Dr. Vasant Jhia

Hi,

I am Dr. Jayanti Kamat. I am an IVF consultant, obstetrician and gynaecologist practicing for the last 20 years, I am practicing at Shrishti Fertility Care Centre and women's clinic. Today I will be talking about vaginal discharge, now vaginal discharge is a very common complaint, women of all ages complain of vaginal discharge. So what exactly is it, sometimes it is usually termed as Leucorrhea also. Now the complaint of discharge depends very much on the ideas, observation power and fascinated illness of individuals with women, now this vaginal discharge normal or abnormal should there be vaginal discharge at all. so scientifically the private parts that are the vulva and vagina are normally moised to some extent and this makes the woman comfortable, usually does not stain the under clothing but there are certain conditions in which the vaginal discharge is increased due to hormonal imbalance. So what are those conditions that is at the time of ovulation the discharge suddenly becomes watery a few days before menses it may also become then it becomes thick then it becomes take during pregnancy, after sexual intercourse and excessive discharge is seen in young girls just before they start their first menstrual period and a few years after they start their menstrual period. It is also increased in women who take oral contraceptives or birth control pills. A word about regular douching some women are under the misconception that regular douching improve genital hygiene, however washing away of natural discharge encourages the cervix to produce more discharge. Women magazines sometimes they advocate Deodorant product to sprayed on the private parts and vagina and valva to promote sexual attractiveness but on the contrary the chemicals which are present in this deodorant sprays, they irritate the skin and douching washes away all the protecting lactobacilli alters the pH and there are more chances of the women getting infection. Now what is abnormal discharge, so when can we say that the discharge is abnormal, if the discharge is accompanied with itching or redness, it causes a lot of irritation, unpleasant order or smell, burning sensation during urination, whether the colour of discharge if it is curd-like or yellow or yellowish green and if it is associated with pain during intercourse or dyspareunia. Now what are the causes of this abnormal discharge lot of women ask me why do we get this discharge and I keep myself so clean, so some of the causes are one, of course, it is poor hygiene then sexual intercourse with the Infected partner, public toilets repeated use of public toilets then douching has I have already mentioned, once you start destroying the natural perry of the vagina the women will be more prone to infection and cancer that we should never forget cancer or cancerous growth also give rise to discharge, so if the discharge is blood stained you have to be careful. Now, why should we pay so much attention to vaginal discharge because if this discharge is not treated, it can lead to complications? So what are those complications one is the pelvic inflammatory disease called as PID so here the uterus the tube and the entire reproductive tract gets infected? Then abnormal changes in cervix or mouth of the uterus now this abnormal changes can cause cellular changes, dysplastic changes and later on lead to cancer changes. Now, what about abnormal vaginal discharge in pregnant women does that affect them, yes, of course, it affects then it can cause premature rupture of membrane or the rupture of a bag of water even before the labor pain start or even before delivery. Now, this pack of water is supposed to be a protective shock absorber for the foetus and it protects the foetus from external infection. So when this bag of water ruptures the foetus will be prone to infection and the pregnancy will be at risk. The preterm delivery, what is preterm delivery? if the women deliver before nine months obviously she is going to run into complications, then chorreoamnoities i.e. infection of the Placenta and the fluid which is surrounding the foetus, endometriosis that is an infection of the lining of the uterus. Now, what is the treatment first and foremost self-medication is a straight no why you cannot see your neighbors prescription or your friends prescription and get yourself treated for vaginal discharge no, you have to get examined by a gynecologist she will ascertain the cause for your discharge and treat you accordingly. So how do we treat we usually give antifungal tablets or antibiotic tablets depending upon the cause of the infection, sometimes the treatment of the partner is also necessary to avoid the Ping Pong of infection between the partners. Then suppose a woman is suffering from chronic cervicitis or cervical erosion there are other modalities of treatment such as cryotherapy, laser cautery, then if a malignancy is discovered the treatment of malignancy will be something which is very specialized. Now what you have to do to prevent such type of vagina infection first and foremost routine cleanliness always use cotton underwear which can absorb the discharge avoid synthetic material nylon and avoid douching as I already mentioned because douching destroys the normal barriers of the vagina and makes it more prone for infection, you should avoid any type of sprays, deodorant sprays, safe sex practices and of course general health care and good nutrition which will allow you, which will give you immunity against the diseases. The very important point do not use very hot water to clean your private parts some people feel that if they use hot water they can clear away the infection very easily no and because of vaginal skin and mucosa is very delicate you can use lukewarm water or the tap water. Similarly, do not use medicated soaps like Dettol or Savlon, you can use a mild to mild soap. The thing here is you have to keep the area dry so you can just use a soft tissue paper and just pat it dry, you should not rub the private parts because again it cause the excoriation of the skin and make it more prone for infection.

