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First Aid First Aid

Symptoms of human organ problems
 Every system in the body has organs that produce the necessary functions for life. Each human organ is comprised of tissue that enables its function. For instance, the proteins synthesized in the lungs are entirely different than the proteins synthesized in the heart. Human systems include the digestive, nervous, cardiovascular, endocrine, lymphatic and respiratory functions. These systems contain major organs that provide daily functions to sustain life.
Thyroid Brain Breast Eyes
Heart Intestine Kidney Liver
Lungs Nerve Nose Pancreas
Spinal Cord Uterus  
Symptoms of Thyroid Problems

The thyroid, a small gland located in the front of the neck, produces hormones that regulate the rate at which every cell in your body functions. Accordingly, thyroid disease can significantly impact a person’s overall health. If the thyroid produces too little thyroid hormone, the body’s metabolism slows, causing listlessness and other symptoms; an overproduction of thyroid hormone results in feelings of nervousness and a faster heart rate. Other thyroid diseases result in different symptoms

Visit our thyroid resources page for a detailed description of the thyroid, its function, and thyroid disease symptoms. Depending upon the type of thyroid disease, symptoms can vary radically:

Hyperthyrodism: A condition in which the thyroid produces too much hormone, hyperthyroidism most commonly affects women between the ages of 20 and 40; however, women of any age and men can be affected as well. Graves’ disease, a condition in which the immune system stimulates the thyroid gland, is the most common cause of hyperthyroidism but there can be other causes including thyroid nodules (small bumps on the thyroid) and taking too much thyroid hormone medication to treat a separate condition. This thyroid disease’s symptoms may include the following:
  • Nervousness, irritability
  • Increased sweating
  • Increased, sometimes irregular, heart rate
  • More frequent bowel movements, diarrhea
  • Shaky hands
  • Unexplained weight loss
  • Lighter period(women)
  • Erectile dysfunction (men)
Hypothyroidism : Hypothyroidism is a condition in which the thyroid produces too little hormone. As with hyperthyroidism, it’s important too see your doctor if you fell you may have this thyroid disease, symptoms of which include
  • Feeling listless of tired
  • Felling cold
  • Slow heart rate
  • Constipation
  • Unexplained weight gain
  • Heavier periods (women)
  • Erectile dysfunction (men)
Graves’ Disease: As previously mentioned, Graves’ disease results from the immune system stimulating the thyroid gland, causing it to produce excessive amounts of the two thyroid hormones (hyperthyroidism). Graves’ disease, also known as diffuse toxic goiter, is far more common in women than in men, and typically occurs between the ages of 20 and 40 individuals afflicted with Graves’ disease may display a number of thyroid disease symptoms, including :
  • Enlarged thyroid gland, or goiter
  • Bulging, itchy, or swollen eyes
  • Difficulty breathing
  • Anxiety, irritability
  • Unexplained weight loss
  • Excess perspiration and sensitivity to heat
  • Muscle weakness, especially in upper arms and thighs
Hashimoto’s Disease: Hashimoto’s disease, like Graves’ disease, is a condition in which the immune system attacks the thyroid gland. In this case, the antibodies do not stimulate thyroid hormone production but rather diminish it, with the result being hypothyroidism. Hashimoto’s disease, also called Hashimoto’s thyroiditis or chronic lymphocytic thyroiditis, is most likely an inherited condition and runs in families. Its thyroid disease symptoms may include the following:
  • Enlarged thyroid gland, or goiter
  • Intolerance to cold
  • Difficulty swallowing
  • Mild, unexplained weight gain
  • Fatigue
  • Constipation
  • Menstrual irregularities; infertility
  • Early graying of hair
  • Difficulty concentrating or thinking, a mental dullness
Postpartum Thyroiditis: This condition results from an inflammation of the thyroid gland, and affects about 5% of women in the months after they’ve given birth. Typically there are two phases of this thyroid disease, and symptoms vary according to the stage; the first often is hyperthroidism, which results from thyroid gland damage. If the damage does not return to normal, postpartum thyroiditis leads to hypothyroidism, which may exhibit the thyroid disease symptoms listed above.

