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According to a nationwide, doctor-centric research study, abnormal uterine bleeding affects 10 – 30% of women in India. The research suggests that females within the reproductive group (ages 15-49) account for 82.9% of the total cases reported by doctors. As such, abnormal uterine bleeding is ubiquitous because it affects the physical, mental, socio-economic, and quality of life of an individual.
Considering the fact that it affects so many women, demystifying the condition will raise awareness and increase prevention. This article seeks to expound on some causes and patterns of abnormal uterine bleeding, its symptoms, and the diagnosis and treatment of the condition.
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Abnormal Uterine Bleeding (AUB), formerly known as Dysfunctional Uterine Bleeding, is excessive bleeding from the uterus. Excessive bleeding occurs either during your menstrual period (heavy flow) or between monthly cycles. A normal menstrual cycle lasts for about 5 to 7 days, whereas unusual uterine bleeding can last for a long duration.
To determine the causes of abnormal uterine bleeding, you have to factor in the reproductive ages of those affected. The following are some of its reasons:
Apart from the causes of abnormal uterine bleeding mentioned above, here are a few others explained:
Endometriosis entails abnormalities of the lining of the uterus. In some women, this tissue that generally grows in the uterus grows outside of it. This lining settles over the ovaries, and may even find its way to the Fallopian tubes and pelvic region.
PCOS is a hormonal abnormality that affects 10% of women of their reproductive age. The condition is characterised by the overproduction of testosterone. Polycystic ovaries are enlarged and comprise many small follicles that do not mature. The result may sometimes lead to menstrual irregularity and unusual uterine bleeding.
Also, Read: Meal Plan For Polycystic Ovary Syndrome Patients
Perimenopause is a term used to define your transition into menopause. In most cases, women experience conflicting bleeding patterns during perimenopause. But if you are experiencing irregular or heavy bleeding more often than not, you have chances of suffering from abnormal uterine bleeding.
Although the signs of excessive uterine bleeding may differ from one person to another, a few of the symptoms include:
When it comes to the diagnosis of abnormal uterine bleeding, your doctor will be able to understand the symptoms correctly. Do not hesitate to talk to your gynaecologist if you notice any of these signs.
Your doctor may suggest a series of tests to diagnose you. The diagnosis of excessive uterine bleeding depends on your age, situation and history. Based upon these factors, your healthcare provider may ask you the following questions:
The tests involved in concluding a diagnosis are as mentioned below:
The treatment options of unusual uterine bleeding depend on the causes of your bleeding. You must also consider age and whether you’re looking to get pregnant. This will help determine how best your doctor can help you.
Some of the standard treatment options women opt for:
Preventive measures for the dysfunctional uterine bleeding centre around several factors such as age, history and other underlying conditions. A few of the measures are:
As it turns out, you may experience abnormal heavy bleeding due to several reasons. But still, it is wise to rule out any signs of abnormal or dysfunctional uterine bleeding. You can schedule an appointment with a gynaecologist or obstetrician if you recognise any of the above symptoms.
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After cardiovascular disease, cancer is the second-highest common cause of death in India. In cancer, the cells in our body grow and divide uncontrollably. The ailing cells have the potential to form tumours, impair the immune system and cause other changes. These changes hinder the body in functioning in a regular, healthy way.
The mortality rate of cancer is largely affected by late diagnosis. In recent years, several companies have developed new screening devices to tackle this problem.
As per a report published in Cancer India, the top five cancers in women account for 47.2 per cent of all cancers in India.
The hopeful part is that most of the cancers can be cured if detected and treated at an early stage. Realising the early signs and symptoms of the disease and possible risk factors will help you stay informed and alert about your health.
The five most common cancers in women in India are:
Breast cancer is the most common type of cancer in women in India and worldwide. The prevalence rate of breast cancer is 25.8 per 100000 women in India. This figure may rise to 35 per one lakh women in 2026, according to the Indian Council of Medical Research (ICMR).
Most breast cancers appear in the ducts that carry milk to the nipple. Some cancers start in the glands that make breast milk. After initial self-examination, you can detect breast cancer via ultrasound, mammogram, MRI or a biopsy.
If you haven’t already been screened for breast cancer, remember: early detection is the key to a successful treatment. Thus, it is important to be aware of all possible signs and symptoms of breast cancer, along with the potential risk factors.
Also, Read: What to Expect When You Are Diagnosed With Breast Cancer
When cancer develops in the cervix of a female, it is termed as cervical cancer. The cervix is the lower part of the uterus, which connects the body of the uterus to the birth canal (vagina). In India, it is the second most common cancer in women. Rural women are at a higher risk of developing cervical cancer than their urban counterparts.
The majority of the cases of cervical cancer are attributed to the HPV (human papillomavirus) infection. It is a sexually transmitted infection which is usually preventable with a vaccine.
