Erectile dysfunction (ed) occurs when the man is unable to achieve or maintain his erection of penis to meet his or his partner's sexual satisfaction. 
The problem is often faced by newly married men. Fortunately with experience, most of them are able to overcome this problem. Again it is increasingly common with increased age. 

So, what are the causes. In some male, it is psychological, caused by anxiety, depression, stress, marital disharmony etc. Use of alcohol and smoking will aggravate the problem. Psychological causes can happen at any age but more common at younger age. But in some cases, it is associated with serious diseases, especially at old age. It has been seen that in apparently healthy male ed is the first sign of heart disease. So, if you have ed, make sure that i's not caused by your heart problem. Again diabetes is another important cause. Excessive weight gain will also cause hormonal imbalance and thus problems in erection. Some hormone may also cause ed like thyroid, prolactin and even testosterone (male sex hormone). If you have chronic diseases like liver or kidney disease, it may also lead to ed. Diseases of nerves and spines should also be kept in mind. Sometimes, infections or tumour in private parts (prostate, testis etc) will also add to ed. Other diseases of penis like abnormalities in blood vessels can also be responsible, especially in young guys. Apart from these, some surgeries in abdomen and some drugs (like drugs to lower blood pressure, antidepressants, hormonal drugs etc) will also cause ed.

Now, what you can do? if you want to suffer silently, you will land up in other problems like problem in sexual life, problem in family relationships, depression and even inability to make your partner pregnant. But do all men with ed have to go to doctor? initially, the men should try life style modifications like avoiding smoking and alcohol; avoiding stress and anxiety; making good understanding with partner and also reducing weight. The partner should also have sympathetic attitude to the husband who is having ed.

But if still the issue is not resolved you have to consult doctor. It's not a mater of hesitation or embarrassment, as you may think. Rather it is needed to ensure that you are healthy. So, your doctor will talk to you, will check you and try to find out if any cause is there or not (like heart disease, diabetes, hormones etc). He may order some basic tests to ensure that everything is alright. After that he will advise you the treatment. If the cause is found, treatment of the cause (like diabetes) may cure ed. Even if no cause is found, ed can be treated by various ways.

But should you try the drugs shown in television or newspaper? remember, drugs used in ed have important side effects and we advise drugs only when it is absolutely necessary. In most cases simple measures like stress reduction, exercise help. Sex counseling of both the partners helps a lot. And if still ed persists, we advise drugs. There are variety of drugs, all are having own advantages and disadvantages. Particularly sildenafil group of drugs can affect heart and retina. So, we always practice caution before prescribing such drugs. And when patients are advised such drugs we advise to inform us when he feels eye problems, chest pain, fainting or even painful persistent erection of penis (" priapism").

There are other drugs that can be applied directly over penis. Testosterone group of drugs are prescribed only in selective cases as they have serious side effects and even they can reduce the size of your testes. In some cases where drugs cannot be given or drugs fail, we advise penile implants or artiificial pump to maintain erection. Finally in very few cases, where blood vessels of penis is blocked, we can cure it by some operations. 

So, if you feel ed, don't get depressed. At the same time don't feel embarrassed to take medical help. Today's embarrassment may harm you in future. So, get cured and enjoy your personal life.

Erectile Dysfunction

The first thing you must know about dengue is that it is a mosquito-borne tropical disease, the root cause of which is the dengue virus. This virus is usually transmitted to a person when an infected Aedes mosquito bites them. There are as many as four serotypes of the dengue virus; they are DENV-1, DENV-2, DENV-3, and DENV-4.

It must be noted that all four of them can potentially cause dengue fever. The term "dengue fever" is frequently used to distinguish clinically milder dengue virus infections. In more severe cases, however, the term "dengue hemorrhagic fever (DHF)" is used.

One of the common complications of dengue fever is a decrease in the number of platelets in the blood, which is called thrombocytopenia. The decrease in platelet count in dengue fever is believed to be due to the destruction of platelets by the dengue virus. The virus infects and damages the bone marrow, where platelets are produced, leading to a decrease in their production. Sometimes the immune system may also produce antibodies that attack and destroy platelets.

