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Combipack of mifepristone tablets IP and misoprostol tablets IP. abortion pills. Kya ye suit krega mjhe.
Hunner's ulcers, simply put are painful ulcers in your urinary bladder. These ulcers are inextricably linked to another disorder called the painful bladder syndrome or intestinal cystitis. They occur in 10 to 15 percent of people with interstitia cystitis. These, in fact, are red patches or lesions on the bladder wall which can stiffen tissue and cause reduced bladder capacity. Hunner’s ulcers bleed, ooze pus and can be of different sizes. The ulcers in the bladder can be extremely painful and uncomfortable.
These are called Hunner’s ulcers because they were first described by Dr. Guy LeRoy Hunner, a Johns Hopkins gynecologist, in 1915. Since Hunner’s ulcers are seen only in people with intestinal cystitis, it’s important to know more about this painful life-altering bladder disorder before we can even understand how to deal with them.
Interstitial cystitis (IC)
IC is also called painful bladder syndrome. Another important thing to know about IC is that it strikes more women than men. IC is a chronic disorder and there’s no cure for it. It causes recurring bouts of pain and pressure in the urinary bladder and the pelvic area. This is often accompanied by an urgent and frequent need to urinate. Sufferers may have to rush to the ‘loo’ as much as 40, 50, or 60 times a day.
Hunner's ulcers can only be accurately diagnosed by doing a cytoscopy which involves inserting a fibre-optic tube through the urethra to look at the bladder wall closely. During this procedure, a tissue sample from the bladder wall is usually also taken to rule out bladder cancer. Cytoscopy is usually done with hydrodistention under local anesthesia. This involves filling the bladder with a liquid for stretching it to provide a closer view of the bladder wall. Usually, a urologist performs this surgery along with a gynaecologist. IC and also Hunner’s ulcers are both a diagnosis of exclusion. This means that they’re diagnosed only after a number of other conditions have been ruled out.
Hence, the urologist will first take your thorough medical history, followed by a physical exam and a pelvic exam for women patients and perform tests for ruling out infection, and other disorders like bladder stones and cancer, kidney disease, multiple sclerosis, endometriosis, sexually transmitted diseases amongst others. Only after these tests are inconclusive or uncertain and if there is blood in urine, will the urologist go for cystoscopy.
There's no cure for IC, but Hunner’s ulcers can be cured by burning them off the bladder wall. Called fulguration, the process uses electricity or laser to burn the ulcers on the bladder wall. Resection is also used in which skin from around the Hunner’s ulcer is cut for removing both the ulcer and the inflamed tissue around it. The problem is that ulcers may recur in the same location.
So, managing IC becomes critical. Your doctor can try to treat the patient with one treatment or with a combination of treatment depending on the condition of the patient.
Pain medicines are the first line of treatment to manage Hunner’s ulcers and IC both, and many patients do go in for this. Patients also find relief by modifying their diet to remove foods and drinks like caffeinated beverages- tea, coffee, colas etc. Sodas, artificial sugars and fruit juices, especially Cranberry juice can trigger intense pain and discomfort, so these are usually contraindicated. Another important aspect is patient education about normal bladder function and tips on self-care and behavioural modifications like stress control to manage Hunner’s ulcers.
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I am male 27 and my wife is 24 years old, its been 4 years we got married, before having a kid we both used to have a good desires of sex and we both used to enjoy it, after having a kid my wife not showing any interest in having sex, if tried to have sex by convincing her she is complaining that its painful, I tired to know the problem and discussed it with her, she is telling she also did not understand why she has a interest, by this I am having a trouble as my desires are going on more, can you please suggest us what we can do to over come this problem.
My girl friend have irregular periods n vagina itching n pain too what is the reason can you suggest some solution.
I am supposed to get my periods on 13th of feb and they r delayed. We had unprotected sex on 18th is there any chance of getting pregnant? Wil emergency contraception work at this point?
On 26th nov I have inserted my penis partially when her ovulation period is over, she got her periods on 4th nov and ends 10th nov she is expecting next period on 1st nov. Is der any chance that she will get pregnant? Note: We do not have sex jst partially inserted.
Proper sleep, balanced diet, and strengthening exercises can boost endurance and ensure independence.
Muscle building isn't just for those who are into fitness as a hobby. Muscle strength is crucial for good health, especially as we age" muscle strength is important to help reduce injuries, most notably falls.
Strong muscles are needed to strengthen bones, control blood sugar, improve cholesterol levels, maintain a healthy weight, reduce joint pain, and fight mild depression. Those things can help you maintain your independence. Unfortunately with muscles, there's a use-it-or-lose-it effect" inactivity causes a loss of muscle protein, resulting in a decrease in muscle strength. Without continued strength and resistance training, the rate of muscle mass decline is much greater.
If your doctor says it's okay, start a strength training program to supplement moderate-intensity exercise that gets your heart going. Aim for two to three sessions a week. Consider these five tips to achieve the best results.
1 work with a pro
A certified personal trainer or a physical therapist can design a program tailored to your needs and abilities. That way you'll get the results you want without risking muscle strains and ligament tears. Ask your doctor to prescribe physical therapy if you're recovering from injury or struggling with a chronic health problem. If you're in good health, seek out supervised programs, such as those offered at senior centers, the ymca, or a private health club.
2 try weights and bands
You'll likely use weights to build muscle—dumbbells and weight machines—but don't forget resistance bands. These bands—which resemble large flat or tubular rubber bands—provide resistance while you're in a variety of positions, as opposed to the limited amount
Of movements you perform using free weights or weight machines. Weights and bands provide
Resistance to your muscles.
3 get more sleep
When you strengthen your muscles, they need 48 hours to re-knit. You must avoid strength exercises on the same muscles on consecutive days. But sleep is another key to muscle recovery" sleep is critical to allow for proper healing of the tissues when we stress them" says wiater. Adults should aim for seven to eight hours per night. That will give your body time to repair muscle tissue and replenish your muscle's energy stores. Without enough sleep, the muscles may continue to break down without rebuilding.
4 watch your diet
A healthy diet is necessary to give your muscles the building blocks to become stronger. That means you need a combination of protein sources, grain-based carbohydrates, and fruits and vegetables. You may want to work with a dietitian to come up with a baseline of what your body needs to build muscle and keep up energy. A typical range is 130 grams (g) per day of carbohydrates for both men and women, including nine servings (four and a half cups) per day of fruits and vegetables; and 56 g of protein per day for men, 46 g of protein per day for women.
5 use daily activities
You don't have to limit muscle building to workouts. Take advantage of daily activities to challenge your muscles. This may mean that you lift that carton of milk a few times before you put it back in the refrigerator, to build your arm muscles; use the stairs when possible, to build the muscles in your legs, hips, buttocks, and abdomen; and get active while talking on the phone or standing in line by doing leg lifts and heel raises, to strengthen the muscles in your legs and buttocks.