Cervical cancer often goes undiagnosed for extended periods in Indian women, delaying cancer treatment. It is important to consult a doctor on experiencing any of the following symptoms associated with cervical cancer.
Also, Read: Cervical Cancer – All You Need To Know
Oral cancer is among the leading cancers in females in India. It is defined as a cancer of the lips, mouth and tongue. On the whole, oral cancer accounts for around 4 per cent of all the cancers diagnosed annually. Approximately 80 per cent of this cancer is owing to tobacco use.
If you experience difficulty in swallowing or soreness around the throat for more than two weeks, then immediately visit a doctor for proper diagnosis. Other signs and symptoms of oral cancer are:
Get HPV Vaccinated at the CK Birla Hospital Now!
The female reproductive system contains two ovaries – one on each side of the uterus. Ovarian cancer is found in the ovaries. It is the fifth most common cancer in women.
The majority of ovarian cancers are diagnosed late due to no or fewer symptoms in the initial stages.
Let’s learn some possible early ovarian cancer symptoms that will help in early detection of this cancer.
Lung cancer has been on an increasing trend among females in recent decades. Though smokers are at the greatest risk of developing lung cancer, surprisingly, it has also been rising among young, non-smoking women.
As per a report in Biospectrum India, lung cancer accounts for 8.4 per cent of all common female cancers. To detect the disease as early as possible, you need to be aware of the symptoms of lung cancer.
You should consult a doctor when you show any of the following symptoms:
Cancer is a fatal disease which often gets unnoticed in the early stages, especially among women. Women tend to bear and ignore the mild pains and symptoms their bodies experience as a normal work-related strain. Thus, it becomes increasingly important to be vigilant towards your health to identify this deadly disease in its initial phase.
The bottom line is to gain knowledge about the initial symptoms of cancer that will help in early diagnosis. Additionally, knowing about the possible causes and risk factors of common cancers in females will help in preventing them to some extent. Further, treatment options like chemotherapy, surgery, radiation therapy are available and decided by the oncologist, depending on the stage and type of cancer.
Stay informed; stay healthy!
An ACL or Anterior Cruciate Ligament injury occurs due to activities that involve sudden and jerky movements in the knees. These injuries are highly common among teenagers that are into high-intensity sports activities. Female athletes are three times more susceptible to this injury than male athletes due to factors like genetics, strength, and anatomy. This is why it is important to study the causes, symptoms and ACL tear treatment before it leads to something severe and possibly life-long.
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The anterior cruciate ligament is one of the key ligaments that help connect your thighbone and your shinbone at the knee. It is one of the four crucial knee ligaments that stabilise the knee when it rotates. When this ligament is overstretched, it can lead to a tear and eventually, an injury.
Also, Read: Things To Know About ACL Injury
Some major causes of ACL injury can include sudden knee movements that cause a ligament tear. Some of these movements include:
Some major symptoms of an ACL injury include:
The people who fall under any of the following categories are at high risk for ACL and should look at possible knee ligament tear treatments and prevention for the same.
The repeated occurrence of ACL is 15% higher than the development of a new case in a normal knee. The first year after the first ACL injury is the most crucial and has the highest chance of re-occurrence. If you are someone who has previously contracted this injury, you should consider proper ligament tear treatment to prevent re-occurrence.
As mentioned above, due to factors like strength, mobility, genetics, and muscle conditioning, female athletes are more vulnerable to this injury than their male counterparts. Research on rats suggests that a lack of testosterone in women may explain their increased susceptibility to ACL tears.
People that play sports are also vulnerable to ACL injuries. Some of these sports activities include volleyball, basketball, football, lacrosse, skiing, and tennis. These activities involve sudden, jerky knee movements and can increase the chances of ligament tears.
Other factors such as age and lifestyle matter too when it comes to being a high-risk patient for ACL injuries. People with a more active lifestyle tend to develop this injury between 15-45 years of age and also due to participation in different sports activities.
If you are displaying any of the above symptoms of ACL, it is necessary to consult your doctor or a medical professional. After doing so, the doctor will check the range of motion of your knee. Depending on their observation, they could either get an X-ray done or perform an MRI if nothing stands out.
The physical exam includes checking for any swelling or pain points. There is another way of diagnosis called Lachman’s sign test. In this test, the patient is asked to lie on their back. The examiner then holds the leg and supports the thigh and calf. The knee is bent to an angle of 30 degrees, and the calf is pulled in a forward, upward motion. This test is performed on both knees, and if the affected knee shows a greater range of motion than the other knee, the ACL has probably been torn.
There are many anterior cruciate ligament tear treatments available, including surgical and non-surgical options. They are:
If you seek ACL tear treatment without surgery, you can try these options before opting for surgery. If after examination, your doctor concludes that surgery is the only way to go, the following is some information on the same.
A doctor determines whether or not you require surgery for treatment for knee ligament damage based on three prime factors:
Only after considering these can the doctor decide if surgery is the best option for you.
