SHAME SHAME......PUPPY SHAME????? "ENURESIS...!!! SIDDHA HEALS"

INTORDUCTION:

• Bed wetting or ENURESIS is known as the inability to control urinating in the bed during day or night.
• Here we deal with involentery urination during sleep at night medically named as "nocturnal enuresis".
• This may occur every night or weekly twice or thrice.
• Bed wetting cannot be considered abnormal until the age of 5yrs and medical attention will be required if the problem persists over the year of 5.
• Bed wetting makes psycho-social problem to the child that the child is frequently teased by others even by parents.
• These children also face the difficulty to sleep with their friends and relatives.
• Though paediatricians do not consider this as a serious problem,this is a common irritative problem in many families with anxious expectation for a cure.

COMMON CAUSES:

• Bed wetting is considered as a developmental delay in the normal process of neurological control of urination.
• Genetics play a major role in this condition that majority of victims have enuretic mother or Father .
• Anti-Diuretic Hormone (ADH) also known as Vasopressin is responsible to slow down the production of urine during sleep which is low in the victims causing bed wetting.
• Other reasons for bedwetting include spinal cord lesions, constipation, anxity, Urinary tract infections, Diabetes, Kidney diseases, anatomically small urinary bladder.

SYMPTOMS:

• The symptom in bed wetting is urinating in the bed at night atleast twice per month.
• The child find the bed is wet while he/she wakes up.
• Pain may be felt during urination associated with urinary tract infections.
• Some of the following symptoms may present in the day time include wetting in the day, increased frequency of urination, burning, urgency, dribbling, constipation.

DIAGNOSIS:
There is no specific investigation which find out the exact cause of Bed wetting, But the following investigations can be done to get a better diagnosis.
1.X-Ray KUB
2.Ultrasonogram KUB
3.Routine Urine test.
These investigations help to find out whether the patient is suffering from kidney diseases , bladder diseases like Bladder instability or Urinary Tract Infections.
Uro-dynamics study is done to evaluate the bladder and urethral sphincter function in accordance with the brain and spinal cord during filling and emptying of bladder.
The following points should be remembered in diagnosis.

• Family history with reference to the problem
• Duration of problem -childhood or recent,
• Aggravating factors like food and activities,
• Other symptoms like pain or difficulty when urinating, History of Stress and anxity in the child.

COMPLICATIONS:
There are no significant physical complications in bed wetting but the children tends to be Guilty and some go for Psycho somatic problems.
PREVENTION:

• Give moral support and assurance to your child as it a very common problem which can be corrected in practice.
• Don't try to punish.
• Train the child for regular toileting and keep not to hold urine for long time.
• Make sure urinating before going bed.
• Avoid drinking excess fluids few hours before going to sleep but not restrict plenty of fluids in the day time.
• Reward your child for dry nights.
• Let the child to note bed wetting in a chart or diary which will help the child aware.
• Bed wetting alarms can be used. This alarm wakes the child or parent when the child start urinating which help to use toilet.

IN MY CLINICAL PRACTICE:

• In my routine practice, bed wetting cases are not so common.
• Many parents share their children's bed wetting history during their own health checkups.
• It's a great pleasure to know that most of the parents take this problem easy which indicate the public awareness regarding the same.
• Some of illiterate parents give grievous punishments to their children for bed wetting due to their ignorance but feel sorry after knowing the fact.
• I have treated some of bed wetting cases successfully with Siddha medicine.
• The said cases are with the age group of 8-10 years also indicated for treatment by
  concerned medical experts.
• Few of them were under treatment for previous months from paediatrician.
• Response to Siddha medicine in such cases are excellent and miraculous. It is a great thing that all the patients have got satisfactory results within 4 weeks treatment.
• Follow up study held and no cases with recurrence reported.

Dr.Selvin's

SIDDHA TREATMENT FOR "OVARIAN CYSTS" - WONDERFUL CURE

• Menstrual problem and Uterine disorders are very common today.
• Females without any one of such problems is very rare nowadays.
• Primary and secondary amenorrhea,Female Infertility,Hirsutism, chronic an-ovulation ,PCOD,Endometriosis and adenomyosis,Sexually Transmitted Infections,Benign and malignant tumors of genital tract, genital prolapse,menopausal disturbances are some among them.
• In most instances these problems need not to be treated.
• But it should be investigated carefully to rule out whether it needs medical attention.
• Ovarian cyst is one among them which need medical care.

