One thing that can put away talking to someone very interesting is bad breath. And it is not an uncommon problem. While most just try to use mouth wash and chewing gums to keep it away, it is important to note that bad breath can be a sign of underlying causes, both in the mouth and the body as a whole. 

Identifying the reason can help in early diagnosis and prompt treatment of the actual disease condition.


There could be oral and general causes for bad breath or halitosis as it is medically called. Food habits and other lifestyle habits including smoking can also lead to bad breath.


Oral causes


- presence of food debris in a moist environment (saliva) is ideal for the oral bacteria to act on the food particles and break them down. This causes a bad breath, when it leads to plaque formation and it then calcifies into a hardened substance called calculus. Plaque and calculus are the main ingredients for tooth decay and periodontal disease.
- severe tooth decay leads to bad breath as does periodontal infections. In severe cases, there could even be abscess formation in the root area of the tooth with pus formation 
- unclean dentures are another source of halitosis. There could be food lodged in between teeth or the undersurface of the denture, leading to bad breath.
- dry mouth or xerostomia - certain diseases and drugs can lead to dry mouth with reduced amounts of saliva. Saliva has a natural flushing effect on the bacteria, and in its absence, the bacteria thrive, leading to a bad odour.


General health: chronic diseases like gastroesophageal reflux disease, digestive disorders, liver disorders, cancer, and diabetes can lead to bad breath. 


Others:
- long-term smoking and/or chewing tobacco and alcohol are also reasons for bad breath.
- crash diets: people on low-carb diets can have a bad breath, owing to burning of the fat and producing ketones, which have a strong smell.
- medications: nitrates to reduce angina, chemotherapy agents for cancer, phenothiazines for anxiety can all lead to bad breath. They reduce saliva and/or release chemicals causing bad breath.


Management: the first step in managing halitosis is to nail the cause down, which makes it easier to treat.
- start with oral hygiene check, and if there is decay or gum disease, consider restorations and cleaning.
- mouth rinses can be used in the maintenance phase.
- cessation of tobacco use should be considered.
- general health conditions like gerd should be managed
- artificial saliva in cases of xerostomia
- alternative medications if they are causing the bad breath


Oral breath is definitely embarrassing but can be managed very easily.

Chronic Bad Breath - Causes and Management

Contraception is not only restricted to married couples in today's world. Most of the young couples refrain from seeking medical advice for contraception may be because of social concerns or simply because they feel hesitant and shy.

There are many contraceptive pills available over the counter which youngsters are tempted to buy and use as it seems to be the easy way out. Frequent and improper use of such emergency pills can lead to a lot of hormonal disturbances and the menstrual cycle goes topsy turvy. Then the dilemma starts. As it becomes difficult to interpret the cycle dates and erratic bleeding which happens is disturbing.

In my practice I have seen many young girls popping in pills randomly every now and then. Sometimes at weekly intervals as they are unable to manage the stress of their relationship getting disturbed. What youngsters should try and understand is there is nothing wrong in having pills for contraception but it should be done with proper guidance and the selection of the right pill for that particular individual is important which can be done easily by getting into consultation with a doctor. Need not necessarily be a gynecologist always.

Emergency pills are ok for once in a blue moon kind of use. But it should not become a habit.


Misuse Of Emergency Contraceptive Pills

8 Foods To Never Eat Before Bedtime
    
Hunger before bedtime is common esp. when you are used to staying up late. The craving to eat something before going to bed makes a person consume anything that is available. Bedtime hunger is not wrong, but there certainly are foods that shouldn't be consumed before going to sleep as they can create health issues. 

Avoid these 8 foods before going to bed.

1. Dairy fat - Having calorie rich cheese or butter for dinner or even before bedtime ensures that your digestive system is going to have a hard time at the night, thus disrupting your sleep.
2. Caffeine - Caffeine from the coffee doesn't let you sleep. It is used to kick our sleepiness so it should never be consumed before bedtime.
3. Spiced/Oily foods- Spices cause flatulence and oils lead to indigestion, ensuring incomplete and disturbed sleep.
4. Red meat - Dinner should always be the lightest meal of the day. If you make your digestive system work heavily overnight, it’s difficult for you to get sound sleep! Red meat being a very heavy, must be avoided to ensure a good night’s sleep.
5. Beans- Beans before bed simply fastens the process of flatulence! Avoid it to have a trouble free night.
6. Sugars- Sugars give you instant energy. That’s exactly what you don’t need before a good night’s sleep so avoid it before bedtime.
7. Aerated drinks- These drinks have acidic content with a lot of sugar and caffeine. Drinking them can destroy you sleep for the whole night so keeping it for the day is wiser!
8. Alcohol- Alcohol makes you drowsy and in a way bogs you down. But that’s really not the kind of sleep you’d like to have. Avoid alcohol to invite the perfect sleep!

