Tag: birth defects

Menstrual Disorders in Adolescent Girls

Adolescence is the time when there is sudden transformation in the body and many questions arises in the minds of the adolescents. Firstly they are not able to cope with the changes and secondly the changes bring along problems with them. The most challenging problems are related to menses, in girls. Menstrual conditions are many that may require physicians attention or any other healthcare professionals attention. The most common of the menstrual disorders are premenstrual syndrome, dysmenorrheal and amenorrhea.

Before the onset of the menses, females face many uncomfortable symptoms which last for a short period, stretching from few hours to few days. But some of them can be very intense and can disturb the normal functioning of the person. These symptoms are grouped as premenstrual syndrome. In usual cases, the symptoms come to a halt when the menses begin, but for some they may last even after the menstrual periods are over. Eighty five percent of the females experience some of the symptoms of premenstrual syndrome at one time or the other. Nearly forty percent experience the symptoms so intensely that their daily chores are affected by it and ten percent are disabled by it.

There are many premenstrual syndrome symptoms which can be broadly classified as neurologic & vascular symptoms, psychological symptoms, gastrointestinal symptoms, fluid retention, eye problems and respiratory problems. The cause of premenstrual syndrome are fluctuations in the levels of progesterone & estrogen, hypoglycemia, hyperprolactinemia, psychogenic factors, changes in carbohydrate metabolism, excessive aldosterone, progesterone allergy and water retention by kidneys. The good thing is that premenstrual syndrome can be prevented by exercising regularly, eating balanced diet and sleeping adequately.

Dysmenorrhea is feeling intense menstrual pain and cramps. Depending on the severity, dysmenorrhea is stated as primary dysmenorrhea or secondary dysmenorrhea. Primary dysmenorrhea symptoms are felt from the onset of the menstrual periods and are felt life-long. Because of abnormal uterine contractions due to chemical imbalance, severe menstrual cramping is experienced. Secondary dysmenorrhea starts in the later stages. The causes are different for primary and secondary dysmenorrhea. Secondary dysmenorrhea can be blamed on medical conditions such as endometriosis, uterine fibroids, pelvic inflammatory disease, tumors, infections, and abnormal pregnancy.

Dysmenorrhea symptoms are lower abdomen cramping & pain, lower back pain, nausea, diarrhea, vomiting, fatigue, fainting, weakness and headaches. Females who are overweight, smoke, and have started to menstruate before turning eleven are at a higher risk of developing dysmenorrheal. Females who drink alcohol during menstrual period experience prolonged pain. After studying the health conditions, age, cause of dysmenorrhea, and extent of condition of the individual, corresponding treatment will be recommended. Regular exercise, abdominal massage, hot bath, vitamin supplements, and dietary modifications can help overcome dysmenorrhea.

Amenorrhea is the condition in which the female skips her menses for more than three consecutive menstrual cycles. Amenorrhea is also classified as primary amenorrhea and secondary amenorrhea. Primary amenorrhea develops from the onset of menstrual periods. In this condition, the adolescent might not get periods when she enters puberty. Secondary amenorrhea is a condition where periods become irregular after a period of time and not from the start.

There are many causes of amenorrhea such as ovulation abnormality, eating disorders, birth defects, anatomical abnormalities, malnourishment, anorexia, bulimia, pregnancy, over exercising, thyroid disorder, obesity and other medical conditions. Out of these ovulation abnormalities are a common cause for absent or irregular periods. It is a must that an adolescent start getting menses at least by the age of sixteen. If not, anatomical abnormality, birth defect and other medical conditions are the cause. Adolescents who participate in sports actively and are athletic have a lower body fat content because of which they have absent menses. Even because of malnourishment, the body is incapable of sustaining pregnancy. So in turn the body itself shuts down the reproductive system and menses. Extra fat cells in the body interfere with ovulation and that is the reason why obese female have irregular menses. Amenorrhea is treated by dietary modifications, ovulation inhibitors and hormone treatment.

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Foods to Avoid While Pregnant

Almost every woman knows the basic of what they should and should not do during pregnancy. They know that caffeine should be cut back; they should not smoke, drink alcohol or spend time in any hot tubs. However more and more studies are being done to see if pregnant women should avoid certain foods for the duration of their pregnancy.

It is essential that pregnant women eat a well balanced meal at all times to provide their growing baby with the vitamins, nutrients and minerals that the baby needs to grow. There are some foods though that needs to be avoided due to the risk they pose to not just to the mother, but also to the growing baby.

For starters, raw meat needs to be avoided due to the risk of toxoplasmosis and salmonella. This means no more rare steaks, or rare burgers. Pregnant women should take caution and make sure that all of the meat they eat is cooked well done. Cold deli meat should also be avoided because of the risk of listeria. Listeria can cross the placenta and can cause an infection or blood poisoning to the baby. Keep in mind though that deli meat can be reheated until it is steaming and this will help reduce the risk.

Speaking of listeria there are other foods that can contain this bacteria. Some soft cheeses such as brie, feta, and gorgonzola. These cheeses are commonly made with unpasterized milk. Unpasterized milk often contains listeria, so pregnant women need to make sure that any soft cheeses they are going to eat are made with pasteurized milk.

Fish has always been a subject of debate for pregnant women. While some forms of fish contain essential nutrients that are needed by the baby, others contain a high level of mercury. Any fish with a high level of mercury such as shark, swordfish, king mackerel, tilefish and fish used in sushi should be avoided through out pregnancy. Studies have linked mercury to developmental delays and in some cases brain damage. Tuna also contains a lot of mercury but canned, chunk light tuna has a lower amount of mercury and can be eaten in moderation. Raw shellfish also should be avoided through out pregnancy.

