Most women attain menopause between the ages of late 40s and early 60s, the average age being about 51. This is an important milestone in a women's gynecological history. One major change is altered female hormone levels, and this leads to a lot of physiological changes. From hot flashes to mood swings, there is also increased predisposition to osteoporosis and uterine cancer.

If you have not had your menstrual cycles for close to 12 months, chances are you are into menopause. So, that means absolutely no vaginal bleeding anymore whatsoever. However, if you experience bleeding, even spotting, be on the alert. It is not normal and needs to be examined, and if required, diagnosed and treated.

Postmenopausal bleeding or PMB, as it is popularly called, can be due to a variety of reasons. While it could be something as trivial as inflammation of the uterine or vaginal lining, it could also be an indication of more severe issues like cancer.

Atrophic vaginitis: Decreasing hormonal levels lead to increased dryness and therefore inflammation of the vaginal and uterine tissue. This is one of the common causes of bleeding after menopause.

Endometrial atrophy: Also caused by lower hormone levels, the lining of the body of the uterus gradually thins down and can get inflamed.
Polyps: Noncancerous growths in the uterus, cervix, vulva, or vagina can also lead to bleeding.

Infections: General infection of any area along the uterine tract could lead to occasional bleeding.

Cancers: Though only 1 in 10 PMB cases turn out to be cancers, the prognosis improves with early diagnosis and intervention.

Diagnosis: As repeated above, reach out to your doctor if you notice postmenopausal bleeding.  

Diagnostic methods could include the following:
1. Physical exam
2. Transvaginal ultrasound
3. Endometrial biopsy
4. Hysteroscopy
5. Dilatation and Curettage

Treatment: Needless to say, this would depend on the diagnosis. For very minor cases with diagnosis like altered hormone levels, no treatment may be required other than modification of the hormone replacement therapy. For endometrial atrophy and atrophic vaginitis, use of estrogen creams and pessaries would be sufficient. Polyps would require removal followed by cauterization (application of slight heat) to stop the bleeding.

Cancer: This would depend on the type and location and require a combination of chemotherapy and surgery.  Removal of the uterus also may be required in some cases. So, if you have had bleeding of any sort after a year of menopause, do not ignore it. 


Is Postmenopausal Bleeding Normal?

Loving relationships are known to improve more than just your mood, it improve your looks and your health. Researchers believe that it might just be the best medicine for most people, as it helps keep your heart healthy, beat cancer and recover faster, boosts athletic performance and leads to spiritual and emotional growth. Mentioned below are a few of the ways, in which love may lead to a healthy heart and life. 

1. Better heart health: research has shown that women in healthy and loving marriages are less prone to contracting cardiovascular diseases, in contrary to those in stressful marriages. It has also been discovered that love reduces the likelihood of chest pains and suffering from angina despite having high blood pressure, high cholesterol and diabetes in men.

2. Lengthens your life: the national longitudinal mortality study studied a million subjects and concluded that couples in a loving marriage tend to live longer and have lowered risk of getting heart attacks, pneumonia, cancer and cirrhosis of the liver. Their chances of committing suicide are also reduced by almost half.

3. Faster cancer recovery: after extensive research, university of iowa proved that patients of ovarian cancer, who were in loving relationships, had stronger wbcs i. E. White blood cells that kill cancerous cells, as compared to those in unhealthy relationships. They also concluded that patients in love recover quickly or completely eliminate cancer. 

4. Lowers blood pressure: studies show that when couples are together, their blood pressure is significantly lowered. This research even proved that spending time with loving and supportive friends results in lower systolic numbers. 

5. Keeps you slim: being in love is a much healthier and better option than juice cleanse, when it comes to losing that extra weight. People in loving relationships produce more adrenaline i. E. An appetite suppressant and are more likely to hit the gym and make healthier lifestyle choices to look their best. Apart from that, sex is one of the best ways to lose calories and reduce your weight.

Being in Love Will Lead You to a Healthy Heart and Life

The presence of red blood cells in the urine is called hematuria. If there are sufficient red cells, the urine turns to a bright red, pink or cola shade. Frequently, the urine looks totally ordinary because there is insufficient blood to change the colour. In this situation, the condition is called 'microscopic' hematuria.

The most common causes of hematuria are given below:

    Urinary tract infection (UTI)
    Kidney stones
    Tumours in the kidney or bladder
    Exercise: In this case, the blood is produced in the urine after strenuous activity. It is more commonly experienced by male patients.
    Injury: Traumatic damage to any part of the urinary tract, from the kidneys to the urethral opening, can cause hematuria.

