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Pelvic Inflammatory Disease - How To Detect It?

DGO, MBBS, FOGSI
Gynaecologist, Ahmedabad
Pelvic Inflammatory Disease - How To Detect It?

Pelvic Inflammatory Disease is a common infection in the female reproductive organs like the ovaries, the uterus and the fallopian tubes and also the inside of the pelvis. If left untreated for a long time, PID can lead to severe problems like pregnancy complications, infertility and cancer.

Causes

Sexually Transmitted Diseases (STD) like chlamydia and gonorrhea produce vaginal bacteria which travel to the interior organs and cause PID. Having unprotected sexual contact with someone who has an STD is the most common cause of PID. Moreover, medical processes like abortion, miscarriage, childbirth, insertion of contraceptive devices can also lead to bacterial infection. Having sex with a number of different people, or having sex before the age of 20, or having had an STD in the past, also increase the chances of Pelvic Inflammatory Disease.

Symptoms

The disease may show only minor symptoms or it may not show any symptom at all. When it does, the common symptoms are pelvic pain, discomfort while urinating or having intercourse, difficulties with menstruation and unusual fluid discharge from the vagina. Associated symptoms of Pelvic Inflammatory Disease include high fever, nausea, vomiting, indigestion, exhaustion, shivering and fainting.

Diagnosis

A pelvic examination is conducted to check for abnormal bleeding from the cervix (the opening of the uterus), fluid discharge or severe pain in the uterus, fallopian tubes or in the ovaries.

Swabs taken from the cervix and the vagina are tested for STDs or other possible bacterial infections that may cause Pelvic Inflammatory Disease.
An ultrasound or a Computerized Tomography (CT) scan is conducted to make sure that the symptoms are not being caused by other disorders like appendicitis or other kinds of infection in the reproductive organs.

A pregnancy test is also done to take the necessary precautions to protect the fetus from the adverse effects of the infection.

Treatment

The treatment procedures of Pelvic Inflammatory Disease vary depending on the type of bacteria that caused the infection in the specific case. Antibiotic medication is used to treat the condition. In case of severe complications, the patient has to be hospitalized.

1322 people found this helpful

Gram Negative Folliculitis - How To Detect It?

Dr. Ramanjanayalu 89% (11 ratings)
MBBS, MD - Dermatology, Fellowship In Aesthetic Medicine
Dermatologist, Bangalore
Gram Negative Folliculitis - How To Detect It?

Gram-negative folliculitis is an infection of the skin. It is caused by gram-negative organisms. This can occur in patients, who are suffering from acne vulgaris and rosacea. In these patients, the acne gets resistant to drugs or antibiotics due to its prolonged use. This disease was first discovered by Fulton in 1968. People suffering from aids may also develop this infection.

Complications

Gram-negative folliculitis can cause other skin conditions including the following ones:

1. Spa pool folliculitis is a pseudomonas infection.
2. Folliculitis caused by aeromonas hydrophila: This happens due to exposure of injured skin to contaminated water.

The appearance of Gram-negative folliculitis: It looks like rash similar to that of acne. Often patients mistake it to be the worst form of acne. In most cases, Gram-negative folliculitis leads to superficial pustules with lesser papules and comedones. These are caused by Klebsiella, Escherichia and Serratia species. In rare cases, it forms deeper lesions, which are nodular and cyst-like. These are caused due to infection by Proteus species. This microbe fails to penetrate deeper layers of the skin. The lesions are found on the upper lip, under the nose and on cheeks.

Diagnosis: When acne gets unresponsive to antibiotics, you should suspect it to be a case of gram-negative folliculitis. It is diagnosed by cytology. The colour of the bacteria in gram stain appears red or pinkish. Bacterial culture is conducted to identify the species.