If you would like to consult with me privately, please click on 'Consult'.

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8 Foods To Never Eat Before Bedtime

Corns and calluses refer to the hardening of the skin to form a layer over an area where constant pressure and abrasion is experienced. This thickening of the skin is known as a corn or callus. One will usually experience pain and tenderness in the area where this thickening happens. While corns are thick and tender coatings, a callus is usually the flattened thick area on the skin. As far as shape goes, corns are conical and sharpened while calluses are flat. They are most typically found on the hands and feet. There are various ways of treating this condition. Let us find out more.

What causes corns and calluses?
To understand how to treat these corns and calluses, it is important to first of all understand what causes the same. These corns and calluses are usually formed as a natural defence as the body tries to strengthen the skin when it meets too much friction or pressure. This condition may occur when the toes are pressed together constantly with an abnormal elevation. This can also happen when there is prolonged use of high heels as well as sports training footwear. Bone deformities in the toes and fingers can also be one of the causes of this condition. In many cases, the gait and movement of the patient can cause corns and calluses. Also, when a person plays musical instruments that require constant strumming like a guitar or other instruments, it may result in formation of corns and calluses in the fingers.

1. Medical intervention for complications: if a patient is suffering from conditions like diabetes or peripheral arterial disease, it may lead to poor circulation and delicate skin. This can cause the development and growth of corns and calluses. It is important to see your doctor in such cases so that such symptoms may be treated at the onset before they become too painful and end up spreading.

2. Medication: a patient will have to ingest salicylic acid based medicines and even resort to the use of sulphur in order to cure these corns and calluses. One must ensure that a skin specialist or dermatologist prescribes the medicines so that one can apply and administer as per the correct dosage.

3. Home remedies: personal hygiene is one of the primary factors that can help in treating and curing this condition. Keeping the affected area clean can increase the chances of the growth to clear up soon. Also, one may have to avoid wearing high heels and constricting footwear for a while until the corns and calluses clear up or fall off. This will also ensure that there is less friction between the feet and the footwear for better recovery chances.

How to Treat Corns and Calluses?

Peyronie's disease is a problem predominantly found in 3-9% of adult men, especially after 40 years of age. In the disease, a scar tissue is formed in the outer layer of the penis called tunica albuginea. Scar tissue is a just plaque inside the penis.

Peyronie's disease causes the penis to bend sideways or upwards and can make sex become difficult due to deformity and erection may be a painful process. It is usually associated with erectile dysfunctions, severe anxiety and reduced testosterone levels. It is worth noting that there are treatments for peyronie's disease, however, the pain often goes away on its own, generally, in 6-18 months of onset, but the deformity stays.

Here is everything you need to know about this disease:

Causes
It is not known exactly what causes peyronie's disease, however, there are some factors, which make it more likely than others. Here are those factors:

1. Trauma: this is the most common factor which causes peyronie's disease. It is believed that when someone suffers from tiny bleeding of the penis, which is very common in patients of diabetes, the plaque starts to build up. The injury or trauma, which causes the bleeding may go unnoticed as well.
2. Genes: genes are also a possible cause of peyronie's disease.

Symptoms
The symptoms of peyronie's disease vary, such as:
1. Pain on erection: there is usually pain in erection during the initial phase.
2. Bent penis: when the penis becomes hard before sex, it may bend downwards or sideways by more than 15 degree, so the vaginal entry becomes impossible or is painful for the partner.
3. Scars: tissue may form on other parts of the body, as well including the hand and feet. In fact, it has been said that men who have scarring in the hand, which affect the fingers are more likely to contract the disease as well.
One may see extensive scarring in hands in a disease called dupuytren's contracture. 

