I had an episiotomy during childbirth about 3.5 years ago, and since then, a large piece of flesh was accidentally cut. It took a really long time to heal. Around 1.5 years after delivery, I noticed a small gland about the size of a cumin seed, and that's where the pain started. It has grown a lot, and now it's about 2 inches long. The pain is constant and gets worse after my menstrual cycle. Could you advise on what might be going on and which consultant I should see? I'm a bit worried.

Answered by 1 Apollo Doctors

Dr Shubham Chauhan

General Practitioner

MBBS
4+ Yrs

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Dog Bite from Fully Vaccinated Dog

General Guidelines

Low risk: Since your dog is fully vaccinated, the risk of rabies transmission is low.

Post-exposure prophylaxis (PEP): However, it's essential to take precautions to minimize the risk of rabies transmission.

Recommended Actions

Wash the wound: Immediately wash the bite wound with soap and water.

Apply antiseptic: Apply an antiseptic cream or solution to the wound.

Monitor your dog's behavior: Keep a close eye on your dog's behavior for the next 10-14 days. If your dog shows any signs of illness or unusual behavior, seek veterinary attention immediately.

Consult a doctor: As a precautionary measure, consult a doctor to assess the risk of rabies transmission. They may recommend:

a. Observation: Monitoring your condition for a few days to ensure no symptoms develop. b. PEP: Administering post-exposure prophylaxis (PEP) as a precautionary measure, although this is unlikely given your dog's vaccination status.

Rabies Vaccination

Unlikely necessary: Given your dog's full vaccination status, rabies vaccination for you is unlikely necessary.

Dr. Shubham Suggests...

Consult a Obstetrician and Gynaecologist

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Answered 04/07/2025

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My aunt is 49 and has a bulky uterus measuring 17138 cm with multiple fibroids, the largest being 70mm. She's on medications but doesn't have excessive bleeding, pain, or other symptoms. How serious is this does she need surgery or can she keep managing with meds until menopause?

A 70mm fibroid in a bulky uterus (17138 cm, which seems to be a typo and is likely a measurement in a different unit, perhaps 171.38 cm) in a 49-year-old woman can be managed with medication if there are no symptoms or significant complications, especially as she approaches menopause. Surgery may be considered if symptoms worsen, if the fibroid grows rapidly, or if it causes complications like infertility or pelvic organ compression

Answered by 1 Apollo Doctors

I've been experiencing very painful menstrual cramps and my doctor recommended I try Meftal Spas tablets. They've been really helpful in relieving my pain for about 5 to 6 hours, and I've been taking them whenever the pain gets too intense. But now I'm noticing that my periods are getting delayed and the cramps seem to be even more painful. Could these things be side effects of the tablets?

Meftal Spas is a commonly used medication for menstrual pain, but frequent use can sometimes affect the regularity of your periods or increase pain in some cases. It's important to use it cautiously and consult your doctor if you notice changes in your cycle or increased discomfort, as they may need to adjust your treatment plan.

Answered by 1 Apollo Doctors