#Frequent Urination Treatment

[orchidmedicalcentre2]

Overactive Bladder Treatment In Ranchi, Jharkhand

We are a centre of Excellence in behavioral therapies, medications, bladder injections, nerve stimulation, and surgeries for Overactive Bladder. Best Treatment of overactive bladder is available at Orchid Medical Centre, Ranchi, Jharkhand.

[alfakidneycare]

It is not a single-step mechanism to be able to urinate. There are many physiological processes that control the formation of urine and also control the frequency of your urination. These processes are obviously interrelated with each other.

[womenhealthspecialist]

How Do I Pick the Best Gynecologist for Me

Have you wondered, “How to pick the best gynecologist for me? “ If so, this is for you! Knowing how to choose the right gynecologist is essential, as your reproductive health in Alexandria, VA is vital to your overall health.

Here are some pro tips for you to find the best care. 

Keep This in Mind During Your Search

It’s imperative you feel completely comfortable with whomever you choose. Talking about your reproductive health is personal and can sometimes be a little difficult.

You need to choose a gynecologist in Alexandria, VA who puts you at ease by listening to and understanding your needs. Clear and honest communication is vital!

Start Your Search With These Resources

It’s a good idea to begin with your insurance carrier, so you choose one in your network. You should also ask your primary care provider, friends, and family for recommendations. 

Verify Credentials and Experience

All gynecologists should be board certified. They should also have a successful history of working with women. Ask about their hospital affiliation, then verify the accreditation of the facility.

Have a list of questions prepared to ask during your consultation, too. 

Remember, Your Decision Isn’t Final

One thing to remember when asking, ‘How to pick the best gynecologist for me” is that your decision isn’t final. If you have an appointment or two and find yourself unhappy, it’s acceptable to move on.

No need for guilt! Taking control of your reproductive health is your responsibility, and it’s empowering! 

How to Pick the Best Gynecologist for Me? Call Women’s HealthCare Specialists!

Our expert team of board-certified gynecologists is here to help you through every stage of your life. We strive to provide the highest quality personalized care for every woman, and that includes you!

Book your appointment in Alexandria, VA today by calling 301-812-3400. From birth control to pregnancy to menopause, we’ve got you covered!

[roboticchibitan]

Had a virtual appointment with my doctor. And she just?? Listened to me?? And took my opinion into account??? Like a rational human being????

I've been getting up 2-4 times a night to pee and peeing frequently during the day and she asked me "what are you looking for out of treatment" and I said "Ideally I would like a medication I could take in the evening that would last as long as I am sleeping and then wear off, but I know most meds aren't that specific" BUT THERE WAS!! A MEDICATION!! LIKE THAT!! She prescribed me a medication that's normally given to kids who wet the bed that mimics the hormone we naturally produce at night that keeps our kidneys from manufacturing as much urine. The wonders of modern medicine.

And then!! I was like "I'm having reactions to food and I'm fairly sure it's MCAS because last week I ate one of the foods and got itchy but before that it was racing heart/shaky/nauseous/feeling faint/feeling like I was gonna die and I just wanted to make sure you didn't think I needed to check my blood sugar" and she just??? Agreed with me!! She said "yeah you're right it's probably a combo of MCAS and POTS." Like!! She listened to me and just fucken. Agreed! No fight to justify myself!!

I feel like I won the lottery and if she ever quits I will be so so sad forever.

[designgraphicruby]

OVERCOMING URINE INCONTINENCE: A COMPREHENSIVE GUIDE (unintentional urine loss)

Urinary incontinence is the medical term for unintentional urine loss. It is a ubiquitous condition that can affect people of all ages, but older people particularly women are more likely to get it. Among the several types of urine incontinence are stress incontinence, urge incontinence, mixed incontinence, and overflow incontinence. Stress incontinence happens when physical motion or activity, such as coughing, laughing, or exercising, puts pressure on the bladder and results in leaking. Urge incontinence is characterized by a strong, sudden urge to urinate, which is followed by an uncontrollable leak of urine. Mixed incontinence symptoms include both stress and urge incontinence. Overflow incontinence develops when the bladder cannot entirely empty, leading to on-going dribbling. Numerous factors can contribute to urinary incontinence,

Read more

[batmanisagatewaydrug]

Hi sex witch!

I’m FtM, and I don’t have penetrative sex at all. It’s unpleasant and not at all enjoyable to me in any form. With that in mind, I’m on hormones, and am worried I might get vaginal atrophy and not notice since I don’t use that area of me at all. How do I tell if I’m starting to atrophy without that sort of experience?

Also, I heard that you only have to start getting pap smears and stuff once you start having penetrative sex, but I’ve never engaged with a partner in that way, just a toy I bought to experiment with (waste of money rip). Should I still go at some point?

hi anon,

topical estrogen treatments are generally used to help treat vaginal atrophy; this doesn't interfere with or counteract your HRT in anyway, just helps keep your vagina strong and healthy. signs that it may be time to pursue this options include persistent genital discomfort such as dryness, itching, burning, and painful or frequent urination, although of course it's best to consult with a healthcare provider if you're worried.

it's recommend that you start getting pap smears at age 21 even if you've never had partnered sex. I would personally say it is worth it, since pap smears are important preventative care that can serve as an early warning for cervical cancer. while the odds of developing cervical cancer without ever having partnered sex are low, it's also not a chance that I'd personally recommend taking.

