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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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I am newly married and we have decided to delay pregnancy. I want to know if we delay it then is their any chances of any complicates which we suffer in future?
My wife has two abortion in 9 months between abortion 2 _2 months so please advise what process if next time Good pregnancy no chance again abortion please advise.
Hello Respected Doctors. I 45 years old and my wife age 30, last night we did sexual intercourse couple of times and ME discharge sports outside. My wife lasted period end 11th March. Is there any chance of pregnancy. Please help MY wife worried about.
Hi, One of my cousin married few years back, still they do not have baby, both are physically fine, could you please suggest some good medication or solution. They are trying lot and they want baby.
I did sex on 17 July nd my period date was 26 July I did pregnancy test twice nd it was negative nd after this I had period on 12 aug means 15 days late so I am worry about pregnancy pls help.
Stem cells are the basic building blocks of our body. They are found in the blood, tissues, organs and immune system. These powerful stem cells are found in umbilical cord blood. They have a remarkable ability to regenerate themselves and differentiate into specialized cells, thus they can replace diseased cells and can be used for the treatment of life threatening diseases.
What is umbilical cord and why is it so awesome?
Throughout the pregnancy, the umbilical cord functions as a lifeline between mother and baby. It carries rich nutrients, oxygenated blood from placenta to the developing baby through the umbilical vein. The baby in turn pumps nutrient-depleted, deoxygenated blood back to the placenta through umbilical arteries. Yes it’s reverse! Umbilical cord is a rich source of cord blood and cord tissue stem cells. Stem cells have a unique ability to differentiate into functional cells which can help treat more than 80 diseases in the baby after birth. According to the WHO report, minimum 2000 Cord Blood Stem Cell Transplants are performed annually to cure diseases such as leukemia, sickle cell anemia, thalassaemia, cerebral palsy, myeloma, lymphoma and more. More than 35000 cord blood stem cell transplants have already been performed worldwide and 53% of cord blood transplants have been performed in children. (World Cord Blood Congress 2015 Report)
5 unique qualities that make umbilical cord blood banking so convenient and important.
Umbilical cord blood banking is the process of collecting and preserving your baby’s umbilical cord blood stem cells for future medical uses.
1. Collecting umbilical cord stem cells is a quick and easy procedure and painless for the mother and baby.
2. Stem cells from the umbilical cord blood are young and unexposed to the external environment, thus they can be transplanted with higher chances of acceptance in the patient body.
3. The therapeutic potential of umbilical cord stem cells is vast. These stem cells are already being used to treat more than 80 life threatening diseases.
4. Cord blood stem cells are genetically unique and exclusive. If your family has a history of complex diseases, like: Alzheimer's disease, Arthritis, Asthma, Heart disease and stroke, chances of your children inheriting them are higher. These life threatening diseases can be cured with cord blood. All the more reason why you should opt for preservation of cord blood stem cells.
5. Umbilical cord stem cells if preserved are readily available in case of emergency for the baby and family. This ensures that in situations of crisis, you wouldn't have to spend months or years finding a donor.
If you would like to consult with me privately, please click on 'Consult'.
5 Facts About Maternal Weight Gain in Pregnancy
1) Every now and then we find expectant women fussing about too much or too little weight gain during their pregnancy. One must remember that the absolute weight of the mother is not an indicator of the baby's well being inside the womb. Instead, another indicator called as the Basal metabolic Index (BMI- taken as a ratio of weight in kg/ height in m2) is more useful.
2) A normal healthy woman should have a BMI of 20-25 at the start of her pregnancy and the total average weight gain that she should achieve is between 12-16 kg spread over 9 months. Around 50% of this weight should be gained in the last three months of pregnancy. For women whose BMI is more than this value, should target less overall weight gain and vice-versa.
For example, if a woman weighs 80kg at the start of her pregnancy and is 1.72m(172 cm or 5-7feet) tall, her BMI would be approximately 27 and the average weight gain during pregnancy should now be between 7- 11.5 kg. Given below are approximate weight gain allowed for BMI values:
BMI Interpretation Recommended weight gain in pregnancy
1 15-20 Underweight 12.5-18 kg
2 20-25 Desirable weight 11.5-16 kg
3 25-30 Overweight 7-11.5 kg
4 30 and above Serious obesity 5-9 kg
3) Women who start their pregnancies at a higher than normal BMI are at higher risk of pregnancy-related complications but pregnancy is not the time for dieting or other weight loss procedures. One should aim to have a balanced approach and limit the total gain within the permissible range.
