Doctors in Janaki Hospital
Management of Abortion
Caesarean Section Procedure
Treatment of Migraine Treatment
Treatment Of Female Sexual Problems
Weight Management Treatment
Cysts Removal Procedure
Termination Of Pregnancy Procedure
Kidney Stones Treatment
Treatment of Child and Adolescent Problems
Treatment Of Pregnancy Problems
Submit a review for Janaki HospitalYour feedback matters!
An inguinal hernia occurs when tissue, such as part of the intestine, protrudes through a weak spot in the abdominal muscles. The resulting bulge can be painful, especially when you cough, bend over or lift a heavy object. An inguinal hernia isn’t necessarily dangerous. It doesn’t improve on its own, however, and can lead to life-threatening complications. Your doctor is likely to recommend surgery to fix an inguinal hernia that’s painful or enlarging. Inguinal hernia repair is a common surgical procedure.
Inguinal hernia signs and symptoms include:
- A bulge in the area on either side of your pubic bone, which becomes more obvious when you’re upright, especially if you cough or strain
- A burning or aching sensation at the bulge
- Pain or discomfort in your groin, especially when bending over, coughing or lifting
- A heavy or dragging sensation in your groin
- Weakness or pressure in your groin
- Occasionally, pain and swelling around the testicles when the protruding intestine descends into the scrotum
If you aren’t able to push a hernia in, the contents of a hernia can be trapped (incarcerated) in the abdominal wall. An incarcerated hernia can become strangulated, which cuts off the blood flow to the tissue that’s trapped. A strangulated hernia can be life-threatening if it isn’t treated.
Signs and symptoms of a strangulated hernia include:
- Nausea, vomiting or both
- Sudden pain that quickly intensifies
- A hernia bulge that turns red, purple or dark
- Inability to move your bowels or pass gas
Signs and symptoms in children-
Inguinal hernias in newborns and children result from a weakness in the abdominal wall that’s present at birth. Sometimes the hernia will be visible only when an infant is crying, coughing or straining during a bowel movement. He or she might be irritable and have less appetite than usual.
In an older child, a hernia is likely to be more apparent when the child coughs, strains during a bowel movement or stands for a long period.
Some inguinal hernias have no apparent cause. Others might occur as a result of:
- Increased pressure within the abdomen
- A pre-existing weak spot in the abdominal wall
- A combination of increased pressure within the abdomen and a pre-existing weak spot in the abdominal wall
- Straining during bowel movements or urination
- Strenuous activity
- Chronic coughing or sneezing
Factors that contribute to developing an inguinal hernia include:
- Being male. Men are eight times more likely to develop an inguinal hernia than are women.
- Being older. Muscles weaken as you age.
- Being white.
- Family history. You have a close relative, such as a parent or sibling, who has the condition.
- A chronic cough, such as smoking.
- Chronic constipation. Constipation causes straining during bowel movements.
- Pregnancy. Being pregnant can weaken the abdominal muscles and cause increased pressure inside your abdomen.
- Premature birth and low birth weight.
- Previous inguinal hernia or hernia repair. Even if your previous hernia occurred in childhood, you’re at higher risk of developing another inguinal hernia.
Complications of an inguinal hernia include:
- Pressure on surrounding tissues- Most inguinal hernias enlarges over time if not repaired surgically. In men, large hernias can extend into the scrotum, causing pain and swelling.
- Incarcerated hernia- If the contents of a hernia become trapped in the weak point in the abdominal wall, it can obstruct the bowel, leading to severe pain, nausea, vomiting, and the inability to have a bowel movement or pass gas.
- Strangulation- An incarcerated hernia can cut off blood flow to part of your intestine. Strangulation can lead to the death of the affected bowel tissue. A strangulated hernia is life-threatening and requires immediate surgery.
- Open hernia repair- In this procedure, which might be done with local anesthesia and sedation or general anesthesia, the surgeon makes an incision in your groin and pushes the protruding tissue back into your abdomen. The surgeon then sews the weakened area, often reinforcing it with a synthetic mesh (hernioplasty). The opening is then closed with stitches, staples or surgical glue. After the surgery, you’ll be encouraged to move about as soon as possible, but it might be several weeks before you’re able to resume normal activities.
- Laparoscopy- In this minimally invasive procedure, which requires general anesthesia, the surgeon operates through several small incisions in your abdomen. Gas is used to inflate your abdomen to make the internal organs easier to see. A small tube equipped with a tiny camera (laparoscope) is inserted into one incision. Guided by the camera, the surgeon inserts tiny instruments through other incisions to repair a hernia using synthetic mesh. People who have laparoscopic repair might have less discomfort and scarring after surgery and a quicker return to normal activities. However, some studies indicate that hernia recurrence is more likely with laparoscopic repair than with open surgery.
