Male hypogonadism, also known as testosterone deficiency, is a failure of the testes to produce the male sex hormone testosterone, sperm, or both.Testosterone play an important role in sperm production.This condition can be due to a testicular disorder or the result of a disease process involving the hypothalamus and pituitary gland.

This is of two types including:
Primary type of hypogonadism is also known as primary testicular failure, which originates from a problem in the testicles.
Secondary type of hypogonadism indicates a problem in the hypothalamus or the pituitary gland through which parts of the brain that signal the testicles to produce testosterone
Either type of hypogonadism may be caused by an inherited (congenital) trait or something that happens later in life (acquired), such as an injury or an infection. At times, primary and secondary hypogonadism can occur together.

Common causes of primary hypogonadism include:
1. Klinefelter syndrome
2. Undescended testicles
3. Mumps orchitis
4. Hemochromatosis
5. Injury to the testicles
6. Cancer treatment

Causes of secondary hypogonadism:
A number of conditions can cause secondary hypogonadism, including:
1. Kallmann syndrome
2. Pituitary disorders
3. Inflammatory disease
4. HIV/AIDS
5. Medications
6. Obesity
7. Concurrent illness

How Is Hypogonadism Diagnosed?
Your doctor will conduct a physical exam to confirm that your sexual development is at the proper level for your age. They may examine your muscle mass, body hair and your sexual organs.

Treatment
Testosterone replacement therapy (TRT) is the most commonly administered as a topical gel, transdermal patch or by injection and is the recommended treatment for male hypogonadism.

You can get testosterone replacement therapy by:
injection
patch
gel
lozenge
Injections of a gonadotropin releasing hormone may trigger puberty or increase your sperm production.

Patients can also improve testosterone levels with lifestyle changes, including:
1. Losing weight
2. Exercising
3. Managing stress
4. Getting adequate sleep
5. Avoiding alcohol
6. Giving up smoking.

In adult males, hypogonadism may alter certain masculine physical characteristics and impair normal reproductive function.

Types and Causes of Male Hypogonadism

The largest internal organ in the body, the liver, is also one of the silent heroes, which performs close to 500 functions. It produces energy, fights infections, gets rid of wastes, and is a metabolic factory.

There are four major types of liver diseases out of which alcoholic liver disease accounts for about 40% of them. Other types include non-alcoholic liver disease, viral hepatitis and autoimmune (chronic) hepatitis.

Risk factors: The severity of drinking habit is directly proportional to the chances of developing alcoholic liver disease. People who consume more amount of alcohol are more likely to develop the disease. However, it is also not necessary that every person who consumes alcohol develops liver disease.

Following are obvious risk factors for developing alcoholic liver disease.

1. Alcohol dependency: While enjoying a drink is not barred, getting the body dependent on alcohol for regular functioning is definitely a no-no. The rate of developing the disease in people dependent on alcohol is as high as 70%.

2. Females: The way alcohol is metabolized in females could have an effect on the higher risk they face in developing alcoholic liver disease.

3. Obesity: Excessive weight puts additional stress on the metabolic effects of the liver and therefore has a higher tendency to develop alcoholic liver disease.

4. Family history: Strong familial history increases the risk of developing alcoholic liver disease.

Symptoms: The difficulty in diagnosing the disease lies in the fact that there are no clear-cut symptoms that can indicate the diagnosis. Initial general symptoms include fatigue, poor appetite, abdominal pain, nausea, weight loss, loss of energy, and red spider nevi (spider-like blood vessels) on the skin.

As the liver function continues to worsen, there are additional symptoms like swelling of the legs due to fluid accumulation, swelling of the abdomen, jaundice (yellow mucous membranes and skin), redness of palms, impotence, breast swelling, easy bruising, cognitive problems and clay-colored stools. This stage will see liver scarring and subsequent cirrhosis. The second set of symptoms is more diagnostic. An experienced practitioner will be able to suspect and diagnose the alcoholic disease with a detailed history and some liver function tests.

Treatment: If identified early and alcohol habits are reversed, the damages of the liver can be completely reversed. In addition, the following lifestyle changes are suggested:

1. Low-salt diet

2. Hepatitis vaccines (A and B)

3. Medications to manage fluid retention, spontaneous bleeding and infections as the case may be

4. Excessive fluid accumulation in the abdomen may require removal

5. Shunt in the liver to repair blood flow

6. If cirrhosis stage is reached, a liver transplant may be required

While there are many ways to manage alcoholic liver disease, prevention is the best way. Limiting alcohol consumption can definitely help in the prevention of the disease.

