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Water birth delivery: The most natural form of normal birth
Feb 18, 2021|Dr. Astha Dayal

Water birth delivery: The most natural form of normal birth

What would be your first assumption if we ask to think about childbirth? Like most of us, your thoughts will likely be about the process of labour and delivery and the excruciating pain attached to it. However, what if we tell you that there are ways to lessen the intensity of this searing pain? Water birth delivery is one such delivery alternative for women. 

Waterbirth delivery is a traditional scientifically-backed method that eases the pain for the mother and offers a smooth transition for the baby. 

In this article,   a leading obstetrician and water birthing expert, will tell us everything we need to know about what is water birth delivery and what is it like giving birth in water

What is water birth delivery?

Water birth delivery is gaining wide popularity in metro cities. Despite the recent fame, the practice of giving birth in delivery dates back nearly 200 years ago. The first incident is believed to have happened in 1803 in France when a woman who was in labour for over 48 hours decided to enter a bath upon her physician’s advise. Later, water birthing method was used as she gave birth to her child without any complications.  

Water birthing method is a birthing option in which you spend some part of your labour or delivery (or both) submerged in water. This technique can be applied in a tub or pool filled partially with warm water. 

Water birth process is a safe way of welcoming your baby in this world, under strict supervision of a qualified expert and nursing team. 

What are the benefits of water birth Delivery?

Water birth process is not a widely understood concept because of the misconceptions or fears associated with it. Nonetheless, the benefits of water birth overweigh these misconceptions. 

There are various benefits of water birth that make it a preferred birthing option for women. 

  • Relaxation benefits: One of the primary benefits of water birth is the satisfaction it gives to the mother which is known to reduce fetal complications. Submerging a part of your body in warm water will help soothe your tense nerves and muscles. This calming effect will further reduce your anxiety. Thereby, water birthing provides you with higher levels of ease, making it the rest of the process easier for you. 
  • Natural pain relief: Warm water used during water birthing acts as a natural pain reliever. Being submerged in water can help in lowering your blood pressure levels. As discussed above, warm water also soothes your nerves making me you less anxious. Due to which your body releases a hormone known as endorphin that further lessens the severity of the pain. 
  • Sense of control: When you are in the water, your body is supported by its buoyancy. This effect offers the flexibility to move freely. Moreover, gravity under water allows your baby to move closer to the birth canal offering you a greater sense of control and ease. 
  • Shortens the duration of labour: Studies have shown the submersion in warm water during the first stage of labour can help in reducing the time of labour. However, your healthcare provider will analyse your health before suggesting when you should immerse in water. 
  • Lesser complications: It has been proved that women who choose to give birth in water experience lesser cases of stress incontinence. Being in water also supports your perineal stretch and reduces the risk of injury while the baby is born. If you are a candidate for cesarean section, immersion in water helps in reducing the time needed for you to rush to surgery. 
  • Easy transition for the baby In your womb, your baby is surrounded and kept under the protection of amniotic fluid. In the water birthing process, the baby arrives in a familiar place of warmth and water. The process of birthing also eases for the child in this option.

All these factors combined signify why is water birth good for you and your baby. 

Are you a candidate for water birth in India?

Similar to other birthing options, medicinal factors are the deciding points for whether or not you are eligible to give birth in water. 

You can opt for water birthing if you have:

  • A low-risk pregnancy of 37 weeks
  • No pre-existing medical conditions 
  • Single pregnancy 
  • Fetus with a normal heart rate

You may not be a candidate for water birthing if you have:

  • A previous case of high-risk pregnancy 
  • Chronic medical conditions like diabetes, hypertension, herpes
  • Pregnancy complications like gestational diabetes 
  • Baby in the breech position (when the baby’s bottom or feet are first)
  • Multiple pregnancies 
  • Preterm labour 
  • Infection 
  • Need for continuous electronic monitoring 

If you have any of the above complications, you will be advised not to choose water birthing.

What are the water birth risks?

After you gain an understanding of what is water birth, you may find yourself wondering is water birth safe for you and your baby? Waterbirth is a relatively safe birthing option if and when performed with the guidance of verified medical experts at a natural water birthing centre

However, despite its numerous advantages, there are also substantial water birth risks associated with the process. 

Some common risks of water birthing process include:

1. Risk of drowning: Warm water gives a familiar environment of amniotic fluid to the newborn. In theory, the child takes his first breath after he comes out of the water and in the air. However, if the baby breathes when he submerged, he may be exposed to various complications including the risk of drowning. 

Nonetheless, it is highly unlikely to happen. It is because babies do not breathe when they in the womb. They receive oxygen from their mother through the placenta. During water birthing, their bodies behave similarly in the warm water and only breathe when they out in the air. In this process, the newborn comes from water (amniotic fluid in the womb) to water and so his lungs are not open yet. 

2. Risk of pneumonia: There is a minimal risk of the child contracting Legionnaires’ Disease which is a type of bacterial pneumonia. 

Medical experts take necessary precautionary measures to avoid any complication to the mother and the child. If you are still wondering is water birth safe, then the answer is yes (under the supervision of qualified medical professionals).

Water birth vs normal delivery: which is better?

While both methods are effective, safe and reliable techniques for childbirth, water birth has more advantages than normal delivery. As discussed above, the amount and duration of labour pain that a mother has to experience can be significantly reduced through water birthing. While on the other hand, normal delivery makes you dependent on medicinal pain relievers. Hence, water birthing is a more natural form of delivery. 

However, it should be noted that both of these birthing processes have their own pros and cons. Clinical requirements and the mother’s gestational health is the final indicator of the type of method used. 

Is it possible to have water birth after C section?

Yes, it is possible to have a healthy water birth after C section. Vaginal birth after cesarean (VBAC) is safe, reduces the risk of complications and has a lesser recovery time. The requirements will almost be the same as regular water birthing. You should always consult an experienced water birthing expert and choose a natural water birthing centre

If you have had a C-section in your previous pregnancy, you should discuss this with your obstetrician while planning future childbirth options. 

The concluding note 

Water birth delivery is no longer a birthing option just for celebrities. You can access the advantages of the most natural form of childbirth at the CK Birla Hospital, the only hospital that offers water birth in North India

For more information on birthing options, book an appointment with Water Birth Delivery Doctors in India, at the CK Birla Hospital. 

FAQs

Ques: Is water birth safe?

Yes, water birth is a safe and reliable birthing option, if carried out under the guidance of a verified medical professional. 

Ques: Which is the best centre for water birth in India?

The CK Birla Hospital Gurgaon is the best centre for water birth in India. It is, in fact, the only centre offering water birth services in the entire northern part of India. 

Ques: Can I have a water birth after C section?

Yes, vaginal birth after cesarean (VBAC) through water birthing is possible. 

Ques: Do water births hurt less?

Yes, one of the advantages of water births is that it reduces the severity of labour pains. 

Ques: Can you still have an epidural with water birth?

No, you cannot have an epidural (anaesthesia injection) in water. 

Flat Feet Symptoms, Causes and Cure
Feb 16, 2021|Dr. Praveen Tittal

Flat Feet Symptoms, Causes and Cure

We tend to ignore certain areas of our body’s anatomy unless they are causing us discomfort. One such area that we take for granted is the sole of our foot. However, like every other part of our body, our feet can also suffer from abnormalities or ailments such as flat feet. Flat feet symptoms are highly common in people across all age groups. More than 30% of the world’s population have a flat foot condition. Despite the commonness of this problem, few people know what is flat feet

In this article, Dr Praveen Tittal, a leading foot & ankle specialist in Gurgaon, will discuss everything we need to know about flat feet symptoms

Flat feet problems, however, are not easier to overlook for those suffering from it. Before we address what these problems are and how to treat them, let us understand what is flat feet.

What Are Flat Feet Symptoms?

You must have noticed that usually, people have a gap beneath their feet. This gap helps in equal distribution of weight when a person stands up. Flat feet, also known as fallen arches or pes planus, is a condition in which this gap is not present. 

Having flat feet means that the arches beneath your feet are flattened. It means that people either have a very low arch or no arch at all. Flat feet symptoms are most visible when a person stands up with the entire soles of the feet touching the ground. 

Flat feet is, majorly, a painless condition and so most people don’t display any symptoms. However, in some cases, people living with this condition may experience discomfort and pain.

Some common flat feet symptoms include:

Causes Flat Feet in Adults

There are two answers to the question – what causes flat feet? Flat feet problems can be congenital (by birth) or acquired (the result of age or injury). 

Congenital flat feet: Flat feet problems are highly common in infants and toddlers. It is because foot arches do not develop completely during early childhood. Over time, these arches take shape in most people, however, when absent, they result in congenital flat feet.