Treatment
1. Wait &amp; watch: it is worth noting the acute phase with pain is treated by wait and watch, controlling contributory factors like diabetes, low testosterone and psychogenic factors. Antioxidants are useful. Large number of cases are relieved of the pain in 1 to 1.5 years.
2. Intralesional injection: if the bend is significant enough to interfere in sexual functioning, it can be treated by injecting medicines in the plaque. The medicine, xiaflex is currently not available in india and other medicines given are not very effective.
3. Surgery: this is a last option when peyronie's disease has not gone on it's own and medicines are not helping either. The two most common procedures performed are removing the plaque and putting a tissue graft in its place and also removing the tissue opposite the plaque to counter the bending effect. The results are fairly good.

Going for a penile implant is the last option, which is a permanent solution and is commonly done in india. And, the success rate for penile implant is also very high.

Peyronie's Disease: About Bent Penis

Many people enjoy having alcohol on the weekends after long working hours and hectic weekdays. There are many people who consume alcohol to deal with stress or simply because they enjoy it. But consuming alcohol very often, especially every day can lead to many health issues. Medical experts call alcohol a toxin that affects each and every organ of the consumer s body and disturb its processing. The individual s body has to go through the recovery process every time after its consumption. Giving up alcohol is not easy, especially for the people who tend to consume it every day. Almost everyone is aware of how alcohol affects our mind and body but not everyone is aware of what happens when they give it up only if for a month or even lessen their consumption.

What Happens to Body When You Stop Drinking Alcohol?

One might not believe how fast his/ her system improves when he/ she stops drinking. They can actually see and feel the changes in their life pattern.

Quitting alcohol helps in losing weight as the body can now focus on burning other extra calories.

Drinking hinders one s sleeping pattern. Alcohol drops the production of melatonin hormone, responsible for controlling the sleep pattern, which affects the quality of one s sleep and escalates the production of adenosine in the body. This disturbance in the chemical production within the body affects the sleeping pattern. The alcohol consumer may suddenly wake up in the night or feel sleepy at work. Giving up alcohol helps one get better sleep making their days more productive and restful.

The liver is responsible to clean the toxins out of the body, including alcohol. Drinking alcohol affects the liver severely over time. It can cause many liver issues such as fatty liver disease, liver inflammation, cirrhosis, and liver failure. Intake of alcohol can disturb the digestive system as well by overproducing the gastric acid and damaging the gastrointestinal tract. Giving up on alcohol can improve digestion and organ functions.

Alcohol leads to diuresis (increased urine production). Consumption of alcohol drop the level of Antidiuretic Hormone (ADH) that leads to the increased urine production and less water holding capacity in the body. This can eventually lead to kidney ailments, even its failure. This causes dehydration. When a person quits or decreases the amount of alcohol, his/her body restores the level of ADH to its natural level and the kidneys resume to function in its natural state. This helps the body retain hydration that improves the overall health, including the proper pumping of blood and better kidney function.

Drinking alcohol on a regular basis affects the immune system, making the body more prone to diseases. It can also cause inflammation in the body that can lead to many other health problems. Quitting alcohol can decrease and reverse inflammation and thus improves and strengthens the complete immune system. How One Can Quit Drinking Alcohol? It is not easy for an individual to quit drinking alcohol but a sincere effort is highly desirable.

The very first step towards quitting alcohol is to know that it is unhealthy and can lead to various health issues and even death.

One should then know the benefits of quitting alcohol consumption.

Next step requires determination to reduce the alcohol consumption in unusual quantity, reducing the days of drinking, avoiding parties, and gathering that includes alcohol and to follow upon these processes sincerely.

Another important step is to reduce and avoid interaction with friends and people who consume alcohol, at least till one has not taken a commendable control over his/her drinking habit.

One should not feel ashamed of taking the decision of quitting alcohol and should not hide the fact from his/her friends and family so that they could not force him/her for a drink.

One can go to the rehabilitation centers if it is difficult for him/her to control his/her drinking habits.
Takeaway

Alcohol might help people deal with stress but it also makes them feel more fatigued and affects their overall health. Quitting alcohol is not easy for someone who is habitual of consuming it every other day. However, stopping its consumption even for a small time period can have visible health improvements. One can quit alcohol by reducing its intake over a week or month but if he/she finds it difficult to have control over their desire for consuming alcohol. He/She can also take help from doctors and medical experts who work in the areas of helping people trying to quit alcohol. One should not assume that once he/she gets the taste and habit of alcohol, it is impossible to quit. It is nothing but all about their will power and effort in the desired direction.

Giving Up Alcohol For Just A Month Has Amazing benefits!

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