Introduction 

The common male problem in an Aesthetic clinic, Gyanecomastia, is truly Pseudogynaecomastia with only fatty tissue and minimal glandular tissue. The condition is a part of the co existing Obesity disorder and is rarely, a standalone entity. The treatment options shall include an approach to answer the issue of obesity as a whole, not rest contented with surgical removal of the enlarged breasts alone. What is seen and what is treated is just a tip of the iceberg. 

Gynaecomastia, an innocuous condition, that affects 35-70% of male population immediately after birth, during adolescence and old age is rarely brought to notice as the sufferer makes all attempts to hide it as the condition brings with it a sense of shame and pain in public places and mental suffering. Herein starts the search for the treatment. Medical and multifaceted surgical options evolved over centuries with the current opinion being fat removal by anyone form of liposuction and the gland removal by direct excision. Gynaecomastia, is increased breast tissue in males composed of glandular and fatty tissue. 

Physiological gynaecomastia of puberty that normally regresses with age tend to stay back being sustained by the modern lifestyle changes. Processed foods and environmental pollution of air and water, the cosmetics used on the body like deo odorants, perfumes and toiletries, synthetics and chemicals have contributed to explosions of generalised obesity. With this generalised obesity, the tendency to hold back excess fat in the breast developed. This clearly shows the reason for higher incidence of (pseudo) Gynaecomastia of late. Hormonal imbalance due to reasons stated above, aggravate the situation. Gynaecomastia is part of the generalised obesity and it is more fat and little gland. 
However, this condition does not have any harmful effect on the body, but it can cause distress emotionally. Men may lose their self-confidence and they can be psychologically affected by this.

What Causes Gynaecomastia?

It is a type of hormonal imbalance that results in the growth of the male breast tissues. The ratio of oestrogen v/s androgens gets altered and causes the enlargement of the breasts. For this condition to occur, the amount of oestrogen increase in the body, or the amount of testosterone drops. Sometimes it can be the combination of both.

There are certain diseases that may contribute to gynaecomastia and they are as follows:

Kidney diseases

Liver disease

Drop in testosterone levels

Certain medications such as methadone, medications for HIV or treating prostate cancer

Certain tumours caused in male sex organs such as cancer of the Leydig cells or the Sertoli cells resulting in deprivation of androgen levels

Conclusion: 
True Gynaecomastia that requires surgical treatment is not so uncommon. What is commonly believed to be gynaecomastia is truly Pseudo gynaecomastia with a co exiting clinical picture of obesity, high BMI, sedentary life and wrong lifestyle. Surgical treatment by laser liposuction under Tumescent Anaesthesia gives very good results with high patient satisfaction and negligible post operative complications. Gland fragmented with laser can be extricated thro  same entry point without sub areolar incision.

Gynaecomastia (Enlarged Breasts In Men): Causes and Treatments

Food allergies have been on the rise and many food items have been identified as potential allergens. Common items like citrus fruits, coconut, peanuts, tree nuts, gluten can cause allergies. You don't need to stay away from your favorite dish just because it contains one of the allergy-causing ingredients. You can customize your dish with suitable substitutions and enjoy your food without worrying.

Peanut

Peanut is one of the most common allergy-causing items. It has severe effects on people who are allergic to it. On its consumption, the throat of allergic person swells up, blocking the airways which can lead to anaphylaxis. So, for people who are allergic to this grain legume, peanut -laden cuisines like Thai food, peanut butter, and jelly are all prohibited. But you can replace peanut with sesame seeds, pumpkin seeds, and hemp which are available in butter form as well.

Citrus fruits

Lime, orange, lemon, and grapefruit have been seen to cause discomfort in both adolescents and adults. There are so many citrus-flavored drinks that it becomes difficult to find a nice harmless drink. But, if you are allergic to these fruits you can go for strawberry, raspberry, and apple-flavored drinks, which are easily available.

Coconut

Coconut is used in place of milk in vegan recipes; it can replace milk in food items like ice cream, sweet drinks, and curries. If you are allergic to coconut, substitute it with rice, soy, oats milk and even soaked cashews.

Wheat

Wheat is not only off limits to people with celiac disease who have to lead a gluten free life but for some who are allergic to wheat specifically. Pasta, bread and many other kinds of foods are made up of wheat, but you can opt for tapioca or rice flour which is also used to make such items.

