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Management of Abortion
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People across the planet observe fasting from dawn to dusk during the holy month of Ramadan, the ninth according to the Islamic calendar. The fasting is observed throughout the month to commemorate the first revelation that was made of the Holy Quran to Prophet Muhammad, and people remind themselves to abstain not only from food, but also from negative thoughts.
However, the fasting is observed from dawn until the onset of twilight. The most important part of this fasting ritual is breaking the fast, the consumption of the iftar.
Care needs to be taken when breaking a fast so as not to overburden your digestive system. Though fasting is a healthy regimen for both the mind as well as the body, the natural body cycle is challenged by reversing the normal food cycle and can affect metabolism.
Break the Eid fast in a smarter way
The most nutritious and easy-to-digest foods should be ingested to break a fast, gradually adding more diversity over time. You can try dates and honey, which are not only a part of the tradition, but also help and prepare the digestive system and being sweet in flavor they prevent you from overeating.
Eating heavy food can better be avoided while breaking the fast as they may create a sudden imbalance in the system. You may start with fruit juices and eat light food that is easy to digest. Fruit and vegetable juices, bone broths and even yogurt are good for that initial "breaking" of the fast.
Among these, fruits are the most popular and easiest. But whatever you do, rehydrate yourself with a couple of glasses of water and continue to take sips through the evening.
Not full yet, try these
Lettuce and spinach (you can use plain yogurt as a dressing and top with fresh fruit), cooked vegetables and vegetable soups, raw vegetables, well-cooked grains and beans, nuts and eggs, and milk products are recommended.
The body undergoes minor internal changes, like enzymes usually produced by the digestive system, have ceased to be produced or have been diminished greatly while observing the fast, so introducing food slowly allows the body to re-establish the enzyme production.
Also, try making healthy choices, for instance, grilled meats instead of fried, light sauces instead of creamy ones and limited portions of white rice and bread. Fiber and protein rich diets should be preferred choice.
Put a vigil on your wandering hands
While fasting the mucus lining of the stomach momentarily is reduced, making the stomach walls more vulnerable to irritation until it returns to normal. Gentle introduction of foods, beginning with the simplest and easy-to-digest foods supports this process. Coffee and spicy foods like haleem or beef must be avoided, as it can cause irritation to the system, during the fast.
Also limiting sugary syrups and fizzy drinks can help you keep your weight and blood sugar levels in check. The same goes for fatty foods, preservatives, and soft drinks. Avoid vinegar and chili, for instance.
To conclude, after fasting for long hours, while breaking the fast, small meals are preferred as the digestion will be slow and also avoid food that is spicy and heavy. Introduce nutrient-rich ingredients in the meal and have proteins and essential vitamins and minerals in your diet. And last, but not the least, keep yourself well hydrated.
This Eid, break the fast the healthy way! If you wish to discuss about any specific problem, you can consult a doctor.
Ever wondered why you needed to share your family’s health history at a doctor’s clinic? Specific questions regarding health issues of your immediate family or close blood relatives give your doctor an insight into various health risks you might have now or in future. Those are medical conditions inherited by parents or grandparents through genes. Genes are passed from parents to children in DNA of eggs or sperms. Even a single mutation (fault) in gene can influence body systems and may lead to disorders. If any of the parents have a faulty gene, there are 50:50 chances of the child inheriting it.
Hereditary heart diseases are also a result of mutation in one or more genes and tend to run in families. Genes control almost all aspects of cardiovascular system including strengthening blood vessels, pumping capacity or communication of cells in the heart. A single genetic variation is enough to alter cardiovascular processes increasing the risk of developing a heart disease, attack or a stroke. Some of the most common hereditary cardiac disorders include; Arrhythmias, congenital heart diseases and cardiomyopathy. A family history of heart attack or stroke is also an established high-risk factor for the family members. High blood cholesterol, medically known as familial hypercholesterolemia also tends to run in families.
Unfortunately, many of these conditions cannot be prevented since they are acquired through genes. But there are many ways in which these could be managed before they become complicated or fatal.
Let’s look at some ways by which we can deal with hereditary heart diseases and increase a patient’s chances of survival:
Early Diagnosis And Treatment: When one person in the family is diagnosed with a heart disease, it is strongly advisable for other family members to go in for screening. An early diagnosis can help in better treatment and management of the disease and impacts positively on patients’ life. Medical screening of siblings is highly recommended in case a person suffers a sudden cardiac death especially at a young age.
Watch out for these symptoms at a young age: Abnormal heart rhythm, asthma that does not get better with inhaler, seizures that do not improve with medication, extreme fatigue or shortness of breath are warning signals and need immediate medical attention.
Genetic Testing: Family members may opt for genetic testing to check if they carried genes of an inherited disorder.
Genetic Counselling: Genetic counselling deals with problems like anxieties and fear of attacks, confusion over disease and emotional difficulties in accepting the situation.
