Barnor Memorial Hospital’s Post

Pelvic pain is a common issue that affects many people, often disrupting daily activities and overall quality of life. This type of pain can occur in the lower abdomen, pelvic region, or lower back and can range from mild discomfort to severe, debilitating pain. Common causes of pelvic pain include: 🫤Endometriosis- Endometriosis is a condition where tissue similar to the lining of the uterus grows outside the uterine cavity. This can cause significant pain, particularly during menstruation, as the tissue responds to hormonal changes. 🫤Interstitial Cystitis- Interstitial cystitis (IC), also known as painful bladder syndrome, is a chronic condition characterized by bladder pressure, bladder pain, and often pelvic pain. The discomfort ranges from mild to severe and is often exacerbated by bladder filling. 🫤Scar Tissue and Adhesions Scar tissue and adhesions can form after surgeries (c-sect., episiotomy, tummy tucks) infections, or inflammation in the pelvic region. These adhesions can bind organs together, causing pain and restricting movement. 🫤Urinary Tract Infections (UTIs) and Sexually Transmitted Infections (STIs)- UTIs and STIs are common causes of pelvic pain. UTIs, caused by bacterial infections, lead to symptoms like burning during urination, frequent urination, and lower abdominal pain. STIs, such as chlamydia and gonorrhea, can also cause pelvic pain. 🫤Pelvic Floor Dysfunction- The pelvic floor muscles support the bladder, bowel, and reproductive organs. When these muscles are weak, tight, or spastic, it can lead to pelvic floor dysfunction, causing pain, pressure, and discomfort in the pelvic region. 🫤Ovarian Cysts and Fibroids- Ovarian cysts are fluid-filled sacs that develop on the ovaries. While many cysts are harmless and resolve on their own, some can cause significant pain if they rupture, grow large, or twist the ovary. Uterine fibroids, non-cancerous growths in the uterus, can also cause pelvic pain, heavy menstrual bleeding, and pressure symptoms. As you can see, pain can stem from a variety of conditions, each requiring a specific approach to diagnosis and treatment. If you experience persistent or severe pelvic pain, it is crucial to seek medical attention from a pelvic pain specialist for proper evaluation and management. 🫶 #pelvicpain #chronicpelvicpain #pelvicdysfunction #healthandwellness #womenshealth #endo #endopain #endometriosis #dysmenorrhea #dyspareunia

I saw a post on a moms group asking how to treat clogged ducts. The recommendations people were giving were all outdated. I want to provide you with updated recommendations if this ever happens to you or one of your patients! Research on this topic has revolutionized our understanding of the mechanisms behind clogged ducts. The Academy of Breastfeeding Medicine recently updated their protocols on managing plugged ducts. Many well known remedies are outdated…here’s why: Plugged ducts result in irritation to the breast tissue leading to inflammation. So well-known treatments like deep tissue massage, excessive breastfeeding/pumping, and hot compress actually worsen this inflammation and can increase the risk for mastitis. 🌟 Here are the Updated Recommendations for Treating Clogged Ducts 🌟 🌿 Gentle massage: Use a gentle touch to help decrease inflammation and promote milk flow. 🤱 Continued breastfeeding/pumping on demand: Regular nursing or pumping sessions can help relieve the blockage and prevent further complications. ❄️ Ice: Applying ice to the affected area can help reduce inflammation and provide relief. To further reduce inflammation, consider: 💊 NSAIDs like ibuprofen: These over-the-counter pain relievers can help alleviate discomfort and decrease inflammation. 🌻 Sunflower or soy lecithin: These supplements have shown promise in reducing inflammation associated with clogged ducts. Prevention is key! Here are some tips to avoid clogged ducts: 🚫 Avoid tight clothing and underwire bras: Opt for comfortable, supportive clothing that doesn't restrict milk flow. 💧 Stay hydrated: Drinking plenty of fluids can help maintain milk production and prevent engorgement. 🙅♀️ Avoid engorgement: Regularly emptying your breasts through breastfeeding or pumping can help prevent blockages. Need additional support? Reach out to your lactation consultant or pelvic health physical therapist. We can provide expert guidance to help clear the clogged duct and ensure a smooth breastfeeding experience. 🚨 Important: If you experience fever, malaise, chills, or flu-like symptoms, it could be a sign of infectious mastitis. Contact your healthcare provider immediately, as antibiotics may be necessary. See the updated recommendations here: https://lnkd.in/gWXFqGYF

