How to Treat Postpartum Depression – 5 Steps of Treatment

Postpartum depression is a condition that many new moms go through. 80% of moms will go through something known as the "baby blues" shortly after giving birth. There is no problem with this; it is just from the dramatic change in the hormones. However, 20% of new moms will develop postpartum depression, which lasts weeks and months after the baby is born.

This condition is very serious and can put the baby and the mom at risk. Because of this, it is very important to treat it as soon as possible. Whether you are the new mom looking for a way to help yourself or a partner or friend looking for a way to help the new mom, this is a five step treatment process to help with postpartum depression.

1. Support . Having the support from family and friends is extremely important. This is not just about having someone to talk to – although that will help – this is also about having someone who is willing to help around the house or with the infant. The new mom needs her rest just as much as the new baby will but that's unfortunately to happen without the help from friends and family members. A friend folding laundry will give the new mom a chance to grab a few minutes of shut-eye, which can really help.

2. Talk . This is not always from a friend of family member. In fact, many people do not feel comfortable opening up to someone that knows them and will prefer to open up to a professional instead. There is nothing wrong with wanting to talk about your problems; it's a good way to stop them from building up.

3. Emotional Freedom Technique . This is a popular process for many women suffering from postpartum depression. The benefit is that the acupuncture will help to take the mind of the negative thoughts while the talking will give the new mom a chance to get everything off her chest and work out a better way of dealing with the problem.

4. Healthy Eating and Exercise . Staying healthy will help to improve your energy levels. Rather than opting for the quick cup of coffee to boost the energy temporarily, snack on fruit and nuts and eat healthy meals that are high in protein. These will release the energy slower, which means you'll feel energized for longer. The exercise can also help with the release of endorphins, which will help you feel happier.

5. Antidepressants . As none of the above proves to help with the postpartum depression, many doctors will decide to opt for the antidepressants. These can help many women get over the slump in hormones and their anxieties about being a new mom. Antipsychotics are used when the depression becomes more serious and life threatening, for both the mother and the baby.

Fear of Flying – Claustrophobia

If you have a fear of flying it may be because you have a phobia called claustrophobia. It is the fear of enclosed or small spaces that make you feel trapped. Claustrophobia is one of the main reasons most people are scared of flying in airplanes, helicopters, and other flying vehicles.

Phobias are a form of anxiety disorders that result in a fear of certain things or places. If you have another type of anxiety it may be the cause of your phobia. For example, I suffered from social anxiety which lead to my phobia of public places – but I cured myself!

Claustrophobia relates to flying because you may feel trapped in the plane. The planes body can be small and you may feel trapped because you have no way of getting out of it. If you feel this way then it's important that you know you are not alone and that there are cures. It's estimated that about 47% of fliers have some sort of flying anxiety – that's almost half of the people on a plane!

You do not have to let your phobia stop you from doing the things you want to do. Maybe you want to see the world, visit family that live far away, or just need a vacation away from home – you should be able to do what you wan without a fear or phobia stopping you!

If you are not sure whether or not you suffer from claustrophobia or if this is the cause of your fear of flying … I have made a list of common symptoms that claustrophobia causes:

– sweating
– nausea
– accelerated breath
– fainting
– feeling light-headed
– shaking
– hyperventilation

Claustrophobia is usually caused by a past experience. This could include situations like being stuck in an elevator or having a panic attack and finding a need to escape but having no way to. Situations like these can be very stressful and may cause different types of phobias. Being closed in may cause them to panic or feel a loss of breath, especially when they think back to their memory of the first time it happened.

There are a lot of treatment methods for claustrophobia and the fear of flying, but they can be quite expensive. If you're short of money, do not let that stop you from finding the help you need! There are online products to help with your fear of flying and anxiety!

Anxiety Vs Panic – Important Differences

Anxiety and panic are two words that are often used to mean the same thing. This is not always the case and the words each have their own meaning. Anxiety is a slow process where as panic is much quicker and carries more intense symptoms. Panic attacks are sudden while anxiety is often a long-standing fear or phobia.

Anxiety attacks are not actually listed in the DSM, the manual that psychiatrists and psychologists use to diagnose mental illnesses. When people describe an "anxiety attack," they actually mean to say a "panic attack," the accepted term, but this is still not the same thing as general anxiety. Panic attacks are very fast in their sunset. They are very sudden and unexpected. They are also very quick, not taking very long and averaging a duration of about ten minutes. They are often accompanied by physical symptoms such as severe sweating or mild digestive problems.

Anxiety is a very different problem. Anxiety is a slow process that builds up over time. This is something that someone may have for months or years. It may be a general anxiety where a lot of things make them unsettled or nervous, or it may be a specific fear. When someone is intensely afraid of something, this is called a phobia. Arachnophobia is a fear of spiders for example. Unlike panic, anxiety does not usually have physical symptoms, and may may have mental symptoms such as lack of concentration, obsessive thoughts, restless, or in some cases insomnia.