Treatment: The treatment of gram-negative folliculitis can be done by using isotretinoin and other systematic antibiotics. Isotretinoin is a complex compound of beta-carotene and is effective for treating severe and unresponsive nodulocystic acne. This has been proved best for the eradication of facial lesions and nasal carriage in two to three months. Recurrence of the lesions is not seen.

1935 people found this helpful

Congestive Heart Failure - How To Detect It?

Dr. Hardik Thakker 90% (466 ratings)
MD - Internal Medicine, MBBS
Internal Medicine Specialist, Mumbai
Congestive Heart Failure - How To Detect It?

Congestive heart failure is a chronic progressive condition that affects the pumping power of your heart muscles. Simply referred to as heart failure, congestive heart failure can be life-threatening. It does not mean that the heart has stopped working. Rather, it means that the heart pumping power is weaker than normal. As a result, the heart cannot pump enough oxygen and nutrients to meet the body’s needs. Over a period of time, the reduced ability of the heart causes the organs to receive less amount of oxygenated blood.

Signs and symptoms of congestive heart failure: In the early stages of congestive heart failure, you most likely won’t notice any changes in your health. If your condition progresses, you will experience gradual changes in your body. The hallmark and the most common symptom of congestive heart failure is shortness of breath and it may occur while you are at rest, doing any activity that exerts your body, when you are lying flat or while getting up from sleep. Some of the other most common symptoms of congestive heart failure include a persistent and unexplained cough, swelling in the legs, ankles, abdomen, or hands, tiredness, changes in thinking and memory, nausea, rapid heart rate, and dizziness or light-headedness.

Causes of congestive heart failure: Congestive heart failure is most likely to occur in people who have other conditions that weaken the heart. The risk also increases by several lifestyle factors that are bad for the heart. Risk factors for congestive heart failure include congenital heart defects, high blood pressure or cholesterol, obesity, asthma, chronic pulmonary disease, coronary heart disease, heart infection, reduced kidney function, a history of heart attack, irregular heart rhythms, abuse of alcohol and drugs, smoking, and old age. Though there are over a hundred other less common causes of heart failure, the exact cause of congestive heart failure is often idiopathic or unknown. Congestive heart failure might also exacerbate by unhealthy lifestyle habits. Specific habits such as smoking, excessive use of alcohol, obesity, lack of exercise, high salt intake, noncompliance with medications, and other therapies may increase the risk of congestive heart failure.

Diagnosis of congestive heart failure: A doctor or cardiologist will perform a physical exam. This may involve listening to the heart for abnormal heart rhythm. Some common tests that are done to help with the diagnosis of congestive heart failure include an electrocardiogram, chest X-ray, series of blood tests, echocardiography, stress test, magnetic resonance imaging (MRI) and cardiac catheterization.

Treatment of congestive heart failure: The goal of treatment for congestive heart failure is to have the heart beat more efficiently so that it can meet the energy needs of the body. Specific treatment depends upon the underlying cause of heart failure. You and your doctor may consider different treatment, depending on your overall health and how far your condition has progressed. There are several medications that can be used to treat congestive heart failure. ACE inhibitors open up narrowed blood vessels to improve blood flow. Vasodilators are another option if you cannot tolerate ACE inhibitors. Beta blockers can reduce blood pressure and slow a rapid heart rhythm. Diuretics reduce your body’s fluid content. A surgery such as angioplasty is recommended if medications are not effective on their own.

4134 people found this helpful

Autism Spectrum Disorder - How To Detect It?

Dr. Sarmistha Chakrabarti 88% (13 ratings)
MBBS, MRCPsych, Diploma in Psychological Medicine-DPM, FRC Psych ( UK), Fellow of American psychiatric association
Psychiatrist, Kolkata
Autism Spectrum Disorder - How To Detect It?

Autism spectrum disorders are a group of severe neurological and developmental disorders which begin in early childhood and can last throughout a person’s life. It affects the ability to interact with others and also hinders communication and well as learning ability. A proper health center can diagnose the presence of autism spectrum disorder early on. Many tests are available for evaluation and diagnosis as it is a range of disorders which can have a variety of symptoms. The environment and genetics also play a role in the development of autism spectrum disorder but the exact cause of autism spectrum disorder is not yet known.