Thyroid Cancer – Thyroid cancer arises when small tumors called thyroid nodules grow on the thyroid gland. Having a nodule on your thyroid is quite common, and 90% to 95% of thyroid nodules are noncancerous. However, those that are cancerous can spread through the body, or metastasize, and become life-threatening. Thyroid cancer often exhibits no thyroid disease symptoms, and is typically found during a routine examination. Malignant nodules tend to be firmer than benign nodules, so they can often be identified by touch.

NOTE : If you have any of these symptoms, you should contact health care provider as soon as possible.
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Symptoms of Brain Problems
  • Fever
  • Headache
  • Stiff neck
  • Nausea
  • Vomiting
  • Light sensitivity
  • Confusion
  • Sleepiness
  • Seizures - as condition progresses
  • Altered mental state - in advanced stages
  • Shock - in advanced stages
  • Flu-like symptoms - viral infections
NOTE : If you have any of these symptoms, you should contact health care provider as soon as possible.
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Symptoms of Breast Problems

Proper breast health and early prevention of both benign and malignant disease are of the utmost importance in womens' health. Knowing all of the signs and symptoms of common conditions of the breast and surrounding tissues, gives you the knowledge needed to help live a long and healthy life. Whenever any of these symptoms emerge, make an appointment with your doctor to find the true cause of them.

Changes in Shape: Obvious changes in the shape of the breast sometimes indicates breast disease such as cancer or inflammatory breast cancer. The change of size, or shape of the breast often cause the breasts to appear asymmetrical, with one breast being noticeably larger than the other, or misshapen. The texture of the breast also changes, in addition to the shape and size. Small dimples appear, or bumps, on the surface of the skin of the breast.

Discharge: A bloody or pustular discharge coming from the nipples often indicates breast disease such as breast cancer, according to the Mayo Clinic. The evidence of this discharge usually denotes a malignant condition that requires immediate diagnosis in order to take proper steps in treating it.

Inverted Nipples:In conjunction with other symptoms, when the nipples appear inverted or flattened, breast diseases such as inflammatory breast cancer and breast cancer may be possible. The symptom often coincides with other symptoms such as pain and swelling.

Pain:Pain in the breasts and nipples, although indicative of several conditions and issues, can be a telltale sign of breast disease. When the pain accompanies such symptoms as nipple discharge, breast swelling or lumps, contact your physician.

Peeling of Skin:Peeling or flaking of the nipple skin, in conjunction with other indicative symptoms, is symptomatic of breast cancer and inflammatory breast cancer, according to the Mayo Clinic.

Lumps:Noticeable lumps in or surrounding breast tissue, such as underneath your arms, indicate both benign and malignant breast diseases. Lumps that come and go with a woman's menstrual cycle are normal hormonal occurrences, however, when lumps don't go away it may be indicative of malignant breast disease.

Swollen Lymph Nodes:lymph nodes under your arms, in your breasts and sometimes in your neck become swollen and hard when breast disease and other conditions are apparent. Lymph nodes swell to fight off infection, which is a normal function, but when the lymph nodes continue to swell without going down, contacting your doctor is necessary to make a diagnosis.

NOTE : If you have any of these symptoms, you should contact health care provider as soon as possible.
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Symptoms of Eye Problems

Signs and symptoms of eye disease are not only signals that something is amiss with your vision, they could also indicate ailments in other areas of your body. Indeed, many times an ophthalmologist can diagnose signs of such ailments as diabetes by a simple eye examination. Thus paying attention your eyes give can not only save your vision, but could also possibly save your life.

BleedingNever ignore bleeding, especially in the eyes. According to the Nethealthbook website, bleeding is always cause for alarm. It could be that a blood vessel is hemmorrhaging. In the case of a person with diabetes, it could be diabetic retinopathy, in which blood leaks from brittle vessels. If an ophthalmologist does not evaluate that condition right away, it could lead to blindness.

Not only could such bleeding in the eye be an indicator that something is awry with that part of the body, but it could also indicate problems elsewhere. As the Nethealthbook website points out, hemorrhaging from the retina could be a sign of a systemic blood vessel disorder.

Blind Spots:Blind spots could be an early sign of glaucoma. Sadly, often a patient doesn't even notice them until they invade his main area of vision. The Nethealthbook website notes that such spots could be an early sign of glaucoma. Evaluation by an eye doctor becomes key to avoiding irreversible blindness.

