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Pain during menstruation.
May be caused by pelvic inflammatory disease (a rather nonspecific diagnosis) or by endometriosis (where endometrial tissue occurs NOT in the uterus).
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What is dysmenoria?
dysmenorrhoea is pain occurring in the back and lower abdomen at or about the time of the menses.
What other uses does the pill have besides birth control?
1. For regulating a woman's menstrual cycle (or eliminating it altogether), for example to treat dysmenorrhoea or anaemia 2. For treating acne 3. For reducing the effects of endometriosis
Is Dysmenorrhoea a disorder of the female reproductive system?
Yes. Dysmenorrhea is the medical term for pain with menstruation. Primary dysmenorrhea is common menstrual cramps that are recurrent and are not due to other diseases. Secondary dysmenorrhea is pain that is caused by a disorder in the woman's reproductive organs, such as endometriosis, adenomyosis, uterine fibroids, or infection.
Is nise tablets safe to use?
"Nise" is a trademark for the drug "Nimesulide".Nimesulide is a non-steroidal anti-inflammatory drug (NSAID) with analgesic (pain relief) and antipyretic (reduction of body temperature) properties. It is used in the treatment of acute pain, symptomatic relief of osteoarthritis (degradation of joints)and primary dysmenorrhoea (severe uterine pain during menstruation) in females over the age of 12.Due to widespread concerns about the risk of hepatotoxicity (chemical-driven liver damage), nimesulide has been removed from the market in some countries.
Is it bad to take pain killers during your period?
Mild painkillers, such as paracetamol or aspirin, can help relieve the pain for some women. However, because some period pain can be caused by an excess of prostaglandins in the uterus, medications which can stop the production of prostaglandins are often very effective in relieving period pain. These types of medications include non-steroidal anti-inflammatory drugs (NSAIDs). Examples of NSAIDs used for period pain that are available from pharmacists are diclofenac (such as Voltaren), ibuprofen (e.g. Nurofen), mefenamic acid (Ponstan) and naproxen (e.g. Naprogesic). Although you can buy these products without a prescription, it's advisable to discuss with your doctor or pharmacist which medication would suit you best. Stronger painkillers are also available on prescription from your doctor. One successful treatment is the contraceptive pill, which suppresses ovulation and so causes bleeding to be less painful in some women. This works because the pain of dysmenorrhoea generally only occurs in menstrual cycles in which ovulation (release of an egg) occurs. For secondary dysmenorrhoea, treatments will vary depending on the nature of the underlying problem.
What is diagnostic ultrasound used for?
a diagnostic usg can be used in suggesting an array of diagnosis viz: pelvic usg: for diagnosong foetal growth. cardiac renal and other abnormalities, congenital deformities, gross movements of the foetus, abnormalities of placenta, abnormal cord blood flow in a pregnant lady. usg uterus in a non pregnant shows its structure, helps in diagnosing pcod, causes of dysmenorrhoea and infertility. usg testis is also done for detecting its cancer. abdominal usg: used for gall bladder stones, renal stones, liver size and structure. similarly for spleen. also used for investigating varicose veins and thyroid abnormalities.
Did they have anesthetics in World War 1?
Mercifully the surgeons had ether for an anesthetic in World War One. However the only post-operative pain killer available was morphine, which is of course highly addictive. There were a great many wounded men who returned home with a morphine addiction, some of whom were never able to conquer the drug. This was the first great wave of drug addiction in the US and the UK.
I have really bad cramps I can't stand I can't sleep I just cry and curl up into a ball And I cannot go on birth control Please tell me what I can do?
