Do You Have a Wheat Intolerance?

Wheat is the most widely consumed cereal in the US. and Europe today. More than a billion people use it as a staple in their diet and wheat production has almost doubled since the turn of the 20th century. In Britain it provides 27% of our daily calorie intake.

History has seen it as an essential element to a nutritious diet, and towns grew up around its supply. It was first grown in the Middle East over ten thousand years ago and has since adapted to grow in almost any climate. However, the wholesome wheat products of ten thousand years ago differ greatly from the refined white flour of today.

The pale, fluffy, white cake-like bread so many of us eat, is a far cry from the heavy, wholesome, chewy whole grain breads that were once the staple diet.

In history, the purity of what you ate reflected your social standing, so of course clean, white, light, and refined was very much preferred to the heavy, wholesome and chewy. To serve anything other than white bread on a ceremonial table was considered an insult. Even in the bible reference is made to the desirability of fine flour. So the wealthier classes would repeatedly sieve their flour and “whole” flour became a symbol of the lower classes.

With the rise of the industrial age the flour was processed still further to remove the germ, as its oil content caused rancidity, and prevented storage and distribution. All that was left of our “wholesome” flour was pure starch, very manageable commercially as it is practically dead food.

Refined white flour is used in bread, biscuits, cakes, pastry, pasta and cereals. So what is thrown away in the refining process?

The outer layer of the grain is the bran which contains a high proportion of B vitamins and about 50% of the mineral elements in the grain. The germ at the base of the grain is the actual embryo of the plant, rich in fats (mainly essential fatty acids), protein, iron, and vitamins E and B group. Also in the outer layer of cells called the aleurone layer, is the endosperm’s protein. Between the germ and the endosperm is the scutellum, which is particularly rich in thiamine.

Like the sugar in fruit, most forms of starch come complete with the other nutrients which are needed to digest them. If we refine these foods, stripping away the necessary vitamins and minerals, we end up poisoning ourselves with toxic by-products of incomplete metabolism. In an attempt to digest this dead food, our body will use up vital reserves of vitamins and minerals. Time has also shown that the depletion of fibre in the diet as a result of refining has had an impact on mans’ intestinal function, low fibre is implicated with various conditions from haemorrhoids to cancer of the colon.

Out of five million tonnes of milled wheat, 1.4 million tonnes of bran, germ, aleurone layer, and scutellum are discarded. This is known as 70% extraction, meaning that only 70% of the grain is finally used. During world war two, food shortages meant that the extraction rate went up to 85%, and there were marked benefits to the nation’s health. The reintroduction of flour of 95-100% extraction would do more for the health of this country’s people than any other single measure in the field of nutrition. In our de-vitalised western society, no-one can afford to throw away nutrients in these quantities.

As the refining process removes so many nutrients from flour, UK law requires that iron, thiamine, niacin and calcium, are added to 70% extraction flour. Secondly, to get the flour and its products to behave in the way the market dictates, a wide range of chemicals are added; flour improvers, bleaching agents etc. All additives should have a question mark over them, they are yet another source of toxins, and concern has been expressed by some that commercial interests over ride nutritional interests.

None of this would be necessary if we could only accept the qualities of 100% extraction rate whole wheat flour, it can no longer be regarded as a peasant food. Consumption of whole wheat bread is on the increase, but there is a long way to go for whole wheat pastry, cakes, pastas, biscuits and wheat based thickeners. Wholemeal flour used to be criticised as it naturally contains phytic acid which binds with calcium preventing its absorption, but studies have shown that whilst this does occur, there is a period of adaptation then calcium absorption returns to normal.

However here comes the “but”, whilst wholemeal flour is infinitely preferable to white, no wheat at all is preferable for some people.

Firstly wheat isn’t the essential staple food it is billed to be, and is not easily tolerated. As a source of protein it is very poor, as it only has incomplete protein to offer, it is grossly Lysine deficient, and so cannot be fully utilised by the body. The bran does provide fibre, but there are actually more suitable fibres in other foods. A study into irritable bowel syndrome at the Radcliffe Royal Infirmary found that 39% of patients found wheat to be a contributing factor to their IBS after completing an elimination diet.

It is the wheat protein gluten that is the major culprit in problems relating to wheat. Some level of gluten intolerance can actually be found in the majority of people, and is linked to a broad spectrum of symptoms. Gluten is a sticky substance, resembling the consistency of chewing gum.

It is gluten that gives loaves that springy, airy texture so much in demand, and that is why hard wheat with its high gluten content is used for baking.

Modern commercial bread making, where the dough is only proved once, requires higher levels of gluten and so crops are grown which have high gluten levels.

Being such a sticky, elastic substance it is quite hard to digest. If undigested gluten finds its way to the large intestine it can bind with the mucosa to form a sticky mass that lines the colon wall.

This makes an impermeable barrier both ways; hindering secretions and nutrient absorption. Lack of secretions mean reduced lubrication, so transit time for food around the colon is slowed, the colon, already narrowed by the glutinous layer, can simply grind to a halt.

It is when this occurs we see ballooning of the colon and or diverticuli, this mass will putrefy, leaching toxins into the blood stream, causing other seemingly unrelated problems, hence the higher occurrence of gluten intolerance than one might think. Needless to say there can be little or no absorption of nutrients.

If your digestive system is in peak condition these problems shouldn’t arise as complete digestion of the gluten will have taken place in the small intestine. However, very few of us, with de-vitalised diets, stress, toxins etc. can boast this level of functioning, so this scene in the lower bowel becomes almost inevitable.

Gluten also features highly in allergic responses, where the protein is incompletely broken down. The body may, due to inherited tendencies or incorrect weaning, have a gluten intolerance causing mal-absorption of any grain that contains this protein.

The intestines become irritated and the villi are damaged, reducing proper absorption of nutrients. This damage to the intestinal wall allows toxic substances to be absorbed into the blood stream.

At it’s most extreme, this allergic reaction is what we know as Coeliac Disease. It causes chronic mal-absorption of nutrients where the small intestine is unable to digest and absorb food. So the sufferer may eat a “healthy” diet but be ill and experience symptoms such as bloating, pain, cramps and constipation or diarrhoea.

Conventionally Coeliac disease is viewed as an enzyme deficiency or other metabolic fault. Whilst sometimes the biochemical element may be present, many nutritionists feel that incorrect weaning is more likely. The introduction of cereal grains before the body’s enzymes can digest them can only set the stage for gluten intolerance by causing gastric irritation, antibody reaction and intestinal thinning.

Wheat is added to the average infants diet much too early, digestive enzymes necessary for starch digestion are not even present until 6 – 8 months, let alone a complex substance like gluten. It would really be advisable to wait as close to the second birthday as possible before the introduction to wheat is made (whole-wheat of course).

Studies have shown that the children with the most coughs and colds are the ones that eat the most starches, and most asthmatics were weaned before their first birthday on to an abundance of wheat and dairy produce. Even without a strict food allergy, excess wheat alters the body’s acid alkaline balance and increases the production of mucous. In a study on migraines in children at the Hospital for Sick Children, Dr. Egger found that 24% of those studied had migraines as a reaction to wheat.