Phobias are a form of anxiety, and involve a fear of something very specific. While some anxiety is not the same thing as a panic attack, it can lead to an attack if the victim is exposed to the object of their phobia. Exposure therapy is done by progressively exposing the victim to the object over time so that the do not panic when they come in contact with it. Phobias are often something that the person experiences in the background of their every day life.

The difference between anxiety or panic attacks can seem very subtle, but it is an important difference when it comes to the conditions. While anxiety is a mental illness that lasts a long time and exists in the background, panic attacks can have very frustrating physical symptoms, and very much disrupt the person's life. Panic attacks and anxieties are both treatable through various types of therapy.

6 Home Remedies You Can Use Tonight For Insomnia

You're lying in bed wide awake, staring at the ceiling, especially wanting to fall sleep. But you can not. And you do not want to get in the habit of taking an over the counter or prescription sleeping aid. So what are your alternatives? There are actually several home remedies for insomnia that may help you fall sleep. You may need to experiment to find what works for you. Here are 6 suggestions.

1. Set a Schedule

One of the most important home remedies for insomnia is establishing a schedule. Everyone has an internal body clock. By getting into a routine before bedtime, go to bed at the same time every night and waking up at the same time every morning, you help set your body's internal clock. Once you make this a habit, your body will automatically set itself to fall sleep and wake up on a consistent basis thus avoiding those sleepless nights.

2. Do not Waste Time In Bed

Another thing to avoid is wasting time in bed. When you wake up – get up. Do not snooze or lie around for a few more minutes. Again, establishing a routine is important. In addition, do not go to bed until you start to feel sleepy. If you're not yet drowsy, do something in another room to wind down until you are drowsy and then go to bed.

3. Set up Quiet Time Before You Go to Bed

One of the problems with insomnia is all of the thoughts that race around in your mind keeping you awake. To avoid this, set up about 10-15 minutes of time before going to bed to review the day and put things in perspective. Think about events and unresolved issues and work out solutions so your mind does not keep working on them when you want to sleep. Also, set up a plan for the next day so you are not awake worried about the things you need to do in the morning. A very effective way to clear your mind is to write all of these things down.

4. Have A Light Snack

One of the best known home remedies for insomnia is warm milk! There is a reason this has been used for such a long time – it works! A light snack consist of warm milk, bread or a piece of fruit is a great way to fill up before bed without overeating. That being said, you want to avoid sugary snacks since they can excite your system and alcohol since it may prevent you from achieving the deep sleep your body needs to be completely refurbished.

5. Turn Your Mind Off

To keep your mind from wandering off into different directions and getting distracted with random thoughts, turn it off. There are a few home remedies for insomnia that will help you do this. You can do this by setting soothing music to play for a certain amount of time. Another very effective technique is to use environmental sounds such as rushing water or the ocean. This will help your mind wind down so you can slip into sleep.

6. Practice Relaxation Techniques

There are also yoga and meditation techniques you can use as home remedies for insomnia. Yoga breathing is an effective way to relax your body so you can fall sleep. Practice slowing down your breathing and breathing from your diaphragm. You'll want to do this during the day so you know how to do it when you're ready for bed. While you're breathing, concentrate on relaxing every muscle in your body starting with your feet and working all the way up to your head.

Another relaxation technique is to focus your mind on things you enjoy, pleasant experiences you've had or fun times. You can also try mental games like counting backwards to help refocus your mind so you can relax.

All of these home remedies for insomnia are easy to use. As noted, you may need to experiment to find one, or a combination, that work for you. The most important of the 6 remedies discussed is establishing a routine and sticking with it every night. Start there and incorporate the other home remedies for insomnia until you find what works for you.

Leaking Roof Repair – Now You Can Do It Yourself

The rainy season sets in and there is a general feeling of joy in the air; fresh green trees and plants. But there comes a dripping sound or you see a water stain and your heart sinks to the bottom. Another roof leak!

It is common that a roof develops leaks and that is usually long before the whole roof needs repairing. You do not have to call a repairer right away; minor leaks can be fixed on your own and that's what we are going to tell you in this article. And a minor leak does not mean that it can be ignored; each roof leak needs to be fixed immediately or it can lead to problems like mold, damaged insulation, rotted framing and destroyed ceiling.

Finding the exact location of a roof leak is the toughest part. You can guess a leak from a water stain on the ceiling or running down the wall. Remove the shingles from the suspected area and check in the roofing material for any probable damage because sometimes the leaks are a good distance away from the actual damage.