It is also important to have an informed discussion with your doctor or surgeon before you go into surgery. Educate yourself about the various post-surgery treatments and any long-term risks.
The ligament treatment is done by reconstructing the ligament with the help of grafts. These can be developed surgically or obtained from a donor. The latter is highly preferred among doctors and surgeons. These grafts act as a scaffold for your ligament tissues to grow on.
Synthetic grafts are also available in various materials. Check with your doctor and select one that is best for you since all materials have their advantages.
A timely diagnosis of ACL is exceptionally crucial and can benefit you in the long term if you are an athlete or heavily involved in sports activities. ACL is curable and can be treated with proper treatment while also being calm and patient. Be in touch with your doctors and other medical specialists to know better about your condition and prevent it in the future.
As we age, joint and muscle pain become a part of our daily lives. Many older people suffer regularly owing to discomfort and immobility caused by illness in different areas of the body. One of the most universally experienced types of pain, however, is in the foot and ankle. Foot and ankle pain is exceptionally inconvenient as this restricts a basic need – walking.
Dr Anuj Chawla (FAS) is a distinguished foot and ankle specialist in Delhi, with all the information you need about unease in your feet. This article will bring to your notice all the common causes of pain in your feet and ankle.
Throughout the years of our life, our feet undergo a lot of pressure. All the weight of our body concentrates on the surface of our feet. This puts tremendous pressure on the muscles, tissue, and bones of our legs, ankle-down.
Over the years, our body’s mobility reduces due to several factors. These factors can either be systemic, i.e., involving blood vessels, nerves, etc. or they could be local, which includes wear and tear of joints, weak bones, deformities, etc. The wear and tear of joints in a person’s body can result in cartilage damage, which can be detrimental.
Therefore, if you experience any signs of pain in your feet, you should consult a doctor right away and deal with the problem right at its root.
Here are some common causes of foot and ankle pain in the elderly:
Calluses refer to areas of thickened skin on the sole of the foot as a result of unbalanced pressure. By nature, the thick skin on our toes and heels are designed to withstand our body weight. But with time, the skin becomes prone to wear and tear. With increased pressure and decreased ability to bear it, calluses start appearing.
A callus can also hint towards underlying deformities in the feet. In some cases, it could also point towards an ulcer in a diabetic patient. It is strongly recommended that patients get their calluses checked by a foot and ankle specialist to address the problem in due time.
Just like calluses, corns are thickened areas of the skin caused by uncomfortable footwear such as ill-fitting shoes. They are commonly seen on the outer part of the little toe and on the top skin of the small toes. Wearing well-fitting footwear is the only preventive measure one can take in this case.
Medical intervention is imperative in case corn or callus appears on the foot of a diabetic. Remedies such as corn caps and salicylic acid cream are available on the market. However, these are not recommended for people with diabetes or poor blood flow.
Toes are that region of our body, which we generally neglect when it comes to hygiene. Keeping them cut and clean is fundamental to avoiding nail disorders. However, as we age, the flexibility in the joints, proper hand-eye coordination, and good vision is lost. As such, the elderly predispose themselves to nail disorders.
An ingrown nail is one such nail disorder that occurs when the side of a nail keeps growing underneath your skin. This is very painful and causes inflammation and redness. Ingrown nails can also intensify and lead to swelling and pus discharge.
You can try some household remedies for ingrown toenails:
A medical intervention involves taking oral or topical antibiotics. In the worst-case scenario, patients may have to undergo a surgical procedure to remove the nail.
A bunion is a deformity in the big toe where it aligns itself towards the second toe. Although it affects only the big toe, the pain can spread up to the third toe. The primary reason for bunions is the development of arthritis of the bones. However, wearing narrow-toed shoes in adulthood can also lead to the condition.
Some remedies to relieve the pain caused by bunions are:
In extreme cases, the patient needs to get surgery to align the toe, where some tissue or bone from the toe might also be removed. These surgeries don’t take too long, and the patient can walk immediately afterwards with a particular shoe.
With age, the arch of the foot (tibialis posterior) stretches out and reduces the arch height. This condition is termed Adult Acquired Flat Foot (AAFD). It is also known as Posterior Tibial Tendon Dysfunction (PTTD) as it occurs due to weakness in the posterior tibial tendon.
This causes several reasons for unease, as patients experience pain in the inner and outer regions of their ankle, accompanied by swelling. In some cases, patients note a change in the shape of their feet. This causes the heel and/or front of their foot to deviate outwards. These conditions are termed heel valgus and forefoot abduction, respectively.
This condition can result in
The treatment of flatfoot requires specialized knowledge in the biomechanics of the lower body region.
Flat feet are often treated with non-surgical methods at first, which includes using heel wedges, arch supports, and employing physiotherapy to strengthen the muscles of the foot. However, if these methods fail, heel shift procedures and tendon transfers are the opted methods.
