Assault 200 Mg/500 Mg Suspension is an antibiotic drug that fights against bacterial infections. It is used in the treatment of infections that are caused by bacteria, such as chronic bronchitis, pneumonia, tuberculosis, gonorrhea, Chlamydia, anthrax and plague. This anti-biotic also treats bacterial infections of the skin, ears, eyes, sinus, pelvis, urinary tract, bladder, cervix, urethra and the respiratory system.
Assault 200 Mg/500 Mg Suspension inhibits the production of certain enzymes in the DNA of a bacteria, which are necessary for the survival and growth of this bacterial infection. Therefore, this antibiotic drug fights against bacterial infections by killing the bacteria and inhibiting the process of bacterial cell division.
Assault 200 Mg/500 Mg Suspension is an antibiotic medicine that kills bacteria and hinders their growth. This antibiotic is a part of a class of drugs called fluoroquinolones, which work to treat infections that have been caused by bacteria. It is highly effective in treating conditions such as infectious diarrhea, cellulitis, prostatitis, plague, pneumonia and tuberculosis. Assault 200 Mg/500 Mg Suspension also helps treat bacterial infections of the urethra, cervix, urinary tract, bladder, bones, skin, ears, nose and eyes.
Assault 200 Mg/500 Mg Suspension fights against both Gram-negative as well as Gram-positive bacteria. It damages double stranded bacterial DNA and hinders DNA relaxation, thus inhibiting the synthesis of bacterial DNA. In this way, Assault 200 Mg/500 Mg Suspension inhibits the process of cell division for bacterial DNA, which helps you to get rid of a bacterial infection.
Assault 200 Mg/500 Mg Suspension is available in the form of tablets or capsules that are taken orally, in the form of eye or ear drops and can also be injected intravenously. It is advisable to take this medication only under the strict guidelines of your doctor. Follow this prescription through until the course is complete, even if the symptoms disappear. You should not skip a dose and avoid taking an extra tablet to make up for it.
It is possible for some people to experience a few common side effects from taking Assault 200 Mg/500 Mg Suspension like headaches, diarrhea, nausea, vomiting, trouble sleeping and dry mouth. These side effects are minor and may not require medical attention, unless they persist for over a week. However, there are certain severe side effects such as hallucinations, tendonitis, mood swings, anxiety, irregular heartbeat, fatigue and a numbing sensation of the feet or hands. Not everyone experiences these side effects, it occurs only in a few cases. If you do experience any of these side effects, seek medical help immediately. If you are allergic to Assault 200 Mg/500 Mg Suspension, you might experience symptoms such as itchiness, swollen tongue, face, throat, hands or feet, trouble breathing and rashes. You should stop taking this medicine as soon as you manifest any of these symptoms and contact your doctor immediately.
Some people are more likely to face harmful side effects, if they also suffer from other conditions like brain disorders, seizures, heart conditions, kidney problems, myasthenia gravis, liver disease, epilepsy, tendonitis, an antibiotic allergy, bone disorders and problems of the joints. It is advisable to inform your doctor of these conditions beforehand, if he/she recommends taking Assault 200 Mg/500 Mg Suspension. It is advisable for pregnant women, women who are breastfeeding and children below 16 years, to avoid taking this antibiotic, since it can lead to harmful consequences.
Depression in children and young people affect people from ages 5 to 18. About one in four children in India suffer from childhood depression. Boys and girls up to the age of 10 and 16 respectively, are more prone to depression. As per the report released by WHO, among 10 South-East Asian countries, India has the highest suicide rate. An estimated rate of suicide per 1 lakh population of the age group of 15-29 is 35.5 percent.
