Author Archives: Dr. Vaidya Karanvir Singh

DESCRIPTION 

• Hematoma is generally defined as a collection of blood outside the blood vessels is called hematoma. 
• It is mainly caused by an injury to the wall of a blood vessel that promote blood to ooze out of the blood vessel into the surrounding tissues.
• Injury may occur artery, vein, or small capillary.
• A hematoma usually describes bleeding which has more or less clotted whereas a hemorrhage signifies active ongoing bleeding.
• Hematoma can be seen under the skin or nails as purplish bruises. 
• It can also happen deep inside the body where they may not be visible sometimes form a mass or lump that can be felt. 
• Hematomas named based on their location. Some examples include:

1. Subdural hematoma – a hematoma between the brain tissue and inside the lining of the brain.
2. Spinal epidural hematoma – a hematoma occur between spinal vertebrae and outer lining of the spinal cord is known as spinal epidural hematoma.
3. Intracranial epidural hematoma – a hematoma between the skull and outside the lining of the brain known as intracranial epidural hematoma.
4. Subungual hematoma – a hematoma under the nail known as subungual hematoma.
5. Intra-abdominal hematoma – a hematoma that occur inside the abdominal cavity.
6. Ear or aural hematoma – a hematoma between the ear cartilage and overlying skin known as ear hematoma.
7. Splenic hematoma – a hematoma within the spleen.
8. Hepatic hematoma – a hematoma within the liver.
   

SYMPTOMS AND SIGNS OF HEMATOMA

• Generally depend on size and location. 
• Common symptoms of hematoma include pain, swelling, redness, and bruises.
• Specific symptoms to the location of a hematoma include:

1. Subdural hematoma symptoms – headache, neurologic problems, confusion, seizures
2. Epidural hematoma symptoms – back pain, weakness, and loss of bowel or bladder control
3. Subungual hematoma symptoms – nail pain, weakness, loss and disfiguring nail
4. Splenic, hepatic, or peritoneal hematoma symptoms – abdominal pain.
   

DIFFERENCE BETWEEN HEMORRHAGE AND HEMATOMA

Definition of Hemorrhage and Hematoma:

• Hemorrhage – Outflow of blood from blood vessel
• Hematoma – Accumulation of blood within tissue planes.

Features of Hemorrhage and Hematoma:
Mechanism of cessation of bleeding:

• Hemorrhage – While bleeding, tissue resistance has no effect.
• Hematoma – tissue resistance has some effect on preventing blood clot.

Location:

• Hemorrhage – Bleeding can occur from any blood vessel even outside the body or into body cavities.
• Hematoma – Hematoma occurs inside the body or in certain sites which are favorable for hematoma formation.

Management:

• Hemorrhage – severe bleeding may need surgical ligation of the blood vessel
• Hematoma – surgical evacuation of the hematoma is needed other than ligation of the vessel.

Other Complications:

• Hemorrhage – Chronic bleeding can lead to anemia.
• Hematoma – cause jaundice and clot infection.
  

WHAT ARE FIRST-AID PROCEDURES FOR HEMATOMAS

Minor hematomas first aid can be employed. 
Most bruises can be treated using RICE: 

• R – Rest
• I – Ice Apply ice for 15-20 minutes at several times daily.
• C – Compression – Use of elastic bandages
• E – Elevation – Elevate the bruised area above the level of the heart.

First aid for bleeding includes:

• Stop bleeding with direct pressure
• Cleanse the wound with soap, water and rinse well
• Apply antibiotic cream
• Cover with a bandage.

PEOPLE WHO GET MORE LIKELY TO GET A SUBDURAL HEMATOMA

Subdural hematomas are more common in:

• Older adults – with age our brains shrinks within our skull and the space between the skull and brain widens.
  That causes the tiny veins in the skull and the brain to stretch.
  These thinned, stretched veins are more likely to tear in the event of even a minor head injury such as a fall out of a chair.
• Athletes – Football players or high-impact sports player have an increased risk of a hematoma.
• Take blood thinners – Blood thinner decreased clotting process or prevent blood from clotting. If blood does not clot, bleeding can be severe and long-lasting.
• Hemophiliacs – it is an inherited bleeding disorder that stops blood from clotting. 
• Alcoholics and people who abuse alcohol – Drinking too much alcohol causes liver damage over time. Damaged livers cannot produce sufficient amount of proteins that help the blood to clot which increases the risk of uncontrolled bleeding.
• Babies – Babies do not have strong neck muscles to protect themselves from trauma to the head. When someone abuses a baby by shaking, the baby can develop a subdural hematoma.