All About Alcoholic Liver Disease

Has your little child hit his head against a hard surface after falling from a height? Has he lost consciousness, appears dazed or is crying uncontrollably? Such conditions signify that your child has a concussion. A concussion refers to a brain injury, which occurs due to a blow to the head. It may result from a fall, a car crash or due to a sports injury. Toddlers are more prone to head injuries because of their curiosity and poor motor nerve skills. Most such injuries are harmless, but sometimes a fatal blow to the head might lead to severe conditions. Immediate treatment and care are essential in such situations.

Diagnosis:

Several medical tests and examinations must be carried out for the diagnosis of a concussion. They include the following:

    Neurological exam is carried out to determine the functioning of your child's brain.
    X ray of the child's head has to be carried out in order to check for other injuries like fractures.
    A CT scan can be performed where the child has to intake a dye before having an X ray done. This will provide better pictures.
    An MRI scan can be performed for diagnosis as well where powerful magnets, and a computer are used to take pictures of the child's head and blood vessels.

Treatment and Management of a Concussion:

Usually, no special treatment is required to treat concussion in a toddler. A doctor may have to be consulted, and the child may have to spend some time in the hospital. Several medicines are prescribed by the doctor for the child in order to provide pain relief.
There are several ways which you need to follow in order to manage the symptoms of a concussion in your child. They are as follows:

    Ice: Ice provides relief from pain and reduces swelling in head injuries. Ice also helps in preventing tissue damage. You should use an ice pack, cover it with a towel and apply it to the injured area on your child's head.
    Rest: Right after a concussion, your child must be put to rest in bed for at least twenty-four hours. Eventually, he can get back to being active as he feels better.
    Restriction on activities: Your child should not take part in sports or any activity, which may result in a fatal blow to his head. Having another concussion before the brain recovers from the previous one can be fatal.

In cases where your child experiences nausea and vomiting, intense headaches and passes out, you need to rush him to the hospital. You must consult a doctor when the symptoms keep on worsening and continue for several weeks. Without a proper treatment, your child may develop post concussion syndromes, such as headaches, depression or short-term memory loss.

How to Handle Concussion in Toddlers?

Diabetes is a lifestyle disease that is very prevalent in the current generation. According to a report by the World Health Organisation (WHO), the number of people with diabetes has risen from 108 million in 1980 to 422 million in 2014. The global prevalence of diabetes among adults over 18 years of age has risen from 4.7% to 8.5% from 1980 to 2014. Diabetes should not be taken lightly as it can affect other body organs besides the pancreas, such as the kidneys. Diabetic nephropathy refers to damage to your kidneys caused by diabetes, and may also lead to kidney failure in various cases.

Causes of diabetic nephropathy
Not everyone who suffers from diabetes will suffer from diabetic nephropathy. The main function of the kidneys is to filter waste from your blood. However, this is not always the case. Due to high a concentration of blood sugar caused by diabetes, several blood vessels in the kidney are destroyed, thereby, preventing the kidneys from carrying out its job. Over time, the kidneys may stop working altogether, resulting in kidney failure. If you are diabetic, the probability of you suffering from diabetic nephropathy will increase if you smoke or have high blood pressure or high cholesterol.

Catching it early
Today, diabetic nephropathy is the leading cause of chronic kidney disease in the US and other western countries. Since the symptoms of this condition aren t visible in its early stages, you need to undergo urine tests on a regular basis. If detected early, the effects of diabetic nephropathy can be reversed. Common symptoms of this disease include the following:

Swelling in legs and feet
Detection of albumin in urine
Decline in glomerular filtration rate (GFR)
Elevated arterial blood pressure
What are the treatment options?
Medication to lower the blood pressure is the most commonly prescribed form of treatment suggested by doctors to prevent or slow the damage to your kidneys. There are other lifestyle changes that you may have to undertake in order to keep a check on the condition:

Limit sugar intake and keep blood sugar levels within the target range
Exercise regularly and work towards keeping your heart healthy
Limit protein intake, as it could put extra pressure on your kidneys
Limit salt intake to control blood pressure
Quit smoking and drinking
Diabetes is an unfortunate condition to have to live with. But don t let it bog you down! With these simple lifestyle changes and taking care of your general well-being, you can beat the disease and emerge a winner!

Diabetic Nephropathy - Who is at Risk of Acquiring it?

A hernia occurs because of an internal weakening of the abdominal layer, resulting in tearing. The inner most layer of the abdomen forms a sac and pushes the weakening area. This results in the abdomen tissue being slipped into the sac, causing pain and other health problems. It can occur to both men and women. Apart from natural weakness of the abdomen, a hernia can get triggered from heavy weight lifting, constant coughing, gaining weight and from irregular bowel movement. 80percent of hernia cases originate near the groin.

