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Abdomen & Pelvic Health Feed

Ovarian Fibroids - How Myomectomy Can Be Of Help?

MBBS, DGO - Preventive & Social Medicine
Gynaecologist, Sri Ganganagar
Ovarian Fibroids - How Myomectomy Can Be Of Help?
Fibroids are non-cancerous growth that develop in the uterus in varying sizes. Fibroids do not usually show symptoms, but if they are large they may cause severe pain in the abdomen, heavy menstrual bleeding, bloating, infertility or complications during pregnancy. Several factors may lead to the formation of fibroids, including hormones, family history, and pregnancy.

What is myomectomy?

Myomectomy is the surgical procedure which is used for removing fibroids from the uterus. It is a safe method that allows women to become pregnant in future. Gonadotropin-releasing hormone analogue therapy, performed before myomectomy helps in lowering the estrogen level and also controls anemia by stopping uterine bleeding. The different surgical methods for myomectomy include:

- Hysteroscopy, involving the insertion of a lighted viewing instrument into the uterus
- Laparoscopy, involving the insertion of a lighted viewing instrument and one or more incisions in the abdomen
- Laparotomy, involving a larger incision made in the abdomen

Why is the surgery performed?

Myomectomy treats fibroids while preserving the uterus. It is a viable option for those who have:
- Anemia which cannot be controlled with medicines
- Pain which cannot be tackled with medicines
- A fibroid that can cause infertility or increases the risk of miscarriages

How well does it work?

- Pregnancy: myomectomy is the only treatment for treating fibroids that improve your chances of having a baby. The method is effective for treating submucosal fibroid. A cesarean section is required for delivery after performing a myomectomy.

- Recurrence: recurrence of fibroids after myomectomy is really low. It is possible in rare cases, depending on what the original fibroid problem was. Large and numerous fibroids have a greater risk of recurrence.

Kidney Stones - How Can Homeopathy Be Of Help?

BHMS
Homeopath, Rourkela
Kidney Stones - How Can Homeopathy Be Of Help?
Kidney stone formation is the most common kidney disease, and people who have had it, would immediately be reminded of the severe pain (loin to groin) in the back.

How stones are formed?

The kidney functions as the body s filters in removing wastes from the body through urine.
Most of the waste is in the form of salts and when there is excessive salts and reduced amount of water, there could be formation of crystals or stones in the kidneys.
Symptoms

Reduced amount of urination
Blood in the urine due to damage of the urinary tract structures
Painful urination with burning sensation
Swollen abdomen
Nausea and Vomiting
Fever and chills
Benefits of homeopathic remedies
Kidney stones are highly likely to be recurrent. A number of factors contribute to their formation. Homeopathy aims at treating the whole body and not just dissolving the stones. It offers various remedies, which ensure the stones are completely dissolved and also prevent recurrence.

Remedies

Berberis Vulgaris is prescribed for the following conditions:


Very useful in left-sided stones where patient experiences pain radiating to the ureter, bladder, and urethra and down to the thighs.
Burning sensation with urination
Slightly red or green urine with mucus (increased consistency of urine)
Increase in pain with any kind of physical movement
Soreness in the lumbar region of the kidneys
Cantharis is suitable for the following conditions:
Paroxysms of renal colic with cutting and stabbing pains
Severe pain before and after urination in the urethral area
Constant urge to urinate, but very little flow
No relief even after sitting and straining
Bloody urine (slightly pinkish tinge), if there is damage to internal structures
Sharp tearing pain when this damage happens
Thirst and aversion to all fluids
Lycopodium is one of the most reliable homeopathic medicines for right-sided kidney stones.
Works better for right-sided stones, where it dissolves them completely
Severe backache experienced by the affected person prior to passing urine, which reduces after urination
Great urge to urinate, even at night
Presence of sediments (red or yellow) in the urine
Abdominal bloating with distention along with right-sided kidney pain
Hydrangea, also referred to as the stone breaker, reduces chances of recurrence of kidney stones in the following conditions:
Right-sided pain
Blood-tinged urine
Increased frequency of urination
Lots of white sediments in the urine

Uterine Fibroids - Know Forms Of It!