Symptoms of autism spectrum disorder:

  1. Your child may not be able to respond when called by his or her name by 12 months age.
  2. Will avoid eye contact and also have the desire to stay alone.
  3. Have trouble understanding or relating to other people or talk about their own feelings.
  4. Delayed speech and language skills which would affect the ability to speak.
  5. Show unusual reaction to sound, smell, taste or feelings.
  6. Answering questions with unrelated answers that have no meaning or link.
  7. Prefer to play alone and would avoid physical contact.


Diagnosis of Autism Spectrum Disorder:

  1. Comprehensive Diagnostic Evaluation – The behaviour of your child and development is first studied by the doctor in detail. The tests include genetic testing, neurological testing, hearing and vision testing among others. Doctors may also suggest other specialized tests in certain cases.
  2. Developmental Screening – The development of your child’s basic learning skills with respect to the age is checked. The doctor checks for some delays in the progress and will also monitor the movement, behaviour and speaking progress of the child. Some additional checks are also done for low birth weight, premature birth among other things.

Treatment:

  1. Applied behavioural analysis – This is a notable treatment and widely accepted by doctors all over the world. ABA is known to encourage positive behaviours and improves a variety of skills in a child.
  2. Occupational Therapy – Teaches the skills to live independently like eating, dressing and social skills. This can help people afflicted by autism spectrum disorders to lead a normal life within the society and thus relate to as well as interact with other people.
  3. Speech therapy – It improves and focuses primarily on communication skills and also uses picture boards and gestures to improve the abilities and induce learning skills.
2353 people found this helpful

Zinc Deficiency - How To Detect If You Are Suffering From It?

Dr. Sajeev Kumar 91% (40820 ratings)
M.B.B.S, C.S.C, D.C.H
Cardiologist, Alappuzha
Zinc Deficiency - How To Detect If You Are Suffering From It?

Zinc deficiency is one epidemic that people are mostly unaware of. As per the data shared by World Health Organization, around 31% of the world population is suffering from zinc deficiency. The problem is also ranked 5th in the leading factors that cause several diseases. It is also a primary reason why underdeveloped nations suffer from high mortality rate as zinc deficiency is associated with child pneumonia and diarrhea.

Every person, young or old, needs to have a regular intake of zinc for a healthy life, which it is known as an essential nutrient. It is also present in every cell, tissue, bone and fluid in the human body; zinc is especially prevalent in male semen and prostate glands.

Common Symptoms Of Zinc Deficiency

Unfortunately, millions of people suffering from zinc deficiency are unaware of their condition. However, looking out for certain key indicators can help in identifying the problem before it becomes severe. Here are the common symptoms of zinc deficiency that everyone must look out for:

  1. Poor Neurological Function - Zinc is an absolute necessity for neuropsychologic performance and growth. Low levels of zinc lead to attention disorders in infants, which may persist till the adulthood. But, it doesn’t mean you will start pumping your kids with an overdose of zinc. It has been found that zinc is absorbed best with other nutrients and especially when taken with whole foods.
  2. Weak Immunity - Your immune function works best when it has an adequate amount of zinc. It is vital for the growth of T-Cell and differentiating white blood cells to keep diseases at bay. Zinc is also necessary for the structural component of the hormone receptors. They contribute exponentially to have a healthy and balanced immune function.
  3. Diarrhea & Leaky Gut -  Impaired immunity causes zinc deficiency diarrhea, which can become a persistent health problem. Every year diarrhea affects nearly 2 million children worldwide, and most of them are suspected to have a zinc deficiency and bacterial infection. Leaky gut, also called intestinal permeability can lead to a slew of health problems like skin allergies, thyroid problems, and nutrient malabsorption.