What are the symptoms?
Some of the common symptoms of a hernia include:

Constipation
Nausea
Feeling of fullness even without eating a thing
Sharp pain while lifting weight
Burning sensation
Dull ache near the groin area
Bulge near the groin area
How is a laparoscopic hernia performed?
This mode of surgery uses a telescope-like instrument known as the laparoscope. With the help of a small incision, the laparoscope is inserted at the belly button. Since the procedure is performed withanaesthesia, it isessential for a doctor to do a routine medical check-up that evaluates the general health of the patient, past medical history, EKG, blood work etc.

Usually, the patient doesn t feel a thing while the surgery is performed. A video camera is connected to the instrument to get a detailed inside view of a hernia and the area that needs to be repaired. Before this, the abdomen is inflated with the help of carbon monoxide. A mesh is placed inside the abdomen to fix the defects of the abdominal wall and strengthen the weakened tissue of the abdomen. Once the procedure is done, the incisions that are made in the abdomen is closed with the help of surgical tapes. The mark of incision disappears within a month.

Benefits of Laparoscopic Hernia Surgery
The benefits of laparoscopic surgery are quite evident.

A lot of tiny incisions are made rather than making a large incision in the abdominal area. This ensures speedy recovery and a short stay at the hospital.
The pain is significantly less compared to the conventional surgery.
The cost of a laparoscopic surgery is lesser
Lastly, a speedy recovery can ensure that a person can return to work within a few days after the surgery is performed.
What to expect after the surgery
Doctors often suggest a week of complete rest after the surgery. The healing time can vary from person to person. A surgeon typically prescribes antibiotics and pain medications to cope up with the wound and pain. It must be ensured that these medicines are taken on time. A revisit to the surgeon might be required after a couple of weeks to assess the recovery.

An Overview Of Laparoscopic Hernia Surgery!

Styes are normally caused by a proliferation of natural bacterial flora within the eye. This causes an inflammatory reaction and is known to affect children more than adults. It resembles a pimple in exterior appearance and may grow both inside and outside of the eyelid. The symptoms of styes include redness, pain, swelling and tenderness. Though the styes do not lead to any kind of visual problems, they can cause significant discomfort.

What can cause styes?
Your eyelids have lots of tiny oil glands, which can become clogged by dead skin, dirt, or oil buildup. When a gland is blocked, bacteria can grow inside. This is what causes a stye to develop.

What are the symptoms of styes?
The most common symptom of styes includes swelling of the eyelid, redness, pain, tenderness, eyelid crusts and burning in the eye. It frequently leads to a yellowish-white discharge which becomes very uncomfortable and may also continue to drain out of the eye. Doctors recommend not to press or squeeze the styes as it may lead to further complications.

You should call your doctor if:

The child`s eye is swollen shut
He has a severe pain
He has a high-grade fever
Swelling lasts for more than 20 days
Pus continues to drain from the eye
His eyelid bleeds
He has problems with his vision
Homeopathic medicines for sty are safe and effective with no side effects. They play a vital role in improving the health and immune levels of the body. The recurrence of any symptoms in a body can be prevented by homeopathic medicines. These medicines are easy and comfortable for all age groups as they taste sweeter and give quicker results.

Styes tend to dry out on its own although applying homeopathic medication can aid in hastening the process of healing.

Amalki: This homeopathic medicine aids in repairing damaged tissue which in turn aids the stye infection to dry out. It is recommended to add a teaspoon of Amalki, which is available in most homeopathic outlets, into a glass of pure water. Then the mixture must be left on its own for the whole night for at least 10 to 12 hours. The mixture should then be filtered and used for washing the affected eye.
Heper Sulphur: Heper sulphur aids in speeding up the rupture of styes so that the pain is instantly relieved. This remedy is particularly suited for the styes that cause significantly red and swollen. It also aids in reducing the tenderness and swelling. In the case of some children, styes tend to secrete a liquid discharge and are extremely painful. Heper sulphur along with warm compress can be extremely helpful in relieving the pain. 
Pulsatilla: Some styes do not cause any pain but cause significant swelling and secrete a yellowish discharge. People affected with such type of styes can be significantly benefited by the use of homeopathic remedy called pulsatilla. It has also been found useful in preventing reoccurrence of styes.
Staphisagria: Staphisagria is for chronic or recurrent styes that appear mainly on the upper eyelid. The eyes are very dry and have rheum. The corner of the eye and the edges of the eyelids may be chapped and infected.
It is important to keep the eye clean and flush it with cold water. If the pain and related symptoms do not go away after 3 to 4 days, it is best to consult a doctor for further treatments.

Styes - How Homeopathic Remedies Can Help?

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