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symptoms of cystic ovaries
Posted On 09/14/2011 19:20:57
 
It is not easy to know whether you have ovarian cysts. You can cysts without any symptoms at all, or you have vague abdominal symptoms that might suggest a number of health problems are common with ovarian cysts.

Some stomach with symptoms similar to pain, ovarian cysts are: appendicitis, diverticulitis, intestinal inflammation or obstruction, gallbladder disease, Kidney stone or bladder infection. Gynecological problems with symptoms are similar to ovarian cysts: pelvic inflammatory disease, pain, or Mittleschmirtz, endometriosis, ectopic or tubal pregnancy, some women feel the middle cycle, after normal ovulation.

In General, one or more of the following symptoms of ovarian cysts can be used:

Menstrual irregularities.
Pelvic pain - a dull ache, constant or intermittent, broadcast may be in the low or thigh.
Pelvic pain during intercourse.
Pelvic pain just before the start of the period or shortly after it ends.
A wealth or wide in your belly.
Feeling the pressure on your bladder or rectum.
Nausea or breast tenderness similar to, if you are pregnant.
Continuous, creamy or clear as Eggwhite discharge unchanged persisted for a month or more.
One of these symptoms is sufficient reason to consult with your health of professional.

You have sudden, severe, or spasmodic pain in your abdomen, especially if accompanied by fever, vomiting or signs of shock (cold, moist skin, rapid breathing, weakness), immediately to the emergency room of the nearest hospital.

What is the ovary and what are ovarian cysts?
Posted On 09/13/2011 21:21:00
What is the ovary and what are ovarian cysts?

The ovary is one of a pair of reproductive glands in women that are located in the pelvis, one on each side of the uterus. Each ovary is about the size and shape of an almond. The ovaries produce eggs (ova) and female hormones. The ovaries are the main source of female hormones, which control the development of female body characteristics such as the breasts, body shape, and body hair. They also regulate the menstrual cycle and pregnancy. Ovarian cysts are closed, sac-like structures within an ovary that contain a liquid, gaseous, or semisolid substance. The ovary is also referred to as the female gonad.


What causes ovarian cysts?

Ovarian cysts form for numerous reasons. The most common type is a follicular cyst, which results from the growth of a follicle. A follicle is the normal fluid-filled sac that contains an egg. Follicular cysts form when the follicle grows larger than normal during the menstrual cycle and does not open to release the egg. Usually, follicular cysts resolve spontaneously over the course of days to months. Cysts can contain blood (hemorrhagic cysts) from injury or leakage of tiny blood vessels into the egg sac.

Another type of ovarian cyst that is related to the menstrual cycle is a corpus luteum cyst. The corpus luteum is an area of tissue within the ovary that occurs after an egg has been released from a follicle. If a pregnancy doesn't occur, the corpus luteum usually breaks down and disappears. It may, however, fill with fluid or blood and persist as a cyst on the ovary. Usually, this cyst is found on only one side and produces no symptoms.

Occasionally, the tissues of the ovary develop abnormally to form other body tissues such as hair or teeth. Cysts with these abnormal tissues are called benign cystic teratomas or dermoid cysts.

Endometriosis is a condition in which cells that normally grow inside the uterus (womb), instead grow outside of the uterus. The ovary is a common site for endometriosis. When endometriosis involves the ovary, the area of endometrial tissue may grow and bleed over time, forming a brown-colored cystic area sometimes referred to as a chocolate cyst or endometrioma.

Both benign and malignant tumors of the ovary may also contain cysts. Furthermore, the condition known as polycystic ovarian syndrome (PCOS) is characterized by the presence of multiple cysts within both ovaries. PCOS is associated with a number of hormonal problems and is the most common cause of infertility in women.

