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Management of Abortion
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Our kidneys act as filters which constantly flushes out toxins and excess minerals with water in form of urine. Urine contains lots of minerals which may precipitate and form stones. Urine has lots of pro-precipitating agents and anti-precipitating agents. When their balance disturbs due to some disease, stones start forming. These stones may often lead to abdominal pain which is referred to as renal colic.
What exactly is renal colic?
Renal or ureteric colic is the term used for typical pain in one side of abdomen in flank region starting from back and radiating forward towards lower abdomen up to scrotum. This is usually associated with nausea, vomiting and urinary discomfort. There may be blood in urine.
How kidney stones are related to renal colic?
Kidney stones usually form inside kidney and lies there without causing any pain. But whenever they are dislodged and stuck at mouth of kidney (pelvis) or anywhere in ureter, they block the passage of urine of that kidney. This causes swelling in kidney termed as hydronephrosis. This swelling in kidney causes renal / ureteric colic. This colic is protective phenomenon and tries to push out the stones. Small stones do come out in urine by this natural process. This spontaneous expulsion of small stones is common and many local practitioners used to get credit of it feigning benefit of their medicine. However large stones need some form of intervention to come out. Otherwise, they do harm to kidneys in long term.
Symptoms of kidney stones along with renal /ureteric colic -
- Most stones which are lying in calyces of kidney are asymptomatic
- Nausea & vomiting
- Frequent urinary tract infections
- Fever with chills
- Foul smelling urine
- Hesitency, frequency and burning in urination
- Blood in urine (urine with a reddish, pink or brownish hue)
- Passage of small stones in urine
Treatment of renal colic
Treatment of ureteric/renal stones involves control of symptoms and stone removal.
- Expectant Treatment or Medical Expulsion Therapy: Small stones of less than 4 mm size usually pass on its own and some medicines like alpha-blockers and steroid hasten up their expulsion. Medium size stone (4-6 mm), sometimes passes with aid of these medications. But stones larger than 6 mm usually require intervention.
- Lithotripsy: This method involves breaking of stones by shock waves into small dusty particles which pass through urine on its own. This is usually suitable for stones upto 1.5 cm and lying in kidneys. This is non-operative treatment which can be done on OPD or Daycare basis.
- Ureteroscopy (URS): This method involves entry of very thin semirigid scope through urethra into ureter. Stone is broken by LASER and removed. This involves single day admission and spinal anaesthesia.
- RIRS- Retrograde Intra Renal Surgery: In this method very thin flexible scope in maneuvered through urethra into the upper ureter and pelvi-calyceal system of kidney. Stones in kidney or upper ureter are broken by LASER and removed. This is also done under anaesthesia and requires a day admission.
- Mini- PCNL: This method is suitable for large renal stones. In this technique, a small hole is made into the kidney through back and tiny scope is entered into the kidney. Stones are broken by LASER and removed. This is done under anaesthesia and require two to three days admission. If you wish to discuss about any specific problem, you can consult a Urologist.
Madam, I am 21 year old I had my last periods on 28th Jan and I had unprotected sex on 5 Feb evening and then took unwanted 72 on 8 th morning then on 25 th I have bleeding which is Brown in colour and it stops on next day morning mam please help me I am quite stressed please and I also had a protected sex on 16 th.
Did you know that weak butts can cause knee pain?
Yes the stabilizers of knee are the butt muscles. Try strengthening your glutes to get rid of knee pain.
Note: You need a professional assistance while performing exercises.
We got married 4 year ago still now we had not done intercourse and we have regular sex. My wife doesn't open her vagina because she thinks it will get pain and I do not want to hurt her and she doesn't gives Doctor to check her vagina, so once they had given anaesthesia and check her vagina and said it have no problem. We want to have child, so I want a suggestion from you madam can we take IUI treatment?
Why do people/student torture animals- what drives them?
Can we analaysis and find solution: let try to stop this any more in our life
As we all aware that two animals cruelty incidents happened in tamilnadu, one with the dog and another with an monkey.
