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Ailmemts & Remedies

Ovarian Cysts

Alternative Names:Physiologic ovarian cysts; Functional ovarian cysts

Definition:
An ovarian cyst is any collection of fluid, surrounded by a very thin wall, within an ovary.It is a sac filled with fluid or a semisolid material that develops on or within an ovary. Any ovarian follicle that is larger than about two centimeters is termed an ovarian cyst. An ovarian cyst can be as small as a pea, or larger than a cantaloupe.

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You may click to see pictures of ovarian cysts

Most ovarian cysts are functional in nature, and harmless (benign). In the US, ovarian cysts are found in nearly all premenopausal women, and in up to 14.8% of postmenopausal women.Ovarian cysts affect women of all ages. They occur most often, however, during a woman’s childbearing years.Some ovarian cysts cause problems, such as bleeding and pain. Surgery may be required to remove cysts larger than 5 centimeters in diameter.

Types:

Functional cysts
Some, called functional cysts, or simple cysts, are part of the normal process of menstruation. They have nothing to do with disease, and can be treated. There are 3 types, Graafian, Luteal, and Hemorrhagic.


Graafian follicle cyst

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One type of simple cyst, which is the most common type of ovarian cyst, is the graafian follicle cyst, follicular cyst, or dentigerous cyst. This type can form when ovulation doesn’t occur, and a follicle doesn’t rupture or release its egg but instead grows until it becomes a cyst, or when a mature follicle involutes (collapses on itself). It usually forms during ovulation, and can grow to about 6cm (2.3 inches) in diameter. It is thin-walled, lined by one or more layers of granulosa cell, and filled with clear fluid. Its rupture can create sharp, severe pain on the side of the ovary on which the cyst appears. This sharp pain (sometimes called mittelschmerz) occurs in the middle of the menstrual cycle, during ovulation. About a fourth of women with this type of cyst experience pain. Usually, these cysts produce no symptoms and disappear by themselves within a few months. Ultrasound is the primary tool used to document the follicular cyst. A pelvic exam will also aid in the diagnosis if the cyst is large enough to be seen. A doctor monitors these to make sure they disappear, and looks at treatment options if they do not.

Corpus luteum cyst…….CLICK & SEE
Another is a corpus luteum cyst (which may rupture about the time of menstruation, and take up to three months to disappear entirely). This type of functional cyst occurs after an egg has been released from a follicle. The follicle then becomes a secretory gland that is known as the corpus luteum. The ruptured follicle begins producing large quantities of estrogen and progesterone in preparation for conception. If a pregnancy doesn’t occur, the corpus luteum usually breaks down and disappears. It may, however, fill with fluid or blood, causing the corpus luteum to expand into a cyst, and stay on the ovary. Usually, this cyst is on only one side, and does not produce any symptoms.

It can however grow to almost 10cm (4 inches) in diameter and has the potential to bleed into itself or twist the ovary, causing pelvic or abdominal pain. If it fills with blood, the cyst may rupture, causing internal bleeding and sudden, sharp pain. The fertility drug clomiphene citrate (Clomid, Serophene), used to induce ovulation, increases the risk of a corpus luteum cyst developing after ovulation. These cysts don’t prevent or threaten a resulting pregnancy. Women on birth control pills usually do not form these cysts; in fact, preventing these cysts is one way the combined pill works. In contrast, the progesterone-only pill can cause increased frequency of these cysts.

Hemorrhagic cyst……....CLICK & SEE
A third type of functional cyst, which is common, is a Hemorrhagic cyst, which is also called a blood cyst, hematocele, and hematocyst. It occurs when a very small blood vessel in the wall of the cyst breaks, and the blood enters the cyst. Abdominal pain on one side of the body, often the right side, may be present. The bleeding may occur quickly, and rapidly stretch the covering of the ovary, causing pain. As the blood collects within the ovary, clots form which can be seen on a sonogram. Occasionally hemorrhagic cysts can rupture, with blood entering the abdominal cavity. No blood is seen out of the vagina. If a cyst ruptures, it is usually very painful. Hemorrhagic cysts that rupture are less common. Most hemorrhagic cysts are self-limiting; some need surgical intervention. Even if a hemorrhagic cyst ruptures, in many cases it resolves without surgery. Patients who don’t require surgery will experience pain for 4 – 10 days after, and may require several days rest. Studies have found that women on tetracycline antibiotics recover 25% earlier than the majority of patients, a surprising correlation found in 2004. Sometimes surgery is necessary, such as a laparoscopy (“belly-button surgery” that uses small tools inserted through one or more tiny slits in the abdomen).

