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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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With the recent number of breast cancer cases on the rise, it is important that we should get the examination done on a regular basis as a preventive measure. Even if someone is suffering from it, it is important that we should make an effort and learn about.
If you have breast cancer then a surgery will be part of your treatment. Based on the condition, surgery will be carried out due to any of the following reasons:
1. To remove the cancerous tissues from the breast
2. To reconstruct the breast once the cancer is removed
3. To check whether the cancer has spread to the lymph nodes below the arm
4. To treat symptoms of cancer that has progressed to an advanced stage
Breast cancer surgery may be classified into two types
1. Mastectomy: Mastectomy involves removing the entire breast; tissues in the adjoining region may also be removed. A double mastectomy is a procedure where both the breasts are removed.
2. Breast-conserving surgery: In this surgery, only parts of the breast affected by cancer are removed. The area of the breast that is to be removed will depend on the severity of the cancer. Some healthy tissues may also be removed in this surgery.
Usually, if a woman is in the initial stages of cancer then she may opt for the latter as it entails removing parts of the breast. They may also undergo radiation therapy along with these surgeries.
For checking if the cancer has spread to the lymph nodes below the arm, the lymph nodes are removed from the body. Once they are removed, they are studied under a microscope to check if it has spread, if yes then the extent of their damage. This procedure is carried out along with the surgery to remove the cancer.
Once the mastectomy procedure is completed, you can opt for a breast reconstruction surgery to rebuild the area. You may opt for this procedure at the time of breast cancer removal or at a later stage. If you are considering breast reconstruction surgery then you should discuss with a surgeon.
Surgery is sometimes not used to treat cancer, but in slowing the progression of cancer or even reducing its symptoms.It is important you talk to your surgeon before the procedure to understand the goal of the surgery.
After one month I came to know that I am got pregnant so right now I don't want to pregnant so suggest some pills.
I got menus on 22nd July but it ended on 23rd July evening I was worried am I pregnant because my periods are 1 week late as last lmp was on 15 th june. Please advise.
Hello Doctor. I am 30 years old and planning for family since 2 years. I have PCOD. My current problem is that I am not getting menses since 3 months. I have checked for the pregnancy also but it came negative. Please guide what can be the reason.
Hlo Dr. I am 3 mnth pregnant. Nd m surfing wid thyroid problem. please tel me how can I handle this type of prblm. One question more. My nature is totally change. What is the reason behind dis? Thx. .
I want to just know that my friend is 33 years old and her boyfriend is 30 years old. They want to marry. I want to know whether problem will arise in having kids. Becoz people say boys must be elder to girl. Is it medically true.
Hi I am 28 years old. I am 14 weeks pregnant now. I have been diagnosed with Gestational diabetes and I am on medication with glycomet. I hav been closely monitoring my blood glucose level and it is always been under the normal range during fasting between 87-102 mg/dl. However, the post breakfast range (after 2 hours) keeps fluctuating between 141-157 mg/dl. My last post breakfast range was 145 mg/dl. My Doc has asked me to take insulin shots. My first question, is it necessary to take insulin for these ranges. I have been doing walkings and adapted to lifestyle changes and following my diet strictly. Is it safe to consume insulin? Would it affect my baby?
1).birth control pills can take for postpone the periods? 2) birth control pill only starting with the first date of periods or can take any time because my wife start that pills but problem is that her periods will start after 20 days but we are going to honey moon after 10 days so can she take pills for un protected sex. Can shr start? The cycle.
My girlfriend taking krimson-35 continue from last 2 months to till now. Last night we do unprotected sex. Than how many chances of pregnancy. If chance of pregnancy than what to do.
My daughter is 18 years old, her regular routine getting up from bed is 9.00 Am and college by 12.00,but skipping morning break fast and for name sake having lunch, night 2 dosa. This is her regular. We need your suggestion as we have already had tested her blood and scan abdomen, result doctor referred to take food on time and presume water good. So we need your suggestion to make her eat and good exercise regularly.
Hi I got supra umbilical middle line hernia thats What a radiologist told me. Saw a surgeon he advised me to get it operate. My Husband thought we should get another opinion before we decide. So went to a surgeon. He is a vascular surgeon. He said no need to panic, asked whether we are planning for 2nd baby. Said s. He asked us to first plan for second and we can repair hernia during 2nd delivery. 1st delivery was c section so he said 90% 2nd will be the same. Now then I get pain managing with abdomen belt. Do I have to wait til my sec pregnancy or I can repair my hernia now itself. I'm confused please help me.
General emotional dejection and withdrawal; sadness greater and more prolonged than that warranted by any objective reason, may be seen as a diagnosis of depression. Other symptoms may include feelings of hopelessness, and or pessimism, feeling of guilt, irritability, and restlessness and loss of appetite. One foremost or cardinal sign of depression is a loss of interest in the objects or people previously liked and appreciated by the individual. With the blind race about possession of more and more resources, the rate of depression is growing high. A throat cut competitive environment at social and professional level is another reason behind stress anxiety and depression.
Though it's a truth that depression occurs because of arbitrary thought process, and counselling plays an important role in it, medicines are also often required. Ayurveda prescribes the wonderful solution in this regard.
- 1oleation and fomentation the therapies normally known as snehan and Sweden in Ayurveda. In this, whole body massage with medicated oil is done. After that whole body fomentation is performed. The massage relaxes the strained muscles. It removes fatigue and stiffness.