Infections of the pelvic organs can involve the ovaries and Fallopian tubes. In severe cases, pus-filled cystic spaces may be present on or around the ovary or tubes. These are known as tubo-ovarian abscesses.
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Post-inflammatory Hyperpigmentation of Skin
Posted On 09/13/2011 21:18:47
Appearance
Hyperpigmentation occurs as brown macules or patches often with a poorly defined border, irregular in outline and usually with little surface change.1 The basic mechanism in response to various triggers (see Causes, below) is melanosis of the epidermal or dermal layer of the skin. Arachidonic acid in the epidermal layer is oxidised to leukotrienes, prostaglandins and other products that stimulates melanocytes to increase the production of melanin. In dermal melanosis, inflammation disrupts the basal layer, causing melanin to be released and trapped in the macrophages of the papillary dermis, a process with the delightful name of pigmentary incontinence.2

Pigmentary changes are much more common in darker skinned individuals of Asian or African origin and pigmentation follows many common inflammatory diseases such as eczema, psoriasis or acne. Where erythema is seen in white individuals, pigmentation occurs in dark skinned individuals.

Diagnosis
Pigmentation due to increased melanin is a dirty brown colour, as opposed to that due to haemosiderin pigmentation following purpura which is more a rusty brown colour.3 Hyperpigmentation on the face may be due to pregnancy or taking the contraceptive pill (melasma/chloasma).4

Other conditions which may enter into the differential diagnosis include:2

Acanthosis nigricans
Addison's Disease
Amyloidosis - lichen or macular
Tinea versicolor.
Causes
Inflammatory skin conditions Any inflammatory skin condition involving the dermo-epidermal junction can cause hyperpigmentation e.g. eczema, psoriasis, lichen planus, acne, systemic lupus erythematosus, chronic dermatitis and cutaneous T-cell lymphoma.
Trauma
Allergic reactions
Photoxocicity
Iatrogenic Hyperpigmentation can be a complication of treatment with a fully ablative laser device in dark skinned patients. (This risk can be reduced by the use of fractional CO2 laser).5
Drugs Chlorpromazine, chloroquine and arsenic are all common culprits. Other drugs which occasionally cause hyperpigmentation include tetracycline, bleomycin, doxorubicin, 5-fluorouracil, busulfan, antimalarial drugs and hormones (e.g. oestrogen).
Exposure to ultraviolet light
Exposure to chemicals such as silver, gold and arsenic
Idiopathic Occasionally no cause can be identified.
Investigations2
Wood's light may help to differentiate dermal from epidermal hyperpigmentation which may help to elucidate the cause.
Biopsy may be required, especially if there is no identifiable preceding inflammation to account for the pigmentation.
Primary Care Management
The condition may resolve in time without additional treatment.
Avoidance of sun exposure may prevent further hyperpigmentation occurring on the face. Daily use of a high factor sunscreen may be helpful.
The underlying cause should be treated if possible.
If treatment is required, skin lightening creams may help. Hydroquinone 2% is usually prescribed first line but may not be very effective.2
A retinoid such as tretinoin may be helpful, particularly in sun-damaged skin.6
A topical steroid may help if there is an underlying inflammatory process but caution should be used in applying steroid creams to the face due to skin thinning. Recently a triple therapy has been tried using a combination of steroid, retinoid and 4% hydroquinone.7
Other treatments being developed which have shown some depigmenting activity include a combination of retinaldehyde (a retinoic acid precursor) and glycolic acid8 and the peroxidase inhibitor methimazole, which inhibits the production of melanin.9
Prognosis
Patients should be warned that the pigmentation may be slow to resolve, even with treatment. Epidermal pigmentation may persist for 6-12 months. Dermal pigmentation may persist for years.

When to Refer
If the diagnosis is in doubt or the patient requests specialist advice, referral should be considered.
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Hiatal Hernia
Posted On 09/13/2011 21:16:46

Any time an internal body part pushes into an area where it doesn't belong, it's called a hernia.

The hiatus is an opening in the diaphragm -- the muscular wall separating the chest cavity from the abdomen. Normally, the esophagus (food pipe) goes through the hiatus and attaches to the stomach. In a hiatal hernia (also called hiatus hernia) the stomach bulges up into the chest through that opening.

There are two main types of hiatal hernias: sliding and paraesophageal (next to the esophagus).

Hiatal Hernia

In a sliding hiatal hernia, the stomach and the section of the esophagus that joins the stomach slide up into the chest through the hiatus. This is the more common type of hernia.