[urosaketnarnoli]

Explore the causes and effective treatments for nocturia, a condition causing frequent nighttime urination. Find solutions for a peaceful night's rest.

[teaboot]

seeing the NSFW question and answers you've got happening here

my vulva is really itchy and sore but I haven't had any kind of sex recently or even used any sex toys recently. I haven't changed my washing powder. I haven't douched ever or used soap inside my vulva or used any lotions or scents around my vulva. I last shaved 2 weeks ago with a razor and the same body wash I always use. I don't think it's BV or thrush and its driving me mad. help?

CW DISCUSSION OF REPRODUCTIVE HEALTH

Shaving public hair can increase your odds of developing bacterial infections, yeast infections, and UTIs, all of which can present as soreness or itchiness. Underwear made of synthetic fabrics can, too. High-sugar diets, hormone fluctuations, thong underwear, dehydration, bath water quality, and some lubes can, too, as well as touching without washing hands thoroughly first. Long nails especially are fantastic at holding onto and transporting bacteria and fungi. Antibiotics can cause these issues, and antibiotics can cure these issues. Medications, too.

Short and simple annoying answer: Could be anything.

I recommend drinking lots of water and cranberry juice and seeing a doctor- if it is BV then using a yeast infection treatment will burn like holy hellfire and you dont want that. Getting a urine test is your best bet.

In the meantime, again, drink lots of water and urinate frequently. Don't wash with soap, but do wash, and do so with clean water. Wear loose clothing when possible made of breathable fabrics like cotton. Change underwear daily.

I'm not a doctor or a medical professional. These are just things I've picked up through work and life. My first recommendation is always to contact a doctor, and if you start producing unusual discharge, experiencing pain during urination, developing sores, welts, or a rash, or end up with swelling or pain in your lower back, DEFINITELY seek medical assistance.

Good luck, bud 👍

[teine-mallaichte]

Seeing as so many people seemed to find my post about the "lesser used causes of delirium" interesting I thought I might do a similar one about fever.

So I read a LOT of sick fics -it's a problem. And I would say that fever is probably one of the most commonly used sickness/illness symptoms in them. Which makes sense - fever is fascinating and can have so many complex and interesting effects on the whumpee.

However, I’ve noticed that in most fics, fever is typically caused by infections or illnesses such as the flu. And in away this is a sahame because there are SO MANYU other, less frequently explored, causes of fever. Several of which could add a good deal of tension if Caretaker doesn't fully understand it and tries to treat it like an infection or flu.

For instance, I think I;ve seen psychogenic used maybe twice. Heatstroke is depicted more often, but many people might not realize that it falls under the fever umbrella. So on that basis, let's start with a definition of fever and then explore some of these lesser-used causes.

Fever, or pyrexia, is a temporary increase in body temperature, often due to an illness.

A fever is usually considered to be a body temperature above 38°C (100.4°F).

Environmental Causes:

Hypothermia-Induced Fever

Heatstroke

Definition: Paradoxical fever can occur during the rewarming process after hypothermia, where the body temperature temporarily spikes.

Symptoms: confusion, shivering, and a transient increase in body temperature. This response requires careful monitoring and gradual rewarming techniques to prevent complications.

Definition: Heatstroke is a severe form of hyperthermia, where the body’s temperature regulation fails due to prolonged exposure to high temperatures, leading to a dangerously high body temperature.

Symptoms: confusion, altered mental state, slurred speech, hot and dry skin, and possibly unconsciousness. If not treated promptly, heatstroke can be life-threatening.

Drug-Induced Fever

Neuroleptic Malignant Syndrome

Definition: Drug-induced fever occurs when a medication causes an increase in body temperature. This can happen due to various mechanisms, such as an allergic reaction, the drug itself having fever as a side effect, or through drug interactions.

Symptoms: high temperature that does not respond to standard fever-reducing treatments, rash, swelling, and other allergic reaction signs. Identifying the offending drug can be challenging, especially if the patient is on multiple medications.

Serotonin Syndrome

Definition: Neuroleptic malignant syndrome (NMS) is a rare but serious reaction to antipsychotic medications, characterized by fever, muscle rigidity, and altered mental status.

Symptoms: high fever, severe muscle stiffness, altered mental status, and autonomic dysfunction such as irregular heart rate or blood pressure. Prompt recognition and discontinuation of the offending drug, along with supportive treatment, are essential to prevent serious complications or death.

Malignant Hyperthermia

Definition: Serotonin syndrome is a potentially life-threatening condition resulting from an excess of serotonin in the central nervous system, often due to drug interactions or overdose of serotonergic medications.

Symptoms: high fever, agitation, increased reflexes, tremor, sweating, dilated pupils, and diarrhea. Severe cases can lead to seizures, irregular heartbeat, and unconsciousness. Treatment involves discontinuing the causative agents and providing supportive care to manage symptoms.

Definition: Malignant hyperthermia is a rare but life-threatening reaction to certain anesthesia drugs, causing a rapid increase in body temperature and severe muscle contractions.

Symptoms: a sudden and severe increase in body temperature, muscle rigidity, tachycardia, and dark brown urine. Immediate treatment with dantrolene and supportive measures is crucial to prevent serious complications or death.

Endocrine Disorders:

Adrenal Crisis

Thyroid Storm

Definition: An adrenal crisis occurs when the body produces insufficient cortisol due to adrenal insufficiency or Addison’s disease.

