Diabetes refers to the condition when there is an excess of glucose in your body. Though glucose is beneficial for the proper functioning of the body, an excess can lead to serious consequences. Over the years, diabetes has over the years emerged as one of the fatal diseases, one that once developed has no known cure. This condition is preceded by various perceptible symptoms, some of them are-

1. Insatiable thirst

The onset of diabetes is almost always accompanied by a nagging thirst, one that refuses to be quenched despite drinking plenty of water.

2. Frequent tendencies of urination

A frequent tendency of urination is one of the primary precursors of diabetes.

3. Acute hunger

Having bouts of acute hunger is one of the most predominant premonitions of diabetes.

4. Exhaustion and fatigue

In case you are suffering from diabetes, you will inevitably feel tired and exhausted all the time.

5. Blurring of vision

Diabetes is one of those rare conditions that threaten to affect and damage the eyesight. The blurring of vision comes hand in hand with the onset of diabetes.

6. Sores which take a long time to heal

One of the most fatal symptoms of diabetes is when the sore that you have suffered from takes a longer time than necessary to heal.

Some of the complications which diabetes invite are-

1. Cardiovascular problems

Diabetes considerably increases the risk of a host of cardiovascular problems and ailments like heart attacks, chest pain, and stroke.

2. Damage to the kidneys

The pair of kidneys that human beings are endowed with has the responsibility to remove the toxins from the body. An excess of diabetes in the body unsettles the purging ability of the kidneys.

3. Damage to the eyes

The onset of diabetes, among other things, puts your eyes at great risks. The condition tends to damage the blood vessels of the retina and can even cause blindness in some.

4. Skin disorder

Diabetes puts your skin at great risks. You may suffer from various bacterial and fungal infections among other ailments, due to an excess of glucose in your body.

Symptoms and Complications of Diabetes

Female genital sores are painful eruptions that bear a red appearance which may cause severe itching and pain. These lumps and sores may be caused due to sexually transmitted diseases and other ailments like allergic reactions, dermatitis, and other irritants. These lesions are usually found in the vaginal area and may also be caused to a number of skin disorders which all affect this region. Let us find out how to treat this painful condition.

Recognising the sores and lumps: 

Many of these cases go unreported because the patient may feel embarrassed or ashamed to come up with the problem. But one must recognise the symptoms and the appearance of such sores so that the doctor may take a look at the earliest signs of eruption, so as to avoid a flare up and increase in the severity of the condition. The symptoms include pain and itchiness in the area as well as burning and bleeding along with pain in the pelvic area and discomfort during sexual intercourse and urination.

Causes: 

There are many reasons for these eruptions. Sexually transmitted diseases or stds remain the top causes. Genital warts, genital herpes and chancroid which is a bacterial disease, can also cause this condition. Further, syphilis and molluscum contagiosum is a viral infection with pearl shaped nodules, which can also cause such eruptions and lumps in the genital area. Apart from stds, other chronic conditions like inflammation of the vulva known as vulvovaginitis, and contact dermatitis as well as atopic dermatitis, can cause this condition.

Diagnosis: 

The diagnosis will usually be done with a pelvic examination as well as urine culture to show the presence of bacteria. Also, other blood tests may be done to detect the presence of cysts. The patient's medical history will also be taken into account, for such cases.

Treatment: 

The doctor will prescribe a host of medicines including antibiotics and anti-viral medicines along with corticosteroids and pain relievers to help in treating these sores. Also, anti-itching ointments and medicines will be prescribed to make the condition less painful. These sores may also have to be removed with a minor surgical procedure at the doctor's clinic, in case they are too bothersome or painful.

Home remedies: 

The best way to take care of these sores is by taking a sitz bath with warm water and wearing clothes that will not brush against the area, which can cause further abrasions and discomfort.

One can prevent this condition by practicing safe sex with one partner at a time. Using condoms is strongly recommended along with routine testing and check-ups. All sexual contact should be avoided until the condition is cured completely.