So please do keep these tips in mind.

Thank You.

Parkinsonism is often mistaken for Parkinson's Disease. Though similar in quite a few aspects, yet Parkinsonism is not the same as Parkinson's Disease. Parkinsonism is a medical condition whereby the affected individual exhibits some symptoms identical to those observed in the case of a Parkinson's disease.

Factors that lead to Parkinsonism
Parkinsonism can result from a host of factors and health condition such as

1. Increased and repeated exposure to toxic gases and substances, namely organic solvents, cyanide, manganese, or carbon monoxide.
2. People suffering from the repeated head injury (as in the case of boxing or wrestling).
3. The medications used in the treatment of psychiatric problems (antipsychotic medicines) or those used in treating nausea (Prochlorperazine or even Metoclopramide). Some of the antipsychotic drugs have the potential to interfere (block) with the activity of the neurotransmitter Dopamine resulting in parkinsonism.
4. The use of MPTP (1-Methyl-4-Phenyl-1,2,3,6-Tetrahydropyridine), especially the oxidized product MPP+ (1-methyl-4-Phenylpyridinium) can wreck havoc resulting in parkinsonism and the associated symptoms.

Some of the medical conditions that can contribute towards Parkinsonism include

1. Viral Encephalitis (resulting in acute brain inflammation).
2. Alzheimer's Disease (a progressive neurodegenerative disorder that triggers cognitive and behavioral problems often accompanied with dementia).
3. Multiple system atrophy (a progressive neurodegenerative disorder resulting in dysfunctioning of the autonomic nervous system and the voluntary movements).
4. Progressive supranuclear palsy or Steele-Richardson-Olszewski syndrome (a rare disorder of the brain that interferes with the balancing, walking, and the eye movements of the affected person.
5. Stroke or a brain tumor.
6. Lewy body dementia (a condition triggered by the unusual accumulation of alpha-synuclein protein in the brain with the person exhibiting symptoms associated with both Alzheimer's disease and Parkinson's disease).
7. Wilson Disease (an autosomal recessive condition whereby copper starts accumulating in the vital organs including the liver and the brain).

Symptoms
In patients with parkinsonism,

1. The muscles appear stiff. A person experiences a resting tremor (tremor that mainly affects one hand even when the muscles are relaxed), along with difficulty while walking or balancing their body. (These symptoms are also characteristic of a Parkinson's disease).
2. Further, there may be early signs of dementia (loss of memory or forgetfulness). There may be Agnosia, Aphasia, or Apraxia
3. Constipation, a dip in the blood pressure, difficulties in eating or swallowing of food.
4. Hallucinations and loss of judgment (such as failing to locate the kitchen or bathroom at home).
5. Unusual eye movements.

Ayurvedic Treatment
According to Ayurveda, Parkinsonism is a manifestation of the vitiation of the Vata Dosha (Wind energy) that takes place in the cranial nerves. Thus, corrective measures are followed to restore the balance between the Vata, Kapha, and Pitta Dosha.

1. Panchakarma can bring about a visible improvement in patients with Parkinsonism. Oil massages using Ashwagandha and Bala can work wonders.
2. Brahmi is another wonder herb used to treat Parkinsonism.
3. Meditation, exercise (light to moderate), yoga can be helpful in the case of Parkinsonism.
4. Try and make the diet as nutritious and healthy as possible.
5. A Warm Ayurvedic Oil Application is very effective in relieving these kinds of aches and pain if done on regular basis.

In case you have a concern or query you can always consult an expert & get answers to your questions!

नारियल का इस्तेमाल कई रूप में किया जाता है. कच्चे नारियल का पानी पीते हैं, फिर हम इसकी मलाई भी खाते हैं और इसके तेल का भी इस्तेमाल करते हैं. नारियल का तेल स्वास्थ्यवर्धक गुणों से भरपूर है. ये न सिर्फ त्वचा की देखभाल एवं बालों की देखभाल करता है बल्कि साथ में पाचन में सुधार और प्रतिरक्षा प्रणाली को मजबूत करने का का भी काम करता है. आइए आपको नारियल तेल के फायदों से परिचित कराते हैं.

