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A dog bite my wife on 2nd august and she received all the 5 vaccines except booster. The last vaccine was given on 19th august. The problem is that that we were physical on 20th and also we had oral sex. I have heard that vaginal secretions still contain rabies virus. Is it so? Am I safe? Do I need to take antirabies vaccine? Please help.
I am 35, I am trying for my first baby. I have 17 days late period but still negative test what is the region behind this?
My menstrual cycle was on Dec 5th but it came on Dec 13. So when the egg will be from the ovary and how should I know I'm ovulating.
After pregnancy, my wife had put on a lot of fat around my stomach, what diet/exercise should I follow to shed it of my body?
Respected Doctors I have pcos. Nd I am taking metformin and folic acid. My LMP is 24-11-16. Today ultrasound is done and two sac of 9 mm nd 5 mm is found. But no yolk sac or fetal node is found. My concern is that I am not feeling pregnancy symptoms at all. Some days ago, I was feeling nausea. But from last two days all gone. please guide.
I am 7th month pregnant and I want to know about the gender of my baby through ultrasound. Please help me as it's my first baby.
I am 23 years old. Early this month I have indulged in oral sex with my boyfriend. We have never had an intercourse. My periods were due by 8th or 9th of this month. But I have still not got my periods. On 21st, we had a urine pregnancy test done by a doctor, who explained that the test result was negative. He told me to have piramulet n for 5 days and consult if still I hv not got my periods. Is his advise correct? I am very nervous about my periods? are urine test accurate? or should I do a blood test? please advise.
I am 19 years old female. I have lump on my left breast and also right breast. Sized 2.5cm. After doing fnac needle test it shows its fibroadenoma? is it safe? can I leave as it is? or should I operate it? if so when can I operate it? after operated will I get any problem?
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Sir, my wife is 22 yr old. We have a female baby of 2.5 year old.* she has inserted by copper t before 6 months .At present we are going for family planning by tubectomy. The people say after few years these ladies will suffer by by many diseases related to uterus etc. What may be the safety measure .please suggest.
Hlo Dr. I am 22 years old. I have done a sex on june 4 with my partner and after doing that I have periods after 15 to 16 days and again in july month I also had periods but utna flow nhi tha jitna june mein sex k 15 din baad hua tha. Aur ab august month hai aur mujhr periods abi aane hain agr aaye to may be 18 -19 tk aa jayeinge. But mujhe aisa lgta hai k main pregnant hu mera pet b thoda fulla sa lgta hai aur mujhe kuch solid sa b lgta hai aise jaise pet mein kuch aur hai b naabhi k aas paas hi aur aur lette tym pet ki shape change c ho jaati hai. Please Dr. mujhe btaiye k kya sach mein main pregnant hu ya ye mera veham hai. Please Dr. Suggest me something please.
Doctor has prescribed 2 medicine 1) siphene 100 mg for 5 days and 2) hyponid for 1 month. Today being 3rd day of her period. We are planning for the baby. Is this medicine are good?
Is there any permanent way of curing pcod which doesn't increase the weight. I am not getting bleeding in periods just one day. My age is 26. Kindly reply I am taking ovacare myo glyciphage SR 500 mg n ginette 35.
I had sex on 2nd April, got my periods on 16th. Took 6 pregnancy test, all negative, again had my periods on 8th May, but I feel nausea and my stomach is beating, am I pregnant?
I am 19 weeks pregnant. Can I watch movie in cinema hall? Is it safe? Dose it cause any harm to my baby? Please suggest me.
Hi dr. I gave birth to a girl child on 11 dec, however got my periods for 40 days. Later after a weeks time I got it again for a week and for another week I was free, then it startef again and is still continues. Can you please advise the reason for the same?
The vagina is a home to number of different types of fungi that under normal conditions are harmless. However, if the immune system is weakened, the Candida fungus can multiply and lead to a yeast infection or vaginal thrush. This condition is marked by the inflammation of the vagina and vulva along with itchiness in the vagina, discharge and a burning sensation while urinating.
Vaginal Candidiasis can be very well controlled with Homeopathic remedies. The recurrence of Vaginal Candidiasis can also be prevented with suitable Homeopathic remedies. Homeopathic medicines, which are made from natural substances, help to extract the disease from its root by raising the body’s immunity. When the immune system gets strongly empowered with Homeopathic remedies, the flourishing of fungus in vagina gets halted. As the fungus growth gradually declines, the symptoms also disappear along with it.