Symptoms: high fever, severe abdominal pain, vomiting, confusion, low blood pressure, and shock. Immediate treatment with corticosteroids and fluid replacement is crucial to avoid life-threatening complications.

Definition: A thyroid storm is a rare but severe complication of hyperthyroidism, where an excessive amount of thyroid hormone leads to a dramatic increase in metabolic rate and body temperature.

Symptoms: a high fever, rapid heart rate, agitation, delirium, and potentially life-threatening cardiovascular complications. Treatment requires aggressive management of thyroid hormone levels and supportive care.

Inflammatory Diseases:

Inflammatory Bowel Disease (IBD)

Vasculitis

Definition: Systemic inflammation from conditions like Crohn's disease or ulcerative colitis.

Symptome: Persistent fever, abdominal pain, diarrhea, weight loss, fatigue, specific organ/system-related signs; managing the underlying condition helps control fever.

Definition: Inflammation of blood vessels causing systemic inflammation.

Symptoms: Persistent fever, organ-specific symptoms; treatment involves managing the underlying inflammatory process.

Autoimmune Disorders:

Systemic Lupus Erythematosus (Lupus)

Rheumatoid Arthritis

Definition: Autoimmune disorder causing inflammation and tissue damage.

Symptoms: Joint pain, swelling, fatigue, persistent fever; symptoms vary widely and fever often fluctuates with disease activity.

Definition: Autoimmune disorder affecting joints.

Effects: Joint pain, swelling, fatigue, persistent fever; management of underlying disease helps control fever.

Psychogenic Fever

Definition: Psychogenic fever is a stress-induced condition where emotional stress or psychological factors lead to an elevated body temperature.

Symptom: a sudden increase in body temperature during or after stressful events, with no underlying infection or physical cause. It can be persistent and resistant to conventional fever treatments. This type of fever can create compelling narrative tension, as it highlights the interplay between mind and body.

As usual this is far from an exhaustive list, more a jumping off or starting point I guess.

Symptoms of Fever

Fever can present with a variety of symptoms, which can be broadly categorized into general, specific, and severe symptoms:

General Symptoms:

Elevated Body Temperature: The hallmark of fever is an increase in body temperature above the normal range (typically above 38°C or 100.4°F).

Sweating: As the body attempts to cool down, excessive sweating is common.

Chills and Shivering: Despite the high body temperature, individuals may feel cold and experience shivering.

Headache: A common symptom due to the body's inflammatory response.

Muscle Aches: Myalgia or generalized muscle pain can accompany fever.

Fatigue and Weakness: The body's increased metabolic rate can lead to significant fatigue and a general feeling of weakness.

Loss of Appetite: Anorexia is often seen with fever as the body's digestive processes slow down.

Specific Symptoms:

Dehydration: High temperatures can lead to significant fluid loss through sweating.

Rapid Heart Rate (Tachycardia): The heart works harder to circulate blood and dissipate heat.

Rapid Breathing (Tachypnea): Increased respiratory rate helps in heat dissipation.

Flushed Skin: The skin may appear red and warm due to increased blood flow.

Irritability: Particularly in children, fever can cause increased irritability and fussiness.

Reduced Urine Output: Dehydration can lead to oliguria (reduced urine output).

Severe Symptoms:

Confusion and Delirium: High fevers can lead to altered mental states, confusion, and even delirium.

Seizures: Febrile seizures can occur, especially in young children.

Hallucinations: Severe fevers can cause hallucinations or vivid dreams.

Unconsciousness: In extreme cases, high fever can lead to loss of consciousness.

Severe Dehydration: If not managed properly, dehydration can become life-threatening.

Organ Failure: Prolonged high fever can lead to multi-organ dysfunction or failure.

Possible Effects of Fever

Physiological Effects:

Psychological Effects:

Increased Metabolism: Fever increases metabolic rate, leading to greater energy expenditure and nutrient use.

Immune Response Activation: Fever often indicates an active immune response, with increased production of white blood cells and antibodies.

Protein Denaturation: Extremely high fevers can cause proteins to denature, impacting cellular function.

Electrolyte Imbalance: Increased sweating and fluid loss can lead to imbalances in electrolytes such as sodium, potassium, and chloride.

Altered Mental Status: Fever can impact cognitive functions, causing confusion, memory disturbances, and impaired judgment.

Anxiety: Persistent high fever can cause significant anxiety and distress in both the patient and caregivers.

Stress: The physical discomfort and potential complications associated with fever can lead to increased stress levels.

Sleep Disturbances: Fever can disrupt normal sleep patterns, leading to insomnia or frequent waking.

Managing Fever

General Management:

Specific Management:

Hydration: Ensuring adequate fluid intake to prevent dehydration.

Rest: Allowing the body to conserve energy and focus on fighting the underlying cause of the fever.

Cooling Measures: Using cool compresses, tepid baths, or fans to help lower body temperature.

Antipyretics: Medications like acetaminophen or ibuprofen to reduce fever and alleviate discomfort.

Monitoring: Regularly checking temperature and observing for any signs of worsening condition or complications.

Identifying and Treating Underlying Cause: Addressing the root cause of the fever, whether it’s an infection, drug reaction, or other medical condition.

Medications: Depending on the cause, antibiotics, antivirals, corticosteroids, or other specific treatments may be required.

Supportive Care: Providing additional support such as oxygen, IV fluids, or mechanical ventilation in severe cases.

[killemwithkawaii]

Love sick Sal with a nurse darling headcanons ?