BHMS
Homeopath, Navi Mumbai
Uterine Fibroids - Know Forms Of It!
Uterine fibroids, also referred to as uterine myomas) are non-cancerous tumors that grow within the muscle tissue of the uterus. As many as 20% to 50% women between the age group of 18 to 40 suffer from the condition, but not all cases warrant treatment.

It may be as tiny as a coin or it may grow to the size of a watermelon, making people think the lady is 6/7 months pregnant! There may be one big fibroid or several small ones.

Causes:
Though the exact causes are not known, family history and hormonal imbalances are said to be the main causes for the same.

Types of Uterine Fibroids

The four types are:

Subserosal Uterine Fibroids: Develops outside the uterus and continues to grow.
Intramural Uterine Fibroids: The most common type that lead to pregnancy like tummy. They develop within the uterus wall and continue to expand.
Submucosal Uterine Fibroids: Because these develop within the uterus lining, they are most likely to be the cause of heavy flow during periods.
Pedunculated Uterine Fibroids: These grow on the inner or outer side of a small stalk connecting to the uterus.
Common Symptoms:

An enlarged uterus is the most common symptom. It is often mistaken for general weight gain or pregnancy.
Prolonged and painful menstrual cycle, that is many times irregular.
Urinary incontinence and constant urge to urinate.
Pelvic pressure.
Pressure on the bowels leading to constipation.
Pain during intercourse.
General treatment

If you find out that you have fibroids during an examination or if you visit a doctor with any of these symptoms, they will most likely ask for an ultrasound or Magnetic Resonance Imaging (MRI) which will confirm the type of fibroid and the extent of your problem. Treatment includes non-invasive-focused ultrasound surgery.

Treatment with Homeopathy:

One of the best advantages of choosing Homeopathy is that it works without side effects. It addresses the issue rather than the symptom. A surgical procedure mentioned in general treatment does remove the fibroids but there is no guarantee that they won't grow back as the underlying issue of hormonal imbalance remains.

During a clinical study of the effects of Homeopathy on fibroids, 85% patients showed improvement and 48% people had complete fibroid removal.

Treatment: There are medicines in Homeopathy that can treat uterine fibroids, cervical fibroids and help maintain normal hormonal balance in females.
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How To Avoid Uterine Fibroids Through Homeopathy

BHMS, MD - Homeopathy
Homeopath, Navi Mumbai
How To Avoid Uterine Fibroids Through Homeopathy
Uterine fibroids, also referred to as uterine myomas) are non-cancerous tumors that grow within the muscle tissue of the uterus. As many as 20% to 50% women between the age group of 18 to 40 suffer from the condition, but not all cases warrant treatment.

It may be as tiny as a coin or it may grow to the size of a watermelon, making people think the lady is 6/7 months pregnant! There mTreatment: ay be one big fibroid or several small ones.

Causes:
Though the exact causes are not known, family history and hormonal imbalances are said to be the main causes for the same.

Types of Uterine Fibroids

The four types are:
a) Subserosal Uterine Fibroids: Develops outside the uterus and continues to grow.
b) Intramural Uterine Fibroids: The most common type that lead to pregnancy like tummy. They develop within the uterus wall and continue to expand.
c) Submucosal Uterine Fibroids: Because these develop within the uterus lining, they are
most likely to be the cause of heavy flow during periods.
d) Pedunculated Uterine Fibroids: These grow on the inner or outer side of a small stalk connecting to the uterus.

Common Symptoms:
1.An enlarged uterus is the most common symptom. It is often mistaken for general weight gain or pregnancy.
2. Prolonged and painful menstrual cycle, that is many times irregular.
3. Urinary incontinence and constant urge to urinate.
4. Pelvic pressure.
5. Pressure on the bowels leading to constipation.
6. Pain during intercourse.

General treatment
If you find out that you have fibroids during an examination or if you visit a doctor with any of these symptoms, they will most likely ask for an ultrasound or Magnetic Resonance Imaging (MRI) which will confirm the type of fibroid and the extent of your problem. Treatment includes non-invasive-focused ultrasound surgery.

