Treatment of Migraine Treatment
Weight Management Treatment
Removal Of Stitches Procedure
Thyroid Problems Treatment
Dressings Of Wounds Procedure
Hiv Prophylaxis Post Exposure
Viral Fever Treatment
Thyroid Disorder Treatment
Stitching Of Wounds Procedure
Management of Surrogacy
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Gud morning sir, i am aged 30 years married having 1 child. 4 years back my husband was effected by hepatitis b infection. Bt he is nt having any symptoms.in my child age of 10 I have taken the hepatitis b vaccination. Whether I can get the virus? R I have to do tests nd take vaccine aa. My husband is very much interest in sex. What I have to do now.?
Sir I am suffering frm jaundice since last 5 days. Bilburin is 3.sgpt around 1000. Is it a bad sign and I resumed job today but whn I went there I feel weakness and like I will fall down.
Hello, my friend was positive to HBsAg (quantitative) test 26920.11 IU/mL last september. And the LFT were also out of the normal range. Today he did a test HSbAg which came as NonReactive. As well as the LFT tests came normal. So my query is what are the tests he needs to do to find out the current status of the Hep B infection. And how to be sure that is he cured or the virus is still there? Thanks. Any suggesting will be highly appreciated.
Hello, My uncle suffered a ischemic stroke one month ago. Now, he is unable to walk by himself without support. He also has severe pain and swelling due to hemorrhoids and the general surgeon asked him to do an operation urgently. The issue here is that he he is taking Aspirin since the stroke. So, is it advisable to go for the surgery keeping in mind that the surgery requires stopping aspirin two days before the surgery and three days after, hence a total of 6 days without aspirin. Waiting for your quick response. Thank you!
Hi. Recently my term policy declined as evaluating blood sugar fasting 213. Am recently married age 32. Will it be an end my life? And I can't lead a healthy life and safe !
Migraine is an episodic disorder consisting of severe headache with or without light and sound sensitivity. Migraine is second most common cause of headache.
Pathophysiology: Commonly occurs in 4 phases
- Premonitory symptoms
A phenomenon known as cortical spreading depression of leao is the most accepted theory for origin of migraine.
Common triggers for migraine headache are:
Emotional stress, hormones in women, not eating, weather, sleep disturbances, odors, neck pain, lights, alcohol, smoke, sleeping late, heat, food, exercise, sexual activity and obesity. Tyramine, odors and chocolate are unproven triggers of migraine.
Migraine headache are often worsened by rapid head motion, sneezing, straining, constant movement or physical exertion.
Migraine headache is characterized by Following features:
- Unilateral pain nausea/vomiting
- Throbbing pain photophobia and phonophobia
- Aggravation by movement
- Moderate or severe intensity
Migraine therapy is of two types.
- Management of acute episode
- Preventive therapy
Management of acute episode:
Nsaid s like (naprosyn, ibuprofen or aspirin) to be taken the starting of headache.
If available triptans (sumatriptan, rizatriptan, almotriptan) are to be taken at starting of headache.
Other drugs less commonly used these days are ergot derivatives like dihydroergotamine, metoclopramide, prochlorperazine, chlorpromazine etc.
Combination therapy like triptan+ nasid commonly used treximet (sumatriptan+naprosyn) can be used.
If number of episodes are more frequent and causing disturbance to daily living we will start on preventive therapy like
Betablockers, tricyclic anti-depressants and some anti epileptic drugs.
We need to maintain a headache dairy noting down number of episodes of severe headache and need to take naprosyn or almotan for improvement.
Lasmiditan and cgrp antagonists are being evaluated for treatment of migraine.