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What should one do if he or she has got breathing problems for more than one month but there is no cough. Can it be swine flu.
I have a strong pain in m back while stand for long time or while I sleep in night whole the back side pain up to neck. Please help me
I just eaten some raw socked soybeans, is it toxic? What will happen? I am very afraid, what can I do now? Please reply.
It was there on a moderate measure, but since last 3/4 years it has become very acute. I have tried and continuing good oral health. But I have well noticed that a very filthy, sharp odour comes from within only when I am talking. It's not there when I try to sense it puffing on my palms. Nowadays it is coming out also when I am breathing out. I don't know the source, so I don't know what kind of a doctor I should consult with. By the way I smoke 5/7 cigarettes a day and consume alcohol weekly or so. Kindly advice what should I do.
My dad leg 6 month blood clot Symptoms any home treatment for blood flow in the legs and reduce swelling.
I am male, age 22, from guwahati. I have been suffering from breathing problem. Before 6 month during my exam it happened. Then I cured without any medicine. And sometimes I feel it for a short period of time e. G 2 hours 4hours, symptoms:-shortness of breath, I have to take a long breath after a duration frequently, no wheezing sound in neck and lungs, I don't feel tired, weight: 63 height: 167 c. M, pulse: 72 bpm, b. P: 120/90, and after meal and in the morning after wakeup cough block my neck then I remove it by washing my mouth with salt. So could you tell me why this is happening, why do I feel shortness of breath.
The best opportunity to prevent heart disease is to focus on children and adolescents and start the preventive process early. More than a third of children and adolescents are overweight or obese.
The first signs that men are at higher risk of heart disease than women appear during the adolescent years despite the fact that boys lose fat and gain muscle in adolescence, while girls add body fat.
Between the ages of 11 and 19, levels of triglycerides, a type of blood fat associated with cardiovascular disease, increases in the boys and drops in the girls. Levels of hdl cholesterol, the" good" kind that helps keep arteries clear, go down in boys but rise in girls. Blood pressure increases in both, but significantly more in boys. Insulin resistance, a marker of cardiovascular risk, which is lower in boys at age 11, rises until the age of 19 years.
Any protection that the young women have for cardiovascular protection can be wiped out by obesity and hence obesity in girls should be handled on priority.
Yesterday morning I woke up and found my neck a little swollen from right side. Till evening if I made too much movement it was paining just a little. Today morning I woke up and found it more swollen. Having sort of a burning sensation out there and its paining a little bit more. I can turn my neck fully right amd left but touching the swollen part pains. I didn't get hurt nothing as such happened to me that may have caused this. Can you please help me out what to do?
I have a problem of headache every morning I wake up I suffer from a bad headache what's the solution for it.
Hello doctor. Iam 39 years old works for a company. I have a sex desire but my penny will become soft very quickly. If I take pinagra tab in a small quantities then the penny will remain strong. But iam worried is there is any side effect in future. Since I have recently married I need a long term solution.
I am 33 yrs and my weight is 80 kg how can I loose weight. I have thyroid, kidney stone and syist in my overy. Can u give me a diet chart
Type 2 diabetes, the type of diabetes which is common in adults, is a disease of insulin resistance, a condition in which the body produces insulin but does not use it effectively. When people have insulin resistance, glucose builds up in the blood instead of being absorbed by the cells, leading to type 2 diabetes or prediabetes. Insulin resistance is associated with excess body weight and often gives rise to metabolic syndrome, also called insulin resistance syndrome, is a group of traits and medical conditions linked to overweight and obesity that puts people at risk for both CVD and type 2 diabetes.