CAC TREATMENT FOR HEMATOMA 

• Detox Premium Powder:
  This is the herbal formulation that consists of sudhyog tablet, shwet parpati, yavakshaar, akik pishti, jahar mohra, giloy satav, shukta pishti, etc. Intake of this wonderful remedy will balance the aggravated doshas and cleanse your body by removing the toxins from the body, as it also unblocks the passage and allows the blood to freely pass from the passage.
  Recommended Dosage – Take 1 sachet twice daily with normal water.
• Kanchnaar Guggulu – Kanchnaar guggulu is the best ayurvedic medicine widely used in wound healing, reduces the pressure of blood, swelling, etc. The tablet is very beneficial in calming the imbalance of Vata dosha thus relieving the pain, reduces the level of blood urea naturally.
  Recommended Dosage – Take 2 tablets twice daily with normal water.
• Trikatu Syrup – This herbal syrup contains equal proportions of three spices with a pungent taste – Black pepper (Piper nigrum), Pippali (Piper longum), and Ginger (Zingiber officinale). It is the best syrup to normalize the Tridosha and helps in the elimination of toxins, increases the appetite, and improves digestion. This syrup has a carminative and expectorant effect that helps to ease the symptoms of varicose vein.
  Recommended Dosage – Take 2 teaspoonful’s thrice daily.
• Panchsakar Churna –This churna is very effective for varicose vein patients as it shows antioxidant, anti-inflammatory, laxative, and analgesic properties. It is a classical herbal churna prepared from ingredients like Shatapushpa, Balaharitaki, Shunthi, Swarnapatri, & Saindhav lavana. It helps in removing all toxins from the body and provides good results to patients of varicose vein.
  Recommended Dosage – Take 1 teaspoonful at bedtime with warm water.
• Curcumin Capsule – it is a herbo-mineral capsule of size 500 MG which is 100% safe and is purely ayurvedic formulation. CAC Curcumin Capsules helps in pacifying all three doshas. Curcumin Capsule is beneficial for variety of skin conditions like Acne, Eczema, Psoriasis, and Dermatitis. This Capsule contains standardized extract of the herb Curcumin (Curcuma longa). Curcumin is the active ingredient in Turmeric having powerful Anti-inflammatory, Antibacterial, Antifungal, Anti-microbial and Antioxidant properties. These Capsules lowers the risk of Heart Attack, prevents Cancer by reducing the growth of cancerous cells, helps in treating Alzheimer’s disease, Rheumatoid arthritis and also has Anti-depressant property. These Capsules are very popular Anti-aging supplement.
  Recommended Dosage – Take two capsules twice daily.

OVERVIEW:-

• An estimated 20% to 40% of American women between ages 15 and 44 say they use a vaginal douche. Higher rates are seen in teens and African –American and Hispanic women.
• Making themselves feel fresher, women say they douche to reduce  bad odors, wash away menstrual blood after their period, avoid getting sexually transmitted diseases, and prevent a pregnancy after intercourse.

WHAT IS DOUCHING? :-

• It is a method to wash out the vagina, usually with a mixture of water and vinegar. Douches that are sold in drugstores and supermarkets contain antiseptics . A douche packed in a bottle or bag and is sprayed through a tube upper side into the vagina.
• Douching is the method of washing or flushing the vagina with water or other fluids. Vaginal douches are available as prepackaged mixes, most commonly including water mixed with vinegar, baking soda, or iodine. Douches are available at pharmacies .

