What is Dilation and Curettage?

Dilation and curettage, also known as a D&C, is a minor surgery. In this, the uterus of women is cleaned, dilated and the cervix (lower part of the uterus) is cleaned. Special instruments are used to perform this surgery.

 

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When is a D&C needed?

Dilation and curettage are needed to clean the lining of the uterus for certain conditions associated with the uterus, such as excessive vaginal bleeding, during an abortion or after a miscarriage.

 

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What should I know before having dilation and curettage?

 

In this case, your doctor may recommend a type of endometrial sampling, a D&C, which is done to treat the following conditions:

 

• If there is bleeding from the uterus
• Vaginal bleeding even after menopause
• A test is done for cancer of the cervix, which detects damaged endometrial cells.

To perform this test, your doctor takes a piece of tissue from the skin of your uterus (endometrium). which we examine. During this investigation these things are ascertained:

 

Endometrial hyperplasia - the onset of a condition in which the lining of the uterus becomes too thick.

• uterine polyp
• uterine cancer

 

Then during the D&C procedure, the doctor cleans your uterus from the inside. During this procedure, the doctor can do this type of procedure:

 

Cleans the tissue that remains in the uterus after a miscarriage or abortion to prevent infection or excessive bleeding.

 

Sometimes a lump of tumor begins to form inside the uterus, which is often considered a symptom of pregnancy. Your doctor will clear it.

 

To stop bleeding after delivery, all the ducts of the uterus will be cleaned.

 

Will remove cervical or uterine polyps, which are usually non-cancerous, but maybe early signs of cancer.

 

Your doctor may also perform a hysteroscopy during a D&C. During a hysteroscopy, your doctor inserts a thin device with a light and camera into the vagina through the uterus.

 

This allows your doctor to look at the lining of your uterus (the skin) on a screen while checking for any areas that look abnormal and making sure there are no polyps inside the uterus. Then during a hysteroscopy, your doctor may also remove uterine polyps and fibroid tumors.

 

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What are the side effects and problems of dilation and curettage?

If your doctor has given you a dose of general anesthesia during this surgery procedure, it may cause you to have nausea or vomiting, or a sore throat. However, if you have trouble breathing after surgery, your doctor will place a tube in your windpipe. Anesthesia is used during surgery to make the patient unconscious and numb their body.

 

 

Common side effects of D&C which can last for a few days are:

 

• mild abdominal cramps
• blood stains or light bleeding

To relieve cramps, your doctor may prescribe a dosage of ibuprofen or other pain relievers.

Dilation and curettage are generally safe procedures. However, there may be some rare risks:

 

Hole in the uterus- During surgery, a surgical device is used, due to which there can be a hole in the uterus. It is more likely to occur in women who were recently pregnant or have gone through menopause. However, in most of its cases, it also gets better on its own. However, if there is damage to the blood vessels or other organs, then another surgery is needed to repair it.

 

 

Damage to the cervix – If the cervix ruptures during a D&C procedure, the doctor may apply pressure or close the wound with stitches to stop the bleeding.

 

The scar on the tissue of the uterine wall- This condition is very rare. This is known as Asherman's syndrome. This problem can occur if the D&C is being performed after a miscarriage or childbirth. This can lead to severe pain during the menstrual cycle, miscarriage, and infertility in the future.

 

Risk of infection- The risk of infection also remains after the D&C procedure. However, it is very rare.

 

If you notice any of the following symptoms after the Dilation and Curettage (D&C) procedure, call your doctor immediately:

 

Heavy bleeding during periods, which is why you need to change pads every hour

 

• Fever
• Abdominal cramps for the last 48 hours or more
• pain keeps on increasing instead of decreasing
• foul-smelling discharge from the vagina

Before having dilation and curettage (D&C) surgery, talk to your doctor or surgeon about the benefits and potential risks involved.

 

If you have any questions regarding this, please consult your doctor.

 

 

 

How should I prepare myself for Dilation and Curettage (D&C)?

Before Dilation and Curettage (D&C):

 

The process of this surgery can take an hour or more.

Follow the instructions given by your doctor. Pay attention to the advice related to food and drink.

 

Come with an acquaintance to show you how to get home after surgery.

In some cases, your doctor may start the process of dilating your cervix a few hours before or even a day before this surgical procedure. This will help to open your cervix gradually. This is usually done when your the cervix needs to be dilated more than with a D&C, for which the doctor may perform a hysteroscopy.

 

To promote dilation, your doctor uses a medicine called misoprostol (Cytotec) -- which is given orally or vaginally -- to soften the cervix or a thin rod made of laminaria in your cervix. includes. Laminaria slowly spreads by absorbing the fluid in your cervix, causing your cervix to open.

