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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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My wife taking oral contraceptive pill regularly but after 21 days mc is not happened, than after 2 days she taken primolut tablet this Friday & Saturday morning & evening for having mc but still not having mc. So, please tell its going to be any pregnancy sign if so than what we do right now, we r not want baby right now our marriage is happened on 14th May 2015.
Mam I have mentioned already that my last bleeding was on 23rd July immediately after the day having unprotected sex on 22nd July. However I am not sure whether it was my normal periods or withdrawal bleeding. The previous menstruation was on 16th of June.
Diet in ckd in non dialysis patients:
- We suggest the following dietary guidelines for most patients with egfr 60 ml/min/1.73 who are not on dialysis:
- A daily protein intake of 0.8 g/kg. We do not recommend very-low-protein intake (0.6 g/kg/day).
- A diet rich in vegetables.
The sodium intake varies depending on individual patient clinical features. Among individuals who are hypertensive, volume overloaded, or proteinuric, we suggest a sodium intake of 2 g/day (ie, 5 g/day of salt [nacl]).
For patients who are not hypertensive, volume overloaded, or proteinuric, sodium restriction to 2.3 g/day (5.75 g/day of salt [nacl]) may be of benefit. There are no convincing studies of the general population that have proven that lowering sodium intake to less than 2.3 g per day lowers cardiovascular outcomes or all-cause mortality. The institute of medicine has concluded that there is insufficient evidence to recommend a different sodium intake for ckd patients as compared with the general us population .
- The potassium intake should be guided by serum potassium levels. If the potassium concentration is normal, we do not restrict dietary potassium. If the potassium concentration is high, dietary potassium intake should be restricted.
- Some clinicians target a total calcium intake (both dietary and medication sources) ≤1500 mg/day, whereas others prefer a more stringent goal of ≤1000 mg/day.
- Maximum phosphorus intake of 0.8 to 1 g/day, even if the serum phosphorus concentration is normal; this is because some studies suggest that dietary phosphorus intake may alter circulating fibroblast growth factor (fgf)-23 concentration. The dietary phosphorus should be derived from sources of high biologic value, such as meats and eggs.
- Maximum caloric intake of 30 to 35 kcal/kg/day.
- Maximum fat intake - 30 percent of daily energy intake, with saturated fat limited to 10 percent energy.
- Daily dietary fiber intake for 25 to 38 g/day.
There was an era where we had deadly infections like plague and polio causing death of thousands of people. We still have occasional outbreak of swine flu, but by and large, infections are quite controlled. The new killer diseases are caused because of the lifestyle we have adapted and the damage we have done to the environment. High intake of processed foods, artificial chemicals in our foods, sedentary lifestyle with very minimal to no physical activity, couching over the computers; the list is quite long.
Detailed observation has revealed that both these new epidemiologic diseases have a close correlation. There are factors, which induce diabetes and diabetes in turn and in some cases, diabetes inducing agents, can cause cancer also. It has also been observed that mortality is severely increased if diabetic patients are diagnosed with cancer. There are two types of diabetes. While type 1 is mostly hereditary, type 2 is lifestyle induced and the age at which this is being diagnosed is taking a severe plunge. Adolescents and teenagers are being diagnosed for diabetes. Cancer, on the other hand, is of various types (leukaemia, melanoma, myeloma, etc.) and can affect various organs (lung, breast, prostate, stomach, liver, etc.).
The medical community is yet to decipher the disease pattern of both these conditions. While there is no definite correlation between diabetes and all types of cancer, some types of cancer are definitely correlated with a definite reason identified, pancreatic and liver cancer for instance. The high amounts of insulin that diabetic patients are exposed to causes changes in liver and pancreas including fatty liver and cirrhosis, here the incidence of cancer is higher. The linkage is not very clear in lung and intestinal cancers and also there is no link between prostate cancer and diabetes.
Diabetes is considered as a state of chronic inflammation and leads to conditions like hyperinsulinemia (higher levels of insulin in the blood) hyperglycemia (higher levels of sugar in the blood). These are believed to aggravate the neoplastic process of cancer formation, thereby inducing cancer at a greater pace and also increasing the mortality rates.
The following are risk factors that are applicable to both age, physical activity, diet, obesity, drinking and smoking. It is also possible that onset of one can be followed by the other. As noted earlier, more detailed research is awaited to establish a definite linkage, but the correlation cannot be ignored at all.
Both these new epidemics are here to stay and since they have a common set of factors, we need to work on ways to contain them.
Hi Doctor, I am a female age 33. I am trying to conceive from last 5 months. From last two months my periods become irregular. When I delayed my period by 50 days in the month February, I took a home test for pregnancy which came back negative, and when I visit my doctor she gave me medicine to jump start my period, I also did ultrasound which came back normal. Now I was due on 19th march and till today there is so sign of period, Feeling heaviness in both breast but no pain and no discharge of any kind noticed. Home pregnancy test is negative which I took on day 50. Please suggest what could be the reason? I am 61 kg in weight and 5'3" in height. I am a hypothyroid patient taking 50 mg regularly. Regards Aarushi.
My wife is about 10 weeks pregnant now. Is it safe to have sexual intercourse? If yes does it cause any effect to inner side baby? Or should we wait until delivery? Please explain the time period when we can have sex and when we shouldn't?
Heel pain is a very common foot complaint and may involve injury to the bone, fat pad, ligaments, tendons or muscles. Heel pain can also be referred by a pinched nerve in your lower back.
It is important to have your heel pain thoroughly assessed to ensure an accurate diagnosis and subsequent treatment.
Anyone can suffer from heel pain, but certain groups seem to be at increased risk, including:
Middle aged men and women
Active people eg running sports
People who are very overweight
Children aged between 8 and 13 years
People who stand for long periods of time.
Common sources of heel pain
Achilles tendon rupture
Achilles tendonitis / tendinitis
High ankle sprain
Muscle strain (muscle pain)
Stress fracture feet
Common causes of heel pain?
Some of the many causes of heel pain can include:
Abnormal walking style (such as rolling the feet inwards)
Ill-fitting shoes eg narrow toe, worn out shoes
Standing, running or jumping on hard surfaces
Recent changes in exercise program
Heel trauma eg. Stress fractures
Bursitis (inflammation of a bursa)
Health disorders, including diabetes and arthritis.
Heel pain treatment
Most heel pain is caused by a combination of poor biomechanics, or muscle weakness or tightness. The good news is that heel pain can be effectively managed once the cause is identified.
Most heel pain can be successfully treated via:
Pain and pressure relief techniques
Biomechanical correction eg orthotics, taping, foot posture exercises
Muscle stretches and massage
Lower limb muscle strengthening
Proprioceptive and balance exercises to stimulate your foot intrinsic muscles.
If you feel that your footwear or sports training schedule are potentially causing your heel pain, then we recommend that you seek the advice of a sports physiotherapist, podiatrist or trained footwear specialist (not just a shop assistant) to see if your shoe is a match for your foot; or discuss your training regime to see if you are doing too much.
Heel pain and injury are extremely common. With accurate assessment and early treatment most heel pain injuries respond extremely quickly to physiotherapy allowing you to quickly resume pain-free and normal activities of daily living.
Please ask you physiotherapist for their professional treatment advice.