Zinc Rich Foods You Must Include In Your Diet

If you are experiencing any of the symptoms shared above, then you might be suffering from the zinc deficiency. To improve the level of zinc in your body, you can either take all natural zinc supplements. But, supplements usually contain several forms of zinc like zinc sulfate, zinc acetate and more. Thus, it is better to include the below-shared foods in your diet, which contain a high amount of zinc:

  1. Pumpkin seeds –1/2 cup: 8.4 mg
  2. Grass-fed Beef – 4 oz: 5.2 mg
  3. Lamb – 4 oz: 5.2 mg
  4. Cashews – 1/2 cup: 3.8 mg
  5. Chickpeas (Garbanzo beans) – 1 cup cooked: 2.5 mg
  6. Mushrooms – 1 cup cooked: 1.9 mg
  7. Chicken – 4 oz: 1.6 mg
  8. Kefir or Yogurt – 1 cup: 1.4 mg
  9. Spinach – 1 cup cooked: 1.4 mg
  10. Cocoa powder – 1 Tbsp: 0.4 mg

    If you wish to discuss about any specific problem, you can consult a general physician.

8499 people found this helpful

How Much Quantity Of Alcohol Is Safe To Drink Daily?

Dr. Major Naveen Tandon 90% (476 ratings)
MBBS, MD - General Medicine
General Physician, Lucknow
How Much Quantity Of Alcohol Is Safe To Drink Daily?

How much alcohol can you safely drink every day? Moderate, say the experts. Alcohol abuse has serious health downsizes, but moderate drinking can actually be good for your heart. Moderate alcohol use has a few other health benefits too. Let's see what these are:

  1. Reduces risk of developing and dying from heart disease
  2. Reduces your risk of ischemic stroke during which the arteries to your brain become narrowed or blocked, causing reduction of blood flow to your brain
  3. Reduces your risk of diabetes

The link between alcohol and health is tenuous at best and the health benefits of moderate drinking are by no means certain. Also every one may not benefit from alcohol.

Moderate alcohol use - Guidelines

One drink a day is considered moderate for healthy women of any age and men older than 65, and up to two drinks a day for men younger than 65. This alcoholic drink can be:

  1. Beer: 12 ounces
  2. Wine: 5 ounces
  3. Distilled spirits: 1.5 ounces

Moderate alcohol use can be counter-productive for you if you have risk factors for heart disease. It's always better to take care to lead a healthy lifestyle and eat a heart-healthy diet to reduce your heart attack risks.​

Risks of heavy alcohol use:

We know about the definition of moderate drinking, but what’s heavy drinking? It is defined as more than three drinks a day for women and men older than 65 (or more than seven drinks a week), and more than four drinks a day for men less than 65 (or more than 14 drinks a week).

Binge drinking is even worse. If you drink four or more drinks within two hours as a woman and five or more drinks within two hours as a man, it is referred to as binge drinking. Heavy drinking, including binge drinking, can increase your risk of serious health problems, like:

  1. Cancer, including breast cancer and cancers of the mouth, throat and esophagus
  2. Pancreatitis or inflammation of the pancreas
  3. Sudden death due to pre-existing cardiovascular disease
  4. Alcoholic myopathy or damage to heart muscle, which causes heart failure
  5. Stroke
  6. High blood pressure
  7. Liver disease
  8. Brain damage in fetuses

It’s best to ditch alcohol altogether. It is the healthiest thing you could ever do. The guidelines make it very clear that you shouldn’t start drinking alcohol, albeit moderately, to make your heart healthy. The best way to have a healthy heart is to eat and exercise right. However, if you are an occasional drinker, you could make sure that your alcohol intake is within limits and you drink moderately at all times so that you don’t attract any health penalties associated with heavy alcohol use.

3954 people found this helpful

Alcohol In Controlled Quantity - Can It Be Good For You?