Who Can Get Affected By Dengue and How Badly?
Dengue is a disease that can indiscriminately affect people belonging to all genders as well as age groups. The disease is also referred to as "break-bone fever," mainly because of the excruciating pain it may cause. It is prevalent all over the tropical and subtropical areas of the world, with about 50 to 100 million cases of dengue fever in more than 100 countries.

Among the common symptoms of dengue are fever, severe headache, pain in the eyes and joints, muscle and bone pain, rash, and fatigue. It usually gets better on its own, but occasionally can be fatal.

It is a viral disease transmitted by day-biting mosquitoes and is a major public health problem in many tropical and subtropical countries, with India, Brazil, and the Philippines being the top three countries.

Anyone who lives in or travels to the areas where dengue is present is at risk of being infected. However, certain groups of people may be more vulnerable to severe illness, including:

Children
Older adults
People with weakened immune systems
People with underlying medical conditions, such as diabetes or heart disease
Dengue, in most cases, does not cause complications and has a self-limiting course with full recovery in two to seven days. However, it can also lead to the patient's demise in some cases.

What Does Dengue Fever Actually Do to Your Platelets?
As we already know, it is a mosquito-borne disease that may cause blood clots and impair blood coagulation. These blood clots can usually form in the patient's capillaries. However, at times, they can also form outside the blood vessels and block blood circulation to different parts of the body. These blood clots can cause the patient to feel faint and develop different grave complications.

This serious medical condition is caused by a virus that invades and damages the body's platelets, which are cell fragments that help blood clot. Dengue, or break-bone fever, causes the platelet count to decrease because the virus that causes platelet damage mainly affects the blood cells of the sufferer.

The platelet count in dengue fever is also one of the useful diagnostic tools and is usually carried out in cases in which the patient exhibits bleeding tendencies or has had recent trauma.

You should also note that the virus responsible for dengue fever is also responsible for another viral disease called yellow fever. All people affected by the dengue virus have similar symptoms and causes, but different amounts of blood damage. Blood damage is one of the causes of death in dengue fever.

A sudden dip in the platelet count is one of the primary reasons for blood loss in dengue; hence it has been given the name hemorrhagic fever. Moreover, platelets are a type of cell that allows the blood to clot when wounded and also helps in reducing bleeding.

When we get infected with a virus, the body goes into self-defense mode and starts to attack the virus. It is when the body releases white blood cells to look for the virus and destroy it. The platelets are responsible for clotting the blood, and when the platelet count decreases, then you have problems with the clotting of blood.

This is usually the reason that people get seriously injured and enfeebled by dengue fever. A severe infection can lead to bleeding from the mouth and nose, as well as internal hemorrhage.

What Else Should You Keep In Mind?
During a season of dengue fever, people usually try to increase their platelet counts so that they have a better chance of fighting the infection. To do this, it is important to increase your consumption of foods rich in omega-3, vitamins, iron, and other minerals. These foods can help fight antibodies and also increase platelet counts in dengue.

You can also add kale and other leafy greens such as mustard greens, collard greens, turnip greens, and spinach to your meals. The thing about these leafy greens is that they are low in calories and high in vitamins A, C, and K, which are essential to combating the dengue virus. Also, the pigments present in these leafy greens are known to have great anti-inflammatory effects.

Conclusion
Dengue is a disease caused by a virus. This virus is most commonly spread by mosquitoes. If you have dengue fever, you will probably develop symptoms seven to 14 days after being bitten by an infected mosquito. If you have dengue hemorrhagic fever, you will probably develop symptoms three to seven days after being bitten by an infected mosquito.

A person with dengue can have any combination of the following symptoms: mild fever, headache, joint or muscle pain, pain behind the eyes, rash, and mild bleeding. Symptoms can last for a few days to a few weeks.

Most people recover completely. But in some cases, the disease becomes life-threatening. For example, dengue hemorrhagic fever can be life-threatening. Furthermore, we hope you find this article informative and helpful. Please don't hesitate to share your views with us!

Why Platelet Count Decreases in Dengue Fever?

A Hernia may be defined as the protrusion of an organ into an adjacent connective tissue or muscle. The protrusion usually occurs through a tear or a weakened area in the muscle (Fascia). Hernia can be an Inguinal Hernia, Umbilical Hernia, Hiatal Hernia or Femoral Hernia. It can also originate from an incision (Incisional Hernia).

