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Category : All ; Cycle : November 2012
Medical Articles
Nov10
"Sex and Mind"
Q1) Can you explain how sex (mind) thoughts come in brain

ANSWER-
1. our body secretes sex hormones. These are hormones that cause sexual changes in our body.
testosterone is male hormone, estrogen is female hormone.

when we are exposed to sexually arousing material. either visually, touch or even auditory.. these hormones start acting.

2. sex is one taboo topic in the society. Its also one which causes maximum gratification in the shortest span of time.
because of this taboo, the restless brain looks to think about it more and more, as the sense of gratification is easier.
unfortunately the guilt associated with it, causes more restlesness.

Q2) How it affects brain having sex thoughts

ANSWER - people with excess thought about sex either have extreme anxiety or obsessive compulsive thought problems regarding the same.
many of them also carry an inferiority complex, a shyness or extreme need to break free from society in their mind.

Continuous thinking about the same leads to increased restlessness. As the thought give rise to guilt in many cases.

A person needs to consult a proper counselor/psychiatrist to prevent his brain from continuously thinking about the same through out the day.

In many cases between 16-25yrs of age, men/women both are so engrossed about sex that they started relying on myths about it.

This creates a very negative picture of sex in their mind. This negative picture can lead to commit actions like, - multiple sexual partner, rape, having sex with more than one person at the same time, seeing sex only as the way of happiness. Thinking sexually about everyone they meet.

Q3) When Psychiatric medicine (please don't discuss other medicine concentrate only on psychiatric medicine) are taken, how do they effect sexual thought and sexual organs.

ANSWER - psychiatric medicines act on the part of the brain that is concerned with sex. and also the sexual organs.

a. many times, psychiatric medicines tend to decrease the restlessness and stress levels in the brain. so a persons improves in his/her sexual performance.

b. in many cases they increase the desire of having sex in both men and women.
as the desire might is sometimes masked by altered thought process.

c. medicines also help stop dangerous thoughts in individuals involved in sex with more than one partner at a time, individuals addicted to having sex, individuals who have altered sexual desires like anal sex, or hurting each other during the act.

d. in some cases psychiatric medicines might block some of the sexual sensations one gets, and this causes delayed ejaculation. this might be pleasurable for some.. and not for others.

(its important to understand that psychiatric medicines are not sleeping pills because its well known that many porn stars take psychiatric medications to improve their sexual performance... as viagra only causes erection.. but not pleasure)

Q4) Whether these medicine affects sperms in male or ovule in female or whether it affects the neuro transmitor which controls the sex thought

ANSWER - no effect on the sperms, ovum or sex organs.

Q5) What type of sexual problems Married couples have -

i normally get to meet couples with following problems -
a. male having erectile problem - so he cannt have proper ejaculation or ejaculate to early. Hence they are not able to perform in bed.

b. female having lack of sexual desire - females are afraid of sex, or have decreased sexual desire. Leading to lack luster performance in bed, and husband feels the act is not complete.

c. males having altered and aggresive sexual desires -
altered sexual tendencies like hurting the wife/husband during sex or after sex.
wife/husband swaping
anal sex
taking drugs like (cocaine, marijuana, or alcohol) before having sex

d. males or females with high sexual activity or sexual addiction - such individuals normally have more than one sexual partner. So they are not faithful to their spouses.
The need for sex is so high, that they spend time, money and emotions just to get as much sex as they can.
it is widely present in both males and females.
And soliciting comerical sex workers (male/female prostitutes) and having unprotected sex is leading to sexually transmitted disease.

e. males/females without knowledge of sex - they dont enjoy the procedure of sex as they have never been educated about the same. - they are just having sexual intercourse - not understanding the other phases of sex. hence soon they loose interest.

f. lack of sexual desire by both men and female.

g. male/female addicted to masturbation not interested in intercourse.

h. homosexuality in both males/females which is secretly explored creating a bi-sexual profile.

i. Sexually transmitted disease causing sexual performance issues. These disease are mostly contracted by multiple outside relationship sexual encounters.


