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Management of Abortion
Caesarean Section Procedure
Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
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Treatment Of Female Sexual Problems
Treatment Of Medical Diseases In Pregnancy
Treatment Of Menstrual Problems
Intra-Uterine Insemination (IUI) Treatment
Medical Termination Of Pregnancy (Mtp) Procedure
Gynecology Laparoscopy Procedures
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My friend is suffering from irregular discharge of white sperm like liquid, n sometimes she feel pain while urinate, which medicine she should tak.
I am having problem in my vagina as well as in anus. Itching, irritation, rashes and cyst. All this things are very painful. please suggest me should I consult either to a gynecologist or physician?
Hi dr, I have pcod and I am bleeding from last 2 weeks. Taken 15 tabs of pause mf till now but bleeding is not stopping. Please let me know wht should I do regards,
Muje operation se 1 nov ko boy hua h or 13 ko stitches cut hue. Can you pls suggest the diet or food which I eat. Kya kya kha skti hu me baby ko healthy rkhne k lie. Jisse use loose motion b na ho or cold b na ho aise healthy foods suggest kijie pls. And should I take multivitamins after delivery. Hair fall na ho uske lie kya krna chahie. Or operation k bad yoga and Jumba kbse start kr skte h. And when we start relationship with husband after delivery from operation.
It can reduce your risk of major illnesses, such as heart disease, stroke, type 2 diabetes and cancer by up to 50% and lower your risk of early death by up to 30%.
It’s free, easy to take, has an immediate effect and you don’t need a GP to get some. Its name? Exercise.
Click on the links below to find out if you're doing enough for your age:
early childhood (under five years old)
young people (five to 18 years old)
adults (19 to 64 years old)
older adults (65 and over)
Exercise is the miracle cure we’ve always had, but for too long we’ve neglected to take our recommended dose. Our health is now suffering as a consequence.
This is no snake oil. Whatever your age, there's strong scientific evidence that being physically active can help you lead a healthier and even happier life.
People who do regular activity have a lower risk of many chronic diseases, such as heart disease, type 2 diabetes, stroke, and some cancers.
Research shows that physical activity can also boost self-esteem, mood, sleep quality and energy, as well as reducing your risk of stress, depression, dementia and Alzheimer’s disease.
“If exercise were a pill, it would be one of the most cost-effective drugs ever invented,” says Dr Nick Cavill, a health promotion consultant.
Given the overwhelming evidence, it seems obvious that we should all be physically active. It's essential if you want to live a healthy and fulfilling life into old age.
It's medically proven that people who do regular physical activity have:
up to a 35% lower risk of coronary heart disease and stroke
up to a 50% lower risk of type 2 diabetes
up to a 50% lower risk of colon cancer
up to a 20% lower risk of breast cancer
a 30% lower risk of early death
up to an 83% lower risk of osteoarthritis
up to a 68% lower risk of hip fracture
a 30% lower risk of falls (among older adults)
up to a 30% lower risk of depression
up to a 30% lower risk of dementia
A modern problem
People are less active nowadays, partly because technology has made our lives easier. We drive cars or take public transport. Machines wash our clothes. We entertain ourselves in front of a TV or computer screen. Fewer people are doing manual work, and most of us have jobs that involve little physical effort. Work, house chores, shopping and other necessary activities are far less demanding than for previous generations.
We move around less and burn off less energy than people used to. Research suggests that many adults spend more than seven hours a day sitting down, at work, on transport or in their leisure time. People aged over 65 spend 10 hours or more each day sitting or lying down, making them the most sedentary age group.
Inactivity is described by the Department of Health as a “silent killer”. Evidence is emerging that sedentary behaviour, such as sitting or lying down for long periods, is bad for your health.
Not only should you try to raise your activity levels, but you should also reduce the amount of time you and your family spend sitting down.
Common examples of sedentary behaviour include watching TV, using a computer, using the car for short journeys and sitting down to read, talk or listen to music – and such behaviour is thought to increase your risk of many chronic diseases, such as heart disease, stroke and type 2 diabetes, as well as weight gain and obesity.
