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

Cold sores alternatively known as fever blisters is a viral infection, which usually occurs around the mouth.They occur in patches and heal within 2 to 4 weeks usually without leaving behind any scars. Cold sores are contagious and can be spread from person to person via close contact. Read on more to find all about them.

Symptoms
Usually cold sores passes through multiple stages
1. Tingling and itching: People usually experience a tingling, burning sensation around the lips prior to blisters, which may appear within a day or two after such a sensation.
2. Blisters: These blisters are small, filled with fluids and usually break out along the border of the skin and the lips. They can also occur around the nose or cheeks.
3. Oozing and crusting: The blisters have a tendency to burst which leaves shallow open sores which then usually crust over.

Some other symptoms, which accompany cold sores are fever, headache, sore throat, muscle aches and swollen lymph nodes.

Causes
Strands of the herpes simplex virus (HSV-1) typically cause cold sores. In some instances, HSV-2 can also cause cold sores. Cold sores are most contagious when they are in the form of oozing blisters. It can spread by sharing the same utensils, kissing, sharing towels and razors and also oral sex. Cold sores can be triggered due to several factors such as stress, fatigue, fever, hormonal changes and changes in the immune system.

Risk Factors
About 90% of adults worldwide test positive for this virus. People who have a weakened immune system are more prone to be infected by the virus. For example people suffering from eczema, AIDS and severe burns have a higher chance of contracting cold sores.

Complications
In certain cases,cold sores affect other parts of the body. Fingertips, hands, and some other parts of the body are affected by both HSV-1 and HSV-2 in some instances. It can also cause eye infections, which can lead to blindness or may even spread to the spinal cord and the brain in people who have a very weak immune system.

Treatment
Cold sores have no treatment and they usually clear up without any medication within 2 to 4 weeks. However certain antiviral medications are present which speed up the healing process.

All About Cold Sores

Did you know keeping your private parts clean can avoid major health issues?

Private parts not only make or break intimacy but also also affect your overall health. Men and women - both need to keep them clean. Here are 5 things that you need to religiously follow.

1) Wash them everyday - In case you are not washing your private parts every day, let me share with you that it is a must-do! Your private parts are moist and house many bacteria. You can use soap to wash but an unscented or mild one. Wash them with lukewarm and clean water.

2) Clean them up before and after sex - Cleaning your private parts before and after sex is of great importance. Before sex because of etiquette. And, after sex for a healthy sexual life ahead! The body fluids or semen which gather on and near your reproductive organs, if not washed can harbour the growth of bad bacteria and set a stage for infections.

3) Groom them well - Untrimmed hair around the private parts is highly unhygienic. It can lead to too much of itching, increasing the chances of infection.

4) Wear fresh undergarments everyday - Unwashed shirts can do but unwashed boxer or briefs is a big no-no. You need to keep your underwears clean &amp; dry. Wear a fresh and clean undergarment every day. Changing your briefs after masturbation, sex, work-outs in gym is also highly recommended.

5) Don't delay visit to a doctor - If you are experiencing any sort of irritation, itching, redness, odour, swelling or other form of discomfort please do not delay in consulting a doctor. It can be a sign of a serious health problem or a severe infection.

5 Sexual Hygiene Musts For Men And Women

Spine surgeries are complicated and have serious repercussions if the procedure doesn t go as planned. Probing your doctor is therefore very critical to ensure a safe operation and early post-op recovery. Questions can range from the type of treatment chosen for speedy recovery to side effects. Here is a list of questions that you need to ask your spine surgeon:

1. Why is the surgery recommended?
Typically, there could be more than one treatment option for a particular problem. Your doctor should be able to tell you very precisely as to why the surgery is recommended and how it is going to address the problem.

2. Is there any non-surgical option?
Many spine related issues can be treated with medicines and physiotherapy. Ask your doctor if such options exist.

3. Explain the surgical procedure in detail
Your doctor should explain the whole surgical procedure, explaining the minute details and help will help you to understand the implications.

4. What is the duration of the surgery?
Spine surgeries do not take more than 2 hours. It, however, depends on the procedure that is being performed.

5. How will the surgery address the pain?
It is important to know the source of the pain. Exploratory surgeries are not performed on the spine. Ask your doctor how he intends to address the pain through the surgery.

6. What are the risks involved?
Risks and side effects vary from patient to patient. For instance, a person with obesity, spondylitis and smoking has greater chances of complications associated with the operation.

7. Will the doctor perform the whole procedure or he will use practicing surgeons and intern for the job?
Many senior surgeons use interns and junior surgeons to perform a minor procedure. Get a clear understanding of the role of the doctor and his assistants. It is a good idea to know the background if the surgical team who is going to perform the procedure.

8. What is the success rate of the doctor for the procedure he is going to perform?
A successful spine surgeon should be able to give you valid data on his/her success rate and the overall success rate of surgeons all across the country.

9. How many days do you need to spend in hospital?
Your hospital stay is directly related to your insurance. It is essential to get a clear picture on the same.

10. Whether a back brace is necessary after surgery?
Limiting the spine movement speed the process of healing. Most Doctors suggest braces after a spine surgery.

