There is a uterine prolapse (Last degree) and there is an ulcer. The Q is how can the patient apply the cream prescribed for the ulcer along with the antiseptic and Gauze (Also Vaseline is prescribed).
Is the cream (Mebo cream aids in healing) applied on the ulcer only?, and we impregnate the gauze with the antiseptic (Betadine) and apply it on the cervix and the vagina only, or apply it on the entire prolapsed uterus, and if so, how? Because as we previously applied the cream on the ulcer, so there will be overlapping of two ingredients (Mebo and Betadine) ? And finally how we raise the uterus with the Gauze?
I downloaded the image for illustration.
In Ayurveda we manage the condition by using a specific oil (ayurvedic preparation for promoting healing of an ulcer) soaked tampoon. For preparing tampoon we use sterile cotton swab approx 4-5 cm in diameter and wrap it in a sterile gauze piece tying a knot & keeping one tail end of gauze longer (which is kept out of vagina for easy removal of tampoon ).
This procedure also helps in lifting the uterus.
So I think you may go with your choice of healing agent by using it through tampoon
Dr.Anubha, can you draw a diagram so I can understand clearly? Also, the ulcer is outside, your way is addressing the inside of the uterus? Aren't we suppose to keep the preparation on the surface of the uterus as illustrated in the image attached?
Recommended treatment. For decubitus ulcer includes
1. Reduction
2. Ring pessary
3. Estrogen cream
Without pesaary there will be no improvement due to persistent cause which is tiusse necrosis.
The prolapsed organ continues to be outside through the introitus. Application of the medication to heal the ulcer is not an appropriate exercise as the ulcer would recur so long as the organ prolapses. Consider appropriate surgery to get away with the prolapse.
1. Keep the uterus inside the vagina as deep as possible, push it up with two fingers and use a tampoon to keep it up. Use betadine cream on the tampoon. Just about one inch length from the tube. Avoid constipation / cough / lifting heavy weights.
2. one tampoon for the day and one for the night
3. look for appreciable proof for healing
4. get her blood sugar done
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