Ways to Treat Sores and Lumps on Genitals

Some traditions are unique in this country. On the top of the bill lies the ritual of sitting together with family during holidays and sharing a grand and unending meal. Although, this is really fun but the after effects of these get together are not very pretty; with the spread of hearty dishes, it becomes very hard to control the appetite and you end up overeating. Having a party with friends or watching football or cricket match that is directed towards relieving the situation, but in reality, it makes the situation worse. If this is the only viable means of following your tradition, then it is time to consider what you are doing to your body.

Gastric distresses is just the beginning
Overeating during the holidays can lead to unhealthy weight gain, and in case you are already overweight, then it may lead to obesity. Now this in turn would play its role in making you prone to heart diseases, blood pressure, diabetes and several other severe diseases. A single instance of eating more than you should may lead to short-term consequences that are not simply confined to bloating or excess gas. Expert gastroenterologists opine that seasonal overeating can have a ripple effect throughout the body which can also affect the nervous system.

Overeating is very harmful
After you have eaten more than your stomach can hold, the post-meal malaise you go through is not actually the outcome of the tryptophan in the chicken; it has resulted from the increase in blood flow through the digestive tract, and it's your body's way of protesting that you must stop now. Every disease has a cause that is often rooted in one's habits. One of the most prominent results of overeating is the deterioration of the digestive system. With a poor digestive system, you may feel nauseous, uneasy and a subtle weakness in the limbs and legs.

Limiting the function of major organs
If you eat more than your body can take up even occasionally, it will bring about an overload in the entire physical system casting a stress on the intestines, stomach, heart and other major organs. Your body has limited energy and blood and when you overeat, all the organs demand more energy for functioning optimally. Thus just half of the required resources reach your limbs and brain.

There are various ways of enjoying with your close ones and overeating though may appear to be a fun thing to do, it has the power to impair your system. But if you have already indulged in the same, it's probably time to visit your gastroenterologist to help the digestive system to soothe down.

Three Dangers of Overeating During the Holidays

5 Common Causes Of Male Infertility

Till some time ago, male fertility wasn't paid much attention to, in our country. But, with changing times and increasing awareness, much is being discussed about male fertility. For couples trying to go family way, it is important to know how male fertility works. For a woman to get pregnant (assuming everything is fine within her body), the following things must occur in the male partner’s body: 
a. Healthy sperms
b. Sperm must get carried in delicate tubes to mix with the semen right before ejaculation.
c. Good sperm count
d. Movement and function of the sperm should be normal.
If any of the above are not happening as should be, it could indicate male infertility. Some of the reasons for male infertility could be:
1) Infections - Infections can interfere with the sperm health of an individual.
2) Varicocele - This happens when the veins which drain the testicles develop a swelling in them. This leads to reduced sperm count and fewer moving sperm. This can be treated and it is possible to improve the result with the help of assisted reproductive techniques like vitro fertilization.
3) Inflamed Testicles - Certain infections are known to interfere with the sperm health and production. These infections include STDs, prostatitis and inflamed testicles due to mumps. Few infections can lead to permanent testicular damage.
4) Inherited Disorder - Infertility can result from inherited disorders like Klinefelter’s syndrome where instead of being born with one X and one Y chromosomes, some males are born with two X and one Y chromosomes. Disorders in the testicles can also be the cause of male infertility.
5) Sexual Issues - Erectile Dysfunction pain during intercourse, premature ejaculation and such can also be the reasons for male infertility.
It is best to consult a doctor to understand the exact cause behind your problem.



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5 Common Causes Of Male Infertility

Though nosebleeds are usually not a cause for serious concern, it can sometimes be a scary experience and cause a lot of anxiety. The nose is home to a lot of blood vessels and being fragile they bleed easily. Nosebleeds, however, can be a cause of concern if they happen regularly. While a few factors can be taken care of easily, there are a few rare cases that are actually alarming.