Losing excess body weight,therefore helps people with diabetes and prediabetes in several ways
-Weight loss results in less insulin resistance in the body so that blood sugar is better controlled
-Weight loss also results in decreased blood pressure and better blood lipid profile thus reducing the heart risk
-Weight loss results in positive changes in mood and behavior and gives a sense of control over the disease
Therefore, the guidelines, by expert agencies in diabetes care, recommend that
-Overweight/obese people should try to lose weight and get their BMI< 23; this target is suitable for people with less burden of excess weight (BMI up to ~ 25)
-For people who are morbidly obese (BMI greater than 27.5 or more in people of Indian subcontinent), initial target is to lose 5-10% of body weight within six months to year
-Gradual weight loss is recommended, for which a moderate calorie restriction of 500 calories is advised, but in severely obese people a calorie restriction of up to 1000 calories
-The radically restrictive diets such as low carb, low fat, Atkins etc. have not been found to be superior for either weight loss or sugar/cholesterol control over other diets
-Adherence to the calorie restricted diet is single most important factor for weight loss maintenance
-Recommended level of exercise for all adults (150 minutes/week of moderate-intensity exercise and 2-3 sessions of resistance exercise/week) help in greater weight loss when combined with a dietary calorie restriction of 500 calorie/day. But, for exercise alone to produce weight loss, 225-400 minutes of moderate intensity exercise is needed
-Drugs or surgery for weight loss may help in people with higher BMI (greater than 27.5 for drugs and greater than 32.5 for weight loss surgery), if you fall in these groups, you should discuss the use of these measures with your doctor
Thus, if you are diabetic or prediabetic and are overweight, you should get into a weight loss program to reduce your health risk.
I am not able to empty my stomach in 1 attempt. Despite trying creams, isabgol. Etc etc. I have to go 2-3 times in morning and 2 times in evening. I am 26 years old male. Recommend me some tests so that actual problem can be identified.
I am 45 years old, I am taking stalopamplus+metacart xl 50 daily at 10 pm since last 1 and half year, how can I stop it, are there any side effects of this?
If you are a man with diabetes, we’ve got good news and bad news about your sex life.
The bad news: Men with diabetes are three times more likely to report having problems with sex than non-diabetic men. The most common sexual problem is Erectile Dysfunction, or ED, sometimes called impotence. Even worse, because ED is such a private issue, many men feel embarrassed to discuss the problem with their doctor, or even their partner, so the problem is never addressed.
The good news: ED is one of the most treatable complications of diabetes. In fact, over 95 percent of cases can be successfully treated. With proven treatments available, diabetic men with ED have options. It isn’t something you—or your partner—should have to live with.
What ED Is—and What It Isn’t
ED means the repeated inability to achieve or sustain an erection sufficient for sexual intercourse. Although sexual vigor generally declines with age, a man who is healthy, physically and emotionally, should be able to produce erections, and enjoy sexual intercourse, regardless of his age. ED is not an inevitable part of the aging process.
ED does not mean:
• An occasional failure to achieve an erection. The adage is true: It really does happen to everyone. All men experience occasional difficulties with erection, usually related to fatigue, illness, alcohol or drug use, or stress. It isn’t fun, but it is totally normal.
• Diminished interest in sex. ED occurs when a man is interested in sex, but still cannot achieve or maintain an erection. Many men with diabetes also experience a decreased sex drive, often as a result of hormone imbalances or depression. Decreased sex drive is quite treatable, but it is treated differently from ED.
• Problems with ejaculation. Such problems often indicate a structural problem with the penis. The most common treatment is surgical.
How Diabetes Causes ED
Human sexual response requires several different body functions to work properly and together: nerves, blood vessels, hormones, and psyche. Unfortunately, diabetes—and even the treatment for diabetes—can affect many of these functions.
• Nerves: One of the most common complications of diabetes is neuropathy, or nerve damage. Erection is a function of the parasympathetic nervous system, but orgasm and ejaculation are controlled by the sympathetic system. Neuropathy to either system can cause ED.
• Blood Vessels: Diabetes damages blood vessels, especially the smallest blood vessels such as those in the penis. Diabetes can also cause heart disease and other circulatory problems. Proper blood flow is absolutely crucial to achieving erection. “Erection is a hydraulic phenomenon that occurs involuntarily,” says Arturo Rolla, MD, of Harvard University School of Medicine. “Nobody can will an erection!” Anything that limits or impairs blood flow can interfere with the ability to achieve an erection, no matter how strong one’s sexual desire.
• Hormones: Diabetes often causes kidney disease, and kidney disease, in turn, can cause chemical changes in the type and amount of hormones one’s body secretes, including the hormones involved in sexual response.
• Psyche: Psychological issues can cause a diminished sex drive, but they can also lead to ED even when sex drive is fine. ED can follow major life changes, stressful events, relationship difficulties, or even the fear of ED itself. The physiological changes associated with fear can themselves cause ED!