The Inguinal Hernia is commonly observed in males. Here, the intestine squeezes through a tear in the abdominal wall into the groin (Inguinal canal). At times, the small intestine bulges through the abdominal wall (weak spot) near the belly button, which results in Umbilical Hernia. In Hiatal Hernia, the upper part of the stomach passes into the chest through the diaphragm, and of all the hernia types, the Inguinal Hernia is the most common.

Severe strain and muscle tear or weakness can result in Hernia. Obesity, chronic constipation, chronic coughing and sneezing, ageing, damage caused by injury, medical conditions like Cystic Fibrosis, contribute to increased incidences of Hernia. In case of Hernia, the affected area tends to protrude or bulge out. If left untreated; Hernia can prove to be detrimental. One needs to consult a physician for proper diagnosis and treatment. Physical examination can help in the diagnosis of Inguinal Hernia. An ultrasound is needed to diagnose Umbilical Hernia. A Barium X -ray or endoscopy can be of great help in the diagnosis of Hiatal Hernia.

The severity of the Hernia depends upon its size. In case the Hernia is rapidly increasing in size, a surgery is needed for the repair. The surgery performed can be open or laparoscopic. In open surgery, Hernia is identified through an incision. Once located, the Hernia is removed from the adjacent tissues. In laparoscopic repair, small incisions are made in the affected region. Through these incisions, specialized instruments are inserted. It is through these instruments that the surgeon visualizes and performs the surgery.

In such repairs, a mesh, held in place by sutures is used as a scaffold. This facilitates the growth of new tissues in the affected person. This technique significantly lowers the chance of a recurrence. Certain factors must be well addressed, before performing a Hernia operation:

* Hernia operations, laparoscopic in particular, should be performed by experienced surgeons. Inexperienced surgeons will do you more harm than good.
* Laparoscopic Hernia operation should be avoided in case a patient has adhesions from previous surgery.
* Extreme care should be taken while performing a Hernia operation in infants and children.
* In some cases, Hernia surgery might affect or injure the vas deferens in men. This in turn can affect fertility in men.

What To Know About Hernia Operation

What causes hearing loss? + How to ensure you can help it as you age

The partial or total inability to hear is known as hearing impairment or hearing loss. It can be present at birth, or develop later in life.

There are a number of factors, which may cause hearing loss

1. Age - Age is the biggest factor when it comes to the loss of hearing, and you may lose the ability to hear as you age. This condition is known as presbycusis. It becomes difficult to understand high-frequency sounds like that of a child or a woman when you get old.

2. Noise - When you are exposed to loud noises for a prolonged period of time, it damages your ears. This leads to loss of hearing. 5% of the total population of the world is affected by noise (the degree of suffering varies). It may be a result of continuous exposure to loud music or a sudden exposure to a loud noise like an explosion.

3. Hereditary disorders - Hearing disorder may be inherited by the dominant or recessive genes of parents in the child. 70-80% of these cases inherit from the recessive genes, whereas 20-25% inherit hearing loss from the dominant genes.

4. Trauma - Serious injuries of the head/ears may cause loss of hearing, which may be either temporary or permanent. When damage is caused to the brain, the brain fails to process the message conveyed by the ears. So even if the ears are totally functional, a person may face the problem in hearing.

5. Perinatal problems - The ototoxic effects on the fetus due to excess intake of alcohol during pregnancy lead to hearing the loss in about 64% of the infants born to alcoholic mothers.

Also, premature birth can be associated with hearing loss due to high risk of being exposed to noise in neonatal units.

Knowing about the causes of hearing loss can lead you a step closer to preventing this disorder as you age.

Here are some useful tips that can help prevent hearing loss:

1. Be more aware - You should be diligent and aware of the situations, which may risk your hearing ability and should try to avoid such situations as much as possible. Limit your exposure to sources of hazardous noises like firearms, firecrackers, concerts and clubs.

2. Take precautionary measures - If your occupation calls for working at an environment of loud noises, use earplugs or earmuffs to block out the excessive noise. Also, make sure that you work in a place where employers take all the necessary measures of noise control under the federal or state regulations.

3. Monitor your use of gadgets - Monitor and control the use of hearing devices, and try to reduce the use of headphones/ earphones as much as possible.