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Nov04
PREGNANCY AND BACK PAIN
Back pain is the most common orthopedic complaint in most of the pregnant women. According to the scientific literature 50% to 80% of the pregnant women complain of back pain at sometime during their pregnancy. Out of the different back pains it is the lower back pain which most of the pregnant mothers suffer.
Number of factors can be attributed for the cause of low back pain in the pregnancy. Hormonal and postural changes play a major role in the cause.
During pregnancy many hormones are produced out of which Relaxin is the one which is of our concern. The function of hormone Relaxin is to loosen the joints and ligaments in your body. This helps to relax the ligaments in the pelvis which in turn makes room for your baby inside and also helps during delivery of your baby.
Since the hormone have no selective role in relaxing the ligaments and joints of the pelvis only, all the ligaments and joints in the body are stretched. Laxity of the ligaments which support the spine results in the instability which can cause back pain.
As the baby grows and size of the uterus expands, the posture of your body is altered resulting in forward bending of lower spine and compensatory backward bending of upper spine. Abdomen shifts forwards and downwards altering the normal biomechanics of the spine. This in turn adds on strain to back muscles which may become sore and tired.
Two types of lower back pain are observed during pregnancy,
1. Lumbar pain
2. Posterior pelvic pain
Lumbar pain
It is similar to the kind of back pain that you may have experienced before the pregnancy. It is caused by sitting or standing for prolonged periods. It presents as pain in the lower back, just slightly above the waist line.
Posterior pelvic pain
It is the pain experienced at the back of the pelvis, below the waist line, across the buttocks and near the tail bone. It is the most common type experienced by pregnant women. It can be aggravated by bending twisting, climbing stairs, or leaning forwards.



Management
Back pain during pregnancy could be controlled and prevented by taking necessary precautions and following regular exercise protocol. Exercises help to strengthen, stretch the back muscle. These include pelvic tilt exercises, back stretches, hamstring stretches and kegel exercises.
Walking and swimming are the two preferred exercises during pregnancy to maintain the tone of back muscles. Walking helps to maintain flexibility of muscles of lower back, hips and knee. Swimming and other aquatic exercises allows full body work out with minimal stress and strain to the body. Prenatal yoga or pregnancy yoga helps to stretch and strengthen the back muscles and aid in relieving the pain.
It is not only exercises which help in controlling the back pain, but maintaining proper posture while standing and sitting will help. When you stand try to tuck your hips and pelvis, try resting one foot on a stool. Prolonged sitting can hurt you back, so take frequent breaks if you plan to sit for long times. Safe lifting and bending practices help you to prevent undue strain on your back. When bending over to lift any object, bend at the knees instead at waist and use your thigh muscles to push yourself up instead of back muscles. Try not to lift heavy objects. Wearing low heeled shoes with good arch support may help to alleviate back pain.
Sleeping posture most favorable for pregnant women is to sleep sideways, preferably on left side. Try sleeping with your knees and hip bent, with pillows between knees and one under the belly.
Note:
If you are pregnant with sever back pain, which is rhythmic and feels like menstrual cramps consult your doctor. If you have back pain with numbness or weakness in both lower limbs it needs urgent evaluation by your doctor. Dull back pain during late stages of pregnancy could be signs of preterm labour.


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Nov01
PAIN IN THE TAIL BONE
Pain in the tail bone can frustrate, irritate and embrace many patients for getting the treatment. This condition can be curable and prevented if proper care is taken.
Any irritation (inflammation) of the bony area (tail bone) situated between the folds of the buttocks is referred as Coccydynia. The usual complaint is pain at the bottom region of the back on sitting.
It is usually caused by injury, during pregnancy, chronic pressure on the tail bone due to sitting for long hours as of in those involved in driving occupation. Sometimes tail bone pain occurs in patients with chronic constipation. In one third of the cases the cause is not known.
Coccydynia is usually diagnosed based on the typical complaints and sometimes by an x-ray. Clinician can diagnose by examination and eliciting tenderness at the local region. It is necessary to directly visualize the tailbone region to rule out other causes and any infection. Sometimes infection of the hair follicles at the tailbone region can mimic coccydynia.
This condition usually frustrate patients and impair the quality of life. Sometimes patients feel embarrassed to get the treatment.