🩸𝐔𝐧𝐝𝐞𝐫𝐬𝐭𝐚𝐧𝐝𝐢𝐧𝐠 𝐏𝐨𝐬𝐭𝐩𝐚𝐫𝐭𝐮𝐦 𝐇𝐞𝐦𝐨𝐫𝐫𝐡𝐚𝐠𝐞 & 𝐁𝐥𝐨𝐨𝐝 𝐋𝐨𝐬𝐬 𝐌𝐚𝐧𝐚𝐠𝐞𝐦𝐞𝐧𝐭🩸 𝐃𝐚𝐲 1: 𝐔𝐧𝐝𝐞𝐫𝐬𝐭𝐚𝐧𝐝𝐢𝐧𝐠 𝐏𝐨𝐬𝐭𝐩𝐚𝐫𝐭𝐮𝐦 𝐇𝐞𝐦𝐨𝐫𝐫𝐡𝐚𝐠𝐞–𝐀 𝐂𝐫𝐢𝐭𝐢𝐜𝐚𝐥 𝐅𝐨𝐜𝐮𝐬 𝐢𝐧 𝐎𝐛𝐬𝐭𝐞𝐭𝐫𝐢𝐜𝐚𝐥 𝐂𝐚𝐫𝐞 ⚖️👩⚖️🧑⚖️𝑾𝒉𝒚 𝑻𝒉𝒊𝒔 𝑴𝒂𝒕𝒕𝒆𝒓𝒔 𝒇𝒐𝒓 𝑨𝒕𝒕𝒐𝒓𝒏𝒆𝒚𝒔: For attorneys involved in 𝐦𝐞𝐝𝐢𝐜𝐚𝐥 𝐦𝐚𝐥𝐩𝐫𝐚𝐜𝐭𝐢𝐜𝐞, understanding the standard of care for Postpartum Hemorrhage management is essential. Evaluating whether medical professionals responded appropriately to hemorrhage and whether proper monitoring was in place can help determine liability in cases of adverse outcomes. 👩⚕️ 𝓛𝓮𝓽 𝓶𝓮 𝓽𝓮𝓪𝓬𝓱 𝔂𝓸𝓾! 🩸𝐏𝐨𝐬𝐭𝐩𝐚𝐫𝐭𝐮𝐦 𝐡𝐞𝐦𝐨𝐫𝐫𝐡𝐚𝐠𝐞 (𝐏𝐏𝐇) is a leading cause of pregnancy morbidity and mortality, making it essential for healthcare teams to act swiftly.         ★Defined as blood loss exceeding 500 𝐦𝐋 𝐚𝐟𝐭𝐞𝐫 𝐯𝐚𝐠𝐢𝐧𝐚𝐥 𝐛𝐢𝐫𝐭𝐡 𝐨𝐫 1,000 𝐦𝐋 𝐚𝐟𝐭𝐞𝐫 𝐜𝐞𝐬𝐚𝐫𝐞𝐚𝐧 𝐬𝐞𝐜𝐭𝐢𝐨𝐧, PPH requires immediate intervention and ongoing monitoring.★ 💡𝐊𝐞𝐲 𝐈𝐧𝐭𝐞𝐫𝐯𝐞𝐧𝐭𝐢𝐨𝐧𝐬: 💉 𝐌𝐞𝐝𝐢𝐜𝐚𝐭𝐢𝐨𝐧𝐬 like 𝐏𝐢𝐭𝐨𝐜𝐢𝐧, 𝐌𝐞𝐭𝐡𝐞𝐫𝐠𝐢𝐧𝐞, 𝐇𝐞𝐦𝐚𝐛𝐚𝐭𝐞, 𝐨𝐫 𝐂𝐲𝐭𝐨𝐭𝐞𝐜 are first-line treatments to help the uterus contract. 🎈 The 𝐁𝐚𝐤𝐫𝐢 𝐛𝐚𝐥𝐥𝐨𝐨𝐧 is a critical tool used to tamponade the uterus and control bleeding when medications alone aren't effective. 