Q. What causes tenesmus?

Doctor Answer is medically reviewed by SecondMedic medical review team.

Answered by Secondmedic Expert

Tenesmus is a condition where an individual experiences constant, painful rectal or urinary spasms. It can affect both men and women and is commonly associated with inflammatory bowel syndrome (IBS). Tenesmus may be caused by inflammation of the rectum or bladder, infection in the gastrointestinal tract, abnormal growths in the intestines or bladder, diverticular disease, irritable bowel syndrome (IBS), polyps in the colon or rectum, radiation therapy to treat cancer that affects pelvic organs such as the prostate, kidney stones or infections due to parasites. Stress may also play a role in causing tenesmus.

In some cases of prolonged tenesmus involving persistent abdominal pain and difficulty passing stool even after regular bowel movements certain medications might be prescribed including anti-spasmotics such as hyoscine butylbromide hydrochloride which reduces muscle contractions around your intestine bringing relief from tenesmus. Other drugs used include corticosteroids that reduce inflammation; antibiotics such as aminoglycosides or fluoroquinolones for treating infective causes; antidiarrheals like loperamide which manage diarrhea; probiotics like bifidobacteria which normalize gut flora; serotonin reuptake inhibitors like escitalopram can help if depression aggravates symptoms and antispasmodics like dicyclomine work on relieving anal spasms along with other therapies such stress reduction techniques that involve meditation and hypnotherapy.

In order to determine what's causing your case of tenesmus it's essential to get examined by a doctor who would perform lab tests including urine analysis test for urinary tract infection , x-ray abdomen for checking any growths , contamination by fecal matter etc., CT scan/ultrasound of organs under study , microbiological cultures from gastrointestinal areas etc . Based on these examinations necessary treatments will be recommended accordingly .

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Q. Hello Doctor, from past 3 weeks I have too much dandruff problem and it cause hair loss will you suggest any best solution for this?

Doctor Answer is medically reviewed by SecondMedic medical review team.

Answered by Secondmedic Expert

Dealing with excessive dandruff leading to hair loss can be frustrating, but there are effective ways to address this issue. Here's what you can do:

1. Switch to a Gentle Shampoo: Opt for shampoos specifically designed for dandruff, containing ingredients like ketoconazole, zinc pyrithione, coal tar, or selenium sulfide. Use these shampoos regularly to reduce dandruff buildup.

2. Scalp Massage: Gently massage your scalp while shampooing to help remove flakes and improve blood circulation, which can promote healthier hair growth.

3. Avoid Hot Water: Wash your hair with lukewarm water instead of hot water, as hot water can dry out your scalp and worsen dandruff.

4. Balanced Diet: Ensure you're eating a balanced diet rich in vitamins and minerals essential for healthy hair and scalp, such as omega-3 fatty acids, zinc, and B vitamins.

5. Manage Stress: Stress can exacerbate dandruff problems. Practice stress-relief techniques like meditation, yoga, or regular exercise to help manage stress levels.

6. Apple Cider Vinegar Rinse: Consider using diluted apple cider vinegar as a rinse after shampooing. It can help restore the scalp's pH balance and reduce dandruff.

7. Consult a Dermatologist: If the issue persists despite trying home remedies or over-the-counter solutions, seek advice from a dermatologist. They can provide a personalized treatment plan tailored to your specific scalp condition.

Remember, consistency is key when dealing with dandruff. Give these remedies some time to work, as immediate results might not always occur. It's essential to find what works best for your scalp, so don't get discouraged if you don't see immediate improvements.

Taking care of your scalp health not only addresses dandruff but also aids in reducing hair loss associated with this issue. Feel free to incorporate these tips into your routine and observe how your scalp responds. If the problem persists or worsens, seeking professional guidance is always recommended.

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