The symptoms of hematuria vary depending upon the condition. These are as follows:

    Glomerulonephritis: If the glomerulonephritis is not serious, it may not show any signs. If the symptoms do show up, they can cause swelling, particularly in the lower furthest points(the thighs, legs, feet, and toes), decreased urine, and hypertension.
    Kidney or bladder infection: Symptoms rely on the site of the diseaseand can even cause extreme pain on one side of the lower back, fever, chills, nausea with vomiting, and pain in the bladder.
    Prostate infection: There can be pain in the lower back or in the region between the scrotum and rearend. Pain with discharge, blood in the semen, andfever and chills can also occuronce in a while.
    Tumour in the kidney or bladder: Most kidney and bladder problems develop without bringing about any pain or uneasiness. At the point when side effects build up, abdomen pain may be persistent.
    Kidney stones: When a kidney stone gets attached to the ureters, it can bring about extreme pain in the back, side or crotch, with nausea and difficulties in urination.

Based upon the suspected cause of hematuria, some of the treatments may include the following:

    Urine culture: In this test, a urine sample is extracted and examined to check whether bacteria has developed. This test is used to find a case of a kidney or bladder disease.
    Computed tomography (CT) of the kidneys, ureters and bladder: For most cases,a CT scan is conducted. This helps in viewing the internal organs and finding the areas that may have been affected by the condition. It also shows the extent of the damage and the spread of the disease so that a proper treatment plan may be laid out.
    Ultrasound: This test uses sound waves to create images that can show whether or not a kidney mass is a non cancerous. This method can also be used to find out whether or not there are any kidney stones, which may be causing hematuria.
    Cystoscopy: In this test, the specialist embeds an adaptable telescope into the urethra and passes it into the bladder to investigate the bladder lining for tumours or different issues.

Can Hematuria Be Treated?

If you are looking for an effective immunity boost in your body, you should choose Ayurveda and undertake ayurvedic procedures and remedies. Good health, according to Ayurveda, involves balancing of your doshas such as vata, pitta and kapha and making sure that your agni or digestive system is working smoothly. There are several Ayurvedic ways using which you will be able to boost your body s immune system and its capability.

They are as follows:

Keep your immune system in proper balance by eating proper food: A weakened immune system makes you prone to all sorts of illnesses and diseases. In case the immune system becomes overactive, it targets your body s own tissues, confusing them for foreign invaders and attacks them. Your diet is very important for balancing this fighting response within your body. If your body gets the right nutrients and eliminates toxins effectively, the immune system gets strengthened. You should consume leafy vegetables, whole grain, nuts, legumes and highly pigmented food.

Detox: According to Ayurveda, ama is a primary factor, which leads to the development of diseases. Ama is the name of stored toxins in Sanskrit language and if your body has unhealthy ama, an environment is created where invaders thrive. Ama may occur due to both mental and physical indigestion. Ama and indigestion prevent essential nutrients from reaching your tissues, which weaken your immune function. You need to detoxify your body at regular intervals if you have unhealthy eating habits or get exposed to harmful environmental toxins.

Keep your agni strong: The digestive system or agni is very important for your health and it highly influences your immunity and immune system capability. The ability of digestion, assimilation and absorption of nutrients by the body also determines your immune strength. If your agni gets impaired because of an imbalance within the tridosha, your metabolism is affected, which weakens the immune system and body s natural resistance. Eating food items which are harmful for the digestive system leads to excess ama formation. A toxic environment is created in the body. This factor interferes with the natural intelligence of every cell which is encoded with the will of living healthy and working as a whole, together. Ayurveda aims at restoring this intelligence factor. You can boost your agni by consuming hot water and ginger tea regularly.

Yoga and meditations are important for boosting immunity, according to Ayurvedic traditions. Yoga and meditation help in reducing stress and positively affect your immune system.

Immunity - How Ayurveda Can Help You Restore it?

Ayurveda literally translates into  the science of longevity.  It not just looks at treating the symptoms of the patient, but at getting to the root of the issue for a holistic treatment. In addition to various products, yoga is an integral part of maintaining overall health in Ayurveda.

Patrons of yoga would agree that yoga has multiple benefits, not just in treating diseases, but in maintaining the overall health. The following are some of the most obvious benefits of yoga.

