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Archive for the ‘Women’s Problems’ Category

Goitre

In Women's Problems on December 5, 2007 at 2:58 pm

Goitre is a disease of the thyroid gland. It generally refers to a swelling of the thyroid gland in the neck. The disease can, however, also occur without any swelling of the neck. The thyroid gland is best known for its ductless glands. Through its secretions, it regulates the day to day activities, maintains homeostatis through periods of stress and strain and provides a fine balance to the regulatory systems of the body. No part of the body seems to escape its influence.

Women are more prone to this serious disease. It is more common in women who are over worked and who do not get sufficient rest and relaxation. The periods in a woman’s life when she is more likely to be affected by goitre are at puberty, during pregnancy, at menopause or when there is extra physical strain on the body.

Symptoms

It is difficult to recognise the first symptoms of goitre because they are of a very short duration.

They usually appear as emotional upsets and can pass almost unnoticed. These spells of emotional upsets gradually increase in duration, when other symptoms also appear. These include loss of power of concentration, depression and weeping. The patient appears to be very easily irritated. The approach of a nervous breakdown is often suspended.

The thyroid gland may swell but this has no relation to the severity of the ailment because many serious cases have practically no visible swelling. There is always a rapid though regular heart beat and any undue excitement increases this to a quick pulsation which may even be conveyed to the thyroid gland. There is, in most cases, a tremor of the hands and a feeling of extreme tiredness, together with a lack of power to make any real muscular effort. The eyes may incline to protrude although this does not appear in all patients.

A most alarming symptoms of goitre is the loss of weight which no treatment seems to check, and this can persist till the patient feels extremely weak. All the symptoms appear very gradually and that is why so many women do not complain until the trouble has reached serious proportions.

Whenever goitre occurs, it must not be assumed that it is sudden flaring up because disease is not an abrupt derangement of a healthy system nor a sign that there has been a gradual loss of health. In practically every instance a bowel is clogged and there has been a slow poisoning of the entire system over a period of years.

Causes

Deficiency of iodine in the diet is the most common cause of goitre. The thyroid gland makes use of organic iodine in its secretion and a diet deficient in organic iodine is a predisposing factor towards the appearance of this disease incertain cases, especially if other physical and emotional disturbances are present.

People living near the sea rarely contract goitre, because all sea foods are rich in organic iodine.

It should, however, be concluded from this that fish and other sea foods are essential to the diet to avoid goitre, or that people who eat plenty of fish are necessarily immune from this disease.

IN fact, organic iodine is present in practically all foods which come from the earth as well as from the sea. Goitre gradually affects those who habitually live on denatured, that is cooked and refined foods, and not those who eat much of their food in the raw or uncooked state.

Treatment

The only real treatment for goitre is cleaning of the system and adopting of a rational dietary thereafter, combined with adequate rest and relaxation. To begin with, juices of fruits such as orange, apple, pineapple and grapes may be taken every two or three hours from 8 a.m. to 8 p.m. for five days. The bowels should be cleansed daily with lukewarm water.

After the juice fast, the patient may spend a further three days on fruits and milk, taking three meals a day of juicy fruits, such as apple, pineapple, grapes, papaya , with a glass of milk, at five hourly intervals. Thereafter, a balanced diet on the following line may be adopted.

Breakfast : Fresh acid foods such as apples, grapefruit, oranges, pears, grapes, a glass of whole milk and a handful of raw nuts.

Mid-morning : A glass of fruit or vegetable juice to which a table- spoon of yeast has been added.

Lunch : Steamed vegetables, whole wheat chappatis and a glass of buttermilk.

Mid-afternoon : A glass of milk or fruit juice.

Dinner : Vegetable soup, a large bowl of salad of raw vegetables in season such as lettuce, tomato, cabbage, carrot, turnips and celery, sprouts such as alfalfa seeds and mung beans and home made cottage cheese or nuts.

Before retiring : Milk or fruit juice.

The patient should take plenty of rest and spend a day in bed every week for the first two months of the treatment. More and more exercise should be taken after the symptoms subside.

