Trust img

 

Filter :

Blogs
All About Amenorrhea
Oct 3, 2022|Dr Alka Gupta

All About Amenorrhea

What is amenorrhea? 

Amenorrhea is a condition in which a woman does not get her periods at all or misses multiple periods. It can also be defined as the absence of menstrual periods. The two main types of amenorrhea are  primary and secondary.

  • Primary amenorrhea is when a girl or woman does not start menstruating by the age of 15 and faces an absence of menstrual periods.
  • Secondary amenorrhea is when a girl or woman misses multiple periods, although she has otherwise been having normal periods.

Is amenorrhea dangerous?

Amenorrhea is not dangerous, but it can lead to certain complications. These include:

  • Infertility and pregnancy problems
  • Psychological stress
  • Osteoporosis (loss of bone density) and cardiovascular disease
  • Pelvic pain

What can cause amenorrhea?

There are different reasons for amenorrhea, as explained below:

Contraceptives

Taking oral contraceptives can affect the menstrual cycle and periods. Even once you stop taking the birth control pills, it takes time for the normal menstrual cycle to return. 

Medications

Certain medications can cause your periods to stop. These include:

  • Antipsychotics 
  • Cancer treatment
  • Antidepressant medication 
  • Medications for blood pressure
  • Medications for allergies 

Lifestyle factors

Certain lifestyle factors can play a role in causing amenorrhea. These include:

  • Being underweight – Very low weight can affect normal hormone functions
  • Stress – Stress can affect your hypothalamus – the part of your brain that is responsible for releasing hormones that influence your menstrual cycle

Hormonal imbalance

Different kinds of conditions can cause hormonal problems or deficiencies. These include:

  • Thyroid malfunction
  • Polycystic ovary syndrome (PCOS)
  • Pituitary disorder 
  • Premature menopause

Structural problems

Structural issues with reproductive organs can also lead to amenorrhea. Examples include:

  • Damage to the uterus – This can happen due to a condition called Asherman’s syndrome, in which scar tissue develops in the uterus lining. 
  • Absence of certain organs –  This can be caused by issues during foetal development that affects the formation of organs like the uterus or vagina.  

Amenorrhea causes based on types

Amenorrhea can be caused by different factors based on the type.

Primary amenorrhea causes include: 

  • Chromosomal or genetic problems with the ovaries 
  • Hormonal imbalance or deficiency due to issues with the hypothalamus or the pituitary gland
  • Structural issues with reproductive organs 

The causes of secondary amenorrhea include:

  • Pregnancy
  • Breastfeeding
  • Menopause
  • Birth control 
  • Cancer treatments like chemotherapy and radiation 
  • Uterine surgery 

Other causes of secondary amenorrhea can include:

  • Stress 
  • Poor nutrition 
  • Weight change 
  • Chronic illness 
  • Disorders of the hypothalamus or pituitary gland
  • Hormonal conditions like hypothyroidism

What are the symptoms of amenorrhea? 

The main symptom of amenorrhea is a lack of periods. Other amenorrhea symptoms include:

  • Hot flashes 
  • Dryness in the vagina
  • Headaches
  • Acne 
  • Excess amounts of hair on the face and body 
  • Milk leaking from the nipples 

What are the risk factors of amenorrhea?

The risk factors of amenorrhea include the following:

Genetic or family history

If people in your family have amenorrhea or if there is a genetic history of it, you may be more likely to develop it. It is often caused by a change to the FMRI gene. 

Eating disorders 

People who suffer from eating disorders like anorexia or bulimia are at an increased risk of getting this condition.

Gynaecological procedures 

If you have had certain procedures to do with pregnancy or your uterus, the risk is higher. 

Other factors

These include lifestyle or weight issues such as excessive exercise and obesity.

What is the treatment for amenorrhea?

Amenorrhea treatment usually depends on the underlying cause. Birth control pills or hormone treatments can help bring about the menstrual cycle in certain cases. If it is caused by thyroid or pituitary disorders, then medications may be required. If it is caused by a structural blockage or a tumour, then surgery may be required. In case it is caused by stress or weight gain or loss, your gynaecologist may suggest lifestyle changes as a part of the treatment. 

Primary amenorrhea is often caused by a genetic condition called gonadal dysgenesis, in which the gonads (reproductive glands that produce hormones) do not develop properly. In some genetic disorders like Turner syndrome, patients need lifelong hormonal treatment.

Depending on your age and the results of physical exams and various tests, a gynaecologist may suggest ‘watchful waiting’ for primary amenorrhea. If required, this is accompanied by regular check-ups and ovary function tests to help determine the cause. Secondary amenorrhea is commonly treated with hormonal medications to reset the menstrual cycle. Estrogen replacement therapy is also used to balance hormones and revive the menstrual cycle. 

How to diagnose amenorrhea?

Amenorrhea can be diagnosed by various tests. These include: 

  • Pregnancy test This is usually the first test your doctor will suggest to check if you are pregnant instead.
  • Thyroid function test This measures the amount of thyroid-stimulating hormone (TSH) in your blood to determine if your thyroid is functioning properly.
  • Ovary function test – This measures the amount of FSH (follicle-stimulating hormone) to check that your ovaries are functioning normally.
  • Prolactin test – This helps check if there is an issue with the pituitary gland.
  • Male hormone test – Your doctor will suggest this test if you are experiencing increased amounts of facial hair or a deepened voice.
  • Hormone challenge test – This checks if you start your periods in response to hormonal medication to determine if there is an estrogen issue. 
  • Imaging tests – These include ultrasound tests and magnetic resonance imaging (MRI) scans.
  • Scope tests – This refers to a hysteroscopy – a test in which an instrument with a camera is passed through the vagina into the cervix.

When should I see my healthcare provider?

You can consult a doctor if you have missed several periods or if you have never had a menstrual period and are 15 years or older.

Conclusion

If you have missed multiple periods, it is best to visit a gynaecologist to find out if you have amenorrhea and what may be causing it. This condition can affect your fertility because it usually affects your ovulation cycles. 

For the best gynaecological treatment and care, visit the CK Birla Hospital or book an appointment with

FAQs

1. Can amenorrhea be cured?

Amenorrhea can be cured in most cases, depending on the cause. If the underlying cause is treatable, then it can be cured. However, if it is not treatable (such as a hormone issue caused by a uterus surgery), you may need to take hormone treatment for the rest of your reproductive years. 

2. Can I still get pregnant if I have amenorrhea?

In most cases, you will not be able to get pregnant because lack of menses affects your ovulation cycle. However, it would depend on the specific cause of your amenorrhea. 

3. How long can amenorrhea last?

Amenorrhea can last as long as the issue persists. However, if it is caused by a temporary factor such as pregnancy, stress, or lifestyle changes, it may resolve as soon as the situation changes. 

4. Is amenorrhea a disease?

Amenorrhea is not a disease, but it can be a symptom of underlying conditions such as hormonal, genetic, and structural issues. 

5. What causes amenorrhea in PCOS?

In PCOS (polycystic ovary syndrome), amenorrhea is caused by high levels of certain hormones, usually male sex hormones. In people with PCOS, hormone levels are not the usual fluctuating levels as they are in the menstrual cycle.

Pubic Lice Infestation: Causes, Symptoms, Treatment, Risk Factors

Pubic Lice Infestation: Causes, Symptoms, Treatment, Risk Factors

Pubic lice (also known as crab louse) is an infestation of parasitic insects that attach their eggs to hair in the pubic area.

These lice are so tiny that you aren’t able to see them without the help of a magnifying lens, but they leave tell-tale symptoms such as itching and redness at the site of their bites.

