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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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My boyfriend had pushed and pulled penis in my vagina but the cum cannot get inside my vagina. Can I get pregnant by doing this? please tell me.
My wife is suffering from severe pain during periods and her age is 48. No regularity in periods. Please suggest any medicine to get rid of pain.
I skipped my periods last month on 21st. I am still not having it. I had a test thrice in house itself and the result was negative. I want to have periods asap. Any medicine to have fast. Please help.
Rheumatoid arthritis is a chronic inflammatory arthritis with a prevalence of 0.5-1% in India. It is characterized by joint pain and swelling associated with morning stiffness lasting for more than 30 minutes. It generally has a slow onset - over weeks to months, though the onset can be acute also. Most common joints involved are small joints of hands and feet. Larger joints like knee and shoulder can also be involved. The incidence of RA increases with age. It is twice more common in females than in males. Early treatment is necessary to bring down the inflammation, avoid joint deformities and prevent other complications ( lung, heart, vasculitis).
Predisposition to RA is multifactorial. It has a genetic component (family history of RA increases the risk). Environmental factors like smoking also play a role.
Initial symptoms start with fatigue, malaise, generalised bodyaches, low-grade fever. The onset is generally slow and eventually patient develops joint pain and swelling. Though the joint involvement is symmetrical in most cases, asymmetric onset is common (involving joints predominantly on one side).
Diagnosis is made by a physician after detailed history, clinical examination and supportive lab tests. Rheumatoid factor and anti-CCP antibody are positive in 75-80% patients with RA. They have raised inflammatory markers (ESR, CRP) during active inflammation.
RA treatment options are wide and quite effective. It starts with patient education regarding nature of the disease and the risk of complications. The need of early aggressive therapy should be emphasized. The patient should put in efforts for physiotherapy which play a very important role in muscle strength and joint mobility. Pharmacotherapy options are wide and include disease-modifying antirheumatic drugs ( DMARDS). These can be conventional DMARDS like methotrexate ( usually the first line drug), sulfasalazine, hydroxychloroquine, leflunomide. Failure to adequately respond to these drugs should lead your Rheumatologist to consider Biologic DMARDS ( TNF antagonists, Rituximab, Abatacept, Tocilizumab). Your Rheumatologist is the best person to guide you about dose, indications, monitoring and side effects of the drugs used in RA. Treatment duration depends on patient's response but is generally long ( 5-10 years or lifelong).
COMPLICATIONS BEYOND JOINTS:
RA patients can have rheumatoid nodules in skin, lungs, heart and other sites. These patients are at risk of accelerated bone loss, so calcium and vitamin D intake should be optimized. Eye complications include dryness, redness ( scleritis and episcleritis) and certain eye threatening complications. Lung involvement can be seen in various forms ( fluid in lungs, nodules, interstitial lung disease).
These patients are at high risk of atherosclerosis ( heart and blood vessel disease). They also have a tendency to have frequent infections.
NEED OF THE HOUR:
All patients with joint pains should be seen early by Rheumatologist for diagnosis and treatment. With so many treatment options, no patient should suffer from joint deformities and other complications associated with long standing, untreated RA. LEAD A HEALTHY LIFE!
I usually have cramps during menses and scanty flow. Need any homeopathic treatment. Pain too much can't bear.
Penis Pain and Urination: What Gives?
Any sort of penis pain should be enough to concern a man. When penis pain happens only during urination, it is often indicative of an infection or other penis health condition that needs to be seen by a doctor. However, a guy might be really worried in the days (or even weeks!) before the appointment roll around. This is a quick guide to ease a man's worries a bit.
Reasons for penis pain during urination
There can be many reasons for penis pain that happens only during urination. Here are a few:
- Prostate Issues. When the prostate becomes enlarged, it very well might be a benign condition. But it does cause problems with urination, including frequent urination at night, difficult urination, or pain with urination. Known as prostate hyperplasia, there are several possible ways to remedy the issue, often with medication.
- Sexually transmitted infections. Some infections that can be contracted from a partner, including chlamydia and gonorrhea, can lead to painful urination as well as foul-smelling discharge, itching and more. Prompt treatment is essential to solve the penis pain and preserve fertility and function later in life.
- Cystitis. When the lining of the bladder becomes infected, the culprit might be the bacteria that cause cystitis. However, there is another type of this condition, which doesn't involve infection at all, but rather, inflammation and irritation. Regardless of the cause, a man can have this checked out by the doctor to rule it out.
- Urinary tract infections. The most common cause of penis pain during urination for men, a urinary tract infection means that bacteria has somehow gotten into the urethra and set up shop there. A doctor can run a simple urinalysis to figure out which bacteria is causing the problem and then provide the proper medication to clear it up.
- Yeast infections. Yeast infections aren't just the bane of women! They can also affect men, especially if a guy has an underlying medical condition that makes him more susceptible to contracting a yeast infection, such as uncontrolled diabetes. Yeast infections, once diagnosed, can be treated effectively with over-the-counter medications. More stubborn infections can be treated through prescription medications.
- More minor causes. There are also some rather minor causes for penis pain during urination. A guy will know these are minor because the issue will go away after a few days, at the most. These might include overindulging with masturbation or coupling, especially without enough lube, which leads to irritation that then burns when urine touches it. Another cause could be severe dehydration, where the urine becomes quite concentrated and thus, can irritate the skin.
Easing the penis pain
In short, it's going to be necessary to visit the doctor to figure out what the cause might be for the penis pain upon urination - unless, of course, the problem resolves on its own within a matter of a day or so. Before he goes in to the doctor, it might be helpful for a man to drink lots of water for hydration, as well as keep notes about the painful urination - how often, whether it's getting worse, and what in his life might have changed to cause it, such as getting to know a new sexual partner in recent weeks.
Whether the problem resolves on its own or requires a long course of medications to help, a man can make a point of keeping his penis in tip-top shape - it might help prevent penis problems and pain in the future. He can do this with a specially formulated penis health crème (health professionals recommend Man 1 Man Oil, which is clinically proven mild and safe for skin). A guy should look for a few different options in the crème, including Shea butter and vitamin E for softness, alpha lipoic acid to fight free radicals and vitamin A to battle against the bacteria that causes unsavory penis odor. Other ingredients, such as vital amino acids and a range of healthy vitamins, can help improve a man's penis health with every application.