4) Some women loose 1-2 kg of weight in the first three months of pregnancy due to poor appetite and frequent vomiting. This is totally acceptable as long as their general health is not affected and there are no ketones appearing in their urine.Similarly, there might be times anytime during pregnancy when the weight gain would slow down or a woman may loose weight also due to poor appetite or loose motions.
5) At times, there would be a very rapid maternal weight gain in a span of a few weeks. Again there is no correlation with the baby's weight gain. Please have a look at your food intake and if there is no significant difference with the previous weeks, then have your blood pressure checked because water retention and swelling in the feet are common reasons for a sudden weight gain. Please ensure that you continue to hydrate your skin in this situation, to avoid getting too many stretch marks. Quick weight gain around the belly and thighs has been suggested as the number one reasons for excessive stretch marks.
Hi, M 27th week pregnant. Tests are done on Hb %:(13, GST :67 mg/DL, urine micro: 2-4 pus cells in urine, 4-6 epithelial cells. Will you please explain me this report.
What you will find here
What is this condition?
Why do your ears get blocked in an Aeroplane?
Who is more likely to get Aeroplane Ear?
What can you do during the flight to prevent blocked ear?
How can you prevent very young children from getting aeroplane ear?
How can you unblock your ears after the Flight?
When should you visit a Doctor?
What is Aeroplane Ear?
Pain in the ear, popping ear, blocked ear during air travel is the most common medical problem faced by flyers. Aeroplane ear is the better known name for Barotitis media or Aerotitis media. Aeroplane ear or Barotitis media is the condition where there occurs damage to the ear due to difficulty in adjustment of the air pressure between Middle ear and External ear
Why do your ears get blocked in an Aeroplane?
I have to go into a bit of physics for a proper explanation. Please excuse the science Lecture! As you know according to Boyle’s Law : The pressure and the volume of an enclosed mass o gas are inversely proportional. When the plane rises in the air, there is a progressive decrease in air/atmospheric pressure. Basically at 18,000 ft above sea level, the air pressure is half that at sea level.During the rise through the atmosphere , as the pressure falls ,a particular mass of air in an elastic structure expands .Similarly during descent, the air contracts and the volume of cash decreases.
So what happens in the ear during Flying?
Imagine your ear is made up of 3 rooms.The outermost part of the ear which connects the entryway with the other rooms is the external ear.This is the part involving your ear canal. The ear drum separates your external ear from the middle ear, where the small bones (malleus, incus, stapes), which help transmit sound live.The ear drum is somewhat flexible and can move with change in volume of air in the middle ear. Two windows oval window (covered by stapes footplate) and round window (covered by round window membrane) connect your middle ear and the inner ear.
The inner ear has your hearing and balance apparatus It’s called the labyrinth. A tube connects your middle ear with the part of your oral cavity behind the nose (nasopharynx) .It’s called the Eustachian tube.Easily the most important structure which helps keep up the normal air volume inside your middle ear. It’s through your Eustachian tube that air enters or exits to equalise air pressure between outside atmosphere and your middle ear.
What happens during Ascent?
Air pressure outside falls. Middle ear pressure falls. Air in your middle ear expands (following Boyle law) This excess air pushes the tympanic membrane outwards to its natural limit.This is normally followed by escape of air through your Eustachian tube. Movement of the ear drum may be restricted due to scarring (previous infection).This may cause ear pain during ascent.
What happens during Descent?
Air pressure outside rises. Middle ear pressure rises. Air in your middle contracts and volume decreases (Boyle law). The ear drum moves inwards. (retraction). The opening of your Eustachian tube must be opened to allow air from the nasopharynx to enter and adjust the volume.The Eustachian tube will open with swallowing movement. If this mechanism fails (if you fall asleep, or have a cold), or is delayed, the increasing pressure difference closes the naspharyngeal end of Eustachian tube.When the pressure difference is more than 90 mm,Hg, your tubal dilator muscles are unable to open the Eustachian tube and it stays locked.The ear then feels blocked.