 

What are pubic lice?

Pubic lice are tiny insects that live in the pubic region of your body. They feed on blood and can be passed from one person to another through sexual contact.

A pubic louse infestation is often called crabs because they look like small crabs or insects crawling around in the pubic region. If left untreated, it can cause symptoms such as redness, itching, and skin inflammation.

 

What causes pubic lice?

Pubic lice are caused by close contact with someone who is infested and can also be transmitted by sharing clothing or bedding.

Other risk factors for infection include sexual contact with an infected person or living in a household where someone has an infestation.

The most common symptom of pubic lice is itching in the genital area, but it’s important to remember that other conditions like jock itch, crabs, or pinworms could cause similar symptoms.

In order to determine if you have pubic lice, your healthcare provider will examine your genitals for sores or tiny nits (eggs).

 

What are the symptoms of pubic lice?

Itching is the most common symptom of pubic louse infestations; however, this can vary depending on the degree of infestation and individual sensitivity to the pubic lice bites.

The bites themselves are not visible to the naked eye. They may be difficult to notice because they appear as tiny black specks on pubic hair.

Some people do not experience any symptoms at all, making it important for them to ask for medical attention if they suspect an infestation. Pubic lice can also cause rashes, sores, and a generalized feeling of discomfort.

 

 What is the treatment for pubic lice?

Attempts to fight pubic lice with ordinary home remedies like shaving or bathing have no significant results. Lice easily outlive ordinary soap and water.

You can eliminate pubic lice by applying topical lotions and shampoos containing permethrin. For pregnant women and nursing mothers or for treating an infant for pubic lice, consult your doctor about the safety of using RID, Nix, and A-200.

Another option is to use a natural treatment such as tea tree oil. If you go with a non-pesticide product, avoid getting it on your eyes or nose; if you get some in these areas, flush them with water immediately.

After treatment for lice, you might have some eggs remaining in your hair, so make sure to carefully remove them with a pair of tweezers.

It is also necessary to decontaminate your home. Vacuum the entire house and clean the bathroom using a bleach solution.

You should use hot water to wash and dry all clothing, bedding, and towels, and make sure that all items are airtight. If you are unable to wash or dry clean an item of clothing, place it in an airtight plastic bag for 72 hours before washing it.

Here are some medications your doctor might prescribe:

  • Applying Malathion (Ovide) to the affected areas for eight to twelve hours.
  • Ivermectin – an oral medicine for roundworms – might be recommended in two doses for a span of ten days. This is the strongest and most toxic medication generally prescribed for pubic lice. You only need to leave it on for four minutes and wash it off afterwards.

It is important to remember that all methods of pubic lice treatment are temporary; the bugs can return if the infestation continues and proper hygiene is not maintained.

 

What are the risk factors for pubic lice?

Close contact with an infected person is one of the most common risk factors for pubic louse infestation. It is also possible to get pubic lice from sharing clothes, bed linens, or towels used by an infected person.

However, since pubic lice can only survive a few hours off the human body, it is not possible to get the parasites merely from sharing furniture or toilet seats.

Pubic lice are also easily transmitted through sexual contact, so be mindful of this when engaging in sexual activity.

You should also check if you have any other symptoms, as they may be caused by another type of infection, such as a sexually transmitted disease (STD).

 

When should I see my healthcare provider?

You should see a Lice Doctor if you have symptoms of a pubic louse infestation and are uncertain about the cause.

Your doctor can conduct a physical exam and diagnose your condition by looking at the part of your body that is infected. They may prescribe medication or recommend another form of treatment depending on the severity of the infestation.

 

Conclusion

If you are experiencing any symptoms of pubic lice infestation, visit the CK Birla Hospital or book an appointment with professional diagnosis and treatment.

It is important to speak with a medical professional about any concerns you may have. Our doctors will determine if/how you have been infected by identifying the type of louse and recommend the best course of action for treatment.

 

FAQs

How do you get rid of pubic lice fast?

The most effective way to get rid of a pubic lice infestation is to use topical over-the-counter treatment. Other options include hot baths. Also, be sure to wash all your clothes and bedding in hot water with detergent.

Can you see pubic lice?  

Pubic lice are too small to be seen without a magnifying glass. You will know if they’re present because you will experience itching, irritation and redness.

Does shaving help get rid of pubic lice?  

No, it doesn’t. In fact, shaving may irritate the skin even more and make your symptoms worse.

Is pubic lice curable?  

Yes. Most cases of pubic lice can be cured with topical treatment from over-the-counter medication. However, recurrence is possible if proper hygiene techniques aren’t followed (including taking hot showers).

What happens if pubic lice are left untreated?  

If pubic lice aren’t treated quickly, it can lead to intense itching, skin inflammation and hair loss. Pregnant women should seek medical attention as soon as possible because this type of infestation could lead to complications during pregnancy.

Other risks include bacterial infections and the transmission of HIV/AIDS or hepatitis B virus through sexual activity.

What do pubic lice bites look like?  

The typical signs of pubic lice bites are oval-shaped reddish spots. These spots often appear near the groin area and at creases on thighs, buttocks or around bra lines.

Everything You Need to Know About Dysentery
Sep 26, 2022|Dr. Ravindra Gupta

Everything You Need to Know About Dysentery

Do you remember your mother scolding you for not washing your hands properly before eating your food? One of the most common infections caused due to infections, parasites, and germs is dysentery disease. Hence, washing your hands properly with soap and water is important, especially before eating.

What is dysentery?

Dysentery, also referred to as ‘bloody flux’ and ‘bloody diarrhoea’, is an infection of the intestine containing blood or mucus causing diarrhea. Majorly there are two types of dysentery:

  1. Bacillary Dysentery, also known as ‘shigellosis’, is the most common type of dysentery. It is caused due to the infection by Shigella bacteria.
  2. Amoebic Dysentery, also known as ‘amebiases’, is the other main type of dysentery. It is less common than Bacillary Dysentery and is caused due to infection from a single cell parasite called Entamoeba.

Without proper and timely treatment, dysentery can prove to be fatal. If you notice symptoms of dysentery in yourself or the people around you, it is important to go to the hospital as soon as possible.

What causes dysentery?

Shigella bacteria and Entamoeba parasite are the two major dysentery causes. People who live in warmer climates and do not have access to proper sanitization and hygiene practices are more prone to catching these bacteria and parasites.

Some other causes of dysentery and catching these bacteria and parasites are:

  • Coming in contact with the faecal matter of other people who have dysentery
  • Having sexual contact with someone suffering from dysentery
  • Drinking contaminated water
  • Eating contaminated food
  • Swimming in lakes and ponds with contaminated water
  • Not washing hands properly after going to the loo
  • Touching surfaces contaminated by dysentery bacteria and parasite

Causes of dysentery

What are the symptoms of dysentery?

Some of the common dysentery symptoms are:

  • Excessive diarrhoea containing blood and mucus
  • Constant urge to empty the bowel
  • Fever and cold
  • Abdominal cramping and pain
  • Body pain and fatigue
  • Intermittent constipation

How is dysentery diagnosed?

Once someone catches a dysentery infection, he/she might not show symptoms immediately. Symptoms will become visible in 1-2 days. If treated properly, the infection can be controlled in one week. If left untreated or diagnosed late, the situation can worsen with time.

If you are suffering from dysentery and visit a doctor, he/she will ask you a variety of questions. You will be expected to share your recent travel details, if any. Knowing your travel history will allow the doctor to diagnose your condition better.

Dysentery infections are known to travel with passengers from one country to another. Some of the countries which are very prone to dysentery and have a high rate of it are Mali, Angola, Pakistan, Madagascar, India, Zambia, Uganda, Gambia, etc.