Arthritis is a condition that occurs due to wear and tear of the joints. Arthritis leads to inflammation, which can cause pain, loss of mobility in joints, and swelling. The big toe, subtalar joint, and ankle joint are the commonly hit areas, impairing the patient’s ability to walk with ease.
Osteoarthritis entails the wearing away of the cartilage which protects the joints. While osteoarthritis is the most common, patients report cases of rheumatoid arthritis, gout, psoriatic arthritis, and post-traumatic arthritis. According to medical research, about half of the population above 60 years of age suffer from arthritis affecting their feet.
While there is no research-based prevention measure for keeping arthritis at bay, there are some measures one can take to reduce its symptoms. These steps include:
Surgical procedures involve cleaning of the joint (debridement), fusion (arthrodesis), and replacement (arthroplasty).
Also, Read: All You Need to Know About Shoulder Arthritis and Shoulder Osteoarthritis
Pain should not interfere with our quality of living, especially in this day and age of modern medicine. However, we must remain cautious of the causes of these diseases and take preventive measures to keep them away.
If you are looking for a foot and ankle doctor in Delhi, book an appointment with Dr Anuj Chawla (FAS). He has long-standing experience in this field and is the best medical professional in the region for tackling these issues.
Under normal situations, oncology professionals recommend women between the ages of 50 and 74 with an average risk for breast cancer to undergo annual mammogram screenings.
But the times you’re living in are far from normal.
Ideally, if you do not witness the warning signs, you would do well to delay your mammogram test until the COVID-19 pandemic is under control. Do not let this perilous circumstance limit your ability to check if you require immediate medical help.
But a lump in the breast is not the only telltale for developing malignant tissue. Keep an eye open for the following ten symptoms to secure the help you need.
This is the most frequently spoken of breast cancer symptom, and one that you might be aware of. But not all the lumps are cancerous.
A malignant lump in your breast would be soft and small. It can appear like a hard knot in the developing tissue. You can feel thickening within your chest or in your underarm area.
When you distinguish these alarming lumps, be sure to connect with your medic.
It is a point of concern if you notice changes to the skin texture or the appearance of your breast. When a tumour develops in your breast, the lymph nodes will get blocked. This would cause itching and tingling across the skin of your chest.
In inflammatory breast cancer, your skin can assume a swollen and dimpled look. Your breast skin might even turn red.
While it’s common for you to assume the colour changes in your breast for a bruise, if it doesn’t fade away soon, then it might be more serious.
Despite having cancerous cells in their earlier stages, your breast would look perfectly normal. But as the cancer advances, your breast swells.
Additionally, if you’re developing a tumour in your right breast, your right sidearm and the underarm area will also swell, and vice versa. This condition occurs when the lymph nodes in your breast and arms become cancerous.
These lymph nodes block your body fluids and alter the way they flow in your body. Therefore, if you discover any inflammation, you must schedule a consultation.
If you notice any discharge other than milk from your nipples, that’s a warning sign.
The nipple discharge could be yellow, resembling pus, or be as red as blood. It might appear as though blood pockets are floating in mucus. If the consistency of the discharge is either too runny or too thick, it could be a sign of danger.
Since pain may or may not accompany these discharges, don’t underplay it.
As the tumour in your breast develops, you will naturally experience pain as pressure is applied to different parts of your chest. So, even while feeling the mildest pain, see your doctor.
Prolonging your consultation would give room for the tumour to grow. It can reach the skin to afflict you with skin abrasions and painful ulcers.
Of the various signs and symptoms of breast cancer, insomnia is the most neglected one. Paired with anxious thoughts and stabbing pains in your breasts, you could find great difficulty in falling asleep.
Don’t take it lightly if you’re unable to sleep easily with zero pains. It’s always best to seek guidance when alarmed.
Irrespective of patients in their early stages of cancer or undergoing chemotherapy, feeling fatigued and lethargic is a common symptom of breast cancer.
Chemotherapy exerts a paramount of fatigue to the one undergoing the treatment. But aside from this, if you face extreme tiredness coupled with other symptoms of breast cancer, it’s time to have a word with your doctor.
All forms of cancer are known to cause stomach-related ailments such as constipation, diarrhoea, vomiting, and stomach upsets.
Ideally, patients with this symptom avoid certain kinds of food as a proactive measure to relieve digestive troubles. This leads to a lack of fibre and calcium intake in their diet. As a result, other maladies can cause greater pain and discomfort in their stomach areas.
While medications can temporarily ease the discomfort, you must take counsel from your medic to address the malignant issue.
Doctors associate generalised shortness of breath with breast cancer. This is because, as the tumour in your breast grows in size, its position against the wall of your chest can make it difficult to breathe.
Further, if it has spread to the lungs, you can experience a shortness of breath in accompaniment with dry coughs or wheezing.
