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My frnd is suffering from vitamin D deficiency! His vitamin D level is 16. Kindly tell me what are the risks and what should he do now.
I am an asthma patient since childhood but everything is under good control. I only need to take asthalin inhaler after March for a month or so when we start removing woolens and I start getting attacks but as soon as I get the feel of getting attack, before only I inhale one puff and I am able to prevent the attack. Occasionally when it does not improve, I take seroflo one or two puffs. If that also does not help only then I consult a doctor for oral medication dose. Generally in a year I must not be taking more than 20 puffs in all. Is there anything wrong in my approach? I do not want to take too many medicines and want to heal by taking precautions. Please suggest if there is anything I should be knowing regarding my problem in a long run considering the way I am handling my problem. Thank you.
Hello! Doctor, I am going through extremely difficult time in my life this is because I have lost my wonder brother in 2012 of him having cancer. Since then my life has changed, I have going through severe depression and have I cannot come to terms of losing him. I cannot sleep, or eat and my health is somewhat going all over the place. I live alone, I am tired all the time, I cannot focus on anything or do anything, also I have noticed that I cannot seems to hold any items on my hand as they feel weak. I also have Asthma and it is also getting worse. I am having hair loss. I am constantly thinking of my wonderful brother. I have had counselling but it did not help. I don't wa nt to take depression tablets because they did not help. I also suffer Hypertension and cholesterol. please advise Thanks Nargis Chowdhury.
Post menopausal bleeding is vaginal bleeding that happens at least 12 months after your periods have stopped.
About 4 % of women suffer with the above problem.It is not normal to bleed after menopause and it has to be investigated.
Causes of post menopausal bleeding
Most common cause of post menopausal bleeding is atrophic vaginitis and atrophic endometritis.After menopause due to decrease in the level of harmones in the body there can be thinning and inflammation of the inner lining of the uterus.
Other causes of post menopausal bleeding are
polyps they refer to the extra growths of the inner lining of the uterus as well as the neck of the uterus(cervix).
PMB can also be because of thickening of the inner lining of the uterus, also called as hyperplasia.it can be because of extraneous harmones or obesity.
Less than 10% of the woman who suffer from PMB may have cancer of endometrium ,cervix and vagina.
your doctor will do an internal examination to examine the cervix and do a papsmear if it is due.
2)USG scan is done to note down the size of uterus and the thickness of the endometrium.based on these reports the doctor might decide about the further tests.
4)Hysteroscopy it is a procedure where a small camera is put inside the uterus and a targetted biopsy taken from the suspicious area.
The treatment of PMB depends upon the cause.
If endometrial atrophy was the reason it can usually be traeated with estrogen creams and pessaries
Cervical and endometrial polyps require surgery to remove them.Hysteroscopic polypectomy refers to the surgery where in the polyp is removed under the guidance of the camera which is inserted into the uterus.
Endometrial hyperplasia can be treated with progesterone tablets or progesterone impregnated intrauterine devices.
Endometrial cancer will have to be treated with surgery for the removal of uterus and ovaries.Some patients may require chemo or radiotherapy as the stage of cancer may demand.
All in all postmenopusal bleeding doesnt mean the patient has cancer 90 percent of the time it is because of the benign causes but it should not be ignored but investigated.Its betTer to be safe than sorry.