What causes hearing loss? + How to ensure you can help it as you age

Sciatica, which is pain along the huge sciatic nerve that runs through the lower back to the back of each leg, can bring about serious, weakening pain. The term sciatica depicts indications of leg pain along with potential shivering, weakness, or numbness that starts in the lower back and goes through the butt cheek and down the vast sciatic nerve in the back of every leg. However, here are some top ways to get pain relief from sciatica:

1. Chiropractic/manual control
Spinal adjustment and manual control performed by properly trained health experts, for example, chiropractors and osteopathic doctors, are centered around giving better spinal cord alignment. These are intended to address various basic conditions, which can bring about sciatic nerve pain.

2. Acupuncture
This practice is based on the goal of achieving or keeping up the strength through an open stream of energy by certain pathways in the body. Hair-thin needles (which are generally not felt) are embedded into the skin, close to the zone of pain.

3. Subjective behavior therapy
This treatment for taking control and evolving self-defeating behaviors can be useful in overseeing sciatica pain, especially in the short term. Sessions with an advisor might be face-to-face or on the web.

4. Massage treatment
Certain types of back rub treatments have proven to have various advantages for back pain, including expanded blood flow, muscle relaxing, and release of endorphins (the body's regular pain relievers).

5. Strengthening activities
Many activities can strengthen the spinal cord and the surrounding muscles, tendons, and ligaments. The greater part of these back exercises center around the lower back, as well as the (stomach) muscles and gluteus (butt cheek) and hip muscles.

6. Stretching
Stretching is usually prescribed to mitigate sciatic pain. Stretching for sciatica is intended to target muscles that cause pain when they are tight and unyielding. Hamstring stretch is very often an essential part of a sciatica exercise program. As part of everyday exercises, many people do not stretch these muscles, which extend out from the pelvis to the knee in the back of the thigh.

7. Low-impact aerobic activity
Some types of low-impact cardiovascular workout, for example, walking, swimming, or pool therapy, are generally parts of the recovery, as high-impact action increases the exchange of liquids and nutrients to make a better environment for healing.

8. Micro-disectomy
In situations where the sciatica pain is because of a lumbar disk herniation, a microdiscectomy is the most widely recognized surgical approach. It is an open surgery done using magnification techniques. In this surgery, just the bit of the herniated disk that is squeezing the nerve is evacuated. Whatever is left of the plate is left in place.

Top Eight Ways To Get Pain Relief From Sciatica!

Seasonal allergies are usually characterized by sneezing, coughing and other allergic reactions. Also known as hay fever and allergic rhinitis, the condition tends to appear only during certain seasons of the year. The disease is triggered by changes in the weather and exposure to certain allergens like dust. The allergens cause the body to release histamine into the blood thus, resulting in symptoms of allergy.

The symptoms of seasonal allergy are:

    Coughing
    Sneezing
    Congestion in the nose
    You may experience a blocked and runny nose
    You may have an itchy nose

Ayurveda is a holistic method of treatment that focuses on improving your overall well-being. The various Ayurvedic remedies for treating seasonal allergies are:

    Restrict Dairy Intake: You need to cut dairy out of your diet as dairy products have all the characteristics of a cold food. They tend to create imbalance in the  kapha  dosha in the body, thus leading to various diseases.
    Ayurvedic Detox: Consider doing an Ayurvedic detoxification to cleanse the body of the various toxins. It helps in smoothing out the  dosha  balance and hence improves your overall well-being.
    Nasya: This process requires you to put drops of medicated oils inside your nostrils. This lubricates the nasal cavity and prevents the allergens from causing an allergic reaction in the body.
    Eat More Warm Foods: Try to eat warm and cooked foods as much as possible. Eating frozen foods is not recommended as the nutrients from the food may not be absorbed properly owing to a weak digestive system which may be the result of a bout of severe seasonal allergies. Include foods such as soups and porridge and you have a perfect dish to gorge on.
    Exercise on a Regular Basis: Make sure you exercise on a regular basis to improve your fitness levels and also to keep a check on your weight. Certain  yoga  poses such as the downward dog and the cobra help to improve the digestive process. Add cardio workouts such as running and swimming to improve the health of the lungs.
    Add Spices: Add spices to your cooking such as turmeric or garlic as they help in rejuvenating the respiratory system.

Seasonal Allergies - 6 Natural Remedies That Help you Manage them

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