There are several things that you can do. A warm bath is always a good alternative. Try putting Epsom Salts in the bath water, it will help relax the muscles. - Also try Chelate Magnesium supplement it is a muscle relaxant that has been a miracle to me, I have also been using soda crystals (pure bath salts) to help relax the pain of cramping. It helps with irregular heart issues, sleep problems, digestions and absorption of vitamin C and protein absorption. A lot of people are lacking in magnesium which causes issues like headaches, cramping, insomnia, malaise and nausea. You can buy it from any chemist. though, If you really want to solve the problem fast, light up a spliff and wait 5 minutes. It has the longest lasting immediate pain relief effects for this particular case, is cheap and should be legalized for people who suffer all year around with this. Eat dairy on the regular if you can. A growing body is already stressed with making new body parts, and calcium is key to muscle production. Milk, cranberries cheese and yogurt with live cultures. Don't forget the orange juice! Vitamin C will help your body absorb the calcium better. Even calcium tablets with C and vitamin D are great to slow those cramps. Cheaper however to go for regular walks in fresh air and natural sunshine to get doses of VD, also if you are lactose intolerant there are various substitutes from calcium supplements to berries veg and fruits. It may also be helpful to assess your bed to make sure it is not messing up your sensitive back. Exercise! I know that it sounds mean, but the muscles down there need some exercise to become stronger and work more efficiently. You know how your body is when you've done exercise..it hurts. These are new muscles that your body is using and it's unaccustomed to working these organs. Now you have to make those organs stronger so that they can do their job efficiently. Try this exercise. Lie on your bed and let your body relax. Now put your hand on your lower tummy and push your tummy out. Then make it go down. Put your hand on your lower tummy and push against it. With a little practice, you can do this standing up and no one can see. It's great for the internal organs..and a great side effect is that you won't get constipated. Sleep with a heating pad. A heating pad provides the muscles with warmth which will make them relax. keeping your hips warm will help the muscles do their job more efficiently, so that they don't have to work at being warm AND doing their job. Finally, chocolate! There are natural chemicals in chocolate that eases cramps. Women have been auto medicating with chocolate for ages to help with cramps. - Be careful, chocolate is a known trigger for migraines when consumed during menstrual times and has never helped me with cramps as far as I know unless through the sheer distraction of yumminess. There is no better advice than to visit the G.P and make sure you don't have anything more serious going eh: dysmenorrhoea
How will you 'cure' the rheumatic disorders or rheumatism?
May times you get the patient of so called rheumatism in your general clinical practice. Patient has got nonspecific joint pains and morning joint stiffness. ESR is raised from mild to moderate degree. Such rheumatism is attributed to infected focus in the body some where. There is probably nothing like what you call as autoimmune diseases. There is no reason as to why the immunity will attack the own body proteins. There has to be some or other chronic infection that leads to immunological response. It is this antibody that attack your own body protein. So there has to be the infections in which the amino acid sequence is same as your body protein and at the same time the amino acid sequence is different at places. This difference in the sequence of amino acids that stimulates the production of the antibody. This antibody in turn attack the similar looking body protein. Thus giving rise to so called autoimmune disease. Your knowledge of Microbiology is very elementary. It takes some knowledge to know that you are ignorant. So coming to the point. You know one disease called as rheumatic fever and arthritis. It is caused by beta hemolytic streptococci. Here you get the bacterial infection that is fallowed by immunological response. Unless you treat the infection, the disease can not be cured.I have cured hundreds