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Q: If you think you may have a prolapsed bladder, schedule an appointment with your primary care physician or gynecologist. Be prepared to give your doctor as much information as possible, including a complete medical history and a detailed description of your symptoms. As a first step, your doctor will probably perform a routine gynecological exam. In this exam, the cystocele is detected by applying a speculum (a tool for inspecting body orifices) against the posterior (back) vaginal wall while you lie back with your knees bent and ankles supported by stirrups. The physician will likely ask you to "bear down" (as if you were pushing during childbirth or having a bowel movement) or cough. If a cystocele is present, the doctor will see or feel a soft mass bulging into the anterior (front) vaginal wall when you strain.  A bladder that has ended up in the vagina is considered positive diagnosis of a prolapsed bladder.  In some cases, in addition to performing the standard pelvic exam, your doctor may want to examine you standing up. It can be beneficial to evaluate a prolapse from different positions. If your doctor notices a prolapse in the back wall of your vagina, she is likely to also perform a rectal exam. This will help her determine the strength of your muscles. You don't need to prepare for this examination in any way and it should not take very long. You may feel slight discomfort during the pelvic exam, but for many women this is just a routine exam much like having pap smears. Your doctor will likely recommend tests known as cystometrics or urodynamics.  A cystometric study measures how full your bladder is when you first feel the need to urinate, when your bladder feels "full," and when your bladder is actually completely full.  Your doctor will ask you to urinate into a container that is connected to a computer, which will take some measurements. Then you will lie on an examination table and the doctor will insert a thin, flexible catheter into your bladder. Urodynamics is a set of tests. It includes measured voiding (aka uroflow), which will time how long it takes you to start urinating, how long urination takes to complete, and how much urine you produce. It also includes cystometry, as mentioned above. It will also include a voiding or emptying phase test. In most urodynamics tests, your doctor will place a thin, flexible catheter into the bladder, which will remain in place as you urinate. A special sensor will gather data for your doctor to interpret. In some cases, usually when your prolapse is more severe, your doctor may recommend additional tests. Common additional tests include:   Urinalysis - In a urinalysis, your urine will be tested for signs of infection (such as a UTI). The doctor will also test your bladder to see if it empties completely. This is done by inserting a catheter (tube) into a woman's urethra to remove and measure the amount of remaining urine after voiding, the post-void residual (PVR). A PVR of more than 50-100 milliliters is diagnostic for urinary retention, one of the symptoms of a prolapsed bladder.   Ultrasound with PVR - An ultrasound test sends out sound waves that bounce off the bladder and back to the ultrasound machine, producing in the process an image of the bladder. This image also shows the amount of urine remaining in the bladder after urination, or voiding.   Voiding cystourethrogram (VCUG) – This is a test in which a doctor takes x-rays during urination (voiding) to view the bladder and evaluate problems. A VCUG shows the shape of the bladder and analyzes urine flow to pinpoint any potential blockages. The test can also be used to diagnose stress urinary incontinence masked by a cystocele. It is important to make this dual diagnosis, as the patient will also need an incontinence procedure in addition to a cystocele repair (if surgery is needed). Once your doctor confirms the presence of a prolapsed bladder, you should ask for a more detailed diagnosis. Cystoceles are divided into categories based on severity. The best course of treatment will depend on what kind of cystocele you have, as well as the symptoms it is causing in your life. Your prolapsed bladder may fall into any of the following “grades”:  Grade 1 prolapses are mild. If you have a Grade 1 cystocele, only part of your bladder is descending into your vagina. You may exhibit mild symptoms such as slight discomfort and urine leakage, but some women don't exhibit any symptoms. Treatment may consist of Kegel exercises, rest, and avoidance of heavy lifting or straining. If you are postmenopausal, estrogen replacement therapy is also a consideration. Grade 2 prolapses are moderate. If you have a Grade 2 cystocele, the entire bladder descends into the vagina. It may reach so far that it touches the vaginal opening. Symptoms such as discomfort and urinary incontinence become moderate.  Surgery to repair the cystocele may be warranted, but you may be able to get adequate symptom relief with a vaginal pessary (a small plastic or silicone device that you place inside your vagina to hold the walls in place). Grade 3 prolapses are severe. If you have a Grade 3 cystocele, part of the bladder actually bulges  through the vaginal opening. Symptoms such as discomfort and urinary incontinence become severe. Cystocele repair surgery and/or pessary as with a grade 2 cystocele is required. Grade 4 prolapses are complete. If you have a Grade 4 cystocele, the entire bladder descends through the vaginal opening. In these cases, you may experience other severe problems, including uterine and rectal prolapses.
A: Make an appointment with a physician. Have a pelvic exam. Have further testing if you are experiencing bleeding, incontinence, or sexual dysfunction. Talk to your doctor about additional testing. Get a specific diagnosis.

Article: They will all deliver the omega 3 fatty acids so form is  a matter of preference. The oil tends to be more “fishy” and the powders often contain other vitamins or minerals. Depending on the dose, capsules can be large, but most are enteric coated. Enteric coated means the capsule will not dissolve until it reaches the intestine. This helps alleviate upset stomach or having a “fishy” taste in your mouth. Some supplements will have more than just omega 3 fatty acids. They may also have vitamins, minerals, herbs or other nutrients. Always check the label to make sure you know exactly what is in the supplement to avoid taking anything you are unsure of. The FDA regulates supplements, but not as strictly as drugs. It is important to check the supplement to ensure you can trust taking it. You want to avoid anything that might be high in mercury or other environmental contaminants. Most companies will put information on purity testing on their label. If you don’t find any information on this, you should consider another supplement.
Question: What is a summary of what this article is about?
Choose the best form for the supplement. Be wary of other ingredients. Check for purity testing.