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Overview

Normal Tablet

Normal Tablet

Manufacturer: Helios Pharmaceuticals
Medicine composition: Nimesulide, Paracetamol
Prescription vs.OTC: Prescription by Doctor required

Normal Tablet is a non-steroidal anti-inflammatory painkiller. It works by blocking the production of Cyclooxygenase, which inhibits the production of prostaglandins in the body. Prostaglandins and cyclooxygenase are responsible for the process of inflammation, acute pain and swelling of joints. Therefore, it is used in the treatment of various conditions such as back pain, severe menstrual cramps, migraines, osteoarthritis, rheumatoid arthritis, fever and post-operative pain.

Normal Tablet provides rapid relief from acute pain, in just fifteen minutes. However, due to the harmful side effects that can occur due to prolonged usage of this medication, it is advisable to discontinue the course within 15 days.

Normal Tablet is a non-steroidal anti-inflammatory drug (NSAID). It provides efficient relief from acute pain that is a symptom of thrombophlebitis, rheumatoid arthritis, osteoarthritis, ear infections and dysmenorrhea. This medicine is also used to reduce fever and to inhibit the growth of cancerous cells. Normal Tablet can treat mild to moderate pain from joint and muscle stains or sprains, effectively. It takes effect quickly and gives relief from pain, within fifteen minutes.

Cyclooxygenase (or COX 2) is an enzyme that synthesizes a compound called prostaglandin. The production of the prostaglandin compound in the body, results in inflammation, pain and swelling of the joints. Since Normal Tablet is a COX 2 inhibitor, it alleviates these symptoms. This drug attacks all the components that contribute to the process of inflammation such as histamine, proteolytic enzymes, free radicals, prostaglandin as well as cyclooxygenase.

Normal Tablet is available in tablet form. The standard dosage recommended per day is one or two tablets of 100 mg per day. Each patient?s symptoms and illness differs, and so it is important to follow the prescription that your doctor recommends. You can take this tablet either with or after food. However, it is essential to complete the course as per the doctor?s prescription and not to skip out on a dose. Children below the age of twelve years cannot consume this medication. Patients suffering from chronic conditions such as arthritis cannot continue to take this medication for prolonged periods since this can lead to harmful effects. It is suitable for short-term relief of acute pain. The course should not last for more than 15 days, else it can have severe consequences on your health.

Normal Tablet can result in minor side effects such as acidity, nausea, stomach cramps or aches and vomiting. If you are allergic to this medicine, you can suffer an allergic reaction such as rashes, shortness of breath, hives and swelling of the tongue or face. In some cases, severe side effects such as Stevens - Johnson syndrome, blood clotting disorders, elevated enzymes of the liver and skin rashes, can occur. Although these occur rarely, it is important to consult your doctor immediately, if you detect any of these side effects. Normal Tablet can have harmful effects on a developing infant. Hence, it is advisable for pregnant women, women planning to get pregnant and women who are breast-feeding, to avoid taking this medicine.