Injury or blow to the nose: Any injury or sudden blow may cause the nose to bleed. The severity of bleeding depends on the intensity and nature of blow/ injury.
Sinusitis: Bleeding is seen in a moderate number of cases of sinusitis. Not every person with sinusitis experiences nose bleeds though.
Hypertension/ high blood pressure: People, who have high blood pressure and one or more of other predisposing factors, might experience nosebleed in some cases. High blood pressure basically increases your chances of experiencing nosebleed.
Liver infection: This condition can be one of the rare causes of nosebleed.
Conditions hampering blood clot formation: There are certain medical conditions in which the blood clot formation does not take place effectively and thus the bleeding incidents can happen with minor causes as well.
Blood thinning medication: People having blood thinning medicines are more prone to experiencing an episode of nose bleed for obvious reasons.
Excessive scratching or sneezing: This might cause the nasal wall to rupture, causing minor bleeding.
Excessive alcohol consumption: In people who consume alcohol in an excessive amount, nose bleeding might occur as an after effect.
Blood cancer/ leukemia: In some cases of leukemia, the patient might experience nosebleed along with other complications.
While some causes can be self-cured at home, a few others need proper treatment from a medical practitioner.

You shouldn't ignore these 9 alarming causes of nose bleed!

The intervertebral discs are made-up of two concentric layers, the inner gel-like Nucleus Pulposus and the outer fibrous Annulus fibrosus. As a result of advancing age, the nucleus loses fluid, volume and resiliency and the entire disc structure becomes more susceptible to trauma and compression. This condition is called as degeneration of the disc. The disc then is highly vulnerable to tears and as these occur, the inner nucleus pulposus protrudes through the fibrous layer, producing a bulge in the intervertebral disc. This condition is named as herniated disc. This can then cause compression to the spinal cord or the emerging nerve roots and lead to associated problems of Sciatica radiating pain from back to legs in the distribution of the nerve. Other symptoms could be a weakness, tingling or numbness in the areas corresponding to the affected nerve. Sometimes bladder compromise is also present, which is made evident for urine retention and this need to be taken care as an emergency.
Excessive weight, bad postures, undue movements, improper weight lifting and other kinds of traumas may weaken the intervertebral discs. When this occurs the pulpous nucleus will bulge against the annulus, or even be squeezed through it (extruded disc).

The first steps to deal with a herniated or prolapsed lumbar disc are conservative. These include rest, analgesic and anti-inflammatory medication and in some cases physical therapy. At this point, it is convenient to have some plain X-rays done, in search of some indirect evidence of the disc problem, as well as of degenerative changes on the spine.

If in a few days these measures have failed, the diagnosis has to be confirmed by means of examinations that give better detail over the troubled area, as the MRI, CT which will show the disc, the space behind it and in the first case, the nerves. In some instances, the EMG (electromyography) is also of great value, as this will show the functionality of the nerves and muscles.

Once the diagnosis has been confirmed, one of the best alternatives existing today is the Ozone Discolysis as the results obtained are excellent and practically has no complications. This novel treatment avoids the use of surgery in 80% of those who needed it. In most patients left with painkillers as the only treatment, the symptoms eventually disappear, only that this could take weeks to months. Ozone speeds up these developments, see the same result in a few weeks. The problem has to be seen and approached integrally and frequently the combination of therapies has to be used, most frequently physiotherapy. Also, it has to be known that those who had a herniated disc have 10 times more chances of having another herniation than the rest of the population.

If despite the ozone therapy the symptoms persist, Drill Discectomy/ Laser Discectomy are good alternatives before open surgery (Discectomy) which has to be contemplated in those true emergencies, as mentioned above, this is possibly the first choice.