The appetite of the thyroid patient is usually very large and the weight reduction cannot be prevented for some time. This is because until the heart beat slows down and the tremors stop, there will be incomplete assimilation of the food. But as soon as the balance is restored, weight will slowly increase. To held the absorption of food, a narrow waist compress and, later , a neck compress should be worn for five nights a week.

As weight increases, the almost constant hunger will gradually disappear ; on no account should any stimulants be administered to create an appetite.

Certain foods and fluids are extremely injurious to the goitre patients and this should be avoided by them. These include white flour products, white sugar, flesh foods, fried or greasy foods, preserves, condiments, tea, coffee and alcohol. No drugs should be taken as they cause irritation in the tissues. Iodine is undoubtedly most helpful in many cases. But it should be introduced in organic form. All foods containing iodine should be taken liberally. These are asparagus, cabbage, carrots, garlic, onion, oats, pineapple, whole rice, tomatoes, watercress, and strawberries.

Great care must be taken never to allow the body to become exhausted and any irritation likely to cause emotional upset should be avoided. The cure of goitre is not a speed one and there is often a recurrence of symptoms but these should gradually become less pronounced. Strict adherence to a suitable diet is essential for complete cure.

Half the daily intake of food should consist of fresh fruits and vegetables and the starch elements should be confined to whole wheat products and potatoes. Potatoes are the most valuable form of starch. They should preferably be taken in their jackets. The protein foods should be confined to eggs, cheese, peas, beans , lentils and nuts. Milk and all flesh proteins must be avoided. The diet outlines here should be strictly adhered to for a year, and the compresses on the neck and the waist applied for five consecutive nights in a week for two months and discontinued for one month.

Water treatments should be taken to increase skin elimination. Application of a sponge to the entire body before retiring and a cold sponge on rising will be very helpful. It is most important that the bowels are kept working efficiently to avoid danger of a toxic condition of the blood arising from that source.

All efforts should be made to prevent emotional stress. There may be a light recurrence of this extremely nervous complaint for some time, but the attacks will become less severe and of shorter duration as the treatment progresses. And above all, there must be no lessening of the woman’s efforts to help herself because success can only be attained by assiduous effort.

Hysteria

In Women's Problems on December 5, 2007 at 2:52 pm

Hysteria is a mental and nervous disorder arising from intense anxiety. It is characterised by a lack of control over acts and emotions and by sudden conclusive seizures and emotional outbursts. It often results from repressed mental conflict.

This disorder appears in both sexes, but is far more common in young women of the age group between 14 and 25 years because of their natural sensitivity. In many cases it tends to occur around the period of adolescence and becomes less frequent after the age of 25. It is uncommon after the age of forty-five years.

Hysteria is an ancient disorder. The term is derived from the Greek word hystron ,meaning uterus. The diagnosis dates back to ancient Greek medicine, according to which a variety of symptoms was attributed to a wandering of the womb through the body. The recorded history of the diagnosis begin in ancient Egypt with the Kahnus Papyrus dating from about 1900 BC, which enumerates a series of morbid states attributable to displacement of the uterus. In the Middle Ages hysteria was associated with ideas of demoniacal possession, witchcraft and religious fanaticism. Later it came to be solely related to the female sex.

Osler, an eminent psychiatrist defines hystria as ” a disorder chiefly of young women, in which emotional states control the body, leading to perversion of mental, sensory, motor and secretory functions. “

Symptoms

A wide range of symptoms are regarded as hysterical The onset of hysterical attacks may be sudden, provoked especially by strong feelings or may be heralded over a period of several hours by prodromal features. The main symptoms include inappropriate elation or sadness, crying without cause, almost conclusive laughter, deep sighing, cramps in the limbs, mild rumblings in the belly and sense of constriction in the throat.

The symptoms of hysteria are of two degrees. In the first degree, the patient may feel heaviness in the limbs, more severe cramps, strong feeling of ascending abdominal constriction, continual sightings, difficulty in breathing, construction in the chest, palpitations, feeling of a foreign body lodged in the throat, swelling of the neck and of the jugular veins, suffocation, headache, clenched teeth, generalized and voluntary tensing of muscles of locomotion. The patient remains conscious during paroxysms. The convulsions are usually milder and occur more often during the bending and extending of limbs.