Rheumatoid Arthritis
Normal Tablet is used to treat symptoms like swelling, pain, and stiffness of joints associated with Rheumatoid Arthritis.
Osteoarthritis
Normal Tablet is used to treat symptoms like tender and painful joints associated with Osteoarthritis.
Ankylosing Spondylitis
Normal Tablet is used to treat symptoms like stiffness and pain associated with Ankylosing Spondylitis.
Dysmenorrhea
Normal Tablet is used to relieve excessive pain and cramps during menstruation.
Mild to moderate pain
Normal Tablet is used to relieve pain of sprains, strains, sports injuries etc.
Migraine
Normal Tablet is used to relieve acute pain in migraine.
Bursitis
Normal Tablet is used to relieve swelling and pain in joints.
Tendinitis
Normal Tablet is used to relieve pain and swelling associated with the tissue connecting the muscle and bones.
Allergy
Normal Tablet is not recommended if you have a known history of allergy to medicines belonging to NSAIDs. Severe allergic conditions like Asthma and Urticaria can be triggered in such cases.
Peptic Ulcer
Normal Tablet is not recommended if you have peptic ulcer or are suspected of having it. It could cause severe swelling and bleeding in the stomach, colon and anus.
Coronary Artery Bypass Surgery (CABG)
Normal Tablet is not recommended for relieving pain after you have undergone CABG.
In addition to its intended effect, Normal Tablet may cause some unwanted effects too. In such cases, you must seek medical attention immediately. This is not an exhaustive list of side effects. Please inform your doctor if you experience any adverse reaction to the medication.
Abdominal Pain Major Common
Symptoms like bloating, burning and cramps could also be associated with the use of Normal Tablet
Constipation Major Common
Normal Tablet can cause moderate to severe constipation.
Diarrhea Major Common
{[Diclofenac}} can cause loose stools with or without blood.
Nausea and vomiting Major Common
Normal Tablet can cause nausea and vomiting in some patients.
Skin Rash Moderate Common
Normal Tablet can cause skin rashes and hives in some people.
Tinnitus Moderate Less Common
Normal Tablet can cause a sensation of ringing or buzzing sound in the head or ears.
How long is the duration of effect?
The effect typically lasts for an average of 1-2 hours. However, the time might vary depending upon the dosage form administered.
What is the onset of action?
The effect can be observed within 10-30 minutes of consumption. Note: Potassium salts of Diclofenac act faster than the Sodium salts as they are absorbed faster from the Gastro-Intestinal Tract.
Are there any pregnancy warnings?
This medicine is not considered safe during pregnancy especially after 30 weeks of gestation. You should consult a doctor before using this medicine. Potential benefits and risks involved should be given due consideration before administration.
Is it habit forming?
No habit forming tendencies were reported.
Are there any breast-feeding warnings?
This medicine is not likely to pass into milk and cause any severe effect. But it is not recommended to use since there is a lack of conclusive evidence. A doctor must be consulted before taking the medicine.
Below is the list of medicines, which have the same composition, strength and form as Normal Tablet, and hence can be used as its substitute.
Micro Labs Ltd
Abbott India Ltd
Profic Organic Ltd
Lincoln Pharmaceuticals Ltd
Acekinetics Healthcare Pvt Ltd
Stallion Laboratories Pvt Ltd
Tas Med India Pvt Ltd
Ronyd Healthcare Pvt Ltd
Kentreck Laboratories Pvt Ltd
Intas Pharmaceuticals Ltd
Lincoln Pharmaceuticals Ltd
Algen Healthcare Pvt Ltd
BestoChem Formulations India Ltd
USV Ltd
Micro Labs Ltd
Ipca Laboratories Ltd
Smart Laboratories Pvt Ltd
Alembic Pharmaceuticals Ltd
Panacea Biotec Ltd
Alkem Laboratories Ltd
Medoz Pharmaceutical Pvt. Ltd
Alliaance Biotech
Alchemist Life Science Ltd
PCI Pharmaceuticals
Aglowmed Drugs Pvt. Ltd.
Abbott India Ltd