such patients in my clinical practice. You have to search for the focus of chronic infection. Almost always you can find out the carries tooth, one or more. The dentist insists on root canal treatment for this 'minor' problem. I tend to insist on getting the infected tooth removed. For even if the infection remains there to the minute degree also, then the disease will not get cured. It should be noted than even a single bacteria is capable of challenging your immune system. Once you get the infected tooth removed, the patient becomes alright after few days. There can be other regions in your body where there can be infected focus is there. Females are anatomically prone to chronic pelvic inflammatory disease. Specially after the age of 35 years. Bacteria from the outside are commonly spilled in the peritoneal cavity, many times after sexual intercourse. Clinically there is mild tenderness in the lower abdomen. White discharge may or may not be there. There is usually secondary dysmenorrhoea. ( Ladies are very much used to these symptoms and may take it as 'normal' part of their life.) The rheumatism may fallow very commonly through post menopausal period also. Males can have chronic prostate infection. There is tenderness over the prostate gland in per anal palpation. This chronic prostate infection can lead very well to prostate cancer in future. I myself had ingrowing toe nails in late nineteen nineties. I developed joint pains and stiffness. One fine morning it was not possible to walk to the wash room. Then both the toe nails are removed by operation and joint pains and stiffness disappeared. One patient had rash and severe joint pains. VDRL test was found to be positive. This patient responded to oral penicillin V tablet 250 mg 2 TID for three weeks. Other infected focuses should be sought and get treated. There may in infected sebaceous cyst. Though I never treated any one such patient of rheumatism. For chronic pelvic pelvic inflammation and chronic prostatitis, I prefer to give tablet Azithromycin one gram stat fallowed by 500 mg BID for two (to three) weeks. Tablet Satronidazole 300 mg BID for two (to three) weeks. Tablet serratiopeptidase 10 mg BID for three (to four) weeks. Recently only I have noted that the different types of worm infestations may also act as infected focus in some individuals. Pelvic inflammation is so much so common that the medical science has taken 20 mm of ESR limit as common pattern for females. For the males the limit is only 10 mm of Wintrobe. I personally do not agree with this limit of 20 mm. It should be 10 mm in both the sexes.
Vaginal bleeding?
DefinitionVaginal bleeding normally occurs during a woman's menstrual cycle, when she gets her period. Every woman's period is different. On average, a woman's period occurs every 28 days. Most women have cycles between 24 and 34 days apart. It usually lasts 4 - 7 days.Young girls may get their periods anywhere from 21 to 45 days or more apart. Women in their 40s will often notice their period occurring less often.Some conditions can cause abnormal vaginal bleeding. This article discusses heavy, prolonged, or irregular periods.For vaginal bleeding due to changes in hormone levels, see: Dysfunctional uterine bleeding (DUB)Alternative NamesIrregular menstruation; Heavy, prolonged, or irregular periods; Menorrhagia; Polymenorrhea; Metrorrhagia and other menstrual conditions; Abnormal menstrual periods; Abnormal vaginal bleedingCauses, incidence, and risk factorsA change in hormone levels is a common cause of abnormal menstrual bleeding. For information on this cause, see: dysfunctional uterine bleedingOther causes of heavy, prolonged, or irregular menstrual bleeding include:Bleeding disorders such as Von Willebrand diseaseCancer of the lining of the uterusChanges in birth control pills or hormone medicationsChanges in exercise routineDiet changesEndometrial hyperplasia (thickening/build-up of the lining of the uterus)Infection in the uterus (pelvic inflammatory disease)Medical conditions such as thyroid and pituitary disorders, diabetes, cirrhosis of the liver, and systemic lupus erythematosusNoncancerous growths in the womb, including uterine fibroids, uterine polyps, and adenomyosisPolycystic ovary syndromePregnancy complicationss such as miscarriage or ectopic pregnancyRecent injury or surgery to the uterusRecent weight