Penis Sensitivity Exam – How to Test for Loss of Penis Sensation

According to recent polls, over 87% of all men experience mild to severe loss of penis sensation at some time; while many men believe that this is a natural sign of aging, the truth is that many men lose penile sensitivity while still in their teens. Because any loss of penis feeling can limit the amount of sexual pleasure a man can experience maintaining adequate sensitivity is an important issue for men of all ages.

For those guys who have concerns about loss of sensation in the penis, the following penis feeling exam can be carried out at home to determine whether treatment with a men’s health formula containing penis-specific vitamins and minerals which nourish and moisturize the delicate dermal tissue is needed to prevent diminished sensation and stimulate the repair of damaged, deadened cells which can cause a reduction in sensitivity.

At-home penis feeling exam

This test is best performed with the assistance of a partner; for the most accurate results, the penis should be erect during the exam.

Materials: A feather or similar soft object; an ice cube; a blindfold.

Procedure: Before beginning the exam, the assisting partner should be advised of the following steps; the individual being tested should not be told when the partner is about to perform each step. The subject should stand undressed, with legs slightly apart, eyes covered so that he cannot see what his partner is doing.

1. The partner should take the feather and run it up and down the shaft of the penis and over the head. A pleasant tickling sensation should occur. The subject should note whether he can detect this sensation or not at his partner’s prompting.

2. The partner should then grasp the penis gently and run his/her fingertips up and down the penis and over the head, in the same manner as with the feather, asking again if the sensation is felt.

3. Finally, the partner should repeat the same procedure with the ice cube.

If no sensation is felt on any part of the penis during this exam, some loss of sensitivity may be present.

Factors contributing to lost penis sensation

A number of factors may lead to diminished penis sensitivity, including the following:

• Use of binding, restrictive clothing – Tight clothing can limit circulation to the penis, as well as causing constant friction, which serves to deaden the nerve endings under the penis skin and create a callous-like layer of thickened dermal tissue. Unless proper measures are taken to rehydrate the skin and support the repair of damaged nerve and skin cells, this can eventually cause a significant reduction in sensation.

• Age – As men age, a slight reduction in sensitivity may occur; this may be prevented or alleviated by treating the penis skin with daily vitamins and minerals that are known to contribute to overall penis health.

• Weight – Being overweight or obese can lead to a large number of health problems. Conditions such as poor circulation, type 2 diabetes, and the pressure of excess body weight can diminish sensation in the penis. Losing weight through regular exercise and good nutrition, as well as providing the penis skin with the proper nourishment to stimulate circulation, nerve cell regeneration and skin cell growth, can help to maintain adequate sensitivity of the penis.

• Circumcision – Men who are circumcised regularly report less sensitivity than those who have their foreskin intact. To combat this issue, regular treatment with essential vitamins, minerals and amino acids that have been shown to contribute to penis sensitivity can help circumcised men to experience optimum sexual pleasure.

• Dry masturbation and aggressive intercourse – Dry rubbing or assertive sexual activity can desensitize the skin over time. Keeping the skin well-hydrated and boosting the body’s natural healing properties can help to maintain soft, supple and healthy skin that is responsive to stimulation, both through manual stroking or partner play.

Treatment for penis desensitization

A specialized penis health formula (most health professionals recommend Man1 Man Oil) which is applied directly to the delicate skin of the penis can provide the nourishment needed for a healthy member through the absorption of the vitamins, minerals and other nutrients that are necessary for optimum penis health. Treating the skin of the penis with rejuvenating ingredients such as vitamins A, B5, C, and E, as well as important amino acids needed for skin and nerve cell growth, can help men of all ages to continue to experience sexual pleasure.

Going Green By Shaving Straight – Four Alternatives To Disposable Plastic Razors and Cartridges

There is something that unites men of all nationalities, colors, religions and sexual preferences; something as basic to our genetic code as our desire to avoid yard work – we all grow facial hair. For the majority of us who want to remove it without having a negative impact on our fragile planet, this article was written for you.

A Close Shave For Mother Earth

Few men will argue that shaving with disposable razors (either the plastic “throw away” variety or those with disposable cartridges) isn’t bad for the environment. The approximately 68 million men in the USA alone using plastic disposable razors produce waste that consumes an astounding 34,000,000 cubic feet of space. And this does not include the space taken up by shaving cream cans and the packaging for all that plastic. Much of this waste is not recycled and ends up in landfills or is dumped into our oceans. But the news gets worse – each plastic razor or cartridge requires fuel (primarily oil) to both manufacture the item itself and to power the machinery that produces them. Throw into the mix the toxic chemicals which are either used in, or are waste products of, the manufacturing process, and the business of making, using and disposing of plastic razors becomes nasty indeed.

The High Cost Of Hair Removal

A hundred years ago, you could get a barbershop shave and a haircut for “two bits” (25 cents). Not anymore. Today, the cost of all that plastic, packaging and the advertising dollars spent to support the industry, really adds up. And the cost is passed onto the consumer. In a single year, the razors, cartridges and shaving gels/creams that you will need to keep your face smooth will cost you, on average, around $225. This cost can be even higher of you toss your expensive cartridges at the first hint of dullness or rust. For the sake of comparing this with other options, let’s assume that a man has an average of 68 shaving years over his lifetime; and that each year, shaving with disposable razors will cost him $225. The cost of shaving with disposables over a lifetime: $15,300.

To sum up, shaving with disposable razors is very expensive – both in your direct costs which will only increase every year, and in the damaged caused to our already stressed ecosystem.

Alternatives To Plastic Disposable Razors

Hopefully at this point, you are willing to examine the alternatives to the plastics. Fortunately, you do have options which will both cost you less money and decrease your “carbon footprint.”

Solution #1: Permanent Laser Hair Removal With Electrolysis

About: The desire to eliminate the burden of daily facial hair removal is nothing new, but modern technology has made it more realistic and affordable than ever. The best known and most reliable treatment for all skin colors and types is electrolysis. Around since the late 1800s (but significantly improved over time), electrolysis involves inserting a tiny needle into each hair follicle on the face and “zapping” the dermal papilla with electric current. This renders that follicle permanently incapable of supporting hair growth.

Pros: Your shaving burden will be substantially decreased or even eliminated. This also makes this method among the “greenest” of all the solutions presented here.

Cons: Each time that needle is inserted into a hair follicle and electricity is passed through it, it hurts. According to an article in Men’s Health magazine, the average man has approximately 30,000 follicles on his face. If each and every one of them are “zapped” with electricity, that is PAIN x 30,000. That’s some serious agony. As if that were not a sufficient deterrent, an interesting article on the topic of facial hair removal from the transgender community, reports that it can take from 1 to 4 years of treatment to finish the job. That’s a whole lot of pain just to avoid shaving. Treatments cost between $25 and $250 each, depending on how many follicles are treated, where you live and the experience of the technician. Trust me, you don’t want someone who sucks at it.

Lifetime Cost: Varies, but can be as high as $20,000.

Grade: D (for cost, time and suffering)

Solution #2: The Electric razor.

About: Electric razors have been around for decades. It was invented in 1928 by Colonel Jacob Schick. There are versions that work dry, others that let you use creams and lotions and even models that allow you to shave in the shower. With daily use, a quality electric razor should last you 2-3 years before a replacement is needed or desired due to either expensive parts or the internal rechargeable battery wearing out.