Wheat contains natural opiates, morphine like substances that may affect brain cell activity, influencing mood and mental activity and possibly inducing fatigue. It follows that anyone with mental health issues may benefit from following a wheat free diet.

Wheat seems to rank exceedingly high as a trigger of food intolerances and allergies, resulting in symptoms as diverse as rheumatoid arthritis, irritable bowel syndrome and neurological illnesses.

If you have any of the following symptoms it could be worth investing in a food intolerance test and excluding wheat from your diet:

• Bloating

• Headaches

• Migraines

• Abdominal discomfort

• Constipation

• Diarrhoea

• Diverticulitis

• Stomach cramps

• Indigestion

• Feeling of heaviness after eating

• Drowsiness after eating bread

• Mood swings

• Depression

• Joint pain

• Lethargy

• Chronic fatigue

The Food Detective test is a simple DIY pin prick blood test that you can do at home.

It picks up IgG antibodies in the blood which develop when you become intolerant to certain food substances.

Within 40 minutes you’ll be able to find out which foods are a problem for you.

The test kit costs around 55 and can be bought online from http://www.bodykind.com.

Wheat/Gluten Free Diet

If there is a sensitivity to wheat the following foods should be avoided:

Wheat flour, wheat bran and wheat germ

Bulgur, durum wheat, spelt flour

Barley, rye (to avoid gluten)

Wheat based biscuits and crispbreads

Wheat breakfast cereals eg. Weetabix, Puffed Wheat, All-bran

Wheat based alcoholic drinks eg. whiskey, most gins, lager and beer

Bread baking powder

Bread crumbs

Pancakes and batter mixes

Cakes and cake mixes

Crumble toppings

Macaroni, spaghetti and pasta

Semolina, cous cous. (gluten)

Pastry

Sausages, hamburgers & breaded meats

You should also check the ingredients lists of the following products which may contain wheat:

– Baked beans

– Chocolate, Cocoa, Drinking chocolate

– Coffee (cheap instant)

– Cloudy lemonade, ginger beer

– Cream (imitation), ice cream, ice cream wafers, custard

– Chutney and pickles

– Gravy powder, sauces. soy sauce and stock cubes, tomato sauces

– Curry powder

– Pie fillings and instant pudding

– Sausages, pates, spreads and pastes

– Soups (canned and packet)

– Canned fish

Alternatives to wheat

You can replace wheat flour with rye flour, brown rice flour, soya flour, potato flour, corn flour, gluten free flour.

Bread ~ Rye and soya bread, gluten free bread, oat cakes, rice cakes, rye crisp bread, rice crisp bread.

Biscuits ~ Flapjacks, macaroons, fruit bars.

Cereals ~ Wheat free muesli, porridge, millet flakes, Rice Krispies

Crumble topping ~ Rye bread crumbs, oats, sesame seeds, ground rice

Pasta ~ Rice, noodles, Orgran wheat free pastas.

* where a product is shown as being gluten free, it is also wheat free.

Broadland vegetable suet

Brown rice flour

Custard creams gluten free

Doves and Orgran gluten free flour

Orgran gluten free bread mix

Doves gram flour

Doves rye flour

Dr Schar gluten free vanilla wafers

Ener-G pure rice bran

Finn crisp original rye crispbreads

Glutano gluten free biscuits

Gluten free baking powder

Gluten free muesli

Gravy powder gluten free

Kallo rice cakes

Mrs Crimble gluten free macaroons, fruit loaf & chocolate cake

Oatbran flapjacks

Orgran corn pasta, lasagna and spaghetti

Orgran Ris o mais pasta, lasagna and spaghetti

Potato flour

Premier gluten free biscuits chocolate coated

Premier gluten free chocolate & orange biscuits

Premier gluten free plain biscuits

Rice flour

Wheat free mueslis organic and non-organic

Rye/soya rolls, Rye/soya bread Sesame snaps

Soya flour

Wheat free Soya sauce

Village bakery gluten free bread

Village bakery gluten free cakes

Brown rice

Noodles

Yeast Free Diet

Yeasts are part of an enormous family of fungi that includes mushrooms, bakers yeast and antibiotics.

Some illnesses are caused by fungus, e.g. farmer’s lung and Candida (thrush). Be wary of food that has been left about for some time, as yeasts need time and the necessary conditions to grow, and many yeasts are impossible to see with the naked eye.

Yeast will have been used in the processing of any products which have been fermented, e.g. wine. Preserved or dried foods will almost certainly have yeasts on them, even if they have been treated to give a longer shelf life. It is impossible not to ingest some yeasts as they are all about us in the air. The descriptions “dried, pickled, cultured, and fermented”, all indicate the presence of yeast.

Eating out is not difficult provided cheese dishes, any food with vinegar or alcohol, pickles, and mushrooms or truffles are avoided. Bread also must not be eaten, but some plain crisp breads may be acceptable. Salads should be without dressing, and meat without stuffing. Choose grilled meat without gravy, plain boiled or steamed vegetables, plain grilled fish or omelettes. It is wise to avoid fruit desserts and of course cheese and biscuits.

Following this diet will reduce the amount of calcium, protein, fibre and fat consumed, and adjustments need to be made in other areas to combat this. Use a raising powder that does not contain cream of tartar and make whole-wheat soda bread and scones at home, but eat within a short time of baking. Rye crisp breads, or whole-wheat breakfast cereals, (if they can be tolerated) such as Shredded Wheat and Puffed Wheat and rice can be eaten instead of bread.

It is advisable to increase the amount of vegetables eaten, especially the high potassium ones. All fruit eaten should be thoroughly washed, dried and peeled then eaten immediately, keeping the peel well away from the flesh of the fruit or you may contaminate it with yeast. Make oil or lemon dressings for salads with fresh lemon juice.

A problem with the omission of bread is that it could lead to a deficiency of B complex vitamins. To help correct this, drop scones or soda bread can be made with whole-wheat flour without yeast. An increase in the amount of liver to 4 oz (100g) per week would also help.

If a B complex supplement needs to be taken synthetic B vitamins would be more suitable as natural supplements will probably be made from yeast. Fruit juices should be made from fresh washed and peeled fruit and drunk immediately they are made. If the amount of whole-wheat flour used for suitable baking is not increased to at least 1 lb. ( kilo) per week there is a risk of too little cereal fibre in this diet. This is quite a difficult diet to follow, especially as no alcohol whatsoever should be taken.

Foods to Avoid:

bread, rolls, croissants, currant tea cakes, doughnuts, scones, breadcrumbs, pitta breads

Mushrooms, truffles, stuffing All cheeses, yoghurt, buttermilk

Vinegar of all kinds, ketchup, pickles of all kinds, chutney, sauerkraut, horseradish, mint sauce, mustard, salad dressing, soy sauce

Fruit skins, i.e. Apples and pears

Dried fruits of all kinds, sultanas, currants, raisin, mixed peel, apricots, figs etc.