Tips to Prevent the Spread of HIV-
- Sex with protection (condom)
- No multiple partners (sex partners)
- Avoid intercourse with sex workers especially unprotected.
- Avoid unprotected sexual intercourse at massage parlors.
- Avoid intercourse with anonymous that too without protection.
- Avoid bisexual activities.
Stay in a healthy and faithful relationship with your partner.
Diagnosis of depression starts with a consultation with a doctor or mental health specialist. It is important to seek the help of a health professional to rule out different causes of depression, ensure an accurate differential diagnosis, and secure safe and effective treatment.
Many infections can be caused due to high-risk sexual behavior. These are known as'sexually transmitted infection (STI). These can be bacterial viral parasitic commonly.
Among many infections, only two are preventable by use of vaccines, HPV (Human Papilloma Virus) and Hepatitis B Virus. It is best to take them before the onset of sexual activity. However, something is better than nothing. So even after the start of sexual life, one can get these. Both vaccines have three injections in the first 6 months.
Piles, Pilonidal sinus and fissures are all ano-rectal diseases which cause tremendous pain and discomfort. Anal fissure or anal fistula is also popularly called fissure-in-ano. It is a disorder in which a tear develops in the skin which lines the anal opening.
Causes of anal fistula-
- Hard, dry movement of the bowels
- Severe constipation
- Chronic diarrhoea which causes excessive friction in the anal area
Symptoms of anal fistula-
- Pain during passage of stool
- Bleeding during bowel movement
- Discomfort during passage of stool including cramps
- Issues while passing urine
- Itchiness in the anal area
Kshar Sutra Treatment for Anal Fissures:
Anal fistula is quite painful and is often wrongly diagnosed as piles. This makes the treatment even more time consuming and less effective. Allopathic treatment involves surgery and drying of the wound. The chances of re-appearance of fissures are high in case of surgery. Ayurveda provides a less painful and more effective cure for fistula. Ayurveda has prescribed kshar sutra treatment for different ano-rectal disorders including anal fissures.
How does kshar sutra treatment work?
Kshar sutra is a para-surgical treatment in which a medicinal thread is used to not only remove the infection but also to heal the wound by promoting growth of healthy tissues. Ayurvedic Kshar sutra treatment for fistula includes the following steps-
- Preparation of the Kshar sutra or the medicinal thread by coating it with medicinal herbs.
- Physical examination of the fistula to identify its location and extent.
- A small cut or incision is made through which the medical thread is introduced into the problem area.
- The medicine on the thread heals the infection and promotes growth of healthy cells.
Ayurveda promotes an all round treatment of the disorder to prevent its reoccurrence. Fissures can be easily cured using kshar sutra. But, along with it, Ayurveda also suggests a healthy, wholesome diet to make the passage of stool easier and pain free.
Infertility refers to being able to get pregnant after one year of trying. Women who can get pregnant but are unable to stay pregnant are also termed as infertile. Ovulatory disorders are one of the most common reasons why women are unable to conceive and is presen in 30% of women suffering from infertility.
- Hormonal problems: Ovulation is linked with a complex balance of hormones and any disruption in the process can hinder ovulation. The disruption includes the fact that the ovaries are not producing normal follicles in which the eggs can mature. Ovulation is rare if the eggs are immature and there are no chances of fertilization. Polycystic ovary syndrome is the most common disorder responsible for infertility. Malfunction of the hypothalamus leading to failure in triggering hormonal stimulus to ovaries for egg maturation leading to immature eggs and ovarian failure. Malfunction of the pituitary gland leading to imbalance in hormonal secretion thus causing disturbance in ovulation. This can occur due to physical injury, a tumour or a chemical imbalance in the pituitary.
- Scarred ovaries: Ovulation failure can also be due to a physical damage to the ovaries. Invasive surgeries involving ovarian cysts leads to damaging or scarring of capsule of the ovary to become due to which follicles cannot mature leading to disruption of ovulation.
- Premature menopause: Early menopause or premature menopause before the normal age means that the natural supply of eggs has been depleted. This is most common in extremely athletic women with a history of low body weight and extensive exercise.
- Follicle problems: Infertility is also caused due to non-ruptured follicle syndrome in which women who produce a normal follicle, with an egg inside of it, every month but the follicle fails to rupture. This leads to disruption of ovulation as the egg remains inside the ovary.