Subsequently, the doctor will ask you to get some blood tests done along with collecting your stool sample. The stool sample will then be analysed in the laboratory to diagnose dysentery and its type.

What is the treatment for dysentery?

Mild dysentery can be treated easily with medication and the intake of a lot of fluids. It is very important to follow oral rehydration to fight fatigue and dehydration.

In case of mild shigellosis, the doctor will recommend plenty of fluid intake, rest, and some painkillers to relieve abdominal cramping and body pain. In case of severe shigellosis, the doctor might prescribe some strong antibiotics.

Similarly, amoebic dysentery can also be treated with fluid, plenty of rest, and antibiotics. The doctor might prescribe drugs with salts like metronidazole and tinidazole to kill the parasites in the intestine. Additionally, in case of severe weakness and fatigue, doctors also prescribe intravenous drugs to combat dehydration.

What are the risk factors for dysentery?

With proper care and medication, dysentery can be treated easily. Only a few risk factors are associated with dysentery, which affects very few. Some of the possible risk factors are:

  • Very low potassium levels can lead to heart failure.
  • Bloodstream infections are more likely for people who already have a very weak immune system, like HIV and cancer patients.
  • Seizures, especially for young children who have already had a history of seizures.
  • Hemolytic uremic syndrome spreads toxins in the bloodstream and can lead to kidney failure.
  • Brain damage due to parasites spreads to other parts of the body.

When should I see my healthcare provider?

If you are experiencing symptoms like dizziness, fatigue, and abdominal pain after having mistakenly consumed contaminated food and water, we recommend you visit a healthcare provider as soon as possible.

Also, visit the hospital if you have just finished travelling and experience these symptoms immediately after. If diagnosed on time, dysentery can be easily cured. Once you have been diagnosed with dysentery, started taking proper medication and still cannot notice an improvement in your condition, visit the doctor again without any delay. He/she will treatment plan depending on the situation and what your body requires.

How to reduce the risk of dysentery

If you live in an infection and contamination-prone area, here are some preventive measures you can follow to prevent dysentery.

  • Avoid sharing your towels with others
  • Always wash your hands properly with soap and water before eating
  • Do laundry regularly with a good detergent
  • Do not drink water from unknown sources
  • Try to drink boiled water
  • Wash your fruits and vegetables properly before consumption
  • Avoid eating raw vegetables; boil them before consumption
  • Try to use clean and regularly sanitized toilets

Conclusion

It is very important to take proper care while suffering from dysentery. Remember to follow preventive measures to stop the spread of dysentery infection. If you or your loved ones are suffering from dysentery and want to get immediate treatment, visit the CK Birla Hospital near you. Or you can also book an appointment with Dr ___ to treat your infection quickly and efficiently.


FAQs

Q1. Can dysentery cause death?

Only if it is left untreated for a long time can it be fatal or cause other complications. Otherwise, dysentery is a very common infectious disease which can be cured with proper medication and symptoms.

Q2. Which food is good for dysentery?

It is recommended to avoid spicy and oily food in dysentery. Simple and bland food like bananas, white rice, boiled potatoes, porridge, and oatmeal is good food to eat while suffering from dysentery.

Q3. What is the difference between diarrhoea and dysentery?

Diarrhoea is a very common infection where patients just suffer from watery stool, whereas in dysentery, patients experience diarrhoea with inflammation of the intestines. The stool in dysentery infections can also have mucus and blood in it.

Q4. What can I do at home for dysentery?

Along with following prescribed medications, you can follow some simple home remedies for dysentery, like drinking a lot of fluids like coconut water, watermelon juice, green tea, etc. Also, rest your body properly and eat simple, bland food.

Q5. How can I stop dysentery and stomach pain?

It is preferable to ask your doctors to recommend some painkillers to stop abdominal pain and cramping during dysentery.

Why you need to get medical help for menorrhagia ?
Sep 26, 2022|Dr Alka Gupta

Why you need to get medical help for menorrhagia ?

What is menorrhagia?

Menorrhagia is a medical condition where you have painful menstrual periods accompanied by heavy bleeding.

Although bleeding is a normal occurrence with menstruation, the amount of blood is limited to perhaps two to three tablespoons (30-45 ml) a day. Bleeding more than this quantity is considered menorrhagia.

 

What are the symptoms of menorrhagia?

Menorrhagia symptoms include heavy, uncontrolled bleeding. This may occur from the onset of the first period, or it could develop later in life. You should consult your doctor if you have heavy periods or develop them at a later date.

If you have menorrhagia, you might exhibit the following menorrhagia signs and symptoms:

  • Frequent tampons or pad changing
  • Possibly needing to wear double sanitary pads
  • Longer periods than the usual seven days
  • Bleeding in between periods
  • Fatigue and breathlessness
  • Passing large blood clots
  • Being so incapacitated that you cannot perform your daily routine tasks
  • Bleeding even after menopause

 

What causes menorrhagia?

There can be multiple menorrhagia causes as follows:

Hormonal imbalance

Every month, your uterus wall builds up a lining. If you have a hormonal imbalance, the lining becomes thicker. When your uterus sheds this extra-thick lining, it can result in heavy bleeding.

A growth in your uterus

The presence of polyps (growths) in your uterus can result in the development of fibroids (benign, non-cancerous tumours). The result can be heavier and longer menstrual periods.

Intrauterine devices

An intrauterine device (IUD) is something a doctor inserts into your uterus for birth control purposes. You can find multiple types of IUDs.

While they are reasonably effective in preventing pregnancy, they can also create an imbalance in hormone levels, resulting in heavy bleeding during periods.

Pregnancy-related issues

An ectopic pregnancy (pregnancy in the fallopian tubes) can cause heavy bleeding, which resembles menstrual bleeding. A miscarriage can also cause heavy bleeding.

Bleeding disorders

Some people tend to bleed heavily if cut. It is due to the inability of the blood to clot in the event of an injury. If you have this condition, you are more likely to have heavier and longer periods.

Medications

Certain medications like blood thinners or anti-inflammatory drugs tend to give you heavy periods.

Other health issues

Many other health issues can give cause menorrhagia. You may experience heavy menstrual bleeding if you suffer from any of these medical conditions:

  • Thyroid problems
  • Kidney disease
  • Endometriosis
  • Pelvic inflammatory disease (PID)
  • Liver disease

Any form of heavy blood loss can be dangerous. Heavy bleeding due to menorrhagia can lead to anaemia, a condition which occurs due to iron deficiency. It results in a drop in your hemoglobin, a red protein in the blood that aids in respiration.

Since menorrhagia can cause anaemia, which can be life-threatening, it can be dangerous.

 

What is the treatment for menorrhagia?

Your doctor will recommend a particular line of menorrhagia treatment, which will depend on the extent of your problem and also its source:

Birth control medication

Birth control medication can restore your hormones to their normal levels. You might also have to get an IUD that releases hormones, which can help correct your hormone levels.

Other drugs

Certain drugs can help stem your heavy menstrual flow. Your doctor might prescribe any of these drugs.

Surgery

A common cause of vaginal or menstrual bleeding is the presence of fibroids. If you have polyps or fibroids in your uterus, your doctor might try to shrink them or surgically remove them.

Dilation and curettage (D&C)

This is a procedure involving scraping the outermost uterine layer. D&C has a high chance of success, but you might have to repeat the procedure later.

Endometrial ablation or endometrial resection

Here, the doctor removes the lining of your uterus permanently. It can result in lighter periods or no periods at all.