🏥 In severe cases, surgical interventions, such as a uterine artery embolization or hysterectomy, may be necessary. 💡𝐍𝐮𝐫𝐬𝐢𝐧𝐠 𝐀𝐬𝐬𝐞𝐬𝐬𝐦𝐞𝐧𝐭 & 𝐌𝐚𝐧𝐚𝐠𝐞𝐦𝐞𝐧𝐭: 🩺 𝐅𝐫𝐞𝐪𝐮𝐞𝐧𝐭 𝐩𝐨𝐬𝐭𝐩𝐚𝐫𝐭𝐮𝐦 𝐚𝐬𝐬𝐞𝐬𝐬𝐦𝐞𝐧𝐭𝐬 are crucial in the early detection of PPH, including monitoring vital signs, uterine tone, and blood loss. 🩺 Nurses must perform 𝐟𝐮𝐧𝐝𝐚𝐥 𝐜𝐡𝐞𝐜𝐤𝐬 to ensure the uterus is firm and assess for signs of ongoing bleeding, including checking for clots or excessive lochia. 🩺 Close monitoring of 𝐡𝐞𝐦𝐨𝐠𝐥𝐨𝐛𝐢𝐧 𝐚𝐧𝐝 𝐡𝐞𝐦𝐚𝐭𝐨𝐜𝐫𝐢𝐭 𝐥𝐞𝐯𝐞𝐥𝐬, as well as 𝐮𝐫𝐢𝐧𝐞 𝐨𝐮𝐭𝐩𝐮𝐭, can help identify hypovolemia and shock. 🩺 Effective 𝐜𝐨𝐦𝐦𝐮𝐧𝐢𝐜𝐚𝐭𝐢𝐨𝐧 with the care team is essential to ensure timely interventions. ✨𝑺𝒕𝒂𝒚 𝒕𝒖𝒏𝒆𝒅; 𝒕𝒐𝒎𝒐𝒓𝒓𝒐𝒘 𝒘𝒆 𝒅𝒊𝒔𝒄𝒖𝒔𝒔 𝒉𝒐𝒘 𝒕𝒐 𝒎𝒆𝒂𝒔𝒖𝒓𝒆 𝒃𝒍𝒐𝒐𝒅 𝒍𝒐𝒔𝒔 𝒂𝒇𝒕𝒆𝒓 𝒅𝒆𝒍𝒊𝒗𝒆𝒓𝒚✨ —-------------------------------------------------------------------- 🌺 Aloha! I'm Amanda. By melding evidence-based practices with a steadfast commitment to excellence in obstetric care, I offer invaluable expertise to manage your cases adeptly 💪🌟 📌 I’m open to subcontract work! 💬👶 𝐋𝐞𝐭'𝐬 𝐜𝐨𝐧𝐧𝐞𝐜𝐭! 𝐚𝐦𝐚𝐧𝐝𝐚@𝐚𝐥𝐨𝐡𝐚𝐥𝐞𝐠𝐚𝐥𝐧𝐮𝐫𝐬𝐞.𝐜𝐨𝐦 #medicalmalpractice #personalinjury #medicalmalpracticeattorney #personalinjuryattorney #legalnurseconsultant #alohalegalnurse

