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What you need to know about an Ectopic pregnancy
Jul 1, 2020|Dr. Astha Dayal

What you need to know about an Ectopic pregnancy

Pregnancy is a fascinating process that involves a lot of changes in a woman’s body. From the fertilisation of the egg to the delivery, several steps occur in the reproductive system.

In a normal pregnancy, the fertilised egg travels through the fallopian tubes and attaches itself to the uterus. However, if you have an ectopic pregnancy, the fertilised egg starts growing outside the uterus, somewhere else in the belly. It is also referred to as extra-uterine pregnancy.

As the fertilised egg grows, the fallopian tube may rupture, causing heavy internal bleeding and severe blood loss. Also, the blood can lead to scar tissue formation, which can further cause problems with future pregnancies. According to an NCBI report, ectopic pregnancy affects one or two in a hundred pregnancies.

What are the types of Ectopic pregnancy?

There are two different types of ectopic pregnancy, depending upon the location:

Tubal pregnancy

In most of the ectopic pregnancy cases, the egg implants in the fallopian tube, known as tubal pregnancy and starts growing in it. More than 90% of ectopic pregnancy cases happen in the fallopian tubes.

Related read:  Tubal ectopic pregnancy

Non-tubal Ectopic pregnancy

Nearly two percent of all ectopic pregnancies establish in other areas like the ovary, the cervix or the abdominal cavity. 

What does an Ectopic pregnancy look like?

In the initial phase of ectopic pregnancy, you experience the same typical pregnancy symptoms like missed period, nausea, sore breasts. Typically, after six weeks of pregnancy, you may experience some abnormal pregnancy signs.

Some early signs of ectopic pregnancy to look out for, are:

  • Vaginal bleeding, generally with a watery consistency and blood may be lighter or darker than your usual period.
  • The pain location of an ectopic pregnancy is usually one-sided. The stomach pain is typically low down on one side and might be severe and continuous.
  • Shoulder pain usually at the tip of your shoulder. This happens due to internal bleeding, which sometimes irritates specific nerves in that area that are directly connected to your shoulder.
  • Painful urination or faeces.
  • Diarrhoea due to rectal pressure.

It is vital to get medical advice if you experience any of the above signs of ectopic pregnancy. If delayed, it has the potential to cause life-threatening complications for the mother. 

What causes Ectopic pregnancy?

Certain factors can increase your chances of ectopic pregnancy:

  • A previous infection in the fallopian tube like salpingitis, which causes around 50% of ectopic pregnancies
  • A fallopian tube surgery which may cause damage, resulting in the possibility of an ectopic pregnancy
  • A history of infertility and getting fertility treatments
  • A previous ectopic pregnancy, which puts you at a 10 percent risk of another such pregnancy
  • Regularly using IUDs (Intra-uterine devices) and contraceptive medications
  • Smoking
  • Age (usually more than 35 years increases your risk)

However, it is important to note that it is possible to have ectopic pregnancy without any of the above risk factors. About a third of women in such cases had none of the ectopic pregnancy risk factors.

How is an Ectopic pregnancy diagnosed?

Blood test

Your doctor uses a blood test to confirm your HCG (Human Chorionic Gonadotropin) levels. In an ectopic pregnancy, the HCG levels remain low while in a normal pregnancy, the levels double-up every 48 hours in the initial weeks. In this way, regular blood tests give your doctor an idea of the possibility of developing an ectopic pregnancy.

Pelvic ultrasound

A transvaginal ultrasound can also confirm an ectopic pregnancy after a few weeks of conception. The radiologist places a wand-like tool into your vagina to produce images of the uterus through sound-waves and evaluate the pregnancy.

However, it is difficult to detect pregnancy with ultrasound in the initial few weeks so your doctor may go for blood tests to monitor your condition from early on.

What are the treatment options for Ectopic pregnancy?

At present, there is no technology to move an ectopic pregnancy to the uterus, and unfortunately, your doctor cannot save it. Depending on your case, an ectopic pregnancy treatment plan includes both surgery and medication.

Surgery

Laparoscopy, also called key-hole surgery, is usually performed to remove the ectopic tissue. It involves a tiny incision on the pelvic skin to remove the pregnancy. The recovery time for an ectopic pregnancy surgery is the least in laparoscopy, making it a preferred option.

In a tubal pregnancy, the best effort is made to leave the fallopian tube intact for higher chances of a healthy pregnancy in future. However, in some instances, depending on the extent of damage, a portion of the fallopian tube requires essential removal. 

If the scar tissue is massive and the internal bleeding is severe, your doctor may perform laparotomy, requiring a larger incision.

You may or may not experience any side-effects after ectopic pregnancy surgery. However, it is essential to take care of the incisions after surgery to avoid any sort of infection. Make sure to keep them clean and dry till they heal completely.

Medication

When the pregnancy is detected at an early stage, your doctor may use drug therapy for ectopic pregnancy treatment. Methotrexate is a common drug which stops ectopic tissue cells from growing and dissolves the existing cells. The doctor gives this medication as an injection and performs regular blood tests to monitor its effectiveness.

This method saves you the risk of fallopian tube damage that comes with ectopic pregnancy surgery.

FAQs

Ques 1: Is there always pain with ectopic pregnancy?

Ans: Usually, there are signs of pain and discomfort in an ectopic pregnancy. You may experience vaginal bleeding, pelvic pain on one-side, and shoulder tip pain after around six weeks of pregnancy. 

Ques 2: Can a baby survive in an ectopic pregnancy?

Ans: Unfortunately, the embryo can’t develop to term anywhere other than the uterus. Hence, such pregnancies must be removed by the doctor as early as possible to avoid serious complications.

Ques 3: Can women get pregnant after an ectopic pregnancy?

Ans: Most women can have healthy pregnancies after an ectopic one. Even if one fallopian tube is damaged during your pregnancy, the egg can still fertilise as usual in the other one. 