Hysterectomy

With certain extreme types of menorrhagia, a doctor will advise removing the uterus. This surgical procedure is called a hysterectomy.

After a hysterectomy, you will not get your period, but you cannot become pregnant either.

 

Is menorrhagia curable?

Your menorrhagia cure depends on its source. If it is caused by medication, simply discontinuing or changing the medication should suffice. If your menorrhagia symptoms include anaemia, you might have to take iron supplements.

Any of the lines of treatment mentioned earlier can cure menorrhagia. Sometimes, your heavy periods may subside on their own. But with suitable medical intervention, menorrhagia can be controlled if not cured.

 

What are the risk factors for menorrhagia?

Risk factors depend on your age and if you have other underlying medical issues or not.

Young girls on the verge of adolescence are more prone to puberty menorrhagia. Older women with uterine-related medical issues also tend to develop menorrhagia.

 

When should I see my healthcare provider?

If you have excessive bleeding that continues for over a week or you experience bleeding intermittently between periods, you should seek medical help.

You should also do so if you are menopausal and continue to experience vaginal bleeding.

 

How to diagnose menorrhagia?

Your healthcare provider will diagnose your menorrhagia based on your response to the following questions:

  • Age when you had your first period
  • Duration of each period
  • Number of days when you experience heavy bleeding
  • Family medical history
  • Pregnancy history
  • Current medications

You may also have to undergo a few tests as follows:

  • Sonohysterogram (saline-infusion sonography)
  • Hysteroscopy (internal inspection of the vagina, cervix, and uterus)
  • Pap smear
  • MRI
  • Transvaginal ultrasound
  • Endometrial biopsy (removal and microscopic examination of a small section of the uterine wall)
  • Blood test

 

Conclusion

Menorrhagia is not necessarily a life-threatening disease. However, you shouldn’t neglect anything that involves heavy bleeding.

If you notice more than usual blood loss during your period, seek medical attention to find the reason for menorrhagia and get it treated.

Heavy periods can interfere with your emotional and physical well-being as well. It doesn’t have to be that way. You can contact the CK Birla Hospital or make an appointment with Dr. Deepika Aggarwal , who can help you get the best possible medical assistance with compassionate care.

 

FAQs

Is menorrhagia a serious problem?

If you experience heavy blood loss while menstruating, it can be serious. A common outcome of menorrhagia is anaemia. You should thus take it seriously and get appropriate treatment at the earliest.

Further, menorrhagia can interfere with your daily activities and peace of mind. It becomes a serious problem because it hampers your normal functioning.

How long can a menorrhagia period last?

The typical bleeding period for menstruation is four to five days. The blood loss is roughly two to three tablespoons (30-45 ml). If you have menorrhagia, the bleeding will last for more than seven days, and you can lose up to twice as much blood.

Can PCOS cause menorrhagia?

Yes, women with Polycystic Ovary Syndrome (PCOS) can also experience menorrhagia.

Does menorrhagia affect pregnancy?

Menorrhagia is more like a symptom rather than a disease. It can occur due to hormonal imbalance, which can have adverse effects on pregnancy.

On the other hand, menorrhagia can occur due to other underlying medical conditions which can affect pregnancy.

Does menorrhagia stop on its own?

There have been cases where menorrhagia has disappeared on its own. But since there is no means for the prevention of menorrhagia, it’s always advisable to seek medical help immediately and not delay to avoid further complications.

How do you manage Type 2 Diabetes?
Sep 26, 2022|Dr Tushar Tayal

How do you manage Type 2 Diabetes?

What is Type 2 Diabetes?

Type 2 diabetes is a lifelong health condition wherein the level of blood sugar is very high in your bloodstream.

Usually, the pancreas secretes a hormone called insulin – it helps cells to absorb blood sugar (glucose), which then produces energy.

In type 2 diabetes, however, your body develops insulin resistance, and sometimes even the pancreas stops producing insulin to a sufficient level.

Type 2 diabetes commonly affects people who are in middle age and old age. That’s why it is also known as adult-onset diabetes. However, it can also affect children if they are suffering from childhood obesity.

 

What causes type 2 diabetes?

When the cells present in your muscles and liver stop absorbing the insulin and develop a resistance against insulin, this can lead to type 2 diabetes.

Also, when your pancreas stops producing enough amount of insulin which can help your cells in glucose absorption, this can act as a type 2 diabetes cause.

Besides these two causes, there are several type 2 diabetes risk factors, such as:

  • Obesity
  • Sedentary lifestyle
  • Old age
  • Family history of type 2 diabetes
  • High blood pressure level
  • Stress and depression
  • Diet rich in processed carbs, fats, and sugar
  • Polycystic ovary syndrome (PCOS)
  • Prediabetes (glucose level is high yet not enough to be classified as diabetes type 2)
  • Gestational diabetes (diabetes which happens during pregnancy)
  • Low level of good cholesterol
  • High level of triglycerides

 

Type 2 diabetes symptoms

Type 2 diabetes symptoms develop gradually and can consist of the following:

  • Excessive hunger and thirst
  • Fatigue
  • Frequent urination
  • Slowed down healing of wounds
  • Numbness or tingling in feet and hands
  • Blurry vision
  • Unexpected weight loss
  • Frequent infections

 

How to diagnose type 2 diabetes

To check for the diagnosis of type 2 diabetes, a doctor usually conducts these tests:

Fasting Plasma Glucose Test

This test involves taking your blood sample to measure your glucose levels on an empty stomach. It generally takes place in the morning as you can’t eat anything for at least 8 hours before this test.

Random Plasma Glucose Test

Without needing to fast, this test can take place at any point of time in a day to measure your glucose levels.

Glycated Hemoglobin Test (A1C) 

This test measures your average glucose (blood sugar) levels for the past three months.

Oral Glucose Tolerance Test

This test first checks your glucose level. Then it measures your blood sugar level two hours after you have had a sugary drink – to check whether any changes have taken place in blood glucose levels.

 

Can type 2 diabetes be cured?

Though type 2 diabetes can’t be cured, it can still be managed. For its management, you need to include the following in your diet:

  • Plant-based proteins like nuts, beans, etc.
  • Carbohydrates that are minimally processed, like brown rice, oatmeal, etc.
  • Foods low in salt and sugar
  • Vegetables low in carbs like carrots, broccoli, etc.
  • Fruits like apples, grapes, etc.

Besides diet, to manage type 2 diabetes, you can make the following changes in your lifestyle:

  • Exercise for at least 30 minutes a day
  • Quit smoking
  • Do not overeat
  • Lead an active lifestyle
  • Get regular health checkups
  • Regularly check your glucose levels

 

Which is worse – type 1 or type 2 diabetes?

Type 1 and type 2 diabetes are chronic health conditions. Both can cause some serious health complications.

Keeping this in mind, the only thing that makes type 2 diabetes a little bit better than type 1 is that with some changes in lifestyle and diet – it can be managed and sometimes sent into remission.

 

Type 2 diabetes treatment

It is essential to seek treatment for this type of diabetes to prevent yourself from suffering the following type 2 diabetes complications:

  • Retinopathy (impairment to blood vessels in the retina due to high glucose levels)
  • Heart disease
  • Chronic kidney disease (CKD)
  • Digestive tract problems
  • Nerve damage
  • Skin infections
  • Sexual dysfunction
  • Increased risk of miscarriages
  • Alzheimer’s disease
  • Sleep apnea (a sleep disorder wherein your breathing keeps stopping and starting continuously)

For the treatment of type 2 diabetes, any one of the following medications is prescribed by the doctor:

  • Metformin
  • Thiazolidinedione
  • Sulfonylureas
  • DPP-4 inhibitors
  • Meglitinides
  • GLP-1 receptor agonists
  • SGLT2 inhibitors

All these medications help to lower your blood glucose levels, increase insulin production and make the cells in your body respond better (absorb) to insulin.

