-
Journal of Complementary & Integrative... Oct 2020The douche, one of the hydrotherapeutic treatment modality is commonly used by Naturopathy physicians as a treatment of choice in the management of several ailments.... (Randomized Controlled Trial)
Randomized Controlled Trial
BACKGROUND & OBJECTIVES
The douche, one of the hydrotherapeutic treatment modality is commonly used by Naturopathy physicians as a treatment of choice in the management of several ailments. This study was done to assess the effect of full body neutral douche in the management of pain and systemic symptoms in adult females with primary dysmenorrhoea.
METHODS
68 subjects of age 18-22 years with primary dysmenorrhoea were recruited for the study and were randomly divided into two groups: the experimental group (n = 34) and the control group (n = 34). The experimental group received whole body neutral douche, whereas the control group followed the routine as usual. Assessments for the pain, systemic symptoms and menstrual cramps were done by using McGill Pain Questionnaire, Verbal multidimensional scoring system and analog scale for severity of pain and menstrual cramps respectively at baseline, day 30 and day 60 of intervention. Two- way repeated measures of ANOVA was performed to understand the between group changes, adjusted for the respective baseline values and age.
RESULT
Data was analyzed with SPSS (Version 21.0) package. Neutral douche resulted in significant improvement in pain [F(2,66) = 114.564, p < 0.0005, partial ?2 = 0.771], severity of pain [F(2,66) = 70.418, p < 0.0005, partial ?2 = 0.681], cramps [F(2,66) = 75.986, p < 0.0005, partial ?2 = 0.697] and systemic symptoms [F(2,66) = 14.64, p < 0.0005, partial ?2 = 0.307] as compared to the control group.
CONCLUSION
Findings suggest that neutral douche can be used as a non-pharmacological intervention in the management of pain and systemic symptoms in primary dysmenorrhea.
Topics: Adolescent; Dysmenorrhea; Female; Humans; Naturopathy; Pain Management; Pain Measurement; Therapeutic Irrigation; Treatment Outcome; Young Adult
PubMed: 33035186
DOI: 10.1515/jcim-2019-0241 -
American Journal of Obstetrics and... Dec 2023Genital talc and douching are practices that can involve exposure to chemical compounds linked to certain gynecologic cancers. However, it is unclear if they are...
BACKGROUND
Genital talc and douching are practices that can involve exposure to chemical compounds linked to certain gynecologic cancers. However, it is unclear if they are associated with fibroid risk or age at fibroid diagnosis among women.
OBJECTIVE
This study aimed to evaluate the impact of early-adolescence genital talc use and douching on prevalence of fibroids diagnosed before the age of 35 and 50 years among Black/African American and non-Hispanic White women.
STUDY DESIGN
Data were derived from the Sister Study (2003-2020), a prospective cohort of 50,884 US women aged 35 to 74 years at enrollment. Participants were asked if they ever had a fibroid diagnosis and at what age, and if they used genital talc and/or douched between the ages of 10 and 13 years or in the past 12 months. After applying predefined exclusion criteria, our analytical sample size was n=46,316 (Black, n=4310; non-Hispanic White, n=42,006). Multivariable logistic regression was used to compute adjusted odds ratios and 95% confidence intervals for having vs not having early-onset fibroids diagnosed before age 35 among women aged 35 to 74 years at enrollment, and fibroids diagnosed before age 50 among women aged 50 to 74 years at enrollment. We adjusted for early life factors (in utero diethylstilbestrol exposure, singleton or multiple birth, fed soy formula during infancy), childhood socioeconomic status, and relative weight and height compared with peers at age 10. We used multiple imputation (<10% missing in all analyses). Results were stratified by race/ethnicity given that Black women are more likely to develop fibroids at a younger age than non-Hispanic White women.
RESULTS
Among Black/African American women, 29% had fibroids diagnosed before age 35. Both genital talc use at age 10 to 13 (adjusted odds ratio, 1.23; confidence interval, 1.06-1.41) and douching (adjusted odds ratio, 1.19; 95% confidence interval, 0.95-1.48) were associated with higher odds of having a fibroid diagnosed before age 35. Douching without talc use was not associated with increased odds, but combined use of genital talc and douche was associated with 52% increased odds of fibroids (confidence interval, 1.14-2.01). Among non-Hispanic White women, 9% reported fibroids diagnosed before age 35. Genital talc use (1.31; 1.20-1.44) but not douching (0.96; 0.77-1.20) at age of 10 to 13 years was associated with having a fibroid diagnosed before age 35. We observed similar patterns for non-Hispanic White women when we considered fibroids diagnosed before age 50, but neither practice was associated with fibroids diagnosed before age 50 in Black women.
CONCLUSION
Genital talc use in early adolescence, alone and in combination with douching (but not douching alone), is associated with prevalence of fibroids diagnosed before age 35 among Black/African American women and before ages 35 and 50 among non-Hispanic White women. Early adolescence may be a window of susceptibility for fibroid development, suggesting that adolescent girls should be educated on abstention from or alternatives to talc use and douching.
Topics: Female; Adolescent; Humans; Adult; Child; Infant; Therapeutic Irrigation; Talc; Prospective Studies; Leiomyoma; Uterine Neoplasms; Genitalia
PubMed: 37598998
DOI: 10.1016/j.ajog.2023.08.014 -
Sexually Transmitted Diseases Oct 2020
Topics: HIV Infections; Homosexuality, Male; Humans; Male; Sexual and Gender Minorities; Sexually Transmitted Diseases; Therapeutic Irrigation
PubMed: 32932402
DOI: 10.1097/OLQ.0000000000001224 -
Australian Family Physician Oct 2015Ear syringing is a very common practice among general practitioners (GPs). It is used by many as the treatment of choice for cerumen (ear wax), and is usually effective... (Review)
Review
BACKGROUND
Ear syringing is a very common practice among general practitioners (GPs). It is used by many as the treatment of choice for cerumen (ear wax), and is usually effective and safe. However, complications from syringing are an increasingly common reason for presentation to ear, nose and throat (ENT) specialists and medico-legal complaints against GPs.