“Previous generations were active more naturally through work and manual labour, but today we have to find ways of integrating activity into our daily lives,” says Dr Cavill.
Whether it's limiting the time babies spend strapped in their buggies, or encouraging adults to stand up and move frequently, people of all ages need to reduce their sedentary behaviour.
“This means that each of us needs to think about increasing the types of activities that suit our lifestyle and can easily be included in our day,” says Dr Cavill.
Crucially, you can hit your weekly activity target but still be at risk of ill health if you spend the rest of the time sitting or lying down. For tips on building physical activity and exercise into your day, whatever your age, read Get active your way.
Boerhaave first described the spontaneous rupture of the esophagus in 1724. It typically occurs after forceful emesis. Boerhaave syndrome is a transmural perforation of the esophagus to be distinguished from mallory-weiss syndrome, a nontransmural esophageal tear also associated with vomiting. Because it often is associated with emesis, boerhaave syndrome usually is not truly spontaneous. However, the term is useful for distinguishing it from iatrogenic perforation, which accounts for 85-90% of cases of esophageal rupture.
Diagnosis of boerhaave syndrome can be difficult because often no classic symptoms are present and delays in presentation for medical care are common. Approximately one third of all cases of boerhaave syndrome are clinically atypical. Prompt recognition of this potentially lethal condition is vital to ensure appropriate treatment. Mediastinitis, sepsis, and shock frequently are seen late in the course of illness, which further confuses the diagnostic picture.
See can't-miss gastrointestinal diagnoses, a critical images slideshow, to help diagnose the potentially life-threatening conditions that present with gastrointestinal symptoms.
A reported mortality estimate is approximately 35%, making it the most lethal perforation of the gi tract. The best outcomes are associated with early diagnosis and definitive surgical management within 12 hours of rupture. If intervention is delayed longer than 24 hours, the mortality rate (even with surgical intervention) rises to higher than 50% and to nearly 90% after 48 hours. Left untreated, the mortality rate is close to 100%.
Esophageal rupture in boerhaave syndrome is postulated to be the result of a sudden rise in intraluminal esophageal pressure produced during vomiting, as a result of neuromuscular incoordination causing failure of the cricopharyngeus muscle to relax. The syndrome commonly is associated with overindulgence in food and/or alcohol. The most common anatomical location of the tear in boerhaave syndrome is at the left posterolateral wall of the lower third of the esophagus, 2-3 cm proximal to the gastroesophageal junction, along the longitudinal wall of the esophagus. The second most common site of rupture is in the subdiaphragmatic or upper thoracic area. [1, 2]
Although likely underreported, the incidence of boerhaave syndrome is relatively rare. A 1980 review by kish cited 300 cases in the literature worldwide.  a 1986 summary by bladergroen et al described 127 cases.  of these, 114 were diagnosed antemortem; the others were diagnosed at autopsy. Overall, boerhaave syndrome accounts for 15% of all cases of traumatic rupture or perforation of the esophagus.
Race-, sex-, and age-related demographics
Cases have been reported in all races and on virtually every continent, affecting males more commonly than females, with ratios ranging from 2: 1 to 5: 1.
Boerhaave syndrome is seen most frequently among patients aged 50-70 years. Reports suggest that 80% of all patients are middle-aged men. However, this condiction has also been described in neonates and in persons older than 90 years. Although no clear explanation exists for this, the least susceptible age group appears to be children aged 1-17 years.
Prognosis is directly contingent on early recognition and appropriate intervention. Early diagnosis of boerhaave syndrome allows prompt surgical repair. Diagnosis and surgery within 24 hours carry a 75% survival rate. This drops to approximately 50% after a 24-hour delay and approximately 10% after 48 hours.
The mortality rate is high. Esophageal perforation is the most lethal perforation of the gi tract. Survival is contingent largely upon early recognition and appropriate surgical intervention.
Overall, the mortality rate is approximately 30%. Mortality is usually due to subsequent infection, including mediastinitis, pneumonitis, pericarditis, or empyema.
Patients who undergo surgical repair within 24 hours of injury have a 70-75% chance of survival. This falls to 35-50% if surgery is delayed longer than 24 hours and to approximately 10% if delayed longer than 48 hours.