Homeopathy is an excellent way of treating this infection. As it has negligible side effects it is safe to use for both children and adults. Homeopathic treatment of this condition also prevents it from recurring by extracting the root cause of the infection and boosting the body’s immunity. Some popular homeopathic remedies for Vaginal Candidiasis are:
Sepia and Calcarea Carb: These are often prescribed in cases where there is a white vaginal discharge. Sepia is prescribed in cases where women also complain of itchiness that is not resolved by scratching, soreness and swelling of the labia minora, vulva and vagina, heat in the genital area and excoriation of the vulva. In cases where the discharge worsens after passing urine or where the discharge is accompanied by burning and itchiness is the genitals, calcarea carb is prescribed. Here, a woman may find her symptoms worsening before and after periods and may notice swelling and redness of the vulva and vagina.
Pulsatilla: Vaginal candidiasis that is characterised by a creamy vaginal discharge can be treated with pulsatilla. The discharge is usually also accompanied by burning and itchiness in the genital area and experienced throughout the month. Some women also complain of a backache and may experience an absence of thirst along with the desire for cool air.
Thuja and Nitric Acid: This is used to treat cases of Vaginal Candidiasis accompanied by excessive soreness and ulcers in the vulva and vagina. Thuja is prescribed especially in cases where there is excessive discomfort in the form of burning sensations in the vulva and vagina. Nitric acid is helpful in cases where a stitching pain is prominent and there is a complain of irritation in the genital area. A white vaginal discharge may also leave behind a yellow stain in such cases.
Monilia Albicans: This is used when there is a presence of cracks or fissures in the vagina or vulva accompanied by itchiness. Some women may also notice the presence of vesicular eruptions that contain fluid on the vulva or vagina.
Helonias: This is used to treat cases marked by a curd-like the deposit in the vulva. The patient may also complain of inflammation and redness of the genital area along with sensations of heat and burning. A backache, weakness and prostration are other common symptoms that can be addressed by this homeopathic remedy. If you wish to discuss any specific problem, you can consult a homeopath.
Is sex safe during periods? And to get pregnancy at what time we should do sex I mean after ending of period date or before period? please advice me.
What you will find here
What is this condition?
Why do your ears get blocked in an Aeroplane?
Who is more likely to get Aeroplane Ear?
What can you do during the flight to prevent blocked ear?
How can you prevent very young children from getting aeroplane ear?
How can you unblock your ears after the Flight?
When should you visit a Doctor?
What is Aeroplane Ear?
Pain in the ear, popping ear, blocked ear during air travel is the most common medical problem faced by flyers. Aeroplane ear is the better known name for Barotitis media or Aerotitis media. Aeroplane ear or Barotitis media is the condition where there occurs damage to the ear due to difficulty in adjustment of the air pressure between Middle ear and External ear
Why do your ears get blocked in an Aeroplane?
I have to go into a bit of physics for a proper explanation. Please excuse the science Lecture! As you know according to Boyle’s Law : The pressure and the volume of an enclosed mass o gas are inversely proportional. When the plane rises in the air, there is a progressive decrease in air/atmospheric pressure. Basically at 18,000 ft above sea level, the air pressure is half that at sea level.During the rise through the atmosphere , as the pressure falls ,a particular mass of air in an elastic structure expands .Similarly during descent, the air contracts and the volume of cash decreases.
So what happens in the ear during Flying?
Imagine your ear is made up of 3 rooms.The outermost part of the ear which connects the entryway with the other rooms is the external ear.This is the part involving your ear canal. The ear drum separates your external ear from the middle ear, where the small bones (malleus, incus, stapes), which help transmit sound live.The ear drum is somewhat flexible and can move with change in volume of air in the middle ear. Two windows oval window (covered by stapes footplate) and round window (covered by round window membrane) connect your middle ear and the inner ear.
The inner ear has your hearing and balance apparatus It’s called the labyrinth. A tube connects your middle ear with the part of your oral cavity behind the nose (nasopharynx) .It’s called the Eustachian tube.Easily the most important structure which helps keep up the normal air volume inside your middle ear. It’s through your Eustachian tube that air enters or exits to equalise air pressure between outside atmosphere and your middle ear.
What happens during Ascent?
Air pressure outside falls. Middle ear pressure falls. Air in your middle ear expands (following Boyle law) This excess air pushes the tympanic membrane outwards to its natural limit.This is normally followed by escape of air through your Eustachian tube. Movement of the ear drum may be restricted due to scarring (previous infection).This may cause ear pain during ascent.
What happens during Descent?
