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Treatment Of Erectile Dysfunction
Skin Care Treatment
Treatment of Migraine Treatment
Treatment of Neurological Problems
Weight Management Treatment
Piles Treatment (Non Surgical)
Sexually Transmitted Disease (Std) Treatment
Cysts Removal Procedure
Treatment Of Pregnancy Problems
Well Woman Healthcheck
Thyroid Problems Treatment
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Dear Sir/ Mam, Is it possible the size of the human heart goes increase. If yes please let me know the reason of this and what are teh remedies of maintain the size within the normal limit. Regards,
I have problem of my skin like when I come outside from house in presence of sunlight my face becomes red and allergy can you please say what to do?
I am 24 year old, I have query related to pain in heels, that whenever I have to stand for 15 minutes or more I start feeling pain in my heels. Please suggest me what should I do?
My partner is suffering from Crohn disease/IBD, (Crohn’s disease is a chronic inflammatory condition of the gastrointestinal tract) for last few years. Is there any treatment in ayurvedic. Is it curable?
My brother is so concerned about his skinny body. Is there any home remedy that help him out to gain weight and also please prescribe some of the market products (weight gainers) those without any side effect help him to gain weight?
I am 29 mother of a 5 years old boy. My scalp is very oily and the next day after washing my hair my scalp gets very itchy. So I have to wash my hairs every alternate day due to which my hairs are falling a lot. Kindly suggest what to do.
I am 35 year old male, my problem is that, my head hair 80% falls and now can see bald patches. Secondly I can't sleep properly since last one year. Please say something.
My penis is too short and I also have time problem I will discharge within 2 3 minutes what can I do for increasing sex time and penis.
I am 23 year old female. I have lot of acne marks on my cheeks. I have tried lot of products but no result. Please suggest me wht should I use for acne removal.
I feel very very lazy nowadays and I am sleeping a lot even at day and at night. Still I am not energetic to carry with my work. What should I do?
My height and weight is totally differs my shoulders and chest looks very thin even my body also. I have eating disorders problems. I also had habit of masturbation. Now Tell what do grow my arms and shoulders fit and strong. Chest Also be strong. What to do? What are the overall reasons for this cause?
My penis foreskin is very loose. I feel pleasure while I masturbate. But its very loose. Is it good to have a loose foreskin or bad?
I'm in love with a divorcee. I want to marry her as we do share a good bonding & relationship. But I am worried about my future sex life and about my children. Her previous relationship lasted for 10 years & she don't have any kid from that relationship so because of this reason she got divorced. Presently we are enjoying good relation physically & mentally but just worried about future uncertainties like Hiv. I mean if we have unsafe sex can I come in contact with this disease. If I have safe sex how can we have kids. I'm very confused Please do advice me in this please. She is 9 years elder to me her age is 31 years.
I m losing hair very quickly and have tried all shampoo but no effect yet. I m not sure what else can I do.
Mujhe baar baar ear saaf Karne ki Aadat hai esa lagta hai ear main wax ho gaya hai aur ear main khujli bhi hoti hai vese ear kite samaye bada saaf karna chaiye.
Facing erectile dysfunction. Also premature ejaculation though I'm healthy 38 years old & rarely drink & do not smoke.
Sinusitis: Management and Prevention
Sinusitis is infl ammation of the mucous membranes lining one or more of the paranasal sinuses. The various presentations are as folllows:
● acute sinusitis: infection lasting less than 30 days, with complete resolution of symptoms
● subacute infection: lasts from 30 to 90 days, with complete resolution of symptoms
● recurrent acute infection: episodes of acute infection lasting less than 30 days, with resolution of symptoms, which
Recur at intervals of at least 10 days apart
● chronic sinusitis: infl ammation lasting more than 90 days, with persistent upper respiratory symptoms
● acute bacterial sinusitis superimposed on chronic sinusitis:
New symptoms that occur in patients with residual symptoms from prior infection (s). With treatment, the new symptoms resolve but the residual ones do not.
Physical findings and clinical presentation
● patients often give a history of a recent upper respiratory illness with some improvement, then a relapse.
● mucopurulent secretions in the nasal passage
● purulent nasal and postnasal discharge lasting more than 7 to 10 days
● facial tightness, pressure, or pain
● nasal obstruction
● decreased sense of smell
● purulent pharyngeal secretions, brought up with cough, often worse at night
● erythema, swelling, and tenderness over the infected sinus in a small proportion of patients
● diagnosis cannot be excluded by the absence of such findings.
● these fi ndings are not common, and do not correlate with number of positive sinus aspirates.
● intermittent low-grade fever in about one half of adults with acute bacterial sinusitis
● toothache is a common complaint when the maxillary sinus is involved.
● periorbital cellulitis and excessive tearing with ethmoid sinusitis
● orbital extension of infection: chemosis, proptosis, impaired extraocular movements.
Characteristics of acute sinusitis in children with upper respiratory tract infections:
● persistence of symptoms
● bad breath
● symptoms of chronic sinusitis (may or may not be present)
● nasal or postnasal discharge
● facial pain or pressure
● nosocomial sinusitis is typically seen in patients with nasogastric tubes or nasotracheal intubation.
● each of the four paranasal sinuses is connected to the nasal cavity by narrow tubes (ostia), 1 to 3 mm in diameter; these drain directly into the nose through the turbinates. The sinuses are lined with a ciliated mucous membrane (mucoperiosteum).