When lifestyle and dietary modifications do not significantly change your blood glucose levels, insulin therapy is recommended. Insulin therapy helps in lowering and ensuring stability in blood glucose levels. It can be administered by:

  • Injecting insulin with the help of an insulin pen
  • Inhaling insulin
  • Insulin pumps (insulin is pumped continuously through a flexible tube)

Sometimes, when obesity is responsible for type 2 diabetes, weight loss surgery is the recommended form of treatment.

 

Conclusion

Type 2 diabetes is a serious lifestyle-related disease wherein your blood glucose levels are abnormally high. Over time, its symptoms develop and consist of blurry vision, increased hunger, slow healing of wounds, etc.

Type 2 diabetes, if not managed timely, can lead to health complications like CKD, nerve damage, skin infections, etc. Thus, it is crucial to seek treatment before you start suffering from these complications.

For this, you can reach out to skilled and experienced doctors at the CK Birla Hospital. The Gastroenterologists at the CK Birla Hospital perform state-of-the-art tests to screen for diabetes. They also provide a customised treatment plan for type 2 diabetes at affordable rates.

For the diagnosis and treatment of type 2 diabetes – visit a nearby branch or book an appointment with our doctors

 

FAQs

1. What does being a type 2 diabetic mean?

Being a type 2 diabetic means that your body produces too much insulin and is unable to manage or absorb it. This can lead to symptoms like excessive hunger, blurry vision, fatigue, etc., and eventually serious complications- if not treated timely.

2. Is diabetes type 2 serious?

Diabetes type 2 is a serious condition that develops gradually. The high blood sugar levels – if not controlled – can cause complications like nerve damage, heart disease, retinopathy, miscarriages, etc.

3. What is the difference between type 1 and type 2 diabetes?

Type 1 diabetes fall under auto-immune diseases, whereas, type 2 diabetes falls under lifestyle-related diseases. Here, your immune system attacks the cells in the pancreas that produce insulin, causing insulin production to come to a stop. On the other hand, in type 2 diabetes, the pancreas does not produce enough insulin so that it can manage blood glucose levels.

4. Do type 2 diabetics need insulin?

When modifications in lifestyle and diet fail to control blood sugar levels, insulin therapy comes into play. It involves administering insulin to control and lower the raised blood glucose levels.

5. Can stress cause diabetes type 2?

Experiencing stress once in a while can not cause type 2 diabetes. However, living in a constant state of stress can cause fluctuations in your blood glucose levels – to the extent of raising them. So, a prolonged state of stress (chronic stress) can cause type 2 diabetes.

All about Enlarged Liver
Sep 22, 2022|Dr. Mohit Khirbat

All about Enlarged Liver

The liver is an essential organ of the human body. It performs many important functions like filtering toxins from the blood, helping digest food, synthesizing protein, and storing vitamins and minerals.

When the liver becomes larger than its normal size, it is known as the enlarged liver. It is also known as hepatomegaly.

Although it is not a disease, it appears as a symptom of other underlying issues. For example, it may result from liver disease, cancer, and congestive heart failure.

The treatment of this symptom begins according to the condition involved in it. The physician starts the therapy only after identifying the cause of the disease.

 

What causes enlarged liver?

The size of the liver varies from person to person. It varies according to the body’s age, sex, and size. There are many reasons for enlarged liver. These are:

Liver disease

Some mild or severe liver diseases may cause an enlarged liver. These diseases include: 

  • Cirrhosis
  • Hepatitis A, B, and C
  • Nonalcoholic fatty liver
  • Alcoholic fatty liver diseases
  • Noncancerous liver tumours

Apart from these diseases, if any fatty substance or iron or copper or protein in an excessive amount accumulate in your liver, you may have an enlarged liver

Sometimes toxic hepatitis or liver cysts may also lead to a swollen liver.

Cancer

If cancer originating in the other part spreads to the liver, your liver may become bigger than normal.

Other causes like leukemia, liver cancer, or Lymphoma may be the reason for a swollen liver.

Problems in heart and blood vessel

Heart failure, blockage in the veins draining the liver, and inflammation of the tissue around the heart are some of the reasons for an enlarged liver.

Enlarged liver causes inflammation, indicating the infection or other problems associated with the liver.

 

What are the symptoms of the enlarged liver?

In case of mild conditions of hepatomegaly, you may not notice any symptoms. If you have severe underlying problems and your liver gets swollen and becomes larger than required, you may see the following enlarged liver symptoms:

Fatigue 

When you feel too tired and sleepy, you experience fatigue. You do not feel refreshed even after taking sufficient rest when you get fatigued. Fatigue interrupts your daily activities by making you feel too tired and sleepy.

Some significant symptoms of fatigue are low energy, lack of concentration, weakness of muscles, and pain.

Nausea

Nausea and vomiting are important symptoms when you have any defect in your health. If you have any serious health problem, nausea appears as the first symptom and makes you alert outside.

For example, you will feel nausea in case of an enlarged liver. When you have nausea, you feel discomfort in your stomach and an urge to vomit.

Weight loss

When you lose weight excessively, you may have an enlarged liver. If you lose weight while being tired and nauseous, you may have some problems in your liver.

Enlarged spleen

You may have an enlarged spleen if there is any underlying cause. For example, defects in your liver can be the reason for your enlarged spleen.

If there is any condition affecting the spleen, it swells by itself. The spleen helps to produce white blood cells and remove waste material.

Jaundice

Jaundice is another important symptom of diseased liver. When you have jaundice, the skin and mucous membranes turn yellow.

Although there are many reasons for jaundice, diseased liver or enlarged liver is one of these reasons. Jaundice is the outer appearance of some defects in your liver.

Pruritus

When you suffer from pruritus, you have itchy skin. It may appear on any part of your body or spread through the body. You may also have pruritus if you have an enlarged liver.

 

What are the risk factors for enlarged liver?

You may have an enlarged liver due to the following reasons

  • If you have any infection caused by bacteria or virus
  • If you take some medicines in an excessive amount
  • If you have failed to exercise regularly and gained a lot of fats
  • If you have been unable to maintain a healthy diet

 

When should I see my healthcare provider?

You should see your healthcare provider if any notice any severe symptoms like

  • The fever has been persistent for many days
  • Feeling tired even after eating sufficient food and taking enough sleep
  • Skin and eyes turn yellow

 

How is enlarged liver diagnosed? 

When you feel discomfort in your abdomen, your doctor will conduct a physical examination. If the doctor notices any enlarged liver symptoms, you may be recommended to go through some tests. These tests are

Blood test

The sample of your blood will be tested to check for any infection or the enzyme in your blood. The test will also help to prevent the presence of other viruses.

Liver biopsy

A small part of the liver will be removed to send for biopsy. This test is done by inserting a needle through your skiing and into your liver.

Imagining test

To check the defect in a liver, some imagining tests are conducted. Some of the Imagining tests are CT scans, ultrasounds, or MRIs.

 

What is the treatment for enlarged liver?

After the physical examination, when your doctor finds your liver bigger than the normal size and identifies the reason, your enlarged liver treatment will begin accordingly. If the liver has swollen due to excessive consumption of alcohol, you may be advised to stop consuming alcohol.

Some general methods of treatment for enlarged livers may be:

  • Losing weight
  • To maintain a healthy diet
  • Doing physical exercise
  • Avoid consuming alcohol
  • Controlling high cholesterol, high blood sugar, and high blood pressure

Apart from suggesting any of the above advice, you may be prescribed some medications to help your enlarged liver return to its normal size.