 

To increase the dilation, your doctor may use a medicine called misoprostol (Cytotec), which can be given orally or vaginally. This softens the cervix and creates space for a thin rod made of laminaria to be inserted into the cervix. After which the laminaria gradually spreads by absorbing the fluid in your cervix, this opens the cervix.

 

 

What is the process involved in Dilation and Curettage?

 

The D&C process can usually take 15 minutes to 1 hour. However, you will have to stay in the hospital for some time after the surgery is complete.

 

You are given a dose of anesthesia before starting the surgery. The type of anesthesia you will be given depends on the type of surgery and your health condition.

 

General anesthesia supplements work to make you feel sedated and stop you from feeling pain. Apart from this, other types of anesthesia are used to numb only one part of the body, which is called anesthesia. However, if a large part of the body needs to be numbed, then doctors give a dose of regional anesthesia. Through which injections are put in your veins.

 

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During the procedure of surgery:

 

You have to lie on your back.

Your doctor inserts an instrument called a speculum into your vagina during a Pap smear test to view your cervix. Which gradually opens the cervix.

After the cervix is ​​open, the doctor pulls it out and inserts a spoon-shaped device with a sharp edge or suction device into the vagina that removes uterine tissue.

 

 

What happens after dilation and curettage?

 

You will be kept in the recovery room for a few hours after the surgery is complete. Where the doctor will continue to examine your condition.

 

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How should I take care of myself after dilation and curettage?

 

After a D&C, you should rest for some time at home. After a day or two, you will be able to do regular physical activities again. Talk to your doctor about what types of physical activities you should or should avoid.

 

The timing of your periods may change after surgery. It can come sooner or later. Do not make physical contact to protect the uterus from bacteria. Do not use condoms and period cups.

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What is Central Pain Syndrome?

Central pain syndrome is a neurological disorder that affects the brain with nerve-related problems. Due to the effect of this disease, the person's brain is not able to function properly. This includes the posterior part of the brain and the spinal cord. Central pain syndrome is difficult to diagnose and no screening method is available that cannot accurately diagnose the disease. However, people suffering from this disease usually have to face the following problem. Such as - stroke, brain tumor, Parkinson's disease, spinal cord injury, multiple sclerosis, brain injury, etc.

 

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What Causes Central Pain Syndrome?

The pain in CPS is not associated with a nerve. originates from the brain. For this reason, pain is more common in the case of CPS. Peripheral nerves are such that are present outside the body and spinal cord of a person. Brain injury produces the perception of pain. This injury usually occurs in the thalamus, a structure within the brain that processes sensory signals to other parts of the brain. However, some of the following conditions can complicate the problem.

 

• bleeding in the brain.
• a stroke.
• multiple sclerosis.
• brain tumors.
• Aneurysm.
• Spinal cord injury.
• a traumatic brain injury.
• Epilepsy.
• Parkinson's disease.
• Surgical procedures involve the brain or spine.

 

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Symptoms of Central Pain Syndrome? 

The symptoms of central pain syndrome vary from person to person. Its symptoms are seen early in injury or other conditions. However, in some people, symptoms develop late or early. These symptoms include

 

• For example, there is pain with burning.
• Having intense pain
• Having general pain
• Numbness.

In severe cases, people suffering from central pain syndrome have more pain when touched lightly with clothes, blankets, or strong wind. Makes different types of pain more severe. These include.

 

• To be touch
• To be tense
• be angrier
• More change in behavior.
• Sneezing.
• Barometric pressure change.

In many cases of central pain syndrome, this condition can persist forever.

 

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Diagnosis of Central Pain Syndrome?

 

Central pain syndrome is extremely difficult to diagnose. However, it can be related to pain and injury. A doctor may perform special tests to diagnose central pain syndrome. Apart from this, the doctor asks about the symptoms of the patient and does physical examination as per the need. It asks about the patient's past disease history. If you have any kind of injury, then you should give full information about it. Central pain syndrome does not develop only after injury to the CNS.

 

Central Pain Syndrome Treatment?

 

There is no cure for central pain syndrome. However, research by scientists is going on. According to the doctor, painkillers are given to control its symptoms. In some cases, epilepsy drugs are given so that it can be controlled to some extent. These drugs include

 

• Topiramate.
• Gabapentin.
• Duloxetine.
• Carbamazepine.

 

 

Risks of Central Pain Syndrome?

