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Endometrial Ablation Procedure
Treatment of Treatment of Breast Cancer
Management of Abortion
Hormonal Replacement Therapy Treatment
Caesarean Section Procedure
Treatment of Gynae Problems
Gynecology Laparoscopy Procedures
Treatment Of Female Sexual Problems
Treatment Of Menopause Related Issues
Treatment Of Menstrual Problems
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Polycystic Ovary Syndrome Treatment
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My wife has two abortion in 9 months between abortion 2 _2 months so please advise what process if next time Good pregnancy no chance again abortion please advise.
I had my last period from 26-30th march. On 31st march, after the bleeding stopped, I went through an intercourse without protection. My partner did not ejaculate inside me, rather he opted for a withdrawal method. After that, I had started bleeding again, but lasted only for 15 mins. During this 15 mins, a huge mass or glob of blood came out of my vagina. I did not take any contraceptives. That's all! on 18th april, I again had intercourse in the same withdrawal method. I was to start my period on 22nd april. Today is 27th april and still there is no sign of period. I had even checked with a home pregnancy test kit at 5am in the morning (i slept at 2am the night before) on 24th and the result was negative. My vagina is secreting slimy substance or mucous at times. I am bloating past 4-5 days, with irregular bowels (which is normal during my periods) nothing else. Please help!
What home remedies one should follow to avoid white discharge. I facd this problem from the time of ovulation perhaps. Its panic too perhaps to the womb.
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.
Hi When I do sex I felt some pain between vagina and leg joints. So what should I do ?plz suggest me.
I am 43 years old. Want to know what is the right time to do the pregnancy test. Is it after I c the symptoms or should I wait for the period date to be missed.
How much time will take to cure completely from tuberculosis epididymitis? And precautions to take during the medication period. Please suggest.
Lemon with 1glass of luke warm water and honey with little ginger. Drink in empty stomach.
2. Aternoon after meals
2 glasses of butter milk prepared from two teaspoons of curd more of water
3. Night before sleep
1 glass of hot milk. Take one glass of milk and add 2 glasses of water and boil it to become 1glass of milk. It makes milk fat free.
Follow this tips daily and stay fit and healthy.
Dr. I need your help yesterday morning my mc is came and that same day knight this is my first mc day I sexed un protect with my husband and after had sex I taken I pill contraceptive tablet for unwanted pregnancy that is OK, if it possible to gota pregnant.
What's the reason behind the irregular time period. From last 2 months my days irregular 5 to 6 days are fluctuating.
Hello. Query regarding pregnancy. I had periods in April 10,11 and 12. I had sex with my husband on 25th April 2015. From there onwards no sexual contact with him. But I had sex with my boyfriend in the months of May and June in 2015. I went to hospital for checkup in month of October 2015, and go for scanning also. In November 2015, also I had scanning. And I delivered the baby on 18th March 2016. Now that baby is my husband's baby or my boyfriend's baby. How many chances to become my husband's baby. OCTOBER 21ST 2015 SCANNING DETAILS AS BELOW: PLACENTAL MATURITY: GRADE 1 GESTATIONAL DATING: BPD:DIAMETER 52 MM, CORRESPONDING TO AN AVERAGE GESTATIONAL AGE OF 18 WEEKS TER FEMUR MEASURES 24 MM, CORRESPONDING TO GESTATIONAL AGE OF 16 WEEKS. LIQUOR:ADEQUATE FETAL HEART IS 142 /MINUTE & REGULAR PROBABLY WEIGHT OF THE BABY IS 225 GRAMS IMPRESSION: NORMAL pregnancy OF 16 WEEKS WITH CEPHALIC PRESENTATION. FETAL HEART IS 142/MINUTE PLACENTA POSTERIOR LIQUOR MODERATE NOVEMBER 29TH 2015 SCANNING DETAILS AS BELOW: ULTRASOUND STUDY OF GRAVID UTERUS - TIFFA NO. OF FETUSES: SINGLE FETUS FETAL PRESENTATION: BREECH PRESENTATION FETAL CONDITION: FETAL MOVEMENT AND cardiac PULSATIONS ARE VISUALIZED. FETAL HEART RATE 140M/T gestational AGE: BPD:62 MM, 25 WEEKS, 2 DAYS FL: 42 MM, 23 WEEKS, 4 DAYS AC: 195 MM, 24 WEEKS, 1 DAY. GA BY MEASUREMENT: 24 WEEKS 2 DAYS PLACENTA: fungal POSTERIOR UPPER AND MID SEGMENT, GRADE - 1 MATURITY AMNIOTIC FLUID: ADEQUATE WITH AFI OF 10.9 CM OTHERS: ESTIMATED WEIGHT OF FETUS 671 GRAMS INTERNAL OS CLOSED LENGTH OF CERVIX 33 MM. IMPRESSION: SINGLE LIVE INTRA UTERINE WITH GESTATIONAL AGE OF 24 WEEKS 2 DAYS +/- 2 WEEKS WITH NORMAL TIFFA.