1. खिंचाव के निशान हटाने में: नारियल तेल में मॉइस्चराइजिंग और एंटीऑक्सीडेंट गुणों की मौजूदगी के कारण ये खिंचाव के निशानों को कम करता है. इसके अलावा नारियल का तेल सोरायसिस, जिल्द की सूजन, एक्जिमा और अन्य त्वचा संक्रमण सहित विभिन्न त्वचा की समस्याओं के इलाज में सहायक है.
2. प्रतिरक्षा प्रणाली की मजबूती में: नारियल का तेल स्वस्थ वसा से निर्मित होता है. इसमें जीवाणुरोधी, एंटीवायरल और रोगाणुरोधी गुण होते हैं, जो शरीर की प्रतिरक्षा प्रणाली को मजबूत बनाने में मदद करते हैं. इससे आप दाद, इन्फ्लूएंजा, कैंडिडा और यहां तक कि एचआईवी जैसी बीमारियों के जोखिम को कम कर सकते हैं.
3. पाचन तंत्र के लिए: नारियल का तेल आपके पाचन प्रक्रिया को सुधारता है और आपको अपच, चिड़चिड़ा आंत्र सिंड्रोम, बवासीर और कब्ज़ जैसे विभिन्न पेट और गैस्ट्रोइंटेस्टाइनल समस्याओं से भी बचाता है. नारियल का तेल पचने और अवशोषित होने में आसान है. इसके अलावा, नारियल तेल विटामिन, खनिज और एमिनो एसिड जैसे पोषक तत्वों के अवशोषण में मदद करता है.
4. बालों के लिए: बालों के लिए तो नारियल का तेल वरदान की तरह है क्योंकि यह बालों को सुंदर, स्वस्थ और चमकदार बनाए रखने में मदद करता है. मध्यम श्रृंखला ट्राइग्लिसराइड्स में समृद्ध होने के नाते, यह तेल आसानी से बालों की गहराई में प्रवेश करता है और बालों के विकास के लिए आवश्यक पोषक तत्वों को पहुँचाता है. नारियल तेल की अनूठी रसायनिक संरचना आपके बालों और सिर को रूसी और जूँ से मुक्त करने में सहायक है.
5. वज़न घटाने के लिए: नारियल के तेल में मध्यम श्रृंखला फैटी एसिड, सीधे कोशिकाओं में अवशोषित होते हैं. जिससे वसा शरीर में जमा न होकर ऊर्जा के रूप में जला दिया जाता है. इसके अलावा, इस खाद्य तेल को पचाना आसान है और यह शरीर की चयापचय दर को बढ़ाने में मदद करता है.
6. खामिर संक्रमण में उपयोग: नारियल के तेल का खमीर संक्रमण यानि कैंडिडा को रोकने और उसके उपचार में विशेष लाभ है. प्रभावित त्वचा पर शुद्ध नारियल तेल लगाने से कैंडिडा की वजह से हो रही सूजन से आपको आराम मिलता है. इसके अलावा, नारियल तेल की उच्च नमी बनाए रखने की क्षमता त्वचा को छिलने से रोकती है.
7. कोलेस्ट्रॉल कम करने में: इसमें संतृप्त वसा की अच्छी-खासी मात्रा पाई जाती है. इसलिए यह दिल के लिए फायदेमंद है. नारियल तेल में मौजूद 50% लौरिक एसिड, सक्रिय रूप से हृदय की विभिन्न समस्याओं को रोकने में मदद करता है. नारियल तेल का उपयोग अच्छे कोलेस्ट्रॉल के स्तर को बढ़ा सकता है और खून में खराब कोलेस्ट्रॉल के स्तर को कम कर सकता है.
8. मधुमेह के उपचार में: ये इंसुलिन के स्राव में सुधार के द्वारा रक्त शर्करा को नियंत्रित करता है. मध्यम श्रृंखला फैटी एसिड नारियल के तेल में मौजूद टाइप 2 मधुमेह का खतरा कम कर देते हैं. ये वसा कोशिकाओं में आसानी से अवशोषित होते हैं और जल्दी से ऊर्जा में परिवर्तित होते हैं. इस प्रक्रिया से इंसुलिन के प्रति संवेदनशीलता में सुधार आता है. नारियल का तेल रक्त ग्लूकोज के प्रभावी उपयोग को भी बढ़ावा देता है.
9. अल्ज़ाइमर में लाभ: यदि आप नारियल तेल का नियमित रूप से सेवन करें तो अल्ज़ाइमर और अन्य मस्तिष्क की समस्याओं के जोखिम को कम कर सकते हैं. इसमें पायी मध्यम श्रृंखला ट्राइग्लिसराइड्स कीटोन निकायों में रक्त के स्तर को बढ़ा सकती हैं जो एक वैकल्पिक मस्तिष्क के ईंधन के रूप में काम करती हैं.
10. हड्डियों को मजबूती में: अपने हड्डियों की मजबूती के लिए भी आप नारियल के तेल का इस्तेमाल कर सकते हैं. यह कैल्शियम, मैग्नीशियम, विटामिन डी और अन्य महत्वपूर्ण खनिजों के शरीर में अवशोषण में मदद करता है. कैल्शियम और मैग्नीशियम हड्डियों को मजबूत बनाने के लिए महत्वपूर्ण हैं.