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Showing posts with label Diagnosis. Show all posts
Showing posts with label Diagnosis. Show all posts

Saturday, July 16, 2011

Bladder Endometriosis - Symptoms, Diagnosis and Treatments

Endometriosis is one of the common health problems of many women. It is estimated that about 70 million women worldwide are suffering from this condition. Endometriosis usually occurs when the uterine lining or the endometrium is found in other organs of the body other than the uterus. These endometrial tissues in other organs grow and bleed in much the same way as the endometrium in the uterus, in response to the hormonal changes that occurs during menstrual cycles. As the endometrial tissues bleed, the blood gets trapped in the body as it cannot flow out thereby causing inflammation. The inflammation then leads to scar tissue and cysts and this can cause infertility and abdominal discomfort.

Endometriosis causes endometrial tissue to lodge in various organs of the body other than the uterus. One of the organs for misplaced endometrial tissue to occur is the bladder. This is known as bladder endometriosis. Bladder endometriosis is often associated with pain in the urinary tract especially when urinating and can lead to infection and interstitial cystitis, also known as chronic bladder inflammation.

Common symptoms of bladder endometriosis include severe pain at the beginning of urination, distinct sharp pain at the end of urination, intermittent pain in the bladder even when you are not urinating, feeling of pressure in the bladder and tenderness in the pubic region. In most cases, the symptoms of bladder endometriosis are often confused with that of urinary tract infection because they are pretty much similar. As a result of this, those who are suffering from this condition always leave it untreated at the initial stage, there by leaving it to exhibit more severe symptoms. One characteristics of which is the presence of pus or blood in the urine.

If bladder endometriosis is left untreated it might lead to blockage of the urinary system whereby it becomes difficult to control your bladder and pass urine freely. This can cause inflammation of the bladder. If you are suffering from any of these symptoms you need to consult your doctor for appropriate check ups and treatments. To be really sure of the nature of your condition, doctor can take sample of your urine to check for the presence of bacterial and prescribe antibiotics. Normally, the test will be negative for presence of bacteria if your condition is due to bladder endometriosis.

In order to diagnose this condition properly, you need to perform cystoscopy for endometriosis. This is a procedure whereby your doctor will insert a cystoscope into your urethra. This procedure will enable the doctor to view your bladder and take samples of your bladder cells for testing.

Once you have been diagnosed, the next step is to seek for appropriate treatment. One of the most common treatments is laparoscopic surgery, and this is applicable to extensive cases like the intestines or the bladder. It is a relatively minor operation to remove endometrial implant and is usually performed under anaesthesia.

In general, if you are suffering from bladder endometriosis, then you need to seek the advice of a doctor in order to be properly diagnosed and get the appropriate treatments.

Bladder endometriosis can damage your urinary system if left untreated. To eliminate this condition, visit Best Treatment For Endometriosis for information on how to get it cured naturally. For various tips and techniques to get rid of your bladder endometriosis for good visit Endometriosis Cures


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Friday, July 1, 2011

Diagnosis and Treatment of Premenstrual Syndrome (PMS)

Premenstrual Syndrome (PMS) is a medical condition characterised by a variety of physical and emotional symptoms felt by women before the onset of menstruation. The symptoms of PMS are cyclic in nature, generally beginning at or after ovulation (release of an egg by the ovaries), and continue until menstruation begins. Typically PMS begins from about 7 to 14 days before menstruation and ending within 24 hours after menstruation has begun.

Research suggests that as many as 75 percent of women of child-bearing age have some degree of PMS. It seriously affects the lives of about 10% of women, often requiring time off from work or school. PMS is most common in women in their 20s and 30s, gradually decreasing and ceasing entirely at menopause.

Diagnosis

There are no objective tests (physical, biochemical or endocrine) to assist in making a diagnosis. Therefore PMS is diagnosed by recording symptoms for several menstrual cycles in a symptoms chart. This is partly because the retrospective reporting of symptoms is inaccurate and because significant numbers of women who report PMS have other underlying problems such as perimenopause, thyroid disorder, migraine, chronic fatigue syndrome, as well as psychiatric disorders such depression, panic disorders and anxiety disorder.

Symptoms that occur in a predictable pattern (starting before menstruation, and then disappearing when it begins) are usual indicators of premenstrual syndrome. A doctor may perform a physical exam, if necessary, to rule out the possibility that symptoms indicate the presence of disease.

Treatment

Treatment of PMS involves finding the remedy or combination of remedies that work for each individual.

Non-Medical Therapies

The majority of women with PMS can be treated simply by general practitioners or by self-help. A lot of unsubstantiated claims have been made for the supplementation of calcium, vitamin E, magnesium, dietary change, vitamin B6, evening primrose oil, exercise, yoga, acupuncture, psychotherapy and many more. There is very little evidence that any of these treatments for PMS are effective with the exception of exercise and cognitive behavioral therapy.

Despite the fact that non-medical treatments are of doubted efficacy, they are generally harmless. They can be tried before resorting to medical therapy as there is no risk, except in severe cases where patients may be delaying therapy. St John's Wort has been shown to be effective as an antidepressant and could possibly be tried as a self-help measure in PMS though there is no valid evidence (it must not be taken with SSRIs). Also Doctors often recommend vigorous, aerobic exercise because it is thought that exercise stimulates the body's release of various neurotransmitters, supplementing those that are at low levels.

Medical Therapies

Broadly speaking, treatment of PMS should generally be achievable either by suppressing ovulation and the endocrine cycle either pharmacologically or by surgery or it may be achieved by altering the sensitivity to progesterone by elevating serotonin levels.

Suppression of the ovarian cycle eliminates PMS effectively. This can be achieved by GnRH analogues with add back tibolone. Oestrogen also suppresses ovulation and eliminates PMS without menopausal side effects. Intrauterine progestagen (as levonorgestrel IUS) avoids re-stimulation of premenstrual syndrome at the same time that it protects the endometrium; it reduces periods and provides contraception.

Other medications used to treat PMS include diuretics (to ease fluid retention), oral contraceptives (for hormone control), and anti-anxiety medication, for extreme irritability. SSRIs are the simplest and most effective non-hormonal approach to treatment. Some consider them to be first line medical therapy. Women with premenstrual dysphoric disorder usually require antidepressant medications.

PMS can cause havoc in a woman's sex life. Because the symptoms include emotional fluctuations as well as physical discomfort, neither the woman nor her partner knows what to expect. Some women find that their energy goes into symptom management, and they become self-absorbed. They tune in to their bodies but tune out their sexual feelings and, many times, their partners too.

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