Shreya Life Sciences Pvt Ltd
Anglo-French Drugs & Industries Ltd
Ind Swift Laboratories Ltd
Micro Labs Ltd
Win-Medicare Pvt Ltd
Shreya Life Sciences Pvt Ltd
Wockhardt Ltd
Biochem Pharmaceutical Industries
Intas Pharmaceuticals Ltd
Intas Pharmaceuticals Ltd
Agron Remedies Pvt Ltd
Morepen Laboratories Ltd
Elder Pharmaceuticals Ltd
Jagsonpal Pharmaceuticals Ltd
Abbott India Ltd
Sun Pharmaceutical Industries Ltd
Natco Pharma Ltd
Micro Labs Ltd
Micro Labs Ltd
Wockhardt Ltd
Alembic Pharmaceuticals Ltd
Abbott India Ltd
Gencure Pharmaceuticals
Psychotropics India Ltd
National Chemical & Pharmaceuticals Works Pvt Ltd
Menarini India Pvt Ltd
Stanford Biotech Pvt Ltd
Swiss Pharma Pvt Ltd
Indica Laboratories Pvt Ltd
BestoChem Formulations India Ltd
Kaiser Drugs Pvt Ltd
Icon Pharma & Surgicals Pvt Ltd
Acron Pharmaceuticals
Proctor Organics P Ltd
Unison Pharmaceuticals Pvt Ltd
Bennet Pharmaceuticals Limited
Laborate Pharmaceuticals India Ltd
Winsome Laboratories Pvt Ltd
Rusi Remedies P Ltd
Moxy Laboratories Pvt Ltd
Winsome Laboratories Pvt Ltd
Prayas Pharmaceuticals
Stallion Laboratories Pvt Ltd
Simpson Brawn Pharmaceuticals
Vilco Laboratories Pvt Ltd
Abbott India Ltd
Euphoric Pharmaceuticals Pvt Ltd
Radicura Pharma pvt ltd
Stadchem Of India
Kamron Laboratories Ltd
Kentreck Laboratories Pvt Ltd
Times Drugs & Pharmaceuticals Pvt Ltd
Psychotropics India Ltd
Talent Healthcare
Omega Remedies Pvt Ltd
Divine Lifecare Pvt Ltd
GRAF Laboratories Pvt Ltd
Lupin Ltd
Alpha Pharmaceuticals
Stadchem Of India
Cornel Pharmaceuticals Pvt Ltd
Meridian Medicare Ltd
G D Pharmaceuticals Pvt Ltd
Zota Health care Ltd
St Morrison
Alde Medi Impex Ltd
Paras Pharmaceuticals Ltd
Ajanta Pharma Ltd
Norwest Pharmaceuticals Inc
Aglowmed Drugs Pvt. Ltd.
Aaron Pharmaceuticals Pvt Ltd
Inga Laboratories Pvt Ltd
Rekvina Laboratories Ltd
Adcock Ingram Healthcare Pvt Ltd
Zydus Cadila
Zydus Cadila
Jaywin Remedies Pvt Ltd
Organic Laboratories
Anvik Biotech
Zee Laboratories
Genesis Biotech Inc
Corona Remedies Pvt Ltd
Gujarat Terce Laboratories Ltd
Synokem Pharmaceuticals Ltd
Tas Med India Pvt Ltd
Kenn Pharmaceuticals Pvt Ltd
Targof Pure Drugs Td
Samarth Life Sciences Pvt Ltd
Times Drugs & Pharmaceuticals Pvt Ltd
Axon Drugs Pvt Ltd
Scott Edil Pharmacia Ltd
Dr. Johns Laboratories Pvt Ltd
Sanify Healthcare Pvt Ltd
Khandelwal Laboratories Pvt Ltd
Brawn Laboratories Ltd
Proctor Organics P Ltd
Zydus Cadila
Laborate Pharmaceuticals India Ltd
Seagull Labs (I) Pvt Ltd
Aarpik Pharmaceuticals Pvt Ltd
Sresan Pharmaceuticals
Ozone Pharmaceuticals Ltd
Swiss Pharma Pvt Ltd
Psychotropics India Ltd
Allentis Pharmaceuticals Pvt Ltd
Vintage Labs Pvt Ltd
Kaizen Pharmaceuticals Pvt Ltd
Corona Remedies Pvt Ltd
Zaneka Healthcare Pvt Ltd
Acme Pharmaceutical
Panjon Pharma Ltd
Ceras Pharmaceutical
Lancer Health Care Pvt Ltd
Ortin Laboratories Ltd
Unichem Laboratories Ltd
Numark Ltd
Innovative Pharmaceuticals
Senate Laboratories
Zydus Cadila
Total Healthcare
Imed Healthcare
Active Healthcare
Lancer Health Care Pvt Ltd
Kivi Labs Ltd
Mankind Pharma Ltd
M D C Pharmaceuticals P Ltd
Micro Labs Ltd
Baksun Healthcare Pvt Ltd
Concept Pharmaceuticals Ltd
Helios Pharmaceuticals
Maneesh Pharmaceuticals Ltd
Ramose Laboratories Pvt Ltd
Nri Vision Care Pvt Ltd
Iatros Pharmaceuticals Pvt Ltd
DWD Pharmaceuticals Ltd
Indoco Remedies Ltd
Thrift Pharmaceuticals
Octane Biotech Pvt Ltd
Panacea Biotec Ltd
Intel Pharmaceuticals
Shrinivas Gujarat Laboratories Pvt Ltd
Almet Corporation Ltd
Imed Healthcare
Lupin Ltd
Bio Vitamins
Rhombus Pharma Pvt Ltd
Intas Pharmaceuticals Ltd
Elder Pharmaceuticals Ltd
Relax Pharma
Cadila Pharmaceuticals Ltd
Exotic Laboratories Pvt Ltd
Torque Pharmaceuticals Pvt Ltd
Troikaa Pharmaceuticals Ltd
Embiotic Laboratories Pvt Ltd
Aurz Pharmaceuticals Pvt Ltd
J B Chemicals and Pharmaceuticals Ltd
Strides shasun Ltd
Waves Bio-Tech Pvt Ltd
Zydus Cadila
Indoco Remedies Ltd
Baksun Healthcare Pvt Ltd
Win-Medicare Pvt Ltd
P & B Pharmaceuticals Ltd