Blurred/Distorted Vision:Any change in vision is a sign that you should contact your ophtalmologist. This is true especially if you notice blurriness, distortion or clouding in any part of your vision. According to the Docshop website, it could be a common ailment such as astigmatism, which means that objects appear distorted because your cornea has assumed an abnormal shape. This could also be a sign of other common eye problems such as nearsightedness and farsightedness, which a pair of eyeglasses or contacts can fix.

Don't take it for granted, however, that your only problem is that you may need glasses or contacts. It could be that you could have the beginning signs of macular degeneration, a progressive eye disorder that leads to blindness if you leave it untreated.

Peripheral Vision Loss:According to the Docshop website, our peripheral vision is important in that it helps us discern danger from behind. Perhaps the best example of this is when you drive or ride a bicycle. You need to be able to see on either side of you. Thus if you notice a change in your side vision, go to an ophthalmologist and have them test the pressure behind your eyeballs; it could be glaucoma. If the doctor catches this early, he might be able to save your sight. By the time the disease causes pain, or that a significant amount of your vision is already gone, it is most likely too late.

NOTE : If you have any of these symptoms, you should contact health care provider as soon as possible.
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Symptoms of Heart Problems

Because there are many possible conditions that follow under the umbrella of heart disease, the related symptoms are numerous. But here are some key symptoms to be aware of:

Chest Pain or Chest Discomfort: Few symptoms are more alarming than chest pain. In the minds of many people, chest pain equals heart pain. And while many other conditions can cause chest pain, cardiac disease is so common - and so dangerous - that the symptom of chest pain should never be dismissed out of hand as being insignificant. "Chest pain" is an imprecise term. It is often used to describe any pain, pressure, squeezing, choking, numbness or any other discomfort in the chest, neck, or upper abdomen, and is often associated with pain in the jaw, head, or arms. It can last from less than a second to days or weeks, can occur frequently or rarely, and can occur sporadically or predictably. This description of chest pain is obviously very vague, and as you might expect, many medical conditions aside from heart disease can produce symptoms like this.

Lightheadedness or Dizziness:Episodes of lightheadedness or dizziness can have many causes, including anemia (low blood count) and other blood disorders, dehydration, viral illnesses, prolonged bed rest, diabetes, thyroid disease, gastrointestinal disturbances, liver disease, kidney disease, vascular disease, neurological disorders, dysautonomias, vasovagal episodes, heart failureand cardiac arrhythmias. Because so many different conditions can produce these symptoms, anybody experiencing episodes of lightheadedness or dizziness ought to have a thorough and complete examination by a physician. And since disorders of so many organ systems can cause these symptoms, a good general internist or family doctor may be the best place to start.

Syncope (Fainting/Loss of Consciousness):Syncope is a sudden and temporary loss of consciousness, or fainting. It is a common symptom - most people pass out at least once in their lives - and often does not indicate a serious medical problem. However, sometimes syncope indicates a dangerous or even life-threatening condition, so when syncope occurs it is important to figure out the cause.

The causes of syncope can be grouped into four major categories: neurologic, metabolic, vasomotor and cardiac. Of these, only cardiac syncope commonly leads to sudden death.

Fatigue, Lethargy or Daytime Sleepiness:Fatigue, lethargy or somnolence (daytime sleepiness) are very common symptoms. Fatigue or lethargy can be thought of as an inability to continue functioning at one's normal levels. Somnolence implies, in addition, that one either craves sleep - or worse, finds oneself suddenly asleep, a condition known as narcolepsy - during the daytime. While fatigue and lethargy can be symptoms of heart disease (particularly, of heart failure), these common and non-specific symptoms can also be due to disorders of virtually any other organ system in the body. Similar to lightheadedness and dizziness, individuals with fatigue and lethargy need a good general medical evaluation in order to begin pinning down a specific cause. Somnolence is often caused by nocturnal sleep disorders such as sleep apnea, restless leg syndrome or insomnia. All these sleep disturbances, however, are more common in patients with heart disease.

Shortness of Breath:Shortness of breath is most often a symptom of cardiac or pulmonary (lung) disorders. Heart failure and coronary artery disease frequently produce shortness of breath. Patients with heart failure commonly experience shortness of breath with exertion, or when lying flat on their backs. They also can suddenly wake up at night gasping for breath, a condition known as paroxysmal nocturnal dyspnea. Other cardiac conditions such as valvular heart disease or pericardial disease can produce this symptom, as can cardiac arrhythmias.Numerous lung conditions can produce shortness of breath including asthma, emphysema, bronchitis, pneumonia, or pleural effusion (a fluid accumulation between the lung and chest wall). Shortness of breath is almost always a sign of a significant medical problem, and should always be evaluated by a doctor.