Pros: Using an electric razor solves the waste problem – sort of. You aren’t throwing out plastic every day and you typically aren’t buying cans of shaving cream – all good news. They do not consume a great deal of electricity and, if you use the car adapter that comes with some of the better razors, you will be even “greener” – although shaving while driving is not something I would recommend.

Cons: It’s true that an electric razor lasts considerably longer than plastic disposables, but you will go through quite a few of them in your lifetime. Unless you dispose of them responsibly, these devices (the rechargeable batteries in particular) are very bad for the environment. A good electric razor is also not cheap – a good one will set you back $100 or more. So if you buy a new razor once every 3 years, the cost adds up. Finally, of all the options examined here, this type of razor, hands-down, will give you the worst shave.

Lifetime Cost: $6,800

Final Grade: B

Solution 3: Non-Disposable Safety Razor With Disposable Metal Blades

About: While the identity of the inventor of the “safety razor” (a device which exposed only the shaving edge of a blade to the face) is a hot topic of debate in the shaving history community, there is little doubt as to the man who made this type of razor both practical and popular – King Camp Gillette. The earliest safety razors did not use disposable blades, but Gillette’s did right from the start. His blades were also sharp on both sides (known as “double-edged” blades) -giving the user two sharp edges for the price of a single metal blade. This was important, because the early “disposable” blades were not cheap. But what really converted the male population of the United States to the Gillette razor was the fact that during WWI, the US Government issued Gillette safety razors and blades to the entirety of the armed forces and allowed them to keep their shaving kits when they were discharged. The art of shaving was transformed virtually overnight.

Pros: As the “runner-up” solution, the safety razor with disposable metal blades has a lot going for it. Since the razor is permanent and typically made of metal, you can use it for years or possibly a lifetime with proper care, although you might find it fun to use and collect a variety of these razors. And since you can always pull a fresh blade from the pack, a great shave is always close at hand. Additionally, the thin metal disposable blades are MUCH less expensive than the plastic multi-blade cartridges – a 10 pack of Merkur blades sells on Amazon for $8.29 + $3.99 shipping. If you can get an average of 4 shaves from each blade, that’s an average cost per shave of just 31 cents. Plus, since you are disposing of metal rather than plastic, the carbon footprint of this solution is significantly smaller than that of plastic disposables. A good quality safety razor from a company like Merkur will set you back $30 to $90 – a one-time expense.

Cons: Although they produce significantly less waste than plastic disposables, this solution does generate millions of sharp, wasted metal blades every year – something I’m sure your trash collector does not appreciate. They are not biodegradable and are likely to remain a safety hazard for decades. Plus, fuel is used in the manufacture of the blades. What’s more, each pack of blades comes in a container made of plastic or metal which is also discarded. Cans of shaving cream cost in manufacturing, disposal and use, unless you use shaving soap and a brush (recommended for a better shave).

Lifetime Cost: $8,826 (the majority of the cost being replacement blades)

Final Grade: A-

Top Rated Solution: Shaving With A Vintage/Antique Straight Razor

About: The straight razor has been around for centuries and man has yet to produce a razor that does a better job at giving a close shave. The “modern” (those made over the past 175 years or so) straight razor is a marvel of human engineering. The finest razors using the best metals and the best craftsmanship came from England, Sweden, Germany and the United States. Japan also produced some excellent straights, although the style is significantly different from “western-style” razors. Never, ever shave with a razor made in Pakistan or India.

Pros: Using a straight razor is, by far, the “greenest” way to remove facial hair. There are no blades to throw away. A shaving brush (used to apply shaving soap) will, with minimal care, serve you for a decade or more. You really have only two recurring costs – shaving soap and two professional honings per year. If you use a good quality hard soap, you will spend around $20-$25 each year on soap. Professional honings will set you back about $15 each. Since it takes a week or two to get your razor back from a Honemeister, it’s a good idea to have at least two straight razors in your shaving “rotation” – ensuring that you will always have one to shave with when the other is in the “shop.” Straight razor shaving is also good for your skin. Kenneth Beer, M.D., a Florida Dermatologist interviewed by Men’s Health magazine says, “The low-grade friction from shaving stimulates collagen production and smoothens the skin. That’s one of the reasons men typically have far fewer wrinkles than women do.” It also provides, hands-down, the best shave of any method available. Sweet.

Cons: Most of the costs of shaving with a straight razor are paid up-front. A high-quality straight razor can set you back $80 to $150 or more. When you get to the very expensive razors however, you are paying more for style than you are for shaving quality. If you buy a new razor, there is the environmental impact of production to consider – although the fact that it is done only once still puts it way ahead of safety razor blades. But here’s a great “inside” tip – buy a vintage or antique straight razor in excellent condition. You will pay no more than $75-$150 for a really good one and, since it is already made, your carbon footprint is zero. Also, many of these razors have a beauty and level of craftsmanship that is scarcely found today. You will also need a shaving brush, a leather strop and a barber’s hone. This means that your total startup costs will be between $200 and $400. Straight razor shaving also takes some time to get used to. Your skin must become accustomed to that beneficial “low-grade friction” mentioned earlier, so you will experience quite a few nicks in the first few weeks. But as your skin becomes “conditioned” to the straight razor and you become more skillful at using it, you will find it to be a very comfortable way to shave. Your only “consumable” is shaving soap, but that is traditionally packaged in paper or a recyclable box. I should warn you that straight razors can be addictive. Many shavers end up being collectors – I have many clients who tell me that they “want to shave with a blade two centuries old.”

Lifetime Cost: $3,870 (assuming you avoid “razor addiction”)

Grade: A+

I hope you find this article helpful. It was fun to write and the fact-finding was illuminating. If you have any questions, feel free to email me at assistance@vintageshavingshoppe.com

The Italian Fish Market

If you have ever experienced a fine Italian meal, you will most likely say that you tried some fine dish that considered of some sort of fish. More than likely this fish that was used for the Italian fish recipe, was purchased at the local Italian fish market. At this type of market, you can find just about any type of fish hard-shelled and otherwise that you can possibly imagine. With the vast oceans that surround the country of Italy and its great coastlines all-great for fishing, the markets for fish are actually swapping with fresh cuisines ingredients. There are many fishermen that catch that day, and bring their wares to the local market for the purpose of selling fresh and immediate.

Crabs And Prawns To Please The Masses

If hard-shelled fish fare is your thing, then the Italian fish market can be exactly what you have been waiting for. You can find delightful crabs along the coasts of Italy, and these crabs can be the centerpieces of an exquisite Italian feast that will certainly win the chef accolades. As far as other fine seafood that are in the hard-shelled or crustacean family, you only need to look at the imperial prawns that are found just of the Mediterranean sea. These massive yet delightful shrimp are what chefs desire to complete some of their finest culinary masterpieces. These great hard-shelled foods are actually rather cheap in the Italian fish market; It is unfortunately more expensive for those that live in other locals due to the time that the fish actually keep.

Picking Out The Freshest Fish

When you are going to the Italian fish market, you are going to want to be sure that you are picking out the freshest fish that you can find. When you are looking for fish that is fresh, the first thing you will want to do is push o the fish's skin. If the skin is tight and bounces back quickly this is a good sign off freshness. If your fingers press the fish in and it sets and lingers this way, it would be best to avoid this fish. Another way to check for freshness is to smell the fish; If the fish actually does smell fishy then it is by no means fresh. The final way to check for a fish's freshness is to look within its gills. If the gills are pink, then this fish has sat for a while, the gills should actually be bright dark red in color to indicate that it has just come from the sea.