Flat feet in children can occur as a result of genetics or underlying health conditions such as cerebral palsy. Most children develop flexible flatfoot (the arch is visible when the person is sitting but it disappears on standing). Some children take longer than others to outgrow flat feet while some never do. 

Acquired flat feet: As the name denotes, acquired flat feet is a condition in which a person acquires this condition with age. The arch of our feet is primarily supported by the posterior tibial tendon. As we grow old, this tendon can be exposed to inflammation and tear due to excessive and prolonged use. The extended overuse can result in damage to the arch leading to flat feet in adults

Flat feet in adults may also be caused by:

  • Foot and ankle injury 
  • Arthritis 
  • Nervous system or muscle diseases such as cerebral palsy, spina bifida
  • Obesity
  • Diabetes 
  • Pregnancy 
  • Scoliosis 

How are flat feet diagnosed?

The diagnosis of pas planus deformity is rather simple. Here are the common ways to diagnose this ailment. 

  • Manual examination: During the preliminary investigations, your healthcare provider manually checks your feet from the front and back. He/she may ask you to stand straight on your feet and then stand on your toes to carefully observe the structure of your feet. 
  • X-rays: One of the primary tests ordered to diagnose is an X-ray scan of your feet. Your doctor examines the X-ray image to rule out the possibility of bone deformities. 
  • Ultrasound & CT scan: Your doctor may indicate that you take imaging tests such as ultrasound and CT scans to produce detailed images of your feet. He/she will check for tendon injuries more closely with the help of these screening tests. 

If your healthcare provider may also order an MRI scan if he/she suspects the need for it. 

Flat Feet Treatment

Flat feet are not always a distressing condition. Most people, especially children, do not experience any kind of pain or discomfort. However, you should seek flat feet treatment if you do experience any of the following:

  • Recently developed flat feet
  • Sudden and growing pain in feet, ankles or lower limbs
  • Symptoms that do not get better over time
  • Feet feeling rigid, stiff and heavy

There are several different flat feet treatment methods offered by healthcare providers. The answer for how to cure flat feet may depend on factors such as the cause of your condition and the extremity of your symptoms. Some treatment methods include:

  • Flat feet exercises: Flat feet exercises are targeted at alleviating the pain and associated symptoms caused as a result of this condition. Your healthcare provider will help you perform stretching and strengthening exercises for improving strength and flexibility in the feet and ankles as a form of treatment. Some common exercises include heel cord stretching and golf ball roll. 
  • Shoes for flat feet: In rare cases, poorly-fitted shoes can lead to flat feet or adverse your symptoms. Your healthcare provider helps you in finding the right shoes for flat feet that offer arch support. If your symptoms are severe, your doctor may indicate you to get custom-made structurally supportive shoes for treatment. 
  • Arch support: Arch support is one of the several ways offered by doctors on how to cure flat feet. Arch supports are special orthopaedic medical devices that help to reduce flat feet symptoms. 
  • Physical therapy: Physiotherapy is an effective way to treat musculoskeletal conditions including flat feet. Physical therapy is suggested, especially, for people who actively engaged in sports or rigorous physical activities. 
  • Medication: Along with lifestyle changes, your healthcare provider may prescribe relevant medicines to help alleviate your pain and symptoms. 
  • Flat feet surgery: Flat feet surgery is often considered the last resort if you are experiencing extreme pain and discomfort due to your condition. Mostly, a surgery for flatfoot is indicated when you have an associated problem such as tendon tear, rupture or deformity with bones. 

There are two types of surgeries for flat feet – 

  • Reconstructive surgery 
  • Surgery for metal implant 

What Are Flat Feet’s Disadvantages?

Flat feet disadvantages or complications arise when you are experiencing distressing symptoms due to fallen arches but not seeking clinical intervention to correct them. Besides affecting the alignment of your body, an untreated and painful flatfoot can aggravate leg and ankle conditions for them. 

Some common complications include:

  • Achilles tendonitis
  • Shin splints
  • Posterior tibial tendonitis
  • Arthritis in the ankles and feet
  • Hammertoes
  • Inflammation of ligaments in the soles of the feet
  • Bunions

Rebuild Arches in Flat Feet Home Remedies

As discussed above, flatfoot problems don’t always need treatment. If you are experiencing mild symptoms, you can practice the following lifestyle and home remedies:

  • Take as much rest as possible: Avoid engaging in extraneous physical activities as it aggravate the pain in your feet. Instead, rest your foot and apply ice to the painful areas. 
  • Maintain a healthy weight: If you have recently started experiencing pain and discomfort due to flatfoot, you are advised to lose extra weight to avoid complications. 
  • Replace old worn-out shoes: Your old shoes can add to your distress. If you are starting to experience pain and discomfort in your feet, buy custom made shoes for arch support. 

The Concluding Note 

Flat feet are mostly an asymptomatic condition however, flat feet symptoms can be easily detected by qualified orthopaedic doctors. 

You cannot prevent flat feet problems. However, you can alleviate the severity of symptoms by exercising the above steps and consulting a verified doctor. 

Dr. Praveen Tittal is the only surgeon in Gurgaon who is accredited to perform Extra-Osseus Talo Tarsal Stabilization (EOTTS). Performed as day surgery, it can be done using a small incision and involves the insertion of a titanium stent in the sinus tarsi, the space between ankle bone (talus) and the heel bone (calcaneum).

It is a quick surgical procedure with minimal side effects and a rapid and significant recovery. It is one of the few procedures to rebuild the arch without doing any surgery for bone.

FAQs

Ques: Is it bad to have flat feet?

Ans: No, flat feet is a highly common condition in, both, children and adults. 

Ques: Why do people have flat feet?

Ans: There are several causes why people develop flat feet. Some common causes include genetics, injury, obesity, diabetes and more. 

Ques: Can I fix my flat feet naturally?

Ans: You can reduce your symptoms by practicing home remedies and doing flat feet exercises. 

Ques: Do you need surgery for flat feet?

Ans: Surgery is indicated when flat feet is caused by an associated problem such as tendon rupture, bone deformity and more. 

Ques: How long does it take to fix flat feet?

Ans: Your recovery from flat feet depends upon its causes, severity of symptoms and type of treatment taken. 

Growing pains in kids: Complete guide for parents
Feb 15, 2021|Dr. Shreya Dubey

Growing pains in kids: Complete guide for parents

The transition from childhood to early adulthood may seem swift on the surface. However, there is much that a child has to experience while growing up. From routine wellness habits to settling with hormonal changes and emotional upheavals, they also have to undergo some extent of pain in the process. Growing pains is one such phase that affects children, especially during the night. In this article, Dr Shreya Dubey, leading paediatrics and neonatologist at the CK Birla Hospital gives you an overview of growing pains in kids. 

What are growing pains in kids?

A dull throbbing muscular ache felt by children in their legs is identified as growing pains. Your child may complain of sharp pain in front of the thighs, the calves and behind the knees if they are suffering from growing pains. 

The intensity of this pain is felt in both the legs and is felt most during the night. It often starts in the afternoon or evening. 

A child between the age group of 2-12 years is most likely to experience growing pains. In most cases, this condition is not persistent and the pain usually comes and goes. 

What are the symptoms of growing pains in kids?

This condition is characterised by pain in both legs. Nevertheless, some symptoms are uncommon and vary in children. 

Symptoms of growing pains in kids include:

  • Pain in legs; mainly in the shins, thighs, calves and back of the knees
  • Pain in arms
  • Infrequent headaches 
  • Episodes of abdominal pain 
  • Back pain
  • Severe pain that disturbs your child’s sleep 

Only a verified healthcare provider can diagnose growing pains in kids. Most often, your medical doctor will assess your health to rule out the possibility of any other condition. 

You must seek urgent medical help if:

  • Your child’s pain is persistent 
  • The pain does not go away by the morning 
  • It disrupts your child’s everyday activities
  • The pain expands to the joints
  • Pain in legs is caused by an injury 
  • There are other symptoms such as swelling, redness, fever and more

It is not essential that your child’s pain in legs is due to growing pains. Several other conditions can cause similar pain such as:

What causes growing pains?

There is no known cause for growing pains. A child’s development through the years does not necessarily cause pain and discomfort. 

Research has suggested the possibility of an association between growing pains and restless leg syndrome. Some medical experts also believe that muscle cramps and pain in the night may result from exertion throughout the day. Since children put their legs to great use, as compared to adults, they may also feel higher pain. Activities such as running, climbing, jumping and more can tire a child and cause pain. 