NOTE : If you have any of these symptoms, you should contact health care provider as soon as possible.
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Symptoms of Intestinal Problems
  • Abdominal swelling
  • Constipation
  • Severe abdominal cramps
  • Intermittent abdominal cramps
  • Vomiting
  • Green vomit
  • Fecal vomiting - vomit that looks like feces
  • Blood-stained mucus passed
  • Passing jelly-like mucus
NOTE : If you have any of these symptoms, you should contact health care provider as soon as possible.
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Symptoms of Kidney Problems
Many people who have chronic kidney disease don’t know it, because the early signs can be very subtle. It can take many years to go from chronic kidney disease (CKD) to kidney failure. Some people with CKD live out their lives without ever reaching kidney failure. However, for people at any stage of kidney disease, knowledge is power. Knowing the symptoms of kidney disease can help you get the treatment you need to feel your best. If you or someone you know has one or more of the following symptoms of kidney disease, or you are worried about kidney problems, see a doctor for blood and urine tests. Remember, many of the symptoms can be due to reasons other than kidney disease. The only way to know the cause of your symptoms is to see your doctor.

Symptom 1 : Change in Urination

  • Kidney make urine, so w2hen the kidneys are failing, the urine may change. How?
  • You may have to get up at night to urinate
  • Urine may be foamy or bubbly. You may urinate more often, or in greater amounts than usual, with pale urine
  • You may urinate less often or in smaller amounts than usual with dark colored urine.
  • Your urine may contain blood
  • You may feel pressure or have difficulty urinating.

Symptom 2: Swelling Failing kidneys don’t remove extra fluid, which builds up in your body causing swelling in the legs, ankles, feet, face, and/or hands.

Symptom 3: Fatigue Healthy kidneys make a hormone called erythropoietin (a-rith’-ri-po’-uh-tin) that tells your body to make oxygen-carrying red blood cells. As the kidneys fail, they make less erythropoietin. With fewer red blood cells to carry oxygen, your muscles and brain become tired very quickly. This condition is called anemia, and it can be treated.

Symptom 4: Skin Rash/Itching Kidneys remove wastes from the bloodstream. When the kidneys fail, the buildup of wastes in your blood can cause severe itching.

Symptom 5: Metallic Taste in Mouth/Ammonia Breath A buildup of wastes in the blood (called uremia) can make food taste different and cause bad breath. You may also notice that you stop liking to eat meat, or that you are losing weight because you just don’t feel like eating.

Symptom 6: Nausea and Vomiting A severe buildup of wastes in the blood (uremia) can also cause nausea and vomiting. Loss of appetite can lead to weight loss.

Symptom 7: Shortness of Breath Trouble catching your breath can be related to the kidneys in two ways. First, extra fluid in the body can build up in the lungs. And second, anemia (a shortage of oxygen-carrying red blood cells)can leave your body oxygen-starved and short of breath.

Symptom 8: Feeling Cold Anemia can make you feel cold all the time, even in a warm room.

Symptom 9 : Dizziness and Trouble Concentrating Anemia related to kidney failure means that your brain is not getting enough oxygen. This can lead to memory problems, trouble with concentration, and dizziness.

Symptom 10 : Leg/Flank Pain Some people with kidney problems may have pain in the back or side related to the affected kidney. Poly cystic kidney disease, which causes large, fluid-filled cysts on the kidneys and sometimes the liver, can cause pain.