11. What is the time required for recovery?
The recovery greatly varies from patient to patient. What you should ask your Doctor is the expected time required for you to join your job/school.

12. Will there be any physical limitation after the operations?
Many spine surgeries require you to refrain from strenuous jobs for a while. For instance, certain surgeries require you to stay away from driving for a while. Address all these apprehensions from your doctor.

12 Questions You Must Ask Your Spine Surgeon

Diarrhea is not usually a serious condition but can be very uncomfortable and embarrassing. This can be caused by a number of factors including bacterial or viral infections, food poisoning, contaminated water etc. Thankfully, it is easy to treat and does not require medication unless it is very severe. Let us take a look some of the most effective ways to treat diarrhoea:

Drink Plenty of Water: Keeping your body hydrated when dealing with diarrhoea is very important. This is because your body loses a lot of water while passing stool. To hydrate your body, drink lots of water. You could also add oral rehydration salts to the water. Avoid drinking sodas, packaged juices and caffeinated drinks such as coffee as they can further dehydrate the body.
Probiotics: To function optimally, your digestion system requires good bacteria. Diarrhea is usually a sign that the bad bacteria levels have overtaken the good bacteria levels. Thus, you need to balance this equation. Probiotics are a source of good bacteria and are available in powder or pill form. It is also available naturally in foods like yoghurt, pickles and kimchi.
Eat the Right Food: When suffering from an upset stomach, eat food that is easy to digest. Food items such as bananas, rice, apples and dry toast are easy to digest and can help bulk up your stool. This is also known as the BRAT diet. You could also include a simple chicken soup, baked skinless chicken and oatmeal in your diet.
Drink a Little Tea: Tannins in black tea are good for the digestive system. They help calm inflammation in the intestines and help the body absorb fluids. Raspberry and blackberry leaf tea are ideal for diarrhoea. You could also try sipping caraway tea. Other teas such as chamomile tea help reduce spasms and calm the stomach. When looking for such teas, ensure that they are made from the leaf and not powdered. Also, do not drink any form of caffeinated tea.
Avoid Spicy Foods: Do not eat anything that is spicy or fried when you have an upset stomach. Also, avoid eating foods rich in fibre as they can make you feel bloated. Alcohol and milk are best left aside until your stomach has healed. Other foods you should avoid include chewing gums with artificial sweeteners, berries, beans, peas, prunes, peppers and ice cream.
If your diarrhoea does not improve, consult a doctor. If it lasts for more than 2 weeks, it could be a symptom of another underlying condition. 

Diarrhea - 5 Ways It Can Be Treated Effectively!

A lot of bad things can and do happen when the kidneys fail.  The kidneys are vital for proper bodily functioning because they filter liquid and solid waste products out of the blood and allow vital chemicals (which the body needs for functioning) to flow into the body through the bloodstream.  People can become very sick when the kidneys either fail to perform these functions or fail to perform them properly.  Many people will get chronic kidney disease, therefore, they need to know what the causes and symptoms are in order to treat, and even prevent these diseases from occurring.

People who suddenly experience the following symptoms should see a nephrologist as soon as possible for a medical examination:  blood or protein in the urine, kidney stones, acute kidney injury, kidney infections, and/or pain, and Hepatitis C and kidney disease.  

Blood in the urine can be a sign of kidney problems which can lead to kidney disease.  Additionally, people who urinate frothy or bubbly urine, or have swelling in the hands, face, and feet should see a doctor because this is a sign of protein in the urine.  Protein in the urine can be detected by a urine test.  Kidney stones can be very painful and are problematic.  They are caused by mineral buildup in the kidneys.  Men and white people tend to get kidney stones more, and they can cause blood in the urine, painful urination, sharp lower abdominal or back pain, and nausea and vomiting.

Acute kidney injury occurs when the kidneys stop functioning altogether in a short period of time.  Because this disease can be deadly, those with this disease should get immediate medical help.  Usually, the very sick patients in hospitals get this disease, but it can also be caused by certain medicines, injury, or infections.  This type of kidney disease is easily reversible.  

Symptoms include

Not passing enough urine when urinating
Leg, ankle, or feet swelling
Fatigue
Breathing problems
Confusion
Nausea, and chest pressure or pain. 
Kidney infections tend to be caused by bacteria that have spread from the urinary tract.  Women, because of their anatomy, tend to get kidney infections more than men. 

Symptoms include:

Fever
Vomiting
Back, side or groin pain
Chills
Nausea
Frequent urination
Frequent urges to urinate
Painful or burning urination
Pus or blood in the urine
Cloudy or foul-smelling urine
Kidney pain in the lower back or sides can signify more serious kidney problems.  They can be caused by urinary tract infections, polycystic kidney disease, kidney infections, blood clots, and/or bleeding in the kidneys.  
Hepatitis C is a disease that attacks the liver and can cause kidney disease.  

Symptoms include

Loss of appetite
Nausea
Fever
Fatigue
Vomiting
Dark colored urine
Grey colored stool
Joint pain
Yellow skin and eyes
While kidney diseases are at best unpleasant, and at worst, life-threatening, they can be avoided by drinking lots of water, eating a healthy low salt diet, and watching for any changes in health and urine over time.



What Happens When Kidneys Fail & Signs That Indicate It

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