You’re not at risk of breast cancer solely with this symptom. However, if you detect warning signs in conjunction with shortness of breath, book an appointment with your doctor.
As breast cancer spreads, a variety of symptoms would surface, and one of them is finding difficulty in walking and sitting postures.
Since the easily affected part of your body besides your breasts is your bones, you could experience pain with differing motions in your spine, pelvis, arms, and legs. This makes sitting down or walking around laborious.
Bear in mind that the last five warning signs might be an indication of other ailments. For this reason, it’s best not to assume that you have breast cancer when you discover only one symptom from the latter half of this list.
Then, when should you be alarmed?
Should you feel any of these symptoms, seek medical help at the earliest or book an appointment with the best doctor near you.
![A quick guide to routine antenatal scans done during Pregnancy [2020]](https://backend.ckbhospital.com/wp-content/uploads/2020/05/thumbnail-16.jpg)
Pregnancy is notoriously associated with dramatic physiological changes! As your hormones steadily shift during this phase, you may realize that your weight, mood, eating habits, and even sleeping patterns seem to be going haywire. Understandably, many of these changes can be somewhat uncomfortable. Some of these changes are, however, both normal and essential for the development and health of your unborn child.
Given that every woman’s pregnancy experience is unique, the changes you experience during pregnancy can range from mild to severe and even life-threatening illnesses. Therefore, getting early and regular prenatal care becomes essential to determine if the symptoms you are experiencing are normal or not.
The World Health Organization (WHO) recommends that all pregnant women should get at least four antenatal care (ANC) assessments done by a qualified doctor or skilled attendant. But the proportion of women receiving the minimum of four antenatal assessments in India has only modestly increased from 37% to 51.2% between 2006-2016.
John Hopkins Medicine underlines that most pregnancies may progress without any complications. However, approximately 8 per cent of all pregnancies can involve some complications which, if left untreated, can harm the mother or the baby. You must, therefore, prioritise your routine antenatal scans.
Prenatal care may involve blood tests, imaging tests, and ultrasound exams, among others. These methods can help monitor your baby’s development in the womb as well as identify any ongoing health problems or existing health risks that you may have.
This article discusses some of the routine antenatal scans done during pregnancy.
You can schedule your first antenatal visit with your doctor as soon as your pregnancy has been confirmed. Your first appointment is likely to take place between eight and twelve weeks of your pregnancy. Throughout your pregnancy, your doctor may suggest several tests to check if both you and your baby are in good health.
Some of these tests will be a part of your routine prenatal checkups. Other tests may be voluntary and only done if your doctor thinks it may be appropriate for you to get tested. The following are the routine antenatal scans that you may experience during pregnancy:
During your first booking appointment, your doctor will note down your height and weight measurements to calculate your Body Mass Index (BMI). Obesity can put you at risk for complications such as preeclampsia, blood pressure, and blood clotting. Thus, if you are overweight, your doctor may advise you to lose some weight.
Additionally, your doctor will check your blood pressure on every visit. Your blood pressure can be comparatively lower in the middle of your pregnancy. But, if your blood pressure is high later in pregnancy, it could be a sign of pregnancy-induced hypertension.
On your first prenatal visit, you may have to give a blood sample. This blood sample helps determine your blood group, your rhesus status, and your HCG levels. Blood tests also check your immunity to certain diseases like HIV, Hepatitis B, and syphilis (unless you have specifically requested not to be tested for these diseases).
Apart from this, your blood sample may also be evaluated for conditions such as:
A urinalysis helps your doctor check for potentially dangerous complications associated with pregnancy. These include urinary tract infection, preeclampsia or high blood pressure and gestational diabetes. If your doctor suspects a serious problem, he or she may send your urine sample to a lab for more in-depth testing.
A pap smear is a routine part of your first-trimester antenatal screening and will check for abnormal cervical cells. If any abnormality is suspected, your doctor may perform a second test called colposcopy.
Your doctor may perform ultrasound exams at any point during your pregnancy. If you have a healthy pregnancy, however, you may only need to get two antenatal ultrasound scans done.
Your first ultrasound exam is likely to be scheduled when you around 11 to 14 weeks into your pregnancy. During this first antenatal scan, your doctor will give you the estimated date of delivery and will also identify and rule out any significant abnormalities.
A detailed ultrasound will be done again in the second trimester to look at the anatomy of the whole fetus. This antenatal growth scan is usually done around 18 to 20 weeks of pregnancy.
The Nuchal Translucency (NT) Ultrasound is an optional antenatal scan in pregnancy. This specialised ultrasound serves the purpose of screening for chromosomal abnormalities such as open neural tube defect, Down Syndrome and Trisomy 18.
The scan may be done sometime between 11 and 14 weeks of your pregnancy and is often combined with two other tests:
If any of these antenatal anomaly scans indicate that your baby is at a higher risk for certain congenital conditions, your doctor may recommend more invasive diagnostic tests such as chorionic villus sampling (CVS) or amniocentesis.