NOTE : If you have any of these symptoms, you should contact health care provider as soon as possible.
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Symptoms of Liver Problems

Liver problems can range from mild liver congestion to a serious liver disease. Depending on the problem, many people are unaware they have a liver problem and may only have vague symptoms. One of the most common symptoms is chronic tiredness. These people generally feel lethargic and sluggish during the day, especially in the morning.
Due to the fact that the liver is one of the hardest working organs in the body and has many roles, there are a number of problems that can occur with the liver. The three main categories these problems fall into are:

1) Disease of the liver cells
2) Problems producing or secreting bile
3) Problems with detoxification
How do you know if you have a liver problem?
Tests are available through standard pathology labs that measure liver enzymes, total protein, albumin and bilirubin. Although these tests are called liver 'function' tests, they indicate whether the liver is damaged rather than how it is functioning. In other words, they are used to detect liver diseases, such as hepatitis and cirrhosis as well as liver cells being damaged from viruses, bacteria, alcohol, drugs and so on. These tests are not useful in detecting mild problems with liver congestion and sluggish detoxification. This is best done by observing your symptoms. However, it is important to consult your practitioner and have the tests performed anyway, just to rule out the possibility of liver disease. An ultrasound can detect if there is a blockage in the bile duct. This is most commonly caused by the presence of gallstones in the biliary duct. It is estimated that around 10-20% of people over 40 years of age have gallstones and their presence is linked to a high fat, low fibre diet. The presence of gallstones in the bile duct typically causes nausea and pain. Bile flow can also be impaired through the liver, however this can be difficult to detect with standard testing.

General symptoms that can indicate a liver problem

  • Feel tired and unrefreshed when you wake up
  • Energy levels fluctuate throughout the day, with your tiredness becoming worse around mid-morning and/or mid-afternoon
  • Difficulty losing weight
  • Frequent headaches
  • Bad breath, digestive problems, bloating, gas, indigestion
  • Allergies and intolerances to foods that are worsening as time goes on
  • Reactions to many chemicals including cleaning products, petrol, paint, perfumes, bleaches, etc.
  • Problems digesting fatty/creamy/oily foods. They can make you feel unwell, nauseous or cause heart burn and reflux
  • A yellowish tinge to the skin, eyes and palms of the hands
  • Reactions to drugs, in particular headache tablets, antibiotics and anti-histamines
  • An intolerance to alcohol. Either you get drunk very quickly or you have bad hangovers that are out of proportion to the amount of alcohol you have drunk
  • Caffeine gives you a strong buzz and can keep you awake for hours
  • When you eat asparagus, you have a funny smell in your urine
  • Skin problems such as acne, eczema, psoriasis, general rashes, itchy skin
  • Hot flushes that feel as if they rise up from the torso towards the head
  • You frequently wake up around 1-3am in the morning.
NOTE : If you have any of these symptoms, you should contact health care provider as soon as possible.
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Symptoms of Lung Problems
How to Know if There is Something Wrong with Your Lungs

Early signs of lung disease can be easy to overlook. Often people with early lung disease just say they don't have much energy.
Some common signs of lung disease include:

  • trouble breathing
  • shortness of breath
  • feeling like you're not getting enough air
  • a decreased ability to exercise
  • a cough that won't go away
  • coughing up blood or mucus
  • pain or discomfort when breathing in or out
If you have any of these symptoms, call your doctor immediately.

NOTE : If you have any of these symptoms, you should contact health care provider as soon as possible.
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Symptoms of Nerves Problems

The list of signs and symptoms mentioned in various sources for Nerve conditions includes the 6 symptoms listed below:

  • Pain
  • Paresthesia: Paresthesia is an abnormal condition in which a person feels a sensation of burning, numbness, tingling, or prickling.
  • Pain on movement of limbs
Muscle weakness:  is a symptom of a wide variety of mild to serious diseases, disorders and conditions Muscle weaknesscan result frominfection,traumamalignancy,autoimmune diseases, and other abnormal processes.

Bladder incontinence:  The inability to control ones bladder function.

Bowel incontinence
:  Loss of full control of the bowel.
NOTE : If you have any of these symptoms, you should contact health care provider as soon as possible.
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Symptoms of Nose Problems

The list ofsignsand symptomsmentioned in various sources forNose conditionsincludes the 10 symptoms listed below:

  • Nose bleeds
  • Nose pain
  • Nose swelling
  • Dysfunction of smell
  • Difficulty breathing
  • Nose deformity
  • Nose lump
  • Nasal discharge
  • Headaches
  • Nose bruising
NOTE : If you have any of these symptoms, you should contact health care provider as soon as possible.
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Symptoms of Pancreas Problems

Pancreas is a very important organ of our body, in fact it is the largest organ of our body which plays a major role in the digestion as it releases digestive juices and enzymes in the intestine so that the food is digested and the nutritional elements are absorbed by the walls of the intestine and they are ultimately assimilated in the blood for the use of the human body. Pancreas also produces Insulin, which plays a major role in balancing the sugar level in human body. However there are several disorders that ail the Pancreas and in turn ail the individual. A disorder can be identified by the symptoms and here we would discuss some of such symptoms.