Ques 4: How can I prevent an ectopic pregnancy from happening again?

Ans: It might be difficult for you to fully prevent an ectopic pregnancy. But you can still try to minimise some of the risk factors associated with it by making some lifestyle changes. 

Parting thoughts

Although it’s challenging to cope with a lost pregnancy, do not lose hope. The next time you get pregnant, call your obstetrician right away. Your doctor can monitor your pregnancy from the start for any possible abnormality or complication.

What to do when you suspect infertility
Jun 20, 2020|Dr. Astha Dayal

What to do when you suspect infertility

If it has been more than a year of unsuccessful attempts at conceiving, it is time that you should consult your doctor. For women who are already 35 years or older need to consider this time period as 6 months and should see a doctor after 6 months of unsuccessful attempts.

Women above the age of 40 years must consult a doctor within 6 months of unsuccessful attempts at conception. With progressing age, the chances of getting pregnant decrease as the body undergoes through changes.

What would the initial line of treatment be like?

  • The initial steps would consist of tracking your ovulation cycle and synchronizing it with intercourse, monitoring of your basal body temperature and testing of cervical mucus etc.
  • Some doctors may advise ovulation-inducing medications for a few cycles before proceeding ahead with other diagnostics or treatment methods.
  • Sometimes, couples consider themselves infertile soon after trying for a short duration. It is important to note, that a couple is called infertile only after a year of unsuccessful attempts at conception.
  • When you cross that one-year period, and efforts like synchronizing ovulation with intercourse fail to give positive results, your doctor might ask you to undergo certain diagnostic tests for both partners after a thorough physical examination and medical history discussion.

Causes of infertility

  • In one-third of fertility cases, female factors play the major role, in another third male factor are responsible and in remaining one third the cause remains unknown, despite everything being normal, the couple fails to conceive.
    Hence it is important to get both the partners treated and then treat the cause.
  • For testing male fertility factors, a semen analysis will be recommended to analyse the sperm count, motility and overall shape and structure of the sperms.
  • A female having issues with conception a gynecologist needs to be consulted, similarly, for male factors of infertility one must consult an andrologist.

Tests & diagnosis

  • Your doctor will discuss your social history, sexual history (including the history of sexually transmitted diseases, previous pregnancies, abortions, miscarriages, etc.), medical history, family history, lifestyle habits (including smoking, drug abuse, alcohol dependency, tobacco consumption, any medication, etc.).
    In some cases, minor changes in lifestyle habits and sexual behavior can help in conception and further tests or treatment may not be required.
  • Blood investigations, to understand the hormonal levels may be needed.
  • Thyroid or other hormonal disturbances might make pregnancy difficult, and hence, bringing them back to normal can be extremely helpful.
    Similarly, cases, where obesity is the major reason for infertility, can be tackled with some amount of weight loss only.
  • Stressful life is another major reason for infertility nowadays and can be controlled with counselling.
  • Your doctor may advise you to undergo an X-ray or a pelvic ultrasound to check the anatomical structure and rule out any abnormality which might have been interfering with conception.
    Certain conditions like Polycystic ovarian syndrome (PCOS), endometriosis or Pelvic Inflammatory Diseases (PID) can make conception difficult.

The diagnosis of infertility can be completed within a few menstrual cycles as the doctor needs to be watchful about the changes your body undergoes during every menstrual cycle.

Read: Lifestyle Tips for PCOS

Emotional aspects of infertility

It is often shocking and takes time to accept infertility. It can be extremely challenging emotionally and take a toll on mental health.

Given the fact that the condition may take years to resolve or might not resolve often makes it all the more difficult to be acknowledged.

It is important to talk to your doctor and explore all the available treatment options. Emotional stress can further derange the hormonal levels and complicate conception further.

Treatment of infertility

In most cases of infertility, the commonly advised female infertility treatment is to undergo Assisted Reproductive Treatment. However, the rate of success of this method depends on multiple factors and vary from couples to couples.

The factors are largely uncontrollable and hence the success rate can’t be predicted accurately. Your doctor will brief you about all the assisted treatment methods (which includes IVF, IUI etc. Fertility related procedures) available as per your condition.

You might be subjected to multiple types of procedures depending on the efficacy of the initially chosen method or may have to undergo through the same procedure multiple times in multiple ovulation cycles to make it successful.

Is it safe to drink saffron (kesar) milk during pregnancy & will it influence my baby’s complexion?
Jun 17, 2020|Dr. Astha Dayal

Is it safe to drink saffron (kesar) milk during pregnancy & will it influence my baby’s complexion?

Saffron, also known as Kesar, is famous in various cuisines for its rich flavor and color. An exotic spice derived painstakingly from the flowers of Crocus sativus, saffron is also known for its medicinal properties and forms a part of several Ayurvedic recipes. 

Many women believe that they must consume saffron during pregnancy for a fair baby. However, it must be noted that the skin color of a child is genetically determined, and it hasn’t been scientifically proven whether saffron can impact the complexion of a newborn baby or not.

Yet, Kesar is highly recommended in India for pregnant women, and they stand to reap the benefits of drinking saffron milk during pregnancy when taken in prescribed quantities.

If you are pregnant and confused about introducing saffron in your diet, here’s all you need to know about this exotic spice and how it can help you.

Is it safe to drink saffron milk during pregnancy?

Let’s start with the first question that most pregnant women have regarding saffron. Drinking Kesar milk during pregnancy or introducing saffron in your diet in any form is generally safe and beneficial. However, excessive intake of Kesar during pregnancy can lead to some undesirable issues, which is why it is important to regulate your intake.

According to Ayurveda and ancient wisdom, pregnant women may benefit from consuming 125 mg of saffron, twice daily. The best way to consume saffron is by preparing saffron milk in 2 easy steps:

  • Add a few strands of saffron in warm milk and stir.
  • Let the mixture stand for 5 to 10 minutes before consuming it.