Sometimes the leak is also due to a curled shingle, so straighten any curved shingles you find by using heat such as from a hair dryer. Re-attach the straightened shingles with roof cement. Check for the shingles that come off easily when lifted. Fix them with compound or replace them entirely.

For inspecting a roof leak in connections, check for spaces between the connections. If you find the chaulking to be damaged, reapply it. Make sure to remove the damaged chaulking first with a putty knife so that the area is clean to work on.

For damaged shakes, first split them with a hammer and a chisel by sliding the chisel under the damaged shake. Take out the nails or work around them to not damage a good shake. Cut the new shake to be slightly smaller than the old one and replace it back, fixing in place with nails. Seal the shake with chaulking compound to make it permanent.

For roll roofing, you will find blisters or cracks in the roofing material. To mend these blisters, cut the damaged area carefully using a utility knife and dry the area. Spread roofing cement in the split roll and put it in place by pressing down. For best results, drive one or two nails in the blister you just repaired and then coat the entire repaired, and a little bit of surrounding area with the roofing cement.

Fixing a roof yourself is easy; you only need to know these simple steps – and it is completely satisfying. Last but not the least; take precautionary measures before you set out on repairing a roof leak yourself. Avoid working on a wet roof; choose a sunny day to repair. Wear rubber sole shoes and a ladder framework for secure anchoring and take adequate measures for your safety.

How to Protect Your Pet in Winter

We all love winter but it’s harsh to all living creatures. There are threats which you may never think about: from chapped paws on icy roads to serious viruses in the air. Below is the list of the most common problems you can face as a pet owner.

Pets require our constant attention and care all year round as you remember what Antoine de Saint-Exupery once wrote: “you become responsible, forever, for what you have tamed.” As we have winter now, let’s not wax lyrical and proceed straight to the point: what demands your special attention in winter in order to save your pet healthy throughout the season?

Danger: general cold

Yeah, it’s especially cold in northern states. There are breeds that do not need long walks as Chihuahua, or Yorkie, for instance. They can only have their potties at home and do all their vital things there. And more, it’s even better to do so and not let these fragile canines go outside at extreme colds. But if we take, say, Golden Retriever or Husky, they need walking and running some miles (especially Husky).

Solution: since there is no solution to protect your dog’s ears and nose (just like for people), you can, at least, buy some booties and some coats in order to save your dog’s body warmth and, in this way, avoid any viruses.

Danger: slippy sidewalks

Be careful when taking your four-legged friend for a walk and let him go off leash. There are numbers of situations that may go wrong and you may not have enough time to respond: accidental car on the road and the dog crossing it may turn into a tragedy if they meet; simply falling on the ice may bring straining your dog’s leg; etc., etc.

Solution: Keep your dog on a tight leash. Professional dog trainers also insist on training your pet basic commands as there can always be situations when you need to restrain him immediately to avoid a mishap.

Danger: insufficient calories

From your own experience you probably know that every living creature needs more vitamins in cold season due to the constant loss of heat, extra dryness, and immense viruses in the air. Your dog is not an exception. In order to maintain his skin and coat healthy and avoid any disease, you have to take some additional care of your fluffy companion.

Solution: enrich the diet of your dog with dry kibble, or supplements full of antioxidants, protein, fatty acids, minerals, fiber, etc. Special attention should be paid to fish oil. Of course, each dog fancier knows about the remarkable properties of fish oil or its substitute (like phytoplankton) which is full of omega-3.

Danger: dry skin

Winter brings additional dryness to the dog’s skin.

Solution: actually, you simply have to remember about three main rules. Rule No. 1: do not shave down your dog. Wait until it becomes warmer in spring or even in summer. Rule No. 2: Brush your dog. It helps to get rid of dander and dead hair. Rule No. 3: Do not wash your dog too often in winter. If you see that his paws or belly (or both) are dirty, use a towel. The snow is as easily wiped off from the coat as it is washed.

Danger: antifreeze and heaters

There are so season-specific to use antifreeze in cars and heaters in houses that it’s better to remind everyone about them once again. We all know why we use both these two things in the household, but don’t forget about your beloved pets.

Solution: wipe off your dog’s paws and belly after the walk. Additionally, have a look if there are any scratches or chapped skin on the paws. Even if you were extremely attentive and followed your dog’s every step, you cannot notice where he steps. It’s better to check twice, just to be on the safe side. Concerning the heaters, make sure your dog cannot get too close to avoid scalds, especially if we are talking about the fireplaces.

What Is the Sprained Knee Recovery Time Frame?