Despite its name, the idea that growing pain is related to a child’s development is not certain. It is because our bones keep growing most parts of our life. Bone growth should not cause pain in the legs and arms. 

Watch Dr Shreya Dubey, Paediatric & neonatology specialist at the CK Birla Hospital talks about growing pains in kids and warning signs to look out for. She also gives a few tips to help you manage your child’s growing pain effectively at home.

How are growing pains diagnosed?

A detailed investigation of the symptoms is usually enough to diagnose growing pains. Your healthcare provider will ask a range of questions such as:

  • Where does the child feel the pain?
  • Is your child able to do his everyday tasks?
  • When does the pain usually start?
  • When did you notice the pain first?

Your doctor will evaluate your physical health and analyse your personal and family medical history. 

Your doctor may not need to order additional tests and screenings to diagnose growing pains. However, to rule out the possibility of other musculoskeletal conditions, an X-ray may be indicated. 

What is the treatment of growing pains in kids?

Growing pains are not aggravating and do not further develop into other conditions. In most incidences, the intensity of the pain gradually lessens and vanishes within a year or two. Therefore, there is no particular treatment protocol for growing pains. 

However, there are several clinical measures and home remedies to alleviate the pain and help your child to deal with it. 

Here are some expert-approved measures you can take to treat growing pains:

  • Massage: Massaging your child’s legs and arms at the end of the day can ease the pain. You can use a carrier oil or lotions to massage. Your child will feel calm and relaxed and it can also be a healthy bonding time for you. 
  • Heat pads: Apply heat to your child’s aching areas can often instant relief. Heating pads can relax sore muscles. However, you should ensure that the heat is bearable and does not irritate your kid’s skin. 
  • Warm bath: A warm water bath before bed can calm your child’s senses and relax them. It can also help in easing the pain by relaxing muscles. 
  • Stretching exercises: Stretching exercises are helpful in strengthening your muscles. You can incorporate stretches in your child’s favourite games. A couple of stretches during the day will reduce the likelihood of pain at the night. 
  • Pain relief medicines: If your child complains of severe pain, you can ask your doctor for pain relief medicines. 
  • Good posture and support: You should ask your child to correct their posture to avoid extra strain. Additionally, make sure that they are not wearing worn-out shoes. Shoes with good arch support can help in reducing pain overtime. 

Due to the insufficient research on growing pains, it is also not known if they can be prevented. However, an active lifestyle and a sufficient supply of nutrients to your child’s body can help them cope. 

You should make sure that your child is getting all the needed nutrients. Your child’s diet must include fibrous fruits and vegetables. You should also ensure that your child is taking plenty of rest. If they are fatigued throughout the day, you should divide nap times for them. 

The concluding note 

Growing pains are mostly harmless. The pain and discomfort associated with this condition can be dealt with clinical intervention and extra care by the parents. However, it is necessary for parents to ask for the opinion of doctors so that complications can be avoided. 

If you wish to learn more about growing pains, book an appointment with Dr Shreya Dubery, best paediatric doctor at the CK Birla Hospital. 

FAQs

Ques: At what age do the kids get growing pains?

Ans: Growing pains usually start during early childhood. It affects a child between the age of 3 and 5 or 8 and 12 years. 

Ques: How long do the growing pains last?

Ans: Growing pains affect every child differently. Mostly, it appears in intervals and lasts for nearly half an hour. 

Ques: Do growing pains mean a growth spurt?

Ans: Despite the names, there is no clear evidence that growing pains are linked with a growth spurt. 

Ques: Can you take anything for growing pains?

Ans: No, it is ideal to consult a medical expert for the treatment of growing pains. 

White discharge during pregnancy: Should I be worried?
Feb 13, 2021|Dr. Astha Dayal

White discharge during pregnancy: Should I be worried?

Pregnancy will bring about a rollercoaster of emotions. You will feel happy, teary, excited and anxious, all at once. But emotions are not all that is pregnancy about. Your body will experience tremendous variations of physical changes and as an expectant mother, these changes can be puzzling at times. One such event that can raise suspicion is white discharge during pregnancy – a sign prevalent in nearly 43% of pregnant women. 

Most women are familiar with the different types of vaginal discharge but what does discharge during pregnancy mean? 

In this article, Dr Astha Dayal – a leading obstetrician in Gurgaon will explore everything there is to know about vaginal discharge during pregnancy and how to deal with it. 

What is white discharge during pregnancy?

As the name denotes, white discharge during pregnancy is a discharge that women experience during their pregnancy. It is thin, white coloured and milky textured. 

With or without pregnancy, vaginal discharge is a common phenomena. Before we move on to discuss milky white discharge during pregnancy, let us understand the concept of normal discharge aka leukorrhea. 

What is leukorrhea?

Leukorrhea is the medical term for vaginal discharge. Vaginal discharge is the fluid made by the vagina and cervix that helps to keep your vagina moist and clean. It also helps to protect you from infection. 

There are different types of vaginal discharges based on their colour, texture or cause. Some common types include – 

  • Clean and watery
  • Clear and stretchy
  • Brown or bloody
  • Yellow or green

The vaginal discharge during pregnancy is known as leukorrhea pregnancy. It is usually odourless or, sometimes, can be smelled mildly. 

You may have more vaginal discharge than usual when you become pregnant. But a change in your vaginal discharge could be a sign of something that needs treatment. It’s important to know what’s normal, and when to get medical help.

If you are a newly pregnant woman, leukorrhea pregnancy discharge will not feel any different from what you experienced between periods. Leukorrhea pregnancy is also considered early pregnancy discharge. You are likely to notice a change in your normal discharge one or two weeks before conception. 

Most women feel an increase in their present discharge which continues to happen throughout the course of pregnancy. The thick white discharge during pregnancy will become more dense as your pregnancy develops. It is, usually, the thickest as your gestation approaches an end. 

Why does leukorrhea happen?

Leukorrhea or vaginal discharge is a normal body function indicating good health. Almost all women experience the passage of vaginal discharge during their reproductive years. There are multiple reasons why leukorrhea happens. 

Primarily, it is your body’s natural way of cleaning the vagina. Through normal body discharge, your body is paving a way for protecting itself against several types of bacteria. Besides its body function, normal vaginal discharge can be caused by bacterial or yeast infection.

Why does leukorrhea pregnancy happen?

However,the reasons for leukorrhea pregnancy can be slightly varying. There are various reason for white discharge during pregnancy (abnormal) that include:

  • Sexually transmitted infections – Gonorrhea and chlamydia are a few STIs that can cause abnormal milky white discharge during pregnancy
  • Pelvic inflammatory disease
  • Cervical cancer 
  • Yeast infections: Sometimes, the thick white discharge during pregnancy may be a sign of yeast or fungal infection/ vaginal infection.

Is white discharge in pregnancy normal?

Vaginal discharge is a highly common occurrence. Likewise, in pregnancy white discharge is normal, however, you should keep a track of any abnormal changes. 

As mentioned above, early pregnancy discharge is thin, white and less smelly, if you notice anything atypical or distinct from this description, make it a note to aware your obstetrician about it. 

You can maintain a diary to record the colour, texture and odour changes in your vaginal discharge to avoid any pregnancy complications for yourself and your child. 

When to seek help for abnormal clear discharge during pregnancy?

As we discussed above, leukorrhea is a healthy bodily function. However, it is important to address any atypical signs, especially during pregnancy. 

Now that you know what a healthy leukorrhea pregnancy is like, you would be able to identify abnormal signs. Some common atypical signs to watch out for are:

  • Yellow, gray or green coloured discharge 
  • Excessievly strong and fouly smell
  • Itching and redness on the vulva
  • Fever 
  • Pain in the abdomen 
  • Unexplained and sudden weight loss
  • Fatigue 
  • Bleeding 
  • Increased urination 

A pink or brown coloured discharge may highlight a sign of implantation bleeding. Even light vaginal spotting during pregnancy is not a cause for concern. However, it is ideal to visit your obstetrician for any concerns. 

While trying to conceive, it is advised that you and your partner get tested for STIs to avoid undergoing speculating reason for white discharge during pregnancy. 

Furthermore, an abnormal discharge can be indicative of possible pregnancy complications. You should not be alarmed if you experience any of the above given symptoms. Your healthcare provider is the right person to identify the exact problem and offer appropriate treatment for it. 

A ‘show’ as your body prepares for birth

Many pregnant women experience a ‘show’ in the last few days of their pregnancy. This is where you notice you have some vaginal discharge. It’s generally creamy white and splashed with a pink jelly-like material.

This happens when the mucus that has been present at the neck of your womb (cervix) comes away. This is a sign that your body is preparing for birth. Some women have several shows before they go into labour.