In general, clinical studies have reported dosages up to 1.5 gm per day of pure saffron to be safe. Consuming more than 5 gm of pure saffron may have toxic effects on individuals.

Benefits of saffron during pregnancy

Saffron, the most expensive spice in the world, is traditionally used for treating mild to moderate depression and also recommended to pregnant women with milk for its medicinal properties. Below, we have shared how you can benefit from saffron during pregnancy when taken in a controlled manner:

Prevents high blood pressure

High blood pressure is a common problem faced by several expecting mothers and can lead to complications if left unchecked. Saffron is proven to reduce blood pressure, owing to the presence of crocin and safranal – which are effective in combating hypertension in humans. However, it is recommended to have Kesar in limited quantities as excessive consumption may lead to a dangerous drop in your BP.

Also, Read: Lifestyle Changes and Blood Pressure Control

Improves digestion

Many women complain of constipation, bloating, and heartburn during pregnancy, which is a result of improper digestion. Regular intake of saffron is known to alleviate these symptoms by reducing acidity, improving blood flow, and boosting the metabolism in general.

Relieves morning sickness

Morning sickness or nausea can take away the joy of your pregnancy. Unbecoming of its name, morning sickness does not occur only in the early hours of the day. It can happen at any time and leads to extreme discomfort in many cases. Saffron-infused tea, which soothes the digestive system, may relieve morning sickness when taken in limited quantities. 

Prevents mood swings

Drinking saffron milk in pregnancy can treat mild to moderate depression thanks to its mood-altering properties. For the same reason, its anti-depressant properties work to reduce mood swings in pregnant women, reducing anxiety, depression, and irritation in the gestational period.

Reduced hair fall

Hormonal fluctuations during pregnancy lead to hair fall in many pregnant women. According to ancient wisdom, applying a paste of saffron, milk, and liquorice can prevent hair fall during pregnancy and also stimulate hair growth. 

Relieve muscular cramps

Many women complain of muscular cramps in legs and abdomen, and joint pain in the third trimester. Saffron, which has anti-spasmodic and antinociceptive properties, can help in relieving excessive contractions in the muscles and relax the joints, reducing muscular pains during pregnancy.

Does eating saffron during pregnancy make baby fair?

Will saffron make the baby fair? This is a common question asked by pregnant women in India. First and foremost, many Indians have a naturally dusky complexion, which is suitable for the Indian climate. Second, having fair or dark skin does not reflect on the health of the baby, and is determined by the genes of the parents rather than the consumption of any food product or spice by the mother.

Till date, there has been no proven scientific relation between drinking Kesar milk in pregnancy and the complexion of a child. However, saffron is believed to improve skin texture and may be consumed in a controlled manner for healthy skin and other benefits, as mentioned above.

Women in which month can take saffron during pregnancy?

Pregnant women can start taking the recommended dosage of saffron at any time during their pregnancy. However, it is safer to avoid saffron in the first trimester. Ayurveda suggests the consumption of saffron only after the fourth month of pregnancy when you start feeling the movement of the baby in your womb. 

Can saffron cause miscarriage?

Saffron, though beneficial in limited amounts, can lead to toxicity when consumed in larger quantities. Research on rats has indicated that oral consumption of saffron can induce premature labour and abortion, and a possible link to human abortion is suspected when consumed in higher quantities.

Some pregnant women may be sensitive to saffron and experience symptoms like:

  • Nausea
  • Anxiety
  • Dry mouth
  • Bleeding from the nose
  • Numbness of the eyelids and lips

Drinking saffron milk during pregnancy may also lead to vomiting in some pregnant women. 

Conclusion

Clearly, there are many benefits of saffron milk during pregnancy. However, pregnant women must stick to the recommended dosage to avoid any complications and health issues.

If you face any of the above symptoms, stop consuming saffron immediately and book an appointment with the best gynaecologist in Gurgaon. In general, it is best to discuss any diet changes with your doctor when expecting to avoid any complications or unnecessary discomfort. 

Book an online appointment at CK Birla Hospital for instant expert care to ensure a healthy and comfortable journey to motherhood.

Also, Read: How to Prepare Your Body for Pregnancy: A Complete How-to Guide

What makes kids picky eaters and what may help them get over it
Jun 16, 2020|Dr. Saurabh Khanna

What makes kids picky eaters and what may help them get over it

Picky-eating toddlers are common in every family. Generally, the peak age for fussy eating behaviours in a child is 3 years. A survey on the topic carried out on 4,000 children concluded that the majority of the kids are picky eaters at one time or the other. But, just the condolence that your child is not the only picky eater will not work for you. 

You might feel the stress once your kid gets into the habit of throwing tantrums at the dinner table. Before looking at the tips for your fussy-eating toddler, it is necessary for you to know the root cause of the problem.

The reason behind your kid’s fussy eating habits 

In the very first place, you should know that there are different environmental influences and biological factors that can make kids move away from healthy eating habits. We will have a look at them below: 

Eating habits at home 

The home eating environment has an important role to play in influencing selective eating behaviours in a child. Simply put, children get accustomed to eating foods that are frequently on their dinner table. They become familiar with and even start accepting general food groups and specific dishes that the family eats together. 

For example, if your child gets into the habit of having salty pasta with a bit of variation in spices, veggies, and proteins, he or she might not like having anything other than that. In the same way, if you offer dessert at the end of a meal, your child will always expect sugary treats after meals. So, the kid will ultimately develop an irresistible craving for sugar. 

Innate tastes 

Several studies over the years show that people have this natural bend towards salty and sweet snacks – and children are no exception. Given a choice, a child of almost any age will reach out for innately satisfying food. This can be something sweet or salty over something bitter, bland or sour. 