Air pressure outside rises. Middle ear pressure rises. Air in your middle contracts and volume decreases (Boyle law). The ear drum moves inwards. (retraction). The opening of your Eustachian tube must be opened to allow air from the nasopharynx to enter and adjust the volume.The Eustachian tube will open with swallowing movement. If this mechanism fails (if you fall asleep, or have a cold), or is delayed, the increasing pressure difference closes the naspharyngeal end of Eustachian tube.When the pressure difference is more than 90 mm,Hg, your tubal dilator muscles are unable to open the Eustachian tube and it stays locked.The ear then feels blocked.
Barotrauma occurs during flying due to:
1) Very rapid air pressure changes.Sudden ascent/descent. 2) Blocked Eustachian tube.
It may also occur in:
Hyperbaric oxygen chamber
Decompression and compression chambers
Who is more likely to get Aeroplane Ear?
Anybody who has some nasal or Nasopharyngeal problem which blocks the Eustachian tube.
Acute infection in the nose.
Chronic infection in the nose
Malformation of nose
Sleeping during ascent or descent
Small narrow Eustachian tube; infants toddlers.
How will you know whether you are developing aeroplane ear?
Symptoms ( most common)
Discomfort in the ear
Ear Muffled hearing
Blocked ear/fullness of ear
Excruciating pain in ear
Severely blocked ear
Ringing, buzzing sound in ear (Tinnitus)
Severe Hearing loss
Spinning sensation (Vertigo)
Bleeding from ear
If you have any of the severe problems.Or if the symptoms persist even after …..hours “check..
What will your doctor See?
An ENT surgeon may do an otoscopic examinations to see your ear drum.
Signs on otoscopy:
Invaginated/retracted ear drum
Congested ear drum
Solitary or multiple blood filled blisters on your ear drum
Signs of serous otitis media
Ruptured ear drum, with blood clot.
Otoendoscopy may also be done where you will also be able to see these findings along with your doctor.
Are there any long term complications ?
Rarely the ringing sound in ear or tinnitus may be permanent.
If inner ear barotrauma occurs hearing loss may not improve
What other tests can you do?
Pure tone audiometry; to check your hearing and rule out inner ear barotrauma Tympanometry:To check the air pressure in the middle ear.and find out if there is any fluid.
Aeroplane ear:How to prevent it during flights
Don’t fall asleep during flying, specially during ascent or descent.
Avoid flying if you are having a severe cold.If emergency then use a Nasal decongestant spray just before takeoff and landing.Also take a decongestant orally, before getting on the .Dont use over the counter sprays .They may cause even more problem in the long run.
Take plenty of chewing gum so that you can actively help in Eustachian tube opening during flight.The chewing and swallowing movement helps to open Eustachian tube.
Try Valsalva maneuvre.This is a pressure equalizing technique which helps to pop the ear.You can try this if repeated swallowing and yawning doesn’t help.
Pinch your nostril, take a mouthful of air,close your mouth and try to gently direct the air into the back of your nose.Imagine you are trying to blow your nose gently. You should feel a pressure buildup.But do not let the air out.If you hear a pop you will know the ear is unblocked.
What can young children do to prevent aeroplane ear?
Very young children have difficulty during fflying.Often you will find them irritable crabby , pulling at their ears and may also cry incessantly. This is because the Eustachian tube in infants and very young children are not mature enough to handle the extreme change in pressure.
But you can help them too.
Dont let them fall asleep.
Play with them.
Carry a few pacifiers so that the suck and swallow reflex constantly works.
Talk to your baby doctor whether a decongestant oral medicine is advice able for your child.
A plain saline nasal drop given just before take off and landing helps to increase the swallowing movement and equalise pressure effectively.
What can you do to unblock the ear post flight?
Continue the Valsalva maneuvre/pressure equalizing technique
Normally it’s self healing and gets better within a few hours to few days.
If symptoms are uncomfortable and persists , or the ear doesn’t pop you should visit a doctor specialised in ear diseases
If your nose is blocked , avoid forceful nose blowing and take steam through your nose.This helps to relieve nasal congestion and open up the Eustachian tube.
What your doctor may advice?
Nasal spray; decongestants/steroids
Non steroidal anti inflammatory drugs for relieving pain
Once medication have improved Eustachian tube function Valsalva maneuver helps to force open the blocked tube.. Surgery is rarely needed.
If fluid in the middle ear persists even after 3 months myringotomy (incision in the ear drum) is done to drain the fluid.
If the perforation in ear drum does not improve after 3 months tympanoplasty to repair the ear drum may be needed. I hope next time you are flying you will be carrying some chewing gum or hard candy with you.
Write to me at firstname.lastname@example.org or comment below to let me know how your ears fared this time.