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)?

Urinary tract infection (UTI) is usually caused by inflammation or bacteria in the urinary tract. Pregnant mothers are most susceptible to this infection, especially after the sixth week and before the twenty fourth week of pregnancy. This usually happens due to the alterations that take place in the urinary tract during pregnancy.

Also, a growing uterus can block the urine drainage from this part of the body, leading to the accumulation of bacteria which causes infection. The symptoms are uncomfortable and even painful. These include pain and burning sensation, frequent urination, fever and chills. So how can you prevent UTI during pregnancy? we have a few tips for you!

- Hydration: The best thing you can do to both prevent and treat a urinary tract infection is to start drinking at least six to eight glasses of water in a day. Another good way to prevent and treat UTIs is with the help of cranberry juice which has powerful antioxidants that flush toxins out of your system effectively. You will, however, need to ensure that the cranberry juice is fresh and natural, without any sweeteners.

- Hygiene: Keeping yourself clean is one of the most important ways in which you can avoid UTI. It is best to clean from front to back, rather than the other way, so that you drive away bacteria and dirt. Also, make sure that you wash your private parts with warm water infused with a few drops of normal liquid antibacterial, so that you can be sure that the bacteria do not get a chance to thrive and affect your system. Also, remember to use soaps, washes and creams that have a mild formula, rather than a harsh chemical concoction. Hygiene for this area of the body includes keeping it dry.

- Diet: Your diet should have plenty of fluids and lemons or other citrus food that are rich in vitamin c, as this is a good vitamin to keep bacteria at bay. Also, you should eliminate sweet and refined products to ensure that you do not contract UTI. Other foods to avoid include caffeine and alcohol.

- Clothing: Wear airy and cotton based undergarments that are breathable and have a soft texture. This non abrasive type clothing can also help in keeping the area dry, so that bacteria does not get a chance to develop, as they typically need a damp environment for growth. Change your undergarments twice a day, if need be, and avoid wearing trousers and shorts that are too tight.

These tips and many others including urinating as soon as the urge sets in, can help in fighting the risk of contracting UTI during pregnancy.

Tips To Prevent UTI During Pregnancy

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

If not for Edward Jenner, millions would have lost their lives to several diseases. The discovery of smallpox vaccination in the last leg of the 18th century marked the beginning of a new chapter of vaccination and became a lifesaver for the human race from fatal and limiting diseases like smallpox, polio, tetanus, rotavirus, etc.

World Immunization Day, observed each year on November 10, is celebrated to increase the awareness on getting vaccinations in time to protect individuals against preventable diseases. 

Immunization is very important to help create resistance and to prevent your body from getting infected with a number of diseases. Timely administration of vaccine can help protect both children and adults from major diseases. 

Why must you get vaccinated? Is it really important?
Yes, getting vaccinated is indeed important. It helps the body stimulate its own immune system to protect against subsequent infections and also prevents them from spreading through any form of contact.  Vaccination is more important for children because the immune system of a child developed through breastfeeding starts to diminish, once the development cycle of the new immune system begins.

Vaccinations are highly cost-effective and easy to access. According to the World Health Organization (WHO), timely vaccination has helped prevent up to three million deaths per year, but still, there are almost 19 million infants who are not given timely vaccinations.

Vaccination in India
The Universal Immunization Program (UIP) of India is one of the largest in the world in terms of the amount of vaccine given, the geographical area covered, and the number of people who have benefited from the program. The program has been in effect for more than 30 years. However, due to a lack of awareness among citizens, it has only been able to reach out to two-thirds of children all over the country. 

We should seek to achieve complete immunization of not only children but also of adults. Under the Mission Indradhanush, which was launched by the government in 2014, the program allowed all children of up to 24 months of age and pregnant women to get free vaccinations. 

Important vaccinations for children
The Indian Academy of Pediatrics recommends several vaccinations to be administered from 0 months to 10 years of age, the important ones being for polio, tetanus, rotavirus, typhoid, chickenpox, and MMR amongst others. It is essential for the parents to follow the immunization schedule and have the baby vaccinated against preventable diseases.

Vaccinations for adults
Vaccination is not just for children, but also for adults. All adults between the age of 20 and 30 should get a screening done for major preventable diseases like influenza, Tetanus, Hepatitis A, and Hepatitis B. An influenza injection should be administered once a year while a tetanus injection needs to be administered once every 10 years. 