A glucose screening is done at approximately 26 to 28 weeks of pregnancy. This test determines your risk of gestational diabetes. Based on the results, your doctor may also recommend a glucose tolerance test.
This test, done around 36 to 37 weeks of pregnancy, checks for bacteria that can cause pneumonia or other serious infections in your newborn. A swab will be used to take cells from your vagina and rectum for testing purposes.
Routine antenatal scanning can ensure that you have a healthy pregnancy as well as a healthy baby. All mothers-to-be are encouraged to have these scans done as recommended by your doctor from time to time.
You can make an appointment with your doctors for your care during pregnancy. Ensure that you are fully informed about all the necessary tests and treatments. Discuss all your concerns with your medical professional openly to receive the best care possible.
Do you feel pain in your lower abdomen or groin area when you bend, cough, or lift something heavy? Or, do you feel a noticeable bump around the pubic or groin area, especially when you stand up or cough?
If you answered in an affirmative to either of the above, you might have developed an inguinal hernia, and you must visit a doctor to prevent any further complications.
To help you out, we have compiled all the information you need to recognize the symptoms of inguinal hernia and when to seek help.
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A hernia is a common condition, which occurs when a part of an internal organ or tissue bulges through a muscle. An inguinal hernia involves a part of the small intestine or fat bulging through the lower abdominal wall into the inguinal canal or the groin area.
Both men and women have inguinal canals – which is a passage in the lower abdominal wall that contains nerves and blood vessels. In males, it also holds the spermatic cord and the testes descend through the canal before birth. For women, the inguinal canal is the passage for the ligament that supports the uterus.
As mentioned before, a hernia in this passage can lead to a noticeable bump and may be painful during movement.
Two types of inguinal hernia are identified, that is:
Direct inguinal hernias are most common in older adults. According to an article published by Cleveland Clinic, male adults over the age of 40 are more likely to develop an inguinal hernia. Another study conducted in India reveals that groin hernias are 20 times more common in men than women.
Health experts also agree that smoking, abdominal surgery and a family history of inguinal hernias may put individuals at a higher risk.
If you feel a noticeable bump in the groin area or experience pain during movement, it is best to get checked for an inguinal hernia. On the whole, an inguinal hernia is not a serious or fatal condition. Still, medical intervention is necessary to prevent complications such as incarcerated hernia or strangulation.
Incarceration occurs when a part of the fat or small intestine from the abdomen gets stuck in the groin area, and cannot go back into the stomach. If this condition remains untreated, the blood supply to the small intestine can be cut off (strangulation), which can have serious consequences.
Symptoms of an inguinal hernia include:
There isn’t any single cause for hernia, but weak abdominal and groin muscles can be major contributors. Other risk factors for a hernia include family history, premature birth, chronic cough, constipation, obesity, etc.
As you can see, you cannot control many factors on this list. However, it is in your hands to eat a healthy, high-fibre diet and maintain a healthy weight. It is also advisable to not lift heavy weights and quit smoking to reduce your chances of developing an inguinal hernia.
If you or your child experience swelling, bumps or pain or pressure in the groin, it is advisable to seek immediate medical attention.
Your doctor will ask you a few questions about your family history and lifestyle, before conducting a physical examination to feel the bulge. The doctor may ask you to sit erect, cough or strain to see if the bulge comes out.
In some instances, an X-Ray may be recommended to determine the state of the hernia, according to which your healthcare provider will prescribe the treatment.
All hernias in the inguinal canal do not require surgery. Sometimes, a healthcare provider may ‘push’ a small inguinal hernia back into the abdomen – which can resolve the issue for good.
However, if this approach does not work, surgery may be required for inguinal hernia repair.
Inguinal hernia repair, also known as herniorrhaphy, is of the following types:
Do not feel shy or afraid to discuss bumps in your groin area or pelvic region with your doctor. An inguinal hernia is a common problem, and more prevalent in male adults. Fortunately, it isn’t a serious problem and, in most cases, can be quickly taken care of by a medical professional.
However, it is strongly recommended to contact a healthcare practitioner if you:
Call up your doctor to discuss your symptoms openly or book an appointment at CK Birla Hospital for instant expert care.
Coronaviruses are a family of viruses that can cause common cold as well as more severe respiratory diseases such as Severe Acute Respiratory Syndrome (SARS) and Middle East Respiratory Syndrome (MERS). COVID-19 is the name of the disease caused by a new strain of coronavirus called SARS-CoV-2, reported in China for the first time in December 2019.
The new coronavirus spreads in the same way as common cold or influenza. Experts believe that most individuals who contract the novel coronavirus will experience only mild to moderate symptoms, such as fever, tiredness, body ache, sore throat, and diarrhoea, and can be cured at home. However, according to the WHO and other health experts, people with weakened immune systems, such as diabetics, cancer patients, or those undergoing chemotherapy, are at a higher risk of experiencing a more severe form of the illness.