Barotrauma occurs during flying due to:
1) Very rapid air pressure changes.Sudden ascent/descent. 2) Blocked Eustachian tube.
It may also occur in:
Hyperbaric oxygen chamber
Decompression and compression chambers
Who is more likely to get Aeroplane Ear?
Anybody who has some nasal or Nasopharyngeal problem which blocks the Eustachian tube.
Acute infection in the nose.
Chronic infection in the nose
Malformation of nose
Sleeping during ascent or descent
Small narrow Eustachian tube; infants toddlers.
How will you know whether you are developing aeroplane ear?
Symptoms ( most common)
Discomfort in the ear
Ear Muffled hearing
Blocked ear/fullness of ear
Excruciating pain in ear
Severely blocked ear
Ringing, buzzing sound in ear (Tinnitus)
Severe Hearing loss
Spinning sensation (Vertigo)
Bleeding from ear
If you have any of the severe problems.Or if the symptoms persist even after …..hours “check..
What will your doctor See?
An ENT surgeon may do an otoscopic examinations to see your ear drum.
Signs on otoscopy:
Invaginated/retracted ear drum
Congested ear drum
Solitary or multiple blood filled blisters on your ear drum
Signs of serous otitis media
Ruptured ear drum, with blood clot.
Otoendoscopy may also be done where you will also be able to see these findings along with your doctor.
Are there any long term complications ?
Rarely the ringing sound in ear or tinnitus may be permanent.
If inner ear barotrauma occurs hearing loss may not improve
What other tests can you do?
Pure tone audiometry; to check your hearing and rule out inner ear barotrauma Tympanometry:To check the air pressure in the middle ear.and find out if there is any fluid.
Aeroplane ear:How to prevent it during flights
Don’t fall asleep during flying, specially during ascent or descent.
Avoid flying if you are having a severe cold.If emergency then use a Nasal decongestant spray just before takeoff and landing.Also take a decongestant orally, before getting on the .Dont use over the counter sprays .They may cause even more problem in the long run.
Take plenty of chewing gum so that you can actively help in Eustachian tube opening during flight.The chewing and swallowing movement helps to open Eustachian tube.
Try Valsalva maneuvre.This is a pressure equalizing technique which helps to pop the ear.You can try this if repeated swallowing and yawning doesn’t help.
Pinch your nostril, take a mouthful of air,close your mouth and try to gently direct the air into the back of your nose.Imagine you are trying to blow your nose gently. You should feel a pressure buildup.But do not let the air out.If you hear a pop you will know the ear is unblocked.
What can young children do to prevent aeroplane ear?
Very young children have difficulty during fflying.Often you will find them irritable crabby , pulling at their ears and may also cry incessantly. This is because the Eustachian tube in infants and very young children are not mature enough to handle the extreme change in pressure.
But you can help them too.
Dont let them fall asleep.
Play with them.
Carry a few pacifiers so that the suck and swallow reflex constantly works.
Talk to your baby doctor whether a decongestant oral medicine is advice able for your child.
A plain saline nasal drop given just before take off and landing helps to increase the swallowing movement and equalise pressure effectively.
What can you do to unblock the ear post flight?
Continue the Valsalva maneuvre/pressure equalizing technique
Normally it’s self healing and gets better within a few hours to few days.
If symptoms are uncomfortable and persists , or the ear doesn’t pop you should visit a doctor specialised in ear diseases
If your nose is blocked , avoid forceful nose blowing and take steam through your nose.This helps to relieve nasal congestion and open up the Eustachian tube.
What your doctor may advice?
Nasal spray; decongestants/steroids
Non steroidal anti inflammatory drugs for relieving pain
Once medication have improved Eustachian tube function Valsalva maneuver helps to force open the blocked tube.. Surgery is rarely needed.
If fluid in the middle ear persists even after 3 months myringotomy (incision in the ear drum) is done to drain the fluid.
If the perforation in ear drum does not improve after 3 months tympanoplasty to repair the ear drum may be needed. I hope next time you are flying you will be carrying some chewing gum or hard candy with you.
Write to me at firstname.lastname@example.org or comment below to let me know how your ears fared this time.