Today we would like to draw your intention to an article that was recently published in the #ObesitySurgery Journal. The title is "Nutrient Status and Supplement Use During #Pregnancy Following Metabolic Bariatric Surgery: A Multicenter Observational Cohort Study" Key points are: (1) low maternal micronutrient serum levels are highly prevalent during pregnancy after metabolic bariatric surgery (2) the use of specialized “weight loss surgery” multivitamins generally resulted in higher serum levels compared to standard multivitamin supplementation.  (3) the importance of regular monitoring of nutrient status during pregnancy, particularly for women with a history of metabolic bariatric surgery. Please follow this link to get to the paper: https://lnkd.in/dbFvyjma Which standard protocol do you apply in your clinic by pregnancy after bariatric surgery? Please comment and share your experience! Young IFSO (International Federation for the Surgery of Obesity and Metabolic Disorders) IFSO International Federation for The Surgery of Obesity and Metabolic Disorders #BariatricSurgery #weightloss #Pregnancy

🩸 Hemorrhoids impact many people and can be uncomfortable. Do you know what causes them and how to manage this common issue? Here are insights and tips from medical experts to consider: 🔍 Understanding Hemorrhoids: - Hemorrhoids are swollen blood vessels, often triggered by constipation or straining. - Pregnancy and hormonal changes can increase vulnerability to hemorrhoids. 💡 Home Remedies for Hemorrhoids: - Focus on a high-fiber diet and stay hydrated. - Sitz baths and over-the-counter treatments like hydrocortisone can help alleviate symptoms. ❌ The Three Worst Things You Can Do: - Avoid spending too much time on the toilet to prevent added pressure. - Use gentle cleaning methods to avoid aggravating hemorrhoids. - Always consult a doctor if you notice rectal bleeding or other concerning symptoms. ⚕️ Surgical Options: - When at-home and medical interventions don't suffice, surgical procedures such as banding and sclerotherapy may be considered. - More severe cases may require outpatient procedures like hemorrhoidectomy or THD. 🌟 The Bottom Line: - Timely treatment is key to managing hemorrhoids effectively and avoiding the need for surgery. 👩⚕️ Share your thoughts and experiences on hemorrhoid management. How do you approach this common health concern? https://lnkd.in/eY-4S8dN

And you? Which standard protocol do you apply in your clinic by pregnancy after bariatric surgery?

The Academy of Breastfeeding Medicine's Clinical Protocol for Mastitis offers updated guidelines that challenge traditional treatment methods for mastitis. The protocol emphasizes that the real cause of mastitis is not clogged milk ducts but rather inflammation due to hyperlactation (oversupply) and an imbalance in the breast microbiome, known as dysbiosis. This marks a shift from previous advice that suggested frequent pumping and breast massage. Key updates include: Avoid overstimulation: Instead of frequent pumping or massaging, the protocol now advises limiting stimulation to prevent worsening hyperlactation. Use cold compresses: Cold, rather than warm compresses, are recommended to reduce inflammation. Conservative use of antibiotics: Antibiotics should only be used when bacterial infection is confirmed, as unnecessary use can lead to dysbiosis and recurrent mastitis. Probiotics: These are suggested as a preventive measure and possible treatment for inflammatory mastitis. This protocol encourages a more inflammation-focused treatment approach, reducing interventions that may aggravate symptoms. For more detailed insights, you can access the full protocol at https://lnkd.in/gxmq_sic

Insulin is essential for people with diabetes to maintain blood glucose levels within a healthy range. Mismanagement of insulin can lead to complications like hypoglycemia. Ensuring proper administration practices is critical for both safety and effectiveness. Safe Administration Practices- 1️⃣ Timing is Key: Insulin injections should be followed by a meal within 30 minutes to avoid hypoglycemia. Always consult a healthcare provider to adjust doses during infections, fever, surgery, or pregnancy. 2️⃣ Proper Injection Technique: Inject insulin under the skin (subcutaneous)—common sites include the abdomen, thigh, upper arm, or buttocks. Rotate injection sites to prevent skin problems like redness, swelling, or lipodystrophy (fat tissue changes). 3️⃣ Inspect Before Use: Ensure the insulin is clear and colorless. Do not use it if it appears cloudy or discolored. 4️⃣ Storage Guidelines: Store insulin vials in a refrigerator at 2–8°C. Avoid freezing or exposing direct heat/light. Opened vials can be stored at room temperature (up to 25°C) for 6 weeks. 5️⃣ Disposal Precautions: Dispose of used vials, syringes, and needles. 6️⃣ Monitor for Side Effects: Be aware of common injection site reactions like redness, itching, or swelling. ***How to Administer Insulin Safely*** 🔹Draw the correct dose using a syringe. 🔹Pinch the skin and inject at a right angle. 🔹Inject slowly and remove the needle safely. Always follow your healthcare provider’s instructions. #DiabetesManagement #InsulinAwareness #SafeInjectionPractice #PatientEducation #HealthcareProfessionals #DiabetesSupport #BetterHealth

