Lybrate.com has a nexus of the most experienced Homeopaths in India. You will find Homeopaths with more than 29 years of experience on Lybrate.com. Find the best Homeopaths online in Nainital. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment with Dr. Kripal Singh Belwal Homeopathic Consultant
Treatment Of Erectile Dysfunction
Skin Care Treatment
Treatment of Migraine Treatment
Treatment of Neurological Problems
Weight Management Treatment
Piles Treatment (Non Surgical)
Sexually Transmitted Disease (Std) Treatment
Cysts Removal Procedure
Treatment Of Pregnancy Problems
Well Woman Healthcheck
Thyroid Problems Treatment
Corn Removal Procedure
Submit a review for Dr. Kripal Singh Belwal Homeopathic ConsultantYour feedback matters!
Dilation and curettage procedure which is commonly referred to as D&C is a minor surgical procedure where the cervix is dilated while a special instrument is used for scraping out the lining of the uterus. It is important to know what you can expect before, after and during the process so that you can stay ahead of unnecessary worries and help the process to be smooth and fruitful.
When do doctors recommend dilation and curettage process?
You may be required to undergo the dilation and curettage procedure for one of many reasons. It can be used for removal of tissues in the uterus during or after an abortion or miscarriage or to remove little pieces of placenta after delivery. This process aids in preventing infection as well as heavy bleeding. On the other hand, it can help in diagnosing and treating abnormal uterine bleeding including polyps, fibroids, hormonal imbalances and even uterine cancer. A sample of the tissues in the uterus is tested under a microscope to check if there is any abnormal cell present.
What can you expect during the dilation and curettage process?
The D&C procedure is a minor one and takes about 15 minutes even though you will have to spend about 4 to 5 hours in the healthcare facility. Before the procedure, your doctor would check complete history, and at this point, you should tell your doctor if you suspect that you are pregnant, you are sensitive to latex or any medicines or if you have a history of bleeding disorders. You will then be given anesthesia so that you don’t feel any pain or discomfort during the procedure. Before this procedure, you will have to empty your bladder.
The D&C procedure comprises two main steps, dilation, and curettage.
Dilation involves opening of the lower part of the uterus or the cervix for allowing insertion of a slender rod. This is done to soften the cervix so that it opens and allows curettage to be performed. Curettage involves scraping of the lining and removal of the uterine contents with the help of a spoon-like instrument known as a curette. This may cause some amount of cramping, and a tissue sample would be taken out for examination in the laboratory.
After the completion of the procedure, you may experience slight bleeding and cramping. In some rare cases, adhesions or scar tissues may start forming inside the uterus, and this condition is termed as Asherman’s syndrome which can cause changes in the menstrual cycle along with infertility. This problem, if arises, can be solved with the help of surgery and therefore, you should report any abnormality in your menstrual cycle to your doctor. In case you have a concern or query you can always consult an expert & get answers to your questions!
1. Acute knee pain
Sudden knee pain is usually due to an injury, the common ones being:
Tendon injuries: Tendons attach muscle to bone, and are prone to injury, especially in athletes. Sudden rupture ? partial or complete ? will cause pain, and prevent normal movement of the joint. More commonly, inflammation sets in, especially in the quadriceps and patellar tendons (tendonitis)
Ligament injuries: The knee has two ligaments inside the joint and two outside, connecting the femur and tibia, and stabilising the joint. Tearing any of the these ligaments often results from contact sports, or a heavy fall, and causes immediate pain, which is worse on walking or bending the knee. Damage to the internal ligaments may cause the knee to give way when weight is put on the leg.
Meniscus injuries: The meniscus is a cartilage ?cushion? inside the joint. A tear of the meniscus can cause pain, worsening over 24 to 48 hours. The tear may lift a piece of the cartilage off which then flaps between the knee bones (like a bucket-handle): this can cause locking of the joint, preventing full straightening of the leg. Alternatively, a piece of the meniscus can break off, and move around in the joint space, interfering with normal movement. Old or repeated injuries can lead to degeneration of the meniscus.
Dislocation: This commonly affects the kneecap, and is easily seen. Dislocation may become a recurrent problem.
Gout: Although this is a chronic underlying disorder, an attack of gout occurs suddenly, causing intense pain and swelling which can last up to two weeks, then clear, leaving normal joint movement.
Bursitis: This is inflammation of the fluid-filled sacs outside the joint, over which the tendons slide. Commonly the bursa at the front of the knee (pre-patellar bursa) is affected, causing pain when kneeling.
Ilio-tibial band: Athletes, especially runners, are prone to this disorder, in which the ligament from the hip bone to the tibia is tight, and chafes against the outer femur
Osgood-Schlatter disease is an overuse problem found mainly in athletic teenagers, and can affect one or both knees.
Septic arthritis can follow an injury. In addition to pain, the patient will be ill and feverish.
2. Chronic knee pain
This is often due to a previous injury, but is associated with several underlying medical conditions.
Osteoarthritis is the commonest type. It is an age-related condition, sometimes called ?wear and tear arthritis?, and is caused by gradual degeneration of the joint cartilage. The pain varies from day to day, is often worse in the mornings, and eventually leads to a stiff joint.
Rheumatoid arthritis is a destructive auto-immune disease, often involving both knee joints. Acute flare-ups alternate with quiescent periods. Pain, stiffness & swelling eventually lead to loss of mobility and a destroyed, deformed joint.
Chondromalacia patellae describes a condition of pain under the kneecap, due to mild arthritis of the patella. It is common in young women. Pain is worse after sitting, or with rising from the chair or going up stairs, and patients report a sensation of grating under the kneecap.
Tumours: malignant tumours of bone (like osteogenic sarcoma) can cause pain and swelling near the knee. This must be excluded in a young patient who has no history of sport injury or any underlying medical condition.