If you have a show, you should contact your obstetrician immediately if:

  • you are less than 37 weeks pregnant
  • the mucus is bright red and there is more than a small amount of bleeding from your vagina

How to get rid of white discharge during pregnancy?

Despite the fact that it is almost an everyday occurrence, pregnant women may feel irritable due to the presence of constant discharge. The dampness and associated wetness can make a woman highly irritable. However, there are effective ways on how to get rid of white discharge during pregnancy. 

Here are some top home remedies to help you offer relief:

  • Take a bath regularly: Bathing everyday and changing your undergarments is the first step you can take. A fresh bath can instantly clean your genitals and get rid of discharge. Before more of the vaginal discharge gets collected in your undergarments, it might already be the time to take another bath. Furthermore, bathing everyday can avoid accumulation of bacteria and keep infections at bay. 
  • Wear breathable cotton undergarments: Whether you are pregnant or not, the quality of your undergarments can indicate the health of your genitals. If your undergarments are not breathable, the chances of you developing a infection are high. Cotton padded wear are ideal because they absorb excess discharge. Additionally, you should make sure that the other layers of clothing such as your jeans or leggings are comfortable and not extremely tight. 
  • Avoid using any products on your vagina: Do not use any cosmetic or cleansing products on your vagina unless advised by your obstertcian. Such products can further harm your genital area or cause inflammation. 
  • Practice good bathroom hygiene: Your trips to the bathroom are likely to increase during pregnancy. You should make sure to clean your vagina everytime you pass urine. 
  • Eat healthy foodsYour cerival mucus can also be impacted by the type of food items you eat. Do not eat foods that cause inflammation or digestion issues. Despite the food cravings, it is suggested that you keep your sugar intake in control to avoid discharge. Talk to your healthcare provider about which foods are suitable to be eaten in order to avoid the possibility of infections. 

What is the treatment of white discharge during pregnancy?

Sometimes, the above given homes remedies are not effective. If your symptoms are severe and likely to interfere with your health, it is advised that you consult a verified practioner and take an appropriate treatment of white discharge during pregnancy. 

The treatment for leukorrhea pregnancy is unique for each patient. Ideally, it depends upon the reason for white discharge during pregnancy. 

If you have developed a bacterial infection induced by pregnancy, your obesterician will prescribe you relevant antibiotics. On the other hand, if your discharge is caused by sexually transmitted infections, your healthcare provider will aim to treat it in order to alleviate symptoms. 

Your healthcare provider will, first, assess your condition and determine the cause before indicating any treatment. 

The concluding note 

Experiencing white discharge during pregnancy is not alarming. Nevertheless, since you will feel various new symptoms and changes during this time, it is in your best interest to be informed about what they mean. 

To learn more about pregnancy or basic gynaecological health, book an appointment with Dr Astha Dayal – best obstetrician & gynaecologist at the CK Birla Hospital today. 

FAQs

Ques: When should I be worried about discharge during pregnancy?

Ans: White discharge during pregnancy is a normal occurrence. You should, however, seek clinical help if the discharge is yellow, brown, pink or green-coloured, foul smelling, accompanied by fever, abdominal pain and itching. 

Ques: Can white discharge mean miscarriage?

Ans: Milky white discharge during pregnancy is healthy. However, if your vaginal discharge is tinged with blood, you should meet your obsterician immediately. 

Ques: How much white discharge is normal in pregnancy?

Ans: You will experience that the white discharge during pregnancy will increase gradually throughout pregnancy. Increased discharge is normal if it not associated with atypical signs.

What causes a burning sensation when urinating or dysuria? 
Feb 13, 2021|Dr. Shalabh Agrawal

What causes a burning sensation when urinating or dysuria? 

There are some things in life that we tend to ignore unless we find something bothersome about them. For instance, urine. When was the last time you thought of something like urination? Our guess: when you felt pain or discomfort like a burning sensation when urinating. 

Most of us can relate to the burning sensation after urinating. However common, it is a serious health concern that we must not ignore. In this article, Dr Shalabh Agrawal, the best urologist in Gurgaon, talks about the reason for pain during and after urination. 

What is dysuria?

  • Dysuria is a urological health concern in which a person feels burning and pain when urinating or after urination at the opening of the urethra (the tube that carries urine for removal from the body).  
  • The intensity or severity of painful urination is different for everyone. However, the burning sensation after urinating is often described as a sharp sting. 
  • The discomfort caused by dysuria is often a sign of some other underlying condition. It is often considered a symptom rather than a condition in itself. 

What are the symptoms of dysuria?

Here are some of the common symptoms of dysuria in women and men.

In Women

  • Burning sensation while urinating
  • Change in urine colour (cloudy, dark, or tea-coloured)
  • Blood in urine (haematuria)
  • Foul-smelling urine
  • Frequent or urgent need to urinate
  • Vaginal discharge (thick, watery, or foul-smelling)
  • Itching or irritation around the vaginal area
  • Painful intercourse
  • Pelvic or lower abdominal pain/pressure

In Men

  • Burning sensation while urinating
  • Change in urine colour or cloudy urine
  • Blood in urine
  • Foul-smelling urine
  • Urinary urgency or difficulty starting urination
  • Penile discharge (common with urethritis or STIs)
  • Pain in the testicles or scrotal swelling (epididymitis)
  • Pelvic or perineal pain (prostatitis)
  • Weak urine stream or incomplete emptying (linked to prostate conditions)

Severe Symptoms in Both Men and Women (Require Immediate Care)

  • Fever, chills, or night sweats
  • Persistent nausea or vomiting
  • Pain in the lower back, sides, or groin (may suggest kidney infection or stones)
  • Swelling or redness in the genital area

What causes pain when urinating?

Dysuria occurs when the urinary tract suffers from inflammation, injury or infections. There is a wide range of conditions that cause pain during urination by harming the urinary system. 

For Women:

  • Vaginitis: Conditions like yeast infections (Candida overgrowth), bacterial vaginosis, or trichomoniasis can irritate the vaginal tissues and urethra, leading to burning sensation while urinating, itching, and abnormal discharge.
  • Menopause (Urethral Atrophy): Reduced oestrogen levels cause thinning and dryness of vaginal and urethral tissues. This makes women more prone to irritation, infections, and pain while peeing, especially post-menopause.
  • Irritation from Feminine Products: Scented soaps, bubble baths, vaginal sprays, and sanitary products can trigger allergic reactions or chemical irritation, causing slight burning after urination or discomfort without infection.

For Men:

  • Prostatitis: Inflammation of the prostate can cause pelvic pain, frequent urination, a weak urine stream, and a burning sensation when urinating. It may be bacterial or non-bacterial.
  • Epididymitis: Infection/inflammation of the epididymis, often linked to UTIs or STIs, can cause scrotal swelling, tenderness, and pain during urination.
  • Urethritis: Inflammation of the urethra, commonly due to STIs like chlamydia or gonorrhea, leads to burning micturition, discharge, and discomfort at the tip of the penis.

What are the complications of painful urination?

A burning sensation when urinating is an indicator of some other health condition. If this symptom is ignored, you cannot get proper treatment for the root cause. 

Pain during urination can lead to various complications such as chronic pain, sepsis (a blood infection), infertility and spread of numerous other infections. 

When to seek medical help for dysuria?

While mild burning or discomfort during urination may sometimes resolve on its own, certain warning signs should never be ignored. These symptoms may indicate that the problem is more serious and requires urgent medical care:

  • Fever, chills, nausea, or vomiting: These are not typical of a simple bladder infection. They often suggest that the infection has spread to the kidneys (pyelonephritis), which can be dangerous if left untreated.
  • Back or flank pain: Pain felt in your lower back or sides, just below the ribs, may indicate kidney involvement or stones blocking the urinary tract. This needs prompt evaluation.
  • Blood in urine (haematuria): Seeing blood, either visibly red or as tea/cola-coloured urine, can signal urinary stones, severe infections, or bladder-related conditions that require further testing.
  • Persistent or worsening burning sensation: If symptoms continue for more than a couple of days despite drinking fluids and self-care, or if the pain intensifies, it is important to see a doctor to rule out underlying causes like STIs, chronic bladder conditions, or resistant infections.

How do doctors diagnose burning sensations when urinating?

Your healthcare provider will do preliminary investigations to find the cause of painful urination. He/she will discuss your personal medical history and symptoms. It is helpful to track symptoms if the burning and pain when urinating has lasted for a long time. 

Your urologist or gynaecologist will perform some basic diagnostic tests. You can expect to have blood tests, urine tests, ultrasound scans and X-rays. You may be indicated for additional tests depending upon your overall health.

