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Management of Surrogacy
Caesarean Section Procedure
Treatment of Gynae Problems
Gynecology Laparoscopy Procedures
Treatment Of Female Sexual Problems
Treatment Of Menopause Related Issues
Treatment Of Menstrual Problems
Treatment of Mirena (Hormonal Iud)
Pap Smear Procedure
Polycystic Ovary Syndrome Treatment
Treatment of Uterine Bleeding
Antenatal And Postnatal Exercise
Management of Postnatal Care
Adiana System Treatment
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Me and my gf are 20 years old. We had protected sex and she also took an emergency contraception pill after 2 hours. This was in January. However, for the past 2 months, she's having very little, next to none, bleeding. She bled very little once every 20 days. Worried if its a symptom of pregnancy.
Self-monitoring of blood glucose (smbg) is very crucial for those diabetics who are on insulin or on certain oral anti-diabetic drugs which can cause hypoglycemia. To achieve best glycemic control it is essential to know how your daily blood glucose levels are fluctuating in an entire day.
It is easier for a diabetes specialist to adjust drugs or to adjust insulin dose if good smbg record is maintained by the patient.
Normally we check fasting and 2 hr post prandial blood sugar levels in the lab for routine follow-up. There is a bright chance of sugar excursions in the other post meal readings which get unnoticed. Even in case of hba1c or glycated hemoglobin test we get an average result of blood glucose of last 3 months.
In practice, I have seen several patients who had to fast and post prandial blood glucose lab tests in the normal range but hba1c levels below 7 is not achieved because they might have high blood sugars in other post meals which have got unnoticed.
To achieve the best blood glycemic control it is important to control blood sugar levels within normal limits during the entire day and not just fasting or post breakfast levels.
Interpretation of smbg chart:
In the above image of smbg chart, I have mentioned 7 point charting system where you can fill your blood glucometer readings which you take on several spots in an entire day.
Seven points includes:
Fasting or before breakfast reading
2 hrs after breakfast
2 hrs after lunch
2 hrs after dinner or bedtime
At mid night 3.00 am
This seven point smbg charting approximately covers entire day glucose fluctuations to some extent (of course not as accurate as cgms).
I have also mentioned a comment column in the above smbg chart where you can note down change in food or change in insulin dose or any other changes that you have made which probably caused unusual readings like for example if hypoglycemia occurs at before lunch reading and you have skipped breakfast or had very little snack at breakfast you can mention that.
You do not need to check daily all the 7 points, you can check any one or 2 points randomly depending upon your sugar control.
More uncontrolled blood sugars require more frequent smbg glucometer monitoring.
Monitoring of blood glucose at home in case of diabetic pregnancy or gestational diabetes is also important where frequent monitoring and smbg charting of glucometer readings helps a lot to the patient.
I hope this article will help you to control your blood sugar levels more efficiently.
If you find that some of the post-meal or pre-meal readings are high or low, please consult your diabetologist with smbg chart to adjust your medication or insulin dosage.
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Awareness is prevention!
Hi sir I have a question that I am pregnant and my 9th months is running sir since last two days I'm feeling some pain in my stomach and I can't understand that is it lever pain or may be something other please suggest me thank you.
Hi. I am 10 weeks 6 days preg. My hcg is doubling in 48 hours. But for safer side doc suggested me to take hcg 5000 iu injection weekly. 1. Pls confirm till what time I should take hcg injection or should I stop it? 2) baby heartbeat at 9 weeks 6 days is 168 bpm. Is it on higher side? 3) doc has suggested double marker test 10 weeks 5 days. Is it the correct time to go for the same? 4) m taking susten sr 300 mg twice. Is it sufficient dose? 5) m taking bigomet sr 500 mg twice daily as I have pcod. And till what time I should take bigomet and when to stop? 6) also m taking bharglob in every three weeks (immunoglobulin) and enoxaparin 40 mg daily as I had 3 previous miscarriage at 6 weeks.
Hi My wife is having periods problem. She will not get periods on time. That too from last 2 months she dint get periods. Let me know the course of action.
I am 35 years old and diagnosed with endometriosis and unhealthy fallopian tubes. My doctor has advised IVF. Please advise.
I had bleeding before 3 days my period is due. (period should be on 25th may but it started on 22nd may itself) now it my fifth day. It was in brown and faded red colour for 4 days. But today that is on my 5th day it little bit high not heavier. What is it am pregnant? but I took home test it was negative.
Hi doctors, we are planning for child. Can you please suggest us for correct time period for planning. Ill get periods every month regularly. Last month I got 28 (july).
We r trying for a baby since 6 month. But not successful. After semen analysis test I found that my sperm count is 20millions/ml. Quantity-1.5 ml.Reaction _alkaline, liquefaction time_30 min, Motility: Actively motile-50℅ Sluggishly motile-20℅ Non motility-40% Morphology: Normal forms-60% Abnormal form-40℅ Pus cells-04 -06/jpg Epithelial cells-nil Rbc-nil Doctor suggest me to take coq-forte capsule for 2 month. Is disabled capsule increase the sperm count and please tell me how much time it will take.