Best Substitutes for Common Food Allergens

A change in weather bring about changes in the composition of dust and pollen and induce seasonal allergies, which a huge number of people fear. The good news is that there are a number of common food substances which can help control these seasonal allergies. There are specific ingredients in these foods which improve immunity and provide antihistamine-like effects (which is what most anti-allergic drugs do). Some of these foods are mentioned below:

Green tea: With its natural dose of antihistamines, it prevents you from developing allergies. A hot cup in the morning acts as a good shield against sneezing, which is common with pollen and dust allergies.
Oranges and strawberries: Vitamin C is essential for controlling allergies and it is always recommended to reach for a couple of fresh oranges or strawberries than popping a vitamin pill. They also contain other substances like traces of Omega-3 fatty acids and Quercetin.
Garlic: This blocks the production of chemicals that can cause allergies. Eating a couple of cloves in the morning daily will do wonders for the allergy prone people.
Turmeric: This miraculous Indian spice has strong anti-inflammatory properties and helps prevent all kind of allergies.
Nuts and seeds: For the vegetarians, eating walnuts and flax seed is a good alternative. A handful of walnut is equal to 3 ounces of salmon. Flax seed also contains selenium which has anti-allergic properties.
Cabbage and broccoli: The flavonoid called quercetin helps by reducing inflammation that is usually associated with allergies. Other sources include apples, onions, berries, and cauliflower.
Fatty fish: These contain a good amount of omega 3 fatty acids, and work better than the supplements any day. Take your pick from mackerel, sardines, salmon, tuna, trout, bluefish or herring. These have two types of Omega-3 fatty acids (DHA and EPA) which are known to prevent people developing allergic symptoms. This anti-allergic property provides great relief in people who see seasonal allergic changes.
Local honey: For those who suffer from pollen allergy, a morning dose of honey helps build tolerance to this kind of allergy.
Wasabi: This pungent green paste helps breathing by opening up the airways and is very good for blocked nasal passages. It also is rich in antihistamines and helps prevent you from developing allergies.
Yoghurt and Kefir: These and other dairy products are rich in probiotics which contain a lot of friendly bacteria like Lactobacillus and Bifidobacterium, which are generally found in the intestines. They also help build immunity and increase bodys ability to fight allergens better.
So, for those prone to seasonal allergies, there are few things that are easy to find and well within the reach of regular kitchen and can shield against allergies.

10 Foods That Help You Fight Allergies

A runny nose, Itchy rash, red eyes and shortness in breath are the most common allergic phenomenon which annoys you in frequent intervals, generally driven by several conditions due to hypersensitivity of the immune system towards something usual prevailing in the environment which may not cause any threat to others. It is why you may find different person allergic to different foods or different conditions. 

Diseases such as asthma, anaphylaxis, atopic dermatitis and so on are commonly considered as predominant allergic diseases. But most of the marketed drugs you take are as exasperating as the allergy itself, firstly due to its expensiveness and secondly, it droops you out. Though you may not be able to diminish the pollen in the air, but you can restrict the number of drugs you take by choosing natural remedies as it has been propounded by the medical editor of WebMD Dr Brunilda Nazario. He has also stated that the biggest trend we observe in allergies in these days is not found in any technological innovation or development rather it is the tendency of the common people to go for natural treatment to cure allergy.

 Prevention is better than cure - Cleanse your nose daily before the allergy strikes
According to most of the doctors, nowadays you are commonly encountered by seasonal allergies. It is mainly due to the fact that allergy season seems to appear earlier every year than the previous one. So as Nathanael Horne, MD of New York Medical College advises that you should begin treating allergies before it starts to pose threat. One such step is to spritz a saline cleanse into your nose on a daily basis in order to wash away pollen. Obviously, this particular method would not replace your need for medication but it would certainly minimise your dependence on drugs. In one survey, those who clean their nose twice a day with saline water are reported less nasal congestion than others.

