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Management of Abortion
Caesarean Section Procedure
Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
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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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Hello sir My wife was pregnant in January 2016 but we abort pregnancy with tablet But she pregnant again so now this time aslo take abort pregnancy by tablet.
I had sex on 4th day of my periods that Is on 22nd January at 5 pm and my first day of periods is 19th January. I take unwanted 72 on 25th January at 1 pm and after that I had lower abdomen pain. After 5 days that is on 31st January I had a vaginal bleeding for 3 days but the flow was slow. Now today is 22nd February and my this month periods doesn't come. I want to known is it pregnancy or what.
I want to pregnant with a baby boy. I have one 2 years baby girl pls help me. I do not use any pecurtion medicine. Naturally I want a baby boy.
INDIVIDUAL /GROUP THERAPY FOR REMEDYING THREE TYPES OF SKILLS DEFICITS
Many adolescents lack important skills that are essential for their academic achievement, personal development andfor their effective social adaptation. In my 25 years of practice as psychologist and particularly in my therapy sessions with teenagers, I have come across more evidence in support of the behavior deficit model. This model considers skills deficit as a major root cause of psychological disturbance and social mal-adjustment. Skills deficit in adolescents are found to fall under three distinct categories. These three categories account for the vast majority of behaviors usually included under the term behavior disorders. All three patterns are maladaptive ( socially or individually). Each of the following three patterns also involve inter-personal alienation.
AGGRESSIVE TEENAGERS: They may be quarrelsome and generally irresponsible in their social interactions. They pick up fights easily and may disruptive and destructive in school or playground. They may be defiant of authority and lack feelings of guilt or remorse for wrong, unethical behavior.
WITHDRAWN TEENAGERS: Such teens may be generally overanxious and timid. They may get hurt easily and therefore very reluctant to interact with people. They may constantly complain of being victimized or teased. They lack self-esteem and self-confidence. They may go through feelings of depression and social anxiety and therefore may be seen as lonely and socially withdrawn.
IMMATURE TEENAGERS: They may be clumsy in their behavior. Usually they go around with younger playmates who have lower level of social skills. They may have short attention span and may engage in day-dreaming or even self-talk. They are too passive and socially incompetent. This may result in more criticism and ridicule from the peers.
Social skills deficit in a common cause of adjustment problems in teenagers and college youth. If your teenage son or daughter is found suddenly losing interest in studies and getting low marks or found to be generally quiet and withdrawn, it is a good idea to get him/her assessed by a psychologist so that necessary remedial and preventive steps can be taken to enhance their personal growth and wellbeing.
Hi I'm recently delivered a baby boy by c section before 3 week ago I have few queries to ask doctor 1. When will I start massage my tummy 2.when will I start exercise 3.How I lose my weight ,i gain 30 kg extra weight in pregnancy. In 9 th month I was carry 93 kg Now it is 83 kg. Very tensed how to lose. 4.i have teeth pain, knee and wrist pain since a week 5.i have very less breast milk. 6.Acne occur on my face during pregnancy Actually my skin is normal but in pregnancy it becomes so oily. 7.how to lessen my stretch mark I request to doctor Kindly answer my all questions step by step.
Ovulaion ho rha kaise pata chalega? Kaise confirm ho ki ovulaion ho rha Hain? Period k kitne din bad ovulaion date aati Hain? Ovulaion date me pregnancy aane se pregnancy ka Jada chance Hain?
Dementia is a general classification of a brain disease that causes a long haul and frequently steady abatement in the capacity to think and recall that is sufficiently incredible to influence a man's everyday functioning. Other normal manifestations incorporate passionate issues, issues with dialect, and a lessening in motivation. An individual's awareness is not influenced. The most common example of dementia is the Alzheimer's disease.
Physiotherapy for Dementia:
A patient with dementia can benefit from physiotherapy regardless of the possibility that the patient can't perceive their own family. Physiotherapy, notwithstanding, can be of good advantage to the individual who has dementia and also their family and parental figures at different stages. The principle explanation behind this is that recovery administrations can help the dementia patient to be as utilitarian as would be prudent for whatever length of time that is conceivable. Here are 5 ways physiotherapy benefits an Alzheimer's patient:
- Physiotherapy can keep up the Alzheimer's patient's freedom and mobility as much as one could expect reasonably. A physiotherapist can outline a home activity program and work intimately with relatives to administer to the Alzheimer's patient.
- Physiotherapists, as independent experts, embrace much detailed, separately custom-made appraisals of the disorders, action confinements and restrictions imposed upon individuals with dementia.
- The caretakers of individuals with dementia regularly show weakness when contrasted with their same aged companions. Physiotherapy helps with diminishing the weight of consideration by instructing caregivers to provide encouragement and upliftment to individuals with dementia.
