Fighting the Fear of Flying

Summer has finally arrived, and many of us are looking forward to sunshiny days at the beach, hiking in the mountains, or sightseeing in a foreign country. For some of us, however, a looming summer vacation is not a happy prospect. It means an airplane flight, and these people inwardly quake at the very thought of getting on an airplane. They may fear losing control and panicking during the flight, or suffocating, or dying when the plane unexpectedly takes a nose dive.

Fear or anxiety comes in many forms. Some people have social anxiety, which is a fear of speaking in front of groups or of going into new social situations. Some people experience panic attacks during stressful situations such as taking an exam. A fear of one specific place or thing such as heights, spiders, or plane flights, is called a phobia , a word that comes from the Greek word phobos , or fear. A phobia arises when a person has a bad experience involving the frightened thing or place. With the fear of flying, sometimes the person was on an airplane flight where there was an equipment failure and the plane had to turn back. This scared all the passengers. Perhaps the person lost a loved one in an airplane accident. Or despite they were on a plane when another passenger had a heart attack. This one scary experience becomes generalized in their mind and feelings, with the result that for them any plane trip is associated with fear.

For me, as a family therapist, summer brings clients who want help overcoming their fear of flying. Of all the strategies in my therapy toolbox, I have found one particular strategy most helpful to combat the fear of flying. This strategy is paradoxical, because I prescribe to the client the very symptom for which she is seeking help. I ask the client to devote fifteen minutes a day to conquering her fear. She has to be alone, in a comfortable place such as her bedroom. She then sets her cell phone or other timer for fifteen minutes. Then she conjures up the most fearful airplane journey she can imagine and starts having the worst fears possible. After fifteen minutes, she can stop having the fear and go about her usual activities.

Most clients come back after a single session and tell me that they feel more in control of their fear. One young client, a seventeen-year-old boy named Mitchell, came up with his own unique variation on the strategy. He did the fifteen minute exercise while he was mountain biking. When he reached the summit of a hill, he set his cell phone timer and thought on his worst fears for fifteen minutes. At the next session two weeks later, Mitchell told me that now he could control his fear by using the power of his own mind. That is exactly the point of the exercise. The mind conjures up the fear and then stops the fear. Like other paradoxical strategies of prescribing the symptom, prescribing fear to combat fear is a powerful intervention.

What Happens When You Start To Reconnect After Your Spouse Moves Out?

I sometimes hear from folks who are pleasantly surprised with how their martial separation is shaping up. Many had braced themselves for the worst and were afraid that the separation would actually lead to a divorce. So the fact that things have improved can be a huge relief. But it can also leave you with more questions than answers.

I heard from a wife who said: ” I fought my husband tooth and nail about getting a separation. I was so scared of allowing him to move out. But he insisted and said I could chose between a separation or a divorce. So I really had no choice. I suspected that things were going to get even worse between us because of my fear and my resentment. But, much to my surprise, things have actually improved. In fact, we actually get a long much better since he moved out. He seems to look forward to seeing me and he appreciates me more. Our relationship has actually become fun again and we’re flirting up a storm. But I’m left wondering how I should proceed. I’m thrilled we’re connecting again, but obviously we can’t go on like this forever. Eventually, he will have to move back home and I’m afraid that once he does, things are going to be back to the way they were and that our dull, damaged marriage is going to return. What is the best way to proceed when your marriage is actually better since you’ve separated?”

People often assume that a separation is just the first step on the path to a divorce, but this is most certainly not the case. Plenty of people actually see an improvement in their relationship and some of those couples even end up saving their marriage. But, if you are one of the lucky couples seeing this type of improvement, it’s important that you don’t move too quickly and that you capitalize on the improvements that you are seeing. Below, I’ll offer some tips on how to best handle this situation.

Relish In Your Success, But Don’t Take This For Granted: Of course you’re going to be thrilled that suddenly you and your spouse are connecting and flirting again. This is so much preferable to avoiding each other or constantly fighting while you’re separated.

But as good as this can feel, make sure that you realize that if you don’t make any changes to whatever caused your separation in the first place, then you run the risk of the same old problems resurfacing when you attempt to reconcile or when he moves back in.

Right now, things are probably good because you’re only focused on the chemistry and improvements between you that naturally occurs when you miss one another. I don’t blame you. No one wants to dwell on their problems when things are going well. But just make sure that after you have reconnected, you eventually visit what issues brought you here in the first place.

Don’t Rush Things And Risk A Relapse: Many people will see these improvements and think that this means they should immediately get back together or that they should hurry up and ask their spouse to move back home. They don’t want to live apart from their spouse for even one more day. Here’s what you have to remember. As good as things appear to be right now, you probably shouldn’t risk knocking over your house of cards by pushing for too much too soon. You have the rest of your life to live with your spouse and participate in your marriage. So make sure that it’s right before you have him more back in.

Because quite frankly, right now you’re likely in a bit of a honeymoon period brought about by the risk of losing each other. However, once your spouse moves back in and you try to move on as a married couple, you lose that feeling of scarcity that is helping you bond right now. So you don’t be in any hurry and you don’t want to rush things. If things are that good between you, why not build on that rather than taking a risk before you are really sure? There is nothing wrong with continuing on as you are, especially when you are enjoying yourself so much. Your path will likely become clear at some point. But right now, you’re both enjoying yourselves and wanting to see more of each other, so why rock the boat early in the game? Forbidden fruit can be much sweeter, so I often advise couples to savor this for as long as they can because doing so will often help a lot in your recovery.