 

Conclusion

Many conditions are responsible for an enlarged liver. Almost 2 million deaths occur annually worldwide due to liver disease. The common reasons for enlarged liver are consumption of alcohol, an unhealthy diet, blood sugar, and weight gain.

In most cases, doctors prescribe medicines and suggest healthy lifestyle practices to cure enlarged liver. But the doctor may continue the treatment by following other methods depending on the conditions involved in causing a swelling liver.

You can visit the CK Birla Hospital and book an appointment to get the proper treatment of any disease associated with your liver.

 

FAQs

1. Is an enlarged liver serious?

An enlarged liver may be dangerous depending upon its causes. However, an enlarged liver by itself is not so serious.

2. Can enlarged liver be cured?

An enlarged liver is cured by changing the lifestyle. It may take time to recover if enlarged liver results from severe diseases like cancer or type 2 diabetes.

3. Can fatty liver cause enlarged liver?

Yes. Fatty liver may cause inflammation and indirectly affect the size of your liver. In addition, you may have an enlarged liver due to some other underlying issues.

4. What is the normal liver size?

The normal liver size of a woman is 7 cm, and for a man is 10.5 cm. If 2 or 3 cm is larger or smaller than the normal size will be deemed to be of abnormal size.

5. What size is considered an enlarged liver?

If the size of the liver is larger than 15 cm, the liver is termed an enlarged liver.

All you need to know about Piles

All you need to know about Piles

Piles, or hemorrhoid’s, are a globally relevant problem. These are swollen veins located inside your rectum, just outside the anus that is accompanied by pain, itching and in most cases bleeding. These can be managed with at-home treatments but sometimes requires medical intervention. With this blog, we will try and understand the problem better to be able to deal with it better.

What is Piles?

Piles are enlarged veins inside the rectum around the anal area. They are often swollen, painful, and uncomfortable and cause bleeding in the rectum. They are also called hemorrhoid’s. These are present in our body since birth, and only pose a problem when they become swollen and start irritating the rectal area.

  • Who can have piles? 
  • While it can happen to people at any age, these are more common in old age, especially post-50 years. They can also happen in teenagers, but not in children as the hemorrhoid’s is not yet developed in them. 
  • How many types of piles exist?

Since it occurs due to a swollen vein, the type of hemorrhoid’s will depend upon the location. Broadly it is of 2 types: 

  • External: These are the veins under the skin of the anal area which swell up, and cause itching and pain. Sometimes it bleeds which can stay clotted in the area.
  • Internal: These are located inside the rectum. They are not painful but cause bleeding nonetheless.

Both these types can extend or bulge outside the rectal cavity, these are called prolapse hemorrhoid’s. However, it is different from an anal fissure, although they have similar symptoms. Anal fissures occur due to tissue rupture whereas this happens from swelling of veins.

What are the symptoms of Piles?

Image showing piles symptoms

Symptoms of piles depend upon the type of piles. In the case of internal piles, one hardly has any symptoms, since there is hardly any pain in this case. One might find some blood during excretion, which is a sign of rectal bleeding.

The external or prolapsed piles will have clear symptoms. These include:

  • Itching in the anal cavity
  • Hard lumps that feel tender or sore around the anus
  • Rectal bleeding
  • Pain or aching every time you sit down
  • Bulging growths outside the anus that are painful

At this point, it is important to note that other conditions cause hemorrhoid’s-like symptoms, such as gastrointestinal disorders, bowel diseases, and in extreme cases colon cancer, Crohn’s disease, colitis, ulcer, etc.

When to see a doctor for Piles?

It is advisable to be observant of any of the above symptoms. Be wary of abdominal pain or chronic constipation with rectal bleeding. If you notice any of these, reach out to a doctor for advice. The doctor will perform one or more of the following procedures to determine the root cause.

  • Digital rectal exam: Here the physician will insert a properly lubricated gloved finger inside the rectum to feel the veins for swelling.
  • Anoscopy: A lighted tube or anoscope is used to observe the anal lining and rectum for swelling or protrusion.
  • Sigmoidoscopy: A sigmoidoscopy is a lighted tube with a camera that is inserted into the lower sigmoid part of the colon and the rectum.

Based on the outcomes of these investigations, the next step will be a colonoscopy which will help detect any signs of colon cancer. These are all OPD procedures without anesthetic use. Therefore, there is nothing to be scared about.

What are the causes and risk factors of Piles?

Understanding a problem requires assessing the triggers that lead to the problem. Some of the relevant causes of piles or hemorrhoid’s are: 

  • Strain in the rectum or anus. Just think of piles as varicose veins in the rectum. 
  • Any sort of strain or pressure from the stomach or pelvic area will cause the rectal veins to swell and be inflamed. This pelvic pressure can be due to:
    • weight gain during pregnancy
    • constipation, leading to pushing bowels hard
    • Strain from lifting heavy objects and weights

From these causes, we can understand the primary risk factors that may lead to piles over time. These are:

  • Being overweight due to obesity or pregnancy
  • Eating fibre deficient diet that leads to constipation
  • Presence of chronic constipation/diarrhoea
  • Regularly lifting heavy weights or objects
  • Strain during bowel movements

What are the treatment options available for Piles?

There are various ways in which piles can be handled. But broadly they can be categorized under home treatments and medical assistance from healthcare providers. Often in minor cases, piles heal without any treatment. If the symptoms surface, they usually last for a week.

At home, you can use over-the-counter medications over the affected area. Apart from this, you can:

  • Stay hydrated and have a fibre-rich diet to ensure you don’t add constipation to make the healing slow. 
  • Soak in a warm bath for about 15 minutes every day.
  • Opt for laxatives to help clean out your system.
  • Take steroid-free anti-inflammatory drugs to help with the condition.

If the above fails in relieving the pain, don’t lose sleep, reach out to a trusted healthcare provider and explain your situation clearly. Upon clear investigation and review of outcomes one of the following will be suggested:

  • Rubber band ligation: With this technique, the blood supply to the vein is stopped and the pile is removed.
  • Electrocoagulation: Another technique to administer restriction of blood flow to the piles.
  • Infrared coagulation: Here a small probe is inserted around the vein, the heat from it helps remove the piles.
  • Sclerotherapy: Here a chemical is injected into the swollen vein, destroying the tissue.
  • Hemorrhoidectomy: Surgical process to remove large or prolapsed hemorrhoid’s.

Reach out to us in case you feel any of the symptoms above and seek medical attention from some of the best physicians in the field.

How to prevent Piles?

Piles are more common as we age. It can be prevented by maintaining a healthy lifestyle to avoid hard stools and constipation, which is the primary cause of piles. 

  • Don’t push too hard while pooping. 
  • Visit the toilet only when the urge hits, but don’t delay bowel movements.
  • Hydrate and drink lots of water throughout the day.
  • Use high-fibre foods in your diet. (For women at least 25 gms & men 35 gms)
  • Use laxatives to keep bowel movements regular.
  • Stay physically active. 

FAQ’s

Q1. How do Piles go away? Can Piles be cured permanently?

A. Sometimes piles can be cured by themselves without the person knowing they have piles. This happens in the case of internal piles where there is hardly any pain. For an external incident, over-the-counter ointments or the help of a medical practitioner will help treat the concern faster. With at-home remedies, piles can be managed but not cured completely. For that one needs to have surgical intervention. 

Q2. How long do Piles take to heal?

A. The symptoms of piles last mostly for a week. If it goes away after seven days with over-the-counter medicine, then it has healed. If not, the help of a medical practitioner is required. Depending on the severity of the case and the stage of the piles the healing timeline will differ. 