Definition and Signs
According to Thompson (1995), depression is an overall lowering of normal functions which is not specific to any one component of the mind. Clinically, the signs and symptoms of depression have the following components:
Diagnosis of Childhood Depression
Any child suffering from symptoms of depression for at least 2 weeks, should be scheduled to visit his health care provider. Parents and guardians should eliminate any physical reasons for the symptoms before visiting a mental health professional. There are no specific medical or psychological tests that can clearly diagnose childhood depression. Following measures can help to make an accurate diagnosis:
Psychological therapy is the first line of treatment and includes:
As many as 30-40 % men across the world including India experience problem of PE at some time of life. In Part 1, we learnt about the condition called Premature Ejaculation (PE). In this 2nd part, let’s understand about it’s diagnosis & types of PE - why and how it happens.
How to Diagnose PE:
The specific criteria for premature (early) ejaculation are as follows:
- In almost 75-100% sexual activity, the experience of ejaculation occurring during sexual intercourse within 1 minute after vaginal penetration and before the individual wishes it.
- The problem has persisted for at least 6 months and is a cause of mental stress to the person.
- The dysfunction cannot be better explained by any other nonsexual mental disorder, any medical disease, the effects of a drug or medication, etc
Severity of PE:
The severity of premature (early) ejaculation is broadly defined as follows:
1. Mild (occurring within approximately 30 seconds to 1 minute of vaginal penetration)
2. Moderate (occurring within approximately 15-30 seconds of vaginal penetration)
3. Severe (occurring even before sexual activity, at the start of sexual activity, or within approximately 15 seconds of vaginal penetration). In such cases conception will not be possible unless artificial insemination is used.
TYPES and Characteristics of P.E. :
Premature ejaculation can be Chronic (lifelong) or Acquired (recent).
With chronic (lifelong) premature ejaculation, the person has been experiencing premature ejaculation since he became sexually active (ie, post puberty).
Acquired (recent) premature ejaculation means that the condition began in an individual who previously experienced an acceptable level of ejaculatory control and only recently has developed PE.
What are the Causes?
The causes of PE can be divided into two broad sub-heads, which are psychological or biological cause:
1. Psychological Causes:
Premature ejaculation is believed to be a psychological problem and does not represent any known organic / physical disease involving the male reproductive organs or any known defect in the brain or nervous system. It is usually due to a pattern that is hard to change and is a result of your previous sexual experiences.
One of the most common reason is childhood habit of reaching climax/ ejaculation quickly because of fear of discovery when masturbating or during early sexual experiences with a female partner. This pattern of rapid attainment of sexual release is difficult to change in later stage of life (in marriage or long-term relationships).
Other reasons are situations in which one may have hurried climax/ ejaculation in order to hide any problem or feelings of guilt that make you rush through sexual encounters. Also, psychological causes include anxiety and relationship issues which can also result from deep anxiety about sex that relates to bad experiences encountered by the patient during development (eg: incest, sexual assault, conflict with parents, etc ).
2. Biological Causes
A number of researchers have found differences in nervous stimulations and hormonal differences in men who experience premature ejaculation compared with individuals who do not.
Some believe that some men have hyper-excitability or oversensitivity of their genitalia.
Abnormal functioning of the ejaculatory system can be attributed to:
- Thyroid problems; infection or inflammation of the urethra or prostate.
- Nerve damage occurring due to trauma or surgery (a very rare cause).
- Abnormal levels of hormones and/or neurotransmitters (chemicals present in the brain)
- Higher free and total testosterone levels or varied other biochemical markers
*The research however has been non-conclusive.
In Part 3 and 4, we will discuss the right approach and therapy for the men / couple suffering due to PE.
Contrary to what most girls have been led to believe about the hymen being a flat tissue that covers the vagina and is ripped during penetrative sex, the truth is that hymen is a fringe of tissue around the vaginal opening. It is not an intact tissue draping across the vaginal wall because without any outlet for the menstrual blood, girls would get periods only after they lose their virginity.
Here are a few mind-boggling facts about the hymen.
Although, not an indicator of the amount of sexual activities performed, one must seek immediate medical attention after being sexually assaulted because it can be examined to prove sexual abuse.
