If you lose a baby before 24 weeks of pregnancy, it is called a miscarriage. If this happens in the first 3 months of pregnancy, it is known as an early miscarriage. Unfortunately, early miscarriages are common, with 10 20 in 100 (10 20%) pregnancies ending this way. Late miscarriages, after 3 months of pregnancy but before 24 weeks, are less common: 1 2 in 100 (1 2%) pregnancies end in a late miscarriage. When a miscarriage happens three or more times in a row, it is called recurrent miscarriage. Recurrent miscarriage affects 1 in 100 (1%) couples trying to have a baby.

Why does recurrent miscarriage and late miscarriage happen?

Sometimes there is a reason found for recurrent and late miscarriage. In other cases, no underlying problem can be found. Most couples are likely to have a successful pregnancy in the future, particularly if test results are normal.

There are a number of factors that may play a part in causing recurrent and late miscarriage:

Age, the older you are, the greater your risk of having a miscarriage. If the woman is aged over 40, more than 1 in 2 pregnancies end in a miscarriage. Miscarriages may also be more common if the father is older.
Antiphospholipid syndrome (APS- a syndrome that makes your blood more likely to clot) is uncommon but is a cause of recurrent miscarriage and late miscarriage.
Thrombophilia (an inherited condition that means that your blood may be more likely to clot) may cause recurrent miscarriage and in particular late miscarriages.
Genetic factors, about 2 5 in 100 couples (2 5%) with recurrent miscarriage, one partner will have an abnormality on one of their chromosomes (the genetic structures within our cells that contain our DNA and the features we inherit from our parents). Although this may not affect the parent, it can sometimes cause a miscarriage
Weak cervix is known to be a cause of miscarriage from 14 to 23 weeks of pregnancy. This can be difficult to diagnose when you are not pregnant. It may be suspected if in a previous pregnancy your waters broke early, or if the neck of the womb opened without any pain.
Developmental problems of the baby may lead to a miscarriage but are unlikely to be the cause of recurrent miscarriage.
Infection that makes you very unwell can cause a miscarriage. Milder infections that affect the baby can also cause a miscarriage. The role of infections in recurrent miscarriage is unclear.
An abnormally shaped uterus may contributes to recurrent miscarriage or late miscarriages. However, minor variations do not appear to cause miscarriage.
Diabetes and thyroid problems can be factors in miscarriages. They do not cause recurrent miscarriage, as long as they are treated and kept under control.
It has been suggested that some women miscarry because their immune system does not respond to the baby in the usual way. This is known as an alloimmune reaction. There is no clear evidence to support this theory at present. Further research is needed.
Are there any other risk factors?

Being overweight increases the risk of miscarriage. Smoking and too much caffeine may also increase the risk. Excessive alcohol is known to be harmful to a developing baby and drinking five or more units a week may increase the risk of miscarriage.

The chance of a further miscarriage increases slightly with each miscarriage. Women with three miscarriages in a row have a 4 in 10 chance of having another one. This means that 6 out of 10 women (60%) in this situation will go on to have a baby next time. 

Why are investigations helpful?

Finding out whether there is a cause for your recurrent miscarriage or late miscarriage is important as your doctor will be able to give you an idea about your likelihood of having a successful pregnancy. In a small number of cases there may be treatment available to help you.

What investigations might be offered?

Blood tests:

For APS- APS is diagnosed if you test positive on two occasions 12 weeks apart, before you become pregnant again.
For thrombophilia- If you have had a late miscarriage you should be offered blood tests for certain inherited thrombophilias.
To check you and your partner s chromosomes for abnormalities. You may be offered this test if your baby has been shown to have abnormal chromosome
Tests for abnormalities in the baby You should be offered tests to check for abnormalities in your baby s chromosomes. This is not always possible but may help to determine your chance of miscarrying again. If you have had a late miscarriage you may also be offered a postmortem examination of your baby. This will not happen without your consent and you will have the opportunity to discuss this with your health team beforehand.

Tests for abnormalities in the shape of your uterus. You should be offered a pelvic ultrasound scan to check for any abnormalities in the shape of your uterus. If an abnormality is suspected, further investigations may include a hysteroscopy (a procedure to examine the uterus through a small telescope which is passed through the vagina and cervix) or a laparoscopy (a procedure in which a surgeon uses a fine telescope to look inside the abdomen and pelvis).

Tests for infection. If you have had a late miscarriage, tests such as blood samples and vaginal swabs may be taken at the time to look for any source of infection.




What are my treatment options?

Treatment for APS

If you have APS and have had recurrent miscarriage or a late miscarriage, treatment with low-dose aspirin tablets and heparin injections in pregnancy increases your chance of having a baby. Aspirin and heparin make your blood less likely to clot and are safe to take in pregnancy.