Treatment is usually by activity modification, anti inflammatory medications and local injections. Surgery is rarely indicated in non responsive cases.
Since long hours of sitting may aggravate the condition, a modified padded cushion with cut out at the back could relieve the pressure on the coccyx. (Doughnut cushion). Pelvic floor exercises could help to get relief from pain. Use of stool softeners and laxatives in cases of constipated patients could help to relive pain. Seitz bath by sitting in tub of hot water may provide pain relief.
Oral anti inflammatory medications and local application of pain gels may tries to relive the symptoms. Local trigger injections with low dose steroid preparations will aid in complete relief in majority of cases. These local injections can be given by the doctor in the outpatient department. In rare case surgical treatment by removal of coccyx may be required in those cases not responding to conservative methods.


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Nov01
PLASTER CASTS AND SPLINTS IN FRACTURED BONES
When you get injured casts and splints help to protect the broken bone and injured soft tissues. Doctors manipulate the fracture to align the broken bone and to stabilize they apply cast or splint. They hold the bones in place while they unite. They also help to reduce pain, swelling and muscle spasm.
In some instances following surgery splints and casts are applied to immobilize bone or joints.
Splints are nothing but “Half casts” and offer less stability than the casts. But splints can be malleable, adjustable and can be accommodated according to the type of injury, swelling etc.
Doctor decides which type of support suits according to the situation.
TYPES OF SPLINTS AND CASTS:
Cast is custom made as they must fit according to the shape of injured limb. They can be made from Plaster of Paris or fiber glass.
Plaster of Paris or fiber glass can be moulded according to individual needs to make custom made splints. Now a day’s readymade splints of various sizes and shapes, with Velcro straps are available which are comfortable and easier to use.
Recently thermoplastic material is available which has advantage of light weight, good cosmetic appearance, from which casts and splints can be made.
Plaster of Paris: Plaster bandages are the traditional material used to make casts and splint. Plaster can be moulded better than fiber glass for some uses and cheap. Disadvantage is it is heavy and weaker than the counterpart.
Fiber glass: It is lighter in weight, strong enough to hold the weight of patient, and easy to apply.
APPLICATION:
Initially after a fresh injury splints are applied, as the swelling subsides, full cast can be applied if necessary. Before application of cast or splint it is necessary to give a protective layer of soft cotton padding and extra padding to bony prominences.
Both the materials are available in strips or rolls which are dipped in water and applied over the padded area. Splint or cast must fit the shape of the injured limb and also covers the joint above and below the broken bone.
In some instances as the swelling comes down cast may have to be reapplied. In some rare case the as the swelling comes down and fracture may loose the alignment, then it may be necessary to realign and reapply the cast.
In some cases when the fracture is healing the cast may be replaced with splint to facilitate rehabilitative exercises.
CARE OF THE SPLINT OR CAST:
In the first 48 hours to 72 hours you may experience a sense of tightness inside the cast or splint which is caused due to injury. In case of splint doctor can help you to adjust the splint.
In order to decrease the swelling it is advised to keep the injured limb elevated, do some active movements in the toes or fingers.
You should not wet, cut or insert any objects into the plaster. In the case of lower limb splints or casts you are not advised to walk on them.
In case if you want to have bath protect the cast or splint with a plastic cover or the waterproof plaster covers that are available in the market.
WARNING SIGNS OF TIGHT CAST OR SPLINT:
Report immediately to your doctor if you observe any of these
•Increased pain and the feeling that the splint or cast is too tight.
•Numbness and tingling in your hand or foot
•Excessive swelling below the cast.
•Loss of active movement of toes or fingers
CAST REMOVAL
Your doctors will advice on the time of removal of the cast.
After the removal of the cast skin may be dry, and there will be layers of peeled off dead skin. These can be removed off with good wash with soap and application of moisturizers. You may also feel stiffness of the joints and some wasting of the muscles around the joint, which can be addressed with physiotherapy exercises after the removal of casts or splints.


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