Some Of The Finest

When it comes to fine foods, some of the finest ingredients come from the Italian fish market. Many people assume that Italian food is nothing more than great pasta; This could not be further from the truth as many great Italian recipes consist of great seafood. You can find some of the most decorated chefs in the world cooking in wonderful Italian restaurants that specialize in great seafood meals.

Dry Skin – Do Vitamin Supplements Really Work?

There are a number of different approaches that you can take when it comes to curing dry skin. You can decrease the amount of times that you shower and turn down your water temperature. You can increase your fluid intake and purchase a humidifier. Or you may even consider applying lotions and intestinal moisturizing creams to your skin. But is there anything else that you can do? Is it possible to treat dry skin with a vitamin supplement?

To see if vitamin supplements really cure dry skin, we must first understand how the body nourishes skin and how dry patches occur in the first place. The skin is the body's largest organ and as such is nourished by blood vessels and the endocrine system. Granted, the skin is a visible organ so it is easy to see why many people try to treat their dry skin purely through a topical approach. But keep in mind that the skin gets nutrients, moisture and vitamins through the internal systems. This is why an internal approach to curing dry skin is so important.

How Do Vitamin Supplements Cure Dry Skin?

As mentioned before, your skin is nourished through the circulatory system. In fact, the majority of your skin's moisture is produced from the water that you drink. If you become dehydrated (most people are and do not even realize it), your body will start to pull moisture from other parts of the body to help with essential functions. One of the first places where this happens is the skin. This is why it is extremely important to drink plenty of water.

Vitamins can help restore health and beauty to dry skin by providing essential nutrients that your skin needs. Antioxidant vitamins such as Vitamin C and Vitamin E help boost healthy cell reproduction which results in youthful, healthy, hydrated skin. Vitamins also help restore a healthy balance to your entire body which greatly affects the appearance of your skin. If you are tired or sick, your skin is often the first place where this shows.

What Vitamins Work at Curing Dry Skin?

Now that you know what important role that vitamins play in curing your dry skin, you are probably wondering which vitamins work the best. Here is a guide to help you decide which vitamins you should be taking as part of your skin care routine:

* Daily multivitamin – Many dry skin conditions are caused by the lack of essential vitamins which are typically absorbed by the body from the foods that we eat. In many cases, though, a regular diet does not supply all of the vitamins that the body needs. This is where taking a daily multivitamin supplement comes in handy.

* Vitamins A and B – Vitamins A and B are vital for skin hydration. If your body is lacking in either of these vitamins, you may begin to show signs of dry skin. These vitamins are normally found in common foods such as fish and leafy vegetables. If you do not consume enough of these types of foods, you may want to consider taking a supplement.

* Vitamin E – If your skin looks dull and lifeless, a lack of Vitamin E is probably to blame. This vitamin is found in foods like olive oil. Vitamin E is also readily absorbable by the skin so topical treatments containing this vitamin can be effective for treating dull and dry skin.

* Antioxidants – Antioxidants ensure healthy cell reproduction. This results in young, healthy and moist skin. You see, skin is renewed on a continuous basis. Daily your skin is producing new skin cells to take the place of dead cells. When you're young, these new skin cells are exact replicas of the old ones. As you age, though, the replicas can become mutated resulting in aged and dry skin.

As you can see, there are many vitamins that combat dry skin. Remember, your skin is an outward reflection of what is going on inside your body. You need to take care of your health, eat a proper diet, and drink plenty of water for your skin to look the best that it possibly can.

There are also many health conditions that can affect the appearance of your skin. Be sure to keep medical conditions such as diabetes, thyroid disease and Hodgkin's disease under control. This will make it much easier to maintain the health of your skin. Dry skin does not have to be a life long or even a seasonal sentence. Simple things like adding vitamins to your diet can do to lot for your dry skin.

Are You at Risk From the Side Effects of Green Tea?

Most people don’t realize this, but green tea side effects are just as important to know as its benefits. Many population studies documenting the health benefits of drinking green tea are based in Asia, where  people typically drink 3 cups of freshly brewed green tea a day.

The problems can arise when we drink too much of it. The United Kingdom Tea Council recommends a maximum of 6 cups of tea a day. Lets touch on a few reasons why.

1] People with sensitive stomachs need to be careful because the alkaline nature of tea doesn’t always mix well with the acids produced by the stomach. This can cause indigestion. It has been suggested that tea should be had between meals, not with them.

2] The caffeine in green tea is about half that of a cup of coffee. Too much caffeine can cause insomnia, headaches, irritability and even irregular heart beats.

3] Green tea reduces the absorption of nonheme iron which is the kind you get from plant foods. The other type of iron is heme iron and is found in meat and fish. Having your tea between meals can help here too.

Iron is sometimes classified as a trace mineral because we have so little of it in our bodies. However, it is vitally important in helping get oxygen to our cells. If there is not enough iron then there are not enough red blood cells and we will suffer from iron-deficiency anemia or iron poor blood. Symptoms include being tired, pale and short of breath.

Iron poor blood is the number one nutritional deficiency in the world. It also affects 1 out of 10 American women and children. In addition to tea, iron-deficiency anemia can be aggravated by a lack of vitamin B1, vitamin B2, vitamin C, niacin and pantothenic acid.

The solution is not necessarily to stop drinking green tea.

a] Drink your tea just after brewing; letting it sit will cause the numerous ingredients that are good for you to lose potency. In addition, green tea has amino acids in it, which if stored after brewing, will assist bacteria to breed.

b] Consume your tea between meals; this will reduce the side effects of indigestion and iron deficiency.

c] Try cooking your vegetables in cast iron cookware. This tip alone will dramatically improve your iron absorption rate.

Something else to consider is a vitamin/nutrient supplement that has green tea extract in it. The tablets should also use an enteric coating. If taken during a meal the coating will help to keep the extract from negatively interacting with your stomach acids or the nonheme iron. You will also balance out any nutrient deficiencies in other areas.

Bamboo Greenhouses For Philippine Flowers

You can take gardening and farming to the next level and consciously build your greenhouses to be as green as they could be. Philippine flower farms can construct greenhouses in bamboo! Yes, bamboo! Not those tall, rigid, imposing steel structures, not even concrete, not even hard wood. You use bamboo and you do not cut trees!

WHY BAMBOO?

Prevents global warming: Greenhouses made entirely out of bamboo captures carbon dioxide and stores it. This is because planted bamboo gets CO2 from the atmosphere. When a plant breathes in CO2 and exhales O2, the plant takes the C-carbon atom and converts it into plant matter through photosynthesis, storing the carbon in the plant. When the plant dies and decays, the carbon is eaten by bacteria or insects. The greenhouses could then be seen as a carbon sink, storing the carbon in the bamboo poles.

Grows 3-7 times faster than trees: Bamboo is not a tree. It is a grass. The fastest growing bamboo can grow up to 4 feet a day!

Extremely strong: Bamboo has twice the compression strength of concrete and roughly the same strength-to-weight ratio of steel. Imagine that! Bamboo poles are able to withstand strong winds and earthquakes.