Make Sure Things Are As Good And As Clear As They Can Possibly Be Before One Of You Moves Back In: Your real goal should be to set it up so that when the two of you move back in together and make a go of it as a married couple again, you are giving yourself the best chance of success. So don’t gloss over the real issues or allow your trouble areas to lay in wait. When your relationship is strong enough to withstand it, explore these issues in positive ways. Hopefully, the bonding and reconnecting that you have been doing will make your problems seem much more small and therefore more manageable. And often, when you are getting a long so well, you can approach the problematic issues in a more playful and light hearted way to that you really can solve them and move on for good.

I’d like to make one final point. Remember that you are in a good situation. Many couples actually regress or fight more when they are separated. So the fact that you aren’t is a wonderful thing and it allows you a wonderful opportunity to enjoy and relish this time without rushing or worrying.

Headache May Be One of the Brain Tumor Symptoms!

Having headache occasionally is quite common to all, and there is nothing to worry. If it is constant or recurring, it creates in many patients a stress. Instantly they rush to their family care doctor or to a special clinic with a fear that it may be one of the brain tumor symptoms. If the doctor suspects symptoms of brain tumor, the patient feels highly afraid of his pathetic condition with each and everything.  Sometimes, stress causes tension headache symptoms which are identified as ‘secondary’ since stress is the organism’s total response to environmental pressures.

The headache with brain tumor symptoms is entirely different from one due to stress. Sometimes, the patient experiences severe headache symptoms and complaints known as “red flags” connected with coughing, sneezing or bending over. All such symptoms are serious to any patient as they can consequently cause other complications. Many patients can also have some other attacks with neurological symptoms like partial memory loss and affected personality. The symptoms can also include dizziness, tinnitus and incontinence. When the diagnosis gives abnormal results and the patient has visual defects or weakness then either a CT or MRI of the brain is needed. So, headache of any nature is serious and needs immediate treatment from a neurological specialist.

Signs of brain tumor headaches:

It can produce increased pain all over the day that is throbbing in nature. The pain will be mild in the morning and then gradually progressing to the worst level throughout the day. In some cases, the pain will be deep all through the day. To the worst of all, it extends over weeks or even months together. Some patients may experience the symptoms of migraine.

Treatment

There are certain things which should be normally avoided to be free any risky condition. They include chain smoking, consuming tobacco, and consuming excess alcohol.  At the beginning stage, chemotherapy and radiation may be helping you with constant care. For some patients, steroids can relieve pains by progressive steps. The response will be good for steroids or anti-inflammatories. When there is no improvement they need surgery. Many times the symptoms disappear after surgery.

Pneumonia -causes, Symptoms, Treatment

Causes of Pneumonia

Pneumonia is an inflammatory illness of the lung.[1] Frequently, it is described as lung parenchyma/alveolar inflammation and abnormal alveolar filling with fluid. (The alveoli are microscopic air-filled sacs in the lungs responsible for absorbing oxygen from the atmosphere.) Pneumonia can result from a variety of causes, including infection with bacteria, viruses, fungi, or parasites, and chemical or physical injury to the lungs.

There are many kinds of pneumonia ranging in seriousness from mild to life-threatening. Pneumonia acquired while in the hospital can be particularly virulent and deadly. Although signs and symptoms vary, many cases of pneumonia develop suddenly, with chest pain, fever, chills, cough and shortness of breath. Infection often follows a cold or the flu, but it can also be associated with other illnesses or occur on its own.

What causes pneumonia?
Germs called bacteria or viruses usually cause pneumonia.Pneumonia usually starts when you breathe the germs into your lungs. You may be more likely to get the disease after having a cold or the flu. These illnesses make it hard for your lungs to fight infection, so it is easier to get pneumonia. Having a long-term, or chronic, disease like asthma, heart disease, cancer, or diabetes also makes you more likely to get pneumonia.

Bacteria are the most common cause of pneumonia. However, pneumonia can also be caused by viruses, fungi, and other agents. It is often impossible to identify the specific culprit.Your body has many mechanisms in place to fight off infection. If fact, you are frequently exposed to organisms that can cause pneumonia, but your body normally protects against them through its various defense mechanisms.

Symptoms of Pneumonia
General flu-like symptoms often occur first. They may include fatigue, fever, weakness, headache, nasal discharge, sore throat, earache, and stomach and intestinal distress.
Vague pain under and around the breastbone may occur, but the severe chest pain associated with typical bacterial pneumonia is uncommon.
Fungi. Certain types of fungus also can cause pneumonia, although these types of pneumonia are much less common. Most people experience few if any symptoms after inhaling these fungi, but some develop symptoms of acute pneumonia, and still others may develop a chronic pneumonia that persists for months.

Treatment of Pneumonia
If your child’s doctor has prescribed antibiotics for bacterial pneumonia, give the medicine on schedule for as long as the doctor directs. This will help your child recover faster and will decrease the chance that infection will spread to other household members.
Drink plenty of nonalcoholic fluids to stay hydrated. This helps your body fight the pneumonia. Anti-fever medicines such as acetaminophen (Tylenol) or ibuprofen (Advil) may also help you feel better.
Viral pneumonia does not respond to antibiotic treatment. This type of pneumonia usually resolves over time. If the lungs become infected with a secondary bacterial infection, the doctor will prescribe an appropriate antibiotic to eliminate the bacterial infection.

