Heavy menstrual bleeding, technically called menorrhagia, is one of the most common types of abnormal bleeding from the uterus. Menstrual bleeding is said to be heavy if there is so much blood that a tampon or pad remains soaked for several hours. 

Here are all the possible causes of heavy menstrual bleeding:
1. Hormonal imbalance
Estrogen and progesterone levels are the primary control mechanism for periods. If the ovaries have a problem in functioning, hormonal imbalances may occur. Heavy menstrual bleeding is most common in females who are at the start of menopause. Puberty menorrhagia can occur in adolescents who are experiencing their first menstrual period. 
2. Fibroids
Fibroids most commonly occur around the age when women can get pregnant. Uterine fibroids are non-cancerous growth on the uterus.
3. Ectopic pregnancy
An ectopic pregnancy is when a fertilized egg stays in the fallopian tube, but does not reach the uterus.
4. Blood thinners
These are medicines, which are usually anticoagulant or antiplatelet drugs.
5. Problems with iud
A non-hormonal intrauterine device is a t-shaped device used for birth control which is inserted into the uterus.
6. Adenomyosis
This is a condition in which the muscular wall of the uterus also gets the lining of the uterus intermingled with it. However, this condition is rare and only happens in middle aged women with several children.
7. Pid
Pid stands for pelvic inflammatory disease and refers to any infection within the organs of the reproductive system.
8. Cancer
Uterine, ovarian and cervical cancer are just some of the cancers, which may cause heavy menstrual bleeding.
9. Other diseases
Liver, kidney and thyroid diseases are all included.

Possible Causes of Heavy Menstrual Bleeding

Interstitial Cystitis is also known as painful bladder syndrome. It is characterized by the inflammation of the bladder wall. It is the chronic inflammation of the bladder. The exact cause has not been identified yet, though some believe that it might be due to the defect in the bladder lining or an autoimmune disorder. Interstitial cystitis is believed to resemble a bacterial infection, but the short term antibiotics have been found to be of no or less use.
The symptoms of interstitial cystitis are:

Frequency of urination during the day and night
Urgency of urinating
Pain associated with urinating or pain in the abdomen, vaginal and urethral area
Ayurvedic Treatment for Interstitial Cystitis

Chanderprabha Vati: This is a blend of 23 natural ingredients. This herbal remedy is useful in patients who are suffering from excess urination problem. This formulation has properties, which are helpful in the urine retention and reduce the inflammation in the pelvic areas. Dosage of this is two tablets twice a day with lukewarm water.
Chandanadhi Vati: This consist natual ingredients like Shweta chandana (Santalum album), Maricha (Piper cubeba), Gandha biroja satva (Pinus longifolia sap), Kattha (Acacia catechu), Amalaki (Emblica officinalis), Rala (Vateria indica extract), Karpura (Cinnamomum camphora), Chandana taila (Sandal wood oil) and Daruharidra (Berberis aristata). The product helps to resolve interstitial cystitis by controlling urination, reduces inflammation and burning sensation. Two tablets twice a day with lukewarm water are taken.
Punarnava Mandur: This is a pack of the herbal remedies and has quite satisfactory results in the patients. This balances the vata and pitta, the major dosha and causes of interstitial cystitis. Two tablets twice a day with lukewarm water is the ideal dosage.
Varunadi Vati: This is a blend of natural products like Varun (Crataeva nurvala), Punarnava (Boerhavia diffusa), Gokshur (Tribulus terrestris) and Shuddha guggulu (Comniphera mukul). The ingredients have the property to treat the symptoms of interstitial cystitis. This is helpful in urine retention and reducing inflammation. Dosage of this is two tablets twice a day with lukewarm water.
Boswellia Curcumin: This is prepared by the extracts of Shallaki (Boswellia serrata) and Curcumin (Curcuma longa). This herbal product has anti-inflammatory properties and provides relief from inflammation in the pelvic area and other symptoms associated of interstitial cystitis. The dosage of this herbal product is one capsule twice a day with plain water. Also, if had after meals then it is very effective.

Interstitial Cystitis - How Ayurveda Can Treat it? 

The primary difference between pickle and chutney lies in the fact that pickles are meant to be preserved for months together while chutneys are devoid of preservatives and are required to be consumed very soon. Both of these food items proffer a host of health benefits including an optimum supply of all the needful minerals and vitamins along with the antioxidants. Some of the ingredients present in the pickle and chutney help in controlling high blood pressure, diabetes, improves digestion and immunity.

Pickles and the process of preparing the pickles
The process of making pickles is known to have originated in India, and it was the most viable way of preserving food items so that it can be stored for future usage. The process started as a means of preserving those food items, which are not available all through the year. The conventional means of preparing pickles in oriental style incorporates the usage of ingredients like oil, salt, chilli powder along with other condiments. The ingredients are mixed as per the set proportions, and there are many health benefits of eating pickles on a regular basis.

As per the reports of NSDA, pickles contain moisture, energy, fat, protein, carbohydrates, fibres, vitamins and sugar. The long list of vitamins includes Vitamin A, Vitamin B, Vitamin B-12, Vitamin C, Vitamin E, Vitamin K, riboflavin, niacin, thiamin, and folate. Indian pickles abound in phosphorus, iron, magnesium, sodium and potassium. The health benefits of pickles include the supply of necessary antioxidants, probiotics which are the gut-friendly antibiotics, helps in digestion, improve haemoglobin levels in anaemic people. There are some pickles which aid in controlling blood pressure levels and have hepatoprotective properties.