loss or gainStressUse of an intrauterine device (IUD) for birth controlUse of certain drugs such as steroids or blood thinners (for example, warfarin or Coumadin)SymptomsSymptoms of abnormal vaginal bleeding include:Bleeding or spotting between periodsBleeding after sexBleeding more heavily (passing large clots, needing to change protection during the night, soaking through a sanitary pad or tampon every hour for 2 - 3 hours in a row)Bleeding for more days than normal or for more than 7 daysMenstrual cycle less than 28 days (more common) or more than 35 days apartBleeding after you have gone through menopauseBleeding from the rectum or there is blood in your urine may be mistaken for vaginal bleeding. To know for certain, insert a tampon into the vagina and check for bleeding.Keep a record of your symptoms and bring these notes to your doctor. Your record should include:When menstruation begins and endsHow much flow you have (count numbers of pads and tampons used, noting whether they are soaked)Bleeding between periods and after sexAny other symptoms you haveSigns and testsYour doctor will perform a physical examination, including a pelvic exam. Your doctor will ask questions about your medical history and symptoms, including:What is your age?When was your last menstrual period?How long do your periods usually last?How many days are there usually between your menstrual periods?Have you passed blood clots?How heavy have they been? How many pads and tampons have you been using per day?How old were you when had your first menstrual period?Do you use birth control?Do you take an estrogen supplement?Do you take aspirin more than once per week?Do you take Coumadin, heparin, or other anticoagulants?Have you recently given birth, had surgery, or experienced trauma on or near the vagina or uterus?Have you recently had a vaginal or uterine infection?What other symptoms do you have?Are you pregnant or could you be pregnant?Tests that may be done include:Pap smearEndometrial biopsyPelvic ultrasoundBlood tests such as thyroid function tests, complete blood count, iron count and pregnancy testUrinalysisTreatmentTreatment depends on the cause and may include pain medication, hormonal medications, and possibly surgery. For treatment information, see:Dysfunctional uterine bleedingEndometriosisUterine fibroidsEctopic pregnancyPolycystic ovary syndromeCalling your health care providerCall your doctor if:You have soaked through a pad or tampon every hour for 2 - 3 hours.Your bleeding has lasted longer than 1 week.You have vaginal bleeding and you are pregnant or could be pregnant.You have severe pain, especially if you also have pain when not menstruating.Your periods have been heavy or prolonged for three or more cycles, compared to what is normal for you.You have bleeding or spotting after reaching menopause.You have bleeding or spotting between periods or caused by having sex.PreventionAspirin may prolong bleeding and should be avoided if you have bleeding problems. Ibuprofen is usually works better than aspirin for relieving menstrual cramps. It also may reduce the amount of blood you lose during a period.ReferencesCasablanca Y. Management of dysfunctional uterine bleeding. Obstet Gynecol Clin North Am. 2008 Jun;35(2):219-34.Lobo RA. Abnormal uterine bleeding: Ovulatory and anovulatory dysfunctional uterine bleeding, management of acute and chronic excessive bleeding. In: Katz VL, Lentz GM, Lobo RA, Gershenson DM, eds. Comprehensive Gynecology. 5th ed. Philadelphia, Pa: Mosby Elsevier;2007:chap 37.[No authors listed] ACOG Practice Bulletin No. 110: noncontraceptive uses of hormonal contraceptives. Obstet Gynecol. 2010 Jan;115(1):206-18.Marjoribanks J, Proctor M, Farquhar C, Derks RS. Nonsteroidal anti-inflammatory drugs for dysmenorrhoea. Cochrane Database Syst Rev. 2010 Jan 20;(1):CD001751.Damlo S. ACOG guidelines on endometrial ablation. Am Fam Physician. 2008 Feb 15;77(4):545-549.Reviewed ByReview Date: 07/25/2011David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc., Susan Storck, MD, FACOG, Chief, Eastside Department of Obstetrics and Gynecology, Group Health Cooperative of Puget Sound, Bellevue, Washington; Clinical Teaching Faculty, Department of Obstetrics and Gynecology, University of Washington School of Medicine.
What could be wrong if your menstruation last for one month and shows no signs of stopping?