When one goes through a sprained knee, the recovery time for a person changes on any given number of circumstances. One of the most important criteria of recovery time for such an injury is how effectively the sprained knee has received treatment. By treatment we refer to the amount of time the knee was rested as well as the amount of times that ice was applied for recovery. These steps are ideal so that the swelling and inflammation is reduced as much as possible. In addition it is very helpful to elevate the knee when it has been sprained. The elevation assists dramatically by providing improved blood flow to the knee area. A sprained knee will usually require an amount of physical therapy to ensure that when normal physical or sports activity resumes the knee will not be subjected to another sprain or sports injury. Often times physical therapy will require weight training exercises to build up the muscles around the knee and other areas of the individuals leg. If the muscles in those areas surround the leg are properly trained then the knee will be stronger and will be less receptive to a sprain or sports injury in the future. A sprained knee can also recover without any kind of physical therapy, however it is important to remember that the recovery time may be increased to ensure that the knee has fully recovered and there are no risks with resuming physical or sports activities once again.

Certain health care medical professionals also recommended taking nutritional supplements or changing their nutritional eating habits to assist with the healing their sprained knee. Vitamins such as fish oil and vitamin D can help with tissue repair and promote bone density growth. It would be wise to note that vitamins are not regulated by the medical industry so their results are not always accurate and may not work for every individual. Nutrients that are high in protein can assist the person in gaining more muscle mass around the leg so that the knee is stronger than before the injury occurred. Improving muscles mass will help the person in reducing the risk of injuring the knee or attaining another sprain. In addition, certain physical therapists suggest swimming activities for such related injuries. They suggest that the swimming motors used in a weightless environment, which is the swimming pool help in the recovery phase of a sprained knee. Although there has not been a huge amount of research done to determine the value of physical therapy in a swimming pool, it is noted that exercising the knee without placing additional force or stress can assist in the recovery time frame. The general consensus is that a regular knee sprain without any further ligament injuries will heal in 4-6 weeks. It is also very important to follow the strict guidelines of physical therapy as well as rest to ensure that an individual does not return to quickly from such an injury, doing so will jeopardize the recovery time frame of a sprained knee and make the individual vulnerable to further injuries in the future.

Epidural Hematoma – Cause of Natasha Richardson's Death From a Fall and How to Prevent It

Natasha Richardson's death has sparked much conversation concerning head injury and how a fall on the bunny slope could cause such an injury. Natasha Richardson died from an epidural hematoma which is a type of head trauma that is an emergency and needs to be treated immediately. Treatment typically includes a craniotomy which is an opening in the skull. This procedure allows excess blood around the brain to be removed. If the excess blood is not removed, it causes death by compressing the brain tissue which usually leads to respiratory arrest.

Your brain can be found within the confines of your skull which is an immobile structure. There is an artery that runs in the temple area of ​​the skull. This temporal area is susceptible to trauma and fractures. When fractures to this area occur, the artery can be identified which leads to bleeding into a space above the brain. This space between your brain and your skull is called the epidural space. When a fraction and damage to the artery occurs, it takes some time before the epidural space can fill with blood and compress the brain. However, once that space is filled with blood, the pressure increases leading to death.

Natasha Richards died in such a manner. After the fall, Natasha Richardson seemed well. At this time, she returned to her hotel even though she had already suffered damage to her artery. The space was filling with blood while she was in the hotel room. At this point pressure in her head was increasing and she began most likely developing a headache and eventually succumbing to her injuries.

The best way to prevent such injuries is through the use of helmets.

You can read more opinion on medical research at Healthforself []

The Many Benefits Of Medical Massage

Certain ailments may require the use of medical massage to alleviate unpleasant symptoms. This type of massage differs from the traditional relaxation massage that’s offered to clients in a massage parlor. A physician’s order is required, and insurance companies will normally pay for a certain number of sessions. There are a number of benefits to this type of massage as well, some of which will be discussed below.

What is a Medical Massage?

According to WiseGeek, a massage that has been prescribed by a physician is ordered to treat a specific condition, normally musculoskeletal in nature. These types of massage can be used in a physical therapy clinic for a variety of purposes, including:

– Increase flexibility to a certain area of the body

– Build strength

– Treat various types of injuries, including sports-related injuries

– Help to minimize swelling in a certain area

– Alleviate muscle and joint pain or cramping

– Provide relief for migraine-related pain

– Minimize the normal aches and pains that often accompany late-stage pregnancy

– Provide increased range-of-motion to those with debilitating arthritis

– Assist in stretching the tendons and ligaments that are tight, such as that which is seen in contractures

As a way to offer symptom management to psychiatric patients, some psychiatrists or psychologists may offer this type of massage as an adjunct to therapy. Certain medical practices, such as an Orthopedist may offer this massage to patients during their appointments. This is a great way to determine if the massage is actually something the patient can follow through with as well as whether this type of therapy is going to be beneficial to the patient.

What are the Benefits?

There are several benefits to this type of massage.

– Patients who have a muscular injury are not getting enough blood-rich oxygen to the injured area. This massage will help to get the blood flowing back into the damaged tissues, which promotes faster healing to the area.

