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Management of Surrogacy
Caesarean Section Procedure
Treatment of Gynae Problems
Gynecology Laparoscopy Procedures
Treatment Of Female Sexual Problems
Treatment Of Menopause Related Issues
Treatment Of Menstrual Problems
Treatment of Mirena (Hormonal Iud)
Pap Smear Procedure
Polycystic Ovary Syndrome Treatment
Treatment of Uterine Bleeding
Antenatal And Postnatal Exercise
Management of Postnatal Care
Adiana System Treatment
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Having a surgery, big or small, will subject your body to a certain degree of pain. Post-operative care, hence, is of paramount importance. You'll have a surgical wound where the surgeon has made an incision. To ensure that it heals quickly and to reduce the risk of an infection, it is important that you care for your wound area and keep a regular check for unusual signs and symptoms.
Let us take a step back to understand the normal process of how a wound heals. At first, there will be inflammation during the first week when blood flow to your wound increases. This is a crucial care period as your wound is still fresh. The second phase is proliferation where new blood vessels and tissue begin to grow around the area.
The third and final phase is maturation where new cells develop to strengthen the wound and soften the scar. Depending on the location and size of your wound, your surgeon may have used stitches (medically called sutures), metal clips or staples, adhesive dressing, tape or glue. Stitches, clips and staples are usually removed between three and fourteen days after your treatment. Here is how you can care for your surgical incision:
- Change your dressing regularly: Most patients are called to the hospital at regular intervals during the first week for change of dressing two or three times. The nurse or doctor ensures a sterile environment during the process. If you find your dressing falling of late night and you can't go to the hospital, you can wash your hands thoroughly and open a new sterile dressing package and apply to your wound. At all times, touch only the edges of your old / new dressing.
- General care for your incision site: Keep the incision site as clean and dry as possible. Keep it covered with plastic during a shower if it is on your hands or legs or take a sponge bath until you get a green signal from your doctor. Protect the incision from sunlight. Some incisions may get itchy as they heal. This is quite common, but it is important not to scratch your incision during this period.
- Eating and drinking properly to heal quickly: Vitamin C and Proteins are important as they aid in healing of wounds. Eat a healthy and balanced diet, which includes a variety of lean meat, fish, eggs, dairy products, fruit and vegetables. Make sure that you drink enough water because if you're dehydrated, your wound may take longer to heal.
- Look for signs of infection: The common signs of an infection are redness, swelling, unusual drainage, warmth around the incision site increased pain or tenderness at the incision, incision opens up or a fever of more than 100.4 degrees Fahrenheit.
Last month I had my periods on 17th april then I had unprotected sex with my boyfriend several times and depending on that I took 3 ipill in total till date. On 13th night I took one tablet named Histon (Norethisterone) tablet for postponing my period because generally I have early periods. Till today I didn't have my periods, I am having acute pain in my lower abdomen also which generally shows me the period's symptom. Is there any chance for me to become pregnant? Pls hlp me.
I am 32 years old female. I am pregnant of 3 months. It is my second pregnancy. From last 3 days I have been suffering from abdominal and back pain. What can I do now for pain relief. I have already booked appointment for tomorrow.
I am 32 years female planning for a baby in the month of April 2016. What are precautions to be followed and taken during the mean time.
Hi, I am trying to conceive last eight months. I had lots of ultrasounds and hsg test also. Every month my egg converted into cyst. My hsg test report is normal, both tubes are open. My doctor suggested me tab-Aur D3 and lupigest 200. And she said I have to do ultrasounds again, could you suggest me what I will do, either I should go for ultrasound in my next cycle or not.
As hair is made of protein, ensuring you have enough protein in your diet is crucial for making hair strong and healthy. If you are not consuming enough protein in your diet, your hair is likely to become dry, brittle and weak. Extremely low protein diets may result in hair loss. Choose chicken, turkey, fish, dairy products and eggs as excellent sources of protein along with vegetarian sources such as legumes and nuts.
Iron is an especially important mineral for hair and too little iron (anaemia) is a major cause of hair loss. The hair follicle and root are fed by a nutrient rich blood supply. When iron levels (serum ferritin) fall below a certain point, you may experience anaemia. This disrupts the nutrient supply to the follicle, affecting the hair growth cycle and may result in shedding. Animal products such as red meat, chicken and fish provide iron with a high bioavailability, meaning the iron is readily available to the body. Vegetarians can raise their iron stores by including lentils, spinach and other leafy green vegetables such as broccoli, kale and salad greens.
3) Vitamin C
Vitamin c aids the absorption of iron so foods high in vitamin c are good to eat in conjunction with iron-rich foods. Vitamin c is also an antioxidant so is used readily by the body. The best sources are blackcurrants, blueberries, broccoli, guava, kiwi fruits, oranges, papaya, strawberries and sweet potatoes. Vitamin c helps in the production of collagen that strengthens the capillaries that supply the hair shafts.