Malted drinks, malted cereals

Monosodium Glutamate (E221) If eating out in a restaurant, check to make sure that M.S.G is not used, ask for it be left out if necessary.

Nuts

Yeast of all kinds, fresh, bakers, brewers, dried, compressed, instant. Yeast extract spreads, marmite, vecon, yeastrel, natrex. Cream of tartar

B Complex vitamins with a yeast base

Antibiotics and other drugs derived from mould cultures

Alcohol of all kinds, including wines, spirits, beers

Alternative Products:

Soda bread, soda farls. (Avoid those which contain buttermilk)

Yeast free breads

Ryvita, crackers, matzos. Some Indian breads such as chappatis, check ingredients. Rice cakes, oat cakes, home made scones

Yoghurt for the first two weeks, then live yoghurt is acceptable. Salad dressing made with fresh lemon, oil, garlic and herbs.

A maximum of three fruits per day, peeled and washed (Fruits which cannot be peeled, such as small berries should be avoided unless they are very fresh.

Cereals which are malt free, such as shredded wheat, puffed wheat, rice, porridge oats

Plain crisps or brands with no additives i.e. Hedgehog

Nuts in small amounts are fine as long as they are fresh. Avoid peanuts and pistachios

Baking powder and Bicarbonate of Soda may be used for baking as a raising agent.

Video Game Induced Depersonalization

There is a strong correlation between feelings of anxiety, panic, depersonalization/derealization, and the constant use of video games. This is a deduction based upon thorough and extensive research and study.

The facts are there and continue to prove themselves out. Doctors now believe that electromagnetic fields (EMF’s) result in anxiety, depersonalization, derealization, depression, panic attacks, irritability and a long list of physically related illnesses.

Electromagnetic Fields (EMF’s) are found in fluorescent lighting known as Compact Fluorescent Lights (CFL’s) and they have a strong effect on emotions. These same EMF’s cause adrenal glands to secrete adrenaline and cortisol, two anxiety and depersonalization related hormones which wreak havoc on every part of the central nervous system. Exposure to EMF’s also create a decrease in brain hormones such as serotonin, norepinephrine and dopamine, which are closely linked to anxiety, depersonalization and depression when lowered. Those with even slight anxiety have often experienced panic attacks after entering stores lit by fluorescent lighting.

Video gaming is a two-fold exposure, leading to feelings of anxiety, depersonalization and derealization. There is a strong visual cue when exposed to computers for extended periods of time. This visual trigger or cue is caused by the same reaction one may experience when under fluorescent lighting. A computer or TV screen generally refreshes at 60 hertz (in which the screen is redrawn or refreshed 60 times per second). This creates a flicker affect, which is a visual cue and may trigger adrenaline and cortisol, resulting in intensified feelings of anxiety and or depersonalization/derealization. Prolonged use of video gaming is enough to bring forth this reaction. The individual is exposed to both EMF’s along with a strong visual trigger due to refresh flicker. The physical feelings are intensified by the stress and pressure associated with constant competitive gaming.

Another side of the problem arises when the individual spends a great deal of time living virtually rather than breaking the habit by entering life through daily routine and schedule, nutrition and activity. This prolongs the depersonalization even further.

It is important to recognize all sides of this situation and remedy it by following a very simple yet specific path to recovery.

1- EMF (electromagnetic fields) are found in computers, fluorescent lighting, cellular phones, appliances and power lines. If one is in close contact with any of these field producing electronics, for an extended period of time, they need to reconsider their habits.

2- Video Game Addiction is a real problem that must be addressed, especially if one experiences feelings of anxiety, depersonalization, derealization and panic. The mind becomes stuck in the trap of this addiction and symptoms frustrate and irritate. Fear exacerbates symptoms and one must unlearn these behaviors.

3- Depersonalization is a strong symptom of anxiety and is aided by very specific cognitive behavior skills, nutrition and a change in habits. It requires a precise system of recovery which must be strictly adhered to for best results.

4- The use of medications often exacerbate symptoms of depersonalization and anxiety. One is dealing with habits and behavior rather than physical illness.

Knowledge truly is power. Understanding is the first step in recovery. The only requirement is one’s willingness to look at the triggers of depersonalization and the readiness to follow a specific process, leading to full and permanent recovery.

Serotonin and Moody Depressive Stoic Northern European Types

Serotonin and Depression

Singin’ About The Blues, Feeling Blue and Really Being Darned Blue

The challenge of being human puts us right in front of feelings that we would call depressive, sad, melancholy or withdrawn, hopelessness, helplessness, despair, sorrow, sadness. There is a whole musical genre called “The Blues”, which specializes in certain chord patterns, lyrical themes, musical tones and general melancholy outlook. Then there is “feeling blue” which might be because your are suffering a romantic setback or other personal loss. Really being “darned blue” can approach the clinical, the psychic, the spiritual or the existential. The full range of human feelings can go from mild melancholia to suicidal preoccupations. So, understanding that we are dealing with great breadth and great depth, this article wishes to address the least serious aspects of this issue. Especially when it appears to be in the nature of a mood imbalance. In other words, when there are no definable, notable, events or situations involved, and the word depression seems to be used to describe your “outlook”. (Of course all of the above mentioned conditions can still involve SSRI’s along with other treatments).

In Western Culture A Positive Upbeat Outlook Is Seen as Beneficial and Healthy

There are millions of people in other cultures on this planet who actually see blues and depression as preliminary preludes to spiritual breakthroughs, or simply natural states that are their resident, incipient and ever present realities. Beaming toothy smiles is not their “thing”. Some religious traditions see existence itself as replete with suffering, and thus a natural state would appear to be “blue” and depressive. Our main issue then has to do with the specific Western outlook which sees a Mood Disorder as a particularly disquieting situation that hopefully one could affect and alter, so as not to “hold one back” from the achievement and progress that they are attempting to make in their lives. And so, this article discusses the modern occurrence of being able to treat and affect mood and psychological states with accessible treatment in first world, western, industrial cultural settings in which these treatments are accessible, permissible, affordable and desirable.

Enter The Neurotransmitters in General and Serotonin Specifically

Serotonin, Noradrenaline, Acetylcholine and Dopamine are the main neurotransmitters and they have overlapping and divergent effects. Sometimes acting on their own, and sometimes together, they variously affect cognitive function, mood, motivation, sexual drive, pleasure, anxiety, irritability, appetite and aggression.

Serotonin seems to be the main player in depression and is the subject of this article, but serotonin receptors are involved throughout the body, especially in gastrointestinal and circulatory issues. One should understand this so that when one contemplates entering into a treatment program, they appreciate the complexity and wonder of the body’s and brain’s functions and how they should not be approached lightly or ignorantly. However, it should be noted that SSRI’s seem to have more subtle effects and thus are beneficial for “everyday living”. As in all cases of drug treatment however, individual cases can vary and not fall into norms, averages, or means.

What Is Reuptake?

