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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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The word acute coronary syndrome refers to a group of symptoms that are caused by blockage of the blood flow to the heart muscles. The most common result of this is myocardial infarction or heart attack as it is popularly called. Reduced blood flow leads to death of some portion of the heart muscle wall. While the word heart attack sounds almost fatal, it need not be the case. Knowing how to identify an attack and being aware of some simple measures can help save lives.
The tell tale signs of a heart attack are as follows:
- Chest pain and discomfort usually described as a tightness or burning in the chest region
- Pain along the left side of the shoulder and neck, going up into the jaw, down to the arm
- Nausea and vomiting
- Profuse sweating
- Difficulty breathing
- Dizzy or fuzzy feeling
- Tired, extreme fatigue
- Anxious, apprehensive feeling
However, be also aware that there are a lot of people who experience a silent heart attack. Women, obese, elderly, and diabetic patients can have silent attacks and depending on severity, either they go on with life as usual or can have a fatal attack.
Once you are doubtful of a heart attack, the next step is to reach the closest medical facility for a diagnosis. In addition to a detailed examination and history, the following two tests will be performed.
- Electrocardiogram (ECG): A 12-lead ECG will measure electrical activity of the heart and identify irregular electrical activity, which is indicative of a myocardial infarction.
- Blood tests: Presence of certain enzymes in the blood, CK-MB and troponin are indicative of a heart attack. A complete electrolyte profile also will be done, and increase or decrease of some electrolytes is helpful in diagnosing a heart attack.
- In addition to these two, chest radiography, cardiac angiography, echocardiogram, stress test, and computed coronary tomography may also be required to confirm the diagnosis.
Once diagnosed, the first step would be to relieve the symptoms, negate the effects of reduced blood flow, and restore cardiac function.
- Dissolve the clot: Using thrombolytics like clopidogrel
- Nitroglycerin: To dilate the blood vessels and improve blood flow, especially to the heart muscles
- Anticoagulant therapy: Blood thinners are usually used to avoid blood clot formation; aspirin and heparin are the most commonly used agents.
- Drug therapy: Blood pressure maintaining drugs like beta blockers and/or angiotensin-converting enzyme (ACE) inhibitors are also used
- Use of Statins: Statins are used to reduce the amount of cholesterol in the blood and stabilize plaque deposits.
In very severe cases, angioplasty and stenting or coronary bypass surgery may be required. Educating people on how to identify a heart attack and manage it is very useful and can help save lives.
My wife had merina for 4 years and it has been removed 1 year back she has heavy bleed during periods and it will be for 5 days. Can you tell me for less bleed.
Some love it, some hate it because of the smell that stays behind. However, it is advisable to eat a lot of onions, as they are very good for your health.
Cooking the onions kill their medicinal properties. That is why red onions should be eaten raw and untreated. There are a lot of combinations, and if you're brave enough, you can eat it as a side dish almost every lunch. Today, we'll give you 7 reasons to add red onions to your diet.
Stops cancer cell growth
Onions are rich sulfur compounds that protect the body from stomach cancer, colon cancer, breast cancer, lung cancer and prostate cancer. They are also effective in fighting off bacteria in the urinary tract.
Raw onions increase the production of insulin. If you are a diabetic, you have a good reason to regularly eat fresh raw onions.
Fibers found in raw onions can help you in the fight against constipation. They force out toxins and hard food particles from your intestines.
Help for a sore throat
Make onion juice. It's great for healing colds and sore throats.
If you are tormented by nosebleeds, red onions can stop the bleeding. You can also smell onions for healing nose bleeds.
It protects the heart
Onions can help protect the heart from coronary disease. Onions can also control high blood pressure.
Controls cholesterol levels
Raw onions control cholesterol levels and lower bad cholesterol (LDL) in the blood.
What may be the reasons for irregular periods and does the consumption of birth contraceptive pills leads to further pregnancy complications?
I m having 7 th months complete pregnancy and nw start 8 th month. Ecosprin 75 and tidilan 20 I m taking. Is it safe?
Yes we all desire for that perfect physical gratification that we get from being with our partners and we all look forward to a supercharged physical intimacy. However, what can go wrong with it? Most people will experience some sort of sexual difficulty at some point in their lifetime. Luckily, various healthcare professionals, including sex therapists and counselors, are trained to help people with these issues. Although individual cases vary in their specifics, a few sexual concerns are quite common.
Top Sexual Concerns among Women:
The top two sexual concerns for women are low desire or complete lack of sexual desire. Up to 40 percent of women report that they have little or no desire to have sex.
- Low Desire or Lack of Sexual Desire: Low desire or lack of desire is an increasing trend among women (and some men). Lack of desire is often accompanied by discussions about lack of time or energy for sex.
- Body Image Issues: Not liking what you see in the mirror can make the thought of being naked in front of someone else unpleasant.
- Aging and Hormonal Changes: Changes associated with menopause may conspire to reduce a woman's interest in sex. Hot flashes, night sweats and weight gain can be some of the causes.