Dermoid cyst

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A dermoid cyst is a cystic teratoma that contains developmentally mature skin complete with hair follicles and sweat glands, sometimes luxuriant clumps of long hair, and often pockets of sebum, blood, fat, bone, nails, teeth, eyes, cartilage, and thyroid tissue. Because it contains mature tissue, a dermoid cyst is almost always benign. The rare malignant dermoid cyst usually develops squamous cell carcinoma in adults; in babies and children it usually develops endodermal sinus tumor.

Some authors use the term dermoid cyst as a frank synonym for teratoma, meaning any teratoma, regardless of its histology or location. Others use it to mean any mature, cystic teratoma. These uses appear to be most common in gynecology and dermatology.A dermoid cyst can occur wherever a teratoma can occur.

Endometrioid cyst…....CLICK & SEE
An endometrioma, endometrioid cyst, endometrial cyst, or chocolate cyst is caused by endometriosis, and formed when a tiny patch of endometrial tissue (the mucous membrane that makes up the inner layer of the uterine wall) bleeds, sloughs off, becomes transplanted, and grows and enlarges inside the ovaries. As the blood builds up over months and years, it turns brown. When it ruptures, the material spills over into the pelvis and onto the surface of the uterus, bladder, bowel, and the corresponding spaces between. Treatment for endometriosis can be medical or surgical. Nonsteroidal anti-inflammatory drugs (NSAIDs) are frequently used first in patients with pelvic pain, particularly if the diagnosis of endometriosis has not been definitively established. The goal of directed medical treatment is to achieve an anovulatory state. Typically, this is achieved initially using hormonal contraception. This can also be accomplished with progestational agents (i.e., medroxyprogesterone), danazol, gestrinone, or gonadotropin-releasing hormone agonists (GnRH), as well as other less well-known agents. These agents are generally used if oral contraceptives and NSAIDs are ineffective. GnRH can be combined with estrogen and progestogen (add-back therapy) without loss of efficacy but with fewer hypoestrogenic symptoms. Laparoscopic surgical approaches include ablation of implants, lysis of adhesions, removal of endometriomas, uterosacral nerve ablation, and presacral neurectomy. They frequently require surgical removal. Conservative surgery can be performed to preserve fertility in young patients. Laparoscopic surgery provides pain relief and improved fertility over diagnostic laparoscopy without surgery. Definitive surgery is a hysterectomy and bilateral oophorectomy.

Pathological cysts:……....CLICK & SEE
The incidence of ovarian carcinoma (malignant cancer) is approximately 15 cases per 100,000 women per year.

Other cysts are pathological, such as those found in polycystic ovary syndrome, or those associated with tumors.

A polycystic-appearing ovary is diagnosed based on its enlarged size — usually twice normal —with small cysts present around the outside of the ovary. It can be found in “normal” women, and in women with endocrine disorders. An ultrasound is used to view the ovary in diagnosing the condition. Polycystic-appearing ovary is different from the polycystic ovarian syndrome, which includes other symptoms in addition to the presence of ovarian cysts, and involves metabolic and cardiovascular risks linked to insulin resistance. These risks include increased glucose tolerance, type 2 diabetes, and high blood pressure. Polycystic ovarian syndrome is associated with infertility, abnormal bleeding, increased incidences of pregnancy loss, and pregnancy-related complications. Polycystic ovarian syndrome is extremely common, is thought to occur in 4-7% of women of reproductive age, and is associated with an increased risk for endometrial cancer. More tests than an ultrasound alone are required to diagnose polycystic ovarian syndrome.

Causes :
Typically, ovarian cysts are functional (not disease related) and occur as a normal process of ovulation. During the days before ovulation, a follicle grows. But at the time of expected ovulation, the follicle fails to break open and release an egg, as it is supposed to. Instead, the fluid within the follicle remains and forms a cyst.

Functional, or physiological, ovarian cysts usually disappear within 8 – 12 weeks without treatment. They are relatively common, and are more common during a woman’s childbearing years (puberty to menopause). Ovarian cysts are rare after menopause.

No known risk factors have been identified.

Functional ovarian cysts are not the same as ovarian tumors (including ovarian cancer) or cysts due to hormone-related conditions such as polycystic ovarian disease. Some non-functional ovarian cysts must be treated to go away.

Symptoms:
An ovarian cyst can cause pain if it pushes on nearby structures, ruptures, or bleeds. Pain may also occur if the cyst is twisted or causes twisting (torsion) of the fallopian tube. Symptoms of ovarian cysts can include:

*Dull aching, or severe, sudden, and sharp pain or discomfort in the lower abdomen (one or both sides), pelvis, vagina, lower back, or thighs; pain may be constant or intermittent — this is the most common symptom.