Case a, 12 yrs old kid hitting cat with broomstick, their parents brought for an counseling that he has not coutesy for animal and he was killing without any guilt.
Case b, 23 yrs adult was burning a rat alive with kerosine and feeling happy to see that rat die with burn.
And there are many cases which were not recorded and submitted for case discussion.
What typically possesses them to inflict such acts of intentional animal torture and cruelty?
These are because of psychological disorders (such as anti-social/psychopathic personality disorders and engage in deliberate acts of zoosadism), and/or because they have sexually paraphilic disorders (such as crush fetishism in which small animals are crushed for sexual pleasure).
This may be common behaviour among murderers and rapists - those with psychopathic traits characterized by impulsivity, selfishness, and lack of remorse.
Animal torture and cruelty is one of the three adolescent behaviours in what is often referred to the homicidal triad , the other two being persistent bedwetting and obsessive fire-setting. The combination of two or more of these three behaviours increases the risk of homicidal behaviour in adult life.
The behaviours in the homicidal triad are often associated with parental abuse, parental brutality (and witnessing domestic violence), and/or parental neglect.
What we can do:
The best way to prevent it is teaching by example. Parents and teachers are the key and plays very important role.
Pro-social behaviour (action/behaviours intended to help others) by parents and other role models towards animals, such as rescuing spiders in the bath, feeding birds/ants, treating pets as a member of the family,
Schools and colleges can have some pet home in the campus.
These activities or act has the potential to make a positive lasting impression on children.
It's a start, lets all have at least one pet in the home make your son/ daughter to take care of them (pet therapy).
Elayaraja m. Sc, m. Phil, pgdgc, pgdha
Kavithalyaa counseling centre, ambattur, chennai-53.
Me & my gf had sex before a week of her periods. It wasn't completely inside of her & I didn't ejaculate. It just that her outer wall got contact with my penis that was wet & was little inside of her. But still she took a ipill after 15 hrs. She is missing her periods now after 1 week of we had sex. Please tell is there any chances of getting pregnant & when will her periods be normal & when she will have her period for current month. Thank you. Also tell the date by then she will surely get her periods of the last date was 2nd November 2016.
After 2 years no baby try so many times and also contacted different doctor but all in vain. Please suggest.
I have started my 7 month pregnancy from 17 august I want to ask a ques that is the movements of the baby fluctuate. Lyk does is slows down also. I am finding my baby moving bit slow.
I am 41 yrs old suffering from chronic kidney disease under the care of an neprologist for the past 6 years i am having BP under control i take the only medicine is for BP daily two tablets my doctor say on my present condition take it as you are normal i living like a normal person . My problem is while having sex i ejaculate in 30 to 60 sec itself how to over come this problem
Hi, I have a friend whose periods last for around 10 days. She weighs around 53 kgs and 5.8 feet in height. She is 22 now. Is this normal? If not What must she do?
She has white discharge from vagina it smelling bad and feels tired at the end of the day, she is feeling unwell and irritation while intercourse. What should she do? She consulted doctor but it does not benefit what kind of appetite she could follow? What she should keep in mind to get rid of it.
Hello My fiance is having terrible periods pain, the pain is so much that she can not even leave her bed, We have visited many doctors, but nothing helped us. Please help us in this regard.
Jaise maine pucha tha apko sex ke bare mai but sir period nahe ayaa 25th ko to pregenancy test kru ya nahi kyu ke period ka date uska up and down hota hai to mai check kru ya sab normal hai please give me reply.
Please my prolactin level is 96.4 and am not pregnant or been pregnant before my breast is very painful and the bones of my hand and feet hurt and my veins hurt too and I have milk discharge in my two breasts whenever I press it please what could be the cause.
More ever tobacco, cancer now has a new partner called edc or endocrine disrupting chemicals including male reproductive problems, early female puberty, cancers and neuro behavioural disorders. Edcs are mainly man made and found in pesticides metals additives or contaminants in food and personal care products. Human exposure to edcs occur via ingestion of food dust and water inhalation of gases and particles in the air and through the skin. Edcs can also be transferred from pregnant woman to a foetus or a child through the placenta and breast milk