Weather, termite and mold resistant: Bamboo greenhouses are naturally designed and treated with natural elements to be weather, termite and mold resistant. Bamboo poles for example can be treated with non-toxic borates to prevent termite and powder post beetle infestations as well as decaying fungi. Borates have been used internationally for the past 60 years as a safe and effective treatment to stop insects and decay.

HOW TO DO IT?

You can make greenhouses entirely out of bamboo. You do not even have to use nails or screws! The bamboo poles are held together by bamboo pegs. And then you can use stones and pebbles for pathways. Also ensure that you design and position the greenhouses to ensure the least use of energy for your crops. Bamboo buildings should use natural ventilation, and rely on the direction, strength or gentleness of winds. With this, you eliminate the need for energy-powered fans. Not only these, you can design your bamboo poles to harvest rainwater, which in turn, you can use to irrigate your plants.

Is Your Testosterone Too Low? How to Increase Testosterone Naturally

You already know that testosterone is the hormone that make you men. It is the single most important factor that is responsible for giving you your male features and characteristics. I am sure you also know that testosterone production in your body begins slowing down with age. But, how do you really know that your testosterone levels have gone for a plunge?

Here are some of the most common signs of low testosterone levels in your body:

1. Loss of energy is one of the most common signs of low testosterone in your body. Even when you wake up in the morning you do not really feel fresh.

2. Constant fatigue is another common sign of low T-levels.

3. Downheartedness and depression are also some of the most common psychological symptoms of reduced testosterone production in your body.

4. Not just this, most men with reduced testosterone levels find it really hard to indulge in any sort of vigorous physical activity. They find it difficult to walk for even a kilometer.

5. Another physical sign of low testosterone in your body is the inability to bend, kneel or stoop.

6. Loss of lean muscle and increased body fat is another sign of reduced testosterone in your body. Men with low testosterone tend to gain weight without any major reason. What is worse is that this increase in weight is marked with an increase in belly fat which is associated with many health problems like a heart condition and diabetes.

7. Another prominent sign of low testosterone levels include infrequent sexual thoughts. Men seem to be thinking of sex almost all the time but a drop in testosterone levels can reduce the frequency of your sexual thoughts.

8. A drop in testosterone levels can also result in erectile dysfunction and diminished libido.

9. Loss of morning erections is yet another sign of low T-levels.

There can be many other symptoms such as depression, mood swings, irritable behavior etc.

How to Increase Testosterone Naturally

An active and healthy lifestyle can ensure proper testosterone levels in middle age and beyond. Certain exercise are proven to increase testosterone production in your body. Squats, deadlifts, bench press, military presses, chin ups etc., can boost testosterone levels in your body. Short and intense workouts are not just great for increasing testosterone production but can also stimulate HGH production in your body.

If you want to increase your T-levels it is also important to take care of your diet. A protein rich diet with limited carbohydrates and moderate amount of essential fats is excellent for increasing testosterone production in your body. Not just this, you must also ensure that you get enough of zinc in your diet.

Besides this, there are some natural testosterone supplements that can also be a great help.

Such supplements are made with some of the finest herbs, amino acids and other nutrients that stimulate the production of testosterone in your body. Ingredients used in such supplements include ginseng, ginkgo biloba, muira pauma, tribulus terrestris, long jack, l-arginine, acai berry, chaste berry etc.

Such supplements can increase your sexual potency, enhance energy and stamina, improve body composition, elevate mood and sleep quality, rejuvenate youthfulness etc.,

Top of the line supplements are clinically approved and do not have any side effects. Neither do they require a prescription.

So, If You Want to Increase Your Testosterone Naturally, Check out the Best Testosterone Supplement that has Become a Huge Hit with Men All Over the World.

Fear of Rats – How to Overcome Fear of Rats Easily

Do you find that you are literally frozen at times by your fear of rats? This is a very real fear and to some people, around the world, this phobia amounts to nothing less than sheer terror. If the thought of coming across a rat at night forces you into a cold sweat, you are not alone. There are many men and women in the world that are more than a little bit afraid of rats. In fact, the phobia of rats is quite common. The good news is that you can learn to control your fear rather than being controlled by your fear.

Where Does the Fear Begin?

In all honesty, the fear of rats is likely to be a learned fear. For the most part rats are affectionate creatures. They have been demonized to some extent by Hollywood and horror novels in addition for bearing the accusation of carrying many diseases. Whatever the case or the origination of your phobia to the rat population, chances are that it isn’t a casual fear. This means that it isn’t something you’re just going to get over and somehow learn to love your fellow rat without some serious intervention.

Are You Ready to Move On?

Some people hold on to their fears and wear them like a cloak to keep them warm at night. If you are prepared to live your life choking on fear, there is no problem with that at all. If you are ready and eager to move past your phobia of a rat and willing to put forth just a tiny amount of effort you can make positive steps towards overcoming your fear of rats. Keep in mind that living in fear is only enjoying a shadow of the life you can lead outside of your fear.

Hypnotherapy to Cure Phobia of Rats

Are you looking for a long-term cure for your unfounded fear of rats? If this is the case then you may want to see what hypnotherapy has to offer. This is a tool that can be used to train your mind to ignore the panicked thoughts vying for dominance and replace them with calm thoughts that are well reasoned.

When you combine hypnotherapy with neuro-linguistic programming you can achieve even greater results. You can even teach the mind to override the panic button that is often set off when you come into contact with rats and other animals that might spark your fight or flight reflexes. The trick is in training your mind to take control of the situation when your sense of control seems to be out to lunch.

This hypnotherapy isn’t used to force you to confront your fears. You will not be forced to watch reel after reel of rat footage in order to stop being afraid of them. You can overcome your phobia without the need to pet a rat or walk through a room filled with them. Are you ready for a healthy approach to overcome your fear of rats and move past the phobia of rats that leaves you paralyzed today?

Effective Eyelash Extensions With Cosmetic Treatment

Latisse is an FDA approved prescribed ophthalmic solution used in the treatment of hypotrichosis, which is essentially a condition wherein patients have very scanty eyelashes. The active ingredient in Latisse works to gradually increase the number of eyelashes as well as make them fuller, longer and thicker. The entire treatment takes about 16 weeks though results can be seen after 8 weeks. Plastic surgeons, ophthalmologists, dermatologists and doctors who specialize in primary eye care use Latisse to treat patients who wish to be treated for hypotrichosis.

Discovery of Latisse for treatment

In 2001, Allergan used the active ingredient bimatoprost to treat patients with elevated intraocular pressure (IOP) and found that this prostaglandin analog receptor made the eyelashes grow longer, darker and thicker. In 2008, Latisse, which contains this active ingredient was approved by FDA and used to treat patients who wanted to enhance their eyelashes.

Method of Application

Clinical studies on the subject of Latisse indicate that nearly 78% of women and men experienced a significant increase in prominent eyelashes by way of length, color and fullness. To use Latisse, all traces of make-up are removed and care taken to clean the eyelids well. Contact lenses should be removed during application. A drop of the ophthalmologic solution is then applied with an applicator brush to the base of the top eyelids. Usually this is not recommended for use on the lower lash line as it may sometimes cause hair to grow around the area that is being treated and this can give it an ungainly appearance.

Side Effects

Apart from the common symptoms such as red and itchy eyes, there have been no adverse side effects reported. Discoloration and redness of the eye along with dryness is also common but these symptoms will disappear when the treatment is stopped. However, the eyelashes will also stop growing and revert to their earlier state once the treatment is stopped.