Having APS means you are at increased risk of complications during pregnancy such as pre-eclampsia, problems with your baby s growth and premature birth. You should be carefully monitored so that you can be offered treatment for any problems that arise.

Treatment for thrombophilia

If you have an inherited tendency to blood clotting (thrombophilia) and have had a miscarriage between 12 and 24 weeks of pregnancy, you should be offered treatment with heparin. At present there is not enough evidence to say whether heparin will reduce your chance of miscarriage if you have had early miscarriages (up to 12 weeks of pregnancy). However, you may be still offered the treatment to reduce the risk of a blood clot during pregnancy.

Your doctor will discuss what would be recommended in your particular case.

Referral for genetic counselling

If either you or your partner has a chromosome abnormality, you should be offered the chance to see a specialist called a clinical geneticist. They will discuss with you what your chances are for future pregnancies and will explain what your choices are. This is known as genetic counselling.

Monitoring and treatment for a weak cervix

If you have had a miscarriage between 14 and 24 weeks and have a diagnosis of a weak cervix, you may be offered an operation to put a stitch in your cervix. This is usually done through the vagina at 13 or 14 weeks of pregnancy under a general or spinal anaesthetic. Your doctor should discuss the surgery with you.

If it is unclear whether your late miscarriage was caused by a weak cervix, you may be offered vaginal ultrasound scans during your pregnancy to measure the length of your cervix. This may give information on how likely you are to miscarry. If your cervix is shorter than it should be before 24 weeks of pregnancy, you may be offered an operation to put a stitch in your cervix.

Surgery to the uterus

If an abnormality is found in your uterus, you may be offered an operation to correct this.

Hormone treatment

Taking progesterone or human chorionic gonadotrophin hormones early in pregnancy has been tried to prevent recurrent miscarriage. More evidence is needed to show whether this works.

Immunotherapy

Treatment to prevent or change the response of the immune system (known as immunotherapy) is not recommended for women with recurrent miscarriage. It has not been proven to work, does not improve the chances of a live birth and may carry serious risks (including transfusion reaction, allergic shock and hepatitis).

What if no cause is found?

Where there does not appear to be a cause for recurrent miscarriage or late miscarriage, there is currently no evidence that heparin and aspirin treatment reduces the chance of a further miscarriage. For that reason this treatment is not recommended in these circumstances.

What does this mean for us in the future?

You and your partner should be seen together by a specialist health professional. Your doctor will talk to you both about your particular situation and your likelihood of having a further miscarriage and a successful pregnancy. If a cause has been found, possible treatment options will be offered to you to improve your chance of a successful pregnancy.

For couples where no cause for recurrent miscarriage has been found, 75 in 100 (75%) will have a successful pregnancy with this care. It is worth remembering that the majority of couples will have a successful pregnancy the next time even after three miscarriages in a row.

Recurrent And Late Miscarriage - Tests & Treatment For Couples!

Headache is one of the most common maladies which refers to a pain sensation in the head. It may itself be an ailment or may be the symptom of any other illness. Headaches can last for a short time or may persist up to several weeks depending on its cause or type. Many reasons can trigger headache. 

The following are eight reasons why you might get that headache

Stress: Physical stress or emotional stress can be identified as one of the most common causes for your headache. Tension, anxiety and depression may trigger a headache. This is also known as tension headache. In this condition, the muscles of your scalp, neck, face and jaw tighten, thus causing pain. Fatigue may also lead to this type of headache.
Eye problems: Sometimes eye problems may be the cause of your headache. Diseases such as glaucoma can cause headache. Straining your eyes for seeing distant objects or glaring at your computer screen for long can also result in headache.
Eating and sleeping pattern: Change in eating and sleeping pattern can also cause headache. Inadequate sleep or caffeine withdrawal can give you terrible headache sometimes.
Ear, nose or throat disorders: Ear, nose or throat problems can also give rise to headache. Sinus caused by cold or infection, tonsillitis or throat infections can also prompt a headache.
Medication: Excessive use of medication can be a factor responsible for your headache. This is also known as rebound headache.
Dental problems: Jaw or dental problems sometimes may trigger a mild headache which can turn severe also. The alignment of lower and upper jaw, tooth decay may be some of the causes for headache.
Hormonal problems: Sometimes a decline of your estrogen levels can also be a reason for your headache.
Bad posture: Sometimes, poor posture may strain the muscles of your back and neck, triggering a headache.
Headache can be very annoying. Sometimes pain relief medicines help in controlling headache, but consuming them regularly may affect your health. You must consult a doctor in order to get your headache treated in a proper manner.