What the brain naturally does is reabsorb serotonin after the system delivers a certain amount of this neurotransmitter to the brain. Researchers discovered that neurotransmitters in the brain are regulated by some not clearly understood process in which the system “clears” a certain amount of serotonin from the brain; probably in an attempt to achieve some kind of internal stasis. When the researchers figured out how to prevent the brain from “picking up and removing” the serotonin, they then affected the process by leaving more serotonin in the brain. Precisely how SSRIs affect depression isn’t clear. As we have said, certain brain chemicals called neurotransmitters are associated with depression, including the neurotransmitter – serotonin.

Some research suggests that abnormalities in neurotransmitter activity affect mood and behavior. SSRIs seem to relieve symptoms of depression by blocking the reabsorption (reuptake) of serotonin by certain nerve cells in the brain.

This leaves more serotonin available in the brain. Increased serotonin enhances neurotransmission – the sending of nerve impulses – and improves mood.

The long name is “Selective Serotonin Reuptake Inibitors”. The “selective” process has to do with the fact that these drugs seem to select serotonin and not other neurotransmitters.to affect only serotonin, not other neurotransmitters.

One author did present a potential problem; commenting that one should remember that these do not make MORE serotonin, they simply keep the serotonin the body is making “in circulation”. Long term, he speculated, how much serotonin the body actually makes might be affected by this interruptive process.

Genes, Alleles, Individuality Play In the Stress and Depression Drama

Therapeutic effects of antidepressants may vary in people, due in part to each person’s genetic makeup. Some researchers and studies have observed that some ethnic groups might seem to have natural chromosomal makeup which are more susceptible to certain depressive characteristics and thus benefit more acutely from these kinds of treatments. It’s thought that people’s sensitivity to antidepressant effects, especially selective serotonin reuptake inhibitor effects, can vary depending on:

How each person’s serotonin reuptake receptor function works – Individuality

His or her alleles – the parts of chromosomes that determine inherited characteristics, such as height and hair color, which combine to make each person unique. – Family or Ethnic Characteristics

Depression in Certain Somatic and Ethnic Types

Enough years have passed and studies have been done that the medical industry has been able to focus on gender, healthy/disease states, ethnicity, societal outlook and behavior to demonstrate how depression is impacted by all of these factors. While this article does not deal with all these issues, ethnicity is particularly interesting because, besides gender, it appears to be one factor that is simply factually ours at birth, which we then have to deal with. This article discusses a Northern European family and their experience with SSRIs.

A correlation appears to exist between latitude and susceptibility to depression. Northern Europeans are the most susceptible, with Scandinavians suffering from the highest and Mediterranean suffering from the lowest rates. Certain races also appear to be more susceptible, with whites suffering greater rates than blacks.

Studies are being done all the time, and demonstrable scientific conclusions have not yet been met. However, early hypotheses are exploring the idea the hair color, height and even the vague term “temperament” or “societal outlook” seem to be involved, and have definite life changes because of this “happy pill”.

One family of Dutch and German descent, all suffered from depression, mood imbalance and a certain kind of morose and stoic outlook. Over the last two decades, three of the six members of this family have started taken the “happy pill” (as they call it). First the father, the much older and more serious case, took the SSRIs under a doctor’s care of course. His outlook and mood were definitively affected. The family would make jokes about how his temperament would change, joking about when he was “on” and “off” the pill.

Irony Plays Its Hand

The children of this father, who laughed and joked in their youths about their fathers mood changes have now been taking SSRI’s. One for over a decade, and another for just six months. The one who is newer to the treatment says: “I am back again. Like I was as a girl, much more talkative, cheerful and merry. My husband says I am downright bubbly again.”

The children who used to joke about their father are now being amusedly and happily commented upon by their children. Now the adult children point their fingers at their children and say: “Don’t laugh. Someday you might see the need.”

It appears from reports that SSRI’s can be taken over a long term. Of course, there are always side effects, and reactions vary from individual to individual, and doctors’ care is the only way you can obtain these. So, be encouraged to study, investigate, ask questions and explore. But if you feel you can benefit, even remotely, you should at least take a look.

Personal Experience, Though Anecdotal, Makes A Strong Impression

This is not a comment upon how many people consume these products, and whether all of them are needed. We tend to be an over medicated society and drug abuse is also a common American malady. However, when one observes through personal and intimate contact real live case histories of people “converted” from morose moodiness to normal and bouncy outlooks that they used to have as younger people, it makes a very strong impression.

Certainly some people ask for these drugs who may not actually need them. Recreation and entertainment can become prime motivators for attempting to get these and other types of drugs. However, the abuse or misuse of these drugs simply indirectly demonstrates their power and effectiveness. The individual who is seriously suffering should not be dissuaded by these social factors. The true need and desire for relief from suffering is the main motivator in seeking treatment and a kind of cure. Certainly this family is a testimony for SSRI’s. It affects how they interact, how they parent, how they relate, how they sleep and how they work. Fundamental temperamental and mood-based changes can have a thorough and profound effect on the complexities of modern daily life.

How to Get a Gemini Man to Commit to You! Advice on Appealing to His Heart

Being in love with a Gemini man can be both wonderful and challenging. If you’re a woman who has fallen for one of these men you already know that. Gemini men have so many fantastic, endearing and charming qualities. They are intelligent and loyal. These men also are spontaneous and very fun, so be prepared for a lifetime of adventures if you’re fortunate enough to get the Gemini man in your life to want to commit to you. Many women find that these men are slow to take any romantic relationship to the next level. There’s a reason for that and once you understand what it is, you can then work on helping him get over any emotional barriers he may have so he can give himself to you and your future together.

Embrace the Relationship as It Is

Gemini men generally don’t follow their heart into a commitment. They, instead, lead with their head. They think their relationship through before they decide if it’s right for them. They aren’t easily swayed by romantic gestures or heartfelt love letters. They want to know that the partner they choose to spend their life with will be a good fit for them in the long term.

To this end, it’s important that you don’t push your man into a commitment before he’s ready. If you try that tactic he’s likely going to either pull back from the connection, or break it off entirely. He doesn’t want to feel as though he’s being pressured into something that he’s not certain is right for him.

He wants to take his time evaluating how well you two fit together as a couple. That’s why it’s essential that you embrace the relationship in the here and now. Don’t chase after him and don’t constantly talk about where you hope things are headed in the future. Be your honest and genuine self today and that will impress him as he’s considering his future and your possible future together as a married couple.

This is also important in terms of sharing what you’re feeling with him. You may want to scream from the rooftops that you love him and can’t wait to be his wife. If he’s not emotionally ready to hear this, don’t be shocked if he retreats to the point that he’s suddenly too busy to spend time with you. Men born under this sign are easily spooked, so you must allow him to set the tone and the pace of the relationship. He wants to be with someone who is relaxed and not focused on an engagement ring or extravagant wedding.

Keep Him Captivated By Being Interesting

A man born under the astrological sign of the Gemini will typically be highly intelligent. These men crave information and they are often on a lifelong journey to learn as much as they can about whatever they can. If you want to appeal to a man like this it’s important that you adopt his unending need for gaining more and more knowledge.

That’s not to suggest that you should change who you are but there are many benefits for any woman who continues to acquire new information on a daily basis. If you stay abreast of what’s happening in the news, if you read the latest and greatest best sellers and if you pursue an interest in things you find fascinating, you’re going to become a much more attractive person in every aspect of your life.