Central pain syndrome is a rare condition in which a person finds it difficult to carry out his daily activities. Apart from this, some people start having mental problems. These problems include sleeplessness, feeling more tired, changes in behavior, anger, stress and anxiety, thoughts of committing suicide, etc.

 

There is no exact cure for central pain syndrome but a doctor may prescribe painkillers to reduce the pain. With the help of medicine, a person can lead a normal life.

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Are you looking for Lymphoma Treatment in India?

Lymphoma is cancer that starts in the lymphocytes, a type of white blood cell of the human immune system. Lymphoma is the most common kind of blood cancer. It includes both Hodgkin’s lymphoma and non-Hodgkin’s lymphoma, depending on the specific type of lymphocyte involved.

 

T-cell lymphoma is a type of  Non-Hodgkin’s lymphoma which comes in many forms.

 

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Types of Lymphoma

 

T-lymphoblastic lymphoma/leukemia:  This disease is very common in teens or young adults, with chances of males being affected more than females. It can be considered either a lymphoma or a type of acute lymphoblastic leukemia (ALL), depending on how much of the bone marrow is involved (leukemias have more bone marrow involvement).

 

 

It often starts in the thymus (a small organ behind the breastbone and in front of the heart, which is where many T cells are made), and may grow into a large tumor in the mediastinum (the area between the lungs). This may cause trouble in breathing and swelling of the arms and face.

 

Peripheral T-cell lymphomas:  These are uncommon types of lymphoma that develop from more mature forms of T cells.

 

Adult T-cell leukemia/lymphoma: This lymphoma is caused by infection with a virus called HTLV-1. It affects the bone marrow (where new blood cells are made), lymph nodes, spleen, liver, skin, and other organs.

 

Cutaneous T-cell lymphomas: These lymphomas start in the skin. Skin lymphomas account for about 5% of all lymphomas.

 

Angioimmunoblastic T-cell lymphoma: This lymphoma accounts for about 4% of all lymphomas. It is more common in old age. It involves lymph nodes and bone marrow as well as the spleen or liver, which can get enlarged. People with this lymphoma usually have a fever, weight loss, skin rashes, and often develop infections.

 

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Extranodal natural killer/T-cell lymphoma, nasal type:  This rare type of lymphoma involves the upper airway passages, mostly the nose and upper throat, but it can also invade the skin, digestive tract, and other organs. Cells of this lymphoma are similar in some ways to natural killer (NK) cells, another type of lymphocyte.

 

Enteropathy-associated intestinal T-cell lymphoma (EATL): EATL is a lymphoma that grows in the lining of the intestine. This lymphoma is common in the small intestine, but it can also appear in the colon.

 

This lymphoma occurs in people with celiac disease (also known as gluten-sensitive enteropathy). Celiac disease is an autoimmune disease in which eating gluten causes the immune system to attack the lining of the intestine and other parts of the body. It is rare in people who have had celiac disease since childhood and is more common in people diagnosed as older adults. This lymphoma is more common in men than in women.

 

Anaplastic large cell lymphoma (ALCL): About 2% of lymphomas are of this type. It is more common in young people (including children), but it can affect older adults as well. This type of lymphoma tends to grow rapidly, but many people with this lymphoma can be cured.

 

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There are different forms of anaplastic large cell lymphoma.

 

Primary cutaneous ALCL affects only the skin. This is discussed in more detail in lymphoma of the skin.

Systemic ALCL can affect lymph nodes and other organs, including the skin.

Systemic ALCL is divided into 2 types based on whether the lymphoma cells have mutations in the ALK gene.

 

 

 

 

ALK-positive and ALK-negative types.

 

 

 

symptoms

 

 Symptoms vary according to the specific type of T-cell lymphoma.

 

Symptoms of mycosis fungoides include flat, scaly skin patches, thick raised plaque tumors that may or may not develop into ulcers, and itching.

 

Signs and symptoms of Sézary syndrome are red, itchy rashes that cover most of the body and eyelids. Nails and hair changes, enlarged lymph nodes, edema or swelling.

 

Not all forms of T-cell lymphoma cause symptoms on the skin. Other reasons may be:

 

bleeding or bruising easily

 

recurrent infections

 

fever or chills for no known reason

 

fatigue

 

Persistent abdominal pain on the left side due to swelling of the spleen

 

fullness of stomach

 

frequent urination

 

Constipation

 

 

Treatment of myeloma

 

 It is very likely to receive more than one type of therapy. There are a large number of such hospitals in India which can be considered as the best lymphoma treatment hospital in India.

 

Mycosis fungoides and Sézary syndrome may include direct treatment on the skin as well as systemic treatments.

