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Management of Abortion
Caesarean Section Procedure
Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
Well Woman Healthcheck
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
Pap Smear Procedure
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I am 24 years old female and I have a lump in my left breast 'fibredenoma' of size 2.5*2.5*1.5 and it pains a lot even if I am not having my periods. According to some doctors, fibroadenoma are painless. Is this possible that fibroadenoma are painful? What should I do?
In simple language, Hemorrhage is when the blood escapes from veins or blood vessels. This escape may happen because of various reasons like, for example, injury, low platelet count, threatened abortion, piles (Hemorrhoids), cancer, surgery, liver disease, brain trauma, acute bronchitis, menstrual problem and so on.
Types of Hemorrhage:
As a matter of fact, Hemorrhage is grouped into several categories. Hemorrhage can occur post surgery, and such a Hemorrhage is called as postoperative Hemorrhage. Similarly, for various reasons Hemorrhage can occur from the artery (Arterial Hemorrhage), vein (Venous Hemorrhage) or capillary (Capillary Hemorrhage). If Hemorrhage happens because of an injury, it is called primary Hemorrhage.
Other types of Hemorrhage are delayed bleeding post injury (Reactionary Hemorrhage), bleeding following childbirth (Postpartum Hemorrhage), delay in bleeding following Sepsis popularly called as septic (Secondary Hemorrhage), bleeding from urine (Haematuria), bleeding while coughing (Hemoptysis) and bleeding caused in the stomach (Hematemesis).
Further, Hemorrhage can be broadly classified into two namely internal and external:
- It would be needless to mention that excessive bleeding may lead to several complications. It can result in organ failure and there are instances that excessive bleeding can be fatal. On the other hand, blood loss can be external or visible Hemorrhage like those caused during an injury. There are also instances of blood loss occurring internally in which case the patient may notice blood either in the urine or stools, vagina or while coughing or through the nostrils or even from the mouth. In such cases, the patient should be rushed to a doctor who after careful examination, and tests would be able to identify the causes of the internal bleeding.
- In case of external bleeding or external Hemorrhage like those caused due to an injury, you may provide the necessary first aid. When the bleeding is noticed, do not get alarmed and also try to keep the patient calm. Hemorrhage caused due to external injury would normally stop within one or two minutes. However, if the bleeding persists even after two or three minutes, such cases would require medical attention, and therefore, you should rush the patient to the doctor at the earliest.
There are several remedies to tackle the problem of Hemorrhage. Some of the normal procedures followed are IV fluid, oxygen, administering medicines like vitamin B12 and so on. In complicated cases, the physician may suggest bone marrow surgical procedure, Endogenous EPO or such other procedures. If Hemorrhage is left unattended, it can result in several complications. Therefore, you should rush the patient to the physician urgently.
She is having some chest pain like for a period of time. It occurs time to time. I don't know whats happening. Is she having a gastric problem or what? I can't figure it out.
Hi, I'm 37 years old and I'm 9 weeks pregnant, I do not feel like eating anything, just due to this I'm feeling like gas and due to this sometime drink ENO, is it safe to drink this, what is the best best things to eat during pregnancy. Kindly help me.
Depression can be caused because of many reasons. However, it can get worse or be triggered due to nutritional deficiency. However nutritional deficiencies and depression act in a vicious cycle. Depressed people often receive less or improper food which leads to malnutrition which again aggravate depression. Thus, both conditions should be treated simultaneously. Read further to know how:
- Omega-3 fatty acids: An Omega-3 unsaturated fat deficiency can cause depression. That shows exactly how much fish, salmon, halibut or flaxseeds and walnuts we have to expend to be at an ideal level. These basic minerals lessen aggravation and take up a basic part in our mental health, particularly memory and disposition.
- Vitamin D: Vitamin D deficiency is a noteworthy problem that specialists and general physicians perceive to be dangerous. This lack has been connected to depression, dementia and mental imbalance. The majority of our Vitamin D levels drop off during the fall and winter months, since daylight is the best source of vitamin D.
- Magnesium: Odds are great that you are magnesium inadequate since a lot of people are. Sugar, phosphoric acid, perpetual anxiety, anti-infection agents and diuretics contain magnesium. Magnesium is infrequently alluded to as the anxiety counteracting agent.
- Vitamin B complex: B vitamins like vitamin B6 and vitamin B12 have some great medical advantages, including decreased heart diseases and healthy skin and nails. Again, a vitamin B deficiency may affect your emotional wellness. Every one in four depressed or stressed woman suffers from vitamin B12 deficiency.
- Folate: Individuals with a low folate level have just a seven percent reaction to treatment with antidepressants. Those with high folate levels have a reaction of 44 percent. That is the reason a lot of specialists are currently endorsing a folate called Deplin to treat dejection.
- Amino acids: Amino acids are the building blocks of protein that help your mind work efficiently. An amino acid deficiency may make you feel slow, foggy, unfocused, and discouraged. Great sources of amino acids include meat, eggs, beans, seeds, and nuts.
- Iron: Iron deficiency is truly common in women. Around 20 percent of the women and 50 percent of pregnant women are iron deficient. Just 3 percent of men are iron deficient. The most widely recognized type of side effect is the decreasing number of red platelets brought on by the lack of iron. The side effects include weakness, concentration issues and a foggy mind.
- Zinc: Zinc is used by more proteins (a person has more than 300) than some other minerals. It is important to most of the body’s systems. It also helps our stomach to determine what food items or nutrients to keep and what to dispose off.
Therefore, it is very important for a person to consume the right amount of nutrients that a human needs. Their deficiency not only causes depression, but also many other diseases and illnesses. If you wish to discuss about any specific problem, you can consult a psychiatrist and ask a free question.