Mac Millon Pharmaceuticals Pvt Ltd
Embiotic Laboratories Pvt Ltd
Maneesh Pharmaceuticals Ltd
Navil Laboratories Pvt Ltd
Dr. Johns Laboratories Pvt Ltd
Micro Labs Ltd
Are there any missed dose instructions?
The missed dose can be taken as soon as you remember. However, the missed dose should be skipped if it is almost time for the next dose.
Are there any overdose instructions?
A doctor should be contacted immediately if an overdose of Normal Tablet is suspected. Signs and symptoms of overdose include rashes on the skin, confusion, pain in the chest, blurred vision etc. Immediate medical attention is needed if an overdose is confirmed.
India
United States
Japan
Whenever you take more than one medicine, or mix it with certain foods or beverages, you're at risk of a drug interaction.
Interaction with Disease
Asthma Major
Normal Tablet should not be taken if you have NSAID-sensitive asthma. Any such history should be reported to the doctor so that appropriate substitution can be done.
Fluid retention and Edema Major
Normal Tablet should be taken only after consulting a doctor. Monitoring of blood pressure and heart conditions is necessary on a regular level during the course of therapy.
Gastro-Intestinal toxicity Major
Normal Tablet and other NSAIDs should be taken after consulting a doctor especially if the intended duration is longer than a month. Any symptom indicating ulceration and bleeding like chronic indigestion, appearance of coffee colored dry blood in stools or vomiting of blood should be reported immediately.
Skin rash Major
Normal Tablet can cause these fatal skin allergies without any warnings. Signs and symptoms like rashes, hives, fever or other allergic symptoms should be reported without any delay. This condition requires immediate medical intervention.
Impaired kidney function Major
Normal Tablet should be taken after consulting a doctor if you are having a kidney disease. Suitable adjustment in dosage and monitoring of kidney functions is required in such situations.
Heart attack and stroke Major
Normal Tablet should be taken only after consulting a doctor. The dose needs to be optimized based on the severity of the heart condition. Additional medicines are to be taken to minimize the risk. Symptoms indicating heart attack like chest pain, shallow breathing, speech slurring, and weakness should be immediately reported to the doctor.
Interaction with Alcohol
Moderate
This medicine should not be consumed with alcohol. Symptoms of stomach bleeding (such as the presence of dried and coffee colored blood in cough or stools) should be reported to the doctor immediately.
Interaction with Lab Test
Lab
Information not available.
Interaction with Food
Food
Information not available.
Interaction with Medicine
Adefovir Major
Normal Tablet should be taken with Adefovir only after consulting a doctor. Usage of either of the drugs should be reported so that suitable substitutes can be prescribed.
Apixaban Major
Normal Tablet can be taken with Apixaban only under the supervision of a doctor. Any signs and symptoms like dizziness, black and tarry stools, presence of dried and coffee grounds like blood in cough or vomit should be attended to immediately.
Methotrexate Major
Normal Tablet should be taken with Methotrexate only after consulting a doctor. The doctor needs to make suitable adjustments so that unwanted effects and toxicity can be prevented.
Ramipril Moderate
Normal Tablet should be taken with Ramipril only after consulting a doctor since dosage adjustment is required to minimize the harmful effect. Signs and symptoms like swelling, nausea, vomiting, muscle cramps, confusion, and weakness should be reported to the doctor.
Ketorolac Major
Normal Tablet should not be taken along with ketorolac. You should read the instructions before taking any over the counter medication. A doctor should be consulted before taking medicines containing these components.