ADVANTAGES OF VAGINAL DOUCHING:-

Women state that they use a douche for the following reasons:

• To get rid of bad odors in the vagina
• To prevent pregnancy
• To wash away body fluids, like menstrual blood or semen
• To reduce the chances of  a sexually transmitted infection.
• Foul smelling

DISADVANTAGES OF VAGINAL DOUCHING:-

Health  problems linked to douching include:-

• Bacterial vaginosis (BV):- It is an infection in the vagina. Women who douche once a week are five times more likely to develop BV than women who do not douche.
• Pelvic inflammatory disease:- It is an infection in the reproductive organs that is often caused by an STI.
• Problems during pregnancy, such as preterm birth and ectopic pregnancy
• STD including HIV
• Vaginal irritation or dryness

IS IT SAFE?:-

• The experts of Obstetrics and Gynecology doesn’t recommend women use douching products.  Vagina is formed to naturally maintain a healthy pH balance. It’s filled with bacteria, or vaginal flora, that useful to prevent infections  
• If  remove or greatly reduce the number of healthy bacteria in to the vagina, problematic bacteria may flourish. That can devlop to infections, irritations, and more severe problems.

RISK OF VAGINAL DOUCHING:-

Following risk include in vaginal douching, it may include:- 

• Pregenancy problem
• Infection
• PID
• Cervicitis

TIPS TO PREVENTING VAGINAL ODOUR:-

• Probiotics:- Probiotics, which is a good for bacteria, can help maintain the pH balance of  vagina. Probiotic-rich foods include yogurt, and fermented food.
• Maintain a healthy diet:-Focus to eat a balanced diet with plenty of fruits, vegetables, whole grains, and lean proteins. A balanced diet makes  a healthy body, and that includes  vagina.
• Stay hydrated:- Drinking plenty of water is good for more than just your skin. It can help  vagina’s overall health.
• Avoid douches and scrubs:- It help eliminate bad bacteria, but they also eliminate the good bacteria. 
• Wash  genital area before and after intercourse:- Intercourse introduces bacteria, as well as foreign bodies like lubrication and spermicide from condoms. Clean before and after sex to help maintain natural bacteria levels. 
• Cut out tight clothes:- Clothes that are too tight don’t let  vagina and groin area breathe. Taking plenty of oxygen is vital to good vaginal health.
• Wear cotton panties:-Cotton panties absorb excess moisture from sweating or discharge. Synthetic fabrics are not as good for body.

VAGINAL DOUCHING WITH:-

Vaginal douching may perform with following liquid:-

• Saline water
• Butadiene
• Vinegar
• Normal water

VAGINAL DOUCHING IN AYURVEDA:-

• In Ayurveda vaginal douching called as a Yoni Pichu. It is a special treatment method in Ayurveda where sterile medicated cotton swab is kept inside the vagina for a particular period of time.
• This comes under local treatment methods specific to gynaecological diseases in females and is also done in ante natal care. Yoni pichu is the application of a sterile cotton swab soaked in medicated oil or ghee in the vagina.

INDICATIONS:-

Gynaecological:-

• 1st and 2nd degree uterine prolapse
• Cystocele(bladder prolapse)
• Rectocele(rectal prolapse)
• Post menopausal vaginal dryness
• Dyspareunia(painful coitus)
• In certain types of recurrent miscarriage

Obstetrical:-

• In ninth month of pregnancy for promoting laxity of the     pelvic floor muscles to enable normal labour.
• During labour in retained placenta condition medicated pichu which is capable of making uterine contractions are used.
• In post operative management of obstructed labour to correct the damage done to the pelvic tissues.

MODE OF ACTION:-

• Pichu helps the medicine to stay at the site for a longer period for good action.
• The mode of action depends on the medicine used,as different medicines
• have different mode of action.
• The sesame oil base is most commonly used and it has high antiseptic and antibacterial property.
• The pichu used during pregnancy and labour helps to smoothen the vaginal canal ability easy delivery and easy expulsion of placenta.

AYURVEDIC HERBS USED IN VAGINAL INFECTION:-

• SHATAVARI
• LODHRA
• PATHA
• DARUHARIDRA
• SHALMALI
• LAJJALU
• SARIVA
• YASHTIMADHU
• MUSTA

CAC SPECIAL MEDICATION FOR VAGINAL INFECTION:-

• LEUCO CARE TABLETS
• TRIKATU TABLETS
• FEMINE CARE TABLET
• WOMEN CHAMPION SYRUP
• RE- FRESH TABLETS
• DETOX PREMIUM POWDER

Bacterial Vaginosis Care Kit

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