When it comes to a man's physique, enlarged breasts can be quite embarrassing. This is a condition known as gynecomastia or men boobs or  enlarged breast in men and affects more men than you would imagine. It may affect one or both breasts. It can result in terrible embarrassment, teasing, and social trauma. Many will try to hide it with thick loose shirts, avoid bare chest activities like swimming, exercises etc and withdraw from public exposure.Though it does not pose a significant health risk, it can affect a man's psychological health and lower his self-confidence. The good news is that men suffering from this condition do not need to live with it. 

Male breast reduction surgery or gynecomastia surgery, aims at reconfiguring the contours of a man's chest by removing excess breast fat & if needed extra gland tissues. The only permanent solution to this condition is surgery. This is because fat tissues are not solely responsible for enlarged breasts. Often glandular tissue is present in excessive amounts as well. Patients need careful evaluation by Plastic Surgeon & sometimes if needed by endocrinologist to determine the source of their breast enlargement. 

Gynecomastia surgery is usually a daycare procedure. It is performed by Plastic Surgeons under local anesthesia with liposuction being the most preferred procedure. This procedure begins when the surgeon makes a small incision on each side of the chest. These incisions are usually placed along the natural contours of the body, around the edge of the areola or near the armpit so as to reduce the visibility of scars. Excess fat and glandular tissue are then sucked out of this incision. Simultaneously, the surgeon sculpts the other tissues in the chest to redefine chest contours. Patients are usually advised to wear a compression garment after the surgery to support the healing tissues and minimize swelling. 

Results of this procedure are visible almost immediately. Recovery from gynecomastia surgery is usually quick and many men find themselves back to their normal routine within a few days. However, vigorous exercising and heavy lifting should be avoided for a few weeks after the surgery. The patient may also experience slight soreness and minimal pain that can be relieved with over the counter pain killers. 

The results of this procedure are generally permanent if there are no hormonal abnormalities. It is important to maintain a healthy lifestyle and avoid drugs that influence your testosterone levels. Regular exercise can also help tone the chest muscles and maintain the achieved good shape of chest. It is really a very simple but rewarding surgery for the male & it definitely boosts his confidence, body image & self-respect.

Enlarged Breast In Men - Causes And Treatment 

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

Your child is fond of nuts and has eaten a chocolate with nuts but shortly after that develops a skin rash and starts to itch. The rash may even spread to the surrounding area. This is an indication of food allergy to nuts.

What happens is simple - the body's immune system recognizes specific proteins in the food as harmful (antigens) and produces antibodies which can combat them. This leads to an allergic reaction which can vary from something as simple as a skin rash to severe breathing issues.
Though any child can develop food allergies, in most cases, there is a strong hereditary linkage. If parents have had a history of allergy to certain foods, then there is a strong likelihood that the child could have that food allergy too.

Some of the common foods that can cause allergies are as follows:
1. Cow's milk
2. Eggs
3. Nuts (peanuts, walnuts, pecans, cashews or hazelnuts)
4. Soy
5. Wheat
6. Fish (salmon, cod and others)
7. Shellfish (lobsters, shrimps and others)
Of these, peanuts, seafood, and milk are the most common food stuffs that lead to allergies.

Because the child is yet to realize that he has eaten something that his system will not readily accept, the allergic reaction can be described in various ways, as below:
1. Scratching or itching on the tongue
2. Change in the voice - can become husky or hoarse
3. Burning of the tongue
4 tingling of the tongue
5. Funny feeling in the mouth
6. Feeling of something stuck in the throat
7. Itchy feeling or bugs in the ears
8. Throat going thick
9. Bump on the back of the tongue

These are some ways that a child can describe his allergic reaction. Some of the mild symptoms of a food allergy are as follows:
1. Hives (red, swollen, itchy areas on the skin)
2. Eczema of the skin (dry, itchy rash)
3. Nasal congestion
4. Sneezing
5. Itching of the tongue and the mouth
6. Nausea or vomiting
7. Stomach pain

Severe symptoms include:
1. Severe swelling of the lips and tongue that can block breathing
2. Inability to swallow
3. Difficulty breathing
4. Turning blue
5. Dropping of pulse
6. Drowsiness

As the parent identifies a similar reaction when eating the same food item, they can suspect allergic reactions and immediately reach out to the doctor. A detailed discussion will help establish the causative agent. Once that is known, then avoiding food allergies is quite easy. In fact, a well-informed child will know that avoiding certain foods is very beneficial. This will improve the quality of life of the child, help avoid missing school due to allergic reactions, and help avoid the child (and the parent) suffering.

How to Know if Your Child Suffers From Food Allergy

Every year, the emergency rooms at hospitals get flooded by cases of allergic reactions from food. According to a census, about 15 million Indians suffer from some kind of food allergy. The symptoms of food allergy may vary from itchy mouth to potentially fatal conditions like anaphylactic shock. Other symptoms of an allergic reaction can present themselves as difficulty in breathing, swelling of the tongue, rashes and intestinal discomfort.

According to specialists, allergies to food can develop at any age, at any time. Hence, if you suspect a sudden allergic reaction to a food that you have consumed before without any problem, it is advised to consult your doctor.

