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Hi dr, My hubby is suffering from slip disc problem, aur uska ilaj bhi chal raha hai, from last 3 months humne sex nahi kiya, he sai jab hm sex karte hai to bad mai inhe kamar mai pain start ho jati hai, to kya hm sex nahi kr sakte. Please madad kijiye humari.
Breast Augmentation is the most popular plastic surgery procedure performed worldwide.
Breast augmentation can enhance your appearance and your self-confidence, enlarging your breasts and making them more proportional with the rest of your body. Breast augmentation can also be used to correct differences in the size of your breasts or sagging breasts, which can occur after pregnancy and breastfeeding.
There are many choices and options in breast augmentation, which require careful planning to individualize what are the best options for you. All of these choices have advantages and disadvantages, which you should understand before you make a decision with your surgeon.
Breast augmentation does not correct severely drooping breasts. If you want your breasts to look fuller and to be lifted due to sagging, a breast lift may be required in conjunction with breast augmentation. Breast lifting can often be done at the same time as your augmentation or may require a separate operation. Your plastic surgeon will assist you in making this decision.
Most patients choose silicone implants rather than saline implants because they have a more natural look and feel. Modern silicone implants are substantially different from the old type of silicone implants used in the 1970s and 80s. Another advantage of the cohesive gel silicone implants is that they are made in a variety of round and tear-drop shapes, which means it is easier to choose an implant to achieve the breast shape that you desire.
Misinformation emerged about silicone in the late 80's and early 90's. The effects of silicone implants have since been studied extensively these claims were made, looking at 100,000s of women with breast implants. In June 1999, The Institute of Medicine at the National Academy of Sciences in the U.S.A. released a report, which confirmed that there is no increased risk of the development of cancer, immunologic or neurological problems associated with the use of silicone breast implants, which had been claimed in the late 80's. Patients with implants can breastfeed normally as there is no effect on breast milk.
Breast augmentation surgery requires a general anaesthetic, with the operation taking 1-2 hours, and is usually performed as a day-stay or overnight-stay procedure.
Implants are placed either behind the breast tissue or under the pectoralis muscle on the chest wall. Breast implants placed underneath the muscle have a more natural shape, a lower chance of capsular contracture (hardening) of the implant, and it is easier for mammography. There is also a choice of incision - in the crease under the breast, under the areola or in the armpit, all of which have advantages and disadvantages, which you should discuss with your surgeon.
Following the surgery, it is important to have restricted light activities, with no lifting or heavy duties for 7-10 days. Most patients may drive again and return to work within 7 days after the surgery. Heavy activities and sport should not be undertaken for 3-4 weeks following the surgery. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
I am a man of 50 years and have no complications except slip disc between l4-l5 which is ok if I take proper precaution. From last few months I feel considerable pain in my both knee after sitting on a chair for few hours constantly and then trying to move. When I am keep walking pain is not there. I have to sit in front of computer whole day long. Kindly advise.
Rubbery cushions (discs) between the bones (vertebrae) stack up to form the spine. When a nerve between the disc and vertebrae is pressed and inflamed, that condition is called herniated disc. The herniated disc is also referred to as the ruptured disc or the slipped disc. This is caused when the soft jelly is pushed out due to a tear in the exterior. Herniated discs can lead to an irritation of the nerves and result in tremendous pain. It may also cause the arms and legs to become numb and weak. However, some people suffering from this condition may not display any symptoms at all.
Herniated disc generally occur in the lower part of the vertebral column. The herniated disc may also be seen in the thoracic spine or cervical spine. The symptoms of a herniated disc include pain in the legs, feet, or the buttocks, pain in the shoulder blade, tingling of the feet, numbness of the feet and hands, muscle weakness, neck pain or muscle spasm in the neck. Most common causes of herniated discs are aging, excessive weight or lifting of heavy weight.
Prevention of herniated disc
- Herniated discs are very commonly found in people who are aged between 35 or 55 years. They are seen more commonly in the men in comparison to the women.
- A herniated disc cannot be prevented easily, but there certain things that you can do to reduce the risks. Maintaining the proper techniques of lifting is important. You should not be bending at your waist. You should always bend the knees and keep the back straight. This helps you to use your leg muscles which are very strong to support the weight.
- As the saying goes, precaution is better than cure, so here are few precautions that can be taken to avoid herniated discs. Practicing a proper posture can help in reducing the risk of a herniated disc. It is extremely important for an individual to maintain a healthy posture while standing, sitting, walking, and even sleeping. It is imperative that you stretch your muscles when you are sitting in one position for a long time.
- Another important thing to avoid is high-heeled shoes, as they are few of the most common causes of a herniated disc. It would be a good idea to go for flat and well cushioned comfortable footwear as they can go a long way in reducing the risk of the herniated disc.
- Exercising regularly can go a long way in keeping the muscles of the legs, stomach, and back very strong. You should try to balance your flexibility and strength by exercising regularly. The best form of exercise to avoid herniated disc or ruptured disc is aerobic exercise.
- It is true that as you start to age, the chances of getting a herniated disc increase significantly. However, if proper precautions are taken, the stress put on the spine can be effectively reduced, thereby eliminating the risk of a herniated disc. In case you have a concern or query you can always consult an expert & get answers to your questions!
Breast cancer is a very common form of cancer that develops in the cells of your breast. The cancer typically forms in either the ducts of your breast (the pathway through which milk reaches the nipples from the glands) or the lobules (the glands which produce milk).
Breast cancer can affect both males and females. However, it is more commonly observed in women aged between 45-55 years.
Look out for these symptoms!