Disorders of the Pancreas 
There are various diseases that can affect the Pancreas which are as follows:

  • Chronic Pancreatitis
  • Acute Pancreatitis
  • Pancreatic Cancer
  • Pancreatic Tumor
  • Diabetes mellitus
Here we will discuss about the symptoms of some of these disorders. Symptoms at times are misleading therefore it is important to diagnose the disease properly to treat the disorder properly. Symptoms of Pancreatic Cancer In case of Pancreatic Cancer the symptoms vary with the stage the cancer is in and also on the location that is effected by the cancer. The symptoms at an early stage can include the following:
  • Loss of Appetites
  • Stomach Ache
  • Loss of weight
  • Backache
  • Jaundice
  • Frequent Fevers
  • Itch in the body parts
Jaundice attracts the attention of most of the patients and that is when they consult doctors otherwise patients tend to take all the other symptoms lightly. Symptoms of Acute Pancreatitis Acute Pancreatitis is a term used for that condition in which the organ swells up and the symptoms that can warn you about the disorder are as follows:
  • Trauma
  • Hereditary factors
  • Consumption of Alcohol
  • Consumption of Drugs
  • Presence of blood fats
  • Gallbladder Disorder
  • pain in the abdominal Area
  • Vomiting
  • Rapid Pulse Rate
  • Fever
  • Low Blood Pressure
  • Dehydration

Symptoms of Chronic Pancreatitis 
Most of the symptoms of Chronic Pancreatitis are same as Acute Pancreatitis but then there are some that prove that the stage of Chronic Pancreatitis is actually an advanced stage of Pancreatic disorder. Here are some of the following:

  • Pain in the abdomen
  • Loss of Weight
  • Malabsorption
Malabsorption occurs since the pancreas fail to work properly and therefore it doesn’t release the pancreatic juices and enzymes. The food is not broken down neither are the nutritional elements absorbed, thus resulting into malabsorption. The pain in the abdomen is the common symptoms in case of all pancreatic disorders and can be sudden and severe. It is mainly in the center of the abdomen where the pancreas is located and then spreads in the whole of upper and lower abdomen. It should be observed if the pain occurs only after eating something of it does then it is a sure sign of pancreatic disorder. Another common symptom is increase pain when the individual lies down on his back. Since pancreatic disorder affect the eating and digestion of food, pukish feeling is very common because the body wants to get rid of the food that it has eaten. Pancreatic Problems also lead to problems in the liver. There are many associated disorders, which ail the human body if Pancreas malfunctions.
NOTE : If you have any of these symptoms, you should contact health care provider as soon as possible.
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Symptoms of Spinal Cord Problems

The list ofsignsand symptomsmentioned in various sources forSpinal Cord Disordersincludes the 14 symptoms listed below:

  • Back pain
  • Leg pain
  • Hip pain
  • Spinal deformity
  • Abnormal spinal curvature
  • Back paresthesia
  • Thigh paresthesia
  • Leg paresthesia
  • Bowel incontinence
  • Bladder incontinence
  • Sexual dysfunction
  • Decreased mobility
  • Pain on movement
  • Decreased leg muscle strength
NOTE : If you have any of these symptoms, you should contact health care provider as soon as possible.
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Symptoms of uterus Problems

The signs of a uterine infection can include: 

  • A fever (above 38o Celsius) and a rapid pulse (above 100 beats per minute).
  • Lower abdominal pain, with the uterus being tender to touch, when the belly is felt.
  • The vaginal blood loss smelling offensive, or looking like it has greenish, yellow pus mixed with it.
  • Possibly heavier bleeding.
  • Possibly a headache, sweats and 'the shakes' (known as 'rigors').
Uterine infections can be caused by hospital acquired bacteria, or bacteria the woman is already carrying (such as gardnerella). However, it is often hard to pinpoint the actual bacteria causing the infection, because of the difficulty in taking a laboratory swab test of the inside of the uterus. It is believed that most cases of endometritis are caused by a combination of different bacteria.
NOTE : If you have any of these symptoms, you should contact health care provider as soon as possible.
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