Omega-3 fatty acids are important fats our body cannot make itself, and therefore must be obtained through our diet. Omega-3s are found in the cells that line the scalp and also provide the oils that keep your scalp and hair hydrated. Look out for oily fish such as salmon, herring, sardines, trout and mackerel and plant sources including avocado, pumpkin seeds and walnuts.
5) Vitamin A
Vitamin a is needed by the body to make sebum. Sebum is an oily substance created by our hairs sebaceous glands and provides a natural conditioner for a healthy scalp. Without sebum we may experience an itchy scalp and dry hair. Include animal products and orange/yellow coloured vegetables which are high in beta-carotene (which makes vitamin a) such as carrots, pumpkins and sweet potatoes.
6) Zinc and Selenium
Scalp protection involves other important minerals, notably zinc and selenium. A lack of zinc can lead to hair loss and a dry, flaky scalp. Fortified cereals and wholegrains are a good source of zinc along with oysters, beef and eggs.
7) Vitamin E
The sun can damage our hair just like it can damage our skin so ensure you eat foods rich in vitamin e to provide protection for your hair. Nuts are nutritional powerhouses, providing zinc and selenium as well as vitamin e so try to include them as part of a balanced diet.
Biotin is a water-soluble b vitamin. Too little biotin can cause brittle hair and may lead to hair loss. Include biotin rich foods such as wholegrains, liver, egg yolk, soy flour and yeast.
I'm a 17 years old female. I always get my periods either 1 week late or 1 week early. I actually visited my doctor and she told me to attend some tests. All the reports were normal but still my periods are not regular. I'm very much worried. I don't understand what to do? Can you please help me?
I have a boy of 5 yrs. Through caesarean and now I am 35 weeks pregnant with expected due date - 15 September but at present foetal weight is 2908 gm /- 425 gm and my scar thickness is 3.5 mm on which my doctor has advised me to go through caesarean near about 25 August. Do you also think that I should go for delivery near about 25 August?
Hello, my wife is a student of BAMS MD (Anastasia) so she has to attend 4-5 surgeries daily. We are planning for a baby is there any problem due to presence of formalin or other disinfectant present in O T to the development of foods and precaution could be taken to avoid any problem I would like to know what female surgeons take precautions during their pregnancy? Thank you.
Hello doctor, my last period was on 16 March. We are trying for baby. From 14 Apr, I am having sudden pain on my abdomen and back. It's paining when I press my nipples. My body temperature has also got increased as compare to earlier. Is this the signs of pregnancy? If yes, when should I go for UPT and consult my doctor.
I am 28 years married women and have 2 children. When I drink warm or normal milk, I start feeling unwell like vomiting n heavy. BT not in case of chilled sweet milk. I want to know the reason.
I enjoyed my sex life with my boyfriend without precaution and I got period date after a day. Am worrying that i'll get pregnant? Please help me to avoid pregnant.
Many people have a common workout woe that while they are working out for hours they are not losing weight. The reason on a broad sense is simply that you are undoing your workout. Let me explain the reasons here.
1. Calorie overload/dieting - A general opinion amongst a lot of people is that since they are working out, they can binge on their favourite foods. Another group of people are those who workout with utmost sincerity but do not eat post workout. Both are equally harmful and aide fat generation.
2. Not staying hydrated - While working out, our bodies lose a lot of water. Often, we confuse the feeling of being thirsty as being hungry. So after a workout, when one might actually be hungry, one ends up filling the stomach with food. Stay hydrated at all times, especially before and after workout.
3. Drinking alcohol - A lot of people workout during the day and drink in the evening. This is a strict no-no and if not adhered to, you will end up gaining more weight than losing. Usually it is recommended staying completely off alcohol while trying to lose weight because drinks have calories and high sugar content. If abstaining is difficult, restrict the quantity.
4. Not working out enough - Human mind can be fooled very easily into believing what is not. We often believe that we our workout is enough and we don’t need to increase the number of counts, level of difficulty etc. It is good to give yourself a pat in the back, but never too soon.
5. Rewarding yourself - Rewarding yourself after losing every kilo is a very bad idea. Set a big goal and reward yourself only once achieved.
6. Drinking energy drinks - Advertisements promote energy drinks as a must for people who are working out. What they conveniently hide is the fact that these drinks are full of sugar.
7. Not eating enough vegetables - Many people turn to protein shakes and unhealthy foods instead of eating regular home-cooked vegetables which are packed with nutrients.
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There is no fixed course for iron. You need to continue till your body stores are adequate in iron. A regular follow-up blood test is most essential to prevent iron overload. There is no need to take extra supplemental iron unless indicated.
Continue using food sources of iron even after stopping the tablet/syrup as food sources will never cause iron overload. Common foods being beet, green veggies, dates, figs, raisins, sesame seeds, almonds.