In rare cases, pigmentation has been noticed but this again is reversible. Clinical tests conducted on men and women indicate that only about 4% of the total patients suffered from side effects.

Results of Clinical Studies

During the 16 week treatment period, it was noted that nearly 78% of participants found that their lashes grew longer, thicker and darker. Nearly 106% reported full thick eyelash growth. The growth cycle which is known as anagen increases the phase of the hair cycle which in turn has this effect on the eyelashes. The percentage of increased hairs is significant during this 16 week period.

In Closing

Latisse has proved to be successful in enhancing the eyelash growth in both men and women. For best results, this treatment should be continued for at least 16 weeks.

Avulsion Injury

Types of avulsions

Ear

Eyelid

Nail

Nerve (brachial plexus)

Skin

Tooth

Surgical

Ear avulsions

The ear is particularly vulnerable to avulsion injuries due to its exposed position on the side of the head. The most common cause of these injuries is human bites, followed by falls, motor vehicle accidents, and dog bites. A partially avulsed ear can be reattached through suturing or microvascular surgery, depending on the severity of the injury. Microvascular surgery can also be used to reattach a completely avulsed ear, but its success rate is lower because of the need for venous drainage. The ear can also be reconstructed with cartilage and skin grafts.

Eyelid avulsions

This is an uncommon injury that can be caused by motor vehicle accidents, dog bites, or human bites. Eyelid avulsions are repaired by suturing after a CT scan is performed to determine where damage to the muscles, nerves, and blood vessels of the eyelid has occurred. More severe injuries require reconstruction, however, this usually results in some loss of function and subsequent surgeries may be necessary to improve structure and function. Microvascular surgery is another method of repair but used rarely. Sometimes botulinum toxin is injected into the eyelid to paralyse the muscles while the eyelid heals.

Traumatic nail avulsions

Trauma to the nail can cause the nail plate to be torn from the nail bed. Unlike other types of avulsion, when a nail is lost, it is not reattached. Following the loss of the nail, the nail bed forms a germinal layer which hardens as the cells acquire keratin and becomes a new nail. Until this layer has formed, the exposed nail bed is highly sensitive and should be covered with a non-adherent dressing, as an ordinary dressing will stick to the nail bed and cause extreme pain upon removal. In the average person, fingernails require 3 to 6 months to regrow completely, while toenails require 12 to 18 months.

Brachial plexus avulsions

In this type of injury, the brachial plexus (a bundle of nerves that sends signals from the spine to the arms, shoulders, and hands) is torn from its attachment to the spine. One common cause of this injury is when a baby’s shoulders rotate in the birth canal during delivery and cause the brachial plexus to stretch and tear. It occurs in 1-2 out of every 1,000 births. Shoulder trauma during motor vehicle accidents is another common cause. Detachment of the nerves causes pain and loss of function in the arms, shoulders, and hands. Neuropathic pain can be treated with medication, but function can only be restored through surgical reattachment or nerve grafts. For intractable pain, a procedure called dorsal root entry zone (DREZ) lesioning is effective.

Skin avulsions

The most common avulsion injury, skin avulsions usually occur during motor vehicle accidents. The severity ranges from skin flaps (minor) to degloving (moderate) and amputation of a finger or limb (severe). Suprafascial avulsions are those in which the depth of the removed skin reaches the subcutaneous tissue layer. Subfascial avulsions are those deeper than the subcutaneous layer. Small suprafascial avulsions can be repaired by suturing, but most avulsions require skin grafts or reconstructive surgery.

Tooth avulsions

A tooth completely or partially (such that the dental pulp is exposed) detached from its socket is avulsed. Secondary (permanent) teeth can be replaced and stabilised by a dentist. Primary (baby) teeth are not replaced because they tend to become infected and to interfere with the growth of the secondary teeth. A completely avulsed tooth that is replaced within one hour of the injury can be permanently retained. The long-term retention rate decreases as the time that the tooth is detached increases, and eventually root resorption makes replacement of the tooth impossible. To minimise damage to the root, the tooth should be kept in milk or sterile saline while it is outside of the mouth.

Surgical avulsions

An avulsion is sometimes performed surgically to relieve symptoms of a disorder or prevent a chronic condition from recurring. Small incision avulsion (also called ambulatory phlebectomy) is used to remove varicose veins from the legs in disorders such as Chronic venous insufficiency. A nail avulsion is performed to remove all or part of a chronic ingrown nail. Facial nerve avulsion is used to treat the involuntary twitching in Benign Essential Blepharospasm. However, it often requires additional surgeries to retain function and botulinum toxin injections have proved to be a more effective treatment with fewer complications.

See also

Physical trauma

Plastic surgery

Skin grafting

References

^ a b Davison, S. P., & Bosley, B. N. (2008). Ear, Reconstruction and Salvage. Retrieved January 15, 2009, from .

^ Nahai, F., Hayhurst, J. W., & Salibian, A. H. (1978, July). Microvascular surgery in avulsive trauma to the external ear. Clinics in Plastic Surgery, 5(3), 423-426.

^ Fleming, J. P., & Cotlar, S. W. (1979, July). Successful reattachment of an almost totally avulsed ear: Use of the fluorescein test. Plastic and Reconstructive Surgery, 64, 94-96.

^ Pennington, D. G., Lai, M. F., & Pelly, A.D. (1980, June). Successful replantation of a completely avulsed ear by microvascular anastomosis. Plastic and Reconstructive Surgery, 65(6), 820-823.

^ Tanaka, Y., & Tajima, S. (1989, October). Plastic and Reconstructive Surgery, 84(4), 665-668.

^ Talbi, M., Stussi, J. D., & Meley, M. Microsurgical replantation of a totally amputated ear without venous repair. (2001, August). Journal Of Reconstructive Microsurgery, 17(6), 417-420.

^ a b Saad Ibrahim, S. M., Zidan, A., & Madani, S. (2008). Totally avulsed ear: New technique of immediate ear reconstruction. Journal Of Plastic, Reconstructive & Aesthetic Surgery, 61, S29-36.

^ O’Toole, G., Bhatti, K., & Masood, S. (2008). Replantation of an avulsed ear, using a single arterial anastamosis. Journal Of Plastic, Reconstructive & Aesthetic Surgery, 61(3), 326-329.

^ Goldberg, S.H., Bullock, J.D., & Connelly, P.J. (1992). Eyelid avulsion: A clinical and experimental study. Ophthalmic Plastic And Reconstructive Surgery, 8(4), 256-261.

^ a b c Huerva, V., Mateo, A.J., & Espinet, R. (2008, January). Isolated medial rectus muscle rupture after a traffic accident. Strabismus, 16(1), 33-37.

^ a b Avram, D.R., Hurwitz, J.J., & Kratky, V. (1991, October). Dog and human bites of the eyelid repaired with retrieved autogenous tissue. Canadian Journal Of Ophthalmology, 26(6), 334-337.

^ a b Soueid, N.E., & Khoobehi, K. (2006, January). Microsurgical replantation of total upper eyelid avulsion. Annals of Plastic Surgery, 56(1), 99-102.

^ deSousa, J.L., Leibovitch, I., Malhotra, R., O’Donnell, B., Sullivan, T., & Selva, D. (2007, December). Techniques and outcomes of total upper and lower eyelid reconstruction. Archives of Ophthalmology, 125(12), 1601-1609.