Chutney and their health benefits
Chutneys are a ubiquitous component of Indian cuisine, and some of the most common flavours added to the chutneys include ginger, garlic, onion salt, sugar and tamarind among others. Homemade chutneys prepared in almost all Indian households can be preserved for about a week in the refrigerator. Chutneys are filled with vitamins along with other nutrients, and less usage of oil makes it fat-free. They are rich in antioxidants, and sometimes fresh leaves are added to ensure inclusion of chlorophyll.

Just like pickles, chutneys also offer a wide range of advantages for one s health. It provides the body with the needful amount of antioxidants which are the micronutrients that aid in protecting the body from the free radicals. These free radicals are a type of unstable chemicals being generated at the time of cellular metabolism and react with the cells and cause damage to the DNA. The DNA then becomes unstable and gives way to the production of more free radicals which can be controlled by the consumption of antioxidants. The chutneys also supply the body with all the vitamins, minerals and other micronutrients which are necessary for sustaining healthy living.

To conclude, both pickles, as well as chutneys, are a significant part of the Indian food habits. Both of these items have a great taste and offer a wide variety of health aids which testifies to their consumption on a regular basis.

Pickle vs Chutney - Which Is Healthier?

Haematuria refers to a medical condition where blood is passed out with urine. Blood can ooze out in tiny droplets or in large volume, often causing discomfort and pain.

Urine mostly has a reddish hue when you have this condition, and can be colored anything ranging from pink to a darkish brown. While in many cases this disease may be caused by trivial underlying issues, there may be major complications at work too. Hence, you should consult a doctor right away if you locate any symptoms such as abdominal pain, frequent urination, etc.

Causes of haematuria

Haematuria may be caused by factors both minor and severe. These include-

Urinary tract infection (UTI) - UTI is caused when foreign bodies like viruses or bacteria get accumulated in the urinary tract. This causes haematuria, as the kidneys may be affected leading to leakage of red blood cells into the urine.

Cancer - There are various types of cancer that may cause blood to come through the urine. These include prostate, renal and bladder cancer. This is a symptom visible during advanced stages of the cancers when treatment becomes difficult.

Kidney or gallbladder stones - This is another type of serious ailment that may cause haematuria as a symptom. The key difference from the other causal factors of haematuria is that in this case bleeding is very painful.

Traumatic injury to kidneys - A sharp hit or blunt attack to the kidneys you may sustain while falling down or a vehicle crash may cause internal injuries in the kidney and make blood show up in your urine.

Treating haematuria: What are the different approaches?

To treat haematuria, most doctors generally treat the underlying disease that is causing it as a symptom. The treatment entails-

Several types of anti-bacterial or antifungal agents are used to treat urinary tract infections. These medicines can both be prescribed by a doctor or bought over the counter.

Kidney and bladder stones may heal if you drink a lot of water. However, in very severe cases, you may need a surgical procedure called lithotripsy. Lithotripsy involves using ultrasound shock waves that break kidney stones into tiny particles and passes them out of your body.

For cancers, the extent of spread determines the treatment course recommendable. In general, chemotherapy, radiation therapy and surgery are the treatment modes used.

When the traumatic injury is the underlying factor, drugs or bandages may help, but you should also not ignore large injuries. In such cases, surgery may be required to set things right.

Haematuria is the medical name for the condition in which either small or large amounts of blood become visible in your urine. While this condition may be developing in you due to a number of reasons that may be minor, you should get yourself checked anyway.

Haematuria - Causes & Treatment Of It!

Periods, on their own, can be very uncomfortable but sometimes it can also trigger a rash making it all the more uncomfortable. This is a common problem faced by women who use commercial pads or sanitary napkins during this period. This is because they contain plastics, scents and chemicals that can irritate the sensitive skin in your genital area. Here are a few tips to help you deal with these rashes:

Change Your Pads Regularly: Whether your flow is light or heavy, the same pad should not be worn for more than 4 to 6 hours. Change your pads even if your pad does not look full once this time has passed. Along with menstrual blood, sanitary napkins also soak up sweat and bacteria. The groyne area is naturally moist and warmer than the rest of your body making it the ideal condition for bacteria to grow. Changing your pad regularly keeps these bacteria from multiplying.

Consider Alternatives: One of the main reasons pads cause rashes is because they rub against the skin and this friction irritates the skin. Hence, consider alternatives like tampons and menstrual cups that do not rub against the skin. You could also try cloth pads made using natural unbleached cotton.

Wear Right Underwear: Avoid synthetic underwear and use the only cotton while you are on your periods. This allows the skin to breathe and keeps moisture from building up inside the underwear. Also, ensure that your underwear fits well and can hold your pad in place.

Clean Well: Do not use wipes or tissue to clean your genital area but instead wash gently with water a few times a day. Once washed, dry the skin thoroughly before putting your underwear on. Do not use any type of soap, body wash or scents in the area. Also, avoid bubble baths and saunas.

See a Doctor: In some cases, a rash can also be a symptom of herpes or a vaginal yeast infection. If you alternate between pads and tampons, a rash could also be a sign of toxic shock syndrome. Hence, if the rash persists for a few days, consult a doctor. Your doctor can prescribe a topical cream to be used to relieve the itchiness and inflammation depending on the rash. You could also use an anti-chafing cream on your bikini line. Diaper rash cream is an over the counter cream that usually works well in such cases.

How To Deal With Rashes Due To Periods?

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

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