Your Gemini guy wants to be able to have a conversation with you that includes some depth. He wants to know that you can keep up with him on a debate about virtually anything. If you can do this, it will not only impress him, it will create a bond that will be difficult to break. Gemini men want and need to find a woman who views the world, and all it has to offer, with a sense of wonder.

Don’t Be Afraid to Flirt With Him

Regardless of how long you’ve been with your Gemini, you can be certain that he loves it when you flirt with him. A man like this wants and needs to know that the woman he’s involved with can’t get enough of him. He wants to get flirty text messages occasionally throughout the day and he loves when she tells him there isn’t another man in the world that she finds as attractive as him.

Some relationships cool down over time and in the case of a connection with a Gemini, that can spell early disaster. If he feels that you aren’t putting in the effort to make him feel loved and adored anymore, he may cast his attention elsewhere.

In addition to ensuring you show him how you feel through small gestures on a daily basis, there’s also tremendous value in planning something spontaneous for the two of you to do together. Gemini men aren’t that intrigued by huge, romantic spectacles. They are more taken when a woman puts in an effort to plan an evening or a day date that involves something they love to do.

If your guy is into sailing, plan a weekend sailing trip for the two of you. Or maybe he’s always wanted to take up the sport of scuba diving. Find a local place where you can both take lessons and then plan for a trip a few months from now. Anything you can do that shows that you understand and embrace him and his interests, is going to melt his heart.

Just be certain to show him, through actions and works, on a continual basis how fortunate you feel to be loved by him. If you do this, instead of pushing him repeatedly for a commitment, you are going to make him want to commit to you because he’ll see you as his ideal life partner. Subtlety is the key when you are trying to get a Gemini man to see you as the women of his dreams.

Nutritional Therapy for Depersonalization and Anxiety

We are what we eat and nutrition plays a huge part in recovery from both anxiety and depersonalization. This is why it is imperative to learn which foods serve to create a less reactive mind and body and which ones only add to symptoms and prolong recovery.

In order to allow a fatigued mind to refresh itself, as in depersonalization, one must make the proper nutritional choices.

To begin with, certain foods are best avoided at this time:

– Caffeine: Stimulates the system and fuels anxiety, which in turn plays into extreme feelings of depersonalization. Found in coffee, teas, sodas and dark chocolates. Also found in many cold and headache formulas and pre-workout supplements. Always check labels.

– Alcohol: Liquid sugar, which upsets both the mind and body. Produces a sharp rise in blood sugar levels followed by a steep drop. The body spends the next 24 hours trying to achieve balance in blood sugar levels, experiencing strong reactivity during this time.

– Sugar: Too much sugar is stimulating to the system, resulting in reactivity, anxiety and feelings of unreality for many. It’s best to avoid sugar if one is highly reactive or only use after a meal rich in protein, to buffer the reaction.

– Tyramine: Not many are aware of the affects Tyramine has on the mind and body. This substance, found in many foods (aged cheeses, red wine, beans, chocolate, pickled foods) often results in insomnia, headaches and most of all, heart palpitations, leading to anxiety reactions.

Monosodium Glutamate (MSG): This seasoning found in many processed foods, also used when cooking or preserving foods, has been known to cause headaches, anxiety, heart palpitations and foggy sensations to those who are reactive.

– Nicotine: Although not considered a food, this substance is stimulating and often results in anxiety, heart palpitations, insomnia and irritability. It is best avoided by anyone with anxiety and/or depersonalization.

The best food plan to maintain a less reactive mind and body is:

– Variety in foods: A strong emphasis on lean protein, fresh fruits and vegetable and whole grains. Rule of Thumb:Shop the periphery of the market.

– Do not skip meals: Adrenaline is released when nutrition is overlooked. This results in feelings of anxiety, depersonalization and irritability. Eat within a 4-5 hour time span between meals.

– Snack on healthy choices: Nuts, Seeds, Whole grain chips, Salsa, Hummus and Raw Veggies.

– Hydrate: Pure water best sipped all through the day. This calms and creates a less reactive mind and body.

Don’t forget to keep the mind and body active as well.

Exercise in moderation is an absolute for maintaining a strong sense of peace and well being.

Boredom is the great enemy to anyone struggling with anxiety in any form. A healthy mind is a mind that is active and expanding. A bored mind turns inward and this is where the trouble begins. One is never too old to expand the mind by reading, doing puzzles, taking classes at local universities, working and learning in general. Always remain interested in learning, as an interested mind helps to deflect anxiety reactions.

The foods you select are able to make or break your day. These choices could make the difference between an easy going life or an every day struggle. It’s up to you alone to correct nutritional errors and replace them with foods that fuel a healthy mind and body… and a life you can live with ease.

Sleep Deprivation And Its Ill-Effects

Sleep deprivation can be dangerous. It is when a person goes without sleeping. It could be a lack of sleep for a short time or a long time.

Not getting enough rest can be difficult on the body because this time is to help repair the body and provide refreshment. The body truly does suffer when they don’t get enough sleep. When a person does not get enough sleep then the body will not heal appropriately. It is suggested that adults get at least seven hours of res every night and often consider nine hours to be the best. Nevertheless, most people don’t get that amount of rest nightly. Everyone has their own reasons from work to watching TV. Many may not even think they are deprived – but they are indeed suffering deprivation as they have not slept.

When looking deeper into the causes of this deprivation there are many reasons. Some of these reasons include:

* Nightmares

* Insomnia

* Work

* Stress

* Family responsibilities

* New baby

* Depression

* Worry

* Time change

* Menopause

* Anxiety

* Medical condition

* Sleep disorder

When suffering from deprivation there can be serious side effect such as fatigue, memory loss, irritability, slurred speech, blurred vision, tremors and hypertension. A person’s health, concentration and productivity can be affected. Accidents can happen and mistakes can be made when someone is sleep deprived. It is even dangerous to drive while in this condition. Reflexes slow and people can start to hallucinate. It really can be like driving drunk if you drive deprived. The physiological symptoms include paranoia and delusions as well.

Being in such a condition can cause a person to even have trouble in their personal and social life. If you have not slept you will have less energy, you will be more prone to sickness as well as taking longer to heal and have weight issues. When you have not slept, a person searches for ways to stay awake such as eating sugar, caffeine, tobacco, carbohydrates and even taking drugs – anything to give them energy. These are unhealthy practices. Serious sleep deprivation can also lead to such health issues as diabetes. All the symptoms of sleep deprivation can lead into serious issues if it continues. The body really needs time to repair and heal itself and sleep is meant to do this.

It is important to find a way to get more sleep, such as relaxation techniques. Many find exercise also helps promote sleeping.

Medical Coding Resource – Ask How Far the Scope Went

While reviewing the physician’s notes, how should you count exam elements when they are obtained through a scope such as 31231 or 31575? Do those elements support the E/M and the scope or just one or the other? You always thought the elements collected via the scope support the procedure only.

