and nipples are must haves for every baby. In their first few weeks, these bottles may be used to store mother s milk, but as the baby grows, these bottles can also be used to give the baby water.
Pacifiers: A baby who wants to constantly suck on the mother s nipples may be soothed with a pacifier. This can give the mother some time to rest.
Diapers: For over a year, diapers are a must for every baby. Most mothers choose disposable diapers for their convenience though others may choose cotton wash clothes as well. For the first few weeks, a baby tends to go through 10-12 diapers a day so stock up well.
Bedding: Whether you choose to share your bed with the infant or have him or her sleep in a crib, you will need at least two sets of crib sheets.
Baby bath tub: In their first few days, a baby needs to only be sponged down, but as they grow, regular baths become a necessity. A baby sized bathtub will make it easier to hold the baby while keeping them safe.
Sling: Carrying a baby in your arms all the time is not possible and hence it is a good idea to invest in a sling or front pack. This also keeps the baby close to your body and allows him or her to be soothed by your warmth and heartbeat.
Stroller: Once a child is three months old, he or she can be made to sit upright in a stroller. This gives the mother a little free time and puts less pressure on her back.
Car seat: A car seat if a must have for every baby. You could choose between rear facing car seats of convertible car seats.

10 Essentials You Need Right After Delivery

A collection of symptoms typically occurring between ovulation and menses (discharge of blood and from the uterus) is defined as premenstrual syndrome (PMS). Premenstrual syndrome symptoms can either be physical or emotional.

Physical symptoms and signs include:
i. Muscle or joint pain
ii. Headache
iii. Fatigue
iv. Weight gain due to fluid retention
v. Bloated abdomen
vi. Breast tenderness
vii. Acne breakouts
viii. Diarrhoea or constipation

While other behavioural and emotional symptoms include:
i. Anxiety or tension
ii. Depressed mood
iii. Crying spells
iv. Anger or irritability and mood swings
v. Food cravings and appetite changes
vi. Insomnia
vii. Social withdrawal
viii. Poor concentration

Causes 
The exact cause of PMS is unknown. But there are several contributing factors, such as:
1. Cyclic hormonal changes: The hormones oestrogen and progesterone fluctuate a lot while preparing for a normal menstrual cycle. This fluctuation causes some of the symptoms of PMS.
2. Chemical changes: The fluctuation of serotonin, a kind of neurotransmitter (brain chemical), affects the mood, which causes some of the emotional symptoms of PMS. For instance, insufficient serotonin triggers premenstrual depression, insomnia, food cravings and fatigue.
3. Depression: If the PMS symptoms are severe, depression could be the underlying cause, though it doesn't usually trigger all of the symptoms.

Treatment
There is no permanent cure for PMS, but a few lifestyle changes and home remedies can work very well for you. Some treatment options include:

1. To ease abdominal bloating, drink lots of fluids
2. Eat a balanced diet comprised of plenty of vegetables and fruits. Reduce your alcohol, caffeine, salt and sugar intake.
3. You can take supplements such as magnesium, calcium, vitamin B-6 and folic acid to reduce mood swings and cramps.
4. Take vitamin D supplements to relieve symptoms
5. Sleep for at least eight hours in the night to counter fatigue
6. Exercise to improve your emotional health and reduce bloating
7. Try to reduce your stress as much as you can; read a book or walk to relieve some stress.

Besides, these lifestyle changes, you can take over-the-counter medications such as aspirin and ibuprofen to reduce stomach cramps, muscles aches and headaches. Diuretics (drugs that increase urination) are excellent treatments for bloating and fluid retention. However, consult your doctor before consuming any medication or supplement.

Causes and Treatment of Premenstrual Syndrome

Don't wait any longer, manage your Gynaecological Endoscopy online with a Lybrate doctor today

Consult for Gynaecological Endoscopy - Online and Easy!

FilterClear All

COMMON SPECIALITIES

COMMON ISSUES