- Patients with dementia are always at a risk of falling down and hurting themselves. Poor balance accounts for the danger of falls. This can be worked upon and improved by physiotherapy driven exercises. Exercise can have a huge and positive effect on behavioral and mental indications of dementia, enhancing psychological capacity and mindset, which can decrease the doses of strong medicines. Special exercise routines are assigned to the patients which help improve their body balance while walking.
- Physiotherapy has crucial influence in advancing and keeping up portability of individuals with dementia. It assumes a basic part in the end of life consideration by overseeing situations, seating and complicated muscle contracture. Individuals with dementia regularly experience issues in communicating pain. Pain influences cognizance, inspiration and reaction to any intervention. Physiotherapists are specialists in recognizing and treating pain in dementia patients and give training to care home staff and caregivers of the patients.
Physiotherapy is very important for dementia patients. Regular physiotherapy sessions are beneficial for patients for improvement in condition.
I have irregular periods .from 2 months I dint get my periods .I have white discharge .how can I get it cure.
I am 43 years old lady. I am on first stage of menopause. How I can control my requirement of calcium and vitamin D in daily diet in terms of milk, curd,eggs, dry fruits etc. I am vegetarian. I want to avoid supplements. Please suggest me.
She is suffering from breast pain during menstruation cycle periods. This month taken 7 days to complete, any problem from this. Please give suggestion.
Am getting stomach pain on my periods every month since am using some pain killers though am getting pain give me some suggestion.
My wife is 8 months pregnant and suffering from thyroid And my baby growth is not much as good as normal baby growth. So, suggest me something. And Eating mango is good in thyroid and pregnancy suggest me also.
I am 19 years old any my periods date was on 21 feb bt I had missed it till now and I had sex wid my partner I do not want to get pregnant and before also I have missed my periods for about 3 or 4 months as I was having pco problem please help me what should I do as early as possible.
A week ago me and my girlfriend had sexual activities and not sexual intercourse Soon after that act she started feeling nausea and headache next day she had fever and vomiting. I am afraid that my sperms have entered her vagina by my fingers actually because we did not had intercourse. And I never ejaculated inside her or on her body I did it in my pants My hand were dry like my finger did not not had ejaculated semen just had wetness of precum I ejaculated after the act was over in my pants. We had oral sex. But my girlfriend is feeling weakness and sudden headaches. Also her face is bit swollen Her breasts have become bit bigger today. Her date of menses is 11th of may that is 4 days later. Can she be preg? What do I do if she misses her period and gets prg. How to terminate it I cnt go to clinic please help me with home remedies please its urgent and m scared.
Ma'am I had unprotected sex with my girlfriend on 27 August and she took I pill (ecp) after 6 hours. After 4 days I.e. On 1st September she started bleeding and she blessed for four days. Now after 21 days of intercourse, we did 4 home urine pregnancy test which were on 18 September, 25 September, 2 October and 9th October. All the test came NEGATIVE. We even did a bhcg test on 18th October, the results were <1.2 miU/mL. Then she started bleeding from 23October to 29th October. This month also, The bleeding started day before yesterday I.e. On 23rd Nov. My question is can we rule out pregnancy now but she is having severe pain and feels like vomiting. Can it be related to this? Please help.
I'm 23 years old. How to enjoy with my boyfriend without getting pregnant? We don't do intercourse? Still afraid lose my virginity this much soon. But pleasure is not enough for both of us in small romantic act.
Digestive discomfort is the clear sign that something needs to be done for healing digestion. Here are 12 natural ways that will help in restoring your slowed digestion.
1. Eat glutamine-enriched foods: Glutamine is known to heal the gut lining and reduce its inflammation. Consume glutamine-enriched foods like spinach, fish, eggs, meat, parsley, beans and dairy products.
2. Intake Ample Water: Lack of water intake will dehydrate, consequently leading to serious digestive ailments. Add berries, natural flavors or lemon juice to water to heal digestion and also elevate energy levels.
3. Detoxify liver: A happy liver leads to good digestion. Detoxify liver by eating foods like carrots, dandelion, beetroot and leafy greens. Shun drinking and smoking.
4. Sleep Well: A sound sleep will contribute greatly in healing digestion. Do not stress and get adequate sleep of at least 7 to 8 hours.
5. Drink Alkaline Fluids: Naturally alkaline beverages like fruit juices, tea, mineral water etc neutralize stomach acidity and tackle digestion problems. Ensure naturally alkaline beverages unlike the artificial ones lest more harm would be done.
6. Consume Cultured or Fermented Foods: Cultured or fermented foods contain ‘good bacteria’ that regenerates gut lining naturally. Consume foods like sauerkraut, fermented vegetables, kefir, Kombucha, kimchi etc and wait for better results.
7. Meditate and Deep Breathing: It may sound strange but meditation and deep breathing has positive effect over digestive system. Reduced stress levels mean better digestion.