Popular Questions & Answers

Hello sir, when I'm giving a hand job to my husband he is shouting when sperms is coming is this is normal or any pain in his penis.

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
Hello sir, when I'm giving a hand job to my husband he is shouting when sperms is coming is this is normal or any pai...
Hello- It the normal response, also known as moaning. He is doing it due to orgasmic pleasure during ejaculation.
1 person found this helpful

Sir, mere dono knee me dard aur sujan rahta hai. Maine ra factor, uric acid and vitamin d test liye ye sare normal aa rahe hai. Sir main kya karu please help me.

BAMS
Ayurveda, Bangalore
Sir, mere dono knee me dard aur sujan rahta hai. Maine ra factor, uric acid and vitamin d test liye ye sare normal aa...
Hi, Take tab R-Compound 1 tab 3 times a day and tab Shallaki 1 tab 3 times after food. Take Maharasnadi Kashaya 3 tsf thrice a day after diluting it with equal quantity of water. Apply Rhumatil gel to the affected joints and gently massage for 10-15 mins in circular motion and then give hot water fomentation. Do this for one week continuously.
2 people found this helpful

Hii. My fiancee has too sensitive body, but she is very active and good sexual desire, one day we did foreplay but after her period, condition of her turns critical like very irregular period feeling too much pain during period and heavy bleeding, her 1st period after foreplay held only for 1 day and 10 days late and again after 5 days that start again with too much pain and heavy bleeding than ever before, It will happen every time or Will it normal after marriage during sexual activity and please suggest me remedies for it.

Diploma in Family Medicine, Fellowship in Diabetology, Diploma in Diabetology, FCCP, MBBS
General Physician,
Hii.
My fiancee has too sensitive body, but she is very active and good sexual desire, one day we did foreplay but af...
lybrate-user, check your fiancee haemoglobin in blood. If it is low irregular periods will come. The problem you mentioned nothing to do with your foreplay. It will set right in future after marriage. Since your fiancee is good sexual desire ,try to satisfy her, will smooth sexual act, not agressive ,after marriage.-- pain and other problems will settle down. Bye-- ENJOY.
4 people found this helpful

Popular Health Tips

High Blood Pressure - Homeopathic Remedies For It!

BHMS
Homeopath, Jaipur
High Blood Pressure - Homeopathic Remedies For It!

Hypertension or high blood pressure in common parlance is caused by irregular blood circulation in the blood vessels. High blood pressure has been an established cause for several fatal and critical heart diseases. Middle aged individuals are more prone to heart diseases caused by high blood pressure. Doctors also caution those with stressful lifestyles to keep the blood pressure levels in control. While there are prescribed drugs aimed at curing high blood pressure troubles, a large number of people are reposing their trust in homeopathy for treating high blood pressure. Among a long drawn process of cures, homeopathic treatments are extremely effective and trustworthy methods:

1. Aconitum
Certain high blood pressure conditions have sudden outbursts. It inflicts a fear of dying and acute anxiety. Aconitum abates such situations.

2. Argentum Nitricum
At times high blood pressure occurs due to anxiety and mental agitations. Argentum Nitricum is an effective remedy in curing such conditions.

3. Natrum Muriaticum
Certain high blood pressure conditions arise due to suppressed anger and stress. Harrowing events of the past and unsolved issues can induce heightened blood pressure levels. Natrum Muriaticum is a perfect solution for such troubles.

4. Veratum Viride
Veratum Viride helps in reducing arterial tension and normalizing cardiac palpitations.

5. Natural Supplements
For a variety of ailments caused by high blood pressure, homeopathy offers certain natural supplements like Co enzyme, Hawthorne, Omega-3, Vitamin E for remedying blood pressure concerns. It improves heart function and prevents blood clotting.

6. Ignatia
To heal high blood pressure caused by emotional upsurges, grief and trauma, Ignatia can be perceived as a useful remedy.

7. Belladonna
This is an emergency medical condition caused by vigorous throbbing of arteries which may progress to haemorrhaging. Belladonna goes a long way in taming such untoward medical emergencies.

8. Lachesis
Certain bodily changes result in high blood pressure, especially in the cases of women. During the onset of menopause, high blood pressure becomes a common concomitant. Lachesis is used to treat such issues.

9. Glonoinum
On certain occasions blood pressure level shoots up due to heat and excess exposure to the sun. Glonoinum is aimed at controlling the blood pressure levels in those situations.

1 person found this helpful

Hypothyroidism - Know Its Homeopathic Remedies!

BHMS
Homeopath, Delhi
Hypothyroidism - Know Its Homeopathic Remedies!

