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I am suffering from blood loss due to cut at anus internally. The wound is not filling as I have taken 10 days antibiotics. But the wound is not filling due to passing of hard stool. Kindly suggest any medicine so the blood loss can be stopped. than.
Is sucrafil used to treat swollen anal vein. What is grade 1,2,3 rectal bleeding. I have black stool which im sure of having anal sex. But my doctor says this couldn't be because if there is bleeding in rectum it could be red, the color change is because of contact of blood with acid. I had endoscopy and things are normal in my stomach. Sucrafil and pantocid cured my problem. Then I had sex again, then black stool issue started again. My question is where could be by bleeding. Sometimes stool is entirely black, or at the beginning of the stool. Please help.
Hi I am Prakhar and I have a scar on my face and suddenly it turns that it is not a normal scar it is a keloid. It's about 2-3 cm long. As I have heard there is a solution but there are high chances of side effects also. Please help me out with the best possible solution.
I am 32 year old, my skin is very dry and white rashes come in my body and some parts have become scaly. Kindly advice.
I am 28 years old. Feels lots of itchiness in the body specifically in arms, thighs and hips. It's unbearable itchiness, keep on scratching skin. After itching skin becomes red. Pls suggest wat can be used. It has happened for the first time n its been few months I hve shifted to Mumbai. Is it skin dryness? Wat can be used to get removed itchiness.
Sir, I am facing a lot of problem in my face in my face tan has taken place my forehead is looking totally black please help me.
I am 25 years old female my upper lips is according to face very very black I eat many medicine but no effect my face so please tell me how eat I am medicine ples tell me repeat.
I am suffering from deep venous thrombosis and using warfarin 5mg. I suffered 4 attacks but now I think I have completely recovered and have not performed my P. T. Test since last 8 months, is there anything to worry about.
Doc tell me its licum planus but not yet treated etching so much and its looking like more spots and its deep black.
I have pimples on face and back, but with time these pimples disappears but leaves back marks. What should I do so that marks will not leave behind? Are there any issues regarding diet that I need to look after?
My skin is becoming so dark. Specially face skin. Forehead skin and beard skin is getting too darker.
There are women who feel their looks are spoilt because of the presence of excessive body hair. While hair on women's body is common, excessive body hair isn't a normal condition and must be taken seriously. Women are generally unaware that the condition is known as Hirsutism.
What is Hirsutism?
Hirsutism can be defined as growth of excessive facial and body hair in women. With the world obsessed with flawless skin, such changes from feminine hair pattern (soft, fine, vellus hair) to masculine hair pattern (hard, dark, terminal hair) in a woman is generally unwelcoming and, hence, very distressing for the woman.
Why do some women develop Hirsutism?
In order to understand the reasons for such excessive growth in some women, it is important to understand the differences in the physiology of men and women. The male or female appearance of one's body is dependent on a delicate balance between male and female sex hormones. There is a predominance of the hormone estrogen in a woman's body, whereas androgens (testosterone) are the predominant sex hormones among men. However, some amount of androgens is secreted by the ovaries and adrenal glands (located next to kidneys) in women also. But, an excessive production of these hormones results in Hirsutism. Hormonal imbalance is by far the most common cause of Hirsutism.
Causes of Hirsutism:
1. Endocrine causes
- Polycystic Ovarian Syndrome (PCOS) - PCOS is a condition of hormonal imbalance in the body, which can result in an irregular menstrual cycle, enlarged ovaries with a cystic appearance on USG, infertility, obesity and hirsutism. For more information on the causes and management of PCOS.
- Cushing's syndrome - Excessive production of hormone Cortisol by the adrenal glands can lead to symptoms such as high blood pressure, abdominal obesity, skin discoloration, muscle weakness, irregular menstruation, and hirsutism etc. This syndrome is known as Cushing's syndrome.
- Congenital Adrenal Hyperplasia (CAH) - CAH is a condition of excessive production of hormones Androgens and Cortisol by the adrenal glands and generally manifests in childhood in the form of virilization. In such cases, CAH can present with symptoms such as ambiguous genitals, obesity, hypertension etc. However, sometimes the manifestation of CAH is deferred to early adulthood and results in milder symptoms, hirsutism being one of them.
2. Tumors - Tumors in ovary or adrenal glands can again cause hirsutism due to excessive production of androgens
- Long term steroid consumption (commonly used for immunosuppression, rheumatoid arthritis, and multiple sclerosis)
- Performance enhancing drugs (often used by athletes)
4. Idiopathic - The woman may be having hirsutism despite normal hormone levels
There are essentially two lines of treatment for hirsutism - one is medical management and the other is a cosmetic treatment.
Medical treatments for Hirsutism -
A. Birth control pills - It's possible to reduce the severity and intensity of hair growth using birth control pills- the most commonly prescribed medical intervention! The birth control pills help by decreasing the production of androgens by ovaries. Besides this, estrogen present in the pills also helps the liver to produce more of sex hormone binding protein- these proteins bind to circulating androgens, thereby reducing their action on the body. Both these actions help in reducing the growth of hair on the body.
B. Anti-androgen medications - There are three categories of anti-androgen medications, which are commonly used for the treatment of hirsutism.
- I. Spironolactone - Spironolactone is a diuretic medicine, which blocks the effects of androgens on the hair follicles, thus controlling hair growth.
- II. Finasteride - Finasteride works by blocking the conversion of body testosterone into its more potent chemical entity, thereby limiting the effect of testosterone on hair growth.
- III. Flutamide - Flutamide is a potent anti-androgen, which blocks the actions of androgens and helps in controlling the hair growth.
However, we have to ensure that the woman is not pregnant when taking any of these three medications. These medicines are often combined with oral contraceptives, which also have a synergistic effect in reducing the severity of hirsutism. One should also seek an expert opinion before starting these medications as there can be serious side effects, especially on liver.
C. Steroids - Low dose dexamethasone can be used to control the overactive adrenal glands when used carefully. However, long-term steroid therapy has got its own side effects and this therapy should only be considered under expert care and guidance.
D. Insulin sensitizing medicines - Medicines such as Metformin and Pioglitazone (Basically these are anti-diabetic medications) help in reducing insulin resistance in the body, which, in turn, helps in controlling the effects of excessive circulating androgens.
Cosmetic treatment for Hirsutism -
One very important aspect of cosmetic management of hirsutism is self-care. This can include shaving, waxing, use of depilators and bleaching creams. All these measures help to reduce the amount of visible hair in undesired parts of the body. But, this needs to be done very frequently for a sustained visible effect.
Permanent hair removal is also possible using electrolysis or LASER treatment. In electrolysis treatment, electric current is passed into the hair follicle using a needle, which damages the root of the hair permanently. Similarly, LASER treatment uses LASER to destroy the hair follicle. Both these are effective methods to get rid of the undesired hair. However, we do not yet know if there are any long-term complications or side effects of these methods and these methods are not yet approved by the US FDA. If you wish to discuss about any specific problem, you can consult a Gynaecologist.