What is Ovary?

• Ovaries are egg or Ovum producing reproductive organ present in females.
• Ovaries in females are homologous to testes in males.
• The term 'GONADS' refers to Ovaries in females and testes in males.
• It measure approximately 3 cm x 1.5 cm x 1.5 cm. Pair of Ovaries are located on each side of the Uterus.

What is Ovarian Cyst?

• An ovarian cyst is any collection of fluid, surrounded by a very thin wall, within an ovary.
• Any ovarian follicle that is larger than about two centimeters is termed an ovarian cyst.
• The size of Ovarian cyst may differ small to big.
• Most ovarian cysts are functional in nature, and harmless.Some ovarian cysts cause problems, such as bleeding and pain.
• Ovarian cysts larger than 5 cm diameter are advised to remove surgically by Gynaecologists.

Types of cysts:

• Ovarian cysts can be categorized as non-cancerous or cancerous growths.
• All of the following conditions are noncancerous, A woman may develop one or more of them.

1.Follicular cyst: One type of simple cyst, which is the most common type of ovarian cyst,This type can form when ovulation doesn't occur, and a follicle doesn't rupture or release its egg but instead grows until it becomes a cyst, or when a mature follicle involute (collapses on itself).

2.Corpus lutetium cyst: One type of simple cyst, which is the most common type of ovarian cyst.This type of functional cyst occurs after an egg has been released from a follicle. The follicle then becomes a secretory gland that is known as the corpus luteum.

3.Hemorrhagic cyst: which is also called a blood cyst, hematocele, and hematocyst

4.Dermoid cyst: This is an abnormal cyst that usually affects younger women and may grow to 6 inches in diameter. It is a type of benign tumor sometimes referred to as mature cystic teratoma.

5.Endometrioid cyst or Chocolate cyst,Endometrial cyst, or chocolate cyst is caused by endometriosis, and formed when a tiny patch of endometrial tissue (the mucous membrane that makes up the inner layer of the uterus)

6.Poly cystic-appearing ovary:Poly cystic-appearing ovary is diagnosed based on its enlarged size - usually twice that of normal - with small cysts present around the outside of the ovary. This condition can be found in "normal" women, and in women with endocrine disorder.

CAUSES:

• Oral contraceptive/birth control pill use decreases the risk of developing ovarian cysts because they prevent the ovaries from producing eggs during ovulation.

The following are possible risk factors for developing ovarian cysts:

• History of previous ovarian cysts Menstrual irregulations.
• Fatty upper body
• Early menstruation (11 years or younger)
• Infertility
• Hypothyroidism or hormonal imbalance.
• Anti Cancer treatment for Breast.

CLINICAL FEATURES:

• Usually ovarian cysts do not produce any symptoms and are found during a routine physical examination.
• However,some or all of the following symptoms may be present,Dull aching, or severe, sudden, and sharp pain or discomfort in the lower abdomen (one or both sides),
• Constant or intermittent pain in the pelvis, vagina, lower back, or thighs
• Most common symptom Fullness, heaviness, pressure, swelling, or bloating in the abdomen
• Breast tenderness Pain during or shortly after beginning or end of menstrual period.
• Irregular periods, or abnormal uterine bleeding or spotting
• Urination difficulties (such as inability to fully empty the bladder),
• Difficulty with bowel movements due to pressure effect rectum or large Bowell.
• Weight gain
• Nausea or vomiting
• Fatigue
• Infertility
• Increased level of hair growth.
• Increased facial hair or body hair

INVESTIGATIONS:

• Endovaginal ultrasoundOther imaging.
• CT and MRI scanning
• Laparoscopic surgery
• Serum CA-125 assay (Diagnostic test for Ovarian Cancer)
• Hormone levels (LH, FSH, estradiol, and testosterone levels)
• Pregnancy test.