Tips for picky eaters and toddlers

Regardless of the causes behind your picky-eating toddler, the question remains, what do you need to do? Some tips that can help you out are as follows: 

Try eating at specific times 

Rather than having lunch with the entire family at 1 pm only to switch to 2 pm the next day, meals and snacks should be offered at a set time regularly. The best way to go about this is to allot a particular time for meals and at least two snack-times during the entire day.

In between meal times, your child should just have water and nothing else. This way, he or she will remain hydrated and not be full before mealtime. So, you will have a hungry child at the table. 

Making mealtimes fun and pleasant 

Your kid’s willingness to taste a certain food will completely depend on the environment. Low-stress and pleasant mealtimes can be of good help here. Work on making mealtimes social, regular, and happy occasions. Do not worry about spilled food or drinks on the floor. 

When preparing healthy food for picky eaters, starting small will help to a considerable extent. Guide your child on trying out new food and praise him for making an attempt. Do not force your kid into trying any food he doesn’t want to. Ignoring your fussy eater will encourage him or her to keep away from this habit. 

Distractions are a big no

Snacks and meals are essential for children. Therefore, they should have them properly and in adequate proportions. Distractions like computers, mobile phones, and television might not help them develop healthy eating habits. Mealtime should typically involve having food and interacting with the entire family. 

Books, toys, music and TV are for playtime and not for mealtime. Make sure your child is away from these distractions if you want to change their fussy eating habit. 

Go for variety 

Of course, you must look for variety in the food you serve. But this does not mean you must make compromises on choosing healthy food for picky eaters. Try offering different types of fruits and vegetables along with foods high in their protein content such as deboned fish and meat. Serve these to your child at least twice during the week. 

An important tip for fussy-eating toddlers is to guide your child in exploring new food textures and flavours. Also, work your way out in minimising waste. If you are introducing them to any new food, start with small quantities. You also need to wait for at least one week before offering the same food all over again. 

FAQs

Ques: How do I stop being picky eating? 

Ans: Always keep in mind that kids love choosing what they want to have for a meal. So, it will work for you to ask your child about his preferences.

Of course, you must plan a balanced meal for your kid while taking his choices into account. If you factor in your child’s food preferences every day, with time, he will stop being a picky eater. 

Ques: How do picky eaters change habits?

Ans: Picky eaters will change their habits only if they get small portions of healthy food regularly. Parents have to acknowledge that improving food habits in children is a gradual process and requires a fair amount of time.

To make the process easier, you can play into your child’s tendency to imitate you. As a parent, you can be a role model for their healthy eating habits. Your toddler will learn to eat things you eat and soon give up the habit of being a fussy eater. 

Conclusion 

Picky eaters are not just children who do not like to eat fruits or vegetables. They may also have a habit of eating the same food repeatedly. So, you need to follow these tips for picky eaters and toddlers and plan accordingly to change their practices. 

As a parent, it is quite natural to be concerned about the health and diet of your child. Understand that being selective around food is normal during the developmental stages of a toddler. Patiently guide your kid on the path towards healthy and nutritious eating. 

If nothing seems to be working, consult a pediatrician. They can help in troubleshooting problems and ensure that your child has a balanced and nutritious diet regularly. 

Related Read: Taking Care of Your Fussy Eating Toddlers

Everything you need to know about prostate enlargement: Benign prostatic hyperplasia
Jun 10, 2020|Dr. Shalabh Agrawal

Everything you need to know about prostate enlargement: Benign prostatic hyperplasia

The prostate is a part of the male reproductive system. It is a small gland situated below the bladder and ahead of the rectum. The prostate gland is responsible for making some of the ejaculatory fluid in your semen.

If you are anxious about your prostate health or experiencing any discomfort or pain during urination, then this article may help shed light on some or all of your issues. 

What Is Prostate Enlargement? 

Prostate enlargement is a common occurrence for the prostate to grow in size as men age.  As the prostate becomes larger, it firmly presses against the urethra. As a consequence of this, problems like the delayed release of urine, frequent urination, and pain during urination arise.  

The condition mentioned above, commonly known as ‘Benign Prostatic Hyperplasia (BPH)’, is noticeable in approximately one-third of men older than 50 years and prevalent in up to 90% of the men by the age of 85.

Is an enlarged prostate serious?

Benign prostatic hyperplasia is not unusual just as it is not serious, typically. However, a range of treatments and procedures exist to treat prostate enlargement, just in case it gets serious. Contrary to popular belief, an enlarged prostate is not cancerous and does not cause prostate cancer, but severe BPH can result in other complications. 

What is the main cause of prostate enlargement?

The exact causes of prostate enlargement are unclear. Popular speculation and large evidence suggest four main reasons for BPH: 

  • Ageing
  • Inactivity
  • Obesity
  • Hormonal imbalance

How do you check if your prostate is enlarged?

An individual may have an enlarged prostate if he is showing one or more of the following BPH signs and symptoms

Problems while urinating 

Despite a frequent urge to urinate, there may be a delay before the urine is released. You might have to put in more effort for the urine to release and sometimes it could even be a false alarm. These are highly ubiquitous BPH symptoms

Difficulty to control urination 

If your prostate is enlarged, you might notice that it is increasingly difficult to control your urine for longer periods. You may be unable to sit for longer periods without having to urinate soon. 

Nocturia 

One of the signs of BPH is ‘nocturia.’ It refers to the condition where you are unable to sleep for continuously long hours without having to wake up and urinate. Generally, you might have to urinate every 6 to 8 hours. 

Pain during urination and in the bladder 

As the enlarged prostate presses against the urethra, the tube that releases the urine and squeezes it, you may experience mild or severe pain in the bladder. The intensity of the pain depends on the severity of your BPH condition. 

The feeling of urine retention 

Even after you have just urinated, you may feel that it was incomplete and your bladder has not been emptied yet. 

UTI and blood in the urine 

Urinary Tract Infection (UTI) and the presence of blood in the urine are among the prostatic hyperplasia symptoms but are rarely seen. These symptoms are more common in the extreme cases of BPH. 