Raw eggs or anything containing raw eggs is a no no during pregnancy. There is a potential exposure to salmonella. This means no raw cookie dough, no brownie mix, and some homemade sauces such as hollandaise, Caesar dressing and blue cheese dressing. When dining in a restaurant, it would be wise to ask any sauces or dressings contain any raw eggs. Most restaurants should be using pasteurized eggs in any raw egg recipe but one should still double check.

There has never been a more important time to be careful what a woman eats then when she is pregnant. Some of the above foods have been linked to miscarriages and other birth defects. If you are pregnant and you have already indulged in a few of the foods you should not have, do not panic. Chances are, you and your baby are fine but take extra care to avoid these foods in the future.

Professional Treatments for Warts

Warts cause embarrassment and discomfort. Home remedies and over-the-counter preparations work for some people. However, there are times when it becomes advantageous to call in a professional to treat your warts.

Retinoid cream is prescribed by doctors as an experimental treatment to get rid of warts. It is composed of a substance that comes from Vitamin A, called tretinoin. It has been shown, in research studies, to work well. Eighty-five percent of children who used it had positive results.

Retinoid cream shouldn’t be used on pregnant women’s warts because it’s been associated with birth defects. It can also cause changes in the skin of those who do use it. Skin can become dry, sensitive, swollen, crusted, or blistered. It can become red or have other color changes. If you use it, your skin can become sensitive to the sun.

Rather than slow down skin cell growth, which is what retinoid cream does, contact sensitizers work with the immune system instead. The first thing the doctor will do is to apply a contact synthesizer to your arm or back. This will start a reaction in your immune system.

The next time the contact sensitizer is applied, an allergic reaction will ensue. After that, the substance will be put directly on the warts and it will destroy it by summoning your immune system. Eighty percent of people in one study were helped with this treatment.

A doctor might put Cantharidin on your warts and keep it there with a bandage. After awhile, the wart will have a blister around it. Then, the doctor can lift the warts off and remove it.

Warts can also be frozen off. This is called cryotherapy. There is actually at least one over-the-counter kit for this. If a doctor does it, he will apply liquid nitrogen to the wart. After a blister has formed, you have to wait for about a week. At this time, the wart will fall off.

Cryosurgery uses basically the same ingredients, but the deep freezing gets rid of the warts sooner. Or, the base of the warts can be destroyed by applying an electric needle to it. These are miner surgeries.

Laser surgery can be done to remove warts. It is usually reserved for special cases. A pregnant woman may have no other way to have warts removed. A person may have a great number of warts and they may be very large.

The laser is basically just a beam of light that is highly focused. It can burn off warts and leave surrounding tissue unharmed if done right. It may be done with local anesthesia. Or, if the warts cover a large area general anesthesia is called for.

Once the warts have been removed, there will be a wound. This will be painful for a few days, but it should feel better after that. If you have undergone this treatment, you should watch out for excessive pain that persists. Tell your doctor if you notice pus or run a fever. This method has been shown to be successful on warts sixty-six percent of the time.

Gestational Diabetes

According to the American Diabetes Association, about four percent of pregnant women develop gestational diabetes. Gestational diabetes is a condition in which a woman who has never had diabetes develops high blood glucose levels while pregnant, usually within the later term of the pregnancy. It is estimated that there are about 135,000 cases of gestational diabetes every year in the United States.

In most cases, women who develop gestational diabetes will not develop Type II diabetes. This is a condition affected by the pregnancy and the inability of the mother to use the insulin naturally developed in her body. It is caused by hormones triggered by the pregnancy and causes the mother to become insulin resistant. Gradually, the mother develops high blood glucose levels, referred to as hyperglycemia.

Normally, a woman with gestational diabetes will be treated for the condition while pregnant. While there are no birth defects associated with this sort of illness as there are with women who have had diabetes prior to being pregnant, there is generally not a large cause for alarm for the child. However, if the condition is left untreated, it can hurt the baby. Because the mother is not getting rid of her excessive blood glucose, the child is getting more than his or her share of energy and fat. This often results in macrosomia. Macrosomia is simply the clinical name for a fat baby.

While some people think a fat baby is the sign of a healthy baby, a child born too fat may have a problem fitting through the birth canal. This can cause shoulder damage and may require a cesarean section birth,. In addition, babies who are born obese can develop breathing problems and, if they remain obese, may themselves develop Type II diabetes.

Fortunately, there is treatment for gestational diabetes. Insulin injections are usually given to the mother to keep the blood glucose levels intact. A woman who is planning on becoming pregnant, however, can avoid the complication of developing gestational diabetes prior to becoming pregnant.

Some of the ways a woman can do this is to lose weight if she is already overweight prior to becoming pregnant, develop a healthy exercise routine and follow certain food guidelines. The Glycemic Index is an ideal tool for a woman who is thinking about becoming pregnant to use to determine which foods to avoid. The Glycemic Index was developed for diabetics to categorize carbohydrates for those with diabetes.

When you become pregnant, follow the advice from your doctor regarding diet and exercise as well as any carbohydrate diets. Prior to becoming pregnant, discuss any concerns you have regarding weight or diabetes with your physician as he or she can probably give you some advice on how to avoid this pregnancy complication.

Even if you are diagnosed with gestational diabetes, chances are that you will not develop Type II diabetes, neither will your baby and both of you will be just fine. Gestational diabetes is not a reason to panic. There is plenty of care available for women with this condition. Just be sure to follow any instructions given to you by your doctor.