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Treatment of Migraine Treatment
Weight Management Treatment
Removal Of Stitches Procedure
Thyroid Problems Treatment
Dressings Of Wounds Procedure
Hiv Prophylaxis Post Exposure
Viral Fever Treatment
Thyroid Disorder Treatment
Stitching Of Wounds Procedure
Management of Surrogacy
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I am having trouble in sleeping. It is happening from last 8 days. I am also having some back pain. What should I do?
My mother age 64. Suffering from acute constipation. Motion is not going from the last 4 days. Using loose at night but there is not any relief. Please advise good medicine for immediate relief. Urea and creatinine is also at upper side at present. And infection in urine also.
A majority of women around the world suffer from ovarian cysts at some point in their life or the other. Thus, being diagnosed with a cyst in the ovaries is usually not something to worry about. In most cases, this cyst will disintegrate on its own within a few months. However, if you’re planning a family and trying to conceive, then it is wise to not ignore an ovarian cyst ,but get it checked out by a gynecologist at the earliest.
- Functional Cysts: Functional cysts are the most common type of cyst women suffer from. This can be seen as a sac on the surface of the ovaries and is formed during or after ovulation. Most of these cysts are harmless and fade away on their own. These cysts do not affect a woman’s chances of conceiving a child or pose any risk to a pregnant woman and her unborn child.
- Cysts formed as a result of polycystic ovary syndrome: Women suffering from Polycystic Ovary Syndrome (PCOS) often have small cysts found in their ovaries. Irregular menstrual cycles and fluctuating hormone levels are also associated with PCOS. Irregular menstrual cycles indicate irregular ovulation which can cause fertility problems and make it difficult for a woman to conceive.
- Endometriomas: Cysts formed by the growth of endometrial tissue inside the ovaries are known as Endometriomas. Endometriomas are benign cysts, but are associated with fertility problems. Surgical removal of these cysts can help improve fertility.
- Cystadenomas: These cysts can be described as growth on the surface of the ovaries. They can be benign or malignant and hence should not be ignored. However, they do not create any fertility problems.
- Dermoid cysts: Dermoid cysts are solid cysts that contain tissues, such as skin or hair in place of fluids. These growths are not associated with infertility.
- CA 125 Levels: CA 125 levels should also be done as it is increased in ovarian cancers.
The development of cysts when pregnant is not uncommon. Small cysts are usually placed under observance and left until after the delivery, but cysts that are bigger than 7cm may need to be removed. Large cysts can cause pain to the mother and create difficulties at the time of delivery. Laparoscopic surgery is the preferred form of surgery to remove ovarian cysts. This surgery can be performed at any point in the pregnancy and does not pose any risk to the fetus.
I am suffering from itch since 2007 and I have been using many kinds of medicines but cannot cure it. It is very badly itching me. How can I cure it permanently please help me in this regard.
I have a hypokalemia paralysis with normal level of thyroid I continue my medicine from one month but still my poytasium is low day by day and I take everyday potkular potassium syrup i want to cure permanently so give me best best option.
Hello, I am Dr. Somasekhar Rao, gastroenterologist and hepatologist at the Apollo Hospitals, Jubilee Hill, Hyderabad. I would like to talk about cirrhosis of liver and its complications and how to manage those things. Basically cirrhosis of liver is nothing but the liver get shrunken and it becomes nodular and hard so the functions of the liver comes down. The functions which are there are 600 vital functions that a liver does normally in a human being and all these functions are compromised in a patient with cirrhosis.
Most important cause for cirrhosis is always alcohol and next comes viruses called hepatitis B and hepatitis C. The evolving most increasing cause no is nonalcoholic fatty liver disease. Fatty liver disease which we see on ultrasound can cause cirrhosis. Any patient in early cirrhosis may not present with any symptoms. The initial symptoms of decompensations would be:-
- There will be swelling in the fluid
- Swollen feet
- There will be distinction of abdomen because of accumulation of fluid in the abdominal cavity
- Patients may have jaundice.
- Sometimes they may present with a history of passing black color motion that means this patient is having bleeding in the gastrointestinal tract. It can be most common because of the swollen blood vessels called viruses in the esophagus.
So other presentations would be disorientation. Patient can have hepatic encephalopathy, the functions of the liver because the liver acts as a filter to many toxins. All these toxins enter into your brain and cause disorientation this is called hepatic encephalopathy.
So now we will talk about the treatment of cirrhosis. Whenever we see a patient with cirrhosis, most important thing is we will try and evaluate the cause of cirrhosis. See if the patient is a chronic alcoholic. We are taking a history of all college. The first thing is to cut down and stop intake of alcohol when the patient is in early cirrhosis. It can reverse the cirrhosis to normal liver. Most important and nutritional aspects along with some supportive medication but when a patient presents with complications already, then we will be treating only the complications. Once the cirrhosis sets in and he is in CTP. By the time. you see that the patient eventually progresses most of the time. We are trying to treat the complications of cirrhosis. Then a patient presents to us with bleeding then we will find out whether it is very variceal bleeding and there is a procedure called endoscopic variceal ligation to decrease the pressure of the varices blood pressure in the esophageal varices.
We have some medications which decrease the pressure. We treat these patients and we control the bleeding and a patient presents with fluid in the stomach abdominal cavity or fluid in the legs. These patients are treated with so called restricted diet. Also we give some tablets called diuretics which increase the urine output and decrease the fluid in the legs and in the abdominal cavity and a patient presents with hepatic encephalopathy. We treat hepatic encephalopathy by medications and we try to decrease the ammonia level which is released by cleansing the gut and all those things. So all these things are managing complications of cirrhosis. Very rarely we see a patient in early cirrhosis then we treat the host.
The cirrhosis can be reversible. It is very rare but eventually when we see a patient in complications, he would always be in a stage called CTPB where he will progress to CTBC. CTBC is the end stage of cirrhosis and at that point of time the patient is left only with option of liver transplant.
Liver transplantation is again transplantation. It can be a live donor transplantation or deceased donor transplantation. So Eventually when you see a patient in CTBC we have to plan for liver transplantation. In these patient he can wait maybe for 2 or 3 months meanwhile we will be managing for complications.