*Pelvic pain — constant, dull aching

*Pain with intercourse or pelvic pain during movement

*Pain during bowel movements

*Pelvic pain shortly after beginning or ending a menstrual period

*Abnormal uterine bleeding (change from normal menstrual pattern)

*Longer than usual menstrual cycle

*Shorter than usual menstrual cycle

*Absent menstruation

*Irregular menstruation

*Abdominal bloating or swelling

*Fullness, heaviness, pressure, swelling, or bloating in the abdomen

*Breast tenderness

*Pain during or shortly after beginning or end of menstrual period.

*Irregular periods, or abnormal uterine bleeding or spotting

*Change in frequency or ease of urination (such as inability to fully empty the bladder), or difficulty with bowel movements due to pressure on adjacent pelvic anatomy

*Weight gain

*Nausea or vomiting

*Fatigue

*Infertility

*Increased level of hair growth

*Increased facial hair or body hair

Note:Some or all of the following symptoms may be present, though it is possible not to experience any symptoms: Often no symptoms are noted.

Diagnosis:
Tests & Exams:

*Pelvic exam — may reveal an ovarian enlargement or a cyst

*Ultrasound — usually done first

*CT scan

*MRI

*Doppler flow studies

*Blood tests may be ordered:

*Serum HCG (pregnancy test) — may be done to rule out pregnancy

*Ca-125 — an ovarian cancer marker that may help to identify cancerous cysts in older women

*Hormone levels (such as LH, FSH, estradiol, and testosterone) — may be checked to evaluate for associated hormonal conditions

Treatment :
About 95% of ovarian cysts are benign, meaning they are not cancerous.Functional ovarian cysts usually go away without treatment. Oral contraceptives (birth control pills) may be prescribed to help establish normal cycles and decrease the development of functional ovarian cysts.

Treatment for cysts depends on the size of the cyst and symptoms. For small, asymptomatic cysts, the wait and see approach with regular check-ups will most likely be recommended.

Pain caused by ovarian cysts may be treated with:

*pain relievers, including acetaminophen (Tylenol), nonsteroidal anti-inflammatory drugs such as ibuprofen (Motrin, Advil), or narcotic pain medicine (by prescription) may help reduce pelvic pain. NSAIDs usually work best when taken at the first signs of the pain.

*a warm bath, or heating pad, or hot water bottle applied to the lower abdomen near the ovaries can relax tense muscles and relieve cramping, lessen discomfort, and stimulate circulation and healing in the ovaries. Bags of ice covered with towels can be used alternately as cold treatments to increase local circulation.

*chamomile herbal tea (Matricaria recutita) can reduce ovarian cyst pain and soothe tense muscles.
urinating as soon as the urge presents itself.

*avoiding constipation, which does not cause ovarian cysts but may further increase pelvic discomfort.
in diet, eliminating caffeine and alcohol, reducing sugars, increasing foods rich in vitamin A and carotenoids (e.g., carrots, tomatoes, and salad greens) and B vitamins (e.g., whole grains).

*combined methods of hormonal contraception such as the combined oral contraceptive pill — the hormones in the pills may regulate the menstrual cycle, prevent the formation of follicles that can turn into cysts, and possibly shrink an existing cyst. (American College of Obstetricians and Gynecologists, 1999c; Mayo Clinic, 2002e)

Also, limiting strenuous activity may reduce the risk of cyst rupture or torsion.

Cysts that persist beyond two or three menstrual cycles, or occur in post-menopausal women, may indicate more serious disease and should be investigated through ultrasonography and laparoscopy, especially in cases where family members have had ovarian cancer. Such cysts may require surgical biopsy. Additionally, a blood test may be taken before surgery to check for elevated CA-125, a tumor marker, which is often found in increased levels in ovarian cancer, although it can also be elevated by other conditions resulting in a large number of false positives.

For more serious cases where cysts are large and persisting, doctors may suggest surgery. Some surgeries can be performed to successfully remove the cyst(s) without hurting the ovaries, while others may require removal of one or both ovaries.

Click to learn about Natural & Homeopathic Treatment of Ovarian Cysts..(1)……(2)…...(3).(4)

Click for Herbal Treatment…………………………………(1).….(2)(3).(4)

Possible Complications:
Complications are related to the specific diagnosis. Concern is given to cysts that twist, rupture, bleed, or show signs of cancerous changes.

Prevention:
If a woman is not seeking pregnancy and develops functional cysts frequently, they can be prevented by taking hormonal medications (such as birth control pills), which prevent follicle formation.

Disclaimer: This information is not meant to be a substitute for professional medical advise or help. It is always best to consult with a Physician about serious health concerns. This information is in no way intended to diagnose or prescribe remedies.This is purely for educational purpose.

Resources:
http://en.wikipedia.org/wiki/Ovarian_cyst
http://en.wikipedia.org/wiki/Dermoid_cyst
http://www.nlm.nih.gov/medlineplus/ency/article/001504.htm

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Categories
Ailmemts & Remedies

Abdominal Bloating

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Abdominal bloating is a condition in which the abdomen feels full and tight. It is usually caused by gas in the bowel.

It is any abnormal general swelling, or increase in diameter of the abdominal area. As a symptom, the patient feels a full and tight abdomen, which may cause abdominal pain sometimes accompanied by borborygmus. Bloating may have several causes, the most common being accumulation of liquids and intestinal gas. Ascites is the proper medical term for abdominal bloating caused by excessive accumulation of liquid inside the cavity.

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Common causes for abdominal bloating are:

1.Overeating (gastric distension)
2.Lactose intolerance, fructose intolerance and other food intolerances
3.Food allergy
4.Aerophagia (air swallowing, a nervous habit)
5.Irritable bowel syndrome
6.Partial bowel obstruction
7.Gastric dumping syndrome or rapid gastric emptying
8.Gas-producing foods
9.Constipation
10.Visceral fat
11.Splenic-flexure syndrome
12.Menstruation, dysmenorrhea and premenstrual stress syndrome
13.Polycystic ovary syndrome and ovarian cysts
14.Alvarez’ syndrome, hysterical or neurotic abdominal bloating without excess of gas in the digestive tract .
15.Massive infestation with intestinal parasites, such as worms (e.g, Ascaris lumbricoides)
16Diverticulosis
17.Small bowel bacterial overgrowth
18.Immunodeficiency, such as AIDS

Important but uncommon causes of abdominal bloating include large intra-abdominal tumors, such as those arising from ovarian, liver, uterus and stomach cancer; and megacolon, an abnormal dilation of the colon, due to some diseases, such as Chagas disease, a parasitic infection. Gaseous bloating may be a consequence of cardiopulmonary resuscitation procedures, due to the artificial mouth-to-mouth insufflation of air. In some animals, like cats, dogs and cattle, gastric dilatation-volvulus, or bloat also occurs when gas is trapped inside the stomach and a gastric torsion or volvulus prevents it from escaping.

Bloating from irritable bowel syndrome (IBS) is of unknown origin but often results from an insult to the gut, and as such can overlap with infective diarrhea, celiac, and inflammatory bowel diseases. IBS is a brain-gut dysfunction that causes visceral hypersensitivity and results in bloating in association with recurrent diarrhea (or constipation) and abdominal pain. While there is no direct treatment for the underlying pathology of IBS, the symptom of bloating can be well managed through dietary changes that prevent the over-reaction of the gastrocolic reflex. Having soluble fiber foods and supplements, substituting dairy with soy or rice products, being careful with fresh fruits and vegetables that are high in insoluble fiber, and eating regular small amounts can all help to lessen the symptoms of IBS (Van Vorous 2000). Foods and beverages to be avoided or minimized include red meat, oily, fatty and fried products, dairy (even when there is no lactose intolerance), solid chocolate, coffee (regular and decaffeinated), alcohol, carbonated beverages, especially those also containing sorbitol, and artificial sweeteners (Van Vorous 2000).

Postmortem bloating occurs in cadavers, due to the formation of gases by bacterial action and putrefaction of the internal tissues of the abdomen and the inside of the intestines.

Symptoms:
The most common symptoms are abdominal pain and cramps, fullness, bloating, and diarrhea. The diarrhea can be watery or bloody. Other symptoms may include:

Anemia (low levels of red blood cells)
Weight loss
Fatty, floating stool

Treatment:
The goal is to treat the cause of the intestinal bacterial overgrowth. For certain conditions, antibiotics, anti-motility drugs, or hormones may be considered.

Treatment also involves getting enough fluids and nutrition.

If the person is already dehydrated, he or she may need intravenous (IV) fluids in a hospital. And, if already malnourished, total parenteral nutrition (TPN) may be necessary. TPN is nutrition (food) given through a vein.

Ayurvedic Treatment of Abdominal Bloating……………(A)…………...(B).……..(C)..…..(D)

Homeopathic Treatment of Abdominal Bloating……….(A)……………(B)

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Yoga Exercise under the guidance of an expert gives very good result in Abdominal Bloating and in most cases it cures permanently.

Complications :
Severe cases lead to malnutrition. Other possible complications include:

Dehydration
Toxic megacolon
Liver disease
Osteoporosis

Disclaimer: This information is not meant to be a substitute for professional medical advise or help. It is always best to consult with a Physician about serious health concerns. This information is in no way intended to diagnose or prescribe remedies

Resources:

http://en.wikipedia.org/wiki/Bloating
http://www.nlm.nih.gov/medlineplus/ency/article/003123.htm

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