^ Nail Avulsions

^ Rischer, C.E., & Easton, T.A. (1995). Focus on human biology (2nd ed.). New York: Harper Collins College Publishers.

^ National Center for Emergency Medicine Informatics. Nail Off. Retrieved January 16, 2009, from .

^ National Institute of Neurological Disorders and Stroke. NINDS Erb-Duchenne and Dejerine-Klumpke Palsies Information Page. Retrieved January 15, 2009, from .

^ American Academy of Orthopaedic Surgeons. Erb’s Palsy (Brachial Plexus Birth Injury). Retrieved January 15, 2009, from .

^ a b c Binder, D. K., Lu, D. C., & Barbaro, N. M. (2005, October). Multiple root avulsions from the brachial plexus. Neurosurgical Focus, 19(3).

^ a b Jeng, S.F., & Wei, F.C. (1997, May). Classification and reconstructive options in foot plantar skin avulsion injuries. Plastic And Reconstructive Surgery, 99(6), 1695-1703.

^ a b c d e Merck Manual Online. Fractured and Avulsed Teeth. Retrieved January 15, 2009, from .

^ Kidd, P. S., Sturt, P. A., & Fultz, J. (2000). Mosby’s emergency nursing reference (2nd ed.). St. Louis: Mosby, Inc.

^ Society for Vascular Surgery. VascularWeb: Chronic Venous Insufficiency. Retrieved January 15, 2009, from .

^ American Academy of Orthopaedic Surgeons. Ingrown Toenail. Retrieved January 15, 2009, from .

^ a b McCord, C.D. Jr., Coles, W.H., Shore, J.W., Spector, R., & Putnam, J.R. (1984, February). Treatment of essential blepharospasm: Comparison of facial nerve avulsion and eyebrow-eyelid muscle stripping procedure. Archives Of Ophthalmology, 102(2), 266-268.

^ a b Grandas, F., Elston, J., Quinn, N., & Marsden, C.D. (1988, June). Blepharospasm: A review of 264 patients. Journal Of Neurology, Neurosurgery, and Psychiatry, 51(6), 767-772.

v  d  e

Injuries, other than fractures, dislocations, sprains and strains (S00-T14, 850-929)

Head (head injury) and neck

Traumatic brain injury (Concussion, Diffuse axonal injury, Cerebral contusion, Epidural hematoma, Subdural hematoma, Subarachnoid hemorrhage)

Facial trauma (Black eye   Eye injury)

Thorax (chest trauma)

lung: pleural disease (Pneumothorax, Hemothorax, Hemopneumothorax)   Pulmonary contusion   Pulmonary laceration

heart and circulatory: Cardiac tamponade   Commotio cordis   Hemopericardium   Traumatic aortic rupture

Abdomen, lower back,

lumbar spine and pelvis

Ruptured spleen   Traumatic diaphragmatic hernia

Shoulder and upper arm

Rotator cuff tear

Knee and leg

Achilles tendon rupture

General

Spinal cord injury   Brachial plexus lesion

Abrasion   Amputation   Avulsion   Bite   Blister   Bruise   Burn   Hematoma

Wound

Categories: Injuries | Medical emergencies

Grandma’s Toenail Fungus Home Remedies – Does Grandma Know What’s Best For You?

As you all know, grandmothers are well versed about curing different ailments. The chicken soup for colds is just one of their cures for what ails us. Grandmothers all across the country for quite some time have developed toenail fungus home remedies.

Thanks to them many of you can now show your toes and feet during the warm weather with no embarrassment. No more ugly lines and discolored toes that are not pleasant to gaze upon. This is no small achievement on the part of grandmothers.

A favorite of grandmothers was Milk of Magnesia as a laxative or for heartburn. A grandmother or two used this for discolored toenails due to fungus. Many a man and woman have been cured of this scourge with some Milk of Magnesia applied to the affected toes daily. Sounds ridiculous but many swear this is a great cure.

Others have found lemon juice, freshly squeezed, as a cure when the nails are fully soaked. Working almost as well is freshly squeezed lime juice. It cannot yet be claimed that freshly squeezed oranges produce the same results.

Finally, we come to the controversial cure of using cow manure. You bury your toes in a pile of manure and relax for around 15 minutes, 3 or 4 times a week. Scientific evidence does not support the results claimed by many, but they no longer have toe nail fungus.

Toenail fungus home remedies can be very controversial but it is the right of all suffering from nail fungus to employ any and all methods to get out from under this blight.

Shoulder muscle pain – What are the Best Cures?

Stop it now! This is one of the statements that we would want our shoulder pain to hear and hoping the pain would listen and just go away. Though it’s easier said than done, the best cure for shoulder pain would depend on the cause of the shoulder pain. Knowing the cause of the inflammation in the shoulder would give us the best cure for the symptoms. Some pains may already be identifiable due to rush actions causing a person to slip, such as soccer, baseball and football. However some symptoms are hidden and we might think of it as just a common muscle pain.

Speaking of symptoms, we also need to check the specific symptoms for different types of shoulder muscle pain. When we speak of shoulder pains we normally refer to it as stiffness or just strain. Little did we know that this shoulder muscle pains has different condition in which shoulder problems results to a chronic pain. There are several reasons why a person experience shoulder muscle pains. Though shoulder pain is often triggered by overworked muscles it doesn’t mean that the strain only comes from overusing the muscles. Frozen shoulder is one of the named cause where you’re shoulder pain comes from. Its dysfunctional trigger points trigger points meaning muscles that cover the front and the back of shoulder blades, if this causes pain in your shoulder it can lead progressively to limited movements of the arm, ending ultimately in a frozen shoulder.

Osteoarthritis is another kind of joint wear and tear where muscles which are affected by shoulder joints becomes unbendable due to soreness. If this happens to your muscle, normal movement put sprain on shoulder muscles that can injure the connection of joints and muscles in the shoulder. Some physical therapist may advice surgery if the shoulder has been totally damaged.

Some problems that can be affecting the shoulder are tendons and ligaments can be strained. Fractures that are related to direct trauma or a fracture that is related to osteoporosis, and can be due to a slight traumatic incident. Pains in the shoulder doesn’t always mean that it is due to muscle strain, but where the pain originates from the left or right can give a significant difference. A person tries normally to help rid of the pain the first time they feel it. That might be appropriate to some shoulder condition but if its due to a fall or trauma your healthcare professional should be seen as soon as possible.

Ways to cure these symptoms includes daily exercise and balance diet. However, to treat several shoulder pain condition, we need to indentify its cause.  Shoulder muscle pain may be common but it shouldn’t be taken for granted. You are the only person who can help yourself treat this shoulder pains. You just need to be extra careful with what you do. Being smart with your condition is the best way to cure the pain, be pro active and go to your doctor if you feel any pain. Don’t let your shoulder suffer longer that it should be, seek ways to improve your shoulder health professionally.

Foods That Cause Acne

The embarrassing condition of acne has been blamed on a wide variety of causes throughout the ages. Many people unjustly blame individuals with acne-prone skin of being dirty or failing to wash their faces properly. This is obviously far from the truth as acne can strike anyone, regardless of their personal hygiene habits. Others believe that eating large amounts of chocolate will ensure an acne breakout. This is also not the case, but research has linked acne to choices a person’s diet. We are going to discuss some types of foods that cause acne.