I honestly kind of think he would hurt himself on purpose to get touch by them <3

Love Sick Sally with a Nurse Darling-

[CW: Yandere, delusion, metal illness, self-harm, manipulation, unsanitary. People in the medical field, feel free to correct me if any of this is super inaccurate!]

>Sal fell in love about two minutes into his physical. It took that long for him to confirm that the nurse that had been assigned to examine him, nurse [darling], was exactly his type: They were polite, but not too serious. Strong, but gentle.... Passionate, knowledgeable, dedicated, empathetic, caring, understanding, and level-headed with a stomach of steel... Not to mention the ability to make scrubs look good. 👀💓

>[Darling] didn’t skip a beat when they entered the room and saw Sally bare-faced, sitting on the examination table in nothing but the paper gown he’d been given to wear. They looked him in the eye and smiled warmly while asking him all the usual questions and taking his vitals (though they were a little concerned about his blood pressure being high, and joked about him having a ‘shy bladder’ when it took longer than expected to get his urine sample...). Despite the butterflies in his stomach and the smell of their shampoo distracting him, he managed to make small talk while [darling] gingerly (and thoroughly) poked and prodded him head to toe. They seemed interested in his ‘unique’ hobbies, chuckled at his bone-dry jokes, listened intently to his concerns, and they didn’t judge him at all for taking medications and going to therapy for his mental health issues. When he mentioned those things to them with a hint of shame in his voice, they said that there was nothing to be embarrassed about, “Your mental health is just as important as your physical health! It’s great that you’re taking care of yourself on both levels now. Keep up the good work, Sally.” ☺📝

>That verbal pat on the back was the last nail in his coffin. Sals head was so high in the clouds when [darling] finally gathered their things and left the examination room, he almost wandered out into the hall without dressing. After getting home, He couldn’t stop thinking about his appointment- about how kind [darling] was, how good it felt for them to praise him, the tension and intimacy he’d felt while they were looking him over, how warm and gentle their touch was (and how he wished it would have lingered and not been obstructed by the glove)… he found himself daydreaming about them, wondering if they'd thought of him since they'd shut the door behind them that day, if they'd felt their connection, too, but knew it would be inappropriate to acknowledge it, given the constraints of a nurse/patient relationship... Considering this, he felt the need to start coming up with appropriate reasons to see them again, as soon and as frequently as their schedule and his insurance would allow him to. 🤔💭

>Luckily, with his range of medical needs, Sal needed more checkups and minor treatments than the average person. So, if he plays his cards right, he gets to see a lot of [darling]. On those highly anticipated days when he has a visit, he makes it his mission to be the BEST. PATIENT. EVER: He’s freshly showered, arrives 15 minutes early, never complains about long wait times, has a few interesting anecdotes at-the-ready, tries to impress nurse [darling] with his tolerance for discomfort and knowledge of his own conditions, and always has plenty of thoughtful clarifying questions about his treatments and medications. [Darling] thinks that Sal is a very responsible person who puts a high priority on his health, but in reality, it’s all just an excuse to extend their time together and hopefully get off-track with small talk that will allow him to get to know [darling] better, or will lead to more examinations and treatments that will get [darling] to touch him. Either way, it’s a win. ✅

>Sal probably wouldn't self-harm as an excuse to see [darling], or at least, if he did, he would have to do it VERY sparingly and be VERY strategic about how and what he does. Since [Darling] is a medical professional, chances are that they could easily spot the difference between purposeful and accidental injuries, even if he continuously switched up his methods. He could probably get away with an occasional self-inflicted burn from the oven, cut from shaving, irritation from using household cleaners without gloves, maybe some mild food poisoning if he has a few days to kill… but eventually, [darling] would start to notice a pattern. If he keeps coming to [darling] with injuries they suspect are from self-harm, they might refer him to a different nurse with more psychiatric experience than they have, or, if it seems serious enough, insist that he be hospitalized because he's a danger to himself. No, if he wants [darling], specifically, to dote on him without raising suspicion, he has to convince them that he’s just clumsy- any injuries or ailments he comes to them with have to be (or at least look like) an accident. 🤫⚖

-Thankfully, Sal does a lot of adventuring in run-down buildings, forests, and in other places where it’s easy to trip or become injured if you’re not extra careful. Knowing that he can use those injuries as an excuse to get [darling]s attention (with both medical treatment and the story of how he got his injury), he attempts more risky climbs, braves thickets of thorny overgrowth, is less careful when he runs along uneven terrain than he would be otherwise, etc. On top of the treachery, all those places are pretty unsanitary, so he makes sure to get all those cuts and scratches checked out, ‘just to be on the safe side’. If he's particularly lucky, he gets to limp into [darling]s office with a sprain or dislocation, and the jackpot would be needing stitches, since he gets to come in to get them, AND he’ll have to come back to get them removed! (Bonus points if said injury leaves a scar. He has plenty, so he doesn’t mind having another, and having something as a permanent reminder of [darling]s skilled and gentle touch on his skin makes him feel all mushy~) 🩹💖

Bonus: If [darling] is a friend who is still studying to be a nurse…

>Sal is happy to volunteer as their pin cushion/ practice dummy. He’s got a high pain threshold, so he’s able to sit still while [darling] tries to find a vein to practice inserting an IV or drawing blood, and he has the patience of a saint while they meticulously go through the protocol they’ve studied for dressing different wounds and doing various examinations. 💉🩺