The diagnosis is drawn to figure out the dysuria causes. 

What is the treatment for pain during and after urination?

The treatment module is dependent upon the reason behind dysuria. The accuracy of the diagnosis can help your doctor decide which treatment method to offer. 

1. Urinary Tract Infections (UTIs)

  • UTIs are most often treated with oral antibiotics.
  • Common choices include nitrofurantoin, trimethoprim-sulfamethoxazole, or fosfomycin.
  • In most women, the course lasts 3–7 days.
  • In men or people with recurrent infections, the course is usually longer to ensure the infection is fully cleared.

2. Vaginitis

Vaginitis is inflammation of the vagina due to infections or an imbalance of natural bacteria/yeast. Treatment depends on the type:

  • Yeast infection (Candida): Treated with antifungal creams/suppositories (like clotrimazole, miconazole) or a single-dose oral antifungal (fluconazole).
  • Bacterial vaginosis: Managed with oral or vaginal antibiotics such as metronidazole or clindamycin.
  • Trichomoniasis (parasitic infection): Treated with a single oral dose of metronidazole or tinidazole.

3. Sexually Transmitted Infections (STIs)

STIs that cause burning urination are treated with targeted medicines:

  • Chlamydia: Doxycycline taken for 7 days.
  • Gonorrhoea: A combination therapy with a ceftriaxone injection plus doxycycline tablets.
  • Genital herpes: Managed with antiviral drugs like acyclovir or valacyclovir, which reduce outbreaks and discomfort (not a permanent cure).

4. Interstitial Cystitis (Bladder Pain Syndrome)

This is a chronic condition where no infection is found but bladder pain and frequent urination persist. Management includes:

  • Dietary changes: Avoid caffeine, alcohol, acidic or spicy foods which worsen symptoms.
  • Bladder training: Techniques to gradually increase the time between urination.
  • Medications: Such as pentosan polysulfate sodium (to protect the bladder lining), antihistamines, or low-dose tricyclic antidepressants for pain relief.

5. Menopause-Related Symptoms

In postmenopausal women, reduced oestrogen levels can cause thinning and dryness of the vaginal and urethral tissues, leading to burning or pain while urinating.

Treatment may include oestrogen therapy:

  • Topical oestrogen creams, tablets, or vaginal rings to directly restore tissue health.
  • In some cases, systemic oestrogen therapy is advised if symptoms are more widespread.

Note: The above is a general overview of dysuria treatment. Do not self-medicate. Your doctor will prescribe you the right treatment plan as per your unique health condition.

Prevention Tips for Dysuria

  1. UTI Prevention:
    • Drink plenty of water to flush bacteria.
    • Urinate frequently and empty bladder completely.
    • Wipe front to back after using the toilet.
    • Urinate soon after sexual intercourse.
  2. STI Prevention:
    • Practice safe sex (condoms, dental dams).
    • Regular STI screening if sexually active with multiple partners.
    • Limit high-risk sexual behaviours.
  3. General Tips:
    • Avoid holding urine for long periods.
    • Maintain good genital hygiene.
    • Avoid scented feminine products or harsh soaps.

Self-Care / Home Remedies for Symptom Relief

  • Hydration: Drinking 8–10 glasses of water daily dilutes urine and eases burning.
  • Avoid Irritants: Limit caffeine, alcohol, spicy foods, and acidic drinks (like citrus, carbonated beverages), which worsen bladder irritation.
  • Warm Compresses / Sitz Baths: Relieve lower abdominal or bladder discomfort.
  • OTC Pain Relief: Paracetamol or ibuprofen can help reduce pain while waiting for medical evaluation.
  • Cranberry Products (supportive): May help reduce risk of UTIs in some women (not a treatment, but a preventive measure).

The concluding note

It is highly normal to feel a burning sensation when urinating once in a while. If you continue to experience painful urination along with other symptoms, then you should seek clinical care. 

You can book an appointment with Dr Shalabh Agrawal, a senior urologist at the CK Birla Hospital, to learn more about the health of the urinary tract.  

FAQs

Ques: How can I prevent the burning sensation when urinating?

Ans: You can prevent burning sensation when urinating (dysuria) by drinking plenty of water, increasing your intake of Vitamin C and passing urine whenever the need arises. 

Ques: What complications can arise if I don’t address dysuria?

Ans: Untreated dysuria can further cause chronic pain, sepsis (a blood infection), infertility and spread of numerous other infections. 

Ques: When should I seek medical help for burning sensation when urinating?

Ans: You should consult a medical expert if you see blood in the urine or have a high-grade fever along with persistent painful urination. 

Ques: How can I avoid UTI?

Ans: You can avoid UTI by staying hydrated, restricting your consumption of caffeine, maintaining hygiene and completely emptying your bladder every time you pass urine. 

Your complete guide on what is food poisoning!

Your complete guide on what is food poisoning!

Most Indians have an extraordinary liking for street foods. The spicy tangy flavourful snacks served by vendors have a special place in our hearts. When you have such appetizing options, you will not be a fan of bland food. However, there is one thing worse than eating bland and boring meals – food poisoning. This article explores what is food poisoning along with its symptoms, causes and treatment. 

Food borne illnesses are highly common in India with a prevalence of nearly 13% at a household level. Food poisoning symptoms are seldom overlooked as they impact your levels of comfort and everyday tasks. Let us begin by understanding the meaning of food poisoning. 

What is food poisoning?

Food poisoning is a common foodborne illness. It is caused when you consume contaminated or spoiled food items. Contamination happens when food items get exposed to infectious organisms such as viruses, bacteria and parasites. 

Mostly, these organisms are killed when food is cleaned and cooked properly. These infectious organisms are able to access your digestive system when you consume uncooked or raw eatables. 

Food poisoning is a common condition that can impact anyone, irrespective of their age and gender. 

What are the symptoms of food poisoning?

There is a wide range of ailments that target your stomach and digestion. It can be slightly difficult to distinguish them from one other. For instance, the symptoms of stomach flu and food poisoning often overlap. Stomach flu, however, is caused by viruses. Due to this overlapping, it is significant to learn about the signs and symptoms of food poisoning

Common signs and symptoms of food poisoning include:

You should ensure to consult a healthcare provider if you experience any of the above-given symptoms. There are several life-threatening food poisoning symptoms that require immediate medical intervention. 

See a healthcare provider immediately if:

  • Your diarrhea persists longer than 3 days 
  • You have a high-grade fever
  • You feel difficulty in communicating 
  • You have severe dehydration and dry mouth 
  • You see blood in your stool or urine 
  • You are not able to drink any fluids 
  • You have blurry vision 

What are the causes of food poisoning?

Primarily, food poisoning is caused by the consumption of toxic and contaminated food. Three types of organisms are accountable for this illness – bacteria, parasites and viruses. 

Almost all food products can be targeted by these organisms. The contamination of food is possible at any stage starting from its production till cooking. These infectious agents are present at several surfaces and can transfer from one surface to another. 

While everyone is vulnerable to being affected by food poisoning, some people are at a higher risk than others. The groups of people at an increased risk for this illness include older adults, infants, young children, pregnant women and chronically ill people. 

What is the food poisoning cure?

Food poisoning cure is its effective and early treatment. Several treatment methods are available for the treatment of food poisoning. However, a precise diagnosis is the first step towards a food poisoning cure

Diagnosis 

Your doctor will ask about your medical history. A detailed discussion on the symptoms and their length is mostly enough for healthcare providers to draw a diagnosis. 

You can expect to have a physical health checkup. Your doctor will ask you about the food items you must have consumed recently to find out the possible source of contamination. Your healthcare provider may indicate a variety of tests including blood workup, stool sample culture test and more. 

Treatment

Your doctor will offer a relevant treatment method based on your diagnosis and the source of food poisoning. 

Since food poisoning can trigger diarrhea and vomiting, you may lose excess body fluids. Your doctor will ask you to drink as many fluids as possible. He/she may prescribe consuming electrolytes to compensate for the loss of fluids. Nevertheless, some foods and beverages such as alcohol, caffeine and spicy foods should be restricted. 

You will also be asked to monitor your meals. Avoid eating food products that may trigger your symptoms further. You will be asked to eat bland and easy to digest foods. 

Additionally, your doctor will prescribe relevant medicines to alleviate your symptoms and offer instant relief. Mostly, sufficient rest and careful measures are enough to resolve food poisoning. 

What is the prevention of food poisoning?

