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Treatment Of Acne/Pimples
Weight Loss Treatment
Treatment of Headaches
Treatment of Fever
Treatment of Hair Fall
Treatment of Red Eyes
Treatment of Pain
Treatment of Masturbation Addiction
Treatment of Hair Loss
Treatment & Management of Cold
Treatment of Stomach Pain
Treatment of Body Weakness
Treatment of Female Hair Loss
Treatment of Dandruff
Prevention & Treatment of Diabetes
Treatment of Itching
Treatment of Greying Hair
Treatment of Sleeping Problems
Treatment of Erection Problems
Treatment Of Acne Scars
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Painful intercourse can occur for a number of reasons – ranging from structural problems to psychological concerns. Women experience painful intercourse atleast once in their entire lifetime. The medical term for painful intercourse is dyspareunia. It is a persistent or recurrent genital pain that occurs just before, during or after intercourse. Physical causes of painful intercourse differ, depending on whether the pain occurs at entry or with deep thrusting. Also, certain emotional factors can also be probable causes of painful sex.
Entry pain: Pain during penetration may be associated with a range of factors:
1. Insufficient lubrication
Insufficient lubrication is caused by a drop in estrogen levels after menopause, after child birth or during breast feeding. Certain medications inhibit desire or arousal, decreasing lubrication and making sex painful. These include antidepressants, high blood pressure medications, sedatives and certain birth control pills.
2. Injury, trauma or irritation
This can be injury from an accident, pelvic surgery, female circumcision or cut made during childbirth.
3. Infection or skin disorder
Infection in the genital area or urinary tract can cause painful intercourse. Eczema or other skin problems in the genital area can also cause problem.
1. Certain illness and condition
These include endometriosis, pelvic inflammatory disease, uterine prolapse, retroverted uterus, cystitis, hemorrhoids and ovarian cysts.
2. Surgeries or medical treatment
Scarring from pelvic surgery can sometimes cause painful intercourse. Medical treatments for cancer, like radiation and chemotherapy can cause changes that make sex painful.
1. Psychological problems
Anxiety, depression, concerns about physical appearance, fear of intimacy can contribute to a low level of arousal, resulting in discomfort or pain during sexual activity.
2. Stress and tension
You may have a million things to worry about in a day, but taking that tension to bed with you can lead to painful sex. Your pelvic floor muscle tightens in response to stress in your life. This can contribute to pain during intercourse.
3. History of sexual abuse
If you've had a history of some form of sexual abuse or are scared of sex, pain during intercourse because of your past experience(s) may be a possible cause for an unpleasant sexual experience in the present. If you wish to discuss about any specific problem, you can consult a gynaecologist.
Diabetes alters the metabolism and functioning of almost entire body system. The most important targets are the circulatory and nervous system, leading to peripheral vascular disease and neuropathy. Diabetic foot is the result of a combination of these two factors in the feet – altered/reduced blood flow to the feet combined with reduced sensation.
- Neuropathy: When the sugar levels are poorly controlled, then the nerves in the legs are damaged, leading to reduced or absence of sensation. The patient cannot feel pain/heat/cold. Sensory neuropathy causes loss of protective sennsation leaving the foot at risk to repetative unnoticed trauma.
- Peripheral vascular disease: The blood vessels which are away from the heart are affected, leading to poor blood flow from the legs to the heart. Proper blood flow is essential for overall health, and when this is affected, the peripheral foot health is affected.
Some of the common foot problems encountered in diabetics are listed below:
- Fungal infections: Whether a person wears shoes regularly or not, they become more prone to fungal infections. The nails become discoloured, brittle, and break off. They are difficult to treat and may require oral medications.
- Ulcers: Diabetic ulcers are very common. The combined effect of reduced sensation and reduced blood flow leads to ulcers, which are not painful (due to lack of sensation) and therefore are ignored and not treated promptly. They can progress and become severe, even sometimes leading to amputation. Fungal ulcer are most common in between toes and in creases of a diabetic patients
- Corns: Diabetics are more prone to develop corns which are thick masses of skin near the bony area of a toe. This could be in areas where the shoes rub against the toes or between the toes where there is a lot of friction. Home care includes smoothing it with a pumice stone. The person should not try to remove them on their own. Warts, bunions, ingrown toenails, hammertoes, etc., are also very common in diabetics.
- The first and most important step is to monitor and regulate the blood sugar levels within ranges ideal for you.
- Warm water to be used for washing feet, and then to be dried well, to not leave a moist area between toes
- Regular feet care to check for blisters, ulcers, wounds, etc.
- Check toenails for overall health
- Preferably wear closed toe shoes
- Wear stockings or socks and shoes that fit well
- Moisturise the skin well to avoid drying
- Avoid exposing feet to extreme weather
- Quit smoking
- Ensure blood flow is maintained by not standing or sitting for prolonged periods and with regular exercise
If you wish to discuss about any specific problem, you can consult a doctor.
1. What is a Pacemaker?
Pacemaker is a small battery operated device that can be used to keep the heart beating when the normal electrical conduction of heart becomes diseased. It consists of one pulse generator which contains the battery as well as software and is implanted under muscle or skin under the shoulder. And wires which are connected to the heart and act as electrical wires for conduction.
2. What are the types of pacemakers?
There are many types of pacemakers available today.
- Temporary Pacemakers - these are used temporarily when there is a reversible cause of disease or as a bridge before the permanent pacemaker can be implanted.
- Permanent pacemakers - these are small devices which can be implanted permanently in the body by making a small cut in the body. They are available in many different types.
- Capsules pacemakers - These are small capsule shaped devices which can be put in heart and control the conduction from there.
3. What are the different types of permanent pacemakers?
Many varieties of Permanent pacemakers are available in the market and are advised depending on the type of disease. The cost varies depending on the type and models. Single chamber pacemakers - which pace only one chamber of the heart. requiring only one wire. Dual chamber pacemakers - which pace both chambers of the heart and require two wires. MRI compatible version of all these pacemakers are now available as well.
4. How is pacemaker implanted in the body?
The procedure is done with local anaesthesia, in a cath-lab and can take 2-3 hrs. A small cut is put under the shoulder and the device is put beneath the muscle plane. The cut is then stitched and dressing is done. The stitches are cut or dissolve (if dissolvable sutures are used) in 5-10 days and the patient is discharged the next day after implantation on some pain killers and antibiotics. A small 5 cm scar can be seen at the implant site, and in case sutures are done by a plastic surgeon even that may not be visible.
5. Can I do normal activities after getting a pacemaker implanted?
Yes. The patient can walk and travel right from the next day after the procedure. There are few precautions that are advised for a month and after that you can do all of your routine normal activities. You can use electrical equipments, microwaves, phones etc. In fact people play tennis, do swimming and other sports after pacemaker. You will be provided with a list of precautions post procedure. And will need to get routine follow up every 3-6 months with your cardiologist for checking of device parameters and battery life.
When the battery of device becomes low the cardiologist will advice you for a pulse generator replacement. In case you have a concern or query you can always consult an expert & get answers to your questions!