>Since he’s had to go through so many medical procedures with so many different physicians, Sal can give [darling] honest and constructive feedback about their technique and bedside manner. They don’t have a ton to improve on, since [darling] is a natural-born healer, but it’s always good to get a current patient's perspective so you can do even better with the ones you treat in the future. By the time [darling] has their degree, they practically know Sally inside and out, and are very grateful to him for all his help on their journey to becoming a REAL nurse! 🎓

-He worries about [darling] a lot, especially when they’re preparing for exams or have gone through a streak of difficult days on the job. They put their all into their studies/work and often end up putting more pressure on themselves than they should, so Sal is always happy to help them go over their notes, offer to hang out and do something fun to relax, or lend an ear when they need to vent. 👂

>Once they’re confident in their skills, Sal can probably convince [darling] to do a good deal of ‘pro bono treatment’ for the minor stuff he’d otherwise try to deal with himself. He (says he) doesn't have the money to keep going to urgent care every time he needs something looked at, and [darling] wouldn’t let him go untreated, right? Of course not! It’s their duty as a health care professional to help people (and friends) in need, and it’s always good to see someone who knows your medical history (and you) well and makes you feel comfortable. And, since they're friends first and nurse/patient second, it wouldn't be totally inappropriate if their relationship evolved into something more intimate... (a little taboo, but that just makes it interesting 😉)

Additions by our resident nurse, @thegracelessfaceless:

>What Sally doesn't know, is that Nurse Darling risks their job quite a bit in order to care for and spend time with him.

>They reliably spend too much time triaging Sally, resulting in multiple events in which the Doctor and Nurse Practitioner are waiting outside just staring at the door impatiently when Darling comes out. They've had to have a few meetings about their speed when triaging Sal.

>On a few occasions, Darling has stolen samples of Sal's migraine meds or antibiotics because Sal couldn't afford that months supply. She doesn't feel bad about it, what is Sal gonna do, snort up a big line of penicillin or Imitrex? Nurse Darling thinks not

[unsanitarystation]

Ok look. Your heat clinic AU but now with piss. I imagine it as No War AU with Dratchet. Drift never experienced heats, so when his first one comes he's unprepared. He quickly comes to the heat clinic in hope to get help. There he meets Ratchet who starts from instructing Drift about what to expect, calmly describing all the possible symptom, including 'increased waste production, frequent urges to urinate, profuse and uncontrollable voiding'. Drift is so shocked and embarrassed, ready to run away right now. He's also not happy to know that this symptoms are very common and it's very likely that he'll get them (he is already feeling his waste tank filling despite that he visited the bathroom before leaving his home). And he's definitely not happy to know that in this clinic they 'cure' heats naturally, just fulfilling bots' needs and taking care of them while they are needy and vulnerable. However with every passing klik Drift feels more and more driven to Ratchet. Ratchet seems professional and understanding and caring. Adn Drift in not ready to deal alone with the heat that is consuming him more and more. He's already wet, his valve and spike spasm behind his panels. Drift signs the consent and the treatment starts. Ratchet gives him a medical urinal, explaining that Drift may need it soon. Drift is flustered and blushing, he pushes it away and says that he doesn't need to go. Ratchet gives him a disapproving look and says that it's unhealthy to hold waste, there is nothing to be ashamed of, 8/10 mechs experience it even if it's not talked a lot about due to some dumb social norms. They start with a surface massage of valve and node to prepare Drift for taking fingers and then spike. But even the lightest touches make Drift's abdomen spasm and his calipers flutter, and his poor waste tank is so full, and for the first time he experiences a genuine desire to wet this careful fingers with his pee to mark them and show Ratchet how good it feels. The thoughts are wild, Drift tries to shake them off, but the pressure on his pussy lips and clit make him whimper and his hands curl into fists and his tank ache with need. A klik away from overload a warning about the other release being inevitable flashes on his HUD. Drift cries out and blindly grabs the urinal and shoves it between his legs, pushing Ratchet's hand away. Losing pressure on his node ruins his orgasm but the pressure of his stream filling the urinal makes his insides twitch once, twice, and he overloads, still pushing the urinal between his legs until it overflows with warm waste. Ratchet tells him that he did just fine and that the urinal is'nt really necessary. It's used for the first time to make patients less embarrassed about the process, but during penetration the patient is expected to piss on the doctor to satisfy the urge to mark a partner and also to avoid ruined orgasms, to make the treatment more effective.

OooOh yes... Yesss. Drift has his first heat a little later in life... Perhaps he's come into some money lately and frequent fueling and a semblance of safety kicked his systems into gear. He has no idea what to do, though. But heat relief hospitals are free, thankfully. A public service, if you will... Ratchet treats him clinically, explaining everything in snappy medical terms, but he does make sure Drift is very, very comfortable.

Aww, I'm thinking about Drift rolling his hips as Ratchet pushes his fingers inside of him for the first time, wastetank already filling back up fast. He knows he's going to piss himself again, and this time the urinal is too far away. But Ratchet is massaging his lower abdomen with his free hand, pressing up against every delicious node and cooing at him so sweetly, telling him to relax, to let go... Slowly, Drift starts to leak all over Ratchet's fingers, calipers quivering as he struggles to clench off the stream. It comes out of him in little spurts, waste fluid squirting out of him with each firm thrust of Ratchet's fingers. This time, when he overloads, his vision whites out for a moment, and he reboots to see his wet valve still drenching the doctor's hand <33

[gallifreyinstituteforlearning]

How can I help my Time Lady roommate track her artron levels? What can be done to raise or lower artron levels?