A proactive and healthy lifestyle can help you in the prevention of food poisoning. Here are some expert-approved home remedies you should implement to avoid this illness:

  • Wash your hands frequently: You can unknowingly transfer infectious agents from the surfaces to your mouth. To avoid food poisoning, wash your hands frequently, especially before and after eating your meals. 
  • Clean your surroundings: The best way to avoid the growth of infections is to keep your surroundings neat and clean. You should sanitise the surfaces which are touched most often. 
  • Store your food items separately: Contaminants can shift from one food to another. After shopping, make sure to store raw and ready-to-eat food products separately. 
  • Cook your food properly: Uncooked food is a good source of foodborne illnesses. You should make sure to cook your food thoroughly at a moderate temperature. 
  • Refrigerate your food: Some food items such as meat, poultry and eggs are more likely to get contaminated. You should refrigerate them separately and properly right after purchase. 
  • Wash your utensils: Needless to say, you should be sure to clean your utensils properly to avoid the transfer of germs. 

What are the complications of food poisoning?

A severe and persistent case of food poisoning can further worsen your health. The most common complications of this illness are:

  • Dehydration: Food poisoning can cause excessive loss of fluids. Along with the fluids, the salts and minerals necessary for bodily function also go down, significantly. Severe dehydration can lead to dizziness and even unconsciousness. 
  • Infection: If food poisoning worsens, it can also lead to various infections. Some of these infections are fatal in pregnant women and can also cause birthing complications

The concluding note 

It is not very complex to grasp the idea of what is food poisoning. To put it briefly, food poisoning is a common digestive illness caused by viruses, bacteria or parasites. You should focus on cleaning yourself and your surroundings clean to avoid the transfer of germs. 

Book an appointment at the CK Birla Hospital to know more about food poisoning and other stomach-related issues. 

FAQs

Ques: How do I know if it’s food poisoning or stomach virus?

Ans: Stomach viruses are only caused by viruses and affect in 24 hours. Food poisoning can be the result of viruses, bacteria or parasites. It affects almost immediately within 2-6 hrs. 

Ques: When should I go to the doctor for food poisoning?

Ans: Seek urgent medical help if you have these symptoms – blood in your vomit, blurry vision, diarrhea for more than 3 days, extreme pain or cramps and fever over 101.5°F. 

Ques: How can I recover from food poisoning fast?

Ans: You should drink water or electrolyte solution and avoid solid foods to recover from food poisoning quickly. 

Ques: Which doctor to consult for food poisoning?

Ans: You should seek medical help from a qualified gastroenterologist in case of food poisoning. 

How to build strong bones in kids: A guide for parents
Feb 8, 2021|Dr. Praveen Tittal

How to build strong bones in kids: A guide for parents

Childhood is the time when you lay the foundation stone of your mental, emotional and physical health. Children, however, are unaware of how to make a healthy start. This responsibility, thus, falls upon the parents. As a parent or guardian, you should ensure that your kids are receiving sufficient nutrients needed for their growth. In this article, Dr. Praveen Tittal – best paediatric orthopaedic doctor in Gurgaon will explore one development aspect – How to build strong bones in kids?

Our bones start building their strength in childhood and teen years. Approximately, 95% of bone mass is built by the age of 20 years. This time is crucial for the overall internal development of a child. Though we continue to build healthy bones throughout our lives, the ability of our lives to add to this strength declines over time. 

One of the important facts about muscles and bones for kids is that a better bone building ability in childhood leads to better bone strength in adulthood. It is, therefore, essential to build strong bones in kids from an early age. 

Here are some expert-approved tips for strong bones in children. 

Tips to build strong bones in kids

Children are quick learners and pick up the habits of adults they live with. The imitation capability of young kids is extraordinary and invites effort from the parents. The best tip on how to build strong bones in kids is to offer them a healthy lifestyle by implementing one. 

You can inculcate bone strengthening foods in your meals to achieve a healthy living status. While making a nutritious meal plan for your kid, make sure to add plenty of the following given nutrients. 

Calcium

Calcium is a super-nutrient to strengthen your kids bones. The mineral responsible for building and maintaining the mass of your bones is calcium. The more calcium you eat, the stronger your bones become. 

Your body’s calcium requirement fluctuate as you grow old. A child between the age group 4-8 years need nearly 1000 mg of calcium per day. While a child of 9-18 years old requires 1300 mg of calcium each day. 

Dairy products such as milk, cheese, yogurt are good sources of calcium. Green leafy vegetables, soya drinks, bread, beans, lentils, almonds and fish are also rich in calcium. 

How to add calcium to your kid’s diet: Children are not fans of healthy foods, popularly known as picky-eaters. It may be difficult to get your child to each calcium-rich meals. You can make the intake of calcium more interesting for your child. For instance, you can give them cookies along with a glass of milk. Children have a special liking for cheese products such as pizza and pasta. You can also choose a flavourful variant of yogurt. 

Vitamin D

It is not enough to eat calcium-rich foods alone. The consumed calcium needs to be absorbed by our bodies. Vitamin D is an important nutrient required to build healthy bones. A deficiency of Vitamin D can lead to musculoskeletal problems in children such as rickets

The approximate unit of Vitamin D required by a kid and teenager is 600 IU per day

The best natural source of Vitamin D is sunlight. You should make sure that your kid is getting enough sun. This tip is crucial especially in today’s times when kids tend to spend more time indoors at their tablets and television. 

Bone strengthening foods rich in Vitamin D are salmon, egg yolks, mushrooms, milk, orange juice, cereal and oatmeal. 

How to add Vitamin D to your kid’s diet: You can plan outdoor activities with your kids to help them get sunlight. You can replace your child’s soda or milk with orange juice now and then. 

Magnesium

Magnesium is a vital mineral responsible for maintaining the density of your bones. A high bone density helps reduce the chances of bone fractures. Several studies have proved that magnesium also helps in the prevention of a popular musculoskeletal disorder – osteoporosis. 

 A young kid aged between 4-8 years should intake nearly 130 mg of magnesium per day. The daily allowance increases to 240 mg when a child reaches 9-18 years old. 

This mineral also helps in the regulation of calcium and Vitamin D. You can strengthen your kids bones by including these sources of magnesium in their diet – almonds, spinach, cashews, soy milk, peanut butter, potatoes, banana, cooked brown rice, breakfast cereals and more. 

How to add Magnesium to your kid’s diet: Most of the foods rich in magnesium are good substitutes of unhealthy snacks. 

Vitamin K

A regular administration of Vitamin K can increase bone density. It is useful in the metabolism of calcium and vitamin D in the bones. 

A deficiency in Vitamin K can lead to an increased risk of osteoporosis. This mineral is significant for the regulating metabolism in the bone by activating proteins. 

For children aged 4-8 years, 55 mg of Vitamin K per day is sufficient while 60mg/day is enough for a child in the age group of 9-18 years. 

How to add Vitamin K to your kid’s diet: Try to make dishes from green leafy vegetables. Spinach, kale, broccoli, green beans, kiwi, cheese and peas are good sources of vitamin K. 

Facts about muscles and bones for kids

Here are some interesting facts about muscles and bones for kids:

  • There are about 650 muscles in your body.
  • Muscles and bones are attached with the help of tendons. 
  • Nearly 40% of your body weight is made up of muscles.
  • Muscles can only pull your bones, they can’t push them. 

Tips for strong bones 

Several other parenting tips for strong bones can be used by parents besides increasing the child’s intake of bone strengthening foods

1. Exercise more frequently: Our bones gain their strength with increased activity. Similar to muscles, your kids health bones will improve as much as he/she puts them to use. The strength of your bones increases when you put pressure on your bones by using your muscles.

A child’s potential for physical activity is better than an adult. Your kid will build strong bones if he/she does more weight-bearing activities. Running, walking, jumping and climbing are some top choices of exercise in children. You should maintain a good balance between your child’s screentime and physical activity. 

2. Avoid carbonated drinks: Most carbonated drinks have some quantity of phosphoric acid. This acid is harmful to a person’s bone health as it interrupts the process of calcium absorption. You should try to replace your kid’s soda with a healthful alternative such as orange juice. 

3. Teach them healthy lifestyle choices: Growing up, your child may make their own decisions and change their lifestyle habits. While a sense of liberation is important for your child’s personality development, you should ensure that he/she is not adapting wrong habits. It is especially crucial for teenagers. Smoking, alcohol consumption or leading a sedentary life are some habits that affect your bone health negatively. 

The concluding note 

By practising the above-given tips, you can help on how to build strong bones in kids. While bone health requires continuous attention, the early years of your life can help shape your future. 

For more tips on how to build strong bones in kids, you can book an appointment with , leading pediatric orthopaedic doctor at the CK Birla Hospital.


FAQs

Ques: At what age do children’s bones harden?