Management of pregnant women with prosthetic valve is complex task necessitate caring of mother ,fetus and preparation for special considerations in Management strategy: 1- Cardiac evaluation 2- Anticoagulants Management 3-Anesthetic considerations 4-postoperative care 5-Fetal considerations 6-Planning for Emergency situations Preoperative assessment: Multidisciplinary team Detailed cardiac evaluation: 1- evaluation of valve function 2- valve -related complications e.g Thrombosis, stenosis or regurge 3- EF and Diastolic dysfunction assessment Anticoagulants management: Assessment of the current Anticoagulants and if need to bridge Timing of Anticoagulants stop and resumption Intraoperative anaesthesia management: 1-choice of anaesthesia depend upon : Maternal hemodynamic Surgical procedure Regional anaesthesia is preferred to avoid hemodynamic fluctuations during induction and extubation Monitoring: Continuous Monitoring of BP ,ECG ,HR ,SPO2 If needed invasive BP Fetal Monitoring Maintain hemodynamic stability to avoid any fetal stress ,valve dysfunction or uteroplacental insufficiency HEMOSTASIS/Coagulopathy management Fluid management: Keep good hydration without overload or dehydration that may lead to hypotension and uteroplacental insufficiency Postoperative care : Monitoring especially if there is hemodynamic instability or bleeding Anticoagulants resumption especially when adequate HEMOSTASIS ensured Carful timing of back to prepregnancy Anticoagulants to avoid Thromboembolism Pain management Fetal Monitoring and Timing of delivery Emergency situations. As regard Anticoagulants in pregnant women with prosthetic valve: 1-Vit k antagonist e.g Warfarin carry the risk of teratogenicity so stopped in pregnancy till week 12. Fetal Warfarin syndrome: Nasal hypoplasia Stippled Epiphysis And other musculoskeletal abnormality LMWH is safe for mother and fetus ,need careful monitoring of therapeutic level, frequently measure anti Xa level so if under measured there will be risk of Thromboembolism LMWH doesn't pass Placental barrier UFH doesn't cross Placental barrier

Urinary Stones in Cats Struvite crystals in cats can form bladder stones in cats, resulting in painful elimination. They can also form mucus plugs which may block the flow of urine. While the presence of struvite is considered normal in cats, problems occur when the struvite clumps to form stones or plugs. Struvite crystals are microscopic crystals sometimes found in the urine of cats. Struvite is a mineral material composed of magnesium, ammonium, and phosphate. Small numbers of struvite and struvite crystals can be normal in your cat’s urine, but they become problematic if the crystals combine to form stones or merge with mucus to form mucus plugs. Struvite stones can be found in the urinary bladder, the urethra, or the kidneys. Mucus plugs can become lodged in the urethra and cause a urinary blockage, particularly in male cats. Some types of urinary tract infections can make cats more likely to develop struvite crystals. Struvite crystals may also be seen in some cats with recurrent or chronic cystitis. Causes Several different factors have been found to cause excess struvite crystals in cat urine that form struvite stones and mucus plugs. These include concentrated urine, increased urine pH (alkaline urine), and increased levels of magnesium and phosphorus within the urine. An underlying cause for concentrated urine is that many cats are reluctant to drink enough water. They've evolved over millennia to get most of their moisture from prey. This, partnered with a diet of dry cat food, can lead to crystal development in the cat's urine. Rx pain medications, diet changes, increasing water intake, anti-spasmodic medication to help the bladder relax, fluid therapy fir flushing and reducing stress, antibiotics if an infection is present. If cat has a urethral obstruction from a bladder stone or mucus plug, we will need to relieve the obstruction quickly. we will sedate or anesthetize cat and will place a urinary catheter. The cat will be hospitalized for fluid therapy, pain management, and monitoring. In some cases, struvite stones are physically removed through surgery .