Hypothyroidism refers to the lack of thyroid hormones in your body. Hypothyroidism is caused when the thyroid gland of your body is unable to produce the thyroid hormones like T3 (triiodothyronine) and T4 (thyroxine). Hypothyroidism can occur due to the inflammation of the thyroid gland or as a result of previous thyroid treatments, where a major portion of the thyroid producing cells has been removed. Hypothyroidism is more common in women. But, it can develop in any person irrespective of age or sex.

The symptoms of hypothyroidism are as follows:

  1. Fatigue
  2. Increased feeling of cold
  3. Dryness of skin
  4. Constipation
  5. Depression
  6. Obesity
  7. Increased blood cholesterol level
  8. Your muscles may be become weak and you may suffer from muscle pain
  9. Disruption in menstrual cycle

Though these are the common symptoms, but it may vary from person to person. Hypothyroidism is a very common problem and homeopathy offers a very safe, painless and effective treatment for hypothyroidism.

Homeopathic Treatment For Hypothyroidism

Homeopathy is best holistic therapy for hypothyroidism. Homeopathic medicines have been known to correct the imbalance in the thyroid hormones in a very mild and subtle manner.  The homeopathic medicines for hypothyroidism are purely natural in origin and have no side effects at all. They are able to improve the functioning of the thyroid gland permanently. Once cured, one has no need to take medicines and can live a disease free as well as medicine free life.

Doses-

There are excellent remedies in homeopathy for the patients suffering from hypothyroidism symptoms.The homeopathic remedies are prepared from a wide range of substances such as the vegetables, herb, mineral, chemicals and animal products in extremely minute. The homeopathic remedy selected will be based on all the symptoms of the patient including physical, mental and emotional states and family history of the patient.

Homeopathic remedies stimulate the body’s own immune system and offer a long lasting cure rather than giving temporary relief.

There are two ways to treat hypothyroidism-

  1. Supplement body with external thyroid hormone
  2. Administer medicines that could stimulate the thyroid gland

The conventional method is to supplement the hormone. But the problem here is that the body gets used to it and stops producing its own hormone in desired quantity.

In case of homeopathic treatment, it tries to stimulate the gland to make it produce normal production of hormone.

Ovarian Cysts - Ways Laparoscopic Surgery Can Help!

MD - Obstetrtics & Gynaecology, MBBS, Diploma in Specialised Advanced Gynaecological Endoscopy
Gynaecologist, Delhi
Ovarian Cysts - Ways Laparoscopic Surgery Can Help!

Ovarian cysts are fluid-filled sacs in the ovaries, often in multiples, which are very common in women. This is absolutely different condition from polycystic ovaries. Most of them are benign and not indicative of an underlying problem. They produce no specific symptoms and even if detected, can be watched over a period of time. Treatment may be required only if there are serious symptoms or there is higher possibility of cancerous nature of the cyst. Read on to know more. 

Types 

  1. Functional: There are two types in this. The follicular variety is when the egg that is ready for fertilization does not completely shrink and stays for a few more days before it disappears. Another variety, the luteal ovarian cysts are formed when after the release of the egg, there is blood filling up in the corpus luteum. 
  2. Pathological: There are many types here – dermoid, cystadenomas, endometriomas, cancerous cystadenocarcinomas etc. These are worrisome and need to be treated. Both varieties, once identified, should be monitored. The functional variety, though may not cause a problem, can cause infertility and so necessitate treatment. 

Symptoms 

Any ovarian follicle larger than 2 cm can be called as an ovarian cyst. They are usually benign and do not produce any symptoms. However, if they turn pathologic or grow in size, they can cause various symptoms such as: 

While cysts are often quiet and do not produce any symptoms, they can cause intermittent, nonspecific symptoms like above. If there is a family history of ovarian cancers in mothers, maternal aunt, Sisters, Grandmothers etc then women should have regular Gynaecological checkups to have a check done for ovarian cysts. 

Why go for laparoscopic surgery? 