What is the best treatment for an enlarged prostate? 

The treatments for BPH can range from simple dietary changes to minimally invasive surgery, and in some cases, even the removal of the prostate gland. 

Stand by 

If the BPH symptoms that you are observing do not seem to bother you much, then it is likely not very severe and can be cured over time. Simple lifestyle and dietary changes can do wonders, especially if you are young, and your condition is not severe.  

Consult a doctor and have regular checkups to monitor your health and condition. 

Medication 

A common practice while treating BPH with allopathic medication is the usage of ‘alpha-blockers.’ Alpha-blockers help relax the prostate and bladder that make urination easier and relieve you of some or all of the symptoms.  

Since the exact type of medication also depends on other factors such as your overall health and age, kindly consult a doctor before proceeding further. 

Surgery 

There are several types of surgical operations to treat BPH symptoms. Below is a list: 

  • Transurethral Resection of the Prostate (TURP)
  • Transurethral Incision of the Prostate (TUIP)
  • Transurethral Microwave Thermotherapy (TUMT)
  • Transurethral Needle Ablation (TUNA)
  • Prostatic Urethral Lift (PUL)
  • Laser Therapy

Laser therapy is among the preferred surgical methods as it is minimally invasive (apart from TUMT and PUL) and has relatively lower side effects. But it may not be necessarily the best treatment for you.  

Kindly consult a doctor to help you figure out the most suitable surgical method to treat your BPH condition. 

How to prevent prostate enlargement? 

You can incorporate a multitude of practices in your routine to prevent prostate enlargement. Although these methods are not 100% effective, they certainly reduce the likelihood of developing BPH.

Lifestyle changes

Cutting down alcohol consumption is essential to treat the symptoms of benign prostatic hyperplasia. Alcohol increases the frequency of urination. Additionally, it is important to stay active by exercising and also to follow a healthy diet.  

Food

Be sure to incorporate anti-inflammatory foods in your diet, such as:

  • Green leafy vegetables, tomatoes, and carrots
  • Almonds and walnuts
  • Oranges
  • Basil
  • Turmeric

Zinc supplements are useful in preventing BPH. You can also lean towards dietary sources of zinc like: 

  • Sesame seeds
  • Pumpkin seeds
  • Eggs
  • Legumes
  • Whole grains

Drinking green tea is also a good practice as it helps to limit excess urination and is rich in antioxidants.   

Are you susceptible to BPH? 

Any male above 40 or 50 years of age is naturally susceptible to prostate enlargement than those younger to them. 

You are likely to be at greater risk if you have the following: 

In closing

Turning a blind eye to benign prostatic hyperplasia symptoms can aggravate the condition and call the need for surgical intervention. It is strongly advised that you don’t jump to conclusions through self-diagnosis. If you experience any symptoms, consult a doctor to acquire more clarity.  

There is no standardised treatment procedure for all patients. The treatment varies from one person to another and depends on various factors like allergies, overall health, fitness, height and weight. Consulting with an expert will help you make appropriate decisions for what is best suitable for you. 

Also, Read: The Growing Problem Of An Enlarged Prostate Gland

4 Types of foot pain one should not ignore
Jun 9, 2020|Dr. Anuj Chawla

4 Types of foot pain one should not ignore

Muscles, bones, tendons, and ligaments build up the feet that aid in all kinds of physical activity. All of these together are responsible for making one walk, run, or even stand. Individuals must take care that all the elements are working correctly for maximum movement.

Although minor issues in the foot can be checked over by general medical doctors, in case of specific ache or problem, the foot needs to be diagnosed by a podiatrist

Different types of foot pain

Although there are many types associated with foot pain, there are four aches that need special attention.

Metatarsalgia                                                                  

Metatarsalgia affects the ball of the foot. Although it is a common cause of foot pain, the pain is usually ignored and not treated medically. The condition is common to see in people who are overweight or spend a lot of time running or standing.

Even shoes with improper soles could cause pain in the ball of the foot. Many other aches are similar to metatarsalgia; hence it is vital to get the condition checked out by a podiatrist to get a proper diagnosis.

The standard treatment options for metatarsalgia include:

  • Physiotherapy exercises focused on loosening calf muscles
  • Using ice packs
  • Over the counter pain killers
  • Wearing comfortable footwear, especially with metatarsal pads

Surgery is a last resort to treat the issue, depending on what is causing the foot issue. 

Ingrown toenails

Ingrown toenails are a physical condition where the edges of your nails grow into the skin surrounding the nail. Although it can affect any toe, it is mostly seen in the big toe of the foot. The toe becomes inflamed where the nail pieces the skin, followed by swelling and pus discharge. 

Ingrown toenails are primarily seen in middle-aged and older people, and also in those people who have sweaty feet. No research indicates that ingrown toenails are genetic; it is usually caused by wearing tight footwear and following incorrect foot hygiene. 

You can treat ingrown toenails at home with simple remedies which include:

  • Soaking feet in warm water
  • Manually removing the nail
  • Oral and topical medicines (for severe cases)

if these are ineffective, the wound requires minor surgery to remove the accumulated pus or part of the toenail.

Bunions

A bunion is a bump that forms on the joint that connects the big toe to the foot. A bunion mainly affects the big toe and causes it to lean in towards the second toe. In this way, bunions can cause pain and discomfort in the second and third toe.

Other toes may develop physical deformities like a hammertoe, claw toe, or mallet toe. Any pain in the toe or swelling around the joints should be communicated to a podiatrist as soon as possible.

You can get bunions due to the following conditions:

  • Rheumatoid arthritis
  • Birth deformities
  • Hereditary conditions
  • Foot injuries
  • Wearing improper footwear

Necessary measures to treat bunion pain and stop further progression of the condition include:

  • Wearing the correct footwear
  • Practising physiotherapy

In case these measures are insufficient, the next step is surgery, where the big toe is manually aligned back to its place.