 

Skin treatment

 

Some ointments, creams and gels applied directly to the skin can control symptoms and even destroy cancer cells.

Retinoids (vitamin A-derived drugs). Possible side effects are itching, burning and sensitivity to sunlight. Retinoids should not be used during pregnancy.

 

Corticosteroids. Long-term use of topical corticosteroids may cause thinning of the skin.

 

Topical chemotherapy. This may include redness and swelling. It can also increase the risk of other types of cancer. However, topical chemotherapy has fewer side effects than oral or intravenous chemotherapy.

 

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Systemic Treatment

 

 

Medications for T-cell lymphoma include pills, injections, and intravenous drugs. Targeted therapy and chemotherapy drugs are often combined for maximum treatment.

 

 

 

Systemic treatment may include:

 

chemotherapy the combination called CHOP, which includes cyclophosphamide, vincristine, and prednisone

newer chemo drugs, such as pralatrexate (Folotin)

targeted drugs, such as bortezomib (Velcade), belinostat (Beleodac), or romidepsin (Istodax)

immunotherapy drugs, such as alemtuzumab (Campath) and danileukin difficile (Ontak)

In advanced cases, one may require maintenance chemotherapy for up to two years.

 

light therapy

UVA and UVB light can kill cancer cells on the skin. Light therapy is usually given several times a week using special lamps. UVA light treatment is usually combined with drugs called Psoralens. UVA light activates Psoralens to kill cancer cells.

 

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radiation

Radiation therapy uses radioactive particles to destroy cancer cells. The beam can be directed at the affected skin so that the internal organs are not affected.

 

 

Extracorporeal photopheresis

It is used to treat mycosis fungoides or Sézary syndrome. The two-day procedure, in which the blood will be removed and treated with UV light and drugs that activate when exposed to light, kill the cancer cells. 

To get an instant appointment for Lymphoma treatment in India, Just drop us a query on our website or Contact us on Whatsaap (+919654030724) or email us at connect@gomedii.com, regarding our services. Our team will get back to you as soon as possible.

Meningitis Treatment In India

 Meningitis is a dangerous and life-changing condition that affects thousands of people every year. Especially in countries where the disease is rampant, and treatments are few and far between, it can cause permanent damage. In such a case, treating meningitis in India can be a life-saving solution.

 

Medical care and healthcare in India have made great strides in recent years, including the treatment of meningitis. International patients can easily access world class meningitis treatment in India at affordable cost through GoMedii.

 

At GoMedii, we support our international patients as not only a medical tourism partner but a medical treatment partner as well. To get an instant appointment or consultation regarding meningitis treatment in India, just drop us a query on our website or contact us on Whatsapp (+91 9654030724) or email us at connect@gomedii.com, regarding our services. Our team will get back to you as soon as possible.

 

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Thrombolytic treatment for myocardial

 This therapy work by lysing infarct artery thrombi and achieving the reperfusion, it reducing the infarct size, preserving left ventricular function and improving the patient's survival rate. If you have any heart-related problem then the doctor will suggest thrombolytic therapy but there are certain conditions before undergoing this therapy your doctor will tell you in detail.

See More: Life Saving Thrombolytic Treatment For Myocardial Infarction

Shingles treatment in India

 When we are talking about shingle then it is an infection caused by the varicella-zoster virus, it is the same virus that causes chickenpox. It may also refer as herpes zoster. This type of viral infection is also characterized as a red skin rash that can cause burning and pain on the skin. If you have shingle then don't need to worry about it, treatment is also available and you can also try some home remedies.

See More: Finding Shingles Treatment In India? Get It Here

What is Depression? - Symptoms, Causes and Medications

 

Too often we hear from others that someone in the family or a friend is suffering from depression. What is this depression? Due to this people lose their will to live, they remain immersed in their world and are constantly afraid of something or else, while living in depression, they suffer from a disease which has never happened before.

 

In such a situation, we should help them as much as we can, but how will we know their state of mind? What happens to them, that they don't want to do their normal job, don't want to meet the people they love, and don't want the life they've worked so hard for? Ordinary people will probably never understand their state of mind.

 

The process is certainly not as simple as it may seem. If you want to see them behave, talk or smile as before, you should seek the help of a specialist doctor. If something goes wrong during the treatment, then their life can also be lost. Also, if you want to help them, then this article will be very useful for you. so let's get started.

 

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What is Depression?

 

Depression is a major depressive disorder (MDD) type of mental illness that is common nowadays. These are direct attacks on your behaviour, feelings and actions that you do in regular life. Thank God that it is a treatable disorder, yet people go through many distressing situations that include feelings of sadness, loss of interest, wanting to be alone. This increases many physical and mental problems and reduces the ability to work.

