answer:Hello,MIRENA IUD is very much effective in preventing unwanted pregnancy with failure rate less than 1%.Pain around pelvic region may be due to pelvic infection, endometriosis, PID associated with insertion of MIRENA. Do a pelvic USG with some hormone test & blood for TC/DC/ ESR and a urine test for R/E, M/E to rule out underlying pathology. Also, you have to undergo some clinical and pelvic examination.Check tail end of thread to make sure that MIRENA is properly placed and not displaced.Use some anti spasmodic medicine like Tab DROTIN DS to get some relief. Avoid stress, take healthy diet, control body wt and need proper sleep. Drink lots of fluid.Be well and take care.

answer:Hello dearUnderstand your concern.I think it is due to preparation of uterus for pregnancy that produce cramp.Bloated may be due to the hormonal imbalance that produce reflex and you feel bloated.Other cause of cramps may be:Misscarriage: but it usually associated with bleedingEctopic pregnancyMuscular painHormonal changesFor safer side consult the gynecologist and do the following tests:Pelvic examination and USG.Advice for you:Drink lots of waterTake frequent meal rather than large mealStart mild exercise like brisk walkingDo not get to bed immediately after mealAvoid spicy/fatty/salted foodAvoid excessive sugars in dietApply warm pad on abdomenWarm shower Relaxation and massagingTake ginger along with commercially available enzyme preparation if you feel so much bloatingHope this may help youBest regardsDr. Sagar

answer:Hello dearUnderstand your concern.Pregnancy is unlikely in presence of bleeding.I think it is hormonal imbalance that produce all these symptoms or it may be a part of premenstrual syndrome.Other causes may be dysfunctional uterine bleeding, endometriosis, excessive stress, PCOS, adenomyosis, UTISo I think yous should consult doctor.Do the following test1. Blood test: FSH, LH, Estrogen, progesterone, HCG, Thyroid hormone, ESR, CBC, Blood clotting abnormality2. Pelvic examination3. USG4. Ovarian follicle study and endometrial biopsyYou can takeTablet meftal spas 500 mg three times a day for 4-5 daysProper restDrink lots of waterPut warm pad over abdomenWear pure cotton loose innerwear.Take healthy diet with adequate iron and vitamin supplementsRelaxation exercise and massage/acupuncture therapyBreast massage with prime rose oilApply cold compression on breast and wear full padded supported braAvoid alcohol and caffeineHope this may help youBest regardsDr. SAGAR

answer:Hello dearUnderstand your concern.Fetal abnormality depend upon the seizure frequency and Level of the anti seizure drugs.You should consult the best obstetricians and start the treatment of seizure.90% delivery may be uncomplicated if done under the supervision of obstetricians, anesthetics and paediatricians.First aim is to stop the seizure with first aid therapy and intravenous diazepam and then maintenance by phenytoin .Injection/tablet paracetamol based on severityBetter to keep on mono therapy, As most of the the anti epileptic drugs are folate antagonist, they can cause congenital defects in the fetus.At he time of labor there may be chance of fetus and mother distress, so labor should be closely supervised.Vitamin K and folate should be given.Hope this may help youBest regardsDr. sagar

answer:Hello, and I hope I can help you today.The number of white and red blood cells in your urine has nothing to do with an STD or pregnancy.Urinary tract infections typically cause bacteria, a substance called leukocyte esterase, and nitrites to be present in your urine. Red blood cells can also appear if the inside of your bladder is inflamed from the infection.However, the presence of red blood in your urine can also be caused by other conditions of the kidneys or bladder that cause bleeding without infection. The most common of these is a kidney stone, and if you have had very severe pain in your back or lower pelvis, especially on one side, that diagnosis is also possible.Pregnancy or STDs do not generally cause blood to be seen in the urine. If you are concerned about pregnancy or STD exposure, these can be tested separately, but you do not have to be concerned about these conditions because of the presence of blood cells in your urine.I hope I was able to answer your question today and that my advice was helpful.Best wishes,Dr. Brown

answer:Hallow Dear,Prima facae the diet you are taking seems to be fairly balanced diet for pregnancy. However, I see that you are not consuming sufficient quantity of pulses and legumes. Please try to include them in your diet. Though dosa provides some dal like urad, it is very small quantity that you are eating. Please increase the quantity of sambar in your diet; and let it be thick sambar with plenty of dal. For good quality proteins, include Thalipeeth of combined pulses. You should have variety of pulses and legumes in the diet to provide all the essential amino acids required by the body. Inclusion of varied bean sprouts will provide you good, predigested high quality proteins. Also please include more fruits in your diet. Apple is not that nutritious fruit; it contains more minerals and water. Banana is a very good fruit. Chikoo and guava also are good nutritious fruits. Citrous fruits will provide you minerals and vitamin C. Please have variety of fruits in the diet. I am not clear which vegetables you are eating. Along with fruit vegetables, you should have plenty of fresh green leafy vegetables for vitamins and minerals. Moreover, fresh fruits and green leafy vegetables will prevent constipation which is so very common during pregnancy. During whole day, have at least 500 ml of milk in divided servings. One large glassful of milk in the morning and one at bedtime should serve this purpose. In general, follow the principle:High proteinsModerate Carbohydrates Low fatLots of fresh fruits and green leafy vegetableOther vegetablesAbout 2200 to 2500 calories (depending on your weight) dailyWith little bit of modification in your diet, you can consume the ideal balance diet for pregnancy. For any more guidance, you may ask me Direct question.