If you’re reporting an evaluation & management service 99201-99215, Office or other outpatient visit…) with modifier 25 (Significant, separately identifiable Evaluation & Management service by the same physician on the same day of the procedure or other service) and reporting the scope separately, don’t include the endoscopy finding in the exam section of the E/M service. The evaluation & management service must be separately identifiable from the scope procedure.

When the ENT uses the same flexible scope to view the nasal passages, nasopharynx and/or the larynx, making the right code choice is tough. The standard answer is that you code the scope that goes the farthest (since you have to pass the other organs on the way) and what scope is dictated based on the diagnosis medical necessity.

For instance, if the ENT examines the larynx with a flexible scope, the proper code is 31575 (Laryngoscopy, flexible fiberoptic; diagnostic) even if the examiner inspected the nasal cavity and nasopharynx on the way down. If the examiner finds a problem further down than he had initially planned to examine, rethink the code choice. For example, if the ENT intends to carry out a nasal endoscopy (31231, Nasal endoscopy,diagnostic, unilateral or bilateral [separate procedure]) and then sees a nasopharyngeal mass that prompts him to pass the scope to the nasopharynx, 92511(Nasopharyngoscopy with endoscope [separate procedure]) is the right code.

To end with, look at the patient’s chief complaint and why the ENT chose to do an endoscopy. The diagnosis must assist the procedure. For instance, if the patient has chronic sinusitis, 31231 would be right; if the patient has suspected postnasal drip, 31575 would be proper.

Remember: ENTs often get caught up trying to code 31575 when they are checking the terminal end of the tubes in the nasopharynx. If the diagnosis is eustachian tube dysfunction (381.81), there’s no necessity to examine all the way to the larynx. Stopping at the nasopharynx, (92511) is what supports this diagnosis, and sometimes that is even met with a denial and requires appeal.

For more specialty-specific articles to assist your coding, sign up for a medical coding resource like the Coding Institute.

How To Whiten Yellow Nails: Simple Home Remedies That Work!

Your nails may turn yellowish due to various causes, but two of the most common reasons why your nails will turn yellow is because of smoking, as well as the repeated, regular application of nail polish.

If you are one who is suffering from yellow nails, in this article you will find some all-natural home remedies you may want to try to help restore the color of your nails to their bright, beautiful whiteness.

1. Real Lemon Juice

Whitening yellow nails is just one more thing you can do with the juice of a lemon, in addition to making lemonade and using it in baking.

Squeeze the juice from a fresh lemon into a small, shallow bowl. Alternatively, you can also use reconstituted lemon juice – just don’t use bottled lemon juice that has added sugar or contains any artificial flavors, sweeteners, or chemicals.

Spend a few minutes letting your nails soak in the bowl of lemon juice. Repeat whenever needed.

After soaking, wash your hands and then apply a moisturizing lotion.

2. Denture Tablets

Denture tablets are formulated to keep dentures white and bright. Now, do you know that they work great to help restore the “whiteness” of your nails as well?

All you need to do is to simply dissolve some denture tablets in water according to the directions on the package, and then soak your fingernails in the water for a few minutes.

Repeat this treatment every day and before you know it, you have the bright, white nails that you very much desire!

3. Light Buffing

Lightly buffing your fingernails can remove some discoloration from the nails. On top of that, it can also help to improve blood circulation in the area, which can help to promote healthy nail growth.

However, this process must be undertaken with care, because buffing your nails too often or incorrectly can make them weaker, and broken nails are far worse than discolored nails.

Here’s what you should do: You need to make sure that you’re using a high-quality buffing tool, and that you should only buff your nails in one singular direction.

4. Whitening Pencils

Did you know that there were pencils just for making the tips of your fingernails whiter? Look for them in your neighborhood pharmacy or discount store, near the other fingernail care products. They are easy to use, effective, and most importantly, they are inexpensive as well!

Physical Therapy Ultrasound Helps Reduce Joint and Muscle Pain

Physical therapy ultrasound has been around since the 1940’s, when therapists learned that ultrasound waves could destroy brain tissue and used it to treat patients with Parkinson disease. Patients could also receive treatment for ulcers and arthritis using ultrasound waves. Ultrasound is a form of heat therapy, and heat has been proven to loosen muscles and tissues and help people relax. With physical therapy ultrasound patients can receive noninvasive treatment for back, neck, knee, and leg pain.

What Is Ultrasound in Physical Therapy?

Ultrasound makes high frequency sound waves that when placed on an area of the body cause vibrations. These vibrations, rather than the actual ultrasound machine, is what causes the production of heat. The vibrations happen deep within the tissues. Blood is drawn into the tissues from the vibrations and bring more nutrients and enzymes that help heal damaged areas.

Ultrasound can help patients who need relief from pain, inflammation, and frequent muscle spasms. The vibrations of the molecules within the tissue also increases the flexibility of joints and can help speed the healing of scar tissue. The therapist will choose whether to use ultrasound continuously or in pulses depending on the location and intensity of the pain. A therapist may also choose to apply ultrasound for a short period to help loosen muscles before exercise therapy.

How Does Physical Therapy Ultrasound Work?

A sound head is used to administer the ultrasound waves to the affected area. A therapist will squirt a hypoallergenic gel onto the probe to help reduce friction when using the sound head. For several minutes the therapist will rub the sound head in circular motions across the skin, allowing the sound waves to vibrate the tissues. The sound head must move continuously or the high frequency waves can cause slight burns or hot spots.

Physical therapists can also use an anti-inflammatory gel in conjunction with the hypoallergenic gel when administering ultrasound. The ultrasound waves cause the medicated gel to enter the body, helping to reduce inflammation and swelling of the tissues.

Patients will either sit in a chair or lie on a table to receive treatment. Depending on the area being treated, patients may need to change into a gown or robe before receiving treatment.

Specific Conditions Helped by Ultrasound Therapy

Ultrasound therapy works best on conditions that cause swelling and muscle soreness. Some common conditions that would benefit from ultrasound therapy include:

  • muscle spasms
  • nerve compression
  • arthritis and osteoarthritis
  • carpal tunnel
  • fibromyalgia
  • myofascial pain syndrome
  • rheumatoid arthritis
  • whiplash
  • tendinitis
  • sprains
  • herniated discs

Physical therapy ultrasound is a modality that is used in conjunction with other therapies. The duration of ultrasound therapy is dependent upon the severity of the pain and whether or not the therapy seems to be showing favorable results. Ultrasound therapy is generally safe for most patients. However, patients who have pacemakers, open wounds, have a chance of being pregnant, or recently had surgery should inform the therapist before receiving treatment.

Rosacea – How IPL Gets Rid of Red Face, Blood Vessels and Acne

Rosacea, also called Acne Rosacea is a very common skin condition characterized by a red face. Rosacea causes flushing of the face which eventually leaves permanently enlarged visible red blood vessels and capillaries, and a red faced appearance especially on the cheeks, nose and mid face. In time raised red bumps or acne lesions also occur and Rosacea can also affect the eyes, a condition called Ocular Rosacea. In some people, after many years, Rosacea can result in Rhinophyma, a profuse proliferation of excess skin on the nose, a condition immortalized by Jimmy Durante and Wally Fields, both movie actors who were afflicted with Rhinophyma.

