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Management of Abortion
Caesarean Section Procedure
Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
Well Woman Healthcheck
Treatment Of Female Sexual Problems
Treatment Of Medical Diseases In Pregnancy
Treatment Of Menstrual Problems
Intra-Uterine Insemination (IUI) Treatment
Medical Termination Of Pregnancy (Mtp) Procedure
Gynecology Laparoscopy Procedures
Pap Smear Procedure
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Postural tachycardia syndrome (pots) can be a life altering and debilitating chronic health condition. Simply standing up can be a challenge for people with pots as their body is unable to adjust to gravity. Pots is characterised by orthostatic intolerance (the development of symptoms when upright that are relieved by lying down). Symptoms include headaches, fatigue, palpitations, sweating, nausea, fainting and dizziness and are associated with an increase in heart rate from the lying to upright position of greater than 30 beats per minute, or a heart rate of greater than 120 beats per minute within 10 minutes of standing.
Detailed questioning of the patient is the key to accurate diagnosis. Physical examination and appropriate investigations are also important. Other causes of symptoms need to be considered and identified.
Patients are usually diagnosed by a cardiologist, neurologist or medicine for the elderly consultant.
To be given a diagnosis of pots, a person needs to have:
A sustained increase in heart rate of greater than 30 beats per minute within 10 minutes of standing those aged 12-19 years require an increase of at least 40 beats per minutethese criteria may not apply to those with a low heart rate when resting there is usually no drop in blood pressure on standing
It may be necessary for patients to have some or all of the tests below
An ecg is performed to rule out any heart problems that may cause symptoms similar to those found in pots.
The active stand test
The active stand test can be used to diagnose pots. Under careful supervision, heart rate and blood pressure are measured after resting lying down, then immediately upon standing and after 2, 5 and 10 minutes. This test may bring on symptoms of pots and some people may faint.
Head-up tilt table test
This involves lying on a table that can be tilted to an angle of 60 to 70 degrees in a quiet, dimly lit, temperature controlled room. Blood pressure and heart rate are recorded in a continuous manner. After a period of 5 to 20 minutes of lying flat, the table is tilted. Although a diagnosis of pots should be made by an increase in heart rate of 30 bpm within the first 10 minutes, this upright position can last between 10 and 45 minutes. The patient will be asked how they are feeling during the test, so symptoms can be matched with heart rate and blood pressure. The test will end if your blood pressure becomes too low, satisfactory results have been obtained, or the maximum time has elapsed.
If facilities are available, some patients are tilted after a carbohydrate drink (liquid meal challenge), exercise or heat.
24 hour ambulatory blood pressure and heart rate monitor
Sticky patches are applied to the chest and are linked to a little box which is attached by a belt your waist. It monitors heart rate over a 24 hour period. A blood pressure cuff on your arm will intermittently check your blood pressure. The patient is asked to go about their usual daily activities, trying to reproduce events that seem to cause the symptoms. A diary stating the time and activity performed at the moment when the symptoms started should be kept. Doctors look to see if there is a fast heart rate or drop in blood pressure at the time of symptoms.
Echocardiogram (heart ultrasound)
This test is to check if the heart’s structure is normal. In this test a technician will apply some jelly on the chest and will roll an ultrasound probe in many directions to create a 3 dimensional image of the heart. It is a painless and harmless test that similar to the ultrasound scan used routinely during pregnancy to look at the unborn baby.
24-hour urine collection
Individuals with pots often have low urinary sodium levels of less than 150 millimole per 24 hours.
Another 24 hour urine collection may be carried out to test for high levels of noradrenaline and epinephrine to rule out pheochromocytoma (a growth on the adrenal gland) as a possible cause of symptoms.
Bloods are taken to rule out other conditions. These may include:
Kidney function blood count including ferritin liver tests thyroid tests calcium levels glucose
Blood can also be taken for norepinephrine whilst lying and then standing (or when upright on the tilt table); if levels exceed 600 picogram/millilitre, it may suggest hyperadrenergic pots.
Other tests which may be carried out
- Autonomic function screening tests
- Sweat testing.
My wife is not interested in sex, before she had, we conceive 3 times a month, no results, any medicine she gets interested in sex and we get a child.
If the periods is late due to the thyroid problem than what we do? It is almost 42 days to last periods. Please suggest for the same.
Tell me about emergency contraceptive pills. Which is the correct time to take ecp after unprotected sex? And how much is the chance of pregnancy.
Holistic science is taking centre stage once again, after their decline in the past centuries since the advent of contemporary medicine. Ayurveda is one such area that helps in reaching and curing the root cause of the ailment that a person may be facing. Couples facing problems or relationships problems are one such area that is also a part of this ancient Indian life science. Let us find out more about Ayurvedic Couple Counselling.
Transformation: Ayurveda seeks to reach the root cause of a problem and transform the life of the patient by dealing with the said problem. For couples, one of the most basic problems is that of stagnation. With the help of the transformation function, Ayurveda helps the two partners in finding a basis for dealing with the old by bringing in the new. In this kind of counselling, couples are usually asked to find something new in each other and things that they can do together to break from the same old routine. This creates a sense of excitement and makes for shared experiences.
Meditation: In Ayurveda, the couple undergoing counselling is usually asked to practice meditation together. This helps in grounding the couple as one unit as they breathe in and out together and get initiated through the path of meditation. With this, a union of the mind, the body and spirit can be possible on several levels where the couple can understand, guide and evolve with each other. When meditation is practiced by the couple together, it is a deeply connecting ritual that also builds intimacy on a whole other level of commitment and togetherness.
Intuition: All people go through change. When we marry, we are young and we subsequently grow old and older with each other. The objective is to grow old together rather than changing to a degree where one partner does not understand or relate with the other. So, as per Ayurveda, it is difficult to align with each other using a sense of intuition that will help in nurturing each other through change, rather than growing apart. This sense of intuition will also bring about better adaptability and adjustment.
Flow of Energy: The main energy between couple is emotion, which can be regulated with Chakra Healing. The play of emotions between two people is what binds together. But this where the subtle balance has to come about so that one does not get overwhelmed with the other. With the help of couples counselling in Ayurveda, the couple will be taught to channel the flow of energy in a positive way to manifest in understanding, good sexual relations, and harmony in cohabitation.
Some unique herbal combos, absolutely safe, are decided by Ayurveda doctor on the basis of feedback, if required. Being open with each other is the key to being happy with couple counselling in Ayurveda.
She gave birth to baby child on 3 oct. Delivery was normal and baby also. But she is not having lactation. Milk is not coming. So what to do? This may be dangerous. We also know mother's milk is very important for baby. But unfortunately. It is not. So we are providing powder lactogen milk to baby. Will it be good for baby.
Now I am second month pregnant. Can I have sex with my hubby? I am using goldmine and festival fit sr 300 mg. Can I have sex?
I am 22 years and I have not got periods for one and half month and once after becoming after 45 days the flow will be more kindly suggest the tablet.
Diagnosis of a scaphoid fracture can sometimes be difficult, as not all show up on x-rays. For a period of one to two weeks, and an mri/ct scan may be needed to ascertain the treatment.
Treatment is usually with a cast worn on your arm up to your elbow for 8 to 12 weeks. Sometimes surgery is advised. Correct diagnosis and prompt treatment of a scaphoid fracture can help to reduce complications.