Cases of patients surviving without surgery exist but are rare enough to warrant case reports in the medical literature.
Esophageal rupture may lead to the development of septicemia, pneumomediastinum, mediastinitis, massive pleural effusion, empyema, pneumomediastinum, or subcutaneous emphysema.
If the esophageal rupture extends directly into the pleura, hydropneumothorax is expected. In adults, this occurs more commonly on the left side of the pleura. In neonates, esophageal rupture usually occurs on the right side.
After esophageal rupture, free air enters the mediastinum and also may spread to the adjacent structures, resulting in mediastinal abscess or superimposed secondary infection.
Other complications include acute respiratory distress syndrome, pneumomediastinum, pneumothorax, and hydrothorax.
Finally! It’s Diwali, the festival of lights. The festivities have already started and you have let your guard down by happily munching on sweets and festive savouries. While your cravings are satisfied, it’s a different story for your body. Calories are getting piled up with almost little exercise, unhealthy habits are playing havoc with your metabolism (know more, which food Can Jumpstart Your Metabolism). You might just see yourself 3-5 kilos heavier post Diwali.
The usual source of high calorie food during Diwali are the sweets that you eat. Laden with sugar and ghee, they are a recipe for disaster. So the question here is, how do you control the craving and keep away from calories? Follow these tips and you shall thank us later:
- Drink up: No! Not the beer. It is very important that you drink at least 2-3 liters of water regularly. Dehydration can make you crave for sweets as the body may get confused between thirst and hunger. This also means that you need to avoid carbonated beverages such as sodas and other soft drinks.
- Load up on protein: Eat protein based foods such as chickpeas and cottage cheese to fill up your protein quotient. Protein keeps your metabolism elevated and also makes you feel fuller. Try this: eat a protein rich snack before you head out as it will help reduce your appetite thus, helping you to avoid binge eating.
- Choose sweets wisely: If you must eat sweets, then make sure you don’t overindulge. Stick to one or two sweets; also pick sweets that are less sugar laden. For example; choose the rasgulla instead of the gulab jamun and squeeze the rasgulla before eating it in order to avoid the sugary juice within it.
- Smile at the sight of nuts: Nuts such as cashews and almonds contain heart healthy fats that are good for you. Keep the portion size small as they are high calorie food, eat them regularly as they promote satiety; which means your chances of gorging on sweets considerably reduce.
- Never forget to exercise: If you did not pay much heed to what you had, make sure you burn those extra calories off. Go for a run, swim or even a game of football; anything that keeps your heart rate elevated to the fat burning zone for 30-40 minutes.
- Be aware of what you eat: Being aware of what you are eating is the most important tip that you can ever get. You need to be conscious about the type of food you eat and also how much of that you consume. Eating healthy does not mean you can eat too much, as they still contain calories.
- Eat Slowly: Eat your calorie (know more how to burn Calories) laden foods slowly then you might end up eating much lesser than otherwise. Also, slow eating include better digestion, better hydration, easier weight loss or maintenance, and greater satisfaction with our meals.
My wife was pregnant and we received a baby boy so I would like to know when we can do intercourse or sex?
Dear Doctor, my wife is pregnant with 5 week of pregnancy, I want to know when we can go to CVS test (CHORIONIC VILLUS SAMPLING) to confirm about any abnormalities in the child, or any other test which we can assure that coming child is not having any structural defects or down syndrome etc.
Early to bed and early to rise, makes one healthy, wealthy and wise. We have all heard this age old adage since time immemorial. Yet, how many of us actually adhere to it? Staying up late and waking up even later has become a lifestyle problem that many of us have succumbed to. It has become common to hear people complaining that they simply cannot make it out of bed on time. This can lead to various health problems in the long run.
So what are the health advantages of rising early. Read on to find out more!
- Healthier Appetite: When you wake up early, you have given your body a six to eight hour period of fasting time, which has been recommended by doctors for ages now. This basically helps the body in asking for the right food at the right time, which creates a healthy appetite and healthy food intake as a consequence. When you wake up early, you eliminate healthy eating because you end up grabbing whatever it is that can quell the ravenous hunger that you feel after prolonged hours of sleep.