Menorrhoea or excessive menstruation : Profuse menstrual flow is common in certain women and usually denotes a blood deficiency, especially blood calcium. A variety of causes may be responsible for this trouble, but toxic condition of the system is at the root of the matter. It is essential to keep the patient absolutely quiet and confined to bed. The bottom of the bed should be raised 10 cm to 13 cm. IN case of excessive bleeding, a gauze may be inserted in the vagina as a temporary measure. For the first few days the diet should consist only of milk and raw vegetables. No stimulants should be taken as they tend to increase the flow. When the bleeding has stopped, great care should be taken to avoid over exertion or straining the body in any manner. A full nature cure diet should then be adopted using fresh vegetables raw salads twice daily. As a long term measure, what is needed is a scheme of treatment which will thoroughly cleanse the system of toxic material. This and various disorders relating to menstrual flow are indicative of the low level of a woman's health and a toxic condition of her sex organism, which has been brought about by wrong habits of living, especially wrong dietary habits. These disorders are made more deep-seated and chronic by modern medical efforts to deal with them through the suppressive agency of surgery and drugs. The disorders being systemic in origin, can be tackled only by treating the system as a whole so as to remove the toxicity from the body and build up the general health-level of the sufferer. To undertake such a scheme of all round health-building treatment, the sufferer from menstrual disorders should begin with an all-fruit diet for about five days. In this regimen, the patient should have three meals a day of fresh, juicy fruits, such as apples, pears, grapes, papaya, oranges, pineapple, peaches and melon. No other foodstuff should be taken; otherwise the value of the whole treatment will be lost. However, if there is much weight loss on the all-fruit diet, those already underweight may add a glass of milk to each fruit meal. During this period the bowels should be cleansed daily with a warm water enema. After the all-fruit diet, the sufferer should adopt a well- balanced diet on the following lines : Upon rising : A glass of lukewarm water mixed with the freshly squeezed juice of half a lime and a spoon of honey. Breakfast : Fresh fruits such as apple, orange, grapes, papaya, banana and milk. Lunch : A bowl of freshly prepared steamed vegetable such as carrot , cabbage, cauliflower, swuash, and beans, two or three whole wheat chappatis. Mid-afternoon : A glass of carrot juice or sugarcane juice. Dinner : A large bowl of fresh green vegetable salad using all available vegetable such as carrot, cabbage, cucumber, tomatoes, radish, red beets and onion and mung bean sprouts. Bed-time snack : A glass of fresh milk or an apple. The diet factor is of the utmost importance. Fruits and salads ,nature's body-cleansing and health-restoring foods, must form the bulk of the future diet along with whole grains, nuts and seeds, especially in sprouted forms. Frequent small meals should be taken instead of few large ones to prevent low blood sugar which is common during menstruation. The foods which should be avoided in future are white-flour products, sugar, confectionery, rich cakes, pastries, sweets, refined cereals, flesh foods, rich, heavy, or greasy foods, tinned or preserved foods, strong tea, coffee, pickles, condiments and sauces. Smoking, if habitual, should be given up completely as it aggravates menstrual disorders. A further short period on all -fruit , say two or three consecutive days can be undertaken at should form a regular feature of the treatment. All cold baths should however , be suspended during the menstrual period. Certain remedies have been found useful in menstrual disorders. Cooked banana flower eaten with curd is one of the more important of such remedies. The banana flower appears to increase progesterone hormone and reduce the bleeding. Beet juice has been found very effective for menstrual disorders. It should be used in small quantities of 60 to 90 grams, at a time two or three times a day in these conditions. Coriander seeds are highly beneficial in the treatment of excessive menstruation. Six grams of these seeds should be boiled in half a litre of water. It should be taken off the fire when only half the water remains. Sugar candy should be added to it and the patient should drink it when it is still warm. Ginger has been useful in menstrual disorders. A piece of fresh ginger should be pounded and boiled in a cupful of water for few minutes. The infection sweetened with sugar should be used thrice daily after meals as a medicine for dysmenorrhoea, and amenorrhoea due to exposure to cold winds and taking cold baths. Sesame seeds are also useful in menstrual disorders. Half a teaspoonful of powder of these seeds taken with hot water twice daily acts excellently in reducing spasmodic pain during menstruation in young unmarried anaemic girls. Its regular use, two days prior to the expected periods, cures scanty menstruation. Warm hip bath containing a handful of bruised sesame seeds should be simultaneously taken alongwith this receipt. Safflower seeds have also been found to be beneficial in the treatment of painful menstruation. A decoction prepared by boiling two teaspoonfulsof powdered seeds in 120 ml. of water should be given as a remedy for this condition. Dried flowers mixed with confection of rose can also be given as a medicine for this purpose.