In the second degree, additional symptoms, besides the preceding ones, are noticeable and these may include wild and painful cries, incomplete loss of consciousness, enormously swollen neck, violent and tumultuous heart-beats, involuntary locomotor muscle contraction, frightening generalised convulsions, violent movement and frequent spitting. Sometimes the patient jumps about on his / her bed and at other times adopt almost tetanic postures. The attack may last several hours. There may be prompt return of consciousness immediately after the convulsions.

The psychical symptoms include a weakness of the will, a craving for love and sympathy and a tendency to emotional instability. Hysterical people tend to react too readily to suggestion and through this suggestibility they are swayed greatly by their surroundings. The morbid exaggerated moods led to impulsive conduct which may often seem irrational. Such people are

liable to be much misunderstood and misjudged. At times there may be much absent-mindedness, and loss of memory about events or for definite periods. If this mental dissociation is severe, one may develop hysterical wandering attacks, a state of double consciousness or dual personality.

Hysterical trances may last for days or weeks. Here the patient seems to be in a deep sleep, but the muscles are not usually relaxed. In the most severe instance of this, the heart action and breathing may be scarcely apparent that death may be suspected and the person buried alive.

Somnambulism or sleep-walking and catalepsy, where limbs remain in any position in which they are placed, are other hysterical states.

Causes

The most common causes of hysteria are sexual excess, or sexual repression, perverted habits of thought and idleness. Heredity plays an important part in its causation. A nervous family, taint and faulty emotional training, when young, are predisposing causes. The emotional shocks may have been caused by mental or physical factors such as mental strain, stress, fear, worry, depression, traumatism, masturbation and prolonged sickness.

Hysteria is an extremely mental phenomenon which may take varying forms. In certain types the disorder may result from some situation to which ne is unable to adapt oneself such as marriage, engagement, position of responsibility, the death of relations or loss of love. Factors involving the sexual life in some way are frequently present.

A number of studies have indicated a possible connection between hysterical symptoms and organic brain disease. A patient with epilepsy has often been found to get hysterical attacks.

Drug intoxication is another organic brain disease closely associated with hysteria.

Treatment

Hysteria is curable in nearly all cases. Since the causes of hysteria are both physical and mental, treatment should be directed toward both the body and the mind. Regard for one’s physical welfare is of primary importance. A healthy, well-functioning body is best able to keep the reasoning mind in control of the total organism.

The measures on the physical side should include a well- ordered hygienic mode of living, a nutritious and bland diet, adequate mental and physical rest, daily exercise , agreeable, occupation, fresh air, regular hours of eating and sleeping, regulation of the bowels and wholesome companionship with others.

On the mental plane, the patient should be taught self-control and educated in positive thinking.

Her mind must be , by some means drawn away from herself. Proper sex education should be given immediately, especially as regards sublimation of sexual desire or normal sexual indulgence for the married patient.

In most cases of hysteria, it is desirable for the patient to start treatment by adopting an all-fruit diet for several days. She should have fresh juicy fruits such as orange, apple, grapes, grapefruit, papaya and pineapple during this period. The all-fruit diet should be followed by an exclusive milk diet for about a month.

Most hysteria patients are considerably run down and the milk diet will help build better blood and nourish the nerves. If the full milk diet is not convenient, a diet of milk and fruits may be

adopted. The patient, may, therefore, gradually embark upon a well balanced diet of seeds, nuts

and grains. Vegetables and fruits. The patient should avoid alcohol, tea, coffee, tobacco, white sugar and white flour and products made from them.

Jambul fruit, known as jamun in the vernacular, is considered an effective home remedy for hysteria. Three kgs. of this fruits and a handful of salt should be put in a jug filled with water. The jug should be kept in the sun for a week. Women suffering from hysteria should take 300 grams of this fruit on an empty stomach and also drink a cup of water from the jug. The day she starts this treatment, three kgs. more of these fruits together with a handful of salt should be put in another jug filled with water, so that when the contents of the first jug are finished, contents of the other may be ready for use. This treatment should be continued for two weeks.