How to Improve Erectile Function Naturally

Erectile dysfunction is a male sexual problem, which defines the loss of a man's ability to gain stiff and sustained erections of his penis while indulging in sex. The victims of erectile dysfunction experience limp penis that can not erect firmly and repeatedly. In erectile dysfunction the male sex organ loses its ability to stay erect and drops down before it makes its way into the woman's vagina. This is a frequently observed problem in men and research that proves that one out of every ten men develop erectile dysfunction once in their lifetime.

Erectile dysfunction takes a toll on the lives and relationships of its victims. It brings down the curtain of separation between you and your partner. Losing erection in the middle of sexual intercourse leaves both you and your partner dissatisfied and disappointed.

Although erectile dysfunction is a normal and natural outcome of aging – it may result from physical and psychological factors in younger men too. Some of the factors that may subjugate you to erectile dysfunction are:

Physical causes:

O Vascular disease or arterial insufficiency like blockage of arteries
O Diabetes (men suffer from erectile dysfunction in 50% of diabetes cases)
O High blood pressure
O Pelvic surgery for colon cancer
O Prostate surgery for prostate cancer
O Multiple sclerosis
O Reduced blood flow to the penis
O Spinal cord injury
O Hormonal imbalance like low level of testosterone
O Cerebral disorder
O Damage to the genital area

Psychological causes:

  • Emotional disorders like anxiety, stress and depression
  • Mental conflict and distress
  • Lack of confidence to make fulfilling sex
  • Irrational apprehension of failure in sex
  • Indifference to sex

Other Causes

  • Long-term intake of prescription medications like antidepressant and sedative drugs
  • Long-term resistance from sex leading to disinterest in sex
  • Busy schedule including the hours that are ripe of having sex
  • Poor communication of feeling and desire for sex
  • Unhappy marriage and lack of faith in your partner
  • Immoderate smoking (Smokers are at 50% higher risk than nonsmokers)
  • Consumption of alcoholic drinks
  • Prolonged hours of bicycling

What can I do, if I have Erectile Dysfunction?

Improvement of erectile function with prescription drugs always has potential contraindications and side effects. However, herbal pills without side effects have always proved very efficient with Erectile Dysfunction. One such pill is PotenC, which excels in fighting off the problem. The fusion of herbal extracts and essential nutrients in the composition of PotenC promotes the arterial function of the male genital area to give the victim firm and frequent erections by improving the peripheral tissue vasodilatation.

Bronchitis Natural Remedies – 5 Natural Ways To Control Bronchitis

Bronchitis is considered to be one among the most common respiratory disorders in the world. Infants, people with a weak respiratory system, children, old people, smokers, and people living in highly polluted atmospheres are vulnerable to this disorder. It constitutes the last stage of infection of the upper respiratory tract. People commonly contract this disorder during the cold months of the winter. Fortunately, there are a number of natural remedies for bronchitis.

Bronchitis normally follows bacterial or viral infection. Most cases of bronchitis are caused by viral infection. Sometimes bacteria are responsible for this condition, and in rare cases, fungal infection can lead to bronchitis. Natural remedies for bronchitis are available, whether it is acute or short-term bronchitis or chronic or long-term bronchitis.

Symptoms and Diagnosis

Only laboratory tests can tell you whether bronchitis is bacterial, viral, or fungal. Therefore, it is of utmost importance that you visit a doctor as soon as you suspect bronchitis. Physicians will properly diagnose your condition with the help of laboratory test results.

These are the symptoms of acute bronchitis–hacking cough, contracting sensation around the areas of the eye, pain in the chest, breathlessness, and headaches. It is easy to treat viral bronchitis, especially with the help of natural remedies. The treatment plan includes plenty of rest, fluid intake, use of a humidifier inside your house. If you do not have a humidifier, simply hang wet blankets or towels inside your house.

Although it is easy to treat acute bronchitis, a lot of care is required for complete recovery. If neglected or mistreated, acute bronchitis will lead to chronic bronchitis, a condition that can permanently damage your pulmonary system and affect your day-to-day life. It is therefore crucial that you tackle it in its early stages by making use of natural remedies for bronchitis.

Natural Remedies

There are a number of natural remedies for bronchitis. They can, at least, be used to provide relief from bronchitis symptoms. However, these natural remedies for bronchitis cannot be taken on their own. A combination of these remedies with the usual, conventional medication constitutes the ideal treatment plan.

The following is a list of natural remedies for bronchitis that you can use:

1. If you are a cigarette smoker, quit smoking for good. In addition, avoid smoke from other smokers.

2. Take a long, hot shower or soak in a bathtub filled with hot, steaming water.

3. Wrap a towel around your head and inhale the fumes from a pot or a sink filled with hot, steaming water. Maintain a small distance between the hot pot or sink so that you don’t get burnt.

4. Do this before you go to bed. Apply hot, damp towels to your chest and back for many minutes. Dry yourself and change into warm clothes.

5. Avoid dusty, smoky, polluted places as these will worsen your condition.

In addition to the above natural remedies for bronchitis, consider the use of vitamin supplements to give your body the required energy to drive away the bacteria or virus. Other alternative methods you could use to treat bronchitis successfully include acupuncture, aromatherapy, acupuncture, hydrotherapy, and even oil massages.