Heel pain

Heel pain is one of the most common foot problems. Heel pain usually manifests in the back of the ankle and is often caused by plantar fasciitis (heel spur movement). Conditions like arthritis, tendonitis, stress fractures, nerve irritation and in rare cases, cysts can also cause heel pain. The pain is generally mild, which goes away on its own without any treatment. However, if the pain escalates and becomes chronic, a podiatrist is needed to provide accurate diagnosis and treatment. 

Heel pain is typically seen in:

  • Obese people
  • Runners
  • Women
  • Those who wear tight footwear

The treatment methods for heel pain entail:

  • Wearing comfortable footwear
  • Simple physiotherapy exercises
  • Extracorporeal shock treatment for severe cases
  • Surgery in case the condition does not improve

Also, Read: Foot and ankle pain: Everything you need to know

How is foot ache diagnosed?

Usually, a simple discussion, along with physical examination, is enough in case of minor foot problems. In case of severity or lack of detailed information, the doctor would recommend some of the following options: 

  • X-rays – to get a proper look into the foot and rule out broken bones as a cause of pain.
  • Blood Tests – to rule out infections in wounds.
  • Foot Exercise Tests – to know the exact pain point in the foot, usually done to assess the arch of the foot.
  • Nerve Conduction Tests – to rule out the pain caused by nerves in the foot.

Should you use home remedies for foot pain?

Foot ache caused by heel pain, bunions, metatarsalgia, and ingrown toenails can first be treated with home remedies. Soaking feet in warm water is one of the most common ways to help relieve pain.

Podiatrists can properly diagnose severe foot issues. Depending on the severity and complexity of the problem, a podiatrist would prescribe drugs or recommend surgery. 

Any significant foot problems must be taken care of by a specialist, i.e., a podiatrist rather than a general doctor. A podiatrist would have a more practical and effective approach in comparison to a general medical practitioner.

Can foot pain be prevented?

While treating foot pain is easy and manageable, you can take some measures to prevent foot pain altogether.

  • Wearing proper footwear is the best way to prevent multiple issues causing pain in the foot.
  • Take regular breaks and proving relief to aching feet.
  • Take care that the ligaments of the foot are not stressed by walking or running on hard surfaces.
  • Maintain proper weight to avoid excess stress on the feet.
  • Treat inflammatory diseases prudently to help prevent foot pain.
  • Exercise regularly to maintain flexibility in the foot ligaments.

Conclusion

Although foot pain is quite common, it is easily preventable if you learn to take proper care. If you want to avoid these conditions, the first indicator that you should look out for is foot pain. In such cases, the worst thing to do is ignore the discomfort.

Immediate medical attention is necessary if basic remedies are not enough to reduce the pain. You can book an appointment with Dr Anuj Chawla, a Gurgaon-based podiatrist.

A Guide to Increasing Baby Weight When 9 Months Pregnant
Jun 6, 2020|Dr. Astha Dayal

A Guide to Increasing Baby Weight When 9 Months Pregnant

The third trimester of pregnancy is when the fetus gains most of its weight. During this period, its lungs fully develop, hair and nails grow, movement increases, and more. This is also the period when fat starts to build up to help keep its body temperature as well as energy.

To support all this growth, your doctor may advise you to increase your food intake. According to the American Pregnancy Association, your baby gains around 1/2 pound (266.6 gms) each week during the 9th month of pregnancy. This requires adequate nourishment and monitoring to ensure that your baby’s growth is not hampered.

What Are the Reasons You Aren’t Gaining Enough Weight?

Knowing the estimated foetal weight is crucial as it can help monitor the baby’s growth and ensure proper development. It aids in identifying potential issues and guiding appropriate prenatal care. It is advisable to consult your healthcare provider for accurate assessments.

Each person is different and subject to multiple factors that affect weight and response to food intake. Some common reasons why you might not be hitting the weight marks could be:

  • Insufficient or inconsistent dietary habits
  • Underlying medical conditions
  • Stress
  • Metabolism issues
  • Vigorous exercise

Make sure to keep a note of your weight gain and food habits as this impacts your baby’s growth.

You Can Also Read: Breech Baby – everything you need to know

What is the Recommended Foetal Average Weight?

Foetal weight is typically estimated using ultrasound. The measurement involves assessing the baby’s head circumference, abdominal circumference, and femur length. These values are used in a formula to estimate weight.

The last few weeks of pregnancy are when the baby’s weight and development rapidly increase. Below is a chart of the normal weight of a baby during the 9th month of pregnancy.

Foods That Help Increase Baby Weight

Deficiencies in certain vitamins and minerals can stunt your baby’s growth. To increase the weight of your baby in the 9th month of pregnancy, you can include the following foods in your diet:

  • Yoghurt: Packed with prebiotics, protein, and calcium, it helps meet nutritional and mineral requirements. You can eat this along with whole oats or topped with fruits.
  • Fish: Fish is great for supporting fetal growth as it holds Omega-3 fatty acids that help boost your baby’s brain growth. It also contains protein essential for the development of skin, hair, muscles and other cells.
  • Caution – Thoroughly clean and cook fish before consumption. Avoid fish with have high levels of mercury like Swordfish, Bigeye tuna, King mackerel, etc.
  • Dried fruits and nuts: Nutrient-dense, a small portion of them gives you the benefit of nutrients like Iron, Potassium, Magnesium and Vitamin E.
  • Avocados: A source of Vitamin C, Folate and Vitamin B6, this fruit is a great healthy fat to add to your diet.
  • Poultry: Eggs and chicken are great sources of protein. They help increase fetus weight along with the benefits of low cholesterol and Omega fatty acids.
  • Soybean: A protein substitute for vegetarians, it also contains iron, healthy fats and fibre along with other minerals.
  • Broccoli: Rich in B vitamins, calcium and minerals, this cruciferous vegetable also helps produce Vitamin A in the body.
  • Berries: Filled with antioxidants, Vitamin C and safe carbs, they serve as great sweet snacks. 