TREATMENT:

• About 95% of ovarian cysts are benign, mean they are not cancerous.
• Treatment for cysts depends on the size of the cyst and symptoms.
• For small, asymptomatic cysts, the wait and see approach with regular check-ups can be advised.
• Pain caused by ovarian cysts may be treated with-pain relievers, including acetaminophen, nonsteroidal anti-inflammatory drugs ,or narcotic pain medicine.
• A warm bath, or heating pad, or hot water bottle applied to the lower abdomen near the ovaries can relax tense muscles and relieve cramping,
• chamomile herbal tea can reduce ovarian cyst pain and soothe tense muscles,urinating as soon as the urge presents itself.
• Avoiding constipation, which does not cause ovarian cysts but may further increase pelvic discomfort.
• In diet, eliminating caffeine and alcohol, reducing sugars, increasing foods rich in vitamin A and carotenoids (e.g., carrots, tomatoes, and salad greens) and B vitamins Combined methods of hormonal contraception such as the combined oral contraceptive pill

IN MY CLINICAL PRACTICE:

• I am treating Ovarian cyst patients with specially made Siddha medicines.
• Siddha medicine gives excellent reuslts in treating female disorders including ovarian cysts, PCOS. fibroid uterus , female infertility ,and irregular menstrual periods including ammenorhoea.
• The success rate for Ovarian cyst patients in our Siddha treatment is more than 90%.
• Usually the patients who seek Siddha treatment are mostly suggested for Surgical correction by relevent experts.
• Many patients do Hysterectomy + oophorectomy as per the suggestion of their Gynaecologist that they need a rapid and effective treatment for the same.
• Though this is neither a malignant disorder nor a life threatening one -many patients seek alternate medicine including Siddha system of medicine.
• Before treating the patient the exact condition is thoroughly analysed by relevant investigations.
• The treatment procedures are clearly explained to the patients and their family members in detail.
• Though Siddha medicine is not only in the form of tablets and capsules, it is however necessary to convey the patients about the form of medicine for their convenience.
• Most probably a period of 3 months will be needed to treat an Ovarian cyst patient with regular cycle and more in irregular cycle patients.
• Many different steps are there in treating Ovarian cyst patients according to their individual condition.
• The clinical symptoms like pain in the abdomen and fullness in the abdomen will go away in the very first 15 days and the patient feels a light and good feeling in the very first month itself.
• The patient gets almost a normal menstrual flow during the course of treatment.
• Majority of the patients get a brownish black vaginal discharge during treatment which indicates a positive sign of treatment.
• The Ultra sound scanning report before and after treatment are documented in all of the patients.
• The patients are free from their drastic Ovarian cysts in a very little period of 3 -6 months and also relieved from many internal problems.
• All the patients get improvement in their uterus size that the enlarged and abnormal size come down to minimum size after trearment.

'SIDDHA SYSTEM OF MEDICINE' IS ONE OF THE BEST IN TREATING FEMALE DISORDERS LIKE 'OVARIAN CYST' WHICH IS VERY SAFE AND EFFECTIVE.
Dr.Selvin's

CERVIX CANCER- SIDDHA HEALS....!!! "MY BITTER EXPERIANCE"

• This is about one of my delightful cases in my medical practice .
• The patient was an old woman of age65.
• She consulted me with her daughter before 5years(2003) with the following problems.

1.foul smelling and

2.blood stained vaginal discharge

3.pain in the low back and abdomen

4.anaemia

5.loss of appetite and

6.weight loss.

• I have suspected malignant disorder (cancer).
• The patient seek ed remedy only for her foul smelling vaginal discharge.
• She also requested, not to treat her other existing problems.
• As this type of request is common among Indian people especially in woman,I neglected her request as usual and advised to consult the nearby Gynaecologist to rule out malignant disease.

*Ultra sound scanning,

*Pap smear test

*Per-vaginal examination(PV)

*biopsy -were carried out.

Finally she was diagnosed as CANCER CERVIX STAGE-3 (INVASION UP TO POSTERIOR 1/3 OF VAGINA)