Honey is regarded as another effective remedy for hysteria. Two of the main causes of hysteria are irregularity of the menstrual cycle and insanity. Honey is invaluable for both these conditions.

It causes good bleeding during the cycle, cleans the uterus, tones up the brain and the uterine musculature and keeps the body temperature at a normal level. It is advisable to use honey regularly and increase the quantity after the first start. It will bring down body temperature thus preventing further fits.

Exercise and outdoor games are important in the prevention and cure of hysteria . They take the mind away from one’s self and induce cheerfulness. Yogasanas which are useful in hysteria are bhujangasana, shalbhasana, matsyasana, sarvangasana, dhanurasana, halasana, paschimotanasana, yogamudra and shavasana. Weak patients, who are not able to take much active exercise , may be given massage three or four times a week.

Other measures useful in the treatment of hysteria are air and sun baths. They are calming and   at the same time invigorating to the nerves. Daily cool baths are also an excellent tonic. Suitable physical activity must be balanced with adequate rest and sleep.

In case of hysterical fit, the clothing of the patient should be loosened and her head lowered by laying her out flat at once.

She should not be allowed to assume an erect position for sometimes after the fit. She should be slapped gently in the face and mustard plasers applied to the soles of the feet and the wrists. In ordinary cases no further treatment is necessary and the symptoms will soon pass off or cease if the patient is left alone.

In a genuine hysterical attack, the most effective means of interrupting the paroxym is the applicatin of cold water in some form to the head and spine. Either the cold water may be poured or cold pack or ice pack may be applied to the hand and back of the neck. If this cannot be done, cold water may be splashed on the face. The patient should be provided with plenty of fresh air and some of her clothing should be removed to facilitate easy breathing and to expose the skin to fresh air.

In a violent seizure of hysteria, pressure on the ovaries often checks the attack. The patient should be made to lie on the back and the first forcibly pressed into the iliac region. As soon as possible, a neutral immersion bath at 98 o to 100 o F. may be given and continued until the excited condition subsides. If this is not convenient, a hot foot bath , with cold applications to the head, may be used instead. Following an attack the patient should have rest, quietness, darkness and if possible, sleep until the lost energy has been gradually recovered.

Pruritus Vulvae

In Women's Problems on December 5, 2007 at 2:52 pm

Pruritus literally means a sensation of itching and vulva is the name given to the entrance to the vagina. It is a symptoms, not a disease in itself. Atleast 10 per cent of women all over the world suffer from this complaint.

Pruritus vulvae is generally relieved through scratching in the initial stages. At a later stage, the patient develops a burning sensation in this region. This can intensify to such an extent that women suffering from this complaint prefer to remain indoors and refuse to go out. This problem occurs more during the night. The patient may scratch the area during sleep and wake to find that she has made herself bleed.

Causes

One of the main causes of pruritus vulvae is purulent and mucopurulent vaginal discharge. Due to this discharge, the vulva region chafes. The resulting tenderness causes pain. Over 80 per cent of these cases occur due to this cause. Prorates without vaginal discharge occurs in 15 to 20 per cent of the cases.

In some cases prorates vulvae may develop due to the presence of skin diseases not specific to the vulva such as psoriasis, seborrheic dermatitis and scabies. Other causes include animal and vegetable parasite infections which tend to cause pruritus public rather than prutitus vulvae, conditions of the urinary track like continence of urine and pyuria. Highly acidic urine sometime causes soreness which subsequently leads to pruritus. Glycosuria and diabetes also contribute to this condition.

Pruritus vulvae can result from skin sensitivity to various kinds of soaps, bath salts, deodorants and antiseptics which contain particular phenols and cresols and from certain drugs. These allergies may also be caused by nylons and tight-fitting clothes. In rare cases the disorders may develop as an offshoot of certain major problems like jaundice, uraemia, and other toxic conditions.