An ideal combination of natural remedies for bronchitis with the usual medication can help you effectively treat this disorder without suffering from any side effects. Consequently, it can help you live a healthier, more productive life.

Taking special care of your body, especially your respiratory system is the best way of keeping respiratory disorders at bay. If, in spite of your care and precautions, you do contract bronchitis simply apply the previously mentioned natural remedies for bronchitis in conjunction with the conventional methods.

Freiberg’s Disease Detailed Information

Freiberg’s disease an osteochondrosis affecting the toes: the articular surfaces of the second or third metatarsal heads collapse. It is commonest in girls aged 12-15 years. It causes pain on weight bearing and restricts physical activity. This entails removing fragments of articular cartilage and resection the dorsal aspect of the metatarsal head, to allow the joint to move freely and painlessly. Early signs of this condition will show a rarefaction of the metaphysic with sclerosis of the epiphysis. The distal end of the affected metatarsal is flattened, the shaft is hypertrophied and the head may appear somewhat fragmented.

Of all the osteochondroses, Freiberg disease is tiled to be the fourth most common, surpass by Köhler disease of the tarsal navicular, Panner disease of the capitellum, and Sever disease of the calcaneus. Radiographic changes among the osteochondroses are alike, regardless of location; they show subchondral collapse and fragmentation of the joint surface. Although considered to represent an interruption of normal growth processes, the specific events or factors that incite the cascade leading to articular collapse are unclear. Treatment should involve reducing stress on the metatarsal.

Rest and use of a metatarsal pad are usually sufficient treatment, but surgery is sometimes necessary. If extensive osteophytic changes result and deform the affected metatarsal, it can also impinge on and affect the adjacent metatarsal. Surgical intervention may be necessary to remodel the joint. Surgery should aim to keep the metatarsal parabola intact to avoid transfer lesions. Surgical procedures for Freiberg’s disease include debridement of the metatarsal with removal of loose bodies, dorsiflexion osteotomy of the distal metatarsal and shortening osteotomy of the metatarsal.

Padding of varying degrees can help to balance or eliminate stress under the affected metatarsal. Early in the disease process, short term immobilization in a plaster cast is indicated. In later stages, a metatarsal pad or bar inserted proximal to the MTP joint may be utilized. This should be continued during athletic activities until the epiphysis closes. Total small joint arthroplasty utilizing silicone prosthesis also has been described for the treatment of Freiberg disease. Potential complications are similar to those for resection arthroplasty; other potential problems, inherent in the implants themselves, include synovitis, infection, and dislocation.

Oral Maxillofacial Surgery – An Outline

Oral Maxillofacial Surgery is a unique discipline that marries medicine and dentistry. It entails a whole wide range of diseases and procedures from simple ones like impacted wisdom tooth and wisdom tooth surgery to complex complicated ones like jaw abnormalities and corrective jaw surgery. Complex reconstructive work like in a fibula free transfer graft also falls under the arm of oral maxillofacial surgery and may be done with the proper support and expertise.

Oral maxillofacial surgery as the name suggests refers to disease and procedures of the oral cavity and the region immediately surrounding it. It may even stretch as far up as the eyes and as low down as the neck. Simple diseases that falls under the branch of oral maxillofacial surgery includes tooth decay warranting tooth extraction and impacted wisdom tooth or an impacted or buried tooth that requires wisdom tooth surgery in the case of a wisdom tooth or just dento- alveolar surgery in the case of other teeth.

Soft tissue lesions such as a lump on the lip e.g. mucocele and the management also falls under the care of oral maxillofacial surgery. The excision of the mucocele or any other soft lesions is done under local anesthesia and sometimes general anesthesia. And very often, the tissue is sent to the pathology lab for a routine histology to confirm the diagnosis. Biopsies be it an incisional biopsy or excisional biopsy is also done.

Bigger lesions and pathologies like a dentigerous cyst, odontogenic keratocyst or an ameloblastoma are also routinely managed under oral maxillofacial surgery. Managements includes simple enucleation of the cyst to resection of the pathology.

Facial trauma also falls under the management and care of oral maxillofacial surgery. Lacerations of the lips and face and fracture of the jaw bones and facial bones are common place in the hospital and the management is normally handled by the oral maxillofacial department. Toilet and suture of the lacerations may be done under local anesthesia or general anesthesia depending on the extent of the injury. And more often than not, if there is an associated fracture, the open reduction and internal fixation of the jaw or facial bones are done together with the lacerations under general anesthesia.

Dental and oral maxillofacial implants are another area where oral maxillofacial surgery is involved in. The placement of dental implants to replace missing teeth in the jaw is gaining popularity and is offered by oral maxillofacial surgery. Besides dental implants, the oral maxillofacial surgical team also do maxillofacial implants such as orbit implants and otic or ear implants. They also offer answers to complicated or difficult cases such as those with bone deficiencies

Temporomandibular joint disorders (TMD) also falls under the care and management of oral maxillofacial surgery. Jaw joint pain is a common problem and is normally attributed to stress or trauma. It may even be due to normal physiological wear and tear. But whatever the cause, it can be a worry for the patient. Most of the time though, the jaw joint pain or TMD pain is caused by myalgia which involves the inflammation of the muscles of mastication.

Dental infection or facial infection leading to swelling is also commonly treated by oral maxillofacial surgery. Many a times the swelling of the face is attributed to a dental cause and the prompt identification of the cause and removal of the source together with antibiotic therapy is adequate treatment. Incision and drainage (I&D) is also commonly instituted.