– Nerve pain – physician ordered massage will help to alleviate pressure that swollen tissues are placing on nerves. In addition, trigger points, which are areas of increased nerve activity, are relieved. It’s been estimated by the MMPA that about 75 percent of all bodily pains are directly related to trigger points.

– Stress – as one of the oldest types of treatments in medicine, this massage has been proven to effectively ease stress and anxiety in patients. In addition, massage increases circulation, which helps to keep all the body’s organs well oxygenated as well as remove waste products from the cells.

– Improved posture – sore muscles in the back can cause a person to stand with their shoulders hunched. This creates an unnatural curvature around the middle of the chest. Massage can relieve those tight and sore muscles and encourage a person to stand more upright. This can reduce the effects of poor posture as a person ages.

In addition to treating current conditions, this type of massage has also been shown to prevent chronic pain conditions from developing in the future. With over 80 percent of all pain coming from injury or damage to the soft tissues, this massage can be of great benefit to many people. With a physician’s order, this massage is one of the easiest, and most affordable treatments available for pain.

Ulcer Diagnosing Tips

An ulcer is known as a sore which is located inside the digestive tract. A common type of ulcer is a peptic ulcer. It is able to develop anywhere, form esophagus up to duodenum which is in the beginning of small intestine. This sore is also able to develop in large intestine. The most common symptoms of ulcer are cramping and stomach pain, nausea and even weight loss.

It is difficult to diagnose ulcer the accurately. The most common tests for diagnosing an ulcer is through X-rays, blood tests, and tissue vessels. The following are some tips to help you diagnose ulcer.

The first thing you have to do is to visit a physician. While you visit for routine physical checkup, tell him your recent ulcer symptoms and your concerns. In order to get the accurate diagnosis, you can answer the question of your doctor truthfully.

The second thing is to test the presence of H pylori bacteria in your blood. It is known as the bacteria which is able to cause peptic ulcer. Blood test is the only way to diagnose its presence.

The third thing you can do is to ask for an endoscopy. It is a procedure which uses an endoscope, a small scope which is equipped with a camera on its end. It will be passed through your throat into the stomach to the duodenum. It will be able to take the picture of that area to help your doctor determine if the ulcer forms.

The next thing you have to do is to get a stomach biopsy. If an ulcer develops, the doctor will remove a small stomach tissue piece using an endoscope. This piece of tissue will be tested to diagnose H. pylori bacteria or any digestive diseases which is potentially causing ulcer symptoms. In order to get more reliable diagnosis, you can go to a gastroenterologist or digestive specialist. With an accurate diagnosis, you can take a proper treatment.

Candidiasis & Dysbiosis-The Basis of All Health Imbalances

Treating dysbiosis is the basis of treating all illnesses. Dysbiosis leads to malabsorption, which in turn leads to malnutrition: instead of absorbing good nutrients for living and treating and eliminating toxins and end products of metabolism for proper detoxification, one end up absorbing toxins, leading to increased degeneration and cellular damage and eliminating useful nutrients , leading to deficiencies and impaired immune system function.

The concept of intestinal dysbiosis is integral to any holistic theory of medicine. Dysbiosis leads to malabsorption, therefore a fundamental decrease in the basic nutrients one needs for repair and proper immune functioning; also, by leading to increased toxin absorption, dysbiosis often results in degeneration (end-product of toxicity). By compromising one's ability to heal and detoxify properly, it interferes with one's ability to recover from any illness.

In 1916 Alfred Nissle found that the presence of certain protective strains, E-coli bacteria prevented typhus infections in soldiers. He went on a show that intestinal dysbacteria, or what is known as dysbiosis, plays an important causative role in all chronic disease. E-coli, lactobacillus species, bifidobacteruim, etc, are important inhabitants of a healthy adult's flora. They play a role in absorption and synthesis of folic acid, lactoflavin, niacin, pyridoxal, pantothenic acid, vitamin B12, biotin, and vitamin K, and since they have an extremely important role in the modulation of both the local intestinal as well as global immune system.

The common yeast Candida Albicans is present in every individual. Normally, the yeast lives harmlessly in the gastrointestinal tract. However, sometimes the yeast will overgrow and lead to significant disease. Candida overgrowth is believed to cause a wide variety of symptoms as part of a complex medical syndrome. (the yeast syndrome or chronic candidacy.) The major body systems most sensitive to the yeast are the gastrointestinal, genitourinary, endocrine, nervous and immune systems

Allergies have also been attributed to candida overgrowth.