Many mental disturbances can affect the sexual bias and psychoneurosis results. The skin of the vulva region can also be a site of psychoneurosis, nervous fatigue and rough clotting Sexual frustration and guilt feelings can also lead to pruritus vulvae.

Treatments

There is always some underlying cause for the onset of purirtus, but scratching soon damages the skin and causes secondary changes which may obscure the primary cause. In addition, the skin may become sensitized to some local application. IN long standing cases, the diagnosis of both the initial cause and the reason for the maintenance of the irritation may become extremely difficult, particularly when more than one factor is involved. Successfully treatment depends on two cardinal principles, namely, to remove any underlying cause and to stop further damage to the skin by scratching or by unsuitable application.

The most important factor in the treatment of pruritus vulvae caused by infections through fungus or parasites, is cleanliness. Bowels should be kept clean either through enemas or a natural diet. The patient must wear clean clothes to avoid this problem. After urination, the vagina should be thoroughly washed with plain cold water. IN case of severe pruritus, it is advisable to wash the vulva with neem leaves decoction and apply green light charged coconut oil.

Treatments like neem water vaginal douches help kill bacteria and fungus. The affect reaction should be exposed to green coloured light or rays of the sun through green coloured glass for 25 to 30 minutes. This will help reduce infections.

Purritus vulvae resulting from discharges from the uterus, cervix or vagina causes inflammations. This can be reduced by regular application of mud packs on the lower abdomen, twice or thrice a day. A cold hip bath may also be taken for 10 minutes. An alternate hot and cold hip bath is especially useful in reducing inflammation.

In cases of pruritus resulting from diabetes mellitus, glycosuria, uraemia, jaundice and other toxic states, specific diets and treatments for these complaints should be followed before pruritus could be cured.

Skin diseases like psoriasis, scabies, fungal infections should be treated through nature cure methods. These include steam baths, mud baths, immersion baths, sun baths, spine baths and chromotherapy.

Diet plays an important role in the treatment of pruritus vulvae. Initially the patient should be put on a juice fast for a few days. She should drink fruit and vegetable juices, diluted with water on 50 : 50 basis. A warm water enema should be used daily during the period of fasting to cleanse the bowels.

Fasting helps relieve the toxic conditions not in just the affected region but also the entire body.

Thus inflammation is reduced. The diet after the juice fast could include seasonal fruits, salads, sprouts, vegetables, soups or buttermilk. Cooked food should be included in the diet only much later.

The patient should avoid all processed, refined and denatured foods such as white sugar, white flour and all products made from them as well a s coffee, tea, eggs, meat, spicy and oily foods.

Alcohol and smoking are to be completely eliminated.

A natural mode of life will go a long way in overcoming pruritus vulvae. It will also lead to improvement in health in general.

Vaginitis

In Women's Problems on December 5, 2007 at 2:51 pm

Vaginitis can be described as an inflammation of the vagina and vulva. It is a fairly common problem with women. This can be avoided by taking proper treatment in the initial stages itself.

But women usually tend to hide this problem.

Changes in the activity of the vaginal epithelium and in the vaginal secretion at different ages have a profound influence on the defense against vaginal infection. In the adult, the normal vaginal moisture or secretion consists of mucous and discarded vaginal cells. This discharge generally causes no irritation though the amount secreted and consistency vary. The variance is also due to the periodicity of the menstrual cycle and psychological conditions. Normal healthy women do not suffer from the sensations of the itching, burning, pain or irritation.

In unhealthy women and in abnormal conditions, the resident organisms (bacteria) multiply rapidly and produce excessive waste products. It causes tissue irritation in this region leading to itching, swelling, and burning. There is increase in the frequency or discharge of urine which is accompanied with an unpleasant order.

Symptoms

The symptoms of vaginitis are feeling of heat and fullness in the vagina, a dragging feeling in the groin, increased urinary frequency and vaginal discharge, that is, leucorrhoea. The clear or white secretion becomes purulent and yellow. The severity of leucorrhoea depends upon the degree of bacterial infection.

