Most people would panic on seeing slightly red urine being passed. A common urologic condition, this happens because blood cells are leaking into the urine. There are multiple reasons which can cause it, and not all of them are major causes for concern.

Read on to know more about some common causes, and how to manage this.

Urinary tract infections: There could be an infection of the entire urinary tract including the kidneys, the ureters, the bladder, and the urethra. In addition to blood in the urine, there could also be an urge to urinate, pain with urination, fever, and flank pain.
Enlarged or infected prostate: The prostate naturally enlarges with age and can obstruct the urethra, causing pain and blood in the urine. There is a constant urge to urinate and difficulty initiating the stream. Infection of the prostate also produces similar symptoms along with fever and pain.
Kidney diseases: In addition to infections, other kidney diseases including glomerulonephritis, which can also lead to hematuria. Kidney stones, which are quite common, are also another reason, and this will be characterised by the sudden sharp pain around the flank which is very diagnostic of kidney stones. Injury to the kidneys from trauma or sports is another reason for hematuria.
Cancers/tumours: Cancers in the kidney, bladder, or prostate can cause blood to appear in the urine, but this would happen once cancer has reached some advanced stage, not very early in the process.
Listed below are some risk factors for hematuria.

Age: Men older than 50 are more prone to hematuria
Sex: While men are more likely to have stones or prostate infections, UTIs are quite common in women below 50s.
Family history: though not hereditary, if kidney stones or cancers or infections are in the family, chances of developing hematuria also goes up.
Medications: Aspirin, blood thinners, NSAIDs, and some antibiotics increase the chances of hematuria.
Exercise: Long distance runners are shown to be more prone to developing hematuria.
Diagnosis: In addition to a physical exam, blood tests, imaging (CT scans and/or MRI) and cystoscopy might be required to confirm the diagnosis. Identifying the cause is extremely important as treatment would depend completely on the causative agent. Though hematuria is just one of the symptom, the underlying cause could have severe adverse effects on the whole body system.

Treatment: Whether it is an infection or enlarged prostate or kidney stone or tumour, once the cause is identified treatment is customised accordingly. Antibiotics for the infections, laser treatment for the stones, etc. are recommended.

If you see your urine turning slightly pink in colour, talk to your doctor immediately. Identifying the underlying cause and treating it will help solve the problem of hematuria.

In case you have a concern or query you can always consult an expert & get answers to your questions!


Blood In Urine - Is It Actually Serious?

A newborn baby is always vulnerable and is dependent on parents for taking appropriate care. Following the fundamental guidelines with regard to safety, which get chalked out by a paediatrician, would make sure that a baby is completely safe and healthy.

It is important to take certain measures while feeding the baby as well. Parents need to follow certain do s and don'ts in this regard as well.

Let us take a look at some of the Do s and Don'ts while taking care and feeding of newborns: 

Do s 

Be Attentive: 

Pay close attention to your baby. Research suggests that if a parent holds, bonds and touches his or her baby, they might help promote the development of the brain. Plus there could be physical, emotional and mental growth taking place as well. 

Care From Paediatricians: 

Parents must take their child for regularly scheduled visits to the paediatricians and should get their queries solved. Do follow the recommendations of your doctor to immunize your baby at 1, 2, 4, 6, 9 and 12 months.

Care About Sleep Posture: 

Always make sure to put your baby sleep on his or her back. Moreover, a baby should sleep under a comfortable temperature by wearing light clothes.

Be Concerned About Safety Measures: 

Parents should always use a car seat while travelling with the baby in a car. Follow the instructions given by the manufacturer, while trying to strap the car seat into the car and the baby in the car seat. 

Do Get Comfortable While Feeding: 

It is important to find a very comfortable position to feed the baby. Before getting started, one must make note of the fact that there is sufficient support her back and under the baby. 

Personal Touch: 

Skin-to-skin touch should be made while feeding, as and when possible. Babies get a special feeling whenever it is done. 

Take Time: 

It is important to take time while feeding the baby. Make note of the baby's cues. Mothers can resort to singing and socializing with the baby to make the duration even more comfortable. 

Don'ts 

Now, let us briefly discuss what should not be done while taking care of and feeding the newborns. The tips include: 

Do not show your irritation on the baby, while you make him or her take their bath. 

Do not allow sick people to come close or touch your baby as they would be susceptible to catching infections. 

Do not get the baby s bottles heated in a microwave. Do not feed your baby in a noisy and chaotic place. 

Do not allow the baby to fall off to sleep while you are feeding. Never let your baby sleep on the stomach as there would be a risk of Sudden Infant Death Syndrome. 

 Newborn Care  & Feeding - Do's & Dont's Of Them!