Common causes of intestinal dysbiosis are:

* functional disorders of digestion
* Food intolerances: dairy, eggs, and BROWS grains (Barley, Rye, Oats, Wheat, spelt) etc.
* Antibiotics
* Corticosteroids
* Heavy metal toxicity, and other toxic effects.
* Intestinal infection
* Stress, anxiety and worry

Typical chronic patient profile

* Sex: adult female
* Age: 15-50
* Presenting symptoms are non-specific and vary, but here are a few examples:
* Past history: chronic vaginal yeast infections; chronic antibiotic used for infections or acne; oral birth control usage; oral steroids hormone usage.
* Associated conditions: Premenstrual syndrome; sensitivity to foods, chemical and other allergens; endocrine disturbances; psoriasis; irritable bowel syndrome; etc.
* Other: craving for foods rich in carbohydrates or yeast.
* Overgrowth of candida albicans in stool culture.
* Presence of high levels of antibodies against Candida Albicans
* Common symptoms attributed to the intestinal overgrowth of candida albicans can affect any system of the body, but primarily it affects the gastrointestinal, nervous, endocrine and immune systems.
* General symptoms- chronic fatigue, loss of energy, general malaise, decrease libido.
* Gastrointestinal symptoms- thrush (candida overgrowth of the mouth), bloating, eructations, gas, flatulence, intestinal cramps, rectal itching and altered bowel function, Constipation and / or dirrhea
* Genitourinary complaints-vaginal yeast infection and frequent bladder infections.
* Endocrine system complaints- primarily menstrual complaints.
* Nervous system complaints-depression, irritability and inability to concentrate.
* Immune system complaints-allergies, chemical sensitivities and low immune function.

* Fatigue and lassitude.

Normal intestinal bacteria antagonize the growth of many types of pathogenic bacteria by secreting substances that prevent their development and by directly competitiveness for nutrients and for existing space. The Lactobacillis Acidophilus type for example, has been proven to prevent development of the faecal bacterium Escherichia Coli: existing bacteria flora advances any pathogenic micro-organism from proliferating if it reaches the gastro intestinal tract; This is due to a sort of barrier created by the actions of different bacteria types that compete for vital space and nutrient and which therefore depends the host from external aggression. Morever, since intestinal flora is mostly of a bacteria nature, it constantly stimulates an immune system response; This complex defense reaction protects the body from external aggression and essential in order to sustain the body's physiological health; If the immune response should become less effective, there are greater risks of contracting infections and other ailments.

The successful treatment of chronic candidosis involves reducing predisposing factors to candida overgrowth: reduced digestive secretions, diet, impaired immunity, nutrient deficiency, drugs, impaired liver function, underlying disease states and elimination of all factors candida strains on antibiotics, steroids, birth control pills) along with all dietary factors inductive to candida overgrowth: a diet high in sugar, yeast and dairy products. Reducing / Eliminating all these, along with specific naturopathic treatment leads to complete eradication of all problems caused by candidiasis.

Understanding Vaginal Discharge

This discharge is sticky and watery in nature and is whitish in color. Problem arises when the discharge is too thick or emits foul odor. Discharge may also be greenish, brownish or yellowish in color and these are not good signs. Cottage cheese like discharge is also something to worry about. It is very important to consult a doctor if the discharge is not normal.

Understand various types of discharge and know whether they are good or bad for your health. It is good to be aware of your reproductive health and protect yourself.

Thick Whitish Discharge

You will experience this type of discharge at the beginning and ending of menstrual cycle. If there is some itching or uneasiness during this type of discharge there may be yeast infection. Do not neglect the itching sensation as it may become worse.

Sticky and Clear

This is a very normal discharge and is a sign that you are ovulating. This discharge indicates that you are more likely to get pregnant and then you can plan your sexual activity accordingly.

Watery and Clear

You will experience this discharge post menstruation cycle. This discharge is more common after an exercise session and there is nothing to worry as there is no risk in this type of vaginal discharge.

Greenish or Yellowish Discharge

If you experience this type of discharge, you need to see a doctor immediately as this may be dangerous. Such discharge which is thick in nature and also emits bad odor is not a good sign and must not be ignored. This is a sign if infection and must be treated properly under specialist and proper medication.

Brownish Discharge

You do not have to worry about this discharge if it happens just after the menstruation period. This discharge contains leftover blood and is completely normal to experience it. You need to consult a doctor if you experience it at any other time of the cycle.

Brown Spots or Blood Spots

You may experience blood spots or brown discharge before you menstruation period and it is normal. If you had an intercourse and experience blood spots at the time of your menstruation cycle then you might be pregnant. Go for a test to confirm your pregnancy.

There is no need to panic when you are experiencing clear watery discharges as it is absolutely normal. But when vaginal discharge of unusual odor or color is spotted you must take action immediately. Vagina is a very delicate part of your body and is vulnerable to infections. It is your responsibility to take care of it and treat any kind of problem completely. Having unprotected sex is one of the major causes of infections in the vaginal region. So, avoid such actions and keep yourself healthy.