Corrective jaw surgery and reconstructive jaw surgery is also commonly carried out by the oral maxillofacial surgical team. In cases of jaw abnormalities requiring corrective jaw surgery, the oral maxillofacial surgical team will work together with the orthodontist to co manage the patient. In reconstructive surgery, after a major trauma or pathology removing surgery, the oral maxillofacial surgical team will decide the graft to be used and place it appropriately and reconstruct the face.

Cosmetic surgery and plastic surgery are also commonly done. Treatments such as botox administration for the treatment of wrinkles and use of fillers for the facial region is gaining popularity and more and more oral maxillofacial surgeons are venturing into this department due to the demand. Other treatments offered are rhinoplasty and blepharoplasty.

Find Out What Causes Dysphagia, the Medical Term for Swallowing Difficulties

People suffering from dysphagia have trouble swallowing. Some people may experience problems swallowing foods, liquids or saliva, some may find it painful to swallow and others are unable to swallow at all. These swallowing difficulties mean it is a challenge for sufferers to eat or drink sufficiently well to maintain healthy nutritional levels.

There are two types of dysphagia – high or oropharyngeal dysphagia and low or oesophageal dysphagia. High dysphagia occurs when the swallowing difficulties arise in the mouth or throat. It is not uncommon to find high dysphagia in stroke victims. In low dysphasia the problem arises in the oesophagus, sometimes caused by cancer surgery or infections.

There are many causes of dysphagia, stroke being one of the more common. The condition can occur when any of the muscles, nerves or passageways used during the complicated swallowing process are not working properly. For example, amongst patients who experience a stroke dysphagia can result from reduced co-ordination of the mouth and throat muscles. Other neurological causes include Parkinsons disease, cerebral palsy, motor neurone disease and multiple sclerosis.

Sometimes the condition is caused by the throat and the oesophagus narrowing or being obstructed. This can be as a result of lung or mouth cancer, radiotherapy, a cleft lip and palate, gastro-oesophageal reflux disease (GORD), or infections. Health conditions affecting the muscles used for pushing food through the oesophagus to the stomach can also cause dysphagia. These conditions include achalasia, where the oesophageal muscles stiffen too much to enable food or liquid to pass through to the stomach; and scleroderma, where healthy tissue comes under attack from the immune system and leads to the muscles in the throat and oesophagus stiffening.

The condition can simply be as a result of aging, when the mouth and throat muscles used to swallow become weaker. Dysphagia is more common amongst elderly people but treatment is readily available for age-related dysphagia.

It is important to discover why the patient has developed the problem in order to formulate an effective treatment plan. The most common cause is stroke dysphagia. Many patients find that liquid medicines and food can help to ease the problem after a stroke. There are exercises that can be done to improve swallowing ability but in persistent cases sometimes a feeding tube may be required.

If dysphagia is so acute that the patient cannot swallow even liquid medication and food stuffs then a temporary or permanent feeding tube may have to be inserted. This is a final measure if alternative treatments are not effective. Before this stage is reached, reducing the size of food mouthfuls, chewing more thoroughly, adding liquid to the food or liquefying food can all help to ease swallowing. Remaining calm can also assist, as many patients become distressed when experiencing difficulty, thus exacerbating the problem.

Symptoms of dysphagia include being unable to swallow or finding swallowing painful. Sometimes sufferers bring food back up, cough or choke whilst trying to swallow or experience the sensation of food being stuck in the throat or chest. Sufferers can experience unexplained loss of weight and develop repeated lung infections.

Dysphagia can lead to complications and associated illnesses. For example, patients with high dysphasia are vulnerable to a lung infection known as aspiration pneumonia which occurs when a piece of food gets into the lungs. This happens when the damaged muscles fail to close the larynx during swallowing, leaving the passageway to the lungs open. Other problems include the weakened oesophageal wall enabling a pocket to develop outside the oesophagus, trapping some swallowed food which can then lead to the food returning to the throat when the patient is sleeping or lying down. Severe weight loss is also a problem, sometimes caused by the oesophagus being too narrow. Food sticks in the oesophagus and obstructs other food and even liquids from reaching the stomach.

There are a variety of treatments for dysphagia, ranging from exercising muscles and changing eating habits to surgery. For many sufferers of dysphasia and stroke victims, surgery is not necessary and the condition can be managed and treated. For example, some victims of stroke and dysphagia find that exercising muscles improves strength and co-ordination for swallowing.

If you are having trouble swallowing pills there are some options available. First of all find out if there are different versions of your drug available, there is sometimes the option of a liquid medicine, a dispersible, buccal or an oro-dispersible tablet. Some medicines are only available when prescribed by a doctor, as they do not have a licence to be sold by a pharmacist. Consult a pharmacist though and they will be able to give you any information you need on this matter.

Increasing Asbestos Awareness And Reducing Exposure Risk With Notifiable Non-Licensable Work

The Health and Safety Executive (HSE) estimate that there are still some four million properties around the UK, which are likely to contain hidden asbestos materials, and often encountered in a friable ( fragile and disintegrating) condition. Any attempt to remove can result in fibres becoming airborne and inhaled by anyone in close proximity, from home owner or tenant, company employee to public visitors, as well as building and demolition workers.

