Showing posts with label Gynecology. Show all posts
Showing posts with label Gynecology. Show all posts

Thursday, November 22, 2012

Treating Common Ailments during Pregnancy





When you're pregnant, reaching for your normal, over-the-counter cure may not be the best idea. Most of these problems are caused by hormonal changes and the extra strain your body is under. Dr. Lima K Pattani, Specialist Gynecologist at KIMS Bahrain Medical Center, point outs the common ailments during pregnancy. According to her, “these ailments are usually temporary, cause minor discomfort and can be treated simply”. Your body has a great deal to do during pregnancy. Sometimes the changes taking place will cause irritation or discomfort, and on occasions they may seem quite alarming. There is rarely any need for alarm but you should mention anything that is worrying you to your doctor, she added. Some of the common ailments are:
1.                   Constipation: This is very common during pregnancy due to hormonal changes in your body.  Ensure a diet of fibre, fruits & Vegetables and drink plenty of water. Exercise, talk to your doctor about stool softness or a bulk-formary agent. Do not take laxatives during pregnancy.
2.                  Nausea or Morning Sickness: This is very common. 50-60% of women have Nausea during healthy pregnancy. There is not one remedy that will work for everyone. Nausea is worse when a person is tired, so get plenty of rest. Eat lightly and try bland foods around the clock, drink enough fluids especially when queasy. Try eating solids then waiting a while before drinking anything. Eating and drinking at the same time may make nausea worse. If you have persistent vomiting, talk to your doctor about medications that may help.
3.                  Heartburn: Best way to treat heartburn is to prevent heartburn. Try eating Six small meals instead of three large meals. Eat slowly and chew your food well. Drink small amounts of liquid with your meals. Avoid foods that trigger the heartburn like fried, greasy, fatty foods, fizzy drinks and foods with a lot of acid, like citrus fruits or juices. If you are still having trouble, talk to your care provider about antacids.
4.                  Headaches: This is very common during pregnancy. Pregnancy hormones can be one cause. Try to prevent headaches by eating right, drinking enough fluids and getting adequate rest. If you have a headache, apply cold washcloth on your forehead and gently massage your temples. Rest in a dark, quiet room. If headaches are affecting your daily life, discuss safe treatment options with your doctor.
5.                  Backache: This is a common complaint during pregnancy. Stay active; walking is a perfect exercise during pregnancy to maintain strength. Avoid sharp twisting movements at the waist and use your legs to lift. Change positions often and avoid standing or sitting for long periods. Avoid wearing high heels and maintain good posture. If back pain is affecting you daily, keep an open mind and look for options that will help. Many women have found backache relief from options provided by a doctor, prenatal exercise programs, chiropractic care, massage, and physical therapy.
6.                  Exhaustion: If you are expecting a child, you are bound to feel exhausted much sooner than you did earlier. This is a natural phenomenon, do not fight it. Weakness, lethargy and tiredness are normal symptoms in early pregnancy and are nature's way of slowing down the pregnant woman to help in preserving the foetus.  Rest for a couple of hours in the afternoon and an extra hour or two in the night will be useful.  The symptom is usually severe in the early months of Pregnancy and it is important for your spouse and family members to understand your problem. If you are working and cannot rest in the afternoon, you should try to get at least 10 hours of rest at night.
7.                  Varicose Veins: If you are on your feet for a long time during the day, the veins in your legs will get distended and look like zig-zag nodules. These are called varicose veins. The hormone progesterone which is secreted during pregnancy is responsible for it. As the pregnancy advances, the growing uterus presses on the pelvic veins & block the passage of blood from the legs to the heart and thus increases the pressure in the veins of the legs.  Another reason is overweight; some gain a lot of weight during pregnancy. And some inherit it.
Varicose veins can be prevented by 1. Avoid excessive weight gain, 2. Avoid crossing your legs while sitting, 3. Avoid standing still for long, 3. Try some moderate exercises, 4. Avoid high heeled shoes, 5. Keep your feet raised while sitting.
8.                  Frequent Urination: It is more during early & late pregnancy. Pregnancy hormones affect the muscle tone of the bladder, causing you to make frequent trips to the loo. As the uterus grows, it puts pressure on the bladder as well. Drink plenty of water anyways; avoiding them won’t help the problem and could create some new ones.
9.      Oedema: It is more during mid-to late pregnancy. Some fluid retention is normal in pregnancy. The Uterus puts pressure on the blood vessels which carry fluid from the feet and ankles, causing them to swell. Too little protein can also cause swelling.
This can be prevented by 1. Avoid tight clothing, especially around the ankles or calves, 2. Try not to stand for long periods. Sit with your feet elevated whenever you can, 3. Moderate exercises can help, 4. Try a pillow under the feet , at bed, 5.  Drink pleny of fluids, 5. Eat plenty of protein , such as lean meats, pulses, cheese and egg.