Gastroenterology Medical Coding – Upper GI Procedures

Gastroenterology is a medical specialty that deals with the digestive system and its disorders. Gastroenterologists use a number of diagnostic procedures to accurately identify the patient's medical condition and prescribe treatment. Coding for gastroenterology involves accurate coding of the various procedures and services offered by the physician. Reimbursement is offered for procedures provided in-office, in-facility, hospital outpatient and ASC facility settings. Payment policies vary with individual payers and therefore these should be verified before providing treatment to identify limitations if any, on diagnosis, site of service or coding requirements.

Common Gastroenterology Procedures

• ERCP (endoscopic retrograde cholangiopancreatography) – this procedure combines the use of X-rays and endoscope. It is used to identify disorders such as gallstones, tumors, cysts, blockages and narrowing in the ducts.

• Sphincterotomy – to treat abnormalities diagnosed during an ERCP

• EUS (endoscopic ultrasound) – ultrasound of the pancreas, transduodenal or transgastric

• Sigmoidoscopy – enables the physician to view the lower end of the colon.

• Gastroscopy – this helps to examine the lining of the oesophagus, stomach and duodenum using an endoscope.

• Colonoscopy – is utilized by doctors to have a direct view of the whole of the large bowel or colon.

Upper Gastrointestinal Procedures and Codes

Upper gastrointestinal procedures include endoscopic and esophagoscopic procedures. These help the physician to view the interior of the upper GI tract including the esophagus, stomach and duodenum. When billing for Upper GI procedures, you have to verify payer conditions for covering the procedure. The services are usually covered when medical conditions such as esophageal disease, anemia, gastric ulcer, Celiac disease, persistent upper abdominal symptoms, and involuntary weight loss have been diagnosed.

• 43200 Diagnostic esophagoscopy

• 43202 Esophagoscopy with biopsy

• 43215 Esophagoscopy with foreign body removal

• 43216 Esophagoscopy with electrocautery removal of tumor or polyp

• 43217 Esophagoscopy with snare removal of tumor or polyp

• 43220 Esophagoscopy with dilation

• 43227 Esophagoscopy with control of bleeding

• 43232 Esophagoscopy, rigid or flexible; with transendoscopic ultrasoundguided intramural or transmural fine needle aspiration / biopsy (s)

• 43234 EGD – simple primary examination

• 43235 (dagger) EGD – diagnostic

• 43238 Upper gastrointestinal endoscopy with transendoscopic ultrasoundguided intramural or transmural fine needle aspiration / biopsy (s) esophagus (including endoscopic ultrasound examination limited to the esophagus)

• 43239 (dagger) EGD with biopsy

• 43241 EGD with transendoscopic catheter or tube placement

• 43242 Upper gastrointestinal endoscopy with transendoscopic ultrasoundguided intramural or transmural fine needle aspiration / biopsy (s) (including endoscopic ultrasound examination of the esophagus, stomach, and either the duodenum and / or jejunum as appropriate)

• 43246 EGD with PEG tube placement

• 43247 EGD with foreign body removal

• 43250 EGD with electrocautery removal of tumor or polyp

• 43251 EGD with snare removal of tumor or polyp

• 43255 EGD with control of bleeding

Certain codes 43200, 43202, 43234, 43235 and 43239 require prior authorization with some payers, and this has to be verified beforehand.

Some Important Considerations

A comprehensive endoscopic assessment of the upper GI tract has to be reported with the code 43235. This usually involves a detailed view of the esophagus, stomach and duodenum and a thorough examination of the duodenal bulb. Physicians should use code 43239 to report EGD (Esophagogastroduodenoscopy) with biopsy. An EGD that is provided just as a primary examination and does not include "comprehensive" components can be reported with the code 43234. Lesser services such as esophagoscopy and esophagoscopy with biopsy should be reported only using their specific codes, 43200 and 43202 respectively. Physicians should avoid the practice of adding modifier -52 to 43239 to signify these reduced services, because this usually results in pointless delays or even denials of payment. When reporting biopsies and procedures for removing foreign bodies, doctors should take care to choose the code that clearly specifies these.

In cases where more than one procedure is transported out during a single visit, doctors should ensure that these come under the multiple endoscopy payment rules. Here, Medicare as well as most private payers will reimburse the full value of the highest-valued procedure, along with difference between the value of the remaining procedure and the base endoscopic procedure. Modifier -51 has to be used along with the less-valued procedure.

How to Cure Fibroids Naturally – Some Tips to Help You Overcome Myoma

Uterine fibroid or myoma is a tumor in the uterus that may cause painful menstruation and even painful sexual interference. Aside from that, it may also be the reason for heavy and irregular menstruation. Thus, if you are looking for cures without going under the knife, read on for natural ways to cure it.