8. Detox Regularly: Regular detoxification with natural juices like aloe vera resets digestive system wonderfully.
9. Intake Good Bacteria: Good bacteria in the form of Probiotics improve digestion significantly.
10. Stay Aware of Food Allergies: Food allergies can cause inflammation in gut, playing havoc with the digestion. Know your allergies to eliminate problematic foods.
11. Get Fed with Fiber: Fiber will remove toxins from the body and keep the gut moving. This will protect digestive tract from injury or inflammation.
12. Cinnamon & Mint: Cinnamon & mint balances levels of blood sugar and soothes gastrointestinal tract.
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Boerhaave first described the spontaneous rupture of the esophagus in 1724. It typically occurs after forceful emesis. Boerhaave syndrome is a transmural perforation of the esophagus to be distinguished from mallory-weiss syndrome, a nontransmural esophageal tear also associated with vomiting. Because it often is associated with emesis, boerhaave syndrome usually is not truly spontaneous. However, the term is useful for distinguishing it from iatrogenic perforation, which accounts for 85-90% of cases of esophageal rupture.
Diagnosis of boerhaave syndrome can be difficult because often no classic symptoms are present and delays in presentation for medical care are common. Approximately one third of all cases of boerhaave syndrome are clinically atypical. Prompt recognition of this potentially lethal condition is vital to ensure appropriate treatment. Mediastinitis, sepsis, and shock frequently are seen late in the course of illness, which further confuses the diagnostic picture.
See can't-miss gastrointestinal diagnoses, a critical images slideshow, to help diagnose the potentially life-threatening conditions that present with gastrointestinal symptoms.
A reported mortality estimate is approximately 35%, making it the most lethal perforation of the gi tract. The best outcomes are associated with early diagnosis and definitive surgical management within 12 hours of rupture. If intervention is delayed longer than 24 hours, the mortality rate (even with surgical intervention) rises to higher than 50% and to nearly 90% after 48 hours. Left untreated, the mortality rate is close to 100%.
Esophageal rupture in boerhaave syndrome is postulated to be the result of a sudden rise in intraluminal esophageal pressure produced during vomiting, as a result of neuromuscular incoordination causing failure of the cricopharyngeus muscle to relax. The syndrome commonly is associated with overindulgence in food and/or alcohol. The most common anatomical location of the tear in boerhaave syndrome is at the left posterolateral wall of the lower third of the esophagus, 2-3 cm proximal to the gastroesophageal junction, along the longitudinal wall of the esophagus. The second most common site of rupture is in the subdiaphragmatic or upper thoracic area. [1, 2]
Although likely underreported, the incidence of boerhaave syndrome is relatively rare. A 1980 review by kish cited 300 cases in the literature worldwide.  a 1986 summary by bladergroen et al described 127 cases.  of these, 114 were diagnosed antemortem; the others were diagnosed at autopsy. Overall, boerhaave syndrome accounts for 15% of all cases of traumatic rupture or perforation of the esophagus.
Race-, sex-, and age-related demographics
Cases have been reported in all races and on virtually every continent, affecting males more commonly than females, with ratios ranging from 2: 1 to 5: 1.
Boerhaave syndrome is seen most frequently among patients aged 50-70 years. Reports suggest that 80% of all patients are middle-aged men. However, this condiction has also been described in neonates and in persons older than 90 years. Although no clear explanation exists for this, the least susceptible age group appears to be children aged 1-17 years.
Prognosis is directly contingent on early recognition and appropriate intervention. Early diagnosis of boerhaave syndrome allows prompt surgical repair. Diagnosis and surgery within 24 hours carry a 75% survival rate. This drops to approximately 50% after a 24-hour delay and approximately 10% after 48 hours.
The mortality rate is high. Esophageal perforation is the most lethal perforation of the gi tract. Survival is contingent largely upon early recognition and appropriate surgical intervention.
Overall, the mortality rate is approximately 30%. Mortality is usually due to subsequent infection, including mediastinitis, pneumonitis, pericarditis, or empyema.
Patients who undergo surgical repair within 24 hours of injury have a 70-75% chance of survival. This falls to 35-50% if surgery is delayed longer than 24 hours and to approximately 10% if delayed longer than 48 hours.
Cases of patients surviving without surgery exist but are rare enough to warrant case reports in the medical literature.
Esophageal rupture may lead to the development of septicemia, pneumomediastinum, mediastinitis, massive pleural effusion, empyema, pneumomediastinum, or subcutaneous emphysema.
If the esophageal rupture extends directly into the pleura, hydropneumothorax is expected. In adults, this occurs more commonly on the left side of the pleura. In neonates, esophageal rupture usually occurs on the right side.
After esophageal rupture, free air enters the mediastinum and also may spread to the adjacent structures, resulting in mediastinal abscess or superimposed secondary infection.
Other complications include acute respiratory distress syndrome, pneumomediastinum, pneumothorax, and hydrothorax.