The paraesophageal hernia is less common, but is more cause for concern. The esophagus and stomach stay in their normal locations, but part of the stomach squeezes through the hiatus, landing it next to the esophagus. Although you can have this type of hernia without any symptoms, the danger is that the stomach can become "strangled," or have its blood supply shut off.

Many people with hiatal hernia have no symptoms, but others may have heartburn related to gastroesophageal reflux disease, or GERD. Although there appears to be a link, one condition does not seem to cause the other, because many people have a hiatal hernia without having GERD, and others have GERD without having a hiatal hernia.

People with heartburn may experience chest pain that can easily be confused with the pain of a heart attack. That's why it's so important to undergo testing and get properly diagnosed.

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Ovarian Cysts Symptoms

Sickle Cell Trait
Posted On 09/13/2011 21:13:29
Sickle cell trait usually is not regarded as a disease state because it has complications that are either uncommon or mild. Nevertheless, under unusual circumstances serious morbidity or mortality can result from complications related to polymerization of deoxy-hemoglobin S. Such problems include increased urinary tract infection in women, gross hematuria, complications of hyphema, splenic infarction with altitude hypoxia or exercise, and life-threatening complications of exercise, exertional heat illness (exertional rhabdomyolysis, heat stroke, or renal failure) or idiopathic sudden death (1-4). Pathologic processes that cause hypoxia, acidosis, dehydration, hyperosmolality, hypothermia, or elevated erythrocyte 2,3-DPG can transform silent sickle cell trait into a syndrome resembling sickle cell disease with vaso-occlusion due to rigid erythrocytes. Compound heterozygous sickle cell disease can be mistaken as uncomplicated sickle cell trait, particularly when an unusual globin variant is involved.
In addition some disease associations have been noted with sickle cell trait which might not result from polymerization of hemoglobin S but from linkage to a different gene mutation. The association of hemoglobin S with cases of renal medullary carcinoma, early end stage renal failure in autosomal dominant polycystic kidney disease, and surrogate end points for pulmonary embolism are not necessarily the result of hemoglobin S polymerization. Complications from sickle cell trait are important because about three million people in the United States have this genotype, about 40 to 50 times the number with sickle cell disease.

People with uncomplicated sickle cell trait have a normal blood examination as assessed by conventional clinical methods, including normal red cell morphology, indices, reticulocyte counts, and red blood cell survival by chromium labeling. Conventional methods of detecting hemolysis are negative, such as measurements of serum haptoglobin, bilirubin, and LDH. Erythrocyte density distribution is normal, adherence to endothelium is not increased, altered membrane lipids and proteins are not detectable, cytoplasmic inside-out vesicles with high calcium content are absent, and permanently distorted erythrocytes are not observed.

When blood is drawn with anaerobic technique into a syringe with dilute buffered glutaraldehyde one obtains an accurate picture of circulating erythrocytes in vivo (the Sherman test). No sickled cells are observed at rest, but exercise to exhaustion at sea level regularly induces mild levels of reversible sickling in peripheral venous blood (less than 1%). Exposure to altitude hypoxia will progressively increase the extent of sickling observed with sickle cell trait from 2% at 4,050 ft. to 8.5% at 13,123 ft. Hypobaric chamber exposures used for military aviation training, involving hypoxic exposures simulating 10,000 to 25,000 ft from ninety to six minutes, did not cause hemolysis in subjects with uncomplicated sickle cell trait (3).

Determination that a clinical syndrome is due to sickle cell trait rather than a subtle form of sickle cell disease is difficult. Reversible sickling and unsickling of erythrocytes (reflecting the rapid formation and dissolution of deoxy-hemoglobin S polymers) takes place in seconds. Hence, the presence or absence of intravascular sickled erythrocytes in tissue specimens depends upon the degree of oxygenation of the sample just before fixation and only has clinical relevance if fixation occurred at oxygen tensions identical to those extant during generation of primary lesions. Agonal hypoxemia causes artifactual intravascular sickling. Conversely, blood samples smeared in room air and then fixed will show artifactual unsickling. One cannot determine the role of hemoglobin S in clinical events from the presence or absence of intravascular sickling in blood samples, biopsy specimens, or autopsy specimens unless these were rapidly fixed at physiologic oxygen tension.