 

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Symptoms of Depression

 

Symptoms of depression can vary from person to person with mild to severe symptoms. Also, these symptoms can last for at least two weeks after diagnosis.

 

• Difficulty thinking, making decisions, or concentrating
• having a sad mood
• loss of interest, energy, and pleasure
• speech along with slow moments
• Increase in purposeless physical activity.
• trouble sleeping or weight loss
• feeling worthless or guilty
• thoughts of suicide

 

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What are the main reasons?

 

Depression is not something that happens at a certain age, it can happen at any age because things around you are the main cause of depression. But of course, the reasons can be different from everyone. Here sometimes you will know the reasons and sometimes not. Job loss, break-up, accident or death of a loved one are major causes of depression.

 

Other reasons can be as follows,

 

• brain chemistry imbalance
• poor nutrition
• drugs
• physical health problem
• genetics and family history
• stress or hyper tension

 

We are so used to our workplace or a loved one that we can't see him suddenly leaving our lives. In such a situation, some people recover and become normal, while some people suppress all the feelings of their mind and these suppressed feelings invite disorders like depression.

 

The following is an illness or disease that can make depression worse,

 

• cancer
• Diabetes
• high blood pressure
• obesity
• asthma

 

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How do I know if I have depression?

 

According to one survey, you have depression when you have four or more of these symptoms for at least 2 weeks;

 

You feel restless and your actions will slow down.

You are not able to concentrate, make decisions, and remember details.

Either you can't sleep or can't sleep very much.

You feel guilty day after day.

Depressed mood swings and regular mood swings.

Thinking too much makes you feel tired and lack of energy.

All the time you think about suicide or death.

Consistent weight loss.

No interest or enjoyment in life along with many activities.

Have aches or pains, headaches, cramps, or digestive problems that do not go away or do not get better with treatment.

These are the most common symptoms but not everyone will have the same symptoms. How mild or severe are the symptoms related to the patient's condition? How many times does this happen? How long do these symptoms last?

 

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Drugs for depression

 

Have you ever heard of antidepressant drugs? i.e. a combination of drugs used in psychotherapy; It is also widely used to help people recover from depression. Medicines like Adapin, Asendin, Celexa, Emsam, Marplan, Prozac are some antipsychotic drugs that are used in combination with other antidepressants.

 

There are different classes of drugs that are divided on the condition of the patient. If mental health is improving, the dosage regimen may vary between weeks. The drugs included above can be prescribed one or more at a time, also their price is not affordable to the common man.

 

Once these pills have been prescribed by your doctor you will have to buy them no matter what the cost. Keeping this in mind, you can check out coupon codes and offers from pharmacy related products on Voucherrena, which will save you few bucks.

 

 

 

How to deal with depression?

 

Depression is like other mental disorders that can be cured by treating it, with about 80% of people responding positively to treatment for depression. With timely treatment, almost all patients get relief.

 

This progress is to identify specific symptoms, medical and family history, cultural factors, and physical factors that are needed to form an action plan regarding diagnosis.

 

Understand the reasons

 

In some cases, one or more factors can lead to depression. We are willing to spend money to make our person feel better as soon as possible. In such a situation, you need to understand the cause of depression. So if you knew about the exact cause then its treatment would be easy.

 

Remove negativity

 

It would not be wrong to say that depression brings negativity in itself. People lose interest in things they always do One question that always haunts them is why am I alive? So if you want to get better soon, positive thinking is the only option. Have positive discussions with them; Connect them with positive stories, books and news.

 

strengthen your mind

 

In such situations, how you prepare your mind will also be very important. If you believe that nothing will happen to you and you will recover from it, then there is no cure for all such diseases anywhere in the world.

 

physical activity and fitness

 

Regular exercise can always keep you away from every disease and pain. Perhaps a big reason behind every disease is weight gain. Exercise will go a long way in keeping you away from stress and pressure. Physical activity and yoga are some of the important factors in controlling blood pressure.

 

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Is there any yoga or exercise to overcome depression?

 

Yes, there are some simple lifestyle changes like yoga, exercise, meditation and healthy eating habits that can help in overcoming the feelings of depression. Yoga is a great way to refresh your mood and keep depression at bay. Yoga postures mainly increase blood circulation and hormones in the body.

 

Ayurveda states that depression is a sign that the mind as well as the body have low energy and a weak state of health. Yoga is responsible for happiness, enthusiasm and peace. Many scientific studies have shown that yoga has a therapeutic effect on people with depression.

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