Ah, glad to hear of her settled on Earth! I hope you and her will find the following information useful:

How to track and manage artron levels?

🔬 Tracking Artron Levels

If your roommate brought with her from Gallifrey a specialised artron/lindos blood tester, she would be able to test her own levels of artron, much like a diabetic finger-prick check. For reference, levels of artron should be between around 9,000-12,000 mcl for an average Time Lord adult and levels outside of this range could indicate an underlying issue.

Otherwise, an indication in the fluctuation of artron levels are very much symptom-indicated:

👩‍🔬 Artron Deficiency (Hypoartronosis)

Symptoms of hypoartronosis could include (but are not limited to):

Impaired Healing: Slower wound healing and increased susceptibility to wound infections, potentially leading to secondary haemophilia (severely reduced ability to clot blood).

Weak Immune Response: More frequent illnesses due to the weakened state of the immune system.

Lack of Energy: Lower levels of artron result in fatigue or sluggishness.

Decreased Senses: Less sharpness in hearing, sight, smell, taste, touch, somatic and chronopsionic (time and psychic).

Low Mood: Low artron can affect emotional state, causing the Gallifreyan to have persistently low moods.

Very Red Blood: Gallifreyan blood has an orange tint to it due to the artron. If it's very, very red, this indicates low artron levels.

Urine Changes: Urine output will decrease and will be more yellow in colour (normal Gallifreyan urine is more orange).

🔋Artron Excess (Hyperartronosis)

Symptoms of hyperartronosis could include (but are not limited to):

Hyperactivity or Irritability: Heightened energy or emotional fluctuations, similar to bipolar disorder.

Delusions or Confusion: Reduced cognitive clarity.

Vomiting or Nausea: Gastrointestinal discomfort.

Increased Appetite: Unusually frequent hunger pangs.

Urine changes: Urine output will increase severely and be extremely orange.

🔄 Normalising Artron Levels

Artron levels will normally stabilise over time due to homeostasis and compensatory mechanisms, though several home remedies can help.

TARDIS Partnership: Forming a bond with a TARDIS will naturally help to maintain good artron levels through constant energy exchange.

TARDIS Support: In addition to a TARDIS connection, spending a few days in a bonded TARDIS can help to normalise levels.

Meditation: Meditation techniques are also considered effective in the treatment of these conditions.

(To Increase Levels) Do Some Time Travel: Absorbing background radiation from the time vortex increases artron and can be an effective and quick solution to hypoartronosis.

(To Decrease Levels) Expelling Energy: Expelling excess energy through the mouth or skin will help to lower levels. However, this should be done in a controlled environment and away from humans.

In some cases, medical intervention could be required:

Artron therapy: There are several medical devices and medications on Gallifrey which are regularly used in the treatment of these conditions.

Assisted healing coma: A healing coma can help to stabilise artron levels. However, this should be done in a safe environment with medical professionals who can assist in the sleep-wake cycle.

Regeneration: In extreme cases, a Gallifreyan medic may suggest a regeneration, as this resets artron back to default levels. However, this should never be done without consultation, as there are usually simpler ways to treat hypo and hyperartronosis.

🏫 So ...

Any excessive or prolonged changes in artron levels should be investigated further as they may be caused by other conditions. If you or your roommate are particularly worried about her artron levels, please encourage returning to Gallifrey for a checkup with a Gallifreyan medical professional as soon as possible, as there is currently no medical centre in the Sol system.

Related:

💬|🧬🧫Splicing and unsplicing in lindos production: A theoretical look at how lindos may be able to unsplice.

🤔|🧬⚡How do Time Lords absorb artron energy?

🤔|🧑👽What happens when a human spends a lot of time with a Time Lord?

Hope that helped! 😃

Any purple text is educated guesswork or theoretical. More content ... →📫Got a question? | 📚Complete list of Q+A and factoids →😆Jokes |🩻Biology |🗨️Language |🕰️Throwbacks |🤓Facts →🫀Gallifreyan Anatomy and Physiology Guide (pending) →⚕️Gallifreyan Emergency Medicine Guides →📝Source list (WIP) →📜Masterpost If you're finding your happy place in this part of the internet, feel free to buy a coffee to help keep our exhausted human conscious. She works full-time in medicine and is so very tired😴

[that-bipolar-mood]

I've said this ages ago, behold, the lithium post.

"Isn't that like a battery? Is it drinkable?"

Why don't we leave the science of it behind a bit, mostly because the majority is speculation.

1. Lithium is an element, one of the original elements if you'd like. It is found in nature and even in a class of stars (how poetic is that?)

Lithium salts have been used as long ago as ancient greece, in the form of baths, where they put manic patients. It's important to understand that the greeks sometimes had a funny (try googling Plato on mania) and sometimes quite accurate view of mental illness. Also, they were pretty tolerant and humane to those affected.

Around the 1950s, it was popular again and used in the treatment of melancholia and mania. It is still considered the best in terms of effectiveness.

2. The downside, although, is that lithium is most effective in patients with mania and especially classic type. For those with bipolar 2 or rapid cycling or even mixed episodes, another stabilazor or antidepressant is generally used.