While fatal intravascular sickling with extensive microvascular obstruction could theoretical result from sickle cell trait, such an event cannot be demonstrated by histologic examination at autopsy. If a clinical event is not specific for hemoglobin S, one may need to show that the complication occurs significantly more often in people with sickle cell trait relative to a control group. Such an association does not prove cause. Stronger evidence that polymerization of hemoglobin S causes a problem is demonstration of relative protection by alpha thalassemia.

The common African polymorphism causing alpha thalassemia is the product of a prior mismatched cross over event which creates chromosome 16 expressing only one of the two alpha globins and a chromosome 16 carrying three alpha globin exons. Loss of one or two alpha globin genes decreases the fraction of hemoglobin S and produces obvious microcytosis. Anemia is absent or mild.

Examination of maximal urinary concentrating ability in people with sickle cell trait relative to alpha globin gene number demonstrated that one or two alpha globin gene deletions were associated with better preserved renal function (5). In other words the less hemoglobin S that was present, the less renal function that was lost. This implied a significant role of polymerized hemoglobin S in the pathogenesis of renal isosthenuria (see below). In some instances the anatomic lesions due to sickle cell trait are so distinct that a relationship to polymerization of Hb S can be reasonably inferred. Such complications of sickle cell trait include glaucoma or recurrence after treatment for hyphema and splenic infarction in the absence of primary trauma, infection, inflammation or tumor in the spleen.

People with sickle cell trait often experience subclinical tissue infarction from microvascular obstruction by rigid erythrocytes. Most people with sickle cell trait develop microscopic infarction of the renal medulla because the extreme hypoxemia, hypertonicity, acidosis, and hyperthermia of arterial blood passing through the long vasa recta of the renal medulla promote polymerization of deoxy-hemoglobin S (6). Flow through these vessels requires more than ten seconds, providing an unusually long exposure time for polymerization of hemoglobin S. Cumulative focal lesions result in loss of maximal urine concentrating ability which is progressive with age and develops in most adults with sickle cell trait (3, 6). The functional defect limits urine concentration to approximately the osmolality of serum, causing isosthenuria rather than hyposthenuria. In people with sickle cell trait urine osmolality can usually reach values higher than plasma during overnight dehydration (400 to 800 mOsmol). Although one may speculate that this lesion might predispose to development of mild exertional heat illness (EHI) during exercise in hot weather, clinically significant problems related to this deficit have not been demonstrated. Necrosis of the renal papillae can result in hematuria, which is usually microscopic. Gross hematuria is occasionally provoked by heavy exercise or occurs spontaneously. 
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Social Anxiety Disorder
Posted On 09/13/2011 21:12:32
Social anxiety disorder, also called social phobia, is an anxiety disorder in which a person has an excessive and unreasonable fear of social situations. Anxiety (intense nervousness) and self-consciousness arise from a fear of being closely watched, judged, and criticized by others.

A person with social anxiety disorder is afraid that he or she will make mistakes and be embarrassed or humiliated in front of others. The fear may be made worse by a lack of social skills or experience in social situations. The anxiety can build into a panic attack. As a result of the fear, the person endures certain social situations in extreme distress or may avoid them altogether. In addition, people with social anxiety disorder often suffer "anticipatory" anxiety -- the fear of a situation before it even happens -- for days or weeks before the event. In many cases, the person is aware that the fear is unreasonable, yet is unable to overcome it.

People with social anxiety disorder suffer from distorted thinking, including false beliefs about social situations and the negative opinions of others. Without treatment, social anxiety disorder can negatively interfere with the person's normal daily routine, including school, work, social activities, and relationships.