Here is a list of the most common food allergies that people suffer from frequently-

MILK: Milk is the most common food that children and infants are allergic to. Milk allergy must not be confused with lactose intolerance wherein a person faces many difficulties in digesting the sugar present in milk. The two conditions are not related. Milk allergy is the hypersensitivity reaction that happens in response to certain proteins present in milk and can be potentially deadly. Most children are seen to outgrow their allergy to milk.
WHEAT: It is a common misconception to confuse Celiac's disease with a wheat allergy. Wheat allergy exclusively occurs due to the hypersensitivity to the protein present in wheat alone. In Celiac's disease, it is the gluten in the food they are hypersensitive to, which is also present in rye, barley and oats.
SOY: Soy is a very common allergic food and most children seem to outgrow it by the age of 10. Most of the time, soy allergy is not too severe and the symptoms presented are mostly mild. Although, cases of anaphylaxis in reaction to soy have been reported. Soy and soy protein are very common ingredients found in food, hence it is advised to check the ingredients present before consuming it.
SHELLFISH: This allergy usually does not go away and you are most likely to deal with all your life. Most people who experience allergies from shellfish are most likely to be hypersensitive to both crustaceans (lobsters, shrimps and crabs) and mollusks (mussels, oysters, scallops and clams). This type of allergy can become very intense and you must even avoid the steam produced from cooking shellfish. For some people, the mere contact with shellfish can trigger an allergic reaction.

4 Most Common Food Allergies

One of the most common cosmetic procedures performed in the world today is that of breast augmentation or reduction. This is a fairly common surgery wherein depending on the requirement of the patients; the breasts are either made bigger with the help of implants or reduced in size by excising fat and tissue. Although a majority of these patients are female, there are an increasing number of male patients, who opt for male breast surgery as well.
The need for male breast surgery-
The requirement for male breast surgery arises due to the occurrence of Gynecomastia or the development of male breasts. In this condition, fat and glandular tissues are stored within the male chest in the pattern of female breasts, thus giving it a feminine look. This is a common occurrence among men and can be a cause of social embarrassment for the man as well as affecting his self esteem. Some of the causes for gynecomastia or male breasts would be  
Excessive Weight Gain.
Hormonal changes within the body where testosterone levels drop due to conditions such as  Hypogonadism  (in men, the inability of the testicle s to function correctly) and estrogen levels increase.
Medications used to treat other disorders such as certain anti -depressants, cancer medication, and anti-anxiety medications among others.
Excess consumption of alcohol and certain drugs.
Hyperthyroidism (excess thyroid secretion by the thyroid gland).
It isn t always just fat!
While many people tend to blame male breasts due to the accumulation of fat, this may not be the case always. Even skinny or people with an athletic build may notice misshapen chest that has more of a feminine appearance and thus would like to correct that. This is obviously caused by hormonal factors and genetics of body shape as well rather than just being obese or overweight.
Types of Male Breast Surgery-
Male breast surgery revolves around breast reduction and contouring to give it a more flat and toned look. This can be achieved in either of these ways:
Liposuction   This is a fairly common procedure and is minimally invasive; meant to suck out the fat through a small opening on the skin. With the help of liposuction, doctors can easily contour your chest to have a more masculine look by removing the excess fat. This procedure is a very popular one as it takes less time to recover and also isn t invasive. However, this is used as an option for male breast surgery when the problem isn t acute.
Surgery to remove excess tissues and fat   If the male breasts have excessive glandular tissue and the problem is acute, a more extensive form of surgery wherein the glandular tissue is excised may be required. However, this is also not very invasive and you can get back to your regular routine within a few days after surgery.


Male Breast Surgery

Nuts are a rich source of energy but are also one of the most common food allergens. Both children and adults can suffer from nut allergies. While some children may outgrow the allergy, for others this is a lifelong condition. When it comes to children, the sibling of a child who is allergic to nuts also has a high risk of being allergic to them as well.

Nut allergies can be categorized as an allergy to peanuts or an allergy to tree nuts. Tree nuts are nuts that grow on trees such as walnuts, cashew nuts and almonds. Peanuts are not considered tree nuts as they grow underground in the form of legumes. A person can be allergic to both types of nuts but it is not necessary that if you are allergic to peanuts, you should avoid almonds as well and vice versa.

There are laboratory tests to determine the types of food you can be allergic to but in most cases, you realize you are allergic to something only after consuming it. Some of the symptoms of nut allergies include:

Redness
Rashes
Tenderness of the skin
Hives
Swelling of the hands and feet
Sneezing
Runny nose
Sore throat
Watery eyes
Nausea
Vomiting
Stomach cramps
Diarrhea
Shortness of breath
Most of the symptoms that affect the skin and respiratory system can be relieved with the help of antihistamines. Cold compresses can also help relieve itchiness caused by nut allergies.
One of the most severe forms of nut allergies can result in Anaphylaxis. This can be described as the swelling of the throat so much so that the airways are blocked and it becomes difficult to breathe. It is often accompanied by swelling of the facial features and itchiness. The only way to relieve this swelling is with an adrenaline injection. This reduces the swelling and reopens the airways. The most common type of adrenaline injection is known as an epi pen.

Some types of foods that commonly contain nuts and should be avoided include baked goods, pesto, nougat, marzipan, soups, multigrain bread, honey, granola, sauces such as hot sauce and barbeque sauce, salad dressings and veggie burgers. Nuts are often also used as thickening agents and hence if you know you are allergic to nuts, pay attention to food labels before you buy any product and make it a habit to tell your server in a restaurant that you are allergic to nuts.

Nuts - How To Know If You Are Allergic To Them?

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