The fact that lithium is monitored by blood plasma is a good thing and a bad thing. Doctors can easily tell its effectiveness, as your body and dose are adjusted to maintain the perfect level for you. Of course, the problem is lithium intoxication, which means that the concentration of lithium in your blood surpasses the optimal levels. Basically, it becomes toxic.

This can happen when you take too much, but not necessarily. When you build up lithium levels in your blood, even as little as exercise or slight dehydration cause the levels to rise. That's why the most important thing you can do is to stay hydrated and learn about the early signs of toxicity.

3. Side effects most people experience are excessive or pronounced thirst, which goes with frequent urination. This happens because your body is trying to "wash out" the foreign substance in your blood. Followed by tremors that have a range from mild to severe. It has to be noted that in some cases, additional medicine is prescribed if the person's job requires steady hands (for example, pianists).

(Some gain weight, there's evidence of acne connected with lithium, thyroid dysfunction or malfunction that usually happens after a long periods of time, coordination problems, night vision or vision in general problems, lower libido, and plenty plenty more...)

The modern form of lithium has reduced the majority of side effects. Lithium used to be notoriously bad for tolerating in terms of side effects. This is why people nowadays are still prejudiced. Ironically, it had the least side effects for me, none from the former paragraph.

4. The dose you are on matters and should be expected to change. For instance, when you have symptoms of mania, the doctor will up the dose, and once you are back to stability, they might lower it again to avoid depression.

Probably due to toxicity, lithium has a scary reputation. What helped me in the early days was trusting the history, because it was effective for not decades, but centuries. And the memoire An Unqiet Mind, where dr. Jamison tells her journey of how lithium saved her life.

It can also be a nuisance to have your blood levels checked, especially in the beginning, as it has to be more frequent.

Overall, I'd love if you could add your experiences with lithium, your own, or someone you know, to maybe help the narrative and those looking for answers.

[sometimes-men-need-help-too]

Testicular Torsion

During testicular torsion a testicle rotates, twisting the spermatic cord that brings blood to the scrotum, the loose bag of skin under the penis that contains the testicles. The reduced blood flow causes sudden and often severe pain and swelling.

Testicular torsion is most common between ages 12 and 18, but it can occur at any age, even before birth.

Testicular torsion usually requires emergency surgery. If treated quickly, the testicle can usually be saved. But when blood flow has been cut off for too long, a testicle might become so badly damaged that it has to be removed.

Symptoms:

Signs and symptoms of testicular torsion include:

Sudden, severe pain in the scrotum — the loose bag of skin under your penis that contains the testicles

Swelling of the scrotum

Abdominal pain

Nausea and vomiting

A testicle that's positioned higher than normal or at an unusual angle

Frequent urination

Fever

Young boys who have testicular torsion typically wake up due to scrotal pain in the middle of the night or early in the morning.

When to see a doctor:

Seek emergency care for sudden or severe testicle pain. Prompt treatment can prevent severe damage or loss of your testicle if you have testicular torsion.

You also need to seek prompt medical help if you've had sudden testicle pain that goes away without treatment. This can occur when a testicle twists and then untwists on its own (intermittent torsion and detorsion). Surgery is frequently needed to prevent the problem from happening again.

Causes:

Testicular torsion occurs when the testicle rotates on the spermatic cord, which brings blood to the testicle from the abdomen. If the testicle rotates several times, blood flow to it can be entirely blocked, causing damage more quickly.

It's not clear why testicular torsion occurs. Most males who get testicular torsion have an inherited trait that allows the testicle to rotate freely inside the scrotum. This inherited condition often affects both testicles. But not every male with the trait will have testicular torsion.

Testicular torsion often occurs several hours after vigorous activity, after a minor injury to the testicles or while sleeping. Cold temperature or rapid growth of the testicle during puberty also might play a role.

Risk factors:

Age. Testicular torsion is most common between ages 12 and 18.

Previous testicular torsion. If you've had testicular pain that went away without treatment (intermittent torsion and detorsion), it's likely to occur again. The more frequent the bouts of pain, the higher the risk of testicular damage.

Family history of testicular torsion. The condition can run in families.

Complications:

Testicular torsion can cause the following complications:

Damage to or death of the testicle. When testicular torsion is not treated for several hours, blocked blood flow can cause permanent damage to the testicle. If the testicle is badly damaged, it has to be surgically removed.

Inability to father children. In some cases, damage or loss of a testicle affects a man's ability to father children.

Prevention:

Having testicles that can rotate in the scrotum is a trait inherited by some males. If you have this trait, the only way to prevent testicular torsion is surgery to attach both testicles to the inside of the scrotum.

[yurimage]

National Eating Disorder Awareness Week - Diabulimia

CW // Disordered eating

(click for better quality)

Transcript Below

Diabulimia- Diabulimia is the informal term for an eating disorder specific to type 1 diabetics in which someone with the disorder intentionally restricts their insulin in order to lose weight. Although not listed as an official diagnosis in the DSM-V, it is an incredibly prevalent and dangerous eating disorder.

Type 1 Diabetes- Type 1 diabetes (T1D) is an autoimmune disorder of the pancreas. Typically, the pancreas secretes insulin, a hormone that takes glucose from the blood and moves it into cells in order to be used as energy. However, in T1D, the body attacks itself and destroys the cells that secrete insulin. Without insulin, glucose from food sits around in the blood and builds up– causing a condition called hyperglycemia.¹ There’s currently no cure for T1D, so patients with the condition need to take insulin as injections or delivered through an insulin pump. T1D is irreversible, and life long, so patients need to take insulin for the rest of their lives.¹ T1D and type 2 diabetes (T2D) are not the same. In T2D, the pancreas still has insulin secreting cells; however, the body can’t properly use the insulin due to a high level of insulin resistance.² Because of the differences between T1D and T2D, diabulimia can only occur in those with T1D.