Once the conservative treatment fails:

Early aggressive treatment plan of pain has to be implemented to prevent peripherally induced CNS changes that may intensify or prolong pain making it a complex pain syndrome. Only 5% of total LBP patients would need surgery & 20% of discal rupture or herniation would need surgery. Nonoperative treatment is sufficient in most of the patients, although patient selection is important even then.

Depending upon the diagnosis one can perform & combine properly selected percutaneous fluoroscopic guided procedures with time spacing depending upon pt`s pathology & response to treatment.

Using precision diagnostic & therapeutic blocks in chronic LBP, isolated facet joint pain in 40%, discogenic pain in 25% (95% in L4-5&L5S1), segmental dural or nerve root pain in 14% & sacroiliac joint pain in 15% of the patients. This article describes successful interventions of these common causes of LBP after conservative treatment has failed.

LESI: Lumbar Epidural Steroid Injection

Indicated in   Acute radicular pain due to irritation or inflammation.

Symptomatic herniated disc with failed conservative therapy
Acute exacerbation of discogenic pain or pain of spinal stenosis
Neoplastic infiltration of roots
Epidural fibrosis
Chronic LBP with acute radicular symptoms
Epidural- lumbar injection
ESI Treatment Plan

Compared to interlaminar approach better results are found with a transforaminal approach where drugs (steroid+ LA/saline +/- hyalase) are injected into anterior epidural space & neural foramen area where herniated disc or offending nociceptors are located. Whereas in interlaminar approach most of drug is deposited in posterior epidural space.Drugs are injected total 6-10 ml at lumbar, 3-6 ml at cervical & 20+ ml, if caudal approach is selected. Lumbar ESI is performed close to the level of radiculopathy, often using paramedian approach to target the lateral aspect of the epidural space on involved side. Cervical epidural is performed at C7-T1 level.

SNRB- Selective Nerve Root Block 

Fluoroscopically performed it is a good diagnostic & therapeutic procedure for radiculopathy pain if

There is minimal or no radiological finding.
Multilevel imaging abnormalities
Equivocal neurological examination finding or discrepancy between clinical & radiological signs
Postop patient with unexplainable or recurrent pain
Combined canal & lateral recess stenosis.
To find out the pathological dermatome for more invasive procedures, if needed
Intradiscal Procedures 

Provocative Discography - Coupled with CT

A diagnostic procedure & prognostic indicator for surgical outcome is necessary for the evaluation of patients with suspected discogenic pain, its ability to reproduce pain(even with normal radiological finding), to determine type of disc herniation /tear, finding surgical options & in assessing previously operated spines.

Percutaneous Disc Decompression (PDD)

After diagnosing the level of painful offending disc various percutaneous intradiscal procedures can be employed

Ozone Discolysis: Ozone Discectomy a revolutionary least invasive safe & effective alternative to spine surgery is the treatment of choice for prolapsed disc (PIVD) done under local anaesthesia in a daycare setting. This procedure is ideally suited for cervical & lumbar disc herniation with radiculopathy. The total cost of the procedure is much less than that of surgical discectomy. All these facts have made this procedure very popular at European countries. It is also gaining popularity in our country due to high success rate, less invasiveness, fewer chances of recurrences, remarkably fewer side effects meaning high safety profile, short hospital stay, no postoperative discomfort or morbidity and low cost.

Dekompressor: A mechanical percutaneous nucleosome cuts & drills out the disc material somewhat like morcirator debulking the disc reducing nerve compression.

Epidural Adhenolysis or Percutaneous Decompressive Neuroplasty for Epidural Fibrosis or Adhesions in Failed Back Surgery Syndrome (FBSS)

A catheter is inserted in epidural space via caudal/ interlaminar/ transforaminal approach. After epidurography testing volumetric irrigation with normal saline/ L.A./ hyalase/ steroids/ hypertonic saline in different combinations is then performed along with mechanical adenolysis with spring loaded or stellated catheters or under direct vision with epiduroscope.

Procedures That Can Help Treat Slip Disc & Sciatica!

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