Causes

The main causes of vaginitis are irritation of vagina by external factors like cuts, abrasions in this region, constant wearing of tight-fitting clothes and wearing unclean clothes, using dirty or infected water and lack of hygiene.

Certain medications and treatments can increase susceptibility to infection. These include the use of antibiotics, hormones and excessive douching. Susceptibility is greater in cases of pregnancy, diabetes and certain psychological conditions as well as during the later half of the menstrual cycle. Irritation from contraceptive devices can also lead to this condition.

Unhygienic conditions combined with wrong dietary habits increase toxemia thereby lowering body resistance. According to the nature cure philosophy, whenever the body is loaded with toxins or morbid matter, it tried to eliminate it through the eliminative organs. In women, this

elimination is established in the form of profused discharge, that is leucorrhoea, initially, in later stages, the discharge can become offensive in cases of chronic inflammation.

Treatment

Maintenance of hygienic conditions is the most important factor in the treatment of vaginitis. It is only after disease achieved that morbidity and consequent inflammation and discharge can be prevented.

Another important factor is diet. The patient should be made to fast for three or five days.

Depending Ponte condition, the fasting period may be extended. During this period, she may take juices of lemon and other sub-acidic fruits. This will give the system an opportunity to divert its vital energies to check inflammation and infection.

After the juice fasting, the patient may adopt restricted diet, consisting of raw vegetable salads, fruits and sprouts. This will ensure minimal mucous secretions. This restricted diet should be continued for 10 to 15 days. It will help reduce inflammatory conditions. Boiled vegetables which are easily digestible and wheat chappatis may be added gradually to this diet. Later, rice, dal, vegetable soup or butter milk may be taken for lunch and an uncooked diet for dinner.

The patient should avoid coffee, tea and other stimulants as well as sugar, fried and refined foods.

Hydrotherapy

Treatment through water plays an important role in overcoming vaginitis. The patient should be given an enema with lukewarm neem water to cleanse the bowels and prevent the constipation which increases the toxemic condition, inflammation and infection in the genital organs. For general cleansing and elimination of purulent vaginal discharge, neem water vaginal douche at 35 o C – 40 o C followed by cold douche will be highly beneficial.

In persistent cases, cold vaginal irritation provides relief. This treatment is best administered with a fountain syringe, containing water. The syringe should be placed two or three feet above the patient and water injected into the vagina. The patient should lie upon her back , with hips elevated and water should flow out of the vaginal canal.

A decoction of the herb chebulic myrobalan has proved very useful for vaginal irritation and inflammation. It should be used as an external douche to wash the vulvar parts. When there is a thick white discharge, washing the part with decoction made with neem leaves and chebulic myrobalan fruits will greatly help.

A moderately prolonged cold hip bath accompanied with a hot foot bath is also helpful. The level of cold water must be 34 inches in height. The patient should sit in the tub in such a manner that legs remain out of the tub. This bath can be given for 20 to 30 minutes.

Another mode of treatment considered beneficial is the wet girdle pack for about an hour. For this treatment, a thin cotton underwear and another thick or woolen underwear are required. The thin underwear should be wrung in cold water and worn by the patient. The thick dry underwear should be worn above the wet underwear. If the patient feels chill, she should be covered with a blanket. This treatment helps reduce inflammation.

A cold douche on the perennial region for 10 to 15 minutes twice a day helps reduce vaginitis. A mud pack on the abdomen for 10 minutes twice daily also helps reduce inflammation.

Chromotherapy can also be used to treat this complaint. Blue light treatment given to the afflicted region for an hour accompanied with vaginal irrigation using green coloured charged water helps reduce the infection.

After recovery, it is essential to adopt correct eating habits and hygienic living conditions. Proper rest and exercise are also important.

Prolapse of the Uterus

In Women's Problems on December 5, 2007 at 2:50 pm

Prolapse of the uterus refers to the downward displacement of the vagina and uterus. The word prolapse is derived from the latin procidere which means with effect to fall. This disorder is more common in our country than in the western world.