Signs and symptoms of breast cancer include the following-
- Discharge of blood from the nipples
- A lump near the breast or the armpit
- Scaling or peeling of skin around the breasts
- Sore nipple
- Breast pain
- Swelling of lymph nodes in the armpit or on the neck
- Change in the shape and size of the nipple or the breast
- An inverted nipple
What are the risk factors?
- Age- Breast cancer usually strikes at an older age. Women aged over 55 years are most often diagnosed with invasive breast cancer.
- Family history- If you have someone in your family who’ve had a history of breast cancer, then you too may develop this disease later in life.
- Inherited genes- Mutation of certain genes- BRCA1 and BRCA2- can put you at a higher risk of developing breast cancer.
- Obesity- People with Body Mass Index (BMI) higher than or equal to 30 are at risk of developing breast cancer.
- Alcohol consumption- Aggressive or frequent alcohol consumption can make you prone to breast cancer.
- Early menstruation- Those who’ve had their first menstrual cycle before the age of 12, are more likely to get affected by breast cancer in the later stage.
- Postmenopausal therapy- Women undergoing hormonal therapy or medications combining progesterone and estrogen to treat menopause have greater risk of having breast cancer.
What is the treatment for breast cancer?
After a thorough evaluation of your overall health condition, your doctor will determine the options to treat your breast cancer depending on the type, size and stage of the cancer. The usual methods of curing breast cancer are-
- Lumpectomy- This is a minimally invasive surgical procedure whereby smaller tumors are removed from the lumps of your breast. Your doctor will only remove a portion of the cancerous lump, leaving the remaining portion of the breast intact. This allows for better symmetry of your breast. However, you may need to undergo chemotherapy or radiation therapy following a lumpectomy to make sure that all the cancer cells are destroyed.
- Mastectomy- This surgical procedure is performed to remove all of the breast tissues including the ducts, lobules, nipples and areola.
- Sentinel Node Biopsy- In order to determine whether or not the cancer has metastasized to other body parts including the lymph nodes, your doctor will first discuss with you the importance of removing the lymph nodes which are likely to be in the receipt of the lymph drainage from the tumor.
- Breast removal- In certain cases where people have a greater risk of developing breast cancer due to family history or a genetic susceptibility, removal of both the breasts are prescribed by doctors.
The rate of survival for breast cancer has increased in recent times owing to modern treatment techniques. Nearly 90% of breast cancer patients survive for at least 5 years after the treatment is done.
My mother is 70 years old. As per MRI report, her spinal canal dimensions at intervertebral disc level for L4-5 is 0.14 (cross sectional area). Is surgery needed. Please let me know what further information is needed.
Hello Doctor, I was suffered from herniated disc. Now I am feeling well. Can I do the exercises for abs. Please suggest.
My mother is a diagnosed case of carcinoma right breast. Her surgery has been done on 28.05.2017. N her infected breast has been removed completely and also in pet/whole body scan it has been found that cancer is not spread to other part of body. After surgery they did biopsy report where it is found that In my mother breast cancer cell her 2/neu is 3+ and comment Her 2 gene amplification issue at18-20% of invasive breast cancer as per biopsy report. Staging is-mpT2N0Mx. The consulting doctor has said that in her case only chemotherapy is required no radiation required but now after last 6th chemotherapy over on 11.10.3017 he said that radiation will also be done. It will take 3 week 5 days in each week? Pls Sir/mam guide why he is saying about radiation now? Is that for business or it really necessary. What is the side effect of radiation? Plss pls guide sir/mam. Thanks in advance.
The liver is a critical organ as it plays a vital role in body metabolism and digestion. Liver diseases are a challenge for medical professionals, as often, these symptoms are not obvious until the disease has progressed to quite an advanced stage. In most cases, diagnosis in the early stage is very difficult, which can help in early intervention and disease arrest. It is not just the disease, but the causes and treatment of liver cancer are also surrounded by myths.
Read on to know some of the myths and facts about liver cancer.
- Liver cancer is caused by alcohol: This is one of the most common myth, which is not true. While alcohol definitely has a role to play in liver cancer, not all victims are alcoholics. Non-alcoholic fatty liver disease (NAFLD) which puts a person at risk for liver cancer is not related to alcohol and is seen in people who are obese, diabetic, high cholesterol and have no connection with alcohol. There is also no correlation between the amount of alcohol and the severity of liver damage. However, stopping alcohol consumption altogether definitely helps in improving liver condition.
- Liver cancer can be detected on routine tests: While abnormal protein levels on routine blood tests indicate abnormal liver, it is most often ignored and does not get diagnosed further. However, this should be taken up in detail and should be diagnosed. Early diagnosis greatly improves prognosis and can reduce treatment costs significantly. The chances of liver regeneration also would be greatly improved.
- Routine medications can lead to liver cancer: Liver plays a very important role in metabolism, and most drugs are liver-toxic. Taken over a period of time, they can cause incremental damage and lead to liver cancer. Some are more toxic than others, so asking for the effect of liver is always a good question.
- Cirrhosis is a precursor to liver cancer: This is definitely true, as left untreated, liver cirrhosis can lead to cancer. The added danger is that cirrhosis also is a silent disease, with often no symptoms and gets detected quite late. Periodic tests for cirrhosis in a patient who has a family history and alcohol consumption is a must.
- Lifestyle has no connection to liver cancer: Absolutely wrong. A good healthy lifestyle including healthy weight, good portions of fresh fruits and vegetables, proper exercise, minimal alcohol use, and no smoking helps not just the liver but overall health. These play a cumulative effect on liver health, and having a good lifestyle, can help in delaying onset even in a person who is predisposed to cirrhosis and/or liver cancer through family history.
Liver cancer is definitely a silent killer, but keeping eyes open definitely, helps.
In case you have a concern or query you can always consult an expert & get answers to your questions!