The disruption of the normal female cycles of menstruation and ovulation after the age of 45 and the loss of her ability to conceive naturally is known as menopause. The associated symptoms of menopause are heat flushes, insomnia, weight gain, depression, nausea and fatigue. While hormone replacement therapy is the most common procedure to provide relief from menopausal symptoms, natural homeopathic remedies can also be used for the same. These remedies are completely safe as opposed to hormone replacement therapy which has a number of side effects. The following homeopathic medicines and remedies can be used to treat menopause:

1. A balanced diet which provides you with optimal nutrition can be helpful in treating menopausal symptoms. When you get enough vitamins and minerals, the physical discomfort caused by the symptoms can be reduced greatly.

2. Phosphorus can help with migraines, extreme sweating, numb hands, fast pulse, memory problems and dry and itchy skin. Foods high in phosphorus content are meat, fish, cheese, nuts and seeds of pumpkins, sunflowers etc.

3.  Excessive deposition of fat can interfere with the hormonal cycles and cause imbalances in the level of estrogen and progesterone. So, regular yoga and exercise can be helpful.

4.  Amylenum nitrosum can provide relief from profuse sweating, shortness of breath and palpitations.

5. Phytoestrogen or dietary estrogen is a compound found in foods such as soybeans, oats, barley, carrots, fenugreek, rice etc. Phytoestrogen can provide natural relief from menopausal symptoms.

6. Aurum metallicum is used to get the tissues and organs to function normally again and control feelings of anxiety and claustrophobia.

7. Aconitum napellus (wolf's bane) is a flowering plant and its extracts can reduce panic attacks, heat flushes, over excitability and depressive symptoms.

8. Argentum nitricum is a nitrate compound of silver which is used to control excessive bleeding in the pre-menstrual stages.

9. Belladonna (deadly nightshade) is beneficial for a large number of symptoms such as headaches, fatigue, insomnia, frequent urination, osteoporosis, abnormal weight gain and other nervous disorders.

10. Bryonia alba, a flowering plant, is used as a remedy for vaginal infections, rashes and vaginal dryness that are common during menopause.

11. Natrum muriaticum, in small amounts, helps to reduce stress. Stress can cause problems in thyroid function, cognitive functioning, digestive system functioning and it can elevate blood pressure levels rapidly.

12. Nux vomica (strychnine) is a common homeopathic medicine for nausea, vomiting and indigestion. These problems are seen frequently in menopausal women, especially after meals at night.

Menopause and Homeopathy

Vaginismus is a condition where vaginal contractions and squeezes may be caused due to pain during intercourse or due to the insertion of objects like tampons. This mildly uncomfortable condition is also characterised by spams and other symptoms like the feeling of coming up against a thick wall which can cause pain. This may be due to a variety of reasons starting from infections to anxiety. To a large extent, the treatment of this condition depends on the cause. Following are the various ways in which this condition can be treated.

    Sex Therapy: A sexologist or an expert who specialises in psychosexual medicine can help in treating this condition by conducting a series of counselling sessions where psychoanalysis will help in understanding and unravelling the cause of the condition. This may be followed by CBT or cognitive behavioural therapy. This kind of therapy usually helps in reprogramming the brain after the root cause for the condition is known. 
    Exercises: During sex therapy, the doctor may also teach you various kinds of exercises and vaginal trainers that can help you in strengthening the pelvic floor and relaxing the muscles as well. These vaginal trainers are especially helpful in equipping you suitably so that you can relax your vagina and let the insertion happen. Vaginal trainers consist of four smooth balls of plastic which can be inserted with the help of lubricants to help in stretching the vagina. 
    Relaxation: Getting yourself to relax is also a matter of exploration and touching, which can help you understand the kind of touch and the exact areas that make you tense. During sex therapy, you may be taught a technique known as progressive relaxation. This mode includes tensing and relaxing your muscles as you explore by inserting a finger. 
    Sensate Focus: This is a part of sex therapy and involves your partner. In this method, you will be asked to abstain from sex and touch each other without going to the genitals and other private parts. This will help in better arousal and sexual stimulation.
    Surgery: The last option for treating a very severe form of this condition is to put the patient through surgery which will seek to remove endometriosis, as these growths in the womb's lining can cause a lot of pain during intercourse. Also, vaginal enlargement surgery can be carried out with the help of episiotomy. 

This kind of procedure usually helps in fixing the scar tissue that may have been left from a previous procedure, which can restrict or block the vaginal path. Getting help at the right time for this condition is of great importance so as to have a normal sex life.

How to Treat Vaginismus

Emergency is helpful in preventing pregnancies post unprotected sexual activity. It can be used in case of contraceptive failure, in case of sexual assault, incorrect use of contraceptives and unprotected sex.

Emergency contraception can be done by three methods. These are emergency contraceptive pills, combined oral contraceptive pills and copper intrauterine devices.



The copper IUD is considered to be one of the most effective forms of emergency contraception, when it is inserted within 5 days of unprotected sexual activity.

However, the emergency contraceptive pill regimen as per WHO is:

1 dose of levonorgestrel 1.5 mg, or 1 dose of ulipristal 30 mg, taken within 5 days (120 hours) of unprotected intercourse

The Yuzpe regimen which consists of 2 doses of combined oral contraceptive pills

What is Emergency Contraception?