The uterus is held in position by adequate ligaments Besides, it has the support of the muscular structures of vagina and all other local tissues and muscles. Due to the laxity of support by muscles, tissue and ligaments, the uterus sags downwards.

Symptoms

A woman suffering from prolapse of a uterus feels that something is coming down through the vagina. She feels a sense of fullness in the region of the bladder and rectum. Other symptoms include dragging discomfort in the lower abdomen, low backache, heavy menses and milk vaginal discharge. There is also an increase in the frequency of urination and the patient feels difficulty in total emptying of the bladder. There may also be a burning sensation due to infection.

The woman may experience difficulty in passing stools and complete evacuation of bowels.

These symptoms become more pronounced before and during menstruation. The condition may also result in difficulty in normal sexual intercourse and sometimes sterility.

Causes

There are several factors which contribute to the displacement of the uterus. These include continuous distension of the intestines with gas or excess food materials, leading to constant downward pressure on the womb, chronic constipation leading to pressure from behind from an over-filled colon, tight clothing especially tight corsets, constant stooping, and a weakened condition of the internal muscles of the abdomen , through lack of exercise and bodily weakness.

Some of the other important factors responsible for prolapse of the uterus are prolonged labour, an interference in the delivery by inexpert people, lack of proper rest and diet in post-natal periods, repeated deliveries and manual work. An increased weight of the womb, tumours of the uterus, traction of the uterus and surgical injuries can also lead to this disorder. Menopausal atrophy may also precipitate it.

Prevention

It is easier to prevent prolapse of uterus than cure it after its occurrence. The measures to prevent it should include good antenatal care in pregnancy, proper management and timely intervention during delivery, good postnatal care with proper rest, correct diet and appropriate exercise so as to strengthen the pelvic musculature.

Treatment

Treatment of displaced womb must consist mainly of a suitable diet and exercise. The diet should be so planned as should aim at building up the internal musculature of the body. Of course, any tendency towards tight lacing, constant stooping, and heavy lifting must be carefully guarded against, once a natural regime is undertaken, as these will automatically tend to hold up the success of the treatment.

To begin with the patient should adopt an all-fruit diet for about five days. During this period she should take three meals consisting of juicy fruits such as orange, apple, pineapple, grapes at five hourly intervals. The bowel should be cleansed daily with a warm water enema.

After the all-fruit diet , the patient should gradually embark upon a well-balanced diet, based on three basic food groups, namely, (i) seeds, nuts and grains (ii) vegetables and (iii) fruits. The all-fruit diet should be repeated for three days at monthly intervals till the condition improves.

Carrots have proved useful in the treatment of prolapse of the uterus. For prolpase of the uterus, pulped carrots should be placed in a muslin bag and inserted in a vagina. This should be kept for some time using fresh carrots every 12 hours. This will heal and strengthen the parts and help greatly in preventing any further disorders in the female reproductive system. A hot Epsom salts bath is also beneficial in the treatment of prolapse of the uterus and should be undertaken twice a week. This bath is prepared by dissolving one or one and half kg. of Epsom-salt in an ordinary bath of hot water. The patient should remain immersed in the bath from ten to twenty minutes. This bath should be taken just before retiring to bed and care should be exercised not to get chilled afterwards. No soaps should be used with the bath as it will interfere with its beneficial effects. The alternate hot and cold hip bath are also useful and should be undertaken at night on alternate days.

Exercise

Exercises to strengthen the pelvic musculature are extremely useful in the treatment of prolapse of the uterus. Lying on a couch with the legs raised higher than the rest of the body is very helpful in relieving pain and discomfort from a displaced womb. This should be done from half an hour to an hour two or three times daily. The feet should be raised about eighteen inches by placing cushions under them. When this is not possible the patient can sit on a chair with a feet on another chair. The more this can be done during the day, the better will it be in every way.

The patient should also perform other exercises aimed at strengthening the abdominal muscles.

These exercises will help greatly in correcting the displacement of the uterus.

Women should always take precautions to space out their children so as to prevent repeated successive deliveries. This will allow the genital issues to regain their strength and vitality and thereby prevent prolapse of the uterus.