• Medications: About 25 percent of ED cases are caused by drugs. Many medications, including common medicines prescribed for diabetes and its complications, can cause ED. The most common offenders are blood pressure drugs, antihistamines, antidepressants, tranquilizers, appetite suppressants, and cimetidine (an ulcer drug). In addition, over-the-counter medications, including certain eye drops and nose drops, have been associated with ED. That does not mean you should stop taking these medications! Rather, you should discuss them with your doctor to determine whether a different dosage, an alternate medicine, or additional treatments will resolve the ED.
Treatments for ED
ED is easily and successfully treated! If your sex drive is unaffected, but you experience problems achieving or sustaining erection for a period of four to five weeks, you may have ED. Talk to your doctor immediately. Don’t delay—erectile dysfunction doesn’t “just go away!” Additionally, ED could be a sign of a serious, even life-threatening complication, such as congestive heart failure or kidney disease. Ignoring your ED because it’s embarrassing could jeopardize your health.
Most men seek treatment from their family doctor, who may or may not be familiar with the range of treatment options. A specialist may be a better choice. Specialists include urologists and doctors practicing at ED treatment centers.
A thorough physical exam and medical history, along with certain laboratory tests, can help your doctor determine what is causing ED, and then choose an appropriate treatment. The most common treatments for ED fall into four categories: medications, external mechanical devices, counseling, and surgery.
Oral medicines: The best known ED medications are the Big four. The four are chemically very similar, and all have proven very effective. Because they are effective, convenient, and relatively inexpensive (these medicines have become the treatment of choice for most men experiencing ED.
The main difference among the three is in how long they last. Viagra is supposed to work for between 30 minutes and four hours; Levitra for 30 minutes to two hours, and Cialis for up to 36 hours. In addition, Viagra is slightly less effective if taken with food; Viagra can also cause temporary abnormalities of color vision.
In some cases, however, these drugs may be unsuitable for patients with heart disease. If you are considering one of these drugs and you have heart disease, as many diabetics do, be sure to tell your doctor. In rare cases, the pills may create “priapism,” a prolonged and painful erection lasting six hours or more (although reversible with prompt medical attention).
Topical medicines: When the problem is insufficient blood flow, vasodilators (such as nitroglycerine ointment) can be applied to the penis to increase penile blood flow and improve erections. The main side effect of nitroglycerine ointment is that it may give the partner headaches. To prevent this, the man should use a condom.
Penile Injection Medication: This is just what it sounds like. Injected at home directly into the penis, the medication alprostadil produces erection by relaxing certain muscles, increasing blood flow into the penis and restricting outflow. Although some sources report an 80 percent success rate, the therapy has disadvantages, such as risks of infection, pain, and scarring—fibrosis—in the penis, and it may also cause priapism. A popular version of this medication is Upjohn Corporation’s Caverject. The MUSE System, by VIVUS, involves the same medicine (a pellet of alprostadil) applied with an eye-dropper-like applicator, directly into the urethra.
External Mechanical Devices:
This category of treatments includes external vacuum therapies: devices that go around the penis and produce erections by increasing the flow of blood in, while constricting the flow out. Such devices imitate a natural erection, and do not interfere with orgasm. External vacuum therapy mechanisms are approximately 95 percent successful in causing and sustaining an erection. All are portable, and costs range between $200-$500, covered under most insurance plans and Medicare Part B.
The vacuum constriction device consists of a vacuum cylinder, various sizes of tension rings, and a vacuum pump, either hand-operated or electric. The penis is placed in a cylinder to which a tension ring is attached. Air is evacuated from the cylinder by means of the pump, creating a vacuum, which produces the erection. The cylinder is removed, leaving the tension ring at the base of the penis to maintain the erection.
Vacuum therapy devices have a few disadvantages. One must interrupt foreplay to use them. You must use the correct-size tension ring and remove it, to prevent penile bruising, after sustaining the erection for 30 minutes. Initial use may produce some soreness. Such devices may be unsuitable for men with certain bleeding disorders. In general, vacuum constriction devices are successful in management of long-term ED.
“Rejoyn” is an inexpensive, nonprescription alternative to the vacuum-actuated devices. Described by its manufacturer as a “support sleeve,” it does not “cause” an erection, but rather supports the flaccid penis as if it were erect (one wears it under a condom).