About some of the seful natural herbs which fight allergy
Famous allergist from New York, Dr Tim Mainardi is of opinion that natural herbs are comparatively more effective than any other drugs and among them, one of the scientifically proven fighters of allergy you have, is Green tea because it is a natural antihistamine. According to his suggestion, if anybody starts to take two cups of green tea a day about two weeks before the arrival of the allergy season, it is likely to resist allergic infection. Mainardi also says that there is an another natural herb called butterbur, which effectively fights allergy as well as antihistamines. Apart from this Liquorice root is also a good choice because it helps to helps to raise the level of naturally produced steroid in your body and ameliorate immunity system.

Cook with turmeric to get rid of allergy:
If you taste every Indian dishe, you would get one spice common in all of them and that is Turmeric. Bharat Aggarwal, an Indian allergist expert from Houston considers Turmeric more efficacious than any other drugs in certain conditions as it contains Curcumin. It is why Turmeric may act as a decongestant. Though in the end, it should be mention that before you go with the natural treatment you should consult your doctor because these natural treatments would incorporate various alterations in your diet and medication.

Allergy - Top Natural Cures You Can Opt For!

Do you know that enlarged breasts, which are observed in many men are caused because of a health condition? This is known as gynecomastia and involves enlargement of the breast tissues in men. The condition is commonly called man boobs. It is usually not something serious and is not always permanent.

Causes
During the puberty stage, gynecomastia is quite common and normal. It occurs because of natural changes in oestrogen and testosterone, the sex hormones. The condition is also likely in men of old and middle age because of ageing and hormonal shift. Certain medicines such as antibiotics, heart medicines, AIDS medicines, drugs for heartburn and anti-anxiety medicines may also be responsible for this condition. Drinking alcohol in excess and taking marijuana, and other recreational drugs also increase the chances of gynecomastia. Breast size may also get enhanced by the use of herbal products containing lavender oil and tea tree oil.

Symptoms
Men affected by gynecomastia are featured by having a rubbery mass underneath their nipple region. It is less in amount and is usually tender. Fluid discharge is also an indication in some cases.

Diagnosis
For the diagnosis of gynecomastia, you should visit a plastic surgeon, who deals with cases of hormone imbalances. Blood or hormone tests may be required if your physical examination shows that your breasts are larger than usual, the lymph nodes are swollen, or when the lump is sore.

Treatment
Commonly, gynecomastia can not be cured with medicines. Surgery is compulsory. In the case of teenagers, the breasts become of normal shape within two to three years. Surgery is the only option for restoring your chest shape and improving your self-image. In the surgery for treating gynecomastia, a small cut is made on your breasts and extra breast tissues are removed. This makes your breasts smaller and flatter. The nipple may also need to be repositioned. Liposuction is another procedure which is carried out for this purpose, in which extra fat is sucked out from under your skin. Among the different modes of treatment for gynecomastia, surgery is meant for long term results. However, you need to undertake a healthy lifestyle in order to maintain your new chest shape. Gaining weight and taking drugs may cause gynecomastia to reoccur.

Gynecomastia - What You Need To Know About It!

What is allergic rhinitis?

Allergic rhinitis is defined as allergic symptoms in the nasal passage. Allergic rhinitis can be seasonal (occurring during specific seasons) or perennial (occurring year round). The allergens that most commonly cause seasonal allergic rhinitis include pollens from trees,grasses and weeds, as well as spores from fungi and moulds. The allergens that most commonly cause perennial allergic rhinitis are house dust mites, cockroaches,animal dander,and fungi or moulds. Perennial allergic rhinitis tends to be more difficult to treat.

How does allergic rhinitis occur ?

This condition occurs when allergens (allergy- causing substances) come into contact with the nose, and usually also the ears, sinuses, and the throat. When allergens come in contact with the lining of the nose and sinuses, they trigger the cells to release the chemical histamine, which causes the allergy symptoms described below.

What are the symptoms ?

Nasal congestion 
Sneezing 
Watery " runny nose" 
Itchy eyes,nose,or throat 
Puffy eyes or 'allergic shiners'
Post nasal drip 
Tears 
These symptoms may occur during a certain season or year long. They can occur at any age. 

What is the treatment for allergic rhinitis ? 

A number of medications ,including antihistamines, intranasal corticosteroids, and decongestants are available to control symptoms. Allergen immunotherapy could provide long lasting benefit. You can "train" your immune system not to react exaggerated to an allergen anymore.

Allergic Rhinitis - Signs That You are Suffering from it?

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