Recently, the use of a new light therapy called IPL or Intense Pulsed Light has revolutionized the treatment of Rosacea. The IPL (Intense Pulsed Light) treatments are very effective at closing down the enlarged blood vessels which cause the red face appearance that is seen in patients with Rosacea. IPL is gentler than laser treatments with less discomfort and no visible signs of treatment such as bruising which is so common after some laser treatments.

What Is Rosacea?

Rosacea is a common skin illness affecting over 40 million Americans. The cause is unknown, but heredity and fair or light skin color are important pre-disposing factors. The signs of this condition are:

o Facial Flushing-Flushing of the face is usually the first sign. Flushing is particularly likely to happen after eating spicy food, drinking alcohol and coffee, and during emotional stress.

o Persistent Redness-The red faced appearance does not go away. It can look like sunburn that persists.

o Acne Bumps and Pimples- In time red bumps, pustules and acne lesions appear. These bumps can be painful and do not respond to typical acne treatment.

o Visible Blood Vessels on the Face-In time visible small red blood vessels are seen on the facial skin. They are most common on the nose, cheeks, and chin but are also seen on the forehead.

There are common triggers which can precipitate an outbreak and which can be avoided to help control outbreaks. Common triggers are:

-Sun Exposure

-Emotional Stress

-Hot Weather

-Wind

-Heavy Exercise

-Alcohol Consumption

-Hot baths

-Spicy Foods

-Irritating Skin Care Products

How Does IPL or Intense Pulsed Light Get Rid of the Red Face

IPL or intense Pulsed Light uses a bright flash of visible light to close down the blood vessels and capillaries which cause flushing and the red faced appearance. IPl uses a filter which only releases a specific color of light, one that is uniquely absorbed or picked up by the blood vessels of the skin, to hit the skin. Thus the IPL light beams only affect the dilated blood vessels on the skin and do not injure the normal skin. When the IPL light energy is absorbed by the dilated blood vessels, the dilated blood vessels are injured and close down. This removes the blood vessels, capillaries and the red appearance of the face. I use the Starlux IPL LuxGreen which utilizes the 650nm light range which is ideal for removing dilated blood vessels and reducing skin flushing. The results are truly remarkable.

The IPL is gentler than other commonly used lasers. Lasers often cause bruising and sometimes skin burns that can leave white marks on the face. These problems have limited the usefulness of the laser on the face and resulted in the IPL becoming the treatment of choice for this condition.

What Is the IPL Treatment Like?

IPL treatments are very quick, simple and relatively painless. Protective shields, like sunglasses, will be placed to protect your eyes. A soothing Gel will be placed on your skin for your comfort and to improve the effectiveness of the IPL treatment. We do not use a topical anesthetic, because it is not needed and can interfere with the effectiveness of the treatment.

The IPL treatment head will be placed against your skin and a bright flash of light is triggered to treat the red areas. The whole face will be treated with a series of flashes. You will feel a small snap as the flash hits your skin, but it is very tolerable.

After the treatment, cold packs will be placed on the skin for your comfort. Your skin may look pink for an hour or so, but no bruising or very visible skin injury is seen, as often happens with laser treatments.

You will be able to return to work and your skin usually looks quite normal after a few hours.

When Will I See Results?

We look for and see a change or darkening of the flushed areas immediately after treatment. Some very tiny areas are closed during the first treatment.

However, larger areas and skin flushing gradually decrease over about 5 weeks after the IPL treatment. This gradual improvement is a gentler method than laser treatment, and takes time. This gentler approach avoids complications and is why the IPL method has become the preferred method.

For moderate to severe cases 3 treatments scheduled 5 weeks apart are required. This is because it is impossible to equally cover and close all of the affected areas during each treatment. As treatments progress there are fewer areas to treat and more complete removal is possible.

What Skin Care Products are Best for Rosacea Patients?

Avoidance of sun injury and other forms of skin inflammation is very important. A good non-comedogenic sun block is important. We avoid irritating creams such as Retin A, Tazorac and strong acid peels. Vitamin C Serum is soothing and it has anti-inflammatory properties that are very useful.

MetroGel is an essential component of any skin care program if you have flushing and dilated capillaries on your face. Obagi Skin Care’s new Rosaclear System combines several effective ingredients and is a very effective new skin care system for patients.

Where Can I Find IPL Treatments?

Board Certified Dermatologists and Plastic Surgeons are the laser and IPL experts. You will need to search the internet and do your homework to find a board certified physician who offers laser and IPL services and has an interest in treating facial redness and acne.

You need a complete systemic approach which includes the IPL treatments, appropriate skin care, and medical management.

You are much more likely to find complete appropriate treatment in a doctor’s office. I advise against seeking these light treatments in Spas and medical Spas that do not have a doctor present. Not all IPL machines are the same, and those used in a board certified doctors office are likely to be more effective and more expertly used.

Do your homework and find a reliable specialist.

Everything You Need to Know About Spotting Between Periods

Though it may cause apprehension, spotting between periods is not really an unusual occurrence. Typically, the menstrual cycle ranges from 21 to 35 days, with an average of 28 days. Spotting between periods takes place when there is vaginal blood flow in between the period after your last day of menstruation and the beginning of your next menstrual cycle. Women may commonly experience bleeding in between periods at some particular time in their reproductive lives. Vaginal spotting between periods does not generally pose a major cause for concern but still warrants attention from the gynecologist. However, there are some cases of bleeding in between periods that signal a more serious underlying medical condition that would need prompt intervention.

These blood discharges differ in color. Brown spotting in between periods means that blood has dried at a certain degree and has been confined to the cervix for a longer period of time. Bleeding in between periods that produces bright red blood indicates that it is new and fresh. On the other hand, a pink blood discharge that accompanies spotting in between periods denotes dilution. A very dark brown or blackish discharge during spotting in between periods signifies extremely old blood. At times, the color of discharge at the time of spotting in between periods may convey the length of time and pace blood has passed through the cervix. The color of blood does not necessarily pinpoint the exact causes of spotting. To arrive at an accurate diagnosis, further assessment and diagnostic procedures are needed to determine the cause of bleeding in between periods.

Another factor to be considered in the diagnosis of these vaginal discharges is the extent and duration of irregular blood flow. When vaginal blood flow associated with spotting in between periods is light in volume, such as in droplets or minute amounts, there is less cause for worry. In situations when there occurs heavy bleeding in between periods, such as when the sanitary pads get very saturated in a short period of time, you must seek medical attention as soon as possible. Depending upon the rate of blood flow, a prolonged duration of spotting between periods likewise needs critical intervention.

Vaginal Bleeding

Vaginal bleeding between periods may not pose as a major health threat if one of the causes of spotting is related to ovulation. Spotting between periods is brought about by the abrupt and transient rise of the estrogen hormone connected with the release of the egg from the ovary during ovulation. This sudden increase of estrogen may contribute to light bleeding in between periods, especially if it occurs during the 13th to 16th day of the menstrual cycle. Ovulation spotting is characterized by a light blood flow and is either pinkish or brownish in color. Sometimes, the vaginal blood discharges of ovulation related to spotting in between periods are accompanied by a white-colored cervical mucus and mild lower abdominal cramping.

