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

The number of allergens are many and knowing what triggers your allergies can get complicated. The common triggers that are known to trigger allergic rhinitis are:

Moulds
Fungi
Pollen, the most common cause for allergies
Dust mites, and the faeces of dust mites that can cause severe allergic reactions
Cockroaches
Animal dander, which includes cat hair, dog fur, and may also include little flakes of skin
Avoiding the above mentioned triggers is more of a general guideline for the management of allergies. The lifestyle changes that you make to manage allergies:

Keep yourself hydrated at all times. Drink about eight to ten glasses of water every day. This will allow the mucous to be expelled with ease, if you experience any nose block.
During seasons like spring, when the amount of pollen in the air is at its maximum, limit your exposure. Try to stay indoors to avoid exposure to pollen or dust in the air.
Make it a point to take a shower before going to sleep as the residues of pollen and dust stuck to your skin are likely to make your symptoms worse.
Use fresh bedding and clothes every day. This will help to reduce your exposure to allergens.
Remove your carpets. Carpets are home to dust mites and pollen grains which become difficult to remove even with vacuum cleaners. Remove the carpets during the allergy season, and replace with hard flooring.
Keep windows and doors shut to avoid dust and pollen grains from entering the house and possibly causing allergies.
Avoid staying around pets. It that is not possible, then wash them at least once a week to reduce allergies.
Prevent inhaling cigarette smoke or smoking cigarettes. The smoke can be very harmful and can increase the risk of asthma in kids.
Avoid outdoor trips during seasons when the pollen count is high.

Allergies - Lifestyle Changes That Can Help Manage it!

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!

The development of a girl s breast at puberty is a major differentiating factor between the silhouette of a boy and a girl. However, sometimes, men too can develop breast tissue. This condition is known as Gynecomastia. While it is not fatal or very harmful to a person s overall health, it can cause emotional distress and affect a person s self-confidence.

Gynecomastia can be triggered by a number of factors including diet, lifestyle, hormonal imbalances etc. One of the most surprising causes of this condition is milk. This is because milk is considered to be rich in oestrogen. When talking of milk, it can be categorised as organic and non-organic milk. In order to increase the amount of milk, a cow can produce they are often injected with hormones. Milk collected from cows who have received such treatment is known as non-organic milk while milk collected from cows who have not received any form of treatment to boost milk production can be termed as organic milk. Non-organic milk may also have a higher than normal IGF-I level. This refers to an insulin-like growth factor that aids in the development of breast tissue.

The main reason milk consumption is encouraged is for its high calcium levels. However, you can get your calcium from other natural sources as well. Green leafy vegetables like spinach, kale and bok-choy are very rich in calcium and the calcium from these vegetables can be very easily absorbed by our bodies. Thus, skipping your glass of milk will not give you weak bones.

Gynecomastia can be treated. Increasing your intake of cruciferous vegetables like broccoli and cauliflower can help absorb and remove oestrogen from the digestive tract before it goes into the blood stream. Spices like turmeric can increase testosterone levels and help balance hormones. Phytoestrogens like flax seeds and soy can also help treat gynecomastia by minimising oestrogen levels and reducing cholesterol.

Two ayurvedic herbs that can increase the production of testosterone and thus, help maintain a balance between oestrogen and testosterone are tribulus terrestris and cordycep. Red clover can also help reduce oestrogen levels. Sarsaparilla is yet another ayurvedic herb that can help treat this condition by strengthening muscles.

In addition to these dietary changes and herbal medicines, one must also exercise to reduce fat tissue in the chest area. Lifting weights or chest bench presses are ideal exercises to strengthen chest muscles and reduce gynecomastia.

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Drinking Milk - Cause Male Breast (Gynecomastia)?

It is said that the mind controls the body. If the mind is healthy so will the body be. The condition of the mind is often reflected in bodily symptoms and conditions including illnesses.

The temptation in mostly to treat with heavy drugs that might offer temporary relief but have dangerous side effects and do long term harm.