Foods that are highly acidic tend to cause acne as they create an imbalance in your body’s pH levels. The foods you should avoid include the following:

  • Vegetables: lentils, squash, corn
  • Fruits: currants, plums, prunes, cranberries and blueberries
  • Grains: barley, cornstarch, oatmeal, wheat bran, amaranth, rice, rye, wheat germ, noodles, macaroni, spaghetti, bread, soda crackers, white flour, rolled oats and wheat flour
  • Beans & Legumes: chick peas, green peas, kidney beans, pinto beans, red beans, soy beans, black beans and white beans
  • Dairy Products: butter, ice cream, processed cheese, butter and ice milk
  • Nuts & Butters: peanuts, pecans, walnuts, cashews and peanut butter
  • Animal Proteins: bacon, beef, pork, salmon, lamb, fish, clams, cod, mussels, sausage, scallops, turkey, venison, shrimp and lobster
  • Fats & Oils: canola oil, lard, olive oil, sesame oil, sunflower oil, hemp seed oil and safflower oil
  • Sweeteners: corn syrup, sugar and carob
  • Alcohol: spirits, hard liquor, wine and beer
  • Condiments: vinegar, pepper, ketchup and mustard
  • Drinks: coffee and soft drinks
  • Drugs & chemicals: aspirin, pesticides, tobacco and herbicides

If you want to prevent or minimize acne breakouts, you should replace acidic food with alkaline food choices. Some examples include carrots, cucumbers, garlic, lettuce, tomatoes, apples, grapes, lemons, pineapples, raisins, strawberries, peaches, oranges and almonds. You may be surprised to see so many citrus fruits on this list. The reason is that the specific citric acid they each contain has an alkalinizing effect on your body that will actually reduce the level of acidity, rather than increase it.

Rather than making an effort to avoid one specific type of food, it is better to avoid groups of acidic foods that will enhance your acne. Replace some of the choices in the first list with more alkaline foods from the second list. You will soon discover that small changes in your diet can produce big results!

Revision Gastric Bypass Surgery in India Reduces Your Cost Expenditure

Obesity

Obesity is a major health problem approaching an epidemic proportions. An NIH consensus conference on the surgical treatment of obesity recommended consideration of surgery in patients with a BMI of greater than 40 kg/m2 without medical complications or a BMI of greater than 35 kg/m2 if severe co morbidity were present. Obesity accelerates the progression of coronary arteriosclerosis in young men (age range 15 to 34 yr). Obesity increases the risk of developing:

Hypertension,

Hyperlipidemia,

Type 2 diabetes,

Coronary artery disease,

Cerebrovascular disease,

Osteoarthritis,

Sleep apnea,

Endometrial, breast, Prostate, and colon Cancers.

Severe obesity is a chronic condition that is difficult to treat through diet and exercise alone. Gastrointestinal surgery for obesity, also called Bariatric surgery, is an option for persons who are severely obese and cannot lose weight by traditional means or who suffer from serious obesity-related health problems.

Bariatric surgery

Bariatric is derived from the Greek term bars, meaning weight. Bariatric surgery creates an anatomic barrier preventing over-consumption and accumulation of excess calories either by restricting the gastric reservoir or by inducing malabsorption. Bariatric surgery alters the digestive process and is classified into two categories:
Restrictive

Malabsorptive.

Nearly all morbidly obese patients with satisfactory postoperative weight loss, experience substantial improvement in the quality of their lives. At present, Roux en Y Gastric Bypass (RYGB) may be the only Bariatric operation that has produced durable long-term weight loss at an acceptable level of risk.

Indications:

Body mass index (BMI) above 40
Significant obesity comorbidity (e.g., hypertension, diabetes, sleep apnea, pickwickian syndrome, incapacitating osteoarthritis)
Obesity-related physical problems that interfere with employment, walking, or family function may be a candidate.

Procedure of Bariatric Surgery:

1.Restrictive procedures

Promote weight loss by closing off parts of the stomach to make it smaller, thus restricting the amount of food the stomach can hold. Restrictive procedures do not interfere with the normal digestive process.

As a result of this surgery, most persons lose the ability to eat large amounts of food at one time. After an operation, the person usually can eat only ¾ to 1 cup of food without discomfort or nausea. Also, food has to be well chewed.
Restrictive operations for obesity include the following:

Adjustable gastric banding
Vertical banded gastroplasty

Both the methods are used to create a small stomach pouch.

2. Malabsorptive Procedure

The most common gastrointestinal surgeries for weight loss, combine stomach restriction with a partial bypass of the small intestine. A direct connection from the stomach to the lower segment of the small intestine is created, bypassing portions of the digestive tract that absorb calories and nutrients.

Biliopancreatic diversion (BPD):

In this more complicated malabsorptive operation, portions of the stomach are removed. The small pouch that remains is connected directly to the final segment of the small intestine, completely bypassing the duodenum and the jejunum. Although this procedure successfully promotes weight loss, it is used less frequently than other types of surgery because of the high risk for nutritional deficiencies. A variation of BPD includes a "duodenal switch," which leaves a larger portion of the stomach intact, including the pyloric valve that regulates the release of stomach contents into the small intestine. It also keeps a small part of the duodenum in the digestive pathway.

Roux-en-Y gastric bypass

Roux-en-Y gastric bypass (RGB) is an accepted operation for the control of body weight in morbidly obese patients. This operation is the most common and successful malabsorptive surgery. First, a small stomach pouch is created to restrict food intake. Next, a Y-shaped section of the small intestine is attached to the pouch to allow food to bypass the lower stomach, the duodenum, and the first portion of the jejunum. This bypass reduces the amount of calories and nutrients the body absorbs

Operative Consideration :

Severely obese patients tolerate general anesthesia remarkably well. However, Endotracheal intubation may be difficult.
Patients may require admission to the intensive care unit postoperatively.
Patients with sleep apnea, congestive heart failure, and severe asthmatic bronchitis should spend one or two nights in the intensive care unit for close monitoring of their cardiopulmonary status

Complications from bariatric surgery:

The risk of formation of gallstones.

Inflammatory hepatitis.

Occult cirrhosis

Dumping Syndrome, (stomach contents move too rapidly through the small intestine includes nausea, weakness, sweating, faintness, and sometimes diarrhea after eating)

Constipation / Diarrhea

Vitamin B12 Deficiency

Nutritional deficiencies

Anemia (due to reduced absorption of Iron in the stomach)

Metabolic bone disease (due to less calcium absorption in the small intestine)

Abdominal Pain

Vomiting

Incisional Hernia / Abdominal Hernia

Bleeding (including splenic injury)

Gastrointestinal leaks(inadvertent injury to the GI tract)

Wearing away of the band and breakdown of the staple line.

In very less cases post operative infection or death from complications may occur.

REVISION OPERATIONS

Early technical complications and inadequate weight loss, well-known sequelae of this procedure, necessitated reoperation . The incidence of major postoperative complications following revisional bariatric procedures is substantially higher compared to primary operations.

Patients who have gastric bypass occasionally require revision, either for inadequate weight loss or for complications. The incidence of major postoperative complications following revision Bariatric procedures is substantially higher compared to primary operations. Early morbidity rates range from 15% to 50%. The mortality rate reported after revision operations ranges as high as 10%, undoing any Bariatric operation without conversion to another weight-reduction procedure is invariably associated with the patient’s promptly regaining the lost weight.