Ans: Children’s bones do not fuse until 1 or 2 years of age. 

Ques: Which foods are good for bone health in kids?

Ans: Dairy products, green leafy vegetables, soya beans, tofu, nuts, bread and fish are good foods for bone health. 

Ques: Which fruits are best for bone health?

Ans: Oranges, papaya, strawberries and pineapples are some great fruits for bones. 

Ques: Should I give my child calcium supplements?

Ans: It is not necessary to give your child supplements. You should aim to include calcium-rich foods in their diet. Give any supplements upon your doctor’s recommendation.  

Your guide to understanding benign breast conditions

Your guide to understanding benign breast conditions

Human beings have a natural tendency to be health anxious, especially with regards to some areas of our body, for instance, breasts. If you were to wake up with an abnormality in your breast size, shape, touch or appearance, you would most likely assume it to be cancer. And rightly so, considering the high prevalence of breast cancer with nearly 2 million people affected worldwide every year. However, irrespective of the rising incidence, not all breast abnormalities are cancer. Benign breast conditions (also called non-cancerous breast conditions or benign breast disease) are also commonplace and affect millions of women across different age groups.

In this article, Dr Rohan Khandelwal, a leading breast specialist in Gurgaon at the CK Birla Hospital, explains everything there is to know about benign breast conditions

What are benign breast conditions?

Benign, by definition, means non-malignant aka non-cancerous. Benign breast conditions (also referred to as benign breast disease) are non-cancerous tumours, growths, or structural changes that affect the breast area.

Noncancerous breast conditions indicate the presence of unusual growths that are not related to cancer cells. These growths appear in the form of breast lumps and are often misunderstood for cancerous tumours. However, about 80% of breast lumps are found to be benign upon diagnosis.

While a benign breast lump may not be directly associated with cancer, certain conditions may increase the risk of developing breast cancer in the future. Medical experts therefore classify benign breast diseases based on their cancer risk.

Therefore, benign breast lumps classification includes three categories:

No increase in risk (Non-proliferative lesions)

Also called non-proliferative breast lumps, these are typically associated with no future risk of breast cancer.

Examples include:

  • Breast cysts
  • Fibroadenomas (simple)
  • Fibrocystic breast changes
  • Breast calcifications (macrocalcifications)

A slight increase in risk (Proliferative lesions without atypia)

The risk of cancer with such conditions is minor, but they may require regular monitoring.

Examples include:

  • Adenosis (enlargement of milk-producing lobules)
  • Fibromatosis
  • Benign phyllodes tumour
  • Radial scars
  • Flat epithelial atypia
  • Usual ductal hyperplasia

Other conditions include juvenile papillomatosis and peripheral intraductal papillomas.

A moderate increase in risk (Atypical hyperplasia)

Also called “atypical ductal hyperplasia” or “atypical lobular hyperplasia”, this condition involves unusual-looking cells dividing excessively. It increases the lifetime risk of breast cancer by 3 to 5 times.

The treatment may include removal of cells around that area as well as paying closer attention to breast health.

What are benign breast disease symptoms?

The symptoms of a benign breast lump and breast cancer often overlap. You may feel overwhelmed and scared after discovering the initial symptoms. However, mostly, these atypical growths are diagnosed as benign. Benign breast conditions are so common that up to 50% of all women experience one such disease once during their lifetime. 

There are several different types of benign breast diseases that affect every person uniquely. Only a qualified medical professional can diagnose these diseases correctly. Some common signs and symptoms of benign breast disease include:

  • Breast Pain (mastalgia) and swelling in the breast swelling
  • Breast tenderness
  • A lump that can be felt through the skin or nipple
  • Change in breast size, shape or appearance 
  • Skin irritation
  • Redness on the nipple and skin of the breast
  • Pain in the nipple 
  • Retraction of the nipple (part of the nipple looks like it is pulling inward)
  • Abnormal discharge from the breast (that is not milk)
  • Dimpled, puckered or scaly breasts

You must consult a breast specialist even when a single symptom is seen. All of the above signs and symptoms require further testing and investigation. 

What are the different types of benign breast conditions?

Benign breast conditions can affect a person in the form of various conditions. Some common diseases include:

  • Breast cysts: Your breasts are made up of three types of tissues – glandular, fibrous and fatty tissues. When fluid gets accumulated inside the glands in your breasts due to hormonal fluctuation, it leads to the formation of breasts cysts. Breast cysts are benign breast tumor types that develop in the form of small fluid-filled sacs. They are often painless and do not require immediate clinical intervention. 
  • Fibroadenomas: Fibroadenomas are among the most common types of breast lumps. They most often affect women between the age group of 15-35 years. These lumps vary in size and may shrink on their own, over time. 
  • Fibrocystic breast disease: Affects nearly 50% of women between 20–50 years. It involves lumpy, tender breasts caused by fibrosis (thickened tissue) and cysts.  The lumps formed as a result of fibrocystic breast disease often feel lumpy, dense and tender. 
  • Hyperplasia: Hyperplasia is a medical condition that leads to the formation of non-cancerous breast lumps due to an increase in the number of cells lining the ducts or lobules in the breast. Atypical hyperplasia can increase breast cancer risk by 4 to 5 times. 
  • Intraductal papilloma: Intraductal papilloma are breast lumps that grow inside the mammary duct of the breast. Papillomas are benign breast lumps after 50 that may also affect women over the age of 30 years. 
  • Other conditions
    • Mammary duct ectasia
    • Fat necrosis (after injury or surgery)
    • Mastitis (infection-related)
    • Granular cell tumours
    • Radial scars

Benign Breast tumor disease

What causes benign breast diseases?

Since there is a wide range of benign breast diseases, there are multiple reasons why they occur. Some common reasons for the development of non cancerous breast conditions are:

  • Changes in breast tissue that occur with age
  • Infection that affects the breasts
  • Scar tissue formed from a breast injury
  • Hormone fluctuations, especially during menstruation, pregnancy or Menopause
  • Side-effects of certain medication use, such as hormonal contraceptives (birth control pills) and hormone replacement therapy
  • Increased intake of caffeinated beverages

Anyone can be affected by non cancerous breast conditions. However, some people are at a greater risk than others. You are more likely to have a benign breast disease, if:

  • You have a higher hormonal imbalance
  • You are using hormone replacement therapy 
  • You have a family history of breast diseases or breast cancer 

How are benign breast diseases diagnosed?

It is common to mistake a benign breast lump for breast cancer. It is important that you seek urgent clinical help upon discovering any of the above-mentioned symptoms. The diagnosis of a benign breast disease starts similar to the diagnosis of breast cancer. 

Your healthcare provider will order a variety of tests to eliminate the possibility of cancer and identify the type of benign disease. Some common tests include:

  • Physical breasts exam:  A physical exam is a preliminary investigation in which your healthcare provider manually examines your breast for any abnormal changes or lumps. During this consultation, your doctor would also discuss your personal medical history, family history of the disease and severity of symptoms. 
  • Imaging tests: The first line of diagnosis includes imaging and screening tests. Your doctor may order tests such as Ultrasound scans, Magnetic Resonance Imaging (MRI) and more to visibly screen for lumps. 
  • Laboratory analysis: You will be asked to submit a sample of your nipple discharge. The contents of this discharge are sent for laboratory analysis. A lab technician examines the discharge under a microscope for the presence of cells. 
  • Breast biopsy: A biopsy means the removal of breast tissue for analysis. There are different types of breast biopsy such as fine-needle aspiration biopsy. Your doctor may indicate a biopsy to examine the breast tissues for abnormalities. 

Other diagnostic tests may also be ordered if your doctor suspects the need for them or a suspicious lump in breast ultrasound appears.  

What is benign breast disease treatment?

Your treatment plan for a benign breast disease depends upon its type and severity of symptoms. Most of the benign breast diseases do not require any treatment and do not cause any painful symptoms. These conditions tend to subside on their own. 

If you are wondering about breast lump when to worry, you may consult our Breast Cancer Doctor upon experiencing extreme pain or discomfort. Your doctor may offer relevant treatment, accordingly. 

How to cure breast lump naturally?

As mentioned above, most breast lumps shrink on their own without causing any pain or discomfort. However, you can speed up the treatment of breast lumps naturally. 

Here listed are some home remedies that can help to cure breast lumps. 

  • Apply heat compression or ice pack to relieve pain 
  • Restrict caffeine intake 
  • Eat high fibre food
  • Exercise moderately 
  • Wear sports bra or comfortable innerwear

Please note, you should consult with your healthcare provider before applying any of these measures. 

Can a benign breast tumor become malignant?

