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Management of Abortion
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Treatment Of Female Sexual Problems
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Treatment Of Pregnancy Problems
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Treatment Of Female Sexual Problems
Treatment Of Medical Diseases In Pregnancy
Treatment Of Menstrual Problems
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Hi doctor I am on my periods but before periods I was sexually active with my husband. How ever my period started on early morning of 25 th and it will be lasting for 7 days. From 2 days my health is not good on 28 I had some masaladar curry in night and from next day I got acidity and burps and then from night I started vomiting and now bp is also 110/70. Please help.
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 email@example.com or comment below to let me know how your ears fared this time.
I am O -ve, and my wife is O ve. We have been trying to get pregnant for last 5 months. All her tests are normal, and my count is also about average. Is having opposite blood group types a problem in getting pregnant?
I am 35 years old female. My period cycle is always regular from the beginning with 28 days cycle. This month I got my periods on dec 7thfor five days and again I got my periods on dec 22 for 5 days.
Hello sir. I have been married fr 8 years I have a daughter i m planning for a next baby. And i m trying since 6 months but its not working. So suggest me what to do now.
Hello, I am 30 years old, my blood group is O negative and husband's O positive. We got married 22 months back. I had a miscarriage in first pregnancy in the 2nd month, happened in 19 months back. Now, I am in the 4th month. Doctor didn't give any injection or checkup for blood group precaution. Is there any problem? Should I consult another doctor?
Sir meri shadi ko 5 month hue hai. Meri biwi ka period time 27 ka tha bt abki baar 17 din late ho gaya hai. Or check kiya but usme bhi negative aaya tha. Ab problem samaj nhi aa rhi h. Pls kuch btao. M abhi baby nahi chahta. Agar positive result h to uska koi ilaj ho to batana. I am very upset.
My age is 46, my periods are erratic. I feel sick in the morning and afterwards normal. No sugar or thyroid. White discharge sometimes. Suffering from hip pain.
With changing life scenarios, parents do not have time to spend with their children. The grandparents often fill this gap now. They still have the time and patience to listen to what happened on a daily basis, and are not caught in the whirlwind of having a task list that never ends with the day.
In a way, grand children are very closely bound to their grandparents and are expected to take care of them, when required. In fact, stats show that about 80% of primary caregivers for people over age of 60 are grandchildren. Their average age is about 27(either gender). There are specific advantages of this care giving relationship for both the grandparent and the grandchild.
- There is no hurry: Most of us want a pair of ears to listen to what we have to say. Whether it is the exciting college trip you had or the office dinner you just returned from, we all want to share it. So, in this era where parents are not as available as they were earlier, grandparents fill the gap. They are not just eagerly waiting for you to return, but they seem to have the time to hear you out and feel happy (or sad) about it. This leaves one with a great feeling.
- Been there, done that: Though they have had a different lifestyle, they have “been there, done that,” perhaps in different ways. The definition of fun might have changed, but fun was always there. If you have the time, hear out their version of fun. You would be left thinking that you are not anywhere close to the fun they had.
- Life is the best teacher: The experiences they share will probably be some of life’s best lessons, which cannot be gathered by reading any number of books or TED talks.
- Safety: While there definitely are care giving or assisted living homes, having them at home and taking care of them provides the additional safety net. There are family people around, and if required, readily available.
- A helping hand: Caring for grandparents does not always relate to doing things for them, it is a mutual thing, and they feel equally good and happy that they are able to contribute in some small way in your daily life. You can always offer to help, but very often, their energy levels are quite high, unless they are ill, and they are so happy doing something for you.
- Strengthens the bond: Needless to say, spending time with a person makes the relationship strong and lasting. Grandparents assume a very special place, and caring for them leaves one with a very good and satisfied feeling. If you wish to discuss about any specific problem, you can consult a General Physician.
Tips to stay healthy during the winter season
Are you ready for cold and flu season? if you want to avoid being sick and feeling like you have to go to the doctor to get antibiotics and other drugs, now is the time to be thinking about prevention!
To that end, here's some great tips to strengthen your body's immune system during the winter season.
Drink the optimal amount of water. With the winter season here, it's more important than ever to consume the right amount of water for your health.
Keep stress to a minimum. Studies have linked high stress levels to making a person more susceptible to catching colds and flu. Minimize your stress by working reasonable hours at your job. Aim for at least one night per week to spend with friends and family. If your stress is out of hand and you feel like you need some help, let me know.
Eat a healthy diet. Maintaining a good healthy diet full of fresh fruits and vegetables and minimal amounts of organic meats is another way to keep your body clean and in good working order. Try eating an extra piece of fruit or veggie every day too!
Exercise regularly. It is important to exercise regularly, even if only for 15 minutes a day! get out and take a short walk and enjoy the cooler weather.
Get the right amount of sleep every night. The average person needs 6-8 hours of sleep per night. If you're not getting enough sleep, your body is extremely vulnerable to illness. Sleep is very much like fuel that recharges your batteries! you've got to do it to keep the machine running.
Wash your hands regularly. Keep the bacteria and viruses off your hands and out of your mouth and eyes. Keep a bottle of hand sanitizer close-by for those instances where you can't get to soap and water.
Don't smoke. Most of you already know this, but it bears repeating because smoking significantly weakens your immune system. If you want to quit and have tried everything else, let me know. I have some nutritional recommendations that can help you quit!
Eliminate all forms of sugar. This includes not only the obvious kinds (cake, cookies and sweets, in general), but bread, pasta, rice, yogurt and commercial, store-bought fruit juices. Although all of these things are made with different types of sugars, your body still converts them to sugar, which will compromise your immune system.
I am 22 years old and I am suffering from not come to the periods in two months please solve the problem I am un married.
I am suffering with too much pain at the time of menses because of stone in Gall bladder. What shall I have to do?
Don't Panic !
Having unprotected sex isn't the smartest move a person can make, but it isn't necessarily the end of the world, so follow the advice below and you should be fine.
We Had Unprotected Sex And...I Think I'm Pregnant
Finding out you're pregnant can be the happiest or the scariest day of your life.
Don't wait around and bury your head in the sand saying 'it won't happen to me' and 'I'll be fine' you might not be, and then you'll find yourself in a much more difficult situation than if you'd faced the situation head on and quickly.
If the intercourse happened less than 72 hours ago, emergency contraception, the morning-after pill, can be taken as a precaution against you becoming pregnant. However, note that the sooner you take the emergency contraceptive pill, the higher its efficiency is.
We Had Unprotected Sex And...I Think I Have an STI
Check for any unusual symptoms around your genitals (vagina or penis), such as:
- Pain when you urinate
- An unusual or smelly discharge
- Unexplained bleeding
If any consult your healthcare provider immediately
Not all STIs have visible symptoms so even if you think you're fine, after having unprotected sex, get tested!
Go For Sexually Transmitted Disease Profile Including HIV ( 1ST Month HIV RNA, 3RD MONTH HIV ELISA), HSV 1 and 2, HbsAg, HCV, Urine Routine, VDRL, etc.
We Had Unprotected Sex And...I Think I May Get HIV
Take Post Exposure Prophylactic Drugs (Anti - HIV) as soon as possible. It works when started within 72 hours and must be continued for 1 month to prevent HIV.
Related Tip: 6 Types of STDs You Need to Be Aware of?