I am 22 married. Since 6yrs I am into physical intimacy with my partner, prior to this when I was 11 yrs old dat tym I was being raped by one of the relative for 3 years. My vagina lip is out n too black n it has become too lose that I don't enjoy my sex life with my partner now, nor does he. We get intimate daily n for at least 3 tyms a day. I don't have any kids. please lemme know how can I make it too tight n pink again d way it was in the start. Also my breast has became very lose n downwards. Even that I want in a shape like earlier too tight n round Coz now it has became too lose. Also on my breast dere are stretch marks as it's sloping downwards n lose. please suggest proper care n medicine. Prescription. Thanks for taking the tym to read and providing solution in advance.
I am having regular periods from starting onwards whn im 13 years old. Nw im 26 years still im hvng same prblm im unmarried. Im having pcod problem, thyroid level is 4.2 & haemoglobin is 14.2 consulting Dr. Sirisha fernandis hospital Hyd in month f jan 2015 she proscribed me yasmin pils for 6 months. Aftr dat too I nt get period normally. Again I visited to her she proscribed me continuously same pils fr my entire lif if you nt getting periods. I did fr 6: months more still the same problem then I stopped fr 1 month then I got periods but aftr thar same problem arisen again. I took period tab fr 5 dys dn I got my periods and the blood is only fr hardly 3 dys having not flow during night tme aftr dat frm past 2 months no periods so im started again taking same yasmin pils. So I hve to continue further same pills or suggest me sme good remedies or tablets or diet which helpful fr my continues periods and no problem getting pregnant aftr my marriage too. Hope Dr. Solves my problem.
When there is a most possibility to get pregnant with respect to mensuration cycle? Is it safe to do sex during periods?
Actually my periods are irregular from past 4 year now a days when I missed my period time, my weight increase and my body looks so fat I don't know why this is happening. My mother is suffering from thyroid but she is so thin.
I am 22 year old female. I am suffering from vaginal discharge and itching from last 2 months. What could be the reason behind this. before 1 years I had taken control pills for 5 months for treatment of cyst.
My gf is having elestra tab and she had 21 days + 9 days extra now she stopped elestra tab and after 7 days she got period but bleeding is very less is she pregnant please guide me I am worried reply soon.
Hello sir my name is umar I got married 1 year ago but my wife had problem regarding irregular with PCOD.
HOW CAN SURGERY BE SCAR LESS?
It is not possible to magically perform operations without access to the abdomen. Scar less or SILS (single incision laparoscopic surgery) is an advanced technique in laparoscopy where the procedure is performed through the umbilicus instead of the traditional 4 or more laparoscopic incisions. As the incision is through the umbilicus the scar is virtually invisible. Single-incision laparoscopic surgical procedures require an experienced surgeon who is highly skilled and experienced in laparoscopic surgery.
WHAT ARE THE ADVANTAGES OF SCAR LESS LAPAROSCOPIC SURGERY (SILS)?
In addition to improved cosmetic outcomes. Single incision laparoscopic surgery leaves the patient with the potential for less post-operative pain, quicker recovery time and reduced risk of wound site infections.
DOES IT NEED SPECIALIZED EQUIPMENT?
SILS surgery needs specialised ports and instruments so that we can achieve triangulation at the surgical site. The imaging system should be high resolution with a HD or 3D camera. The most important factor is a surgeon with the large experience in these procedures both by open as well as laparoscopic route so that it can be done safely.
CAN ALL SURGERIES BE PERFORMED LAPAROSCOPICALLY?
Though a wide range of surgeries have been attempted by SILS as of now it is performed on a regular basis for few standard laparoscopic procedures such as laparoscopic cholecystectomy, appendectomy and obesity surgery. Especially for surgeries like cholecystectomy with risk of bile duct injury it should performed by a surgical gastroenterologist with in-depth knowledge of the gallbladder and bile duct anatomy and physiology.
IS IT A SAFE OPERATION?
Patient selection is very important Not every patient who wants scarless surgery can be offered surgery. Generally patient uncomplicated appendicitis / cholecystitis can undergo scarless surgery. However if local factors are not conducive safe completion of the procedure is more important than cosmesis. Patients should be prepared for conversion to reduced port or multiport laparoscopic surgery if situation warrants.
IS IT AN EXPENSIVE OPERATION?
If the patient built and local factors make it feasible to perform scarless laaproscpic surgery the cost is only marginally higher than standard laproscopic surgery because of the few additional specialized equipment used. It is definitely not much expensive compared to standard surgery.
WHAT CAN WE EXPECT AFTER SURGERY?
The surgery can be performed in about one hour with a typical hospital stay of less than 24 hours.
You will have mild pain and soreness at umbilicus with a 1.5 to 2 cm incision hidden in the umbilicus grove. Patients will probably be able to get back to normal activities within 3-4 days time, including driving, walking up stairs, light lifting and work.
In two weeks time the scar is contracts and disappear into the umbilical fold & becomes virtually invisible. You have undergone a magically scarless operation on your tummy!!