Some Possible Reason For Infertility in Jammu & Kashmir

Infertility is not being able to get pregnant after having regular sexual intercourse without birth control for at least 1 year (or 6 months if the woman is 35 or older).

Infertility can be caused by problems in a man's or a woman's reproductive system. Problems in the woman's body are responsible for about half of the cases of infertility.

A woman may be infertile because her ovaries are not releasing eggs or the ovaries may have trouble releasing healthy eggs. This is more likely to be a problem when a woman is over age 35.

An abnormal or damaged fallopian tube or uterus can be another cause of infertility. When an egg is released, it must pass through a fallopian tube to the uterus. A man's sperm must join with (fertilize) the egg along the way. The fertilized egg must then attach to the inside of the uterus.

A woman may have trouble getting pregnant because of a problem with her partner's sperm. In rare cases, a woman's body is allergic to sperm and destroys it. Often the cause of infertility cannot be found.

There are many cases of infertility seen among women in Kashmir and has forced thousands to go for assisted reproduction. Increased age of marriage, changing lifestyle, deficiency of vital nutrition and other reasons have helped in the growth rate of infertility among women during the last decade.

A study in 2007 showed that the primary infertility in Kashmir is about to 15% but the statistics were not updated from a long time, gynecologists believe that the rate of primary fertility confronting a large number of women in what is called the 'reproductive ages' has dramatically increased.

The percentage of women affected with Poly-Cystic Ovarian Syndrome (PCOS) in Kashmir is increasing day by day a survey showed that more than 29% of adolescent girls are having early signs of PCOS, making their chances of a smooth reproduction really bleak.

Doctors believe that the best reproductive years in a woman's life are between the ages of 18 to 28 years. Although in Kashmir, late marriages have become a trend because of many socio-economic reasons. It is because of delayed marriages in late 20s and 30s that takes women in the uncertain arena of infertility.

With age the quality of eggs produced by women also get affected. The quality among women over 30 won't be as good as those produced by women in their 20's. So with advanced age the chances of conceiving decrease proportionately.

Many scientific studies have found a strong relation between Vitamin D deficiency and PCOS. Similarly the link between physical inactivity, high calorie-low fibre diet has long been established. Many experts feel that the role of cultural mores that restrict the mobility and physical activity of girls and its link with PCOS has not been explored fully.

Ignorance - Sometimes it can be very Dangerous

Nothing is this world is more dangerous than an ignorance and irrelevance. One should not ignore such things that can prove to be hazardous in future if not taken care properly.

For instance, if one chooses to have her delivery done in a small nursing home without taking care of the in house ICU facilities and if any possible complication arises like heavy bleeding, it can further lead to death of the mother or baby.

Very recently, Supreme Court has delivered a judgment in a case where in a nursing home in Bengal was implicated for performing Hysterectomy on a patient and not been able to provide in house ICU facilities when problems arose.

The judgment had an implied affect that Hospitals/Nursing Homes which don't have ICU facility if performs surgeries which generally requires intensive care in post operative period shall amount to medical negligence in reference to consumer courts and shall be liable for compensation.

The fact remains that only 10-15% patients require intensive monitoring and care even after a routine surgery. A normal delivery which can be conducted by a nurse at a maternity center without any kind of risk can convert into a very high risk procedure because of a post partum hemorrhage and shall require shifting to an ICU. It does not mean that all deliveries should be conducted in a hospital with an ICU.

An ICU is a specialized wing of healthcare which is not created by infrastructure and installation of equipment alone but it also needs trained manpower round the clock with 24 hours lab back up.

There are many maternity hospitals and nursing homes available, so it is necessary to begin your search well in advance. If you can find a hospital that suits your expectations and budget then you can have a relaxed childbirth without any complaints.

Make sure that your gynecologist can come and attend your delivery regardless of time and place choose the hospital based on the availability of your gynecologist or obstetrician.

See if the hospital has in-house or on-call pediatricians to check the baby post delivery. Also ensure whether they will allow the mother and baby to stay in the same hospital room in case of normal delivery.

Ask if there is a Neo-natal Intensive Care Unit (NICU) and adult ICU to be sure to handle any unforeseen medical conditions for the baby or the mother post delivery. If not, then don't opt for that nursing home as further it can lead to severe complications.

Dr. P N Renjen - Best Stroke Specialist in Delhi

Encephalitis

Encephalitis can be referred to as the inflammation of brain. The inflammation causes the brain to swell, which further leads to variation in neurological function, resulting in mental confusion and seizures.

What causes Encephalitis?

According to Dr. P N Renjen, Stroke Specialist in Delhi, the cause of encephalitis basically depends on the season, the country, and the kind of exposure. Viruses are one of the major leading causes of encephalitis.

However vaccines for many viruses, like measles, mumps, rubella, and chickenpox have greatly reduced the rate of encephalitis from these diseases, other viruses can also cause encephalitis. These can include herpes simplex virus and rabies.

What are the symptoms of Encephalitis?

At times, encephalitis follows a viral illness like an upper respiratory infection, or a gastrointestinal illness that can cause diarrhea, nausea, or vomiting.