8 Reasons Why You Might Get that Headache

A heart attack is usually characterised by the rupture of a plaque which can cause the spread of the cholesterol into the blood stream.
Cardiovascular diseases are a major cause of pain, suffering and death around the world, today. Heart attacks are caused by coronary heart disease. This is caused by the narrowing of the coronary artery when substances like cholesterol block it. If not treated and revived on time, a patient suffering from a heart attack can meet a fatal result.

So how can you prevent a heart attack?

1. Cholesterol: We are all affected to some extent by what we eat. It is important to keep a check on your cholesterol, especially if it is on the higher side, so as to prevent a heart attack. Cholesterol is known to directly cause a heart attack, because if applies layer upon layer to the walls of the artery, and chokes them until they cannot handle the pressure any longer. So watch your food intake and bring down the blood lipid or fat levels with proper diet and exercise to alleviate the risk of a heart attack.

2. Assess your Risk Factors: So are you at risk of heart disease and possible heart attack? This will very much depend on your medical history and allied ailments. If you are suffering from high cholesterol or even diabetes, your chances of having clogged arteries and a subsequent heart attack may increase manifold. Also, you may have a family history of heart diseases which can increase the risk of such ailments in your case. So, it is wise to assess your risk factors and take measures like regular checkups, medication where required and even other measures like diet and exercise.

3. Blood Pressure: To prevent a heart attack, you can also keep your blood pressure in check. Constant spikes and dips can lead to a malfunctioning heart which can weaken the heart muscles and lead to a fatal result like a heart attack. Further, high blood pressure can lead to wear and tear of the inner lining of your blood vessels, which makes it that much more difficult for blood flow and circulation. So keep a blood pressure measuring machine or cuff at home, or visit your doctor regularly to keep tabs on your blood pressure.

While these basic measures can help take care of the immediate and most direct causes of heart attacks, you can also avoid passive and active smoking, and indulge in a good diet with plenty of exercise to keep your heart healthy.

Heart Attack - 3 Ways You Can Prevent it 

Hangover is referred to as the unpleasant symptoms that take place after alcohol consumption in the excessive amount. It is called veisalgia in medical terms. Significant symptoms of a hangover are headache, feeling dizzy, nausea, body ache, vomiting, fatigue, abdomen pain, trouble with concentration, diarrhoea, disturbed sleep, uneasiness and anxiety. The symptoms show up when the intoxicating impact of alcohol drops down to zero. This may keep going for up to 24 hours or more.

Homeopathic medicines are extremely powerful in curing a hangover. Medicines of natural cause are utilized as a part of Homeopathy to manage hangover cases. Homeopathic medicines are hence free from any severe reaction due to excess alcohol consumption.

Here is a list of different homeopathic medicines for curing a hangover and instances when they are used:

Nux vomica and Carbo Veg: Nux Vomica and Carbo Veg are primary homeopathic medicines for a hangover accompanied with headache. Nux Vomica is used when stretched feeling and pain in the head take place after alcohol utilization. Irritation is also experienced with pain in the abdomen, with regular stools are additionally seen alongside headache in such cases. Carbo Veg is one of the best suited homeopathic medicines for a hangover where exceptional headache occurs after alcohol consumption. The head feels overwhelming with a sensation of weight on it. These indications are joined by gastric problems and bloating of the abdomen. Carbo Veg is the best in such cases among Homeopathic medicines for hangovers.
Arsenic album and Ipecac: Arsenic Album is helpful where vomiting shows up from taking alcohol. The vomit might be clear, bilious or green in shade. The stomach does not take any sort of nourishment or water and quickly tosses it out. Nausea and retching are likely. Ipecac is a standout among the best homeopathic medicines for a hangover where nausea prevails after taking alcohol along with constant retching. The vomit predominantly comprises of clear, watery fluids. The nausea does not die even after vomiting.
Gelsemium: Gelsemium is brilliant among Homeopathic medicines for a hangover where it is accompanied by dizziness. Gelsemium is generally recommended when a man suffers from light headedness. He feels as though the room is revolving all around. The affected person would also have difficulty in walking steadily. Dull or double vision may, likewise, show up.
Rhus Tox: Rhus Tox is one of the best homeopathic medicines for body aches emerging from a hangover. It can be utilized for curing body aches and muscle pain emerging from drinking alcohol. Rhus Tox also deals with soreness, wounded feeling or pains that are tearing in nature.
Homeopathic medicines are very effective for curing a hangover. Being natural, they help you revive yourself after you have had a night of heavy drinking.

Hangover - Top Rated Homeopathic Remedies for it?