  1. Laparoscopic surgery is considered to be one of the most effective ways of treating the condition of ovarian cysts. During the surgery, problem causing non-cancerous cyst can be removed without harming the ovaries. In the case of cancer, both ovaries along with uterus etc may have to be removed. This decision is taken by the operating surgeon depending upon age of the patient, characteristics and nature of the cyst and future fertility desires of the patient. 
  2. The patient is given general anesthesia during the surgery. After the surgery, one is suggested to rest for a day and may be permitted to return to normal activities within a day’s time. However, one needs to avoid any strenuous activity for almost a week. 
  3. While some cysts can be watched for years, others need treatment. This would be specifically true in cases where the couple is facing infertility issues or if there is a higher possibility of cancerous cysts. Such cysts need urgent intervention and should be monitored by a gynecologist with an experience in oncology. There are few blood tests that are needed to be done to know the nature of the cyst if it is benign or cancerous.
5 people found this helpful

Joint Replacement - Things To Avoid & Follow!

MS - Orthopaedics, M.Ch Trauma & Ortho, Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Chennai
Joint Replacement - Things To Avoid & Follow!

Joint Replacement Surgery is a procedure where the damaged surface of the advanced arthritic joints are removed and replaced by artificial joints, such as metallic, plastic and ceramic joints. These surfaces closely replicate the original anatomy.

When do you need a knee replacement?
When you suffer from severe pain or deformity in the joint (knee in this case), the pain or stiffness and deformity makes it difficult to perform simple tasks. Severe grade IV osteoarthritic knees of  people over 50 years when have pain, swelling and deformity fail to respond to medicines, physiotherapy, injections and rest.

Aim of the surgeryCorrect the deformity: Relieve the pain and give near full movements almost immediately after the procedure. Details including techniques and safety, it is a safe, rewarding surgery with a success rate of as high as 99.5% when done by an able and experienced professional.

Anaesthesia: Usually it is the spinal cord epidural where one is rendered numb for 3 to 4 hours waist down. Sometimes a general anaesthesia is given. A 4 to 5 inches cut is made in front of the knee and all the damaged cartilages, bones, loose bodies are removed from the lower end of the thigh, upper end of the tibia (usually of few millimetres) and the surface re-crafted to match the size and shape of the artificial joint (it is usually imported). They are fixed with bone cement. The ligaments and muscles are reattached and the parts closed.

Recovery: Stand up and walk a few steps with a walker the day after the procedure i.e. in 24 hours. Physiotherapy in hospital for 5 to 7 days and/or walking. progressively longer walks and exercises over the following 15 days. Stitches are removed in 15 days. The patient can return back to normal activity in 4 to 8 weeks the surgery.

Activities: Normal walks of 3 to 5 km per day Climbing stairs, cycling, swimming, and driving can be performed with the new implant(s) now.

Avoid: Squatting/kneeling Prohibited: contact sports like football, cricket, tennis; jumping; adventure sports Longevity of joints: 15-35 years depending on the materials used.

2 people found this helpful

Unconsummation

MD-Dermatology, MBBS
Sexologist, Pune
Unconsummation

Definition

Inability or absence of successful peno- vaginal intercourse in a couple.

Prevalence

About 15% of couple have problem of Unconsummation though they can have orgasm by masturbation or by oral stimulation of the genitals. It is not so common in the west, be for social and cultural reasons. The longest duration of Unconsummation seen was for 9 years.

Etiology

The commonest cause of Unconsummation is ignorance about the sexual act, though sexual aversion, rigid hymen, atresia of vagina, trauma, infection and sexual dysfunctions like impotence, premature ejaculation vaginismus, dyspareunia, etc. and up in Unconsummation of marriage.

Attention is mainly focused here on the Unconsummation due to ignorance about the sexual act. The other conditions responsible for Unconsummation are managed by treating the cause. 

Why Unconsummation?

1. sexuality is a basic instinct in the animals for reproduction and propagation life. Unlike the other animals, sexual behavior in the human being is the outcome of learning and conditioning. Sex being a very private issue and considered as a taboo, there is hardly any opportunity for learning the intercourse. therefore ignorance, myths and misconceptions about sexual act prevail.

2. All the quadruped and biped animals perform coitus by the rear entry, while human being is the only animal doing intercourse in a face –to – face position.

3. the act is done in the dark.

4. the vaginal opening and its direction are not visible externally.

How the problem presents?

Unconsummation is more common in urbanized and well- educated clients. They are normal in every respect except for their ignorance about the sexual act.