It is frequently reported that still far too many firms seem to possess little or no asbestos awareness or training to correctly deal with the potential health risks. To minimise time and costs, the health and safety procedures are often simply ignored when existing building materials found to contain asbestos (ACMs) are dismantled and disposed of alongside standard building waste.

The Control of Asbestos Regulations 2012, which came into force on the 6th April, updates previous asbestos regulations by implementing EU Directive 2009/148/EC, and targets changes at around three quarters of a million workers in companies involved with non-licensable asbestos work. From now on, the “Non-Licensable” category of asbestos work will be divided into two with an additional category, to be known as “Notifiable Non-Licensable Work” (NNLW).

According to the HSE, ” All non-licensed work is required to be carried out with the appropriate controls in place. Employers will also have an obligation for notifiable non-licensed work (NNLW)”, which means they must:

  • Notify work with asbestos to the relevant enforcing authority.
  • Ensure medical examinations are carried out.
  • Maintain registers of work (health records).

The process involves specifying whether a type of asbestos work is either licensable, NNLW or non-licensed work in each case. To do this, a risk assessment must be carried out first to identify the type of asbestos-containing material (ACM) and an evaluation of its condition.

If the work is exempt from the need for a licence, it must be then determined if it is notifiable non-licensed work or just non-licensed work. The HSE advise that the key factors to consider are based on the type of work planned, whether maintenance, removal, encapsulation, or air monitoring and the collection and analysis of asbestos samples.

Identifying asbestos type is crucial. Although the most toxic forms were banned from use in 1985, white chrysotile asbestos fibres continued to be incorporated into a variety of building materials, including insulation wallboard (AIB), cement roofing, surface coatings and sprayed insulation, tiles and soffits, infill and adhesive tapes, etc. An import ban on chrysotile in 1999 was followed by a full ban in 2005. However, it must be assumed that any property built or renovated at any time until the end of the twentieth century has to be suspected of containing asbestos material.

Asbestos found in a fragile, friable condition is particularly prone to release fibres and is liable to be designated NNLW while work which disturbs the least friable materials e.g. asbestos cement can normally be treated as non-licensed work. Encapsulated asbestos, such as cement, paint or plastic, which are considered to be firmly bonded in a matrix, are more likely to be found in good condition and can usually be treated as non-licensed work.

The ever present risk is the disturbance and breathing in of asbestos fibres. Once ingested they embed in the lung linings and can eventually cause asbestosis disease or form the deadly incurable tumours of mesothelioma cancer.

A long gestation period of between 15 to 50 years is known to elapse before the first asbestosis symptoms appear, by which time, the disease may have spread to adjacent tissues or organs. A patient’s survival rate after a conformed diagnosis can be less than 6 months.

Under the requirements of the NNLW, the HSE requires ” brief written records should be kept of non-licensed work, which has to be notified, e.g. copy of the notification with a list of workers present on-site, plus the level of likely exposure of those workers to asbestos”.

By April 2015, each and every worker who is exposed to asbestos must be under medical “surveillance” every three years. The employer must maintain a register for each worker, which records the type and duration of work carried out with asbestos and is to be retained for at least 40 years along with copies of all medical reports.

The HSE state that ” Workers who are already under health surveillance for licensed work need not have another medical examination for non-licensed work but medicals for notifiable non-licensed work are not acceptable for those doing licensed work”.

With more than 1.8 million people annually exposed each year to asbestos and at least 2,000 cases of mesothelioma diagnosed annually, the new Regulations are an attempt to reduce disregard for health and safety on property renovations when there is still a potential hazard from exposure to asbestos.

What Are The Disadvantages Of Cochlear Implants

Any hearing impaired person would need a cochlear implant if the impairment is severe, though there are some disadvantages of cochlear implants. The device is placed in the ear through a minor surgical procedure. Since it is kept in the cochlear part, it is called as cochlear implant. The brain receives the signals that are in electrical form. The sound is converted into these signals by the device.

There are various disadvantages that are associated with the cochlear implants. As a surgical procedure is used to implant the device, there are many risks associated with the surgery including infections and other surgical complications. Facial muscle paralysis can also be seen in some people. This happens because of the damage to the facial nerve during the surgery.

The cochlear implant surgery can cause tinnitus to occur in some people. Another risk of surgery is that there could be a complete loss of the ability to hear. The other major disadvantages of cochlear implants include the fact that there are some devices that can fail and there will be no benefit for the person who has undergone the surgery.

Some of the people who have had a surgery to get the implant placed can also suffer from problems like meningitis. The people who have had a cochlear implant should not indulge in certain activities like swimming. Precautions should be taken even while showering. This is a disadvantage too as the lifestyle of the individual is curbed to an extent.

Since the cochlear implant is an electronic one, the person who is using the device needs to be very careful and should avoid standing in areas where there could be a strong magnetic field present. If such a field is present, it can lead to the damage of the implant. Avoiding places where there could be a magnetic field is very important.

Another important disadvantage is that the external component of the cochlear implant may have to have the batteries changed at regular intervals. If the device runs on rechargeable batteries, then this problem can be overcome. Though there are many advantages of a cochlear implant, there are some disadvantages too. An informed decision should be made by the affected individual depending on the risks present and the rewards that can be gained. This will help the person to overcome the disadvantages of cochlear implants.

All you Need to Know About Sports Hernia, Its Symptoms and Its Treatment

Those who practice physically demanding sports such as soccer, rugby or even tennis, are at a very high risk of developing sports hernia. Sports hernia, or Gilmore’s groin as some call it, is a very common type of hernia that affects the lower abdominal wall and can be encountered at those who practice sports.