Dementia is a dreaded psychological disorder in which the brain cells begin to deteriorate. It is different from regular senility. When the brain cells stop doing their work, it affects the brain function. This leads to a gradual loss of memory. At the same time, the person may also experience changes in personality as well as declining cognitive abilities, all of which are linked to the faculty of memory. Dementia usually affects senior citizens. However, it may happen to the young as well.

What are the Causes of Dementia?
Dementia may be prompted by -
  Alzheimer s Disease
  Huntington Disease, a degenerative disorder
  Vascular dementia
  Atherosclerosis
  HIV
  Multiple Sclerosis
  Pick s Disorder
  Parkinson s Disease
  Encephalitis, both viral and bacterial
  Lewy Body Disease
  Brain Tumour
  Progressive supranuclear palsy
  Chronic Subdural haematoma
  Wilson s Disease
  Neurosyphilis

Dementia in Siddha -
Siddha is an ancient and indigenous branch of medicinal science that was developed in Tamil Nadu. Siddha aims to get to the root of any ailment and eliminate it from the source instead of simply trying to eradicate the symptoms. Siddha believes that the human body primarily consists of three humours- Kapha, pitta and Vata. As long as the right balance is maintained, the human will be healthy. But if the balance goes out of whack or if the quantity of one humour exceeds the others, then that will make a person vulnerable to diseases.
When there is a Vata imbalance in the mind, a person s memory begins to fail him/her.

According to Siddha, a person who has contracted dementia will exhibit the following symptoms -
  Forgetfulness
  Difficulty with recollection and reasoning
  Confusion and disorientation
  Inability to make plans
  Impaired judgement
  Anxiety
  Depression
  Hostile behaviour
  Losing interest in everything around him/her
  Disturbed sleep
  Restlessness
  Hoarding
  Delusion or hallucinations (in advanced stages of dementia)

The approach of Siddha towards neuropsychiatry revolves around the concept of  Kayakarpam    a mode of treatment that can slow down ageing and deterioration of the brain cells. Treatment of dementia consists of -
  Skinned ginger soaked in honey
  Paddy rice mixed with ghee
  Amaranth cooked ghee, salt and pepper
  Aloe Vera
  Black nightshade

Treatment of dementia also includes  thokkanam . Medicinal oils are messaged onto certain parts of the body to activate the Varma points. This will release the  praana vayu - the force of rejuvenation. Siddha also recommends regular meditation top slow down the progression of dementia.

Allopathy has not yet come up with a cure for dementia. But, Siddha can help. Moreover, Siddha medicines are safe and can be consumed without fearing side effects.

Dementia - Getting It Treated With Siddha!

Cuts and bruises is a common occurrence in any household. In most cases, they re ignored and left to heal on their own. However, some injuries can take a while to heal. If you think about it, you ll also notice that when you ve injured yourself somewhere, you tend to keep hitting that spot against things and make it worse. Homeopathy is a form of treatment that has negligible side effects and is very effective at speeding up the healing process for bruises and other wounds. Here are a few common homeopathic medicines that you should keep at home to treat bruises etc.

    Arnica: Arnica is very effective when it comes to dealing with deep seated bruises. It can also be used to reduce swelling at the site of the injury. Arnica can be used in pill form or applied in the form of a cream. However, arnica should never be used on an open wound where the skin is cut. In the pill form, arnica can also be used to stop internal or external bleeding.
    Calendula: Calendula can be used to fasten the healing process. Along with bruises, it can also be used to treat ruptured muscles and tendons. When applied topically, it draws out dirt and prevents infections.
    Hypericum: This homeopathic remedy is very useful in treating injuries and wounds that cause nerve damage. It also ensures that a bruise heals from the inside and not only superficially.
    Ledum: Wounds that are caused by a sharp object or formed as a result of painful injections or the after effects of an epidural can be treated with Ledum. It promotes the removal of pus and prevents septic infections.
    Staphysagria: Staphysagria is used to treat sensitive wounds where the tissue is lacerated. In such cases, the sphincters are also found to be lacerated and stretched due to foreign bodies. Staphysagria can also be used to treat extremely painful wounds.
    Phytolacca: This is an excellent remedy for wounds that have a tendency to ulcerate or injuries that cause soreness and can trigger tetanus. Injured fibrous tissue or osseous muscle sheaths can also be treated with phytolacca.
    Bufo: Wounds that cause the area to feel numb and which trigger muscle spasms that leave the patient unable to move the part can be treated with this homeopathic remedy. It can also be used to treat regional hematomas triggered by the rupturing of blood vessels due to the trauma. 

How Homeopathy Helps in Healing Wounds

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