Homeopathy tackles this issue considering safety and cure in a balanced manner to ensure recovery but without harmful side effects.

The concept of psychosomatic disorders has been in existence since the time of Sigmund Freud. The belief is that with the varied emotions that a person experiences, each disease manifests with a different set of symptoms in each person, implying that each person needs to be treated differently and not given the same disease-specific medication. This is where homeopathy plays a very strong role in psychosomatic disorders as it also believes in treating the person as a whole and not just the symptoms.

In homoeopathy, we base our prescription on what we call constitutional symptoms where we give lot of importance to the mental symptom as well as to the characteristic physical symptom. Hence every prescription from a Homoeopathic physician will surely include an element of psychosomatic angle. It is beyond the scope of this editorial to mention all the remedies of Materia Medica which has the scope for the treatment of psychosomatic disorders.

The homeopath always undertakes a thorough discussion with the patient to understand the accompanying symptoms in detail and then arrive at a customized treatment plan.

Some of the most common psychosomatic disorders include irritable bowel syndrome, migraine, GERD, ulcerative colitis, and allergy disorders.
Specific substances are given to manage anxiety, depression, irritability, insecurity, paranoia, etc. These feelings are considered inducers for the above disorders, and managing them can help bring about a harmony in the patient's overall health.


GERD: Gastro esophageal reflux disease is a disorder that results from stomach acid moving backward from the stomach into the esophagus. GERD usually happens because the lower esophageal sphincter (LES), the muscular valve where the esophagus joins the stomach, opens at the wrong time or does not close properly.

Homeopathy For GERD:
Homeopathic medicine relies not only on identifying the symptoms of the disease, but on a variety of personality traits, the person's mental state and other characteristic symptoms a patient exhibits which correlate to any particular remedy. When choosing a correct remedy for the treatment of heartburn, all aspects of the patient are taken into account.
These are some of the Homoeopathic medicines that may prove beneficial:- Argentum nit, Cal.carb., China, Carbo veg, Lycopodium, Nat. phos, Nux vomica, Phosphorus, Pulsatilla, Robinia, sulphuric acid etc.


Migraine: Migraine is a form of headache. The pain is usually throbbing, pulsating and bursting in character. At times, the pain is one sided or may involve the whole head. Such pain may last for hours or even days. It is often accompanied by other symptoms like nausea or vomiting. At the same time, there is increased sensitivity to light and sound. In some cases, the pain is preceded by some warning symptoms like flashes of light, temporary blindness or tingling sensation in the limbs.

Homeopathy for Migraine:
Belladonna is widely used homeopathy remedy for migraines, where headache is throbbing and violent, occurs suddenly, worsens on touching, and relieves with pressure. Glonoine is useful in congestive headaches with a reddened face that is worsened by sun or heat. Natrum Mur is useful in cases where headache is brought on by grief or stress.

Ulcerative colitis: Ulcerative colitis is a serious chronic inflammatory disease of the large intestine accompanied by ulcerated lesions of the intestinal tissues. It is characterized by episodes of abdominal pain with profuse diarrhea in which large quantities of blood, pus, and mucus are present in the feces. There is an urgency to move the bowels, as many as, three to ten times per day. It may be accompanied with pain, nausea, and vomit. Because of the loss of blood, the patient may become dehydrated and anemic.
Complications of ulcerative colitis includes liver and kidney disease, peritonitis, toxic mega colon, and risk of developing colon cancer.

Homeopathy for Ulcerative Colitis:
To identify the actual inducing agent, some foods are removed to see if they are inducing attacks. Once identified, that is removed from the patient's diet. In addition, aloe, arsenicum album, carbo vegetabilis, colocynthis, are commonly used remedies for ulcerative colitis. The patient is asked for associated symptoms like bleeding diarrhea, color of the feces, involuntary defecation, abdominal pain, anxiety, cramps, and stress before deciding on a treatment mode.

Irritable Bowel Syndrome: Irritable bowel syndrome, also known as spastic colon is a functional disorder characterized by recurrent abdominal pain, cramping, and bloating. Some people suffer from constipation, which means hard, dry stools, difficult to eliminate, leading to straining without success. Some people experience diarrhea, with frequent loose watery stools.