Emergency contraception is usually referred to as the contraception which is used to prevent a pregnancy within the first 5 days after an unprotected sexual activity. It is used post failures of contraception, coerced unprotected sex, rape or misuse of contraception.

Emergency contraception is only effective in the first few days after an intercourse and before the egg has released from the ovary, and before there is fertilization between the egg and the sperm. The emergency contraception can do no harm to an interrupted pregnancy and a developing embryo.

Who needs emergency contraception?

Any girl or woman who is at her reproductive age might need an emergency contraception in case of an unprotected sexual intercourse.

Uses
1 Breakage , slippage or displacement of barrier methods 
2. Three or more missed OCPills for more than 12 hours 
3. Missed Mini pill for more than 3 hours 
4. Missed Desoestrel pills for more than 12 hours 
5. DMPA injections taken more than 2 weeks late 
6. Miscalculated dates of last period and present ovulation side effects 
These are meant only for emergency contraception and NOT AS A REGULAR CONTRACEPTIVE. It involves pumping of a hormone inside your body at levels which are 5 times higher than normal. hence excessive and unnecessary use may cause irregularity in the period cycles and an adverse effect on the menstrual health over a period of time. Ideally it should be taken under guided medical supervision.


In what situations should emergency contraception be used?

Emergency contraception can be used after a sexual intercourse. These include:

In case of no use of contraceptives

If it is a case of rape or coerced sex, where the woman was not protected

When there is a contraceptive failure, like

breakage

incorrect use or slippage

OCPILLS,

mini pills

DMPA

3 or more missed combined oral contraceptives, progestogen-only pill (minipill) taken more than 3 hours late, desogestrel-containing pill 12 hours or more, norethisterone enanthate (NET-EN) progestogen-only injection taken more than 2 weeks late

Delay in placing or dislodgement or early removal of the skin patch or the hormonal ring

Breaking, dislodgement, tearing or early removal of cervical cap or diaphragm

Failure of withdrawal that is ejaculation the external genitalia or vagina

The spermicide tablet failure

Miscalculating the periods, failure from using a barrier on the fertile days

Expulsion of an intrauterine contraceptive device (IUD)

Methods of Emergency Contraception:

There are three emergency contraception methods:

Copper-bearing intrauterine devices (IUDs)

Emergency contraception pills (ECPs)

Combined oral contraceptive pills or the Yuzpe method



Safety of Emergency Contraception

Gonorrhoea is transmitted infection caused when people come in a physically intimate contact. It can affect both male and female. The most vulnerable organs that are susceptible to gonorrhoea infection include rectum, urethra, and throat. In females, gonorrhoea might affect the cervix as well. Since the infection spreads from having sex, there are wide chances that the baby gets affected too. Although there could be no visible symptoms of gonorrhoea, early detection and treatment increase the chances of a permanent cure.

How does gonorrhoea affect the sexual life?
Once a person gets affected, gonorrhoea may wreak havoc on the sex life of both a male and female. In males, there could be swelling and pain in one testicle leading to difficulty in having sex. Additionally, urination after sex becomes painful. There could be a pus-like discharge from the penis thereby completely obstructing the chances of sex.

In females, there could be abdominal pain during the intercourse. Intercourse itself could be extremely painful. Apart from this, the urination after sex could be very painful. Additionally, there are chances of vaginal discharge after sex. There are high chances of vaginal bleeding after sex followed by itching of the anus. If the bacteria are very active, lymph nodes of the throat getting swollen after oral sex.

The treatment plan for gonorrhoea in adults

Adults infected with the gonorrhoea bacteria are treated with antibiotics. Since gonorrhoea bacteria are increasingly becoming drug-resistant, doctors treat the patient with an antibiotic known as Ceftriaxone in the form of injection.
In addition to this, two antibiotics that are prescribed to be taken in the oral form include Doxycycline and Azithromycin. There are some studies which revealed that injectable Gentamicin along with oral Azithromycin is a successful combination that can treat gonorrhoea. Furthermore, this combination proves to be highly successful in treating patients who are allergic to cephalosporin-based antibiotics.
In addition to the treatment of the infected patient, the partner should also be thoroughly checked for symptoms of gonorrhoea treatment even if there exist no symptoms of the disease as such. There is a high likelihood of one partner getting infected in case the other one is infected.
If a baby gets infected with gonorrhea in the womb, he/she should get immediate eye medication to ensure that there no loss of vision when he/she is born. Babies should also get a dosage of antibiotics.
Some basic hygiene such as not having sex during the course of the treatment, use of protection during sex, avoiding oral sex, avoiding sex with multiple partners etc. should be followed.
Regular consultation with the doctor is necessary till the condition gets cured for good. 

Gonorrhea - How It Is Affecting Your Sexual Life?

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