Question 1

I'm feeling a bit concerned because I've been having this dull pain under my left armpit that seems to connect to my breast, along with some pain in the upper back on the same side. This all starts happening about 10 days before my period. I actually made a note of it because it's been pretty consistent. Around a year and a half ago, I also experienced stabbing pain in my left breast along with back pain. I had mammograms done at two different hospitals back then and they said everything looked fine. They suggested I take Vitamin E tablets, which I did for a while, but even after stopping them a year ago, I'm still having these issues. Could it be related to my cycle, or should I be worried about something else?

Accepted Answer

Table  sigmoflam two times a day or as required after  food.
if Their is any  swelling or node under armpit,  so consult a general  surgeon.

Question 2

I'm currently using an inhaler called Budamate 200, and I'm just entering my first trimester of pregnancy. I'm worried if it's safe to continue using it during these early months. Could it affect the baby in any way?

Accepted Answer

Budamate 200, containing budesonide, is classified as a category C medication in pregnancy, meaning its safety is uncertain; however, studies suggest that inhaled corticosteroids like budesonide are generally considered safe during pregnancy, especially when used at low to moderate doses, but consult gynaecologist

Question 3

I'm living in the Czech Republic and recently had a laparoscopic myomectomy. It was on February 23rd, and I just got home from the hospital after 5 days. The surgery was a bit tricky because the fibroid was quite large, about 7cm, and I ended up losing 1000ml of blood. The surgeon mentioned I should wait about a year before trying to conceive so that the scar has enough time to heal. I'm curious about what I should expect post-surgery, specifically concerning my menstrual cycle. Also, my belly seems a little swollen, almost like I've gained weight, and I'm puzzled about what's causing it. Is it okay for me to start doing yoga? And should I continue taking Folic acid tablets? Looking forward to hearing your thoughts.

Accepted Answer

Pregnancy with Mitral Heart Disease

_Safety of Continuing Pregnancy_

1. _High-risk pregnancy_: Your pregnancy is considered high-risk due to your pre-existing mitral heart disease.
2. _Close monitoring_: Your cardiologist and obstetrician will closely monitor your condition throughout the pregnancy.
3. _Risk of complications_: There is a risk of complications, such as heart failure, arrhythmias, or stroke, during pregnancy and childbirth.

_Surgery After Delivery_

1. _Open-heart surgery_: Your cardiologist recommends open-heart surgery after delivery to address the severe mitral regurgitation.
2. _Valve repair or replacement_: The decision between valve repair and replacement will depend on the surgical evaluation of your valve condition.

_Surgical Options_

1. _Valve repair_: Repairing the mitral valve can preserve the natural valve and avoid long-term anticoagulation.
2. _Valve replacement_: Replacing the mitral valve with a mechanical or bioprosthetic valve may be necessary if the valve is severely damaged.

_Precautions During Pregnancy_

1. _Regular check-ups_: Attend regular check-ups with your cardiologist and obstetrician.
2. _Monitor for symptoms_: Watch for signs of heart failure, such as shortness of breath, fatigue, or swelling.
3. _Avoid strenuous activities_: Avoid strenuous activities and lift heavy objects.

More Obstetrics & Gynaecology Health Queries

I'm currently using an inhaler called Budamate 200, and I'm just entering my first trimester of pregnancy. I'm worried if it's safe to continue using it during these early months. Could it affect the baby in any way?

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