- Relationship Conflicts: Conflict with one's partner over everyday issues, from money concerns to childbearing, can reduce feelings of desire.
- Unskilled Sexual Partners: People who are experiencing unsatisfactory sex often lose desire. The more bad sex you have, the less you want (conversely, the more good sex you have, the more you want).
- Medical Conditions: Certain medical conditions may affect sexual desire. One of the symptoms of depression, for example, is a lack of interest in sex.
What You Can Do?
First, you should work with your physician to rule out any physical reasons for low desire. Next, it is important to understand how your body responds to touch. Make time for self-pleasuring (masturbation) and explore your capacity to experience pleasure. If you wish to discuss about any specific problem, you can consult a sexologist.
How many times in a day sex is possible with pregnant women of child 6 to 7 month old and in what way can do sex by which she not to get any problem. Suggest me.
Was on novelon 21 day pill pack from june. Missed second last pill of june but took it along with the last. Then took a 6 day break on which I had menses. Started new pack from 8th july and on 9th july had protected intercourse for the first time but the condom was used thrice. Then had very protected intercourse on 14th. This was my last intercourse. I did not ve any intercourse further. Missed only one pill in july on 21st july doubled up on 22nd july. On 22nd july morning had a very light bleeding. My pill pack ended on 28th july and menses came from 1-6 aug. Test at 4,5,6,7,8 weeks all negative. No intercourse in aug. Due date of period was on 1st sept. No periods. Did serum beta hcg test on 8th sept its negative (0.11).usg done on 8th shows bulky anteverted uterus rest normal and bulky ovaries with pcod. Why my period is late if I have no intercourse in aug. Am getting all stressed. And m having bad gas. Is gas is due to stress. Doctor advice me to take deviry 2 tablets for 5 days. Is it safe? When will I get my periods after stopping deviry?
Hello doctor. i Am 20 years old female. I had unprotectd sex with my hubby on next day of my menses. And I found spotting and had pain on left abdominal while sex and my periods these days are irregular please let me know the chances of pregnancy and do I need to worry about spotting?
This is 27 yrs old with pcod. I had 3 injections of fsh respectively 11th, 14th, 16th day by this time ovum size is 17mm, my docotor said, no need for further injection, automatically size will increase. On 20th day (may- 6th) I had ovulation induction injection. 2 weeks later I got weak positive urine test. After a week I got periods. Now I am in 2nd round of injection I had 3 fsh 2ml, still my egg size is 13mm, day is 18. What to do? what may the reason. Please reply.
Hi sir/madam. Have sex with my girlfriend without any condom but I didn't allow my sperm to get into her pussy. I just let my sperm on ground and sometimes on my girlfriend's mouth. Does she gets any pregnancy.
Hello doctors . My weight is 100 kgs n height is 5.6 inches. Since 3 years whatever I do there is 5 kgs up n down in my weight. I'm having cereals n boiled egg without yellow morning. When I go to college I take 2 with wid vegetables for lunch. If I am at home I have phulka or one cup rice. Evening have green tea. And I have one jowar roti with vegetables at night around 7 pm. Then I don't eat anything at night. Drink water in adequate amounts too. Morning due to hectic college schedule if have have time then I do walking for nearly half to one hour. Im fed up im not at all loosing weight. Please suggest me. I had few thyroid abnormalities in childhood so had iodine tonic for 2 months then it was fine. Again at the age of 15 I had imbalance so ate 12. 5 mg thyroxine for one month. Now at the age of 20 again symptoms of thyroid with pcod im having. Since 6 months eating 25 mg of thyroxine. There is a family background of hypothyroidism and diabetes. Pls help me I don't want to be inline with them. And want to loose my weight too.
My friend had unprotected sex 1 week before with her boyfriend. She got her periods on 19 April and she had sex on 13 April. She is concerned because the flow of her period is very light after 1 day. From second and third day it is very light. Is she pregnant? Should she consult a doctor or wait check by home pregnancy test.
Dear sir/madam My wife has irregular menses that mean on 19 december 16 menses start and finished on 21st dec. I had sexual contact with her on 29th, 30th,31st, 1st jan, 2nd jan 17 to planning for conceive but unfortunately today i.e 7th January 17 found bleeding like menses. Pl tell me the reason? Which doctor I ve to consult?
Hi Dr. Thank you for last solution provided. This time we had contact on ovlution day n Dr. gave me sustain tb for 10 days to be inserted in vagina. I just want to know what can be the symptomps that I am pregnant. Please help.
How physiotherapy can help through pregnancy and after pregnancy:
Pregnancy and childbirth throw a woman's daily routine out for a toss. During and after pregnancy is the time when her body undergoes a number of hormonal and physical changes. Mundane tasks like sitting, standing, walking, and working become a challenge.
Research suggests that almost all pregnant women experience musculoskeletal discomfort but around 25% become temporarily disabled because of it. All these occur due to the incredible changes taking place in the body during a normal pregnancy.