Indications for reoperation includes

Dilated gastrojejunal anastomosis

Inadequate weight loss without demonstrable enlargement of the anastomosis

Staple line breakdown

Anastomotic obstruction

Anastomotic leak

Enlarged proximal gastric pouch .

Reoperation consisted of :

Completely redoing the initial RGB

Redoing the anastomosis alone

Staple line revision

Intraoperative dilatation of the anastomosis
.
Intractable marginal ulcer

Major postoperative complications are:

RGB failure

RGB revision for early technical failure

Inadequate weight loss is associated with a high incidence of major complications

subsequently, negligible weight loss.
Intractable marginal ulcer.

Severe metabolic complications

Therefore repair of RGB for technical failure or complications is not recommended.
Gastric bypass patients with anatomically intact operations and unsatisfactory weight loss have probably "outeaten" the operation.Gastric bypass patients with unsatisfactory weight loss are best converted to a more malabsorptive modification of Roux-en-Y gastric bypass, or in some cases biliopancreatic diversion. Unfortunately, some patients who are converted to a malabsorptive procedure suffer severe metabolic complications.

The more extensive the bypass, the greater the risk for complications and nutritional deficiencies. Persons with extensive bypasses of the normal digestive process require close monitoring and life-long use of special foods, supplements, and medications

Why to undergo gastric bypass surgery in India

Revision Gastric bypass surgery in India has seen a phenomenal growth during recent past. Most patients from countries like USA and UK travel to India for treatment.

Few main reasons:
India offers wide range of cheapest pricing options of treatment.

While planning a treatment in India, one does not require waiting in patient queues or registering for a waiting list.

Moreover the doctors and the medical facilities in India are comparable to the best in the world.

Another main reason for choosing India for revision gastric bypass surgery is comfort of communication; one does not face a problem as most people speak English.

Above all, India always offers a good holiday, which can help in fast health recovery. Another important reason why more and more people from overseas are considering India for health treatments is the advancement and the medical and technical superiority of the medical fraternity in India. Hence India is the most ideal destination for Medical tourism.

Symptoms Of Hemroids – Why You Must Not Ignore Them

Useful Statistics, Finally

13 million out of 298 million Americans in 2006 had hemroids, translating into a prevalence rate of 4.4%. Every year like clockwork, 1 million new cases crop up.

In spite of this, a great number of people overlook the symptoms of hemroids resulting in disproportionately few consulting a doctor for medical treatment, with guesstimates ranging from 500,000 to 3 million per year. Astonishingly, the symptoms are paid no attention to by 10 million people! Whilst it is true that the fatality incidence of hemroids is statistically small, at less than 20 per 100,000, but it is inconceivabe that anyone wants to be numbered in the ill-fated 20.

Firstly, the longer the procrastination in treatment, the more prolonged hemroids take to recover. Complete healing is another splendid reason for immediate action on hemroids. The most crucial reason for crossing out the entire category of more harmful illnesses is that some of them necessitate regular medical care whilst others may be life-threatening.

Life-endangering – True or False?

Symptoms of hemroids, particularly blood in stool or bowel movement bleeding, can be difficult to differentiate from a whole multitude of other medical conditions. It is no falsehood. Ominous developments can arise from some of these disorders.

Depending on the aggravated organ, these other maladies can be classified into 2 broad sorts. There are 7 other prevalent diseases in the colon, namely Crohn’s disease, colorectal cancer, colon polyp, diverticulosis, intestinal ischemia, peptic ulcer and ulcerative colitis. In the rectum, the other 4 main afflictions are proctitis, anorectal fistulae, anal fissures and rectal prolapse.

Complications from SOME of these other afflictions can threaten life. In this case, tagging along with the majority of 10 million people in taking no heed of the symptoms of hemroids can have grave consequences.

A very prudent rule is appropriate; see a medical specialist if bleeding drags on over a week. The symptoms described hereunder will appear if hemroids are confirmed.

Hemroids, Hemorrhoids, Haemorrhoids or Piles – One And The Same Symptoms

Hemroids (misspelling), hemorrhoids (US spelling) and haemorrhoids (UK spelling) are the same sickness, all being words derived from haimorrhoos which means flowing with blood in Greek. Piles (probably derived from pila or ball in Latin) is the common name for hemroids. “The common people call them piles, the aristocracy call them haemorrhoids, the French call them figs – what does it matter so long as you can cure them?” said Ardene, a 14th century English surgeon.

Before moving on to other symptoms of hemroids, we need to know the differing medical words that define a line demarcating the boundary of the rectum and the start of the anal canal. Known variously as the pectinate line or dentate line or anal verge or anorectal junction, this line separates internal (in the rectum) and external (on the anus) hemroids. The differentiation that is more important to the hemroid sufferer is that there are somewhat fewer pain nerve endings above the line, verge or junction and a great number outside the boundary. In comparison, therefore, external hemroids may result in excruciating pain whilst internal hemroids may be painless. This pain element affects the decision-making when selecting between mainstream or alternative treatment methods.

Symptoms Of Internal Hemroids

The most typical symptom of internal hemroids is rectal bleeding, also known as bowel movement bleeding or blood in stool. Toilet tissue may be stained red, stools be interspersed with blood droplets and the toilet bowl be coloured red.

Another distinct symptom is the bulging movement of the internal hemroid during bowel motion. Medical researchers classify bulging internal hemroids according to 4 stages of prolapse or protrusion:

– a first-degree hemroid bulges into the anal canal;
– a 2nd degree hemroid bulges from the anus, then retracts itself;
– a 3rd degree hemroid bulges from the anus and must be physically tucked back in;
– a fourth-degree internal hemroid bulges out from the anus permanently.

Internal hemroids are normally not painful as they occur above the pectinate line but large ones that prolapse into the anus may be squeezed by the anal sphincter muscles. In the extreme, they become strangulated hemroids (deprived of blood supply) that require urgent medical treatment as the adjoining tissues may be imperilled.

The agonizing urge to return to the toilet bowl right after stools have just been purged, anal lumps, rectal lumps and skin itches are other common symptoms of internal hemroids. The feeling of unfinished defecation is enhanced in cases where the hemroid is extremely large and in the proximity of the anal opening.

Symptoms Of Hemroids – External

One clear differentiation between external and internal hemroids is that anal pain is more acute in the former as they arise outside the dentate line on the anal region where pain nerve ends abound.

Blood clots or thrombuses tends to occur with external hemroids resulting in the body’s blood circulatory system being retarded. This thrombosed hemroid can cause detrimental inflammation in the whole anal and rectal regions.

Unlike internal hemroids which can often go undetected due to the lack of overt symptoms, external hemroids can create persistent irritation. Cleaning the anal region is understandable but doing this excessively only inflames the hemroid and sets up a vicious continual cycle.

A Member Of The 10 Million Ignoring The Symptoms Of Hemroids?

Are you in the 10 million majority?

Recognition of a problem is the first step to its solution. That is the case with hemroids too.

On occasion, it can be serious and requires medical attention. But frequently, the treatment is fairly straightforward. Mainstream treatment methods may be very painful depending on the nature of hemroids being treated but many testify to the effectiveness of alternative methods like H Miracle.

Symptoms Of Hemroids – Why You Must Not Ignore Them