• The Gynaecologist suggested that,the patient was in critical condition.
• She also explained about the risk of surgery at that time.(DOING SURGERY IN STAGE-3 MAY AGGRAVATE THE SEVERITY OF DISEASE) and advised to treat her conservatively for some more years.
• The life-span of the old woman was declared for few more years to her family members.(Five-year survival rates are about 40%.as per text book of onchology).
• The patient consulted me again and discussed about cure in Siddha treatment.
• I have given my open reply that I could only treat the patient, but not assure a little.
• As there was no more effective treatment options even in other systems, they started Siddha medicine.
• I have treated her with effective anti-tumour drugs said as per ancient Siddha literature.
• Remarkable results, the patient got in the very first 15 days itself.
• The expected result of the patient which was the foul smell disappeared in 15 days.
• Gradually the other symptoms came down in the course.
• The patient got wonderful response after 3 months of treatment and began to do her routine works as earlier.
• Excessive vaginal discharge was completely nil after treatment.
• The patient was in un-expected pleasure.
• I advised her to continue medicines and haemetenics for some more months to get maximum results.
• Also suggested the patient to re-check and consult the Gynaecologist I've previously referred.
• But the patient collapsed my expectation and not agreed to go for further checkups.
• The patient terminated the treatment herself.
• I could not taste the "fruit of treatment" and really it was very bitter to me.
• Totally I forgot the patient then.
• I was really surprised on seeing the same patient last week at my consultation room with her daughter after 5 years.
• "SHE IS ALIVE YET".
• Now the patient is good looking and gained some weight also.
• Nobody can say now that she is a cancer patient.
• I have asked about her health.She answered with happy to all of my questions.
• Now "she is again having increased vaginal discharge- mixed with blood" since a month.
• No more foul smell at all now.
• She requested me to treat her problems now......
• Now, I am confused to treat this particular patient,
• "HOW TO TREAT THESE PATIENTS.......?"
• CAN ANYBODY ANSWER MY QUESTION?

(The patient is now again under my treatment)

Dr.Selvin's

"URINARY BLADDER DISEASE" SIDDHA CURES. Is that patient LUCKY ???????

• I am sharing my, experience regarding one of my patients who has relieved from his difficult urinary symptoms and the bad experience during the course of treatment.
• The patient is 48years male.
• He is working as a building worker in Soudhi Arabia.
• He used to avoid passing urine while working, in the previous years.
• Gradually some urinary problem developed to him.
• In due course, he was not able to control his urine for even 30 minutes.
• He felt pain in the lower abdomen and urethra up to Testes ,when his urinary bladder was partially filled.
• He had to pass urine more frequently during his routine works in the day time and at night.
• He consulted the physicians there and was diagnosed as a mass in the Urinary bladder.
• Immediately he was urged for biopsy.
• The patient was not willing to continue treatment in Arabia and returned home-India for treatment.

The patient consulted me at my clinic and has reported the following Clinical features:
*Pain in the supra pubic region during full bladder.
*Urgency of urination,
*Obstructed urine flow,
*Increased frequency of urination at nights 8-10times,
*Burning urination.

• I have suggested for Ultra Sound Scan KUB view and a routine blood test.
• USG findings-revealed bilateral Renal calculi of 5mm size and Specks of calcification(calculi?)6.9mm seen adherent to Rt.infero lateral bladder wall with a normal bladder wall thickness.
• Routine blood report:
  TC-6100cells/c.mm
  Differential count-P-65% L-28% E-5% M-2%
  Haemoglobin-13.9 gm%
  Blood Urea-25 mg%
  Serum Creatinin-1.08 mg%
• I have referred the patient to the nearby leading Uro-surgeon for expert opinion.
• Cystoscopy was done there reported as Trigonal Nodular cystic mass in the bladder.
• The patient was advised for biopsy.
• The patient refused to do biopsy and pledged the Uro-surgeon for symptomatic relief.
• Treatment was done there for a month without any marked improvements except a little pain relief and he was again advised for biopsy.
• As the patient was not co-operating for biopsy,the uro-surgeon sent back the patient to me without any proper reply.
• The patient was still in trouble.He was not able to tolerate the pain in the lower abdomen and the other symptoms regarding.
• The patient requested me for Siddha treatment.
• As our Siddha system of medicine have excellent curative methods for Genito-Urinary disorders, I have started treatment to the patient without the biopsy examination.
• The patient assured to investigate fully during treatment.
• After the first week of treatment,the patient returned me with bright face, and thanked me with confidence.
• The intolerable pain he felt for years was reduced more than 60% in the very initial set of treatment.
• He continued the treatment for 25 days more.
• Wonderful results he has got that his Urine flow came to normal without obstruction and he relieved a lot from his dreadful night frequency of urine.
• He shared his joy with me and his family.
• I have advised him to do a CT scan KUB region before going for a biopsy.
• But, I was so much disturbed when I came to know that the patient has left to Soudhi Arabia and joined to his routine job again not properly informing me.
• The real thing is that the patient has relieved symptomatically in the short course of Siddha treatment…but not like to investigate.
• The cost for doing that investigation is not at all the factor for not doing that -but it is an usual habit among many of Indians that they don’t like to accept a disease.
• Anyway I have missed a proper diagnosis.
• The patient is really very lucky,otherwise the existing problem a malignant one [cancer groth].

Dr.Selvin's