- 2 a full course of snehan, Sweden, mridu vaman and mental health promoters after that provides easy, early and long lasting relief from the annoying pain of stress and depression. The patient feels rejuvenated and comes out of low mood and helplessness.
In monsoon all gets affected with the health conditions like allergies, cough, cold etc. Even when you are having your diet, it will be really important to be cautious about meal and choose the adequate type of meal that won’t make you sick.
- Avoid taking food from outside vendors as that might be infected by flies and bacteria
- Always try to take filtered water and warm drinks.
- Use a powerful insect repellent to hold mosquitoes away and prevent getting bitten.
- Where likely, try to avoid walking through rainy water. It can lead to numerous fungal diseases of the feet and heels.
- Keep the items like umbrella, rain coat etc when you are going out.
- Take moderately hot food and drinks in this monsoon.
- Keep away the children to play in the rain and rainy water.
- Avoid colds and coughs by keeping your body moderately hot and dry.
- Don’t go in air conditioned rooms with wet hair and damp apparels.
- If you suffer from asthma or diabetes, avoid residing any place with wet walls. It encourages the development of fungus and can be especially hurtful.
- Drink many of heating herbal teas, particularly those with antibacterial properties.
My daughtier is 9+, three month back she face first period, her period is continue for 7-8 days, and two time in this month also. Please advice.
Rekha is 32 years old, she has a succesful career, a lovable husband and two wonderful kids. She has a few helpful friends and a supportive family. She also got promoted at work 6 months ago. Yet for the past few months she has been finding it a little difficult to fall asleep at night, she dreads daybreak and wished she could sleep for a bit more time. She fights through the tiredness as everything she once enjoyed seems grey and non rewarding. She stopped following her favorite tv show and hasn’t been talking to her friends as much. She has been unable to focus on work and it takes her longer than usual to complete her tasks. The food she once loved seems drab and unappealing. There is no more color to festivals and functions, and smiling becomes an effort. She worried about the future and feels helpless as her life spirals down a eternal dark staircase.
Rekhas husband has noticed this and is supportive as he can be, telling her that she needs to snap out of whatever that she is going through. Not that she wouldnt want to snap out of it. People around her have been trying to cheer her up, suggesting everything that they feel would make her feel better! But no, the shadow of depression follows her around and makes her feel that her life is not worth living anymore.
What are the numbers ?
Depression is difficult, depression is dark and depression is dangerous. Studies have reported numbers ranging from 1 in 10 to 1 in 30. An article in the Indian express on feb 15,2016 was titled “with 36% of India depressed, we must end the taboo around mental health”
Depression was reported to be higher in females, in the age-group of 40-49 years and among those residing in urban metros. Equally high rates were reported among the elderly.Depression and suicides are closely linked, with upto 15% of depressed individuals attempting suicide. With around a lakh and 30000 people ending their lives by suicide every year, and atleast 10 times as much attempting suicide, this 15 percent starts looking like a very large number.
What causes depression
Contrary to popular belief, depression does not necessarily stem from a weakness in one's "mind" or from ones poor ability to cope with the stressors of life. This Depression like every other illness stems from complex interactions between biological, psychological and social factors. Like one cannot "think away" a fever, it is impossible to "think away" depression.
Genetic studies have demonstrated a concordance rate for mood disorders in identical twins of 70 to 90 percent. Implying a strong role of inherited factors in depressive illness. Alterations in hormonal regulation and sleep architecture can also lead to depression.
At the base of the illness there are abnormalities at the synaptic level in the neuronal networks in the pre-frontal cortex (a region in the brain). The pre-frontal cortex holds and processes information in regard to ones personality, memory, decision making, motivation and complex cognitive tasks. These processes are encoded in the form of synapses or interneuronal connections. The neurons communicate via electrochemical processes called neurotransmission. Current knowledge implicates a imbalance in serotonin, dopamine and noradrenaline (neurotransmitters) and or an abnormal number of their receptors in the synapses in causing depression. Most anti depressants increase serotonin concentrations at the synaptic level so as to improve mood and cognition.
Low levels of serotonin have also been observed in those who attempt suicide.
What are the symptoms of depression? How is it diagnosed ?
Symptoms of depression include persistent low mood, easy fatiguability and a lack of interest in things that were previously pleasurable. Physical symptoms such as changes in sleep patterns, changes in appetite and weight and decreased interest in sex may also occur. Further a loss of self confidence, undue feelings of guilt, emotional lability and thoughts about self harm are also common.
The safest thing to do, if one is experiencing such symtoms is to seek professional help.
The Psychiatrist or Psychologist will be able to make a diagnosis based of Criteria set forth by the world health organization. They may suggest laboratory investigations to rule out physical illnesses such as anemia and thyroid dysfunction that mimic depression and will offer appropriate treatment measures.
Depression tends to occur in episodes with each episode lasting from 6 months to two years with an average of 8 months. Untreated depression tends to leave behind residual symptoms that include fatigue, anhedonia, long lasting sleep disturbances, poor productivity and a propensity to recur. 60% of those who develop a depressive episode, develop another Thus earlier and effective treatment will improve prognosis and will decrease the long term morbidity.
Effective treatment strategies are available for the management of depression. Based on the severity of illness and the nature of symptoms, you health care provider may prescribe either behavioral changes, psychotherapy or biological therapy. You do not have to go at it alone. Help is available for all those who seek it !
Depression is nothing to be afraid of, and certainly nothing to be guilty or ashamed of. With the right intervention from qualified experts, depression can be managed effectively.
You can find a lot more information about mental health and mental illness at our stigma breaking.