Pregnancy discomfort has been accepted as a part of the normal process of pregnancy for years now. But just because you are pregnant does not necessarily mean that you have to accept problems like a backache and pelvic girdle pain as unmanageable. Doctors of today have realized that physiotherapy is the key to enhancing a woman's health during pregnancy. The main aim of physiotherapy is to reduce discomfort, to prepare the body for delivery and to speed-up recovery after childbirth.
Physiotherapy through pregnancy
The basic aim of physiotherapy during pregnancy is to help the body deal with issues related to mobility, musculature, circulation and respiration. Prior to starting an effective antenatal (before birth) program, a thorough evaluation is done to recognize which exercises would be best suited to the woman's needs. These exercises are aimed at strengthening muscles,
decreasing joint pain, correcting muscle imbalances, and increasing the overall range of motion of the body. Therapists may also advise you about correct sleeping positions as your normal sleeping routine may be disturbed during pregnancy.
Here's how physiotherapy deals with some common complaints experienced by women during pregnancy.
Lower back pain: almost all pregnant women experience low back pain, though it tends to become severe after third trimester begins because the woman's centre-of-gravity shifts due to the increase in the stomach size. Lower back pain is treated with manual and passive physiotherapy, back support, postural education, and some pilates exercises. Home exercises are also taught which the women are encouraged to continue at home.
Pain in the sacroiliac joints: sacroiliac joints are present in the lowest region of the lower back. This pain is usually concentrated in the buttock region. During pregnancy, due to excessive hormone release, the body's connective tissues tend to relax so that the muscles can stretch to aid in delivery. This may cause the sacroiliac muscles and ligaments to become excessively mobile, causing extreme joint movements. Due to this, the woman may experience difficulty in lifting the leg, swelling in the joints, pain in the hips, and difficulty while standing and sitting. Strengthening exercises are provided by the physiotherapist to stabilize the joints and hands-on therapy is given to reduce the pain by realigning the pelvis.
Urinary incontinence (due to pelvic floor weakness): progesterone, which is known as the pregnancy hormone, relaxes the muscles of the pelvic floor in order for it to be supple and ready for delivery. Therefore, these muscles can weaken and strain during pregnancy and childbirth, which leads to urinary incontinence (unable to contain or retain urine) and pelvic floor dysfunction. Physiotherapists will teach you strengthening exercises to strengthen the pelvic floor muscles. They may also provide you with a pilates based exercise program to help reduce the muscle weakness that may occur after childbirth.
Sciatica: sciatica is a problem that a lot of pregnant women experience. Continuous pressure or strain on the sciatic nerve can lead to backache, and weakness, numbness and tingling in the leg or associated areas. Physiotherapy uses stretching exercises and manual therapy to relieve you of these symptoms.
Carpal tunnel syndrome: this condition is caused due to build-up of excessive fluid resulting in swelling in the carpal tunnel in the wrist. You may experience symptoms like pain, numbness, tingling, and loss of coordination in your hands and fingers. Physiotherapy techniques such as mobilization, strengthening exercises, stretching, and soft tissue techniques help to reduce these symptoms. In severe cases, a wrist brace may be provided to put on during specific activities to minimize inflammation.
Physiotherapy after pregnancy
Physiotherapy does not stop once your baby is born. It is very much part of post-natal care too. Gentle physiotherapy exercises must be started two days after the baby's birth. However, this must only be done after consulting with your doctor. Most hospitals have physiotherapists who will offer their services before you are discharged. For the first six weeks after childbirth, your body is still in the recovery phase and walking is the best exercise for you. Start with short walks, and then slowly increase time, distance, and speed of your walks, according to your comfort. Swimming is another good exercise, but you can only start with this after you have recovered properly. If you experience any pain and discomfort, discontinue the activity immediately and consult your doctor. After six weeks, with the go-ahead from your doctor, you can start with sports and exercise classes.
Women also experience certain post-natal complications. Here is how physiotherapy helps you recover from them.
Low back pain: physiotherapy techniques such mobilization, stretching, strengthening, soft tissue techniques, and hydrotherapy are very beneficial in reliving post-natal backache. Certain pilates exercises are also helpful.
Weakness of pelvic floor muscles: immediately after childbirth, the pelvic floor muscles are weakened. These muscles can be strengthened by pilates based exercise program and other exercises specific to pelvic floor muscle strengthening, which the physiotherapist will teach you.
Sacroiliac joint pain: this pain can continue after pregnancy too. Strengthening exercises and hydrotherapy can help in regaining normal muscle tone.
Diastasis recti or abdominal separation: generally this condition occurs in women who have undergone multiple pregnancies. A physiotherapist will provide you strengthening exercises to strengthen the abdominal muscles.
A woman's body undergoes incredible strain during pregnancy, and physiotherapy is something that can make the entire process so much easier. It aims not only at your recovery but enhances your body's ability to have a smooth and easy delivery. Physiotherapy makes the experience of pregnancy positive and joyful, just as it should be.