Balance is key when it comes to foods that increase fetal weight in the 9th month of pregnancy. Monitor your diet and do not go overboard with any particular food.

Ensure that whatever you eat is unprocessed and avoid canned foods. Take the time to read food labels and understand the nutritional value of what you purchase and consume.

Whatever you consume directly impacts your baby’s health. Try eating around 5 to 6 times a day in controlled quantities in case you aren’t comfortable with large meals or are experiencing a loss of appetite.

You Can Also Read: Hypertensive Disorders in Pregnancy

What are the Benefits of Maintaining a Healthy Weight During Pregnancy?

In addition to ensuring the safe and healthy growth of your baby, you also benefit from the following by maintaining a healthy baby weight during the 9th month of pregnancy:

  • Less likelihood of miscarriage and premature birth
  • Reduced risk of low birth weight.
  • Balanced sugar levels help especially during the time of birth. (As the body’s resistance to insulin increases over the course of pregnancy)
  • Fewer long-term risks to the baby (diabetes or obesity)

This chart is an average estimate; your doctor’s recommendations to your pregnancy may vary.

Tips to Be in Your Best Health During the 3rd Trimester

Caring for yourself during pregnancy involves three essentials: physical well-being, mental well-being and fetal well-being. While most of your concentration will be on fetal well-being, you should maintain a positive balance among all three. Below are a few pointers:

  • Eat as directed by your doctor and make sure that you do not shy away from healthy fats as they, as opposed to common belief, facilitate fetal weight gain in the 9th month rather than contribute to excess weight gain.
  • Keep a proper exercise routine. If you have a rigorous schedule, cut down to a short walk or yoga but do not completely stop unless advised by your doctor.
  • Drink plenty of water. Staying hydrated ensures proper circulation, and reduces swelling and risks of UTIs.
  • Avoid unnecessary stress and be sure to share your anxieties and fears with loved ones.
  • It is common to have trouble sleeping due to fetal movement, body aches, or even your bump. While sleeplessness will not affect your baby, it is essential to get enough sleep to prevent exhaustion.

Conclusion:

Various factors play a role when it comes to maintaining an ideal baby weight in the 9th month of pregnancy. Some methods may work, and others might not, depending on your body type and medical history. Be sure to take your doctor’s advice and reach out immediately if you see signs out of the ordinary like:

  • Vaginal bleeding
  • Drastic swelling in your face or hands
  • Nausea that does not subside
  • An abrupt drop in your baby’s movements

Also, Read | How to Prepare Your Body for Pregnancy: A Complete How-to Guide

FAQs

How Can I Increase the Baby’s Weight in the Womb?

To support healthy foetal growth and increase baby weight, you have to focus on your well-being by eating a balanced diet, taking prenatal vitamins, attending regular check-ups, staying hydrated, getting adequate rest and managing stress.

Which Fruits Are Best for Foetal Weight Gain?

Fruits rich in essential nutrients for foetal development include bananas (potassium, folate), avocados (healthy fats, folate), oranges (vitamin C, folate), berries (antioxidants, fibre), papayas (vitamin C, folate) and apples (fibre, vitamins). 

How is Foetus Weight Measurement Done?

Foetal weight is typically estimated using ultrasound. The measurement involves assessing the baby’s head circumference, abdominal circumference, and femur length. These values are used in a formula to estimate weight.

Is It Important to Know Your Foetal Weight?

Yes, knowing the estimated foetal weight can help monitor the baby’s growth and ensure proper development. It aids in identifying potential issues and guiding appropriate prenatal care. Consult your healthcare provider for accurate assessments.

12 everyday tips for foot care in diabetes
Jun 3, 2020|Dr. Anuj Chawla

12 everyday tips for foot care in diabetes

Diabetes is a health problem that can affect several body parts, one by one. One in six people with diabetes resides in India with an estimated number of 77 million. It has been observed that 10-15% of people with diabetes will develop a foot ulcer at some point of time. A survey done in 2014 revealed that only 54% of diabetics in India were aware that diabetes could lead to foot problems and only 22% had their feet examined by a health worker or doctor.

Do you know that it can affect your feet too? If you have a minor cut on your feet, it can turn into a significant wound because diabetes impairs the wound healing in your body. Also, you may not be able to feel anything in your feet because of nerve damage. Because of diabetes, blood flow to your feet is obstructed as well. This will cause a small wound to amplify into a stubborn infection, due to which you face the risk of amputation.

Tips for diabetic foot problem

In case you suffer from diabetes, you need to take precautions to protect your feet and hence avoid any serious foot problems. Guidelines you need to follow to avoid Diabetic foot problem are as follows:

Soaking your feet in lukewarm water

You must keep your foot clean always. Treat your foot like you will take care of a newborn baby. Use lukewarm water to soak in your foot and clean them. Avoid excessively hot water.

Regular inspection of your feet

You need to check your feet regularly for blisters, cuts, swelling, redness, or nail problems. You can use a magnifying hand mirror to check the bottom of your feet. Do seek help from your doctor if you notice something suspicious.

Be gentle with your feet while cleaning it

Use a soft sponge and washcloth to wipe your feet. Dry your feet by gently patting it, especially between the toes. 

Trimming nails carefully

You need to cut your nails straight across. Also, do not forget to file the edges of your nails. Don’t trim your nails too short as it risks the development of ingrown toenails. If you are worried about your toenails, then you can seek the advice of your foot and ankle specialist. 

Moisturizing your feet but not between the toes

Always use a moisturizer to prevent itching and cracking of your dry skin. But you must always keep in mind that the place between your toes should not be moisturized as this may risk the development of a fungal infection. 

Proper treatment of the corns or calluses

If there are corns and calluses, then you should not try to treat them all by yourself. You must visit your doctor to get rid of them.