Q3. Can stress cause Piles?

A. By stress, if we mean putting pressure on the pelvic muscles, then yes. Apart from this, when we are mentally stressed out, our blood pressure is increased. In such a case also the existing condition of piles will worsen. Also, more stress leads to more consumption of alcohol, which in turn dehydrates the body, therefore worsening the piles. 

Q4. What is the main cause of Piles?

A. The main cause of piles is constipation and improper bowel movements. If our stools are not soft and we spend hours in the washroom trying to pass them then it is a warning sign. The more pelvic pressure is applied the greater the chances of rectal bleeding. All of these are eventually the symptoms that show up in piles. So working at the root will help make things better, start by having a healthy diet rich in fibre that will assist in the process of passing stools.  

Q5. What are the stages of Piles?

A. Medically internal piles have four grades: 

  • Grade I: There are no symptoms and no protrusions from the anus.
  • Grade II: The piles may prolapse but also recede inside, independently.
  • Grade III: The prolapsed piles only recede with manual intervention.
  • Grade IV: The piles prolapse outside of the anus and can’t be pushed in.

All you need to know about Erectile Dysfunction
Sep 15, 2022|Dr. Shalabh Agrawal

All you need to know about Erectile Dysfunction

It is normal for men to have occasional issues getting or keeping an erection. However, if the problem becomes more frequent, then it is recommended to visit a doctor as soon as possible.

Erectile dysfunction problems might persist because of underlying health or emotional and relationship issues. The sooner you get yourself checked, the better it would be to treat the condition.

 

What is erectile dysfunction?

Erectile Dysfunction (ED) refers to the inability to get or maintain a penile erection for sexual intercourse. In earlier days, ED was also referred to as impotence.

Without proper diagnosis and treatment, it can be difficult for an individual to cure erectile dysfunction. Further, ED in men over 40 is a major warning of cardiovascular conditions.

 

Erectile dysfunction symptoms

Erectile dysfunction can be diagnosed in males across all age groups. However, it is slightly more common in men in their late 40s and early 50s.

The following symptoms suggest erectile dysfunction in men:

  • Trouble getting an erection
  • Trouble keeping an erection long enough to finish the sexual act
  • Premature ejaculation
  • Reduced libido
  • Self-esteem issues
  • Low confidence
  • Feeling guilty or embarrassed while indulging in sexual activities

 

Erectile dysfunction causes

Men can experience erectile dysfunction due to health problems or sometimes due to underlying and undiscovered emotional troubles:

Physical causes of ED

  • Cardiovascular diseases
  • High blood pressure
  • High cholesterol
  • Obesity
  • Diabetes
  • Sleep disorders
  • Liver cirrhosis
  • Kidney diseases
  • Multiple sclerosis (MS)
  • Parkinson’s disease
  • Excessive drinking and smoking
  • Drug abuse

Emotional causes of ED

  • High stress
  • Low self-esteem and confidence
  • Anxiety
  • Obsessive-compulsive disorders
  • Performance pressure and anxiety
  • Relationship troubles

 

Erectile dysfunction diagnosis

Once you visit a Male Sexual Dysfunction doctor regarding your erectile problems, they will ask you questions about your medical history and order some physical tests to better understand your situation.

These physical tests will help diagnose the real cause of your situation or any other probable underlying health problems. Additionally, some routine medical tests will also be carried out like urine tests, blood tests, thyroid tests, etc.

Doppler ultrasound

An ultrasound will help determine if there is any problem with the flow of blood into the penis.

An erection is the result of increased blood flow into the penis. Sexual thoughts and foreplay before sexual intercourse stimulate the blood flow.

Hence, if the blood is not flowing into the penis properly and the penis fails to become erect during sexual activities, it can be determined through an ultrasound.

Intracavernosal injection test

A medicated drug is inserted into the penis during the injection test to stimulate an erection. Once the penis is erect, the doctor will check the firmness and how long does the erection last.

This test is often combined with other physical exams like ultrasound and urine tests to give the doctor a proper overview of erectile dysfunction.

Nocturnal penile tumescence test

A nocturnal penile tumescence test (NPT) is performed to analyse erections during sleep.

It is common for men to have 3-4 erections during a normal cycle of deep sleep. To check the erections, an electrical device is worn on the thigh to store data.

The data is then accessed later by the doctor to make a diagnosis.

 

Common questions about ED

Dealing with erectile dysfunction can be emotionally and mentally draining. It is completely normal to have numerous doubts and queries in your mind.

Here are some common questions about ED that you can ask during doctor consultations:

  • Is ED a curable condition?
  • What are some common erectile dysfunction causes?
  • How do I know if I have ED?
  • What are the best treatment options available?
  • Will ED affect fertility?
  • Do erectile dysfunction exercises help?
  • Do lifestyle changes help in managing ED?

 

Erectile dysfunction treatment

The treatment for erectile dysfunction starts with making some lifestyle changes and taking care of your cardiovascular health.

Some erectile issues can be treated by small changes like losing weight, doing erectile dysfunction exercises, avoiding alcohol/smoking, relieving stress, etc.

Medical treatments

Apart from the lifestyle changes, your doctor will begin by suggesting some non-invasive medical treatments. These are known to have worked effectively and safely:

  • Penile injections
  • Testosterone therapy
  • Vacuum erection devices
  • Intraurethral medicines
  • Oral drugs (Viagra, Levitra, Cialis, Stendra)

You might experience some side effects like headache, indigestion, facial flushing, stuffy nose, or muscle pain after taking oral medication. However, do not be alarmed as these side effects are only short-lived and mild.

Psychological treatments

Erectile dysfunction is not only caused due to health problems but also emotional issues.

Emotional stress or relationship anxiety can creep into your mind while performing sexual activities, making it difficult for you to experience pleasure out of it.

However, psychological treatment options like counselling sessions with a trained counsellor can help you address your emotional issues and needs.

Sex therapy has also proved to be beneficial for many men. A skilled sex therapist can help you identify your sexual needs and how to effectively communicate with your partner regarding the same.

Surgical treatments

Penile implants are one of the major surgical treatment options available for treating erectile dysfunction.

Penile implants, also referred to as penile prostheses, are placed inside the male reproductive organ to stimulate an erect penis during sexual intimacy and intercourse.

However, this surgical treatment is not advisable for ageing men. Their options are limited to medical and therapeutic erectile dysfunction treatments.

There are two kinds of penile implants, namely, semi-rigid implants and inflatable implants.

The semi-rigid implant is made using silicone, which gives firmness during sexual penetration and can be easily bent downward and upward during peeing.

The inflatable implant, on the other hand, is inflated through a pump placed inside the scrotum. When the pump is engaged during sexual activity, the penis inflates and becomes erect. Using the pump in the scrotum, men can easily manage the firmness and size of the erection.

 

In Conclusion

Taking action is crucial if you notice erectile dysfunction problems more than 50% of the time in your overall sexual activities.

While it might be embarrassing to communicate about this issue, do not hesitate to reach out for help. A professional will not only help you diagnose and treat the condition but will also respect your privacy by keeping all the information confidential.

Visit the CK Birla Hospital(R) or book an appointment with Dr. Shalabh Agrawal to learn more about your condition and get the best treatment for erectile dysfunction.

 

FAQs

#1 How can you fix your erectile dysfunction?

Erectile dysfunction can be treated through several medical, surgical, and psychological treatments.

Medical treatments include solutions like penile injections and testosterone therapy. The penile implant option is available for surgical treatments, depending on factors like age and medical history.