Homeopathy for Irritable Bowel Syndrome:
Sulphur, Pulsatilla, Phosphorus, Nux Vomica, Lycopodium clavatum, Argentum Nitricum, and Silicea are commonly used homeopathic remedies. Associated symptoms that need to be considered before deciding on a therapy include frequency of stooling, nature of stools, abdominal bloating, restlessness, irritability and nervousness.

Homeopathy is a preferred mode of treatment for psychosomatic disorders as they aim at a holistic treatment of the individual and not just at symptom management.

Allergy: Allergy is an abnormal reaction or increased sensitivity to certain substances. The allergic individual produces symptoms when exposed to these substances, which are harmless to non-allergic people. The main reason for this is that allergic people make a special type of antibody called immunoglobin E (IgE), which can react with environmental substances in harmful way. These substances which lead to secretion of IgE antibodies are called allergens.

Homeopathy for Allergy:
Few important remedies for the homeopathic treatment of allergy are- Histamine, Natrum Mur, Kali Bich, Sepia, Hepar Sulph, , Carbo Veg , Sulphur, Bryonia, Nux Vom, Apis Mel, Ailanthus, and Justicia adhatoda.

Psychosomatic Disorder - Only Homeopathy Cures

Gynecomastia is a hormonal condition that causes swelling of the breast tissues in men and boys. This condition usually arises as a result of hormonal imbalance. Breasts do not form in the same pattern in males as they do in females but all males are naturally born with tiny quantities of the breast tissues. The male body produces the testosterone hormone, which plays an important role for growth during the stage of puberty. However, they also make the hormone estrogen that is instrumental for developing sexual growth in females.

When a male passing through the stage of puberty makes lesser amounts of testosterone then there is an imbalance of the hormones. As a result of the higher amount of estrogen present in men leads to swelling of the breast tissues.

Cause of imbalance-

Aside from the common reason which is the lesser production of testosterone, there are a few other reasons that can put into effect this imbalance. They are-

  Injury to the testicles that are responsible for producing testosterone
  Obesity which leads to greater production of estrogen
  Taking illegal drugs
  Liver disorder
  Failure of the kidney
  Thyroid problems that result in throwing off your hormonal balance
  Medications that you might be taking for illnesses such as cancer, depression, heart disorders and ulcers

Treatment of Gynecomastia

The treatment of gynecomastia involves a general surgery which reduces the size of breasts by flattening and enhancing the contours of the chest. If in very severe cases the weight of the breast tissue has sagged and stretched the areola region, then the areola size can be improved surgically by reducing the excess skin.

  Mammaplasty

Plastic surgery, known as Mammaplasty, is also sometimes put into effect in order to treat the condition of gynecomastia.

  Liposuction

In the case of liposuction, the procedure of the treatment first starts with a set of medications that need to be consumed. These medications help to reduce pain during the surgery. There are two ways of taking this medication, either through intravenous sedation or via general anaesthesia. The liposuction technique involves the insertion of a hollow tube with the help of several incisions. Liposuction technique is generally prescribed if the cause of gynecomastia is excess of fatty tissues. During the procedure, the cannula or the tube will be moved back and forth in order to loosen up the excess fat. This fat is then removed via vacuum suction.

  Excision Technique

The excision technique is prescribed when the glandular breast tissue needs to be removed in order to rectify gynecomastia. In this procedure, the nipple will either be repositioned to a manlier contour or the areola size will either be lessened. In some other cases, the general surgery of gynecomastia can also involve a combination of both the excision technique as well as the liposuction technique.

Gynecomastia is a condition that can severely damage the emotional balance of a man and lessen their self-confidence. It has been also seen that many men suffering from this condition tend to avoid physical intimacy or sexual activities as a result of body-image issues. Therefore, treatment is highly recommended for those suffering from gynecomastia.

Gynecomastia - Knowing The Causes & Treatment Of It!

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