● acute viral infection
● infection with the common cold or infl uenza
● mucosal edema and sinus infl ammation
● decreased drainage of thick secretions, obstruction of the sinus ostia
● subsequent entrapment of bacteria
A. Multiplication of bacteria
B. Secondary bacterial infection
Other predisposing factors
● foreign bodies
● congenital choanal atresia
● other entities that cause obstruction of sinus drainage
● dental infections lead to maxillary sinusitis.
● viruses recovered alone or in combination with bacteria (in 16% of cases):
● parainfluenza virus
● respiratory syncytial virus
● the principal bacterial pathogens in sinusitis are streptococcus pneumoniae, nontypeable haemophilus influenzae, and moraxella catarrhalis.
● in the remainder of cases, fi ndings include streptococcus pyogenes, staphylococcus aureus, alpha-hemolytic streptococci, and mixed anaerobic infections (peptostreptococcus, fusobacterium, bacteroides, prevotella).
Infection is polymicrobial in about one third of cases.
● anaerobic infections seen more often in cases of chronic sinusitis and in cases associated with dental infection; anaerobes are unlikely pathogens in sinusitis in children.
● fungal pathogens are isolated with increasing frequency in immunocompromised patients but remain uncommon
Pathogens in the paranasal sinuses. Fungal pathogens include aspergillus, pseudallescheria, sporothrix, phaeohyphomycoses, zygomycetes.
● nosocomial infections occur in patients with nasogastric tubes, nasotracheal intubation, cystic fi brosis, or those who are immunocompromised.
● s. Aureus
● pseudomonas aeruginosa
● klebsiella pneumoniae
● enterobacter spp.
● proteus mirabilis
Organisms typically isolated in chronic sinusitis:
● s. Aureus
● s. Pneumoniae
● h. Infl uenzae
● p. Aeruginosa
● migraine headache
● cluster headache
● dental infection
● trigeminal neuralgia
● water’s projection: sinus radiograph
● ct scan
● much more sensitive than plain radiographs in detecting acute changes and disease in the sinuses
● recommended for patients requiring surgical intervention, including sinus aspiration; it is a useful adjunct to
● used for diagnosis of frontal and maxillary sinusitis
● place transilluminator in the mouth or against cheek to assess maxillary sinuses, and under the medial aspect of the supraorbital ridge to assess frontal sinuses.
● absence of light transmission indicates that sinus is filled with fluid.
● dullness (decreased light transmission) is less helpful in diagnosing infection.
● used to visualize secretions coming from the ostia of infected sinuses
● culture collection via endoscopy often contaminated by nasal flora; not nearly as good as sinus puncture
● sinus puncture
● gold standard for collecting sinus cultures
● generally reserved for treatment failures, suspected intracranial extension, nosocomial sinusitis.
Treatment Nonpharmacologic therapy
● sinus drainage
● nasal vasoconstrictors, such as phenylephrine nose drops, 0.25% or 0.5%
● topical decongestants should not be used for more than a few days because of the risk of rebound congestion.
● systemic decongestants
● nasal or systemic corticosteroids, such as nasal beclomethasone, short-course oral prednisone
● nasal irrigation, with hypertonic or normal saline (saline may act as a mild vasoconstrictor of nasal blood fl ow)
● use of antihistamines has no proved benefi t, and the drying effect on the mucous membranes may cause crusting,
Which blocks the ostia, thus interfering with sinus drainage.
● analgesics, antipyretics.
● most cases of acute sinusitis have a viral cause and will resolve within 2 weeks without antibiotics.
● current treatment recommendations favor symptomatic treatment for those with mild symptoms.
● antibiotics should be reserved for those with moderate to severe symptoms who meet the criteria for diagnosis of
● antibiotic therapy is usually empirical, targeting the common pathogens.
● first-line antibiotics include amoxicillin, tmp-smz.
● second-line antibiotics include clarithromycin, azithromycin, amoxicillin-clavulanate, cefuroxime axetil, loracarbef, ciprofloxacin, levofloxacin.
● for patients with uncomplicated acute sinusitis, the less expensive first-line agents appear to be as effective as the
Costlier second-line agents.
● surgical drainage indicated
● if intracranial or orbital complications suspected
● for many cases of frontal and sphenoid sinusitis
● for chronic sinusitis recalcitrant to medical therapy
● surgical débridement imperative for treatment of fungal sinusitis
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Since flax seed contain full of healthy fat and fiber, it will help you feel satisfied for longer so you will eat less calories, which helps you to lose weight naturally. Omega-3 fatty acid present in seeds will help you to lose weight in a healthy way.
2. Lower cholesterol:
The soluble fiber present in flax seed will trap fat & cholesterol in digestive system and make it unable to absorb in the body.
3. Improve digestion:
Omega-3 fatty acids present in flax seeds helps to protect the digestive track. The fiber present in flax seed provides bulk to your stool and helps to cleans waste from your body.
Consuming 1 tsp flax seed everyday helps to maintain your blood sugar level normal.
5. Rich in anti-oxidants:
The other nutrition fact is flax seeds are also packed with anti-oxidants. It also helps for the growth of probiotics in the gut. Seeds are also known for antibacterial and anti-viral properties.