Dr. Arun R 89% (769 ratings)
MD - Microbiology, MBBS
General Physician, Bangalore
Alcohol In Controlled Quantity - Can It Be Good For You?

For long, there have been campaigns and discussions about the harmful effects and diseases associated with alcohol consumption. In most cases, it is not the alcohol, but the quantity consumed that affects a person. Limited consumption of alcohol can, in fact, work to your advantage. Alcohol, when consumed in moderation, helps to avert, check or improve many medical conditions and health ailments.

  1. Deal with common cold effectively: According to research, the antioxidants present in wine helps to fight common cold better. Limited intake of alcohol, red wine to be precise (~1-2 glasses per day), can, thus, help to reduce the instances of common cold significantly.
  2. Weight loss made easy: Studies conducted by the Oregon State University suggest that certain varieties red wine (the Red Muscadine Wine) can play a pivotal role in weight reduction. The Red Muscadine, a variety of wine grapes used to make red wine contains ellagic acid. It is this ellagic acid that helps to cease or slow down the growth and development of the fat cells. Red wine also helps to manage fatty liver effectively.
  3. Keep cardiovascular diseases at bay: The high-density lipoprotein (HDL), also known as the Good Cholesterol is indeed good for the body. It acts as a shield, keeping the heart hale and hearty. Moderate alcohol consumption helps to elevate the level of HDL. One of the main reasons attributing to heart attacks are the small blood clots that block the arteries of the brain, heart, and neck. Alcohol (limited intake) has been able to put a check in the formation of such blood clots.
  4. Reduced instances of cognitive impairment: Reports suggest that people who consume alcohol within limits are less likely to develop dementia and Alzheimer's disease. Moderate consumption tends to make the brain cells fit and more active, thus, enabling the cells to deal with stress and other related factors.
  5. A little wine for a better libido: Limited consumption of wine is good for a better sexual life. Research indicate that the antioxidants present in wine act as a catalyst, resulting in an improved libido (lowers the incidences of erectile dysfunction in men). A little wine can work wonders for women as well (increasing their sexual desires and feelings).
  6. Enjoy a diabetes-free life: Type 2 Diabetes and the associated ailments and complications can make life miserable. However, people who consume a small quantity of alcohol (preferably 1-2 glasses per day) are at a lower risk of developing diabetes (Type 2). A path-breaking finding indeed!

People with moderate alcohol consumption are also at a lower risk of developing gallstones. The high silicone content in beer helps to strengthen the bones, but only when consumed within limits. Beer is also rich in calcium, magnesium, and vitamins (thiamine, riboflavin). If you wish to discuss any specific problem, you can consult a general physician.

7717 people found this helpful

New Blood Test to Detect Skin Cancer

FRHS, Ph.D Paed Neuro Rehabilitation, MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
New Blood Test to Detect Skin Cancer
Researchers have developed a new blood test that can closely track metastatic melanoma, one of the most aggressive forms of skin cancer
The study shows the test which monitors the blood levels of dna fragments from dead cancer cells helps in tracking the severity and potential spread of the skin cancer
4 people found this helpful

Cervical Cancer Prevention & Early Detection

Dr. Jay Singh Kshatri 90% (63 ratings)
PG Diploma in Geriatric Medicine, MD - Community Medicine (pgt), Certificate in Infectious diseases, MBBS
General Physician,
Cervical Cancer Prevention & Early Detection

Cervical cancer is a preventable disease and, if detected early, a cancer that can be successfully treated. Below are ways to prevent cervical cancer and detect the disease early.

Cervical Cancer Prevention

Avoid infection with HPV by practicing safer sex.
(Condoms can’t give complete protection against HPV because the virus can infect areas that aren’t covered by a condom.)
Don’t smoke, or, if you do smoke, quit.