Hi, I again took the same tablet after 3 days. But now it's been 13 days of consumption of my first tablet, I haven't received withdrawal bleeding. Are there any chances of mine being pregnant? What are the side effects of consuming these tablets?
Sir, I have a one question regarding pregnancy, actually I had sex with my fiancee on 24 march-2015. Then she's period time is coming on 8 april, but not come in period. Then I check pregnancy test of her. I shocked that time. I gives a table of abortion on 18 april. She took the tablet and after that running bleeding, but I have a big tension that she yet or still not come in period. Please please suggest me right way! thanking you.
There are women who feel their looks are spoilt because of the presence of excessive body hair. While hair on women's body is common, excessive body hair isn't a normal condition and must be taken seriously. Women are generally unaware that the condition is known as Hirsutism.
What is Hirsutism?
Hirsutism can be defined as growth of excessive facial and body hair in women. With the world obsessed with flawless skin, such changes from feminine hair pattern (soft, fine, vellus hair) to masculine hair pattern (hard, dark, terminal hair) in a woman is generally unwelcoming and, hence, very distressing for the woman.
Why do some women develop Hirsutism?
In order to understand the reasons for such excessive growth in some women, it is important to understand the differences in the physiology of men and women. The male or female appearance of one's body is dependent on a delicate balance between male and female sex hormones. There is a predominance of the hormone estrogen in a woman's body, whereas androgens (testosterone) are the predominant sex hormones among men. However, some amount of androgens is secreted by the ovaries and adrenal glands (located next to kidneys) in women also. But, an excessive production of these hormones results in Hirsutism. Hormonal imbalance is by far the most common cause of Hirsutism.
Causes of Hirsutism
The common causes of hirsutism include:
1. Endocrine causes
- Polycystic Ovarian Syndrome (PCOS) - PCOS is a condition of hormonal imbalance in the body, which can result in an irregular menstrual cycle, enlarged ovaries with a cystic appearance on USG, infertility, obesity and hirsutism. For more information on the causes and management of PCOS (polycystic ovarian syndrome).
- Cushing's syndrome - Excessive production of hormone Cortisol by the adrenal glands can lead to symptoms such as high blood pressure, abdominal obesity, skin discoloration, muscle weakness, irregular menstruation, and hirsutism etc. This syndrome is known as Cushing's syndrome.
- Congenital Adrenal Hyperplasia (CAH) - CAH is a condition of excessive production of hormones Androgens and Cortisol by the adrenal glands and generally manifests in childhood in the form of virilization. In such cases, CAH can present with symptoms such as ambiguous genitals, obesity, hypertension etc. However, sometimes the manifestation of CAH is deferred to early adulthood and results in milder symptoms, hirsutism being one of them.
2. Tumors - Tumors in ovary or adrenal glands can again cause hirsutism due to excessive production of androgens
- Long term steroid consumption (commonly used for immunosuppression, rheumatoid arthritis, and multiple sclerosis)
- Performance enhancing drugs (often used by athletes)
4. Idiopathic - The woman may be having hirsutism despite normal hormone levels
There are essentially two lines of treatment for hirsutism - one is medical management and the other is a cosmetic treatment.
Medical treatments for hirsutism -
1. Birth control pills - It's possible to reduce the severity and intensity of hair growth using birth control pills- the most commonly prescribed medical intervention! The birth control pills help by decreasing the production of androgens by ovaries. Besides this, estrogen present in the pills also helps the liver to produce more of sex hormone binding protein- these proteins bind to circulating androgens, thereby reducing their action on the body. Both these actions help in reducing the growth of hair on the body.
2. Anti-androgen medications - There are three categories of anti-androgen medications, which are commonly used for the treatment of hirsutism.
- Spironolactone - Spironolactone is a diuretic medicine, which blocks the effects of androgens on the hair follicles, thus controlling hair growth.
- Finasteride - Finasteride works by blocking the conversion of body testosterone into its more potent chemical entity, thereby limiting the effect of testosterone on hair growth.
- Flutamide - Flutamide is a potent anti-androgen, which blocks the actions of androgens and helps in controlling the hair growth.
However, we have to ensure that the woman is not pregnant when taking any of these three medications. These medicines are often combined with oral contraceptives, which also have a synergistic effect in reducing the severity of hirsutism. One should also seek an expert opinion before starting these medications as there can be serious side effects, especially on liver.
3. Steroids - Low dose dexamethasone can be used to control the overactive adrenal glands when used carefully. However, long-term steroid therapy has got its own side effects and this therapy should only be considered under expert care and guidance.
4. Insulin sensitizing medicines - Medicines such as Metformin and Pioglitazone (Basically these are anti-diabetic medications) help in reducing insulin resistance in the body, which, in turn, helps in controlling the effects of excessive circulating androgens.
Cosmetic treatment for hirsutism -
One very important aspect of cosmetic management of hirsutism is self-care. This can include shaving, waxing, use of depilators and bleaching creams. All these measures help to reduce the amount of visible hair in undesired parts of the body. But, this needs to be done very frequently for a sustained visible effect.
Permanent hair removal is also possible using electrolysis or LASER treatment. In electrolysis treatment, electric current is passed into the hair follicle using a needle, which damages the root of the hair permanently. Similarly, LASER treatment uses LASER to destroy the hair follicle. Both these are effective methods to get rid of the undesired hair. However, we do not yet know if there are any long-term complications or side effects of these methods and these methods are not yet approved by the US FDA. If you wish to discuss about any specific problem, you can consult a dermatologist.