Insulin Restriction- In the absence of insulin, glucose can’t enter cells and instead stays in the bloodstream. Eventually, the body attempts to flush out excess glucose through urine– leading to severe dehydration. Since cells can’t get energy from glucose in this scenario, they instead try to get it from other sources– the body’s muscles and fat stores begin to be broken down for energy. This state is biologically the same as starvation as calories from food in the form of glucose are leaving the body before being used. The loss of calories and breakdown of fat and muscle, coupled with the loss of water weight from dehydration, lead to rapid weight loss.³ In diabulimia, insulin is restricted intentionally with the goal to lose weight.

DKA- In the short term, diabulimia leads to frequent urination and severe dehydration, immense fatigue and nausea and vomiting.³ If left untreated, these high blood sugars will eventually lead to a condition called Diabetic Ketoacidosis (DKA). DKA occurs when fat is broken down in the body. The breakdown of fat releases acidic compounds called ketones. Eventually, with enough build up of ketones, the blood itself becomes acidic and may eventually lead to coma or death.⁴ DKA must be treated in a hospital setting; and as such, is often the way that diabulimics are first treated for their eating disorders.

Health Consequences- Consistently high blood sugars will eventually lead to severe diabetic complications such as neuropathy (nerve damage), retinopathy (damage to the retinas in the eyes) or kidney disease.³ While long term health effects like eye damage and kidney disease are already common complications for those with T1D, diabulimia significantly increases the risk for these complications. A Japanese study found that insulin restriction was the most significant factor in developing retinopathy and kidney disease; meaning that these complications were more strongly correlated with insulin restriction than other factors such as how long someone had been diagnosed with T1D.⁵

Prevalence and Risk- When compared to girls without T1D, those in the same age range that were diagnosed with T1D were around 2.4 times more likely to have an eating disorder ⁶ One study that surveyed 112 teens with T1D found that around 27% restricted insulin dosages ⁷ An 11-year study found that those with T1D who restricted insulin had a risk of death 3.2 times higher than diabetics who did not ⁸

Why I'm Making This- Accessing treatment for diabulimia is incredibly difficult. When I first began to look for inpatient eating disorder treatment, I was turned down from every residential and inpatient facility in my state. The only reason I got into a residential that time was because my mom is a very determined and very convincing woman (she threatened to sue them). And that isn’t even accounting for the lack of diabulimia specific treatment. My last time in treatment, the hospital I was at recommended I enter inpatient; however, there ended up being only a few inpatient centers with diabulimia experience in my country-- the closest one rejected me because they couldn’t find an endocrinologist to oversee my diabetes care. This lack of treatment is especially dangerous with how severe the health consequences of diabulimia are. In fact, since beginning work on this infographic, I found out I may have kidney damage. Yes, as a result of diabulimia. I also have permanent eye damage, neuropathy, and I’m finally (3 months after leaving the hospital) recovering from the short term health consequences of my disorder. And even I am luckier than a lot of other diabulimics. With a disease so prevalent, and so, so dangerous, you’d think there would be enough support in treating it. But there isn’t. Largely I think, because most people simply don’t know that it exists. My only hope with making this infographic is that we can change that.

Sources:

1- “What is Type 1 Diabetes?” Centers for Disease Control and Prevention. Accessed January 31, 2024. https://www.cdc.gov/diabetes/basics/what-is-type-1-diabetes.html.

2- “Type 2 Diabetes.” Centers for Disease Control and Prevention. Accessed January 31, 2024. https://www.cdc.gov/diabetes/basics/type2.html.

3- “Diabulimia.” Cleveland Clinic. Accessed January 31, 2024. https://my.clevelandclinic.org/health/diseases/22658-diabulimia.

4- “Diabetic Ketoacidosis.” Mayo Clinic. Accessed February 11, 2024. https://www.mayoclinic.org/diseases-conditions/diabetic-ketoacidosis/symptoms-causes/syc-20371551

5- Takii, Masato, et. al.. “The Duration of Severe Insulin Omission Is the Factor Most Closely Associated with the Microvascular Complications of Type 1 Diabetic Females with Clinical Eating Disorders.” International Journal of Eating Disorders 41, no. 3 (April 2008): 259–64. doi:10.1002/eat.20498.

6- Jones, Jennifer M. “Eating Disorders in Adolescent Females with and without Type 1 Diabetes: Cross Sectional Study.” BMJ: British Medical Journal (International Edition) 320, no. 7249 (June 10, 2000): 1563. doi:10.1136/bmj.320.7249.1563.

7- Markowitz JT, et. al.. “Brief Screening Tool for Disordered Eating in Diabetes: Internal Consistency and External Validity in a Contemporary Sample of Pediatric Patients with Type 1 Diabetes.” Diabetes Care 33, no. 3 (March 2010): 495–500. doi:10.2337/dc09-1890.

8- Goebel-Fabbri, Ann E., et. al.. “Insulin Restriction and Associated Morbidity and Mortality in Women with Type 1 Diabetes.” Diabetes Care 31, no. 3 (March 2008): 415–19. doi:10.2337/dc07-2026.