Dr. Lima K Pattani [MBBS, M.D] is a Specialist Gynecologist at KIMS Bahrain Medical Center.
                 For more information or to book an appointment at, Call 17822123 or 17740485,               or send your queries to marketing@kimsbh.com. Visit www.kimsbh.com



Monday, October 22, 2012

Pregnancy Diet for Healthy Pregnancy






Having a well balanced diet during pregnancy is the most essential care you can give to your unborn baby. Whenever you eat and whatever you eat have an effect on your baby. “Many women are under the impression that now they need to eat for two. This fact makes many paravoid about the increase in weight” Says Dr. Lima K Pattani, Specialist Gynecologist at KIMS Bahrain Medical Center. But it is important to remember that during pregnancy women do put on weight as it is your body’s adjustment to hold the child.
                  “The most essential period when you have to take care of your pregnancy diet is during its first three months when the principal organs and the nervous system of the body are formed. So begin a nourishing diet from the start even if you face discomfort like nausea. This is important if you want your baby to have a normal birth weight”, Dr Lima adds.
                 A well balanced nutritious diet consists of proteins, fats, carbohydrates, minerals all in one plate. Fruits & Vegetables, Cereals, dairy products and milk products will get you all the nutrients you need. Normally try and have at least three proper meals a day. You can also break it into six smaller meals in case have problems like nausea and heart burns. Be sure to include the following into the diet regularly.
1.            Proteins, Carbohydrates and Fat
The pregnant women must increase her dietary intake of proteins to provide for enlargement of her blood volume, uterus, breast, and placenta. Fetal protein synthesis requires adequate placenta transfers of aminoacids. Approximately 1 kg of protein is needed through the course of pregnancy. To provide this approximately 10g of additional protein must be consumed daily. So a pregnant lady must consume 60gm of protein daily. Sources of proteins include fish, egg, nuts, meat, diary products, peas and beans.
Carbohydrates are also a primary source of energy both for mother and foetus. For both mother and foetus, glucose and fatty acids provide the main source of energy. Glucose is the prime fuel in which the foetus heavily depends in order to achieve adequate tissue protein synthesis.
Fat storage accounts for one half of the total energy costs of pregnancy and occurs primarily between 20th and 30th weeks of gestation. Fat in the diet is a concentrated source of needed calories. Fat also is a carrier of essential fat soluble vitamins A, D and E all of which have an increased requirement during pregnancy.
2.            Folic Acid
Folate is important for the growth of maternal fetal and placental tissue because of its role in DNA  synthesis. Fetals demands impaired maternal absorbtion, and defective use are related to the increased folate requirement during pregnancy.
Folate deficiency has been thought to be associated with a number of abnormalities of pregnancy including antepactam bleeding, conjental malformations including neural tube defects, cleft up abortions of pregnancy induced hypertension. The recommended daily allowance of folic acid is 400 micrograms. Green leafy vegetables, liver, kidney, other meats, eggs and nuts are good dietary sources.
3.            Vitamin C [ascorbic acid]
          It is essential for normal cell integrity and growth. The daily required allowance for Vitamin C is 70 mg. Citrus fruits, strawberries, cantaloupe, raw cabbage and dark green leafy vegetables are among the best dietary sources. Vitamins like B12 and B6 are also essential for development of foetus. Liver, meat, fish, egg, whole wheat and banana are good sources.
4.            Iron
The total iron need during pregnancy is between 800-1000mg. The average daily adult diet contains 10-12mg of iron which is less than the daily requirement. The best dietary sources are liver, red meats, seafood, nuts, green leafy vegetables and iron –fortified cereals. Because of the difficulty in obtaining sufficient iron from diet, iron is the one nutrient supplement usually prescribed for women during pregnancy.
5.            Calcium
Calcium is necessary for the bones and teeth and co-adulation process. The fetal need represents a small fraction of that available and deficiency is extremely rare in developed countries. Because of the increased calcium need during pregnancy, it is recommended that daily calcium intake should be increased to 1200mg daily. Milk and diary products are good sources of calcium. Dairy products are sources of vitamin D also.
6.            Fiber
Pregnancy is often accompanied by problems like constipation, piles, etc. Have your diet needs to be full of fibers to avoid bowl movements. Eat fibrous fruits and salads daily to have a clean digestive system. Any digestion trouble will only add to your discomfort. Food items like brown rice, nuts, beans, pulses, oats etc are also rich sources of fibre.

Dr. Lima K Pattani [MBBS, M.D] is a Specialist Gynecologist at KIMS Bahrain Medical Center.
To book your appointment, call 17822123 or 17740485.

Send your queries to marketing@kimsbh.com Visit www.kimsbh.com