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Unfortunately, the answer to this question is probably yes. Several reasons put cancer patients at a higher risk for COVID-19. First and foremost, some forms of cancer treatment suppress the immune system, which makes them more susceptible to catching infections, including the novel coronavirus. Advanced types of cancer are also known to impact critical organs, such as the lungs and kidneys, making it harder for cancer patients to withstand a severe illness.
According to a study in China, COVID-19 patients with cancer and survivors of cancer showed a higher incidence of severe complications, including intensive care, mechanical ventilation, and death, as compared with other patients who did not have cancer.
While this study was conducted using a small group of patients, it is best for cancer patients to should follow the utmost precautions and limit social interactions to prevent any exposure to the virus.
At present, there is no vaccination to prevent COVID-19 or any specific treatment or cure. Therefore, the best way to prevent any complications is by avoiding exposure to the virus.
If you are a cancer patient or at a higher risk for COVID-19 due to other medical conditions, such as diabetes, heart disease, lung disease, chronic liver or kidney diseases, etc., it is important to be extra cautious to minimise your chances of contracting the disease or worsening your existing conditions. Especially for cancer patients, it is vital to:
Coronavirus infection is usually severe in patients who are suffering from pre-existing conditions like cancer, diabetes, hypertension. So, please take all precautions to prevent infections and follow these tips to stay healthy during the coronavirus pandemic:
In addition to these precautions, try to clock in at least eight hours of sleep, eat nutritious food, and do some form of exercise (if possible) to boost your immunity.
Hospital visits are linked to a higher risk of infection, which is why patients have been asked to minimise hospital visits. However, if you are already undergoing treatment for your cancer, you need to discuss the situation with your healthcare provider in detail. Talk about planning your next visit and the risk of missing a medical appointment vis-à-vis the possibility of increased exposure to the virus.
Medically speaking, while some cancer treatments can be safely delayed, others cannot. However, due to the excessive burden on healthcare infrastructure, many hospitals are not providing chemotherapy to cancer patients presently.
At the CK Birla Hospital, Gurgaon, patients can seek a consultation via telemedicine and video conferencing to minimise their hospital visits while continuing their regular treatment to the best extent possible.
In addition, cancer patients who need chemotherapy urgently can visit the hospital, even during the pandemic. Our dedicated healthcare staff maintains the highest standards of hygiene and other precautions to limit patients’ exposure to coronavirus.
If you are a cancer patient, have a frank discussion with your oncologist about continuing or delaying your treatment during the coronavirus outbreak.
Many patients around the globe have recovered from the novel coronavirus, thanks to early detection and proper treatment.
If you are experiencing a high fever, sore throat or shortness of breath, or think you may have come in contact with someone who tested positive for COVID-19, call up the government helpline number shared below and inform them of your concern and medical history.
The Gurgaon Nodal Centre, SGT Medical College Hospital & Research Institute, Budhera, Gurgaon – 122505, Near Sultanpur Bird Sanctuary or call the COVID-19 Helpline for Gurugram (M: – +91 9911519296; L: +91 124 2322412)
The Delhi Nodal Centre, RML Hospital, Baba Kharak Singh Road, Near Gurudwara Bangla Sahib, Type III, Connaught Place, Delhi, 110001: 011 22307145 / 011 22300036 CATS Ambulance (9717655774)
We also suggest that you stay indoors and avoid unnecessary physical contact until you are tested negative for COVID-19 to prevent the spread of the virus.
Parenthood is one of the most blessed gifts for a couple to experience in their lifetime. But before you step ahead, you need to prepare your body for pregnancy. This would ensure health and fitness for you and your baby throughout the pregnancy period and even after delivery.
Check out the following 30-day guide to prepare your body for pregnancy:
Once you start thinking on the lines of getting pregnant, you need to go back to basics with these tips to prepare your body for pregnancy.
Get complete learning and knowledge about how to conceive. By knowing the rules and guidelines about the most fertile days, you would be at a better chance to get pregnant.
The first step towards preparing for pregnancy is to quit any kind of birth control that you have been using. Stopping to take birth control pills may get your periods within two weeks of quitting the medicine. This opens up your cycle of trying to conceive.
Start tracking your menstrual cycle and try to understand the dates on which you are most fertile. Various apps can help you keep track of your periodical cycle month after month.
As far as preparing your body for a baby is concerned, you need to bring about many lifestyle changes in your everyday schedule.
Having frequent unprotected sex throughout your menstrual cycle will get you pregnant. Sex should be timed according to your ovulation dates to increase the chances of fertilisation.
Using addictive like tobacco, alcohol, and drugs can impose high risks of miscarriage, abnormality, and stillbirth of a newborn. Hence, if you wish to prepare your body for pregnancy shortly, you need to quit all these today.