The most common symptoms of encephalitis are listed below. However, each person may experience symptoms differently.

Some of the symptoms of encephalitis may include:

• Headache
• Mild flu-like symptoms (aches, fatigue, slight fever)
• Sensitivity to light
• Neck stiffness
• Sleepiness or lethargy
• Increased irritability
• Seizures
• Changes in alertness, confusion, or hallucinations
• Loss of energy
• Loss of appetite
• Unsteady gait
• Nausea and vomiting

In severe cases, symptoms can be:

• Weakness or partial paralysis in the arms and legs
• Double vision
• Impairment of speech or hearing
• Coma

The symptoms of encephalitis can also resemble other problems or medical conditions. You can consult with Dr. P N Renjen, Neurologist in Delhi for an accurate diagnosis.

How is Encephalitis diagnosed?

The diagnosis of encephalitis is performed after the sudden or gradual onset of specific symptoms and after diagnostic testing.

At the time of examining, Dr. P N Renjen will ask about your medical history, including what immunizations you’ve had before the test.

Dr. P N Renjen would like to know if you recently had a cold or other respiratory illness, or a gastrointestinal illness, and if you recently had a tick bite, have been around pets or other animals, or have traveled to certain areas of the country.

Diagnostic tests that can be performed by Dr. P N Renjen to confirm the diagnosis of encephalitis may include the following:

·         MRI

·         CT Scan

·         Blood Tests

·         Urine & Stool Tests

·         Sputum Culture

·         Electroencephalogram

·         Spinal Tap

·         Brain Biopsy

How is encephalitis treated?

Specific treatment for encephalitis will be taken by Dr. P N Renjen based on:

• Your age, overall health, and medical history
• Extent of the condition
• The patient’s tolerance for certain medications, procedures, or therapies
• Expectations for the course of the condition
• Your opinion or preference

Encephalitis can be easily cured by Dr. P N Renjen with its early detection and treatment. Immediate hospitalization and close monitoring will be required for the person who is suffering from encephalitis.

The main aim of the treatment is to lower down the swelling in the head and to prevent other related complications. Medications to control the infection, seizures, fever, or other conditions may be used.

The treatment of encephalitis symptoms can be stressful at times, but the kind of treatments and care which is provided by Dr. P N Renjen, Stroke Specialist in Delhi, can help make living with encephalitis disease easier and the cure will be faster.

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Treatment of Bronchiectasis by Dr. Rashmi Sama

Bronchiectasis

Bronchiectasis is condition in which an abnormal widening of one or more airways is created. Usually, small glands that are present in the lining of the airways make a small amount of mucus. Mucus tries to keeps the airways moist and traps if any dust or dirt comes with the inhaled air.

As bronchiectasis creates an abnormal widening of the airways, extra mucus tends to form and pool in parts of the widened airways. There are widened airways with extra mucus which are very prone to infection.

Causes of Bronchiectasis

The cause of bronchiectasis is often not clear. There are some of the conditions that affect or damage airways can further cause the disease, for example:

• Few acquired conditions - Like, a condition called primary ciliary dyskinesia that affects the cilia, so they do not 'move' correctly to clear the mucus. Cystic fibrosis is a different condition that further affects the lungs and causes bronchiectasis.
• The major lung infections like tuberculosis (TB), whooping cough, pneumonia or measles can further damage the airways at the time of infection. Bronchiectasis can be then developed.

Symptoms of Bronchiectasis

One of the main symptoms of bronchiectasis that can be easily seen is a cough which produces a lot of sputum, tiredness and poor concentration as well as wheeziness.

To confirm diagnosis of this disease, lung scan and other lung & sputum tests can be performed by Dr. Rashmi Sama. The treatment of bronchiectasis includes regular physiotherapy, which helps coughing up and clearing the mucus, and courses of antibiotics. Surgery is sometimes needed.

How is bronchiectasis diagnosed?

Dr. Rashmi Sama will ask lots of questions about you and your symptoms which you had. If she finds that you have bronchiectasis, you will have some tests, which are likely to include:

•  A chest X-ray
•   CT Scan
•    tests on your sputum to find out if any bacteria are in it
•    blood tests
•  lung function tests

Treatment of Bronchiectasis by Dr. Rashmi Sama

There are many ways to manage bronchiectasis disease symptoms, slow the progression of the disease, and enhance your quality of life. The treatment plan by Dr. Rashmi Sama, pulmonologist in Delhi focuses to prevent further damage & infections and reduce your symptoms. You will have:

·      

1.  the treatments to maintain the disease which should be taken down regularly to lower down the number of infections you get and keep you well
2. various treatment for chest infections or flare ups

If comes to know that other conditions are causing your bronchiectasis then they will also be treated – for example problems with your immune system.

The treatment of bronchiectasis symptoms can be stressful at times, but the kind of treatments and care which is provided by Dr. Rashmi Sama, pulmonologist in Delhi, can help make living with bronchiectasis disease easier and the cure will be faster.

Book Appointment : https://www.lazoi.com/docs/DrRashmiSama-Pulmonologist-Delhi/services.html