- Others: Treating female infertility by chemotherapy is next to premature ovarian failure by loss of primordial follicles. Sexually transmitted infections are a leading cause of infertility. Tobacco smoking is detrimental to the ovaries and the amount of damage is dependent upon the amount and length of time of exposure of smoke in the environment. Nicotine in cigarettes interfere with the body’s ability to create oestrogen, a hormone that regulates ovulation. In addition, blocked fallopian tubes due to pelvic inflammatory disease or surgery for an ectopic pregnancy also causes infertility. Infertility can also be due to physical problems with the uterus or fibroids of uterus where non-cancerous clumps of tissue and muscle on the walls of the uterus.
Nature calls are to be attended to, no doubt, but when it is a fart, most feel embarrassed. On an average, humans fart fourteen times a day which they generally either control or excuse themselves, but helpless when the farts come out at night.
People may seek medications to control farts, but the reality is that these medications do not work. Many people also consider using butt strips which are said to open up the anal canal, but they are extremely dangerous as they can pave the way for anal inflammation and may lead to severe health complications.
What causes night farts?
During sleep, the body relaxes entirely, and it lets go of all its tensions, and one of the ways it does this is by releasing farts. The reason behind regular farts is consumption of air while eating foods. This air comprises of different types of gases, which reacts with the other gases during the process of chemical breakdown and digestion. Since the gases cannot rest inside the body, they come out in the form of farts. People tend to fart while asleep because all the muscles relax during sleep and the pubococcygeus muscle is no exception to this. Though it is a common health problem and can create a lot of issues in the personal life.
How to get rid of excessive farting during the night?
- Diet: Diet plays a critical part in determining how much gas is formed inside our bellies. There are some foods which are known for causing more gas than others including prunes, peas, broccoli, onions, garlic, bananas, leafy vegetables like cabbages, and various fried foods. All of these foods contain high level of fiber, which causes flatulence levels to skyrocket. If you are lactose intolerant, then dairy products are bound to cause more gas in your tummy which is expelled at night. Eating right before going to the bed leads to the excessive stimulation of the digestive system which causes the gas to come out through the rear end. You should try to quit eating any solid foods at least four hours before sleep.
- Do not hold your fart: Another important tip to reduce night farts is to fart through the day. Even though this may sound absurd, many people tend to hold their farts because of their shame without understanding that it may lead to health issues.
- Do not sleep on your stomach: If you are already suffering from night farts, you should avoid sleeping on your belly. This position would invariably press the gases and compel them to come out.
- Plenty of water helps: It may sound like a no-brainer, but drinking an adequate amount of water throughout the day will not just eliminate the bacteria, but also reduce the problem of night farts but settling down the gases.
Farts, though embarrassing, are common. Following the tips mentioned can help you get rid of them. If you can’t, don’t bother. Just let go!
A menstrual cup is a flexible cup designed out of medical grade silicone or rubber, which can be inserted inside the vagina. It is not used for absorbing blood; rather it collects the menstrual blood.
Advantages of menstrual cups over tampons
- Tampons are disposable. Menstrual cups can be cleaned, rinsed and reused.
- Need not be changed after every few hours. One can go without changing a menstrual cup for more than 12 hours.
- Easier to use compared to a tampon. The insertion is smoother and it is generally not very uncomfortable if insertion is done correctly.
- The menstrual cups need not be replaced frequently. Tampons however are needed in large numbers every month.
- Tampons absorb almost all the vaginal fluid, leaving it dry and prone to irritation. Menstrual cups on the other hand, leave the beneficial bacteria in place and maintain vaginal pH.
- Menstrual cups help prevent menstrual odours as it is present internally.
Reasons why you should use menstrual cups
Menstrual cups rarely cause allergic reactions, unlike tampons. One menstrual cup lasts an entire day, month and even years. They are also the most environment friendly choice as there is no need to dispose them after every use. They prevent staining, leakage and do not increase muscle cramps. There is no risk of TSS (Toxic Shock Syndrome) from menstrual cups, which is a major risk from leaving tampons inside the body for too many hours. Menstrual cups are also helpful if you are a swimmer. They don’t make things difficult for you at all. Menstrual cups are made from 100% medically approved silicone and not cotton or rayon. If you are unable to use tampons, you may choose menstrual cups as the insertion is generally smoother. However, it completely depends on individual preference. Menstrual cups also reduce the bulk of having to carry like sanitary napkins during travel, and urgent needs to change. Thus it makes a long journey worry free. No matter what protective measures you take, remember to be comfortable. Try and maintain a diet rich in nutrients, that can help regulate the blood flow and prevent painful blood clots. Also, it is important to remain physically active to prevent muscle cramps and back pain.