Although this condition may cause discomfort, myoma or uterine fibroid is benign or non-cancerous. These muscle tissue growths in the uterus can also be a hindrance in if you are trying to conceive a baby. However, before considering hysterectomy, keep in mind that there are ways to help you learn how to cure fibroids naturally. In fact, these growths can disappear or shrink naturally over time.

But if you are determined to help yourself in eliminating these growths, you can do something to eliminate them naturally. Here are some ways on how to cure fibroids naturally.

Changes in your diet can help a lot in dealing with the imbalance of the hormone estrogen and progesterone, which contributes to the development of uterine fibroids. If you have fibroids, you can opt for organic vegetables and fruits to help you reduce the size of the tumor. You can also add more phytoestrogens in your diet that includes, lentils, fermented soy, linseeds as well as alfalfa, red clover and chickpeas. These foods help reduce excess hormones in your body and thus preventing more hormonal imbalance that can lead to the growth of the tumor.

Like any other health issues, it is important also to cut down on alcohol and smoking and cut down on caffeine as well. Also make sure that you minimize foods high in saturated fats as well as foods that have additives, preservatives and other chemicals.

If you are experiencing excess bleeding, there are also herbs that can help regulate it as well. Iron supplement can also help in replenishing the lost iron due to heavy menstruation. Vitamin B supplement on the other hand can help balance and control the production of the hormone estrogen in your body and thus helping prevent the growth of the tumor as well.

You can also add more whole grains, bran as well as fruits to help you deal with constipation and hemorrhoids that may also come along with uterine fibroids as it creates pressure in the uterus.

Keep in mind also to shed those extra body fat to help you deal with the imbalance in your hormones. Body fats are the sites for estrogen production and thus shedding these extra body fats can help in preventing more growth of the tumor.

Moderate exercise can also make wonders on how to cure fibroids naturally. Yoga is not only a good exercise but also a great way to deal with stress that can aggravate your condition.

Meditation and acupuncture are also alternative ways to deal with emotions and stress that are also factors contributing to hormonal imbalance and development of this tumor.

Although you can find alternative ways to deal with uterine fibroids, it is always important to have yourself checked by your doctor. Although these tumors are non-cancerous, it is always wise that you will be checked up for any other possible serious conditions that may come with it.

Large Ovarian Cysts – What Are the Characteristics and Symptoms You May Experience?

While most ovarian cysts are harmless and may not even produce noticeable symptoms, a large ovarian cyst will likely be very painful and may even rupture. What I am about to share with you are the types that more commonly will form into a large ovarian cyst, what characteristics they possess, and what symptoms you may experience with each.

It's probably common knowledge that there are many types of cysts, and not all will grow to be a large ovarian cyst. And it's important to note that the only way to determine the type and size you're experiencing is to have an ultrasound performed by your physician. The most common cysts that develop into a large ovarian cyst are:

  • Cystadenoma Cysts – These are the result of abnormal cell growth and are attached to the ovaries by a stem. The cystadenoma will sometimes will grow quite large, and while they may not produce noticeable symptoms, they may twist on the stem and possibly rupture, which would most likely require surgical intervention.
  • Dermoid Cysts – These cysts actually fall into the class of a tumor rather than a cyst. While it may sound a little odd, each egg you produce has the potential to create another human being. These cysts may be filled with hair, teeth, skin, or bone. While it is unknown why these tumors develop, it's very important to closely monitor them with a physician as they may potentially become malignant. Dermoid cysts can grow quite large, up to six inches, and can be extremely painful.
  • Endometrial Cysts – As the name may suggest, these cysts develop from a condition called endometriosis where the lining of the womb grows in places other than the womb. Endometrial patches form on the ovaries, creating cysts filled with old blood. Each month during your period, these patches of tissues that are encapsulated in a cyst will bleed, and because there is no outlet for the bleeding, it may develop into a very large ovarian cyst, sometimes up to eight inches, and will often cause sever pain, particularly during menstruation.

While most cysts are small and you do not even know they exist, for those unlucky women who develop a large ovarian cyst, the symptoms may be quite unpleasant. That's why it's important to first have a clear understanding of the type of cyst you're dealing with, which can only be determined from an ultrasound, and then decide on your plan of action.

The good news is that there's no reason to suffer from a large ovarian cyst indefinitely – they're not permanent. While it's important to monitor this type of cyst very closely, particularly the dermoid, do not jump to the conclusion that you always need medical intervention in the form of harsh prescription medications or surgery. While surgery will remove the cyst, it will do nothing to prevent future occurrences, and hormonal prescription medications can have side effects that may be as unpleasant as the cysts themselves, so give careful thought to the treatment plan you choose.