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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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Everybody wants that perfect smile showing off pearly white teeth, but not many have it. There is a constant try to improve the smile by making the teeth whiter and brighter. Teeth can be discolored intrinsically or extrinsically. They acquire different shades and sometimes even different colors like brown and black, making them stand out as extremely odd. Teeth change color either due to intrinsic or extrinsic reasons. Intrinsic is when minerals like fluoride get incorporated into the tooth, giving it white irregular spots. Aging also causes intrinsic staining, turning them to a pale yellow shade. This is more difficult to remove than the extrinsic coloring. Also, teeth change color due to extrinsic causes like food substances, smoking, medications, tobacco usage, poor oral hygiene, etc.
The introduction of tooth bleaching came as boon to those who were unhappy with their teeth color. Whitening can also be done in the dentist's office or at home by the patients themselves. Though over-the-counter bleaching agents are available, it is always advised to consult a dentist and then choose the appropriate material. The time of each application and the duration of the entire treatment are best decided by the dentist. The product provided by the dentist would be stronger and will produce quicker results than the ones available in the market.
At Home Bleaching: The dentist will take impressions of upper the lower jaws and fabricate customized trays. The right material is then chosen, which is applied on these trays and left in place for the desired amount of time. This needs to be repeated for a time decided by the dentist depending on how much whitening is desired. The desired color is usually achieved in about 4 weeks' time.
In-House Bleaching: This will require multiple visits to the dentist, usually about 1 to 3, of about 30 to 90 minutes each. The gums are first protected and then the bleaching agent is applied. It could require laser for activation in some cases. If the desired color is not achieved, it could be followed by a couple of applications at home. In some cases, there could be minor complications including gum irritation and increased tooth sensitivity. This is caused by the hydrogen peroxide, which is the standard component in all bleaching agents. The whitening process can be repeated at desired intervals to add that extra sparkle. Once the trays are fabricated, the bleaching agent can be used multiple times.
Teeth Whitening: Why You Should Talk to Your Dentist:
- Tooth bleaching can make teeth temporarily sensitive or be uncomfortable for people who already have sensitive teeth. When used incorrectly, home kits can also lead to burned and even temporarily bleached gums.
- Tooth whitening works best for people with yellow teeth and is less effective for people with brown teeth. If your teeth are gray or purple, tooth bleaching probably won't work at all.
- To be sure of tooth whitening is worth your time and money, talk to your dentist before you use an over-the-counter tooth whitening kit.
If you are not happy with the color of your teeth, talk to your dentist about what is the best method to change their color. The results could leave you surprised with a white, bright smile.
Dear Sir/Madam My wife has been operated with major surgery for delivery of baby. Now three months have been completed. Yesterday she had got period. Is there any problem for feeding of a baby? Will she get surplus milk for her baby? please Tel me or educate me regarding this topic thoroughly.
Piles or Hemorrhoids has become a common problem now a days. It may be due to our changed lifestyles like reduced physical activity, irregular food intake and consumption of fast food etc. These factors lead to disturbance in digestive system leading to constipation. Due to which the person has to put extra strain while passing stool leading to pulling of blood in veins and subsequent engorgement in the form of pile masses. Thus we see the Piles are nothing but engorged blood vessels in the anal canal.
Piles are commonly known as बवासीर in the society and is considered as social stigma. Due to lack of knowledge and social inhibition; people do not discuss this problem openly and are subsequently misguided by quacks like benagli treatment, madrasi treatment, Chandsi treatment etc. etc.
Anal region being a very sensitive part; the pt. usually avoids any type of surgical intervention in this area and they are looking for some alternative to surgery. We at Sushruta Anorectal Institute, are constantly trying to manage Piles in all its stages preferably without surgery or with minimal surgical intervention.
Depending upon the presentation the hemorrhoids (Piles) are grossly divided in two categories-
1. External Piles
As the name indicates; these are the pile masses which are present outside the anal orifice. They do not bleed but when large in size; may put some obstruction to the passage of stools. Some times patient complains of itching in these masses. When inflamed they become painful and swollen. They are removed by minimal surgical procedure with ligation of Ksharsutra at the root. This is an OPD procedure and patient can go home after 1 hour rest.
2. Internal Piles
There are three stages of Internal pile. In first stage; patient complains of painless bleeding. At this stage; doctor finds presence of internal pile masses on proctoscopy. In the second stage, the pile masses start protruding out while passing stool. Initially they get reduced by itself but in advanced stage; patients need to reduce these manually. In the third stage; the internal pile mass comes out not only at the time of passing stool but also while walking and sitting.
Treatment for Piles
The first stage internal piles are treated by Kshar Karma and oral medication. Second stage piles are treated successfully by combining Kshar Karma and sclerotherapy. If the pile masses are big enough then they are ligated by Ksharsutra. In the third stage also Ksharsutra ligation is done at the base of Pile mass which drops out in 5-7 days. This way the internal hemorrhoids can be successfully treated without surgery without hospitalization in all its stages.
Dos and Don'ts
The patient suffering from piles should:
- Increase consumption of fibrous food
- Increase intake of fluid/ butter milk
- Exercise regularly
- Always try to reduce the pile masses by applying pressure with fingers so that they remain inside the rectum
- Should not Spend more than 10 minutes for passing stool
- Should not Strain too much while passing stool
- Should not Consume fast food, spicy and oily food