Weight management: Yoga normalizes body weight by multiple ways including restoring hormonal balance, reducing cortisol levels, improving depression (which can lead to binge eating), etc. Do not worry about calories not being burned during yoga. Yoga is a very good stress reliever and people who are not stressed are rarely obese.
Pain control: Whether you have a headache or back pain, knee pain or muscle pain, try specific yogasanas. There are people who would vouch for the fact that they could completely stop their pain killers with effective yoga.
Strength: Yoga makes a person strong in addition to improving flexibility. In most forms of exercises, some may give strength, others may give flexibility. But yoga is one of the few approaches, which combines the two. Range of motion of the joints is improved, healing is quicker, and ligaments and muscles are more elastic with yoga.
Brain functioning: Yoga improves memory and cognitive functioning. Because meditation and focusing on oneself is such an integral part of yoga, it promotes brain function. It improves memory, clarity of thought, attention span, and helps in decision making.
Reduces stress: By improving overall well-being, yoga is one of the best methods for stress management. This in turn leads to reduction of a host of other diseases including hypertension, diabetes, stroke, sleep disorders, etc. There is also a heightened feeling of well-being, reduced depression, better self-esteem, improved motivation, and other effects which improve overall health and happiness quotient.
Anti-degenerative effects: The body is in a constant state of degeneration and with age, this is accelerated. What yoga does is to arrest degeneration   be it the muscle mass, the skin tone, or the joint flexibility. It has a whole lot of metabolic benefits including reducing glucose, sodium, total cholesterol, triglycerides, LDL, VLDL, and catecholamines. Simultaneously, it helps by increasing HDL cholesterol, hematocrit, hemoglobin, lymphocyte count, white blood cell count, thyroxin, total serum protein, oxytocin, prolactin, and cholinesterase among others.
Restores function: For impaired body systems, whether it is nervous or digestive, musculoskeletal or neurologic, yoga does wonders.
There is no restriction on where to do yoga. Unlike gymming, swimming, or cycling, there is no definite set-up required. So, go embrace yoga and see the benefits for yourself.

Yoga - 7 Ways It Improves Your Health!

Pulmonary Function Tests or PFTs are a set of tests that are used to determine, measure or observe the functioning of the lungs. The most common pulmonary function tests used are spirometry, gas diffusion, and lung plethysmography. 

Highlights of pulmonary function tests

A spirometry test is used to measure the amount of air inhaled and exhaled. It also measures the amount of time taken to complete a respiration cycle.
A lung plethysmography measures the amount of air in the lungs after the patient has taken a deep breath. It also measures the amount of air that remains in the lungs after the patient has exhaled as much air as possible.
What does a Pulmonary Function Test measure?
Pulmonary function tests would not only check how well the person is breathing but also how effectively the lungs are able to conduct oxygen to the rest of the body. In addition to air flow, these tests would measure the size and volume of the lung and lung diffusion.

These tests can also be used to measure

Total Lung Capacity   the amount of air present in the lungs after breathing in deeply
Forced Vital Capacity   the amount of air that can be exhaled after breathing in deeply
Minute Volume   the amount of air exhaled per minute
Vital Capacity   the total volume of air that can be breathed out after inhaling as much as possible
Tidal Volume   the amount of air inhaled or exhaled when breathing normally
Maximum voluntary ventilation   the amount of air that can be inhaled and exhaled in one minute
Functional Residual Capacity   the amount of air that remains in the lungs when breathing normally
Forced Expiratory Flow   the flow or volume of air during an exhalation
Peak Expiratory Flow Rate   the rate at which a person can exhale
When are Pulmonary Function Tests recommended?
A physician might recommend a patient undergo a PFT as part of a routine physical check-up. This test would be advised if the patient is experiencing any symptoms associated with lung problems or disorders such as asthma, respiratory infections, chronic obstructive pulmonary disease, COPD. A doctor would also use these tests to monitor and check whether a certain treatment prescribed for a lung disease or condition is working effectively.

Pulmonary function tests are safe as they are non-invasive but it is important to follow the instructions of the doctor or technician before, after and during the test. It is important to make your doctor aware of any surgeries, respiratory infections, chest pains or heart attacks that you might have experienced before the test. If you are taking any medications you might need to follow the advice of the doctor as to whether you can take them before the test.

Your doctor would also advice you on how to prepare for the test such as not eating a large meal, avoiding caffeine and wearing loose-fitting clothes. If you have any doubts, concerns or queries discuss them with your doctor.

Pulmonary Function Tests - Why Is It Required?

Don't wait any longer, manage your Kaumar Bhritya Specialist online with a Lybrate doctor today

Consult for Kaumar Bhritya Specialist - Online and Easy!

FilterClear All

COMMON SPECIALITIES

COMMON ISSUES