My wife is 7 weeks pregnant and now wisdom tooth is appearing and it is paining her a lot and she is not able to eat/chew something Please suggest some medicine/ gel which will relief her pain and will not affect the baby.
Actually I have excessive pain during my periods. I am student of m.pharma. please tell me some home remedy.
Hi doctor, I have intimated with my wife without any protection after her period till 10 days. How can I know whether she is pregnant or not? if she is pregnant then what should I do to cancel it. Please help. Thanks in advance.
I have cesarean from 1 week. How much time I have to take rest? What problems can occur because of cesarean in future? Can I do house hold work? Give me answer plz.
The onset of winter lowers temperatures and also initiates the loss of moisture from your body due to dryness. In this season, your body requires more fluids to eliminate possibilities of chapped lips, acne, flaky skin and dry cough. So, to cope with the reduced moisture level of your body, the right amount of water intake is necessary.
How does your body lose water even when you sweat less?
Winter, unlike the other seasons of the year, is devoid of hot, sunny days, but that doesn’t mean that your body is free from water loss. Generally, heat generated by furnaces, heaters and fires are the reasons behind sweating in winter. Also, water leaves your body during winters through the steamy breath you exhale when exposed to lower temperatures.
What are the risks of drinking less water in winters?
Dehydration in winters can negatively affect your body, ranging from causing common cold or flu to serious issues like stroke. Moreover, when your body lacks hydration, you may experience bizarre appetite patterns. This is caused due to the fact that less fluid consumption results in lack of energy in the body. This leads your body towards utilising the available fat for energy, making you thirsty, which is often misunderstood as hunger.
So how much water should you drink on cold winter days?
The amount of water intake required in winter varies from person to person due to the difference in gender and physical activities performed by a person throughout the day. However, amount of water intake in winters may be approximated as follows:
1. For Men: 8 to 10 glasses of water consumption per day is ideal for men with normal activity levels
2. For Women: Commonly, women should drink between 6 to 8 glasses of water throughout the day to keep themselves healthy
3. For Men Who Workout: Men with a regular exercise regime should have a raised water consumption amount of 10 to 14 glasses every day
4. For Women Who Workout: Women who exercise daily should increase their water intake to 8 to 12 glasses each day
5. For Lactating Mothers: In case of lactating/breast feeding mothers, 7 to 10 glasses of water intake per day is considered to be ideal
Sticking to these many glasses a day during winters can prove to be difficult for people facing extreme climates; but there are certain things you can do to increase your water consumption.
How can you increase your water consumption?
There are numerous ways, which let you increase your water consumption during winters without directly drinking water. These are-
1. Include more water based fruits (watermelons, pineapples, grapes etc) and vegetables (radish, spinach, cauliflower etc) in your daily diet to hydrate your body
2. Train yourself to drink water all through your workout session by timing your water intake at regular intervals
3. Have a bowl of hot soup before your meals to increase your intake of water
4. Use a humidifier to inhale moist air instead of the dry air prevalent during winter
Water intake plays a vital role in the proper functioning of the human body and is as important in winter as in other seasons.
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