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Management of Abortion
Caesarean Section Procedure
Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
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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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Manju is having blood in urine from today morning and she is having problem passing Urine from 1 week.
Hi, My relative (26 yr/F) is 7 month pregnant. Now she is facing itching problem. After LFT test, we found SGOT: 197 and SGPT is 306. Doctor prescribed UDI LIV 150 mg. Can you please suggest more and the diet?
I have last period on 27 march. I have tested pregnany test (card test at home) it is negative. I have period irregularity problem.
Must-haves before Holi:
- A bottle of oil (Coconut/ Sesame/ Mustard/ Olive)
- Nail Polish (Colored or clear)
- Petroleum Jelly (Vaseline)
- Pair of spectacles, no contact lenses please
- Protect your skin and hair
It is extremely important to apply at least two generous layer of oil to your hair and scalp, face, neck, shoulders, arms, legs and any exposed area of your body, especially the insides of your ears and navel, and the area between fingers and toes. Make sure you moisturize your lips as well. I recommend coconut, olive, mustard or sesame (til) oil. Applying oil will help get the color off easily when you bathe after Holi. It will also protect your skin and hair from dryness, fizziness, roughness and irritation.
Girls, make sure you tie your hair after applying oil. Braid it or tie it into a bun to protect them from getting damaged in case someone pulls them while playing Holi.
Guys, don’t shave for 2-3 days before Holi. This would protect your pores from color granules and chemicals.
Protect your eyes
Do NOT wear contact lenses. This is because color can get trapped in the layer between your eye and the lens causing corneal infection or other eye diseases.
NOTE: In case color gets in your eyes, do not rub. Wash it immediately with cold water.
One day we make physical relation without protection. I gave her unwanted 72 pill withing 24 hr first time. Now it is 16 day from that day and her periods getting late 2 days. She always regular with periods. We don't want baby at any cost. Is there any chance of pregnancy. And if she become pregnant then how we can abort ant is this legal?
Me and my fiance had sex on 27 April 2016 and her mc time was on 10 April. Now on 5 may, she feels nausea and weakness and her upcoming period ll be on 8-10 may. Can you pls tell me. Whether she is pregnant or not. If yes then which pregnancy medicine will useful to control child birth at this stage without any future side effects. Thank you.
I wanted to know dat during menopause do ladies gain weight. And also wat other problems do dey face.
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.
Is daily intake of coffee harmful? Is coffee harmful for periods? Tell me please. CoZ I am taking coffee daily. Nd my periods are not coming in this tym circle. And tell me that. Out side chinese food or cheesy food harmful or not for periods?
I've finished my mensuration period before 3 days and yet I've pain of it. And I was having it before 2 weeks of start. What is it mean? I got checked up approx 1 year before and Dr. found a small ovary cyst ?was that's the issue of it again or anything else bcoz im5getting that pain continuously and what I need to do to get rid of it? For now I'm taking ashokarisht from 3 days as well and Dr. prescribed me for evecare syrup so which one I prefer and anything else if required?
My father is 57 he is still very much interested in sex but my mom is not she is 48 aged. He follows my mom every moment .so we consulted to psychologist he told that he is suspicious on my mom and blaming my mom's character. My mom is good one. Doctor asked to use tablets but also he dint change after using tablets .he is still crying unnecessarily and unsleepy .and we are in dilemma and depressed with him.
I married two years ago. But I can't get children. My wife late periods regularly. What is problem sir ?give suggestions please I want children.
My wife is pregnant for 5 weeks and she is having a high pain on both breasts, is it common during pregnancy ? please suggest.
I have polycystic ovary and thyroid also 14. I am taking tablet for thyroid and glycomet 250 mg for pcos. I want to conceive soon. Kindly help me.
So you have just found out that you are pregnant and you and your partner are over the moon about it! While congratulations are in order, so are a host of tips which will help you settle into the pregnancy. It is important to remember that the first trimester of your pregnancy is a crucial phase where you may not change that much physically, but will be prone to many emotional changes. It is also a phase where you will make way for the changes that will inevitably come in the next two trimesters and for a long time after delivery of the baby too. Read on to unravel our first trimester guide.
- Pregnancy Test: You must ensure that you know you are pregnant by monitoring your menstrual cycles closely so that even one missed period points at the possibility of pregnancy. This test can be a home based kit available at the chemists' or can even be conducted with a lab test based on a urine sample. Despite the results that you may get on a home pregnancy test, it is best to get a professional opinion as well.
- Finding the Right Doctor: In this phase of your pregnancy itself, it is imperative to home in on a gynaecologist who will put you ease. Take care to pick someone who may be recommended by family and friends. Have a talk with the doctor a few times to see how well he or she engages you as a patient and if you are suitably convinced with the sessions and appointments.
- Activity: While heavy activities may not be recommended by all doctors as the foetus needs to latch on, one can indulge in plenty of walks and a normal routine as well. Ensure that your pregnancy is a normal one and ask your doctor about any precautions that you may need to take with the progressing trimesters. Also, find ways to deal with any morning sickness with the help of the doctor.
- Supplements: In this crucial phase, ensure that your doctor gives you plenty of folic acid supplements that you must ingest on a regular basis. This will keep any risk of neural tube birth defects at bay.
- Other Medication: Find out more about over the counter drugs or any medication that you may have been taking as this may have to be stopped or adjusted for the pregnancy. The doctor should be able to guide you on this aspect too.
The other activities during the first trimester include taking pre natal appointments and choosing and interacting with your caregiver who will also be a support after you have had the baby.