Cervical Cancer Early Detection

All women should begin cervical cancer testing at age 21. Women aged 21 to 29 should receive a Pap test every 3 years. HPV testing should not be used for screening in this age group unless used as a follow-up for an abnormal Pap test.
Women between the ages of 30 and 65 should have a Pap test plus an HPV test every 5 years. This is the preferred approach, but it is also OK to have a Pap test alone every 3 years.
Women at high risk, exposed to DES before birth or with a weakened immune system may need to be screened more often.

Talk with your health care professional about the HPV vaccine.

The HPV vaccine protects against the types of HPV that are most likely to cause cancer. It’s most effective if a person is vaccinated before becoming sexually active. The vaccine is recommended for girls who are age 11 to 12. Girls may also be vaccinated at age 9 or 10. Girls may get a “catch-up” vaccine up to age 18. Young women age 19 to 26 who have never been vaccinated may also get the vaccine.
Women over age 65 who have had regular cervical cancer testing with normal results should not be tested for cervical cancer. Women with a history of serious cervical pre-cancer should continue to be tested for at least 20 years after that diagnosis, even if testing continues past age 65.
Women who have had a hysterectomy should stop screening unless the surgery was done as a treatment for cervical cancer or pre-cancer. Women who have had a hysterectomy that left behind the cervix should continue to follow the guidelines above.

- do consult for further info on HPV vaccine

Fallopian Tube Cancer - Ways To Detect It Early!

MCh (Surgical Oncology, MBBS
Oncologist, Guwahati
Fallopian Tube Cancer - Ways To Detect It Early!

The fallopian tubes are a couple of thin tubes that act as a vehicle in transporting a woman’s eggs (ova) from her ovaries (where they are housed) to her uterus (otherwise known as the ‘womb’) where they are either fertilized by the male sperm or disposed off during menstruation. Fallopian tube cancer, otherwise known as tubal cancer, forms in the fallopian tubes that connect the ovaries and the uterus.

It is hard to see a tumour or growth developing within a tube. This makes fallopian tube cancer hard to diagnose and complicated to manage as well.

If you do have fallopian tube cancer, it is vital to get a quick diagnosis as promptly as possible. This will help you to get effective treatment. However, diagnosing fallopian tube cancer can be challenging because of the following:

  1. It is an uncommon kind of cancer.

  2. The indications are vague and like those of different other conditions.

  3. Discovering a tumour inside the Fallopian tube is troublesome.

In case you have symptoms that may point at fallopian tube cancer, your specialist will conduct a thorough physical examination and get some information about your lifestyle and your family history. A pelvic examination will be done to examine your uterus, ovaries, fallopian tubes and vagina. If a tumour is found, your specialist will do some more tests.

At least one of the accompanying tests might be utilised to see whether you have fallopian tube cancer and if it has spread. These tests additionally might be used to see whether the treatment is working. These diagnostic tests may include the following:

  1. Ultrasound of the Pelvis: This test is helpful. However, in case that your specialist still suspects fallopian tube cancer, he or she will arrange a transvaginal ultrasound. During this test, a probe will be put into the vagina to deliver a photo of the inner organs. A transvaginal ultrasound is the best method for imaging the fallopian tubes.

  2. CT or CAT (computed axial tomography) scan

  3. MRI (magnetic resonance imaging) scan

  4. Biopsy: A sample of cells is removed from the fallopian tube and examined closely, under a microscope. This is the best way to know for sure whether you have fallopian tube cancer. This will require surgery to extract the sample cells.

  5. CA125 test: This blood test checks the levels of CA125, a known tumour marker for gynecologic cancers. An abnormal state of CA125 may mean you need to have more tests. However, it does not necessarily mean you have fallopian tube cancer. Serum levels of a marker called CA-125 can be unusually high in patients with gynecologic infections in cancer and non-cancer sorts, that is, pelvic inflammatory infectionendometriosis and early pregnancy. CA-125 can be non-specific and might be elevated because of numerous issues that are not cancer related. 

2253 people found this helpful