Severe physical, emotional and mental stress may also trigger spotting between periods. This type of light bleeding in between periods usually happens two to five days before or after the period starts. Stressors may elicit the brain to alter the menstrual process which leads to brown-colored discharge during the beginning half of the cycle. In cases when the ovulation does not occur or partially takes place, light spotting in between periods emerges at the last half of the menstrual cycle.

Other causes of spotting are incidences of implantation and bleeding or light spotting between periods associated with pregnancy. This mild spotting generally happens a week after ovulation or a week before the menstrual cycle is expected to start. Brown spotting between periods is evident because of the extended length of time for the blood to be expelled from the woman’s body.

Perimenopausal spotting may most likely be expected among women nearing the age of late forties until the early fifties when menopause sets in. The primary causes of spotting during the menopause period are related to hormones in the woman’s body that are undergoing extreme changes. Failure or inability to ovulate as menopause progresses contribute to spotting between periods as well as other symptoms, such as dryness of the external parts of the reproductive organ and lowered sexual desires. Commonly experienced among women in the perimenopausal stages are irregular and shortened length of menstruation, in which spotting between periods just happens a few days before the menstrual cycle starts. However, if perimenopausal spotting between periods is accompanied by any varying degree of abdominal or vaginal pain, immediate medical attention is needed.

Certain types of birth control methods may also cause spotting in between periods. Intrauterine device, or IUD, and birth control injections among the birth control methods are most likely to bring about spotting between periods. Vaginal spotting between periods is also manifested in medical conditions like endometriosis, polycystic ovary syndrome, uterine polyps, malignancies in the reproductive organs, vaginal infections, thyroid disorders and diabetes.

Testicular Cancer Symptoms – What to Look For & How it is Diagnosed

Testicular cancer starts with cancer cells attacking the testicles, a part of the male reproductive system. This type of cancer is relatively uncommon as it only accounts for roughly 1% out of all cancers in men.

It’s hard to pinpoint the exact cause, however aside from the symptoms, there are also certain risk factors that have to be looked out for. Young men between the age of 15 to 39, for example, are more likely to be targeted than those falling in higher or lower age brackets. Although the disease can and may affect men of any race or age, studies have also shown that Caucasian men are more likely to be affected than men of any other race.

Some testicular cancer symptoms that you will have to look out for are swelling or lumps that you can feel in one or both of the testes. Along with this can come pain in either the testes or the scrotum although there is a chance that it might not be present, despite the swelling. Even if the pain may not be present in the scrotum itself, it may manifest as a dull feeling in the lower abdominal area, groin or lower back.

However, symptoms aren’t limited to just the testicles. Sometimes you can also feel an ache in your lower back, pelvis or groin area. Of course these can also be symptoms of injury or another, less severe condition.

The next few symptoms are the most important to watch out for:

* Hydrocele. A hydrocele is a painless buildup of fluid around one or both testicles that causes the scrotum or groin area to swell. Even though the swelling may be unsightly or uncomfortable, it is not painful. An acquired hydrocele can occur at any age but is most common in men older than 40.

* Varicocele. A varicocele is an enlarged, twisted vein (varicose vein) in the scrotum, most often on the left side. It feels like a “bag of worms” and may occasionally cause discomfort.

* Spermatocele. A spermatocele (epididymal cyst) is a sperm-filled cyst in the long, tightly coiled tube that lies behind each testicle and collects sperm (epididymis). It feels like a smooth, firm lump in the scrotum.

* Orchitis. This is an inflammation or infection of the testicle that may be caused by a virus or bacteria. Orchitis occurs most often in men who have mumps.

* Epididymitis. This is an inflammation and infection of the long, tightly coiled tube that lies behind each testicle and collects sperm (epididymis). Epididymitis is usually caused by a bacterial infection but may also occur following a urologic procedure. Sexually transmitted diseases cause most cases of epididymitis in men younger than 35.

Doctors do not know the exact cause, but a number of risk factors for development of this disease have been identified. Young men between the ages of 15 and 39 are most often affected. White men are affected more than men of other races, although the disease can occur in men of any age and race, including children. Men who have an undescended testicle (termed cryptorchidism), even if surgery has been performed to remedy the condition, have an increased risk. Other risk factors include the genetic condition known as Klinefelter’s syndrome, abnormal development of the testicles, and having relatives who have had any of these problems.

Testicular cancer is highly curable when detected early, and 95% of patients diagnosed are alive after a five-year period. However, about half of men do not seek treatment until it has spread beyond the testicles to other locations in the body (as in the case of seven-time Tour de France winner Lance Armstrong).

Most cases are found by men themselves. Doctors recommend that men perform an examination of their testicles once a month (referred to as TSE or testicular self-examination) to facilitate detection of it in its early, treatable stage. The TSE involves gentle examination, one at a time, holding each testicle between the thumb (on top) and middle and index fingers below. Look for any small, hard lumps within the testicles or changes in the feel of the testicles.

Other symptoms and signs include:

* pain or swelling in the testicles,

* lumps or nodules in the testicles, whether painful or not,

* enlargement of the testicles or change in the way a testicle feels,

* pain in the lower abdomen, back, or groin areas, and

* swelling of the scrotum or collection of fluid within the scrotum.

Many men will not feel ill and may report no symptoms. It’s also important to remember that other, benign conditions can cause the symptoms listed above. However, since it is highly curable in it’s early stages, men should see a doctor if they have any of the warning signs or symptoms. He or she can perform tests that determine whether the symptoms are due to cancer or another condition.

In the United States, between 7,500 and 8,000 cases are diagnosed each year. Over his lifetime, a man’s risk of testicular cancer is roughly 1 in 250 (four tenths of one percent, or 0.4 percent). It is most common among males aged 15-40 years, particularly those in their mid-twenties. This type of cancer has one of the highest cure rates: in excess of 90 percent; essentially 100 percent if it has not metastasized. Even for the relatively few cases in which it is malignant and has spread widely, chemotherapy offers a cure rate of at least 85 percent today. Not all lumps on the testicles are tumors, and not all tumors are malignant; there are many other conditions such as testicular microlithiasis, epididymal cysts, appendix testis (hydatid of Morgagni), and so on which may be painful but are non-cancerous.

Malignant neoplasm is the medical terms for the uncontrolled or unstoppable duplication and multiplication of cancerous cells which bring about the production of abnormal cells. These carcinogenic or abnormal cells then rapidly increase in number and cause injure and obliteration of cells, tissues, and organs whether near or far because cancer is capable of spreading in the entire human body.

There are many ways to avoid or prevent the occurrence of this disease and one of them is very simple and easy to do. All males should regularly examine and check themselves for signs or testicular cancer symptoms. This routine self-examination and checking greatly saves one from discovery an underlying case which may lead to a more difficult treatment process or