People with social anxiety disorder may be afraid of a specific situation, such as speaking in public. However, most people with social anxiety disorder fear more than one social situation. Other situations that commonly provoke anxiety include:

Eating or drinking in front of others.
Writing or working in front of others.
Being the center of attention.
Interacting with people, including dating or going to parties.
Asking questions or giving reports in groups.
Using public toilets.
Talking on the telephone.
Social anxiety disorder may be linked to other mental illnesses, such as panic disorder, obsessive-compulsive disorder, and depression. In fact, many people with social anxiety disorder initially see the doctor with complaints related to these disorders, not because of social anxiety symptoms.
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Sinus Headaches Symptoms
Posted On 09/13/2011 21:11:10

Sinus headaches are associated with a deep and constant pain in the cheekbones, forehead, or bridge of the nose. The pain usually intensifies with sudden head movement or straining. The pain is usually accompanied by other sinus symptoms, such as nasal discharge, feeling of fullness in the ears, fever, and facial swelling.

Sinuses

Whether your headache symptoms can actually be attributed to the sinuses will need to be determined by your doctor. If your headache is truly caused by a sinus blockage, such as an infection, you will likely have a fever. CT scans or MRI along with a physical exam are usually conducted to determine if there is a blockage in your sinuses.

Sinus Headache Treatment

Treatment of sinus headaches is usually directed toward symptom relief and treating the infection. Treatment might include antibiotics for the infection, as well as a short period of antihistamines (such as Benadryl) or decongestants (such as Sudafed) to treat the symptoms. If you take decongestants, but do not have a true sinus headache, the medication could make your headache worse. Be sure to see your doctor before taking any medications.

Other drugs to treat sinus infections include pain relievers and vasoconstrictors (to decrease nasal congestion). If the pain continues after using pain relievers, corticosteroids may be prescribed to further decrease the inflammation. When an allergen is causing the sinus flare-ups, preventive allergy therapy is often needed.

Decongestant medications can be used to relieve headaches associated with sinus infections. Decongestants help relieve headache symptoms because they constrict blood vessels that cause headache pain. However, decongestant use can be habit-forming. If your headaches seem to be relieved by decongestants but you do not have a sinus infection, you may actually have a migraine or tension headache, which require specific treatment.

Allergies and Sinus Headaches

It is a misconception that allergies cause sinus headaches. However, allergies can cause sinus congestion, which can lead to headache pain. If you have allergies, the treatment for your allergy will not relieve your headache pain. The two conditions generally must be treated separately. See your doctor to ensure proper treatment.

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Egg Allergy Symptoms
Posted On 09/13/2011 21:09:29
Eating eggs is considered good for your health because it contains all vitamins, proteins and minerals in right quantity. But, too much of anything can lead to various problems. Most of the allergic reactions that occur are due to eggs. You will notice that egg allergy symptoms are very rare in case of adults where as in children, egg allergy symptoms are temporary. Children's in very young ages start showing the symptoms of egg allergy. Some of the egg allergy symptoms are skin related. You can get a rash, hive or swellings around your mouth. Gastrointestinal symptoms include cramps, diarrhea, nausea and vomiting. If you find that your child is having continuous running nose and sneezing does not stops. Then these are also the symptoms of egg allergy. Some symptoms of egg allergy are also respiratory symptoms. So you should not confuse respiratory symptoms with asthma or with cold. You should be avoiding yolk as well as white part of the egg. White part of the egg consists of many proteins and due to which it can cause a histamine reaction. The white part of the egg is only considered the main culprit of all allergies. The yolk also consists of proteins that are allergic.


Symptoms of egg allergy are not life threatening. You will find many people who are too much of allergic to eggs. They are so allergic that even its fumes can cause an allergic reaction in their body. In such cases, you should be keeping with yourself epinephrine. You should also refer to your doctor and inquire about what foods you should be avoiding. Doctors may recommend you to avoid eggs completely and some of them have to avoid egg derivative products too. You will have to avoid eating marshmallow as well as mayonnaise. Egg allergies are mostly common in children, but you should be aware of the fact that older people can also develop egg allergy problems. If you or any of your children start getting symptoms o egg allergy then you should definitely refer to a allergist. A year back, you might have definitely listened in the news and also read in the newspapers about flu that was being caused due to non-vegetarian foods. And, due to this many people lost their lives and were hospitalized for several days. So the best option is to avoid eating eggs and other non-vegetarian food. Do not panic; always take proper medications from your doctor.
 
 
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