Practicing the sports mentioned above weakens the muscles of the lower abdominal wall and causes the hernia to appear.
Inguinal hernia appears in the same place, when a part of the lower abdomen slips through a small tear that is created in the muscles of the abdominal wall because they are weakened, and creates a visible and palpable bulge that sticks out. Sports hernia is similar to inguinal hernia, and they both appear in the same location, but the difference between them is that at sports hernia there is no bulge or lump that sticks out.

Anyone that practices sports can get sports hernia, it doesn’t matter how strong their muscles are because sports hernia does not have anything to do with muscle strength, it appears because the muscular fiber from the abdominal wall is too thin.

The first symptoms of a sports hernia are light pain that appears in the abdominal region, followed by pain in the groin and sometimes at males pain in the testicles. The pain caused by sports hernia is worse when the patient sneezes, bends or coughs.

If you are experiencing any of the symptoms mentioned above then consult a doctor for an accurate diagnosis. There are no medical tests that can diagnose sports hernia. The doctors usually perform tests to eliminate the other conditions that may cause the same symptoms, and based on the patient’s medical history and on some physical examinations, the sports hernia diagnose is placed.

Once you get the sports hernia diagnose it is advised to begin the treatment soon before any complications can develop. Unfortunately, the only really effective way to cure a sports hernia is surgery. The first thing that doctors prescribe is a lot of rest. In some cases, if the hernia isn’t too advanced, several weeks of rest can heal it, especially if you use ibuprofen and other muscle-pain relieving medication, but in most cases rest is not enough and surgery is required.
Sports hernia surgery is a very simple operation that most doctors have done many times and are familiar with. Its goal is to reattach the abdominal muscles and fix any tearing that has occurred.

Sports hernia patients need to remember that they can’t return to their sporting activities until their hernia is cured, because if they do it the hernia can appear again. The recovery rate is different from one person to another, so you need to visit the doctor if you want to know when you are fully recovered and can start practicing sports again.

If you want to find great information on different hernia subjects check out this link http://www.hernia-guide.com. You can find great content regarding hiatal hernia, inguinal hernia and many more.

How to Improve Erectile Function Naturally

Erectile dysfunction is a male sexual problem, which defines the loss of a man's ability to gain stiff and sustained erections of his penis while indulging in sex. The victims of erectile dysfunction experience limp penis that can not erect firmly and repeatedly. In erectile dysfunction the male sex organ loses its ability to stay erect and drops down before it makes its way into the woman's vagina. This is a frequently observed problem in men and research that proves that one out of every ten men develop erectile dysfunction once in their lifetime.

Erectile dysfunction takes a toll on the lives and relationships of its victims. It brings down the curtain of separation between you and your partner. Losing erection in the middle of sexual intercourse leaves both you and your partner dissatisfied and disappointed.

Although erectile dysfunction is a normal and natural outcome of aging – it may result from physical and psychological factors in younger men too. Some of the factors that might subjugate you to erectile dysfunction are:

Physical causes:

O Vascular disease or arterial insufficiency like blockage of arteries
O Diabetes (men suffer from erectile dysfunction in 50% of diabetes cases)
O High blood pressure
O Pelvic surgery for colon cancer
O Prostate surgery for prostate cancer
O Multiple sclerosis
O Reduced blood flow to the penis
O Spinal cord injury
O Hormonal imbalance like low level of testosterone
O Cerebral disorder
O Damage to the genital area

Psychological causes:

  • Emotional disorders like anxiety, stress and depression
  • Mental conflict and distress
  • Lack of confidence to make fulfilling sex
  • Irrational apprehension of failure in sex
  • Indifference to sex

Other Causes

  • Long-term intake of prescription medications like antidepressant and sedative drugs
  • Long-term resistance from sex leading to disinterest in sex
  • Busy schedule including the hours that are ripe of having sex
  • Poor communication of feeling and desire for sex
  • Unhappy marriage and lack of faith in your partner
  • Immoderate smoking (Smokers are at 50% higher risk than nonsmokers)
  • Consumption of alcoholic drinks
  • Prolonged hours of bicycling

What can I do, if I have Erectile Dysfunction?

Improvement of erectile function with prescription drugs always has potential contraindications and side effects. However, herbal pills without side effects have always proved very efficient with Erectile Dysfunction. One such pill is PotenC, which excels in fighting off the problem. The fusion of herbal extracts and essential nutrients in the composition of PotenC promotes the arterial function of the male genital area to give the victim firm and frequent erections by improving the peripheral tissue vasodilatation.

Osteoporosis – Symptoms and Causes of Osteoporosis

Osteoporosis is accelerated bone loss. Normally, there is loss of bone mass with aging, perhaps 0.7% per year in adults. However, bone loss is greater in women past menopause than in men of the same age. The process of bone remodelling from resorption to matrix synthesis to mineralization normally takes about 8 months–a slow but constant process. Bone in older persons just isn’t as efficient as bone in younger persons at maintaining itself–there is decreased activity of osteoblasts and decreased production of growth factors and bone matrix.

Osteoporosis causes, diagnosis, symptoms, risk factors, prevention, and treatment. Osteoporosis is a disease that causes bones to weaken, become brittle and more easily breakable. The osteoporosis disease process can be silent (without symptoms) for decades. It’s a harse reality that the drugs we take to treat arthritis, especially the corticosteroids, also wreak havoc on our bones.