The great majority of ED cases in diabetic men have a physical cause, such as neuropathy or circulatory problems. In some cases, however, the cause of ED is psychological, including depression, guilt, or anxiety. With a thorough exam, the doctor should be able to determine whether the ED is psychological or physical in nature. If the cause is psychological, your doctor may refer you to a psychiatrist, psychologist, sex therapist, or marital counselor. Do not view such a diagnosis as an insult. Most psychologically-based ED is easily and successfully treated.
There are two kinds of surgery for ED: one involves implantation of a penile prosthesis; the other attempts vascular reconstruction. Expert opinion about surgical implants has changed during recent years; today, surgery is no longer so widely recommended. There are many less-invasive and less-expensive options, and surgery should be considered only as a last resort.
The obvious risks are the same that accompany any surgery: infection, pain, bleeding, and scarring. If for some reason the prosthesis or parts become damaged or dislocated, surgical removal may be necessary. With a general success rate of about 90 percent, any of the devices will restore erections, but they will not affect sexual desire, ejaculation, or orgasm.
Prostheses: Many different types of penile prostheses are available, in three categories: rods, inflatable prostheses, and self-contained prostheses. Semi-rigid or malleable rods are the simplest and least expensive of all. Their main disadvantage is that the penis remains constantly erect, which may cause problems with concealment.
Inflatable prostheses are complex mechanical devices that imitate the natural process of erection. Parts are inserted surgically into the penis and scrotum, and activated by squeezing. When erection is no longer desired, a valve on the pump is pressed, and the penis becomes flaccid. Self-contained single-unit prostheses are similar to the inflatable types, but more compact. The entire device is implanted into the penis. When erection is desired, the unit is activated by either squeezing or bending, depending on which of the two types of self-contained prostheses is used.
Vascular Reconstructive Surgery corrects defects in penile blood vessels. The surgeon may reconstruct the arterial blood supply, or remove veins when the cause is due to leakage. Less than five percent of men with ED may benefit from vascular surgery.
Like all diabetic complications, ED can occur even when you have followed your doctor’s advice and carefully managed your diabetes. Also like all diabetes complications, ED is less likely to occur with good blood sugar control. Poorly controlled diabetes and high cholesterol increase the chances of vascular complications, which may lead to ED or other circulatory problems. In addition, regular smoking and alcohol use can contribute to ED.
You are not alone; others have faced these difficulties. ED is treatable; you do have options!
It is said that oral health is the best indicator of a person's health. A bad oral hygiene translates down to the rest of the organs, reflecting poor health. And, like all other organs of the body, the oral cavity also is aging and therefore, requires extra attention to maintain good health and requires longer time to heal and get back to its original state. So, as the old adage goes, prevention is better than cure.
The following are some reasons why oral health in older patients is very important:
- Food and nutrition: Be it a regular decay or rare cases of oral cancer, poor oral health means reduced food intake. In the elderly, the tissues supporting the teeth (periodontium) deteriorates, leading to loosening of teeth and inability to eat and chew food. This gets into a vicious cycle, and for the elderly, good healthy nutrition is very important for overall health. If decayed teeth and weak teeth are not allowing them to eat well, the overall health takes a toll too.
- Overall health: Poor oral health is associated with higher incidence of diabetes and heart disease. Also, in diabetics especially, the periodontal tissue is easily affected and prone to infection. This leads to not just tooth mobility, but also root caries. The incidence of abscess and cyst associated with root caries is much
- higher than decay in the crown portion of the tooth. The simple logic is that there is more tooth structure covering the crown than the root, and therefore, the decay reaches the pulp a lot more quickly.
- Medications and side effects: Dental pain, those who have experienced will swear to be one of the worst pains to go through. And in old age, it is something that is best avoided. So, better oral care and hygiene measures become all the more important. Once pain sets in, the antibiotics and painkillers become necessary, bringing with them a host of side effects.
Simple Management tips:
- Brush twice a day using fluoridated toothpaste
- Rinse with each meal with a mouthwash is possible, else with plain water
- Floss regularly to prevent interdental caries
- Routine bi-annual visits to the dentist, especially if you are prone for decay or have dry mouth. Whether it is a small decay or a lesion, the dentist will be able to detect it early and arrest and/or treat it
- Don't ignore lumps or sore throat that is persistent
- Quit smoking, use of tobacco (if applicable)
- Healthy diet that is rich in fiber
To avoid the vicious cycle of dental symptoms and complications and their effect on general health, it is advisable to do some basic hygiene measures.