If you are not responding to the iron or your hemoglobin keeps dropping frequently, you need to rule out hemoglobin related disorders.
But, but, but. Try doing this first -
Include vitamin a (carrots, peach, papaya, mango, green vegetables), copper (whole grains, almonds, pista, figs, dates, walnuts, raisins) and vitamin c to improve absorption of iron.
Our indian dish'aloo-palak' is a good example of food combination to maximize efficacy of nutrient absorption. Forget the technical jargon.
What I mean is that you get iron from palak and vitamin c, vitamin a and copper from the potato, so it enhances the iron absorption.
Point to note:
Do not take your anti-acidity syrups, tablets or capsules with iron. It will just not allow that iron to be absorbed.
Do not drink cow or buffalo or soya milk to gulp that iron tablet, it will just not allow.
Do not take tea or coffee with iron tablet; it will just not allow.
So, get the best out of that iron tablet, so that you can discontinue it sooner.
Me and my gf had protected sex after her periods . Her dates are near again but she say she is having no signs of stomach pain which happens to her every time before her periods. Is she pregnant or it is just a delayed period ?
Sir if i had sex in month of april and she she had period too. Then after a month means in month of june stomach becomes hard and feel that something is their. Does it mean that she is pregnant. If then to avoid the pregency and get relief what should we do? is she pregnant?
I am 6 weeks pregnant. Im on duphaston from 5 days due to slight brown bleed. Now im some times seeing a different discharge other than milky white like greyish like. Is this a bad sign of pregnancy?
Dengue fever is a painful mosquito-borne disease. It is caused by any one of four types of dengue virus, which is transmitted by the bite of an infected female Aedes aegypti mosquito.
Previous dengue infection with similar serotype provides immunity but different serotype causes more severe infection.
Common symptoms of dengue include high fever, runny nose, a mild skin rash, cough, and pain behind the eyes and in the joints. However, some people may develop a red and white patchy skin rash followed by loss of appetite, nausea, vomiting, etc.
Patients suffering from dengue should seek medical advice, rest and drink plenty of fluids. Paracetamol can be taken to bring down fever and reduce joint pains. However, aspirin or ibuprofen should not be taken since they can increase the risk of bleeding.
The risk of complications is in less than 1% of dengue cases and, if warning signals are known to the public, all deaths from dengue can be avoided.
Best test is NS1, specific
Cannot be false +ve
Is + from day 1 to 7 ideally.
If on day 1 is -ve, repeat it next day.
Always ask for ELISA based NS1 tests as card tests are misleading.
IgG & IgM dengue
In a pt with reduced platelets and looking "sick" on day 3 or 4 of illness, a very high titre of IgG with borderline rise in IgM signifies secondary dengue. These pts are more prone to complications.
In primary dengue IgG becomes + at end of 7 days, while IgM is + after day 4.
Immature Platelet fraction (IPF)
A very useful test in Dengue for patients with thrombocytopenia.
If IPF in such a pt is > 10%, despite a platelet count of 20, 000, he is out of danger & platelets will rise in 24 hrs.
If its 6%, repeat the same next day. Now if IPF has increased to 8% his platelets will certainly increase within 48 hrs.
If its less then 5%, then his bone marrow will not respond for 3-4 days & may be a likely candidate for platelet transfusion.
Better to do an IPF even with borderline low platelet count.
A low Mean Platelet volume or MPV means platelets are functionally inefficient and such patients need more attention.
The primary cause of death in patients suffering from dengue is capillary leakage, which causes fluid deficiency in the intravascular compartment, leading to multi-organ failure. Platelet deficiency is not the cause of death in most of the patient suffering from Dengue .
According to International guidelines, unless a patient’s platelet count is below 10,000 or there is spontaneous, active bleeding, no platelet transfusion is required. The outbreak of dengue in the City and Hospital beds are full and families are seen running around in search of platelets for transfusion. However what most people do not realize is that the first line of treatment for dengue is not platelet transfusion. In fact, it does more harm than good if used in a patient whose counts are over 10,000.
At the first instance of plasma leakage from the intravascular compartment to the extravascular compartment, fluid replacement amounting to 20 ml per kg body weight per hour must be administered. This must be continued till the difference between the upper and lower blood pressure is over 40 mmHg, or the patient passes adequate urine. This is all that is required to treat the patient. Giving unnecessary platelet transfusion can make the patient more sick.
“While treating dengue patients, physicians should remember the ‘Formula of 20' i.e. rise in pulse by more than 20; fall of BP by more than 20; difference between lower and upper BP of less than 20 and presence of more than 20 hemorrhagic spots on the arm after a tourniquet test suggest a high-risk situation and the person needs immediate medical attention.”
Read WHO guidelines for further fluid management strategies & Hematocrit monitoring.