Treatment with Homeopathy:
One of the best advantages of choosing Homeopathy is that it works without side effects. It addresses the issue rather than the symptom. A surgical procedure mentioned in general treatment does remove the fibroids but there is no guarantee that they won't grow back as the underlying issue of hormonal imbalance remains.

During a clinical study of the effects of Homeopathy on fibroids, 85% patients showed improvement and 48% people had complete fibroid removal.

Treatment: There are medicines in Homeopathy that can treat uterine fibroids, cervical fibroids and help maintain normal hormonal balance in females.

Some people had stone of 10 mm in their kidney, what should they do for remove them? Age of people may be 36 or 37?

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery, Genito Urinary Surgery
Urologist, Ludhiana
Some people had stone of 10 mm in their kidney, what should they do for remove them? Age of people may be 36 or 37?
10 mm stone is little big in size for it to come out on its own. Best treatment nowdays is to get rirs done by a urologist.
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I have 5 mm silent GB stones. A Homeopathy doctor prescribed some medicines for a month and guaranteed for Improvement with daily diet chart. So is it possible in homeopathy?

Masters Of Science In Dietetics And Food Service Management Msc. (DFSM), Certified Diabetes Educator (CDE), Advanced Clinical Nutrition Program, Post Graduate Diploma In Clinical Nutrition And Dietetics PGD, Bachelors Degree In Applied Nutrition Bhsc
Dietitian/Nutritionist, Mumbai
I have 5 mm silent GB stones. A Homeopathy doctor prescribed some medicines for a month and guaranteed for Improvemen...
Hello, Yes, it will if the diet is proper. Avoid high fat food, fried foods, outside food/ junk food, gas forming foods. Eat a balanced and healthy diet.
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Appendicitis - Laparoscopic Appendecectomy!

MBBS, MS-General Surgery , FMAS, FIAGES
General Surgeon, Gurgaon
Appendicitis - Laparoscopic Appendecectomy!
APPENDICITIS LAPAROSCOPIC APPENDECECTOMY

APPENDICITIS is an inflammation of the appendix, a finger-shaped pouch that projects from your colon on the lower right side of your abdomen. The appendix doesn't seem to have a specific purpose. Appendicitis causes pain in lower right abdomen. However, in most people, pain begins around the navel and then moves. As inflammation worsens, appendicitis pain typically increases and eventually becomes severe. Although anyone can develop appendicitis, most often it occurs in people between the ages of 10 and 30. Standard treatment is surgical removal of the appendix.

Symptoms Signs and symptoms of appendicitis may include:

Sudden pain that begins on the right side of the lower abdomen Sudden pain that begins around your navel and often shifts to your lower right abdomen

Pain that worsens if you cough, walk or make other jarring movements

Nausea and vomiting

Loss of appetite

Low-grade fever that may worsen as the illness progresses

Constipation or diarrhea

Abdominal bloating

Causes

A blockage in the lining of the appendix that results in infection is the likely cause of appendicitis. The bacteria multiply rapidly, causing the appendix to become inflamed, swollen and filled with pus. If not treated promptly, the appendix can rupture.

Complications Appendicitis can cause serious complications, such as:

A ruptured appendix. A rupture spreads infection throughout your abdomen (peritonitis). Possibly life-threatening, this condition requires immediate surgery to remove the appendix and clean your abdominal cavity.

A pocket of pus that forms in the abdomen. If your appendix bursts, you may develop a pocket of infection (abscess). In most cases, a surgeon drains the abscess by placing a tube through your abdominal wall into the abscess. The tube is left in place for two weeks, and you're given antibiotics to clear the infection. Once the infection is clear, you'll have surgery to remove the appendix. In some cases, the abscess is drained, and the appendix is removed immediately.

Diagnosis

To help diagnose appendicitis, your doctor will likely take a history of your signs and symptoms and examine your abdomen. Tests and procedures used to diagnose appendicitis include:

A physical exam to assess your pain. Your doctor may apply gentle pressure to the painful area. When the pressure is suddenly released, appendicitis pain will often feel worse, signaling that the adjacent peritoneum is inflamed. Your doctor also may look for abdominal rigidity and a tendency for you to stiffen your abdominal muscles in response to pressure over the inflamed appendix (guarding).