We may not be able to change the family history but we can surely change our environment, lifestyle and habits. Eating healthy and following an active lifestyle does help in prevention and management of such diseases.
Me and my lover had unprotected sex before the first day of her period. Is there any chance of pregnancy during safe period?
My gf periods has not come this month. We had sex last month. Is this any symptoms of pregnancy of her?
We have been having unprotected sex for around a month and my girlfriend is facing problem like regular urination. Help me how to diagnose if she is pregnant or not . N how to terminate pregnancy.
I had my c sec last month (sep 17) and gave birth to twin girls. Bleeding did not stop till now. Bleeding is on and off. Is this normal. Also my breast milk is less. Can I use manual pump? Or any ways to increase my breast milk. Thanks in advance.
It is ideal for you to eat small quantities of nutritious food regularly to reduce your weight. It is ideal for you to include at least 30 to 45 minutes of exercise every day to see visible differences in weight.
Have a breakfast by 8: 30 am in the morning and limit it to 250 to 300 calories.
Have a handful of nuts as a mid morning snack at 10: 30 am
Have your lunch at 12.45 pm and make sure it is only a diet full of veggies and fruits.
At 2: 30 pm have your afternoon snack that could be carrot sticks or apple with low fat peanut butter?
At 6 pm have the last meal of the day that includes a cup of vegetables before the meal? then drink water and follow it with a cup of rice and lean meat.
She is four week pregnant, our doc took first hcg test which came around 305, so I need to know is it normal? We underwent 2nd hcg test also whose report we will get on monday. So is it compulsory tht hcg should double after 48 hours. Our gynac also recommended to take hcg injection. So it viable to take that.
I had miscarriage this month. And I want to conceive again. Now I want to know when I can plan to conceive next? And what precautions I should take to have a successful pregnancy?
I am 25 year old I was plan for child. So what will I do. I period coming on this moth 12/2/16 so what should I do. I have completed 9month for marriage? Please suggest me the good thing?
My girlfriend is 24 years old I had sex with her she took i pill within 24 hours but after 7 days bleeding started what happens please help me.
I am 25 year old girl and having irregular period from starting (45-50days cycle), but now my periods time is increasing day by day, this time it takes 4.5 months. I am taking yasmin tablet also as per doctor suggestion, Is it ok?
Hello Doctor, Please Help me with this. I had only entered very little amount of my penis inside her vagina. And had 2-3 stokes only. Is there chances of pregnancy? What should I do? Please help.
My girl friend is telling me to do sex with hr but hr vagina shod not brake like dt she tlng me to do sex how can we do like dt.
I have PCOD, I take Diane35 as medication. I recently gained weight, I was 65 and now I am 90 kilos. I am 21 years old. I have lost weight in the past. BUT some how I am unable to loose any weight this time. I have tried everything, from metformin tablets to swimming and excessive exercise over the past one year ... is there something else that COULD help me in my condition. I have a friend in USA, who had PCOD, but she said that she took an injection which helped her loose weight and now there are no cysts in her ovary.. is that possible ? Please help !
I took ipill 2 months ago. In the last week of march. My periods were delayed by 2 weeks in the month of april and I got my periods on time in the month of may correctly. We did not had any intercourse since we had the pill and I have taken four home pregnancy tests each after weeks gap all were negative. And now the concern is I am feeling weak during morning times and I work in night shifts 7 pm-4 am. Could it be a sign of pregnancy or just the stress due to night shift or lasting effect of the pill.
Premenstrual dysphoric disorder (PMDD) is a severe and more dangerous form of premenstrual syndrome (PMS). Premenstrual syndrome describes symptoms a woman may have a few days before her menstrual cycle. The most common ones include tender breasts, bloating, cramps, mood swings, and headaches. The symptoms of PMDD are similar to those of PMS but are severe enough to interfere with your routine work, social activities, and relationships.
What causes PMDD?
The exact cause behind this medical condition is unknown but most doctors and researchers believe that the disease is caused due to the bodily changes that you undergo due to the rapidly changing hormones in your body.
What are the most common symptoms associated with it?
The symptoms of PMDD show a very close resemblance to the symptoms of PMS, and they are mostly the same but differ in terms of intensity and severity. The most common symptoms of the condition include the following:
- Mood swings
- Depression or feelings of hopelessness
- Unnecessary anger resulting in increased interpersonal conflicts
- Tension and anxiety
- Decreased interest in everyday activities
- Difficulty in concentrating
- Change in dietary patterns
- Sleep problems
- Physical problems such as bloating, breast tenderness, swelling, headaches, joint or muscle pain
How can PMDD be treated?
A host of effective and efficient treatments are available for the treatment of PMDD. However, this condition is diagnosed by a doctor only when the symptoms of the disorder are identified. The common measures to treat the PMDD disease are as follows:
- Good nutrition
Related Tip: 6 Reasons To Avoid Aerated Drinks During Your PMS
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.