- Depression: People who wake up early are generally less prone to depression. A medical study has also shown that there are definite links between the tendency to hit the bed late and depression. It is a well known fact that a lack of routine can lead to a state of imbalance in the mind and body. This can also have an adverse effect on the hormonal balance of the person and lead to depression and mental conditions along the same lines.
- BMI: People who wake up early and work their way into the day with proper meals and eating habits tend to have a more balanced BMI. A healthy BMI is where you weight is appropriate for your height. This may differ for men and women with the same height.
- Exercise: When you wake up late, you actually have that much more of catching up to do, which can lead to grogginess and sudden jerks to the nerves and neurotransmitters as well as the signals that they emanate. All this has a profound effect on the amount of time that we allot for other activities like exercise, which can help one destress even as it keeps us healthy.
From being more sedentary to leading a lifestyle where eating right is the last priority, the lives of those who wake up late seems to be bereft of a proper life rhythm. Waking up early leaves people with the energy to pursue a little bit of everything for a balanced day and life, in the long run.
I am 15 years girl my periods came on 5th may and ended on 8th may and now it came on 31st may? Why it came on 31st.
Me and my girlfriend had sexual intercourse. She asked me to ejaculate inside her. I did it. Now she is asking for a birth control pill. Can you suggest some cheap and effective one? She is also complaining she gets the urge to pee frequently. Is this some side effect?
I am 22 years old female. At 13 years puberty starts but from 15 years old I have irrigular menstruation. The first day of it hurts so much seems like I can't breath, perspiration covers me, period cramps, I can't stay calmly, it doesn't flow out unless I go toilet and sit down. What is happened ?
My wife is two months pregnant. What are the things she must always remember till delivery the foods she must eat n avoid.
Hlo I am feeding mother now I am again pregnant kya mai apne pehle bche ki feed continue rakh skti hu apni pregnancy k doran.
Muje 15 may ko mc hue thi or5 june ko sex kiya to kya meri pregnancy possible haii muje july me bhi tk mc nai aye kya main pregnant hu.
Fibromyalgia is a disorder that causes widespread body pain along with sleep deficits, memory loss, mood problems and fatigue. Symptoms may be triggered after a surgery, physical trauma, infection, or stress. Women are much more vulnerable to this disease than men. Many people affected with fibromyalgia may have suffered from headaches, backaches, depression, anxiety, tension, temporomandibular joint
disorders and irritable bowel syndrome. Most of these patients have undergone multiple consultation with various doctors and undergone many tests, but no diagnosis could be made. These patients are often ignored by doctors and family members as always "complaining of pain".
Symptoms of Fibromyalgia:
- Extensive Pain: Pain related to fibromyalgia is often depicted as a dull pain that lasts for at least three months. Pain can involve any body part like back,neck, chest, arms, legs. Patients have pain in multiple areas of body and painful areas change over time.
- Fatigue: Patients afflicted with this disorder feel tired even after sleep. Such people are reported to sleep for longer hours than normal people, but their sleep often gets disrupted due to sleep apnoea and restless leg syndrome.
- Cognitive Difficulties: These patients find it difficult to concentrate at work and also suffer from memory deficits in daily activities.
- Other Symptoms: These patients may also have symptoms like burning urination, urgency of urination, numbness,loss of appetite, tingling sensation,diarrhoea, constipation, tinnitus, depression etc
Diagnosis of fibromyalgia:
There are no specific test to diagnose fibromyalgia. Diagnosis is made by a doctor specialised in Pain Medicine using clinical methods based on symptoms and examination. Blood tests like Haemogram, Thyroid function test, RA Factor, ESR are done to rule out other diseases which can cause similar symptoms.
Treatment of Fibromyalgia:
- First step in treating these patients is to accept their problem and discuss with patient and family members regarding the presence of such disease entity.
- Lifestyle changes like active involvement in cardiovascular exercises, swimming, yoga, meditation are important to control symptoms.
- Conventional painkillers do not work in these patients. They requires special medications prescribed by a Pain Specialist for control of symptoms.
- Counselling of patient is beneficial for associated depression.