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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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Hey doc I am asking about my friend problem SHE getting HER PERIODS thrice A month ON A INTERVAL btw 8-10 DAYS. From past 2 month. Is there any serious issue. Kindly LET US KNOW IF THERE IS ANY MAJOR ISSUE.
I have been prescribed by doctor to take krimson 35 but now I'm not understanding how to take it even I forgot how doctor told me to take in prescription it's written D5-26*3cycle could you please help me what does it mean.
My age is 58 and my wife is 50. What should be the ideal frequency of sex per month so that no weakness is felt in our body. We feel pain after sex in thigh for some time. I have problem of Erectile. What do you suggest for me?
An anal fistula, is also called as fistula- in -ano, it is a small channel that develops between the end of the large intestine called the anal canal and the skin near the anus. This is a painful condition, especially when the patient is passing stools. It can also cause bleeding and discharge during defecation.
Genesis of fistula-in-ano
Almost all anal fistulae occur due to an anorectal abscess that begins as an infection in one of the anal glands. This infection spreads down to the skin around the anus causing fistula-in -ano. The anorectal abscess usually leads to pain and swelling around the anus, along with fever. Treatment for anorectal abscess involves incising the skin over the abscess to drain the pus. This is done usually under local anesthesia. A fistula-in-ano happens when there is failure of the anorectal abscess wound to heal completely. Almost 50% of patients with an abscess go on to develop a chronic fistula-in-ano.
- Pain- Constant pain which gets worse when sitting down
- Irritation around the anus, like swelling, redness and tenderness
- Discharge of blood or pus
- Constipation or pain while evacuation
A clinical evaluation, including a digital rectal examination under anesthesia, is carried out to diagnose anal fistula. However, few patients may be advised screening for rectal cancer, sexually transmitted diseases and diverticular disease.
The only cure for an anal fistula is surgery. The type of surgery will depend on the position of the anal fistula. Most patients are treated by simply laying open the fistula tract to flush out pus, called Fistulotomy. This type is used in 85-95% of cases and the fistula tract heals after one to two months.
- Seton techniques: A seton is a piece of thread (silk, plastic) which is left in the fistula tract to treat anal fissures. This is used if a patient is at high risk of developing incontinence after fistulotomy.
- Advancement flap procedures: When the fistula is considered complex, carrying a high risk of incontinence, then this advanced technique is used.
Other techniques like Fibrin glue and Bioprosthetic plug are also used to surgically treat anal fistulas. In the Fibrin glue technique, glue is injected into the fistula to seal the tract, after which the opening is stitch closed. Bioprosthetic plug is a cone shaped plug made from human tissue, which is used to block the internal opening of the fistula. After this stitches are used to keep the plug in place.
Whatever the surgical technique, one can experience minor changes in continence. Patients usually don’t require antibiotics after surgery but have to take pain medication. They may also have to use gauze to soak up drainage from anus. After surgery, patients should seek help if they have increased pain or swelling, heavy bleeding, difficulty in urination, high temperature, nausea or constipation.
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Birth control pills are one of the most common ways women protect themselves against unwanted pregnancy. There are many types of birth control pills available and you must consult a gynaecologist before using any birth control pill. Birth control pills are relatively safe to use but do more than simply prevent pregnancy.
Some of the effects of birth control pills are:
- Changes in the menstrual cycle: The use of birth control pills can lead to shortened period or can cause a larger interval between periods. In many cases, birth control pills are prescribed to regulate menstrual cycles. The use of birth control pills has also been linked with fewer menstrual cramps and lesser painful periods. However, they can also cause vaginal bleeding between periods and spotting. This is caused by body’s reaction to different hormone levels and thinner endometrial lining. Spotting and bleeding between periods is usually seen in the first three months of starting to take birth control pills.
- Weight gain: Oestrogen in birth control pills can make the fat cells larger than normal and hence cause weight gain. Some women also complain of fluid retention in the breasts and hip region after starting birth control pills. However, not all women put on weight with birth control pills.
- Headaches: Fluctuating hormone levels can trigger headaches and migraines. The concentration of hormones in the pills is directly linked to the intensity and frequency of headaches. In most cases, these headaches improve over time. If the headaches are very bad, you may need a different type of birth control pill and hence it is best to bring these headaches to your gynaecologist’s notice.
- Mood swings: Hormones affect not only your menstrual cycle but also your moods. Studies have shown that birth control pills affect the cortical thickness of parts of the brain linked to the evaluation of incoming stimuli and reward response. This can lead to increased mood swings. For this reason, women suffering from depression must let their doctor know about their condition before starting birth control pills.
- Reduced risk of cancer: Women who take birth control pills regularly are said to have a lower risk of suffering from certain types of cancers like ovarian and endometrial cancer.
- Clearer skin: Birth control pills can clear your skin and help treat skin conditions like acne. This is primarily because the hormones in these pills reduce the production of testosterone which in turn lowers oil secretion. The lesser the oil produced, the fewer the pimples.
Cubital Tunnel Syndrome is also known as Ulnar Neuropathy, a nerve compression syndrome where the Ulnar nerve, also known as the funny bone nerve, gets compressed due to heightened pressure or stretching. It can lead to numbness or a tingling sensation in little and ring fingers, sometimes pain in forearm and an overall weakness in the hand. Ulnar nerve is one of the three main nerves in the arm. It runs in a groove on the inner side of the elbow. Since it travels through a narrow space and has very little protective tissue, the nerve is quite vulnerable to compression
The symptoms of this condition may range from mild to severe. Some of the mild symptoms include:
- Numbness in little and ring finger as the fingers fall asleep
- A tingling sensation, usually like the pinch of pins and needles in ring and little finger
- Pain in forearm
- Weakness in the hand
- Some of the severe symptoms include:
- Reduction in overall hand grip
- A claw like deformity in hand
- Wasting of muscles of the hand
Bending elbow over a long period of time like while using cell phone or during sleep can cause ulnar nerve compression. Resting the elbow for a long period over a hard surface can also cause an irritation of the nerve, leading to such symptoms. In some cases, the nerve snaps back and forth over a bony bump, resulting in an irritated nerve.People People who undertake intense physical activity, especially using their arms, are more likely to develop this problem. Eg. baseball pitchers. Apart from this, people who have suffered from a dislocated elbow or have arthritis are also at risk.Electromyography is a procedure in which electrodes are placed on the skin and muscles to measure muscle health. Determining muscle health and level of compression helps decide the mode of treatment.Generally, Generally, the symptoms of cubital tunnel syndrome are managed through a conservative treatment. However, in cases of severe compression, surgery can be considered as an option to relieve pressure, moving nerve to the front of the elbow or removing a part of the bone
For mild cases, a towel or a protective cover for elbow is recommended. The towel should be wrapped around the elbow loosely. An elbow splint can be worn at night to protect the elbow from being bent for long time
How can a physical therapist help?
A physiotherapist has an essential role to play in treatment of this syndrome. A therapist can help the patient to learn ways of avoiding pressure to the nerve. After surgery, with restrictions of movement, a therapist can help achieve smooth recovery and movement of the elbow. Your physical therapist will determine the activities that bring on your symptoms. The recommendations at this point will be to avoid those activities for a time. Remember, the nerve is irritated and at times swollen. If the irritation and swelling are reduced, the symptoms should resolve.If If you wish to discuss about any specific problem, you canconsult a physiotherapist.