Dyspareunia is pain prior to, during, or after, sexual intercourse. Dyspareunia is more common in women but can affect either sex. Dyspareunia can have several different causes. For instance, vaginismus is a ‘spasm’or contractions of the muscles surrounding the vagina.
It is also important for a health care provider to know when in a woman’s life symptoms began. For example, if a woman’s symptoms began around or shortly after menopause; her symptoms could result from atrophic vaginal tissue. She may describe her symptoms as burning or “friction” with intercourse. Vaginal lubricants or estrogen can improve dryness and decrease pain. For women with a history of endometriosis, pelvic surgery, or infection, treatment of dyspareunia is aimed at restoring pelvic organs to their normal positions and reducing scar tissue. Surgical management may also be recommended for women with symptomatic prolapsed of the uterus, rectum, or bladder.
Women with a history of sexual abuse or treatment may benefit from psychological evaluation and treating any depressive symptoms that are present.
Types of dyspareunia:
It is useful to differentiate between the different types of dyspareunia to arrive at the appropriate diagnosis, treatment, and eventual prognosis.
1. Superficial dyspareunia. Vaginismus is a specific type of dyspareunia that refers to spasms of the levator ani and perineal muscles, making intercourse difficult, painful. Undesirable, and often impossible. May clinicians have defined vaginismus as an almost certain psychogenic illness. However, organic disorders of the external genitalia and introital areas can cause such severe discomfort that any attempts at penetration can leas to spasm. This particular cycle, primarily caused by situational and anticipatory anxiety, can become self perpetuating often both organic and functional and can be solely a result of recognized disease entities.
2. Deep dyspareunia refers to a deeper pelvic pain that is experienced at any time during intercourse. Again, this may be secondary to pelvic abnormality, or it may be functional in origin. It also tends to overlap more with chronic pelvic pain syndrome.
Etiology of dyspareunia:
The presence of organic disease is often the cause of dyspareunia. Virtually all gynecologic disease entities list dyspareunia as a possible symptom.
Prominent in the list of diseases associated with dyspareunia are the following:
1. As with chronic pelvic pain syndromes, gastrointestinal (gi) diseases (e. G, bowel motility disorders) must be excluded.
2. Estrogen deprivation, irritating vaginal medications, sympathomimetic drugs, amphetamines, and cocaine are also causes, primarily in superficial dyspareunia and vaginismus.
3. The most common causes of superficial dyspareunia include vaginitis (atrophic or infectious) or lack of lubrication (either caused by physiologic conditions or suboptimal sexual technique.
4. Lesions in the cul-de-sac are said to correlate most often with deep penetration dyspareunia.
5. Women who have deep penetration dyspareunia and who do not have superficial pain on penetration or vaginismus usually do not have a causative external inflammatory syndrome.
6. Some individual with external dyspareunia or vaginismus have small, almost imperceptible scar tissue secondary to surgery or childbirth.
7. Two clinical syndromes not usually recognized involve broad ligament varicosities and the broad ligament tear syndrome.
8. Frequently unrecognized etiology, particularly on first, interview, is a history or sexual assault or abuse.
It is extremely important to look for evidence of sexual abuse both on history and physical examination before undertaking an expensive workup. Routine studies include a cbc, sedimentation rate, urinalysis, urine culture and sensitivity, and vaginal smear and culture. A pap smear should also be done. If pregnancy is suspected, a pregnancy test should be done. If there is a pelvic mass, pelvic ultrasound may be helpful. A referral to gynecologist is usually made before ordering this study, however. If vulval dystrophy is suspected, a vaginal biopsy may be useful. If the vaginal examination is normal, perhaps a psychiatrist should be consulted.
With sexual desire 2. Without sexual desire
Functional dyspareunia not true dyspareunia
Sexual pain disorder: persistent recurrent genital pain or nonorganic cause associated with sexual stimulation.
