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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 Ashu, 27 years old. I had so much of back pain and M taking pain killer tablet but still M facing same problems. So please help me. And from last 4 months M facing irregular periods soguidefor this also.
I took unwanted 72 for five days before after forplaying with my husband I'm very tensed about my pregnancy we did not intimated but once his penis touched my thigh region and hence I took the pill I just want to know when my period will come and is there any chance of pregnancy?
Hi, I do not get my periods regularly however it delays by 3 months every time from initial time of maturity, however this time its crossed 4 months.
Being able to conceive and the prospect of bringing a new life into the world is something that is highly satisfying and full of joy. Mother's-to-be generally start to take extra care of their diet and make sure they eat right when they are pregnant so that the fetus does not have to suffer. Though it is important to eat healthy during pregnancy, a lot of women and/or their loved ones tend to get carried away and end up gaining more weight than they should.
Today, where our modern lifestyle exposes us to minimal physical activity, the risk of becoming obese during pregnancy is high and some may mistake it for a healthy body. Not only does being obese has adverse effects on the pregnancy, it may also lead to the birth of an unhealthy baby, which may leave long-term negative impact on the body and health of the mother for her to struggle with, for a lifetime.
Some disadvantages of obesity in pregnant women:
In order to be able to understand the importance of controlling weight gain in pregnancy, it may be essential to know what could go wrong if the weight is not controlled or kept under check. Here’s what could go wrong:
- The increasing weight may be one of the biggest reasons for developing long-term health problems, such as diabetes and cholesterol that find an easy access to the body during the time of pregnancy.
- The chance of a normal delivery in obese women are highly minimal, as observed by experts around the world.
- In the case of disorders such as preeclampsia, it may become necessary to deliver the baby sooner than the regular time period and it may also put the organs of the mother at great risk.
- Sleepless or tired nights may be common in the case of women who suffer from obesity during pregnancy and this is something that may affect the journey and process of pregnancy as a whole.
Tackling obesity and keeping it at bay
One of the most important things to do in order to keep obesity at bay in the event of a pregnancy is to make sure that you are eating healthy. If you overtly indulge in fatty foods and junk items, you may be putting your body at the risk of gaining quick kilos. However, if you eat a balanced diet and make sure that you consult your gynaecologist for dietary advice, you may be able to keep excessive weight at bay. Light exercises, such as swimming, walking or yoga can also help but you must make sure to take expert help and suggestions before performing any physical activity that may put yourself or your baby at risk. With the right help you may be able to go through a healthy pregnancy and achieve health and happiness for your baby.
Hi, My periods came on 3rd july. On 10th july I had sex without protection 3 times. I did not took the pills. Now I worry about the pregnancy? I might be pregnant? When I can do the pregnancy test to confirm this? Please help me I am unmarried.
Is it possible to lactate without getting pregnant? What are the natural ways of inducing lactation without medicines.
I am pregnant of nearly 29 weeks, a recent test has shown that the level of alkaline phosphatase is very high in my body (range more than 500. What is the effect of it on my baby? Please suggest something.
For getting pregnant can we do intercourse daily in her fertile days ? What is meaning of alternate days?
I am 48 years old both of my ovaries were removed recently what health problems shall I have in future.
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.