Question 1

I'm experiencing continuous bleeding three months after a normal delivery. Is this normal, or could there be an issue since it hasn't stopped at all? About 1.5 months in, the bleeding slowed down, but for the past six days, it's been like normal bleeding again. I'm really worried and would appreciate any advice or remedies. What could be the possible solutions?

Accepted Answer

Cremaffin Plus is a medication containing ispaghula husk and dicyclomine hydrochloride, used to treat anal fissures. The hunger pangs you're experiencing could be due to:

- _Dicyclomine hydrochloride_: This antispasmodic medication can stimulate appetite and increase hunger.
- _Ispaghula husk_: This fiber supplement can sometimes increase hunger and appetite, possibly due to its effect on gut hormones.

To manage hunger pangs:

- _Eat smaller, frequent meals_: To avoid overeating and manage hunger.
- _Choose fiber-rich foods_: Include fiber-rich foods like fruits, vegetables, and whole grains in your diet.

Question 2

Why do fibroids cause heavy periods?

Accepted Answer

Uterine fibroids may put pressure against the uterine lining, which can cause more bleeding than usual. The uterus may not contract properly, which means it can't stop the bleeding. Fibroids may stimulate the growth of blood vessels, which contributes to heavier or irregular periods and spotting between periods.

Question 3

My wife's in her 6th month of pregnancy and she's been having some issues like vomiting, a cold, runny nose, and headaches. We went to a gynecologist who prescribed some meds like azithromycin, Sinarest, and Ascoril D Plus syrup. We even did a COVID test and it was negative. I'm just really concerned if these tablets are safe during pregnancy, especially since she's at 24 weeks now. Are there any possible side effects on the baby from these medications?

Accepted Answer

Possible HIV Exposure and Post-Exposure Prophylaxis (PEP)

*Assessment of Risk*

1. *Condom use*: You used a condom, which significantly reduces the risk of HIV transmission.
2. *Condom breakage*: Although the condom remained inside, the risk of transmission is still relatively low.

*Laboratory Test Results*

1. *Negative result*: Your HIV test result is negative, which is reassuring.

*Post-Exposure Prophylaxis (PEP)*

1. *PEP eligibility*: PEP is typically recommended within 72 hours of potential exposure.
2. *PEP effectiveness*: PEP can reduce the risk of HIV infection if started promptly.
3. *Consult a healthcare professional*: Discuss your situation with a healthcare provider to determine if PEP is necessary.

*Next Steps*

1. *Schedule a follow-up test*: Repeat the HIV test after the window period (typically 3-6 months) to confirm the negative result.
2. *Practice safe sex*: Continue using condoms correctly to minimize the risk of future exposures.
3. *Seek counseling*: Consider counseling to address any emotional concerns or questions you may have.

What are the 3 types of sterilization?

Sterilization can be done through tubal ligation, vasectomy and castration.

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