OBJECTIVE
The aim of this article is to provide GPs with the knowledge to safely manage cerumen.
DISCUSSION
Ear wax is an important part of a normal functioning ear. It is mostly asymptomatic and requires no treatment. Softening ear drops may be necessary to help the ear fulfil its self-cleaning function, and should be considered first-line treatment. Syringing can be safely performed if this fails by taking a thorough history and examination to exclude contraindications, gaining patient consent and ensuring the appropriate use of equipment. Referral to an ENT clinic for manual removal with microsuctioning may be necessary in the event of contraindications, complications or failure.
Topics: Cerumen; Ear; Humans; Syringes; Therapeutic Irrigation
PubMed: 26484488
DOI: No ID Found -
Medizinische Technik Mar 1953
Topics: Enema; Female; Humans; Vaginal Douching
PubMed: 13071633
DOI: No ID Found -
Annals of Emergency Medicine Jul 1994
Topics: Humans; Pressure; Therapeutic Irrigation; Wound Infection; Wounds and Injuries
PubMed: 8010554
DOI: 10.1016/s0196-0644(94)90006-x -
The Veterinary Clinics of North... Mar 2004Otic flushing has the potential to help a number of patients with ear disease. Because the diagnostic and therapeutic benefits of this procedure exceed its risks,... (Review)
Review
Otic flushing has the potential to help a number of patients with ear disease. Because the diagnostic and therapeutic benefits of this procedure exceed its risks, veterinarians should offer otic flushing for patients with poorly responsive or chronic otitis externa.
Topics: Animals; Cat Diseases; Cats; Dog Diseases; Dogs; Ear Diseases; Otoscopy; Therapeutic Irrigation; Tympanic Membrane
PubMed: 15062624
DOI: 10.1016/j.cvsm.2003.10.010 -
Emergency Nurse : the Journal of the... Mar 1999
Topics: Emergency Nursing; Eye Burns; Humans; Therapeutic Irrigation
PubMed: 10514615
DOI: 10.7748/en1999.03.6.10.20.c1231 -
AIDS and Behavior Sep 2021Despite clinicians consistently advising against vaginal douching, 29-92% of women worldwide report douching. This review documents women's douching practices,...
Understanding Women's Vaginal Douching Behaviors and Practices for Consideration in the Development of a Potential Future Vaginal Microbicide Douche for HIV Prevention: A Systematic Review of the Literature.
Despite clinicians consistently advising against vaginal douching, 29-92% of women worldwide report douching. This review documents women's douching practices, motivations for douching, and specific associations (or absence of associations) between vaginal douche use and vaginal outcomes thought to be associated with douching. Understanding women's existing douching behaviors and vaginal health outcomes is critical for developing a safe vaginal microbicide douche that can be used as HIV pre-exposure prophylaxis (PrEP). A vaginal douche as PrEP could help prevent new HIV infections, since emerging evidence shows some women discontinue oral PrEP. We performed a systematic review of the literature using the guidelines for Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA). Articles included in the analysis (N = 48) were published 2009-2019 in English and focused on women's experiences with douching. Two trained independent reviewers assessed these articles for content on vaginal douching, including racial/ethnic focus of studies, study design, sampling, women's reasons for douching, contents of douche solutions, and associations between vaginal douching and vaginal health outcomes. Several studies focused on Black women (N = 12 studies) or had no racial/ethnic focus (N = 12). Just over half of all studies (N = 24) were cross-sectional and involved a self-reported questionnaire and lab samples. Studies sampled women from health clinics where they were (N = 13) or were not (N = 14) presenting for vaginal health complaints. Women's primary motivation for douching was for "general cleanliness" (N = 13), and most douche solutions contained water (N = 12). There was little empirical agreement between vaginal douche use and most vaginal health outcomes. Future studies of PrEP vaginal douches should be well controlled and prioritize safety to ensure positive vaginal health outcomes.
Topics: Anti-Infective Agents; Cross-Sectional Studies; Female; HIV Infections; Humans; Pre-Exposure Prophylaxis; Vaginal Douching
PubMed: 33977356
DOI: 10.1007/s10461-021-03290-0 -
British Journal of Nursing (Mark Allen... Aug 2017This article discusses transanal irrigation: what it is, the clinical conditions that might be helped by it and less invasive options that should be considered before... (Review)
Review
This article discusses transanal irrigation: what it is, the clinical conditions that might be helped by it and less invasive options that should be considered before starting irrigation. It looks at the delivery of this procedure, describes the different options available and compares and contrasts devices manufactured by five different companies. Contraindications are listed and side-effects discussed. Problems and possible solutions are considered. Transanal irrigation education for nurses and teaching patients is reviewed. Follow-up is discussed, including the reasons why some patients abandon irrigation. Quality of life can be improved for those who become successful users of transanal irrigation. When patients do continue to irrigate, even when this is not problem free, it can help them regain control over their bowel dysfunction by allowing them to evacuate their bowels at a time and a place that is convenient.
Topics: Constipation; Fecal Incontinence; Humans; Nursing Assessment; Quality of Life; Therapeutic Irrigation
PubMed: 28792840
DOI: 10.12968/bjon.2017.26.15.846