Hepatitis A and B injections need to be administered during one's childhood. However, if adults aged above 19 and up to 49 years do not have any documentation of vaccination, it is strongly advised to take two doses of Hepatitis A and three doses of Hepatitis B.

Prevention is better than cure, and the most important gift that you can give your child and to yourself is good health. On this day, let's be aware of the importance of vaccination, and spread the same. Get vaccinated, stay healthy, and happy! 

World Immunization Day 2017 - Why Immunization Is Important?

Who wouldn't want a seamless, spot free skin without having to undergo the trouble of enduring the endless assails by ointments, creams, oils and what not. Rashes, burns, abscesses, injuries, wounds, keloids and other skin traumas make the skin unsightly and rather troublesome. While skin eruptions like acnes and pimples are related to the hormonal balances in the body and the blood circulation, there are other skin blotches, which are caused due to external factors. For the formers, blood purifying medicines or palliative creams often abate the same significantly.

However, for the latter group of scars, specific treatments need to be meted out. A large variety of treatments are available for this purpose, however it is wise to first infer the nature and the source of the scar before adopting a given curative method. One practice that one needs to be mindful of is that the scars must be allowed to heal before being treated with any remedial procedures. While a large number of products and medical procedures are available for minimizing the scars, one needs to be discrete while choosing a particular product. Some of the common tactics of reducing or removing scars have been enlisted below.

    Silicone based ointments: Silicone is laden with skin healing properties and is extremely effective as an antioxidant. Thus silicone based ointments, gels or serums can prove advantageous for mitigating scars. One must use it for a prolonged period of time while at the same time taking adequate care to protect the scar from sunrays using SPF based sunscreen. 
    Laser treatments: On certain occasions, one may need more than gels or creams to cure the scars. In that regard, there are a large array of surgical procedures available for grappling with specific types of skin ailments. These are most effective on indented scars. Dermal fillers, fraxels and fat grafting are skin treatment methodologies which can effectively remove scars and rejuvenate the skin. 
    Letting the wounds breathe: Since a lot of wounds have an occlusive texture, piling them up with creams, oils and capsules often block the wounds and deter their healing process. Therefore, it helps to use a gentle cleanser to clean the affected area and letting air to circulate freely.

All About Scar Removal Treatment

An estimated of 10 percent or more children snore for more than 1 night. Snoring results from the obstruction of breath when the air makes its way through the mouth. The air passage of the throat through which the air goes in and out causes the tissue to vibrate causing snore. The sound of the snore totally depends on the amount of air passing through the mouth and the frequency at which the throat is vibrating. Children above the age of three years tend to snore when they are deep in sleep.

Primary and secondary snoring:
Children who are otherwise healthy should not have a snoring problem unless there is some health disorder. However, if loud snoring is observed in otherwise a perfectly healthy kid, seeking medical help is a wise thing to do. In general, primary snoring is defined as a condition which is not associated with other sleep-related disorders such as lung disorder, OASS, inability to sleep for a longer duration etc.

Other possibilities:
It is estimated that close to three percent of the children suffers from breathing problem while sleeping. OSAS is a condition which is characterised by pauses in breathing and gasps along with loud snores. There could be instances where a kids  muscle relaxes way too much obstructing the air to pass through. The body and the brain are both alerted at this stage. As soon as the brain sends a signal, the body wakes up. Thus, most kids suffering from this disorder are not able to sleep well and tend to feel tired throughout the day.

Common causes of sleep apnea:
Sleep apena is a major cause of snoring. It can be caused because of allergies, obesity, GERD etc. In children sleep, apnea can also be caused by tonsil. Since the tonsil size of children less than 7 years of age tends to be bigger than adult individuals, it causes snoring related problem. Swollen tonsils not only obstruct air but creates other health related problems as well.

Symptoms of sleep apnea during the day and night:

Loud snore
Snorts, gasps, pauses during sleep
Heavy sweat during sleep
Social and behavioural problems
Failure to get up in the morning
A nasal voice
Easily irritated, cranky and aggressive
Relief measure:
The first thing a that a doctor does is a physical exam followed by observing the symptoms of a kid. Primary snorting can be addressed by physical exercise, counselling and breathing exercise. Problems related to apnea are addressed through medicine, counselling, and exercise. Certain dietary restrictions also needed to be followed during this time. However, apena is completely treatable within a certain time frame.

Mouth Breathing - What Can Cause It?

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