RESUMO
Background: The majority of anal canal fissures heal spontaneously or withconservative treatment such as the use of anaesthetic cream to heal fissures, and high fibre diets or laxatives to reduce constipation. The aim of this study to comparative evaluation of the conventional treatment v/s 0.2% Glyceryltrinitrate ointment (local application). Methods: The present study included both out door and indoor patients who attended M.G. Hospital attached to Dr. S.N. Medical college, Jodhpur. Detailed history were taken and through physical examination was done. In this study 75 cases were divided in to three groups: Group I: Treated with Anal dilation under general anaesthesia, Group II : Treated with local anaesthetics, Diet, Hot Sitz bath and Group III: Topical application of 0.2% Glyceryltrinitrate. The comparison was done with respect to pre- treatment symptoms, post treatment symtoms and long term complications. Results: The maximum cases were seen in 30-50 years of age group and minimum was seen in below 20 years & above 60 years of age. The incidence of male patients were slightly more than females. Anorectal pain and constipation was most frequent symptoms. Streak of blood in stool was next common symptoms.By the end of 6th week with anal dilation, 80% respondent to this treatment. With local anaesthetic agent, 60% responded and 66% responded with 0.2% glyceryltrinitrate treatment modality. Conclusion: We concluded that GTN & local anaesthetics are both non surgical treatment modalities & thus avoids the risk & complications of surgery and anaesthesia
RESUMO
Background: Menopausal women may experience vasomotor, urogenital and psychological symptoms as well as sexual dysfunction. These problems are often attributed to hormonal changes during midlife and are projected as health risk. The present study was conducted to assess the quality of life (QOL) and determinants in postmenopausal women. Materials & Methods: The present study was conducted on 140 postmenopausal women age ranged 45- 60 years of age. All women were provided with a pre-designed questionnaire containing 24 questions about quality-of-life in menopause. Scores for vasomotor aspect ranged from 0 to 6, for psychosocial aspect from 0 to 18, for physical aspect from 0 to 42 and for sexual aspects from 0 to 6. Results: 60 women were <50 years and 80 were >50 years. Psychosocial score of 5-15 was observed in 42 women, vasomotor score of 2-5 was seen in, physical score of 24-33 was seen in 12 and sexual score of 2-4 was seen in 32 women. 65 women had more than 5 years of menopause while 75 had less than 5 years. 110 women exercise in the form of brisk walking while 30 do not. In 90 women, relation with husband deteriorated after menopause and 50 women never complained of this. 80 were living with their children while 60 not. 50 women had support from their children while 90 had not. 75 women had good perception of her heath while 65 had average perception. All domain showed significant difference in QOL. Conclusion: Post-menopausal women who fall in a transitional population between the reproductive age group and geriatric population need special attention. Their quality of life is highly determined by physical domain and psychosocial domain