1. The client complaint may come for the guidance saying, I don’t know how to do intercourse. Please help me.

2. The chief complaint may be, I can’t penetrate.

Perhaps he tries at the wrong site or in a wrong direction; or she may be having vaginismus.

3. Some men may not know that they have to do pelvic movements after penetration.

4. Woman keeps her legs straight

This can be an important statement by the client giving a clue to the diagnosis. This COITAL position there is no proper alignment between the direction of penis and vagina; therefore penetration  is not possible.

5. My penis is not hard enough for penetration this could be the complaint. The female might not have been sufficiently stimulated through foreplay. Nature has designed the structure of the vagina in such a way that man gets maximum rigidity of penis in the vagina and then only he can ejaculate.

6. Man may lose erection after trying at a wrong site ( at urethra or at clitoris) for a long time and blame himself. In such case, woman may complain of pain during the coital act.

7. If the women has vaginismus, man may not be able to penetrate. He may lose erection and label himself as impotent.

8. All the semen comes out

This is the complaint by the women when the man ejaculates on the vulva instead of in the vagina.

9. Women complaint of primary infertility. To the surprise of the examiner, the hymen may found to be in fact proving Unconsummation. Till this fact is brought their notice, they feel that they are doing the coitus in a perfect way.

Consequences:

1. The couple may continue  to do intercourse in a wrong way without being aware about Unconsummation.

2. Women may complain of pain during the intercourse

3. Man way lose the erection after trying intercourse unsuccessfully at a wrong site for sufficient length of time. He may think himself suffering from impotence.

4. Infertility

5. Anxiety/ depression

6. Marital conflict/ divorce

7. Suicide

Diagnosis:

1. history is most important.

Foreplay : yes/no

Erection of penis in man and lubrication of vagina in women : Yes/No

Women flexing her hips during coitus in missionary position : Yes/No

Site & direction of penetration : Right/ Wrong

Pelvic movements: Yes/No

Illumination in the room: Yes/No

2. In every case of impotence and infertility, Unconsummation should be ruled out.

3. Women sleeping in the supine position with legs straight on the bed during the intercourse should make the clinician suspect Unconsummation.

4. Genital Examination:

Presence of hymen in the married female .

Only one finger dilatation of vagina

Presence of smegma on the glans/coronal sulcus in the male

Painful retraction of prepuce (or phimosis) may be an accidental finding.

5. Post-coital Test: Absence of sperms in the sample.

Management

1. Both the partners should attend the counselling session.

2. Anatomy of male & Female genitals should be explained to them with the help of clay model, charts or slides.

3. Examination of the genitals:

One finger PV examination of the females should be done in the presence of the male to enable him to understand the site and the direction of the vaginal barrel.

4. The following instructions will help the couple  in overcoming Unconsummation.

For the couples who sleep on the floor.

Lights should be on or the coitus should be done during the day.

The couple should engage in foreplay till he gets erection  of penis and she gets lubrication of vagina.

The female should be in a supine position on the bed, with a pillow under her buttocks, and with her thighs flexed and abducted at her hips. This rotates her pelvis and brings her vaginal opening accessible for the penetration by the male.

The male should squat on his heels ( vajrasan or Namaaz  Position)

Between her thighs. In this position he being perpendicular to her body is in a position to locate and align his penis with the vagina which is at the lower end of vertical cleft, and in upward and backward direction.

Then he advances towards her that his right thigh is under her left one , and his left thigh is her right one. On reaching near her vulva, he separates the labia by his left hand and inserts his penis by his right hand. In the event of difficulty, the female should help him with her hand in guiding the insertion penis.

Supporting his body on the knees and holding her thighs by his hands he makes to and for movements of his pelvis till he ejaculates in the vagina.

For the couples who sleep on the cot: (T position )

Light should on or the coitus should be done during the day. The female sleeps on the cot in a supine and slide down till buttocks are on the foot end the bed.

She flexes and abducts her thighs, and the male kneels on the floor between her thighs, supporting his knee on the pillows so as to align his penis with her vaginal opening. In this position the male is perpendicular to the female.

The advantages are that he can see the external genitals of both and maneuver the penetration, can make pelvic movements by holding her thighs, and can stimulate the clitoris simultaneously while doing intercourse.

Outcome

The success rate is high. once the couples learn the coital act they simply wonder as to how they could miss such a simple and universal procedure  

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