Vaginismus: painful, involuntary spasm of the vagina, preventing intercourse
Vulvar vestibulitis: a chronic and persistent clinical syndrome characterized by severe pain with vestibular touch or attempted vaginal entry, tenderness in response to pressure within the vulvar vestibule, and physical findings confined to various degrees of vestibular erythema.
Vulvodynia: chronic vulvar discomfort (e. G. Burning, stinging, irritation, rawness).
Female sexual dysfunction (disorders of desire, arousal, or orgasm)
1. Bellis perennis
Bruised sensation in the vagina, if intercourse is interrupted.
2. Cactus grandiflora
Vagina squeezes shut when intercourse is attempted. Intercourse may be easier just before menses.
Over sensitivity of the vulva and vagina. Heat and itchiness. Vaginismus with pain.
Cramping in the vagina and sometimes also in the legs, during intercourse.
Vagina feels dry, painful and raw. No feelings of arousal.
Anxiety before intercourse. Tendency to vaginismus.
Dry, burning vagina during and after intercourse. May have varicose veins in vulva.
8. Natrum mur
Dryness, with smarting and burning pains. Acrid discharge.
Strong sexual desire. May have erotic dreams. Difficult to have intercourse as vulva is extremely over-sensitive. Intercourse is painful and causes bruised sensation.
10. Rhus tox
Soreness during and after intercourse, often accompanied by physical restlessness.
Dryness with bleeding after intercourse. (if you have this symptom seek medical advice.) feeling that everything will prolapse. Suits women who are exhausted and want to escape from their situation.
Extremely useful remedy for pain after loss of virginity or in instances of rape or sexual assault.
Vagina is over-sensitive making intercourse painful and difficult. Pains: burning, sore, bruised. May be helpful where there is a history of sti’s or if there are feelings of shame and self-disgust in relation to intercourse.
But before taking these medicine please consult your homoeopathic doctor.
Over the last couple of decades, there has been a steady increase in the number of sex-related issues. While there are a variety of reasons attributed to it including more exposure to sex through media forums, the changing lifestyle of people is said to be a bigger reason.
With people connected to their work all through the day and multitasking on the rise, work is never complete. Even when retiring for the night, there are always things running about what next to do. In cases where both couples are working, there is no match of timings either. That being the case, sex has taken a backseat - almost the last seat.
In addition, the altered Indian lifestyle also has led to greater exposure to sex leading to increased cases of abuse (family/friends circle), past unpleasant experiences, relationship failures, etc. All these have changed the equations in relationships. More and more couples are worried about a number of sexual issues, including:
- Loss of desire
- Anxiety about sex
- Erectile dysfunction
- Orgasmic disorder
- Premature or delayed ejaculation
- Conflicting sexual desires
- Past sexual abuse or assault
- Image issues
Sex therapy is on the rise, and 90% of the therapy consists of getting the couples to have a frank, open discussion. As much as it is a private topic, the problem can only be solved when an open discussion happens - both with the doctor and with the partner.
Whether it is past abuse or erectile dysfunction, the first step is to acknowledge the problem and discuss about it. If you are not able to confide in your partner or a good friend, it is advisable to seek a therapist. It is wise to pick a therapist who comes through referral. Some things to keep in mind are:
- Be open - Like any other counseling, sex therapy also involves a frank discussion with complete confidence in the person. The therapist will understand your concerns about anxiety or problem and help you how to communicate your desires and needs with your partner.
- It does not end with one discussion - Starting to work with a sex therapist is just the first step. It might take a while (a few months) to completely resolve the issue and identify the solution.
- Involve your partner - Though it is advisable to start talking alone with the therapist, after a couple of sessions, the partner may also be called in also to see if there is something that needs to be worked upon.
Sex therapy can definitely help to resolve the above noted issues and improve sex life, which is very essential for a healthy body and relationship.