Benign breast tumor, by description, are non-cancerous. A majority of benign breast diseases do not turn malignant, that is, cancerous. However, some of them may increase your risk of developing cancer cells. 

How to dissolve cysts in breast?

Simple and fibrosis cysts can be treated if they are causing pain or discomfort. The fluid in these cysts can be drained by inserting a thin and hollow needle in the cyst. 

The concluding note 

Benign breast conditions are highly common in women across all ages. However, these diseases are not a cause for concern. 

If you detect any symptoms that may signal a problem, seek immediate health care. Frequent breast exams and timely treatment will help doctors address complications in time and suggest corrective measures.

For more information on what is benign breast disease, book an appointment with Dr Rohan Khandelwal, the best breast cancer specialist in Gurgaon at the CK Birla Hospital.

Also, watch Dr Rohan Khandelwal, Breast cancer specialist at the CK Birla Hospital sheds some more light on this condition:

 

FAQs

Ques: Do benign breast tumours need to be removed?

Ans: If your doctor suspects an abnormality in benign breast tumour along with severe symptoms and pain, they may suggest to surgically remove it. 

Ques: Can a benign breast lump turn into cancer?

Ans: No, most benign breast lumps do not turn into cancer. 

Ques: What happens if you have a benign breast lump?

Ans: Benign breast lumps are non-malignant and do not usually require clinical intervention. 

Ques: What does a benign breast lump feel like?

Ans: Benign breast lumps are soft and usually have smooth edges. These lumps can be moved slightly when pushed. 

Ques: Is it necessary to remove benign breast lumps?

Ans: Most often, a benign lump does not need treatment. Surgery may be done if you experience pain, discomfort or other symptoms. 

Ques: Are benign breast conditions & cancer common in men?

Ans: Men are at a much lower risk of breast cancer or breast conditions than their female counterparts, although they can develop similar breast conditions, too.

First period after laparoscopy for endometriosis: How to deal with it
Feb 1, 2021|Dr. Anjali Kumar

First period after laparoscopy for endometriosis: How to deal with it

Those who have periods can understand that it is an agonising experience. Every month, women have to deal with aggravating pain, cramps and discomfort. The usual menstrual cycle is already painful enough. Now blend it with additional post-operative recovery and what you have is unexplainable distress. This is especially the case for the first period after laparoscopy endometriosis, a condition that affects more than 2 million women in India. 

In this article, Dr Anjali Kumar, a leading gynaecologist at the CK Birla Hospital, will explore how a woman’s first period after laparoscopy surgery endometriosis treatment is like. 

Facts about endometriosis in India:

  • Nearly 2.5 crore Indian women suffer from endometriosis. 
  • Endometriosis affects every 1 in 10 women in India
  • This condition can impact any age group but the most prevalence is found in women ageing between 26-30 years old.

What happens during the first period after laparoscopy endometriosis?

Laparoscopy is an advanced key-hole surgery to treat endometriosis. The surgery can temporarily affect a woman’s reproductive health. 

Before we look at the changes that occur during the first period after laparoscopy endometriosis, let’s understand what these terms mean.  

What is endometriosis?

Endometriosis is a condition in which similar tissues that line the inside of the uterus begin to grow on the outside. These tissues generally develop in the ovaries and fallopian tubes. It is a painful disorder that impacts a woman’s overall health including fertility. 

Common symptoms of endometriosis include:

What is laparoscopy for endometriosis?

Laparoscopy to remove endometriosis is a surgical treatment. It is a minimally invasive method in which surgeons make small incisions in your abdomen region. 

Through these incisions, they insert a thin tube attached with a tiny camera called a laparoscope. Surgeons utilise the laparoscope in viewing the insides of the uterus. They continue to remove the tissues that have grown on the outer uterus lining. 

How does the first period after laparoscopy endometriosis look like?

The recovery of laparoscopy is different for each woman. Due to this, the first menses after surgery and their effect also vary. 

Your first menstruation will happen after 4-6 weeks of surgery. Your body is in the healing phase at this moment. So your periods will be heavily bothersome. 

You can expect the following during your first period after laparoscopy endometriosis treatment:

Why is the first period after laparoscopy endometriosis painful?

The reason why you will feel additional discomfort is that your body is still healing internally. Laparoscopy to remove endometriosis is a surgery that directly takes place at the ovaries and fallopian tubes. 

Due to the surgery, your ovaries will still be very tender. Additionally, the tissues in your ovaries and fallopian tubes would be swollen. The standard discomfort of periods overlaps with this tenderness causing excruciating pain during the first periods.  

How do I cope with the first period after laparoscopy?

Though the first menses during recovery will be distressing, you can still cope with it. Here are some expert-approved ways to deal with the first period after laparoscopy endometriosis:

  1. Take a diet rich in iron: You will be losing plentiful blood during your first periods after laparoscopy. You should aim to compensate for all the lost iron by gorging on healthy food.  It is the best time to fill your plate with iron-loaded dishes. You should eat dark leafy vegetables like spinach, meat, lentils, pumpkin seeds, eggs, chicken, beans and fish.
  2. Load up on Vitamin C: Only intaking iron is not enough. Your body will require something to absorb the abundance of iron. Food rich in Vitamin C is your go-to item. There is a wide range of fruits that have a high quantity of Vitamin C. These include pineapple, kiwi, oranges and mangoes. Other food products include broccoli, tomato juice, sprouts, strawberries and more. 
  3. Drink loads of water: Heavier periods can leave your body dehydrated. You will have to make up for the lost amount of fluids. You should drink plenty of water to help you endure the period pain. You can also consume other types of healthy fluids including soups, juices, energy drinks and more. 
  4. Take pain relief medicines: You should not be surprised if the first period after laparoscopy is tremendously painful. If the pain is unbearable, you can consult your gynecologist who will prescribe the suitable pain relief medication. It is suggested that you do not consume any medicine without a doctor’s approval. 
  5. Take supplements: Understandably, you may not be in a condition to cook food or go to the market. However, you can arrange vitamin C and iron supplements to help you cope with the discomfort of the first period. These supplements are easily available with a verified pharmacist. 
  6. Utilise herbal remedies: You can alleviate the period pain with the help of herbal remedies. There are several traditional recipes that you can choose from. You can drink vegetable soups loaded with ginger, chamomile tea, add cinnamon and fennel seeds to your dishes among other things. 
  7. Avoid foods that cause bloating: During your first menses, what you consume would be of high importance. You should completely avoid drinking or eating anything that can add to your pain. It is recommended that you do not drink excessive caffeine, carbonated drinks like cola, alcohol or consume fatty foods. 
  8. Take plentiful rest: Needless to say, your body would be struggling with so much pain that you require extra rest. If it is possible, stay in and sleep as much as possible to help your body rest. 
  9. Use heating pads: Heating pads are saviours during heavy menstrual cycles. During your first period after laparoscopy endometriosis, you will be experiencing consistent cramping and pain. You can apply little heat to the cramps, however, you should cautiously avoid touching or heating the surgical areas. You can use the heat pads on your back and thighs to find comfort. 
  10. Do light exercises: If your body allows you to move, you can do certain yoga exercises to ease the pain. There are some very simple positions like child’s pose, bound angle pose or forward fold pose. If yoga is not your cup of tea, you can also choose to go for a walk around the neighbourhood or do light aerobics. 
  11. Talk to a counsellor: Your first period after surgery for endometriosis is likely to take a toll on your emotional and mental health too. You should consider speaking to a therapist or a counsellor about how you feel during this time. 

The concluding Note

Your first period after laparoscopy to remove endometriosis will be, undoubtedly, exhausting. You can use the above-given tips to endure the pain and let this stage pass. The intensity of pain will subside gradually in the subsequent periods. You can seek instant medical support for your first period post laparoscopy surgery treatment

You can book an appointment with Dr Anjali Kumar, the best gynecologist in Gurgaon at CK Birla Hospital, for more information or personalised guidance on endometriosis treatment

FAQs

Ques: How soon after a laparoscopy can I have my period?

Ans: You can expect your period after 4-6 week of laparoscopic surgery. 

Ques: Can my first period be delayed after laparoscopy?

Ans: Yes, it is not unusual to miss or have a delayed period after laparoscopy. It can happen due to both, physical and psychological stress. 

Ques: Is bleeding after laparoscopy normal?

Ans: Yes, some amount of vaginal bleeding after laparoscopy is normal. You may experience bleeding for up to a week post-surgery. 

Ques: How long does it take to recover from laparoscopy?

Ans: Your recovery period depends upon your age, overall health and severity of the condition. On average, you can expect to fully recover from a laparoscopy for endometriosis in about 6 weeks.