Getting your body ready for pregnancy calls for prenatal multivitamins. These would help you gear up against any nutritional deficiencies during the early stages of your pregnancy.
An extra folate supplement is compulsory, right from the planning stages of your pregnancy. This would keep any neural tube defects, during pregnancy, at bay. For a pre-pregnancy dose, take a least of 400-800 micrograms of folic acid per day.
Eating a healthy balanced diet can suffice for your daily intake of vitamins and minerals to a great extent. Go for whole foods over processed ones and incorporate dietary folates, iron, and calcium in your daily menu.
Foods like asparagus, almonds, yam, eggs, and leafy green vegetables add to the fertility rate in a woman. Including these in your diet can help you in your endeavour to get pregnant.
Target to achieve an exercise plan of 150 to 300 minutes per week, depending upon how active you are. Start off with something as simple as walking or take up a little more challenging action like jogging or cycling.
Your BMI (Body Mass Index) should fall into the required category. You should not be over-weight or under-weight when preparing your body for pregnancy. Both these conditions are undesirable and risky.
The recommended intake of coffee for a pregnant woman is 12 ounces per day. If you have more than this, curb your caffeinated drinks intake as you prepare your body for a healthy and trouble-free pregnancy.
Taking high amounts of toxins can be dangerous for a developing baby. Hence, it is important to restrict the use of these to the bare least. Go for chemical-free home and personal products and avoid pre-packaged foods.
The next phase focuses on medically preparing your body for conception. Follow these steps soon after you have rescheduled your diet and health plan.
A yearly physical health check-up lets you detect health problems before they become severe. Considering all the conditions that can affect your pregnancy, a physical check-up can let you know any health concerns before conceiving.
Check for any overdue vaccinations like measles, tetanus, rubella, chicken-pox, etc. The right vaccines at the right time can protect you and your baby at all times.
Plan a preconception visit with your obstetrician. You may discuss any concerns relating to planning your pregnancy. Prepare a list of salient questions before your appointment.
Hormonal changes in the body can affect your gums and teeth. As you set ahead to prepare your body for pregnancy, you need to ensure your teeth are free of any gingivitis or cavities.
Genetic factors in your family tree will affect your baby’s health. It is important to rule out any genetic conditions that run in your bloodline. You can seek help from a genetic counsellor who gets you sailing in this comfortably.
Before planning a pregnancy, discuss your previous prescriptions or supplements that you might be on, with your doctor. Some of your regular OTC medicines may not be safe for pregnancy.
Remember, many hormonal changes would occur in your body while preparing for pregnancy. To handle the physical, mental and emotional pressures that would follow, try sticking to these simple rules.
Find out ways to release stress. This could be through a relaxing walk or some breathing exercises or anything else that brings pleasure to you.
A regular yoga session would help you strengthen your body for pregnancy. It would even help you to handle your anxieties and emotions relating to pregnancy.
Sleep plays a pivotal role in your well-being when preparing for a pregnancy. So catch up on it as and when you can.
Pregnancy requires more immunity as your body becomes more susceptible to common illnesses like colds and the flu. Switch to healthy foods like the ones rich in antioxidants, vitamin C, etc. to boost your immunity levels.
It is important to keep yourself hydrated for optimal health at all times. Pregnant women should have about nine glasses of water every day for a smooth pregnancy.
Your work may be strenuous physically. Yet, when preparing your body for pregnancy, you need to avoid lifting heavy things, bending or stooping over too often.
A very good way to get your body ready for pregnancy is with acupuncture. It helps improve ovarian function and even increases blood flow to the uterus. Research proves that acupuncture has improved the rate of pregnancy and live birth in women.
Once your body is ready to handle the anxieties and physical changes in it during pregnancy, you can now plan the logistics for a safe and comfortable pregnancy. For this, you need to follow the following steps.
At this point, expect a lot of advice from everyone about what you should and should not be doing during pregnancy. You may be overwhelmed or even misguided by the constant flow of information. Do the homework yourself and make a list of things that need to be avoided.
Your routine should include everything from a proper exercise regime to a healthy diet and even positive thinking. Incorporate all the Do’s and Don’t for achieving a high fertility rate to get pregnant. This would let you achieve success faster than you had thought.
Not all women achieve their target of getting pregnant very easily. It may take months, and even years, sometimes. You need to remain strong and determined with your goal in mind at all times and not give up or lose hope if you do not get the desired results soon.
Regular prenatal visits are very important during the entire course of your pregnancy. Plan in advance and make sure you have an insurance cover to deal with all your maternity expenses, including hospital charges and other post-natal expenses.
You Can Also Read: A Guide to Increasing Baby Weight When 9 Months Pregnant
Preparing your body for pregnancy naturally should be done under your obstetrician’s guidance to achieve the best results.
Consult your doctor immediately if you:
