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Management of Abortion
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A stroke, also known as cerebrovascular accident (CVA), cerebrovascular insult(CVI), or brain attack, can occur when a part of the brain is deprived of blood flow. When brain cells are deprived of oxygen they begin to die, due to which the functions controlled by that part of the brain also stops, which results in different types of disabilities among stroke survivors.
There are two types of strokes
- Ischemic stroke
The first is caused when a brain aneurysm or a weak blood vessel bursts. Most of the time, this type of stroke leads to death. The second one happens when a clot blocks the flow of blood to the brain. Patients suffering from stroke suffer from various side-effects, the most common ones being paralysis or loss of feeling in a certain part of the body, problem in understanding or talking and loss of vision on one side. The side-effects start showing up immediately after a person has had a stroke.
In certain conditions, blood flow to a certain part of the brain stops for only some time and hence the body suffers stroke-like symptoms which only last a couple of hours before disappearing. This is known as a transient ischemic attack (TIA). Unfortunately, the effects of a stroke can be debilitating and also permanent. Hence, it's important to know the symptoms of a stroke and rush the patient to a doctor as soon as possible. Sometimes early treatment can save a lot of damage.
The primary symptoms of stroke are as follows:
- Confusion and problems while talking and comprehension
- Headache along with alteration of consciousness or vomiting
- Numbness of the face, arms or legs, especially on one side of the body
- Issue with seeing, through one or both eyes
- Inability to walk with stability, including disrupted coordination
- Problems with the bladder and bowel control
- Acute depression
- Body temperature fluctuates, and pain worsens with movement
- Paralysis on one side of the body along with fatigue
- Problem in expressing or controlling emotions
Diagnosis of stroke
Several tests are carried out to determine the type of stroke, such as
- Physical examination, which involves observing the patient's overall condition.
- Blood tests
- CT scans
- MRI scans
- Cerebral angiogram
Stroke is a fatal brain disease and can cause permanent damage to your system so its best to check with doctor to know how you can prevent it.
I am not pregnant and my last period was on 26th January. What tablets should I take for regular periods.
I am 23 years old as per pregnancy test kit I am pregnant. I do not want it how could I abort it. My last period date was may 17.
An increase in headache during first trimester is believed to be caused by the surge of hormones along with the increase in blood volume circulating throughout body.
Other potential culprits include lack of sleep or general fatigue, sinus congestion, allergies, eyestrain, stress, depression,poor posture,hunger, and dehydration.
If you have headaches in your first trimester, you'll probably find that they diminish or even disappear during the second trimester, when the flood of hormones stabilizes.
Women who have regular migraine headaches may discover that they experience fewer migraines during pregnancy ; however,some women may encounter the same number or even more migraine headaches.Experts estimate that about 1 in 5 women has a migraine headache at some time in her life, and up to 16 percent of those women get migraines for the first time when they're pregnant (most often in the first trimester).
Migraine headaches cause moderate to severe throbbing pain, typically on one side of the head. They last from four to 72 hours (if untreated) and are aggravated by physical activity. They can also be accompanied by other symptoms, such as nausea, vomiting, or sensitivity to light and noise.
Headache during the third trimester tend to be related more to poor posture and tension from carrying weight.Headaches during the the third trimester may also be caused by pre-eclampsia with high blood pressure during pregnancy.
2.For some migraine sufferers, a cold shower brings some fast – if temporary – relief. If you can't take a shower, splash some cool water on your face. A warm shower or bath can be soothing for tension headaches.
3.Practise good posture
4.Regular exercise can reduce the frequency and severity of migraines and reduce the stress that can cause tension headaches.
5.Eat balanced diet: Maintain your blood sugar by eating smaller,more frequent meals.
6.Get a massage:Massaging shoulders and neck is an effective way to relieve pain.
7.Rest in a dark room and practise deep breathing.
8.Avoid common triggers of migraine including:
Unbearable headache during pregnancy may be caused by some serious underlying pathology especially imminent eclampsia and need guidance.
Consult your doctor if you face such problem.
Most women get accustomed to and know the pattern of their menstrual cramps. So, when something out of this pattern happens, they know it is not normal. There are various reasons for pelvic pains not associated with menses. The following are some common causes and it is always advisable to seek medical help, which will help in right diagnosis, early intervention and reduced complications.
- Ectopic pregnancy: If a fertilized egg has planted itself outside of the uterus or the womb, it is referred to as ectopic pregnancy. The fallopian tube is the most common place for ectopic pregnancies. There is associated pelvic pain, which is unilateral, sharp, and gradually worsens. There would also be associated bleeding which is darker than the regular bleeding. This again should be confirmed on an ultrasound and then the ectopic pregnancy removed.
- Endometriosis: The inner thick layer of the uterus could be infected leading to severe pelvic pain, especially in women who are in their 30s, who are not able to conceive. This is often ignored, considering it as normal and it continues to progress and could even result in infertility.
- Pelvic inflammatory disease (PID): Infections like gonorrhea or chlamydia travel up from the genital tract and reach the uterus. Infection along the entire reproductive tract can lead to severe pain. In most cases, if identified early, a course of antibiotics is all that is required to control this infection. Left untreated, it can even cause infertility.
- Ovarian cysts: Another common cause of pelvic pain, they are quite often asymptomatic, except for occasional pelvic pain. They also disappear with no medical intervention. Sometimes, however, it may get infected or rupture and can cause severe pain. This can is an indication for medical intervention. Ultrasound may be required for diagnosis and treatment may include surgical removal.
- Uterine fibroids: The fibroids are noncancerous growths, which can grow to a considerable size and fall short of blood supply. This may cause them to burst, which can be very painful.
- Miscarriage: Most miscarriages occur before 13 weeks of pregnancy and the usual accompanying symptoms of bleeding are severe pelvic cramps. If you are pregnant and notice bleeding with pelvic pain, it is advisable to immediately visit a doctor. Diagnosis may require an ultrasound to confirm the miscarriage. If medications are not sufficient to remove the remnants, then a dilation and curettage may be required.
- Non-gynecological causes: Appendicitis, urinary tract infections, hernia, lower spinal problems, irritable bowel syndrome can also cause pelvic pain. The cause should be identified and managed accordingly.
Unfortunately, most women continue to experience and suffer with chronic pelvic pain without a cause identified. A thorough internal examination can help identify the problem and treat the issue.
I am 28years old, and its 3 years since I got married. All the 3years me and my husband were not together since I was bit career oriented and was staying in Bangalore. Me and my husband used to meet once in 2 or 3 months. Now that I have relocated to Noida where my husband is staying and we are trying for a baby from 3-4 months but no result. Could you help us on this.
My periods are regular but in JulyI have taken contraceptive tablet 3tyms a month and then I suffered irregular periods. Doctor please suggest me medicines. I have tested pregnancy test and that's negative.
Polycystic Ovarian Syndrome or Disease (PCOS) is a very common condition, wherein there are multiple cysts in the ovaries. As a result, there are many changes which the body undergoes and it is not limited to the gynecologic system. A woman with PCOS may also find it difficult to conceive, and so, once she is pregnant, precautions are essential to ensure there are no complications.
- Preeclampsia: When the blood pressure readings are high during pregnancy, it is known as preeclampsia. It brings with it a whole lot of complications including the need to cesarean section, premature birth, etc. So, it is best avoided, and diet can help to some extent.
- Diabetes: Gestational diabetes which manifests as higher sugar levels only during the pregnancy is very common in women with PCOS. The increased hormone levels in PCOS increase insulin resistance, thereby increasing sugar levels. This needs to be managed through a combination of diet, exercise, and lifestyle changes.
- Preterm labor: Women with PCOS are at a slightly higher risk of premature labor.
- Weight-related issues: PCOS leads to weight gain, and this could be a problem during pregnancy. It is essential to discuss with the doctor as to what would be a good weight range and stay within that range throughout pregnancy. Weight gain brings with it a host of complications and so best avoided.
With PCOS, during pregnancy, strict cautious diet planning can help in avoiding complications and allow for an easier pregnancy. Though they may not solve every problem associated with PCOS, dietary modifications can have a significant effect on the overall health and well-being. Listed below are some easy-to-make changes:
- Increase consumption of fibres like greens, nuts, pumpkin, berries, whole grains, almonds, etc. are included. This ensures that digestion is a prolonged and gradual spike in blood sugar levels.
- Increase protein-rich foods like soya, tofu, eggs, and chicken, which help in avoiding binging. They are light on the stomach and help in weight management.
- Foods which are generally anti-inflammatory including tomatoes, olive oil, spinach, fresh fruits, and omega-3 fatty acids help in controlling blood pressure and cholesterol levels.
- Supplements to include omega-3 fatty acids, prenatal vitamins, vitamin D, and calcium if required ensure that the baby gets the required nutrients for optimal growth.
What to avoid:
Anything that can spike up calories and is of low nutritional value should be avoided.
- Avoid whites – pasta, rice, and bread
- Baked and processed foods
- Candies, chocolates, snacks
- Salty and spicy fried snacks
- Aerated drinks and soda
PCOS in pregnancy presents a combination risk, and dietary changes and weight management are essential for a safe pregnancy. If you wish to discuss about any specific problem, you can consult a Gynaecologist.