Blood test. This allows your doctor to check for a high white blood cell count, which may indicate an infection.

Urine test. Your doctor may want you to have a urinalysis to make sure that a urinary tract infection or a kidney stone isn't causing your pain.

Imaging tests. Your doctor may also recommend an abdominal X-ray, an abdominal ultrasound or a computerized tomography (CT) scan to help confirm appendicitis or find other causes for your pain.

Treatment Appendicitis

Treatment usually involves surgery to remove the inflamed appendix. Before surgery, you may be given a dose of antibiotics to prevent infection. Surgery to remove the appendix (appendectomy) Appendectomy can be performed as open surgery using one abdominal incision about 2 to 4 inches (5 to 10 centimeters) long (laparotomy).

LAPAROSCOPIC APPENDECTOMY , surgery can be done through a few small abdominal incisions During a laparoscopic appendectomy, the surgeon inserts special surgical tools and a video camera into your abdomen to remove your appendix. In general, laparoscopic surgery allows you to RECOVER FASTER and heal with LESS PAIN and scarring. It may be better for people who are elderly or obese. But laparoscopic surgery isn't appropriate for everyone. If your appendix has ruptured and infection has spread beyond the appendix or you have an abscess, you may need an open appendectomy, which allows your surgeon to clean the abdominal cavity.
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Signs and Symptoms You Might Be Suffering From Kidney Stone

MNAMS - Urology, MCh - Urology, DNB - General Surgery, MS - General Surgery, MBBS
Urologist, Delhi
Signs and Symptoms You Might Be Suffering From Kidney Stone
Kidney stones are one of the most common urinary tract disorders. These stones are the result of an abnormal concentration of urine. The stones might get unnoticed, till it moves around the kidney or passes into the ureter and causes obstruction. The stones are basically small deposits of calcium that can cause excruciating pain.

Here is a list of signs that can indicate that a person might be suffering from kidney stone disorder:

Back Pain: People suffering from kidney stones often suffer from localized back pain in the early stages. The pain initiates at the side and back, just near the kidney area. As the stone migrates down, the pain might spread to the groin, lower abdomen and lower back area. The waves of pain might last from a few minutes to few hours, depending on the number and size of the stone and the degree of obstruction. For men, the pain might also be felt in the testicles and scrotum area if the stone gets lodged at the UV junction.
Blood In Urine: Apart from pain and discoloration, visible signs of blood in the urine are seen in patients who have kidney stones. The color of urine might vary from brown, pink to slightly red with stains of blood. Blood along with urine is referred to as hematuria.
Vomiting and Nausea: People suffering from kidney stones often complain of nausea. It can become so severe that can lead to vomiting. Some other complications related to this condition include dehydration, nutritional deficiency etc. Another theory suggests that throwing up is the result of body s endeavor of clearing the toxic material from the body.
Difficulty in Sitting: Once the kidney stones gain in size, it becomes increasingly difficult for a patient to sit or lie down for a longer duration. Sitting or lying down puts pressure in the kidney area thereby causing intense pain. People try to combat this condition, by frequently standing up or by having a small walk. Occasionally this can be a symptom of the stone disease.
Urinary tract infection: Sometimes there is obstruction in the kidney or ureter by the stone and patient develops infection in this obstructed system. Patient will present with high grade fever with chills and this is referred to Urinary Tract infection.

I have been diagnosed with having a kidney stone. Can this pass spontaneously? CT scan revealed it's of 6 mm × 4.4 × 4.8 mm.

DNB - Urology, MS - General Surgery
Urologist, Jaipur
I have been diagnosed with having a kidney stone. Can this pass spontaneously? CT scan revealed it's of 6 mm × 4.4 × ...
There is 50-60% possibility of spontaneously passing the stone Drink a lot of fluids. If pain is persistent then will need endoscopic removal.
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Hematuria

DNB (Urology), MS, MBBS
Urologist, Gurgaon
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Hematuria is the presence of red blood cells in the urine. The causes of hematuria are broad, ranging from urinary tract infection to kidney stones to bladder cancer. Sometimes the cause of hematuria can be determined based on the medical history and urine testing.
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