Dr. Kavitha

As human beings are called as a bipedal animal, we must make use of our legs to walk and move here and there which is not at all happening because of vehicle usage and advent of transport media.
Walking a good distance say 3-5 km on a daily basis is must if you really want to get a strong spine, strong legs and good cardiac compliance and resilient body.
In defence, the word'parade' is used and practiced so much so that every defence personnel develops the habit of walking and thus maintain their fitness.
The first thing that the child learns is crawling and then later on standing and walking a good distance and the toddler just run in-house as this is one of the most natural ways of our existence. Remember walking is the first milestone before talking that's how probably walk the talk is more relevant as per the milestone development theory, isn't it!
Daily walking increase levels of endorphins, activates glucagon and reduces insulin thus achieves the best balance and rejuvenation.
Walk is a simple exercise to carry out and during pregnancy, it is safe and more easy to keep good muscle tone.
Cycling too is good leg and back activity but more strenuous than walk.

Pneumonia is a lung infection that affects one or both lungs. It can be triggered by bacteria, virus or fungi and causes inflammation in the lung’s air sacs that make it difficult to breathe. Pneumonia can range from a mild infection to being a life threatening condition. This severity depends on the age and general health of the patient along with the cause of the inflammation and type of infection.
Pneumonia can be classified in many ways. There are three main types of pneumonia based on the type of microbe that causes the infection; bacterial, viral and mycoplasmic pneumonia.

1. Bacterial Pneumonia: Streptococcus pneumonia is the most common cause of bacterial pneumonia. It can affect people at any age and can develop on its own or be triggered by flu. A weak immune system increases the risk of suffering from this condition. Breathlessness and pain while breathing are some of the symptoms associated with this type of pneumonia.
2. Viral Pneumonia: When it comes to young children and the elderly, pneumonia is often caused by respiratory viruses. This type of pneumonia is short lived but the virus that triggers the infection can be fatal. Viral pneumonia can be extremely harmful to pregnant women and individuals with heart or lung issues.
3. Mycoplasma pneumonia: This is also known as atypical or walking pneumonia. It affects people of all age groups but is commonly seen in cases where the patient is below 40 years of age. Mycoplasma pneumonia cases are usually mild with a persistent cough being the most prominent symptom.

Pneumonia is not always caused by microbes. Aspiration pneumonia can be contacted by inhaling a foreign object such as food, drinks or regurgitated food into the lungs. This type of pneumonia affects the elderly and people under sedation or anesthesia. Along with breathing difficulties, it also causes a decreased gag reflex and difficulty swallowing food.

Though it is not possible to completely prevent pneumonia, the risks of contacting this disease can be easily lowered. Some of the steps you could take to lower your chance of suffering from this disease are:

1. Avoid close contact with people suffering from viral infections like flu, colds, etc.
2. Wash your hands often to prevent the spreading of viruses and bacteria
3. Stop smoking and avoid exposure to second hand smoke
4. Get vaccinated against the bacteria that cause pneumonia
5. Get vaccinated against flu to prevent seasonal colds
6. Exercise regularly and follow a healthy diet. If you wish to discuss about any specific problem, you can ask a free question.

Since long, ailments which can hamper your physical intimacy with your partner are of grave concern and amongst these premature ejaculation tops the list. Thus it is important that you discuss it out with your partner along with a therapist and resolve it through medical help. 

It is important that we understand what is premature ejaculation in order. Premature ejaculation is uncontrolled ejaculation either before or shortly after penetration.It may result in unsatisfactory intercourse for both partners. This can increase the anxiety of that person. It is one of the most common forms of male sexual dysfunction.
 
What are the causes behind PE?
The exact cause of premature ejaculation is unknown, but it's often rooted in physical, psychological, or emotional issues. In some cases, it may be related to a medical cause such as hormonal problems, injury, or a side effect of certain medicines.

Other causes may include:

• Early experiences with masturbation and sex.
• Erectile Dysfunction.
• Relationship problems.
• Intercourse with a new partner.

What are the symptoms?: The primary symptom of premature ejaculation is the inability to delay ejaculation for more than one minute after penetration. The main symptom is an uncontrolled ejaculation either before or shortly after intercourse begins. Ejaculation occurs before the person wishes it, with minimal sexual stimulation.
 
How it is diagnosed?: Premature ejaculation is diagnosed based on typical symptoms. To understand your problem, your doctor will need to discuss your sexual history with you. Be frank and open. The more your doctor knows, the better he or she can help you.
 
How it is treated?: In many cases premature ejaculation gets better on its own over time. Treatment may not be needed. But there are some serious conditions that need to be treated. If you are suffering from depression you should take medications to remove your depression, such as Paxil (paroxetine), Zoloft (sertraline), and Prozac (fluoxetine).

Practicing relaxation techniques or using distraction methods may help you delay ejaculation. You can try using a condom to reduce sensation to the penis. Or you can try a different position (such as lying on your back) during intercourse.

These therapies may be used together in different combinations to treat premature ejaculation and in turn improve your self-esteem and sex life. Behavioral therapy is one possible approach for treating premature ejaculation. Most commonly, the 'squeeze technique' is used. Some men with premature ejaculation may benefit from drugs called phosphodiesterase inhibitors, such as sildenafil (Viagra), vardenafil (Levitra), and tadalafil (Cialis). If you wish to discuss any specific problem, you can consult a sexologist.