#2 Can erectile dysfunction get cured?

Yes, erectile dysfunction can be cured through several medical and psychological treatments.

The situation can also be improved by making some lifestyle changes like avoiding alcohol, exercising regularly, improving cardiovascular health, etc.

#3 How can I test for erectile dysfunction at home?

It is not advisable to indulge in self-testing for erectile dysfunction at home.

You can visit a doctor to seek professional diagnosis and treatment. A doctor can conduct physical exams to understand your situation better.

#4 What is the main cause of erectile dysfunction?

Some of the main causes of erectile dysfunction are underlying health problems like cardiovascular diseases, obesity, high blood pressure, etc.

Erectile dysfunction is often also caused due to emotional issues also like anxiety, stress, and low self-esteem.

Everything you must know about Subdural Hematoma.
Sep 13, 2022|

Everything you must know about Subdural Hematoma.

What is a subdural hematoma?

Usually caused by severe head injuries, a subdural hematoma (SDH) refers to the collection of blood inside the head but outside the actual brain tissue. Bleeding occurs between the brain’s outermost layer, known as dura, and the next layer, the arachnoid.

Resulting from tears in the bridging veins, a subdural hematoma causes increased pressure on the skull, leading to damage to the brain tissue. If the pressure rises to a very high level, it can be life-threatening and lead to death.

Types of subdural hematoma

Subdural hematoma is classified into different types based on the amount of bleeding, the speed of its development, and the damage it causes. Following are the different types of SDH:

  • Acute subdural hematoma: The most dangerous type of subdural hematoma, its symptoms are severe and appear within minutes to hours of a head injury. Here, the blood pools quickly, leading to tremendous pressure on the brain, causing paralysis, unconsciousness, or even death. This type requires immediate treatment.
  • Subacute SDH: This type of SDH can occur due to a concussion. The symptoms are not that severe and present days or even weeks after the head injury.
  • Chronic SDH: Generally experienced by older people, this takes weeks to develop symptoms. It can even be caused due to minor head injuries. The symptoms appear slowly, making them difficult to notice.

Who is more likely to get a subdural hematoma?

The following are at risk of suffering from a subdural hematoma:

  1. Older people: The brain shrinks due to old age, leading the gap between the skull and the brain to widen. Due to this, the tiny veins in the membranes between the skull and the brain begin to stretch, causing a tear even during a minor head injury.
  2. Infants: Due to underdeveloped neck muscles and being unable to protect themselves from a head injury, SDH is seen in infants and young children after child abuse. It is known as ‘shaken baby syndrome’.
  3. Contact sports-playing athletes: High-impact sports such as football might cause a blow to the player’s head, increasing the risk of a subdural hematoma.
  4. Haemophiliacs: People suffering from haemophilia have clotting deficiencies. This can cause an increased risk of uncontrollable bleeding after a head injury.
  5. Alcoholics: Due to alcoholic liver damage, alcoholics cannot produce enough proteins that aid in clotting, increasing the risk of uncontrolled bleeding.
  6. Blood-thinning medications: Blood-thinners such as aspirin, warfarin, etc. slow down the clotting process or prevent the blood from clotting. This, again, increases the risk of uncontrolled bleeding even after a minor injury.

Symptoms of a subdural hematoma

Subdural hematoma symptoms include the following:

  • Severe headache
  • Nausea
  • Drowsiness
  • Dizziness
  • Imbalanced walking
  • Slurred (not clear) speech
  • Vision changes
  • Weakness and loss of muscle strength on one side of the body
  • Memory loss
  • Confusion and disorientation
  • Changes in personality

Severe cases of subdural hematoma show the following symptoms:

  • Breathing issues
  • Convulsions
  • Hemiplegia or Paraplegia
  • Unconsciousness or coma

Diagnosis of subdural hematoma

Your healthcare provider will perform a thorough physical examination by checking your blood pressure and heart rate, examining your eyes, and looking for any other signs of bleeding.

They will also ask you about any previous diseases, the medications you are on, the history of any injury, etc. Sometimes you may need to get an angiography to check for any bleeding in the vessels of the brain.

Besides that, they may order a CT scan and MRI of the skull and brain to locate the bleeding. They can then prescribe some blood tests to understand if there has been any blood loss indicating the presence of a subdural hematoma.

Treatment for subdural hematoma

The choice of treatment for a subdural bleed depends on the size and location of the bleeding and the patient’s symptoms.

Typically, those suffering from a subdural haemorrhage need hospitalisation, life support care, and surgical management. However, some hematomas are very small, and the body can absorb those with the help of non-surgical measures.

  • Surgical management: Draining out the hematoma through surgery reduces the pressure on the brain and relieves symptoms. Various surgical techniques are employed to manage a brain hematoma. Craniotomy and craniectomy surgeries are where a part of the skull is removed to drain out the hematoma. Sometimes, a burr hole is drilled into the skull to suction out the hematoma.
  • Non-surgical management: Very small hematomas mostly do not require surgery and are managed by close monitoring, bed rest, and medicines. Within a few months, the hematoma is absorbed by the body. Until then, regular CT scans and MRIs are performed to observe the subdural bleed and improvement in the symptoms.
  • Medicines: Doctors prescribe anti-seizure medication to prevent any seizures that may occur as a result of pressure on the brain caused by the hematoma. Anti-inflammatory medicines are prescribed to reduce brain inflammation.

Complications of subdural hematomas

A brain hematoma can cause complications depending on its size and location, the individual’s age and overall health, the severity of the injury, and some medications that may delay the healing procedure.

Seizures, permanent loss of muscle strength, brain herniation, and chronic numbness are some complications arising from subdural hematomas.

An extensive bleed or subdural hematoma bilateral can cause too much pressure on the brain and may lead to coma or even death.

Prevention of subdural hematoma

The prevention of a brain haemorrhage is targeted at eliminating the causative factors. Some types of hematomas may not be prevented; however, you can take measures to at least reduce the risk.

  1. Preventing head injury: Wearing a helmet or headgear while driving or involved in a high-risk job will save you from any head injury. Getting your eyesight checked regularly to prevent falls and avoiding any obstacles at home to prevent tripping are some other measures to avoid head injuries.
  2. Reducing alcohol intake: Excessive alcohol can increase the chances of bleeding during injury. Limit alcoholic beverages to two per day.
  3. Precautions while on blood thinners: If you are taking blood thinners, you might be at increased risk of having a brain hematoma. Therefore, be extra careful while you are on blood thinners.

Conclusion

Since subdural hematomas are life-threatening, they need to be prevented. If you develop them somehow, you need immediate treatment.

The CK Birla Hospital(R) is a leading healthcare institution that offers subdural hematoma treatment at all our state-of-art facilities. We have a qualified neurosurgery department with the latest facilities and technologies to manage these cases, along with the expertise of doctors who have conducted numerous surgeries.

Visit the CK Birla Hospital(R) or book an appointment with Dr. Rajeev Gupta

FAQs

How long can you have a subdural hematoma?

Some patients with a subdural hematoma may recover in a few weeks or months, while others don’t recover even after years.

How do doctors treat a subdural hematoma?

A subdural bleed primarily requires a craniotomy, a surgical treatment.

What are the chances of surviving a subdural hematoma?

About 50% of patients survive after a subdural haemorrhage, though permanent brain damage may occur after it has been experienced.

Can you fully recover from a subdural hematoma?

Depending on the location, size, and severity of the subdural hematoma, it may subside completely in a few months, or the residual effect may last for a long time.

Can subdural hematoma be treated without surgery?

Sometimes, small subdural hematomas can be managed non-surgically with regular monitoring.