Osteoporosis occurs when the resorption causes the bones to reach a fracture threshold (the point at which they are likely to break when subjected to a modest stress, such as falling). A fall, blow or lifting action that would not normally bruise or strain the average person can easily break one or more bones in someone with severe osteoporosis.

Symptoms of Osteoporosis

Bone pain is seen less commonly than joint pain and muscle pain. The source of bone pain may be obvious, as in a fracture following an accident. Or it may be more subtle, such as cancer that spreads (metastasizes) to the bone.

Hip fractures typically occur as a result of a fall. With osteoporosis, hip fractures can occur as a result of trivial accidents. Hip fractures may also be difficult to heal after surgical repair because of poor bone quality.

An abnormally curved upper back, or dowager’s hump, develops when the bones of the upper spine (vertebrae) become thin and brittle (known as osteoporosis) and collapse on each other. Having collapsed vertebrae in any part of the spine results in a loss of height.

The appearance of the widow’s hump or a fractured wrist or hip from a fall may be the first actual symptoms of osteoporosis unless your doctor has been measuring your bone density. Men also should watch for a loss of height, change in posture or sudden back pain. There are a number of risk factors that increase a person’s likelihood of having osteoporosis.

Pain, disfigurement, and debilitation are common in the latter stages of the disease. Early spinal compression fractures may go undetected for a long time, but after a large percentage of calcium has been lost, the vertebrae in the spine start to collapse, gradually causing a stooped posture called kyphosis, or a “dowager’s hump.” Although this is usually painless, patients may lose as much as 6 inches in height.

Causes of Osteoporosis

Osteoporosis occurs when an imbalance occurs between new bone formation and old bone resumption. The body may fail to form enough new bone, or too much old bone may be reabsorbed, or both.

The strength of your bones depends on their size and density; bone density depends in part on the amount of calcium, phosphorus and other minerals bones contain. When your bones contain fewer minerals than normal, they’re less strong and eventually lose their internal supporting structure.

The leading cause of osteoporosis is a lack of certain hormones, particularly estrogen in women and androgen in men. Women, especially those older than 60 years, are frequently diagnosed with the disease. Menopause brings lower estrogen levels and increases a woman’s risk for osteoporosis. Other factors that may contribute to bone loss in this age group include inadequate intake of calcium and vitamin D, lack of weight-bearing exercise, and other age-related changes in endocrine functions (in addition to lack of estrogen).

Tips For Interior Car Cleaning

You invest huge sums of money in buying a car. Just like you keep the exterior of the car spic and span, it is very important that you clean the interior of the car as well. Interior car cleaning is very important for the longer life of your car as well as the benefits it will get you. A filthy car interior not only looks bad but feels bad as well. There could be electrical and functional problems if your interior is not clean.

If your air vents are dusty and blocked there could be risk of allergies to you or your family members. They could get in a host of health problems. Dust accumulated in the car can block the buttons and cracks and the buttons might not function well. If your mirrors and windows and not cleaned, it will not give you a proper view of the road.

Many people go to professionals to have their car interiors cleaned. They charge a bomb for this job. However, if you know how to do it you can do so easily on your own. Basically the process involves eliminating trash, vacuum-cleaning, cleaning fabric and upholstery and cleaning the dashboard area.

1) Getting rid of trash: Firstly remove all the unwanted trash that you do not need in the car. You have to remove everything so that you can vacuum clean it very well.

2) Vacuum Cleaning: After removing all mats use a vacuum cleaner to clean the seats and the carpet. With the use of the right attachment, clean the area below the seats, near the pedals, in between the seats and the central console. Vacuum clean floor mats very well.

Using a soft brush, vacuum the doors and the dashboard. For effective interior car cleaning use an air compressor for blowing out dirt from the areas not accessible by the vacuum nozzle. Take care not to damage the sticking parts and knobs or vents while cleaning. Vacuum the seats and if they are leather seats, take extra care not to get any scratches on them.

3) Cleaning upholstery and seat fabric: There are various cleaning agents available for upholstery cleaning. You need to just spray and rub very well. Then just use a dry cloth to wipe it well. In case you do not wish to invest in a spray, you can use a laundry detergent. Just add some detergent to warm water and squeeze a cloth into it. Use the moist cloth to wipe the upholstery and rub harder on really filthy areas. After this, just dry it off completely. In this process, take extra care to see that water does not see below the carpet or seats or into the electrical devices. There could be stains or corrosion if it happens. It could even leave behind a foul smell if you do not dry it well.

4) Cleaning windshield & Glass: Use an appropriate glass cleaner to wipe the interiors of the windows and the windshield. Try not to wipe with a rough cloth as it may leave scratches.

5) Dashboard and Door interiors: Clean the dashboard, plastic parts, door interiors and fittings and the central console with a moist cloth using some detergent and polish it well. You can use a polish to make it shiny and polish even protects the plastic. Use a soft brush to clean your music system.

6) Carpet: Use a carpet cleaner for cleaning the carpet and rub it off very well. Use a cloth to dry it. Even a laundry detergent will work. Do not soak the carpet in water.

7) Fresh fragrance: You can use an air spray or a perfume to get fresh air from the vents of the air conditioner. If you follow the above interior car cleaning tips, I assure you your car travel will be a pleasure.