Getting your foot examined periodically

This is one of the essential guidelines that you need to follow if you want to avoid the Diabetic foot problems. You must get your feet regularly examined from your foot and ankle expert.  

Keeping your diabetes under control

It is always necessary to keep a check on your blood sugar level to prevent Diabetic foot problems.  

Quit smoking

Smoking will accentuate worsening of blood flow in your feet. Hence if you are a diabetic person and also have a habit of smoking, then it is high time that you quit smoking forever.

Wearing slippers or shoes while walking

You cannot afford to walk barefoot even at your home. You must wear a sandal or boots to avoid any cut or injury at your feet.

Inspect inside of the shoe before wearing

Always shake and feel for the inside of the shoe to look for any pebbles or nail inside as you may not feel it when you wear it.

Exercise

Walking helps in controlling the weight and improves circulation. Wear properly measured and fitted shoes as the size and shape of your foot may change with time.

Related Read: Complications in Diabetes And How to Avoid Them

Are genetic testing and IVF interlinked? [Complete guide]

Are genetic testing and IVF interlinked? [Complete guide]

The rate of seeking fertility treatments is rapidly escalating due to our current ways of living. Many couples prefer to delay their first pregnancy because of a heightened focus on career development in both the parents’ life or financial instability.

The results of blood tests taken during the mother’s period are used to determine the fertility of her eggs. A similar analysis is conducted on the father’s semen sample to assess the fertile semen. The results of these two tests determine the course of action.

Before making any decisions, it is crucial to understand IUI, IVF, and the differences between them.

Intrauterine insemination (IUI)

The IUI is the procedure suggested to solve the problems of conceiving due to low fertility. A doctor or fertility expert do a transvaginal ultrasound on the mother to check the progress of the eggs before ovulation. Once the eggs have attained the optimal size, the patient is ready for the next stage of the treatment. 

The treatment includes an injection that stimulates ovulation in the woman. Then, a fresh semen sample is inserted into the uterus via the cervix with the use of a thin tube. The IUI is quite a simple procedure, taking not more than five minutes from start to finish. The woman can usually resume daily activities after successfully finishing the process. 

In-vitro fertilisation (IVF)

After many attempts of IUI, if the mother still does not conceive, the next step is IVF. IVF is the last resort, as the time taken to produce a viable embryo is more. Several steps are taken to make both the egg from the mother and sperm from the father ready for fertilisation.

In IVF, many factors contribute towards success – key among them being the age of the mother. A single IVF treatment revolves around the mother’s menstrual cycle.

The IVF process involves many steps. First is extracting a viable egg from the mother, and then inseminating it with a semen sample from the father. The last step is inserting the resulting embryo into the uterus of the mother via the cervix. 

Other than these, the mother undergoes weekly shots of hormones and oral medicine to make implantation successful.

Differences between IUI and IVF

Both IUI and IVF have helped families achieve the happiness of a successful pregnancy. IUI is less expensive and less invasive as compared to IVF. Doctors and fertility experts suggest IUI in case of infertility or repeat miscarriages. The IUI treatment is usually successful in cases where the woman is below the age of 40.

IVF, on the other hand, is more invasive, and as a result, quite expensive. But, unlike IUI, the success rate of IVF is more.

Congenital disabilities

According to the National Help Portal of India (NHP), congenital disabilities account for around 6-7% of births, which is about 1.7 million congenital disabilities annually. With most pregnancies happening naturally, it is impossible to detect all anomalies before delivery. Most blood tests are done during the first trimester to rule out common genetic disabilities.

Congenital disabilities can be classified into two categories – structural and functional & developmental. Structural defects that are apparent at birth could be heart defects, cleft lip, spina bifida, or clubfoot. Functional & developmental defects include down syndrome, sickle cell disease, or cystic fibrosis. 

Many defects go undetected for months or even years unless they obstruct a baby’s growth. 

Genetic testing

Before opting for IVF, you must have done tons of research into each aspect of the procedure. You might have come across preimplantation genetic testing. The test takes place before the embryo is implanted to find and select the most viable and healthy embryo

The biopsy process extracts 3-8 cells from each embryo to send for testing. Problems regarding suspected gene problems (PGD) and an abnormal number of chromosomes (PGS) can be identified with these tests. The chances of selecting a healthy embryo for implantation increase after analysing the test reports. 

Preimplantation Genetic Diagnosis is an advantage to those couples who have some family history of severe or deadly diseases. Getting a PGD test done reduces the risk of passing forward those defective genes onto the next generation. Single gene disorders like sickle cell anaemia and cystic fibrosis have specific markers that are identified in the test reports.

Preimplantation Genetic Screening (PGS) is the process of determining that the potential embryo contains the usual number of chromosomes, i.e. 46. An embryo containing an abnormal number of chromosomes has the potential of developing into some disability. The test helps the doctors or fertility experts in choosing the healthiest embryo for implantation. 

Should genetic testing be done?

After trying naturally for years and undergoing multiple unsuccessful rounds of IUI, you have decided on trying an IVF procedure. IVF is costly, and the success rate is between 30-35%. 

When the success rate is not so high, it is imperative to get the most out of what could be your only attempt at the IVF procedure.

Genetic testing can help your doctor or fertility expert in implanting you with the healthiest embryo out of the ones formed in the lab. This can help in ruling out a lot of factors that can develop into congenital disabilities and trouble the child at birth or even at an advanced age. 

However, you must be entirely sure about your decision to go for genetic testing. There might be instances where the embryo could be damaged at the time of cell retrieval, making no embryo viable for implantation. It is also essential to understand the risk that even with successful implantation, there might be chances of miscarriage due to some unknown factors. 

Bottom line

The mental stress the decision causes on the potential parents is also not negligible. The patients must be informed and given proper guidance in taking the decision that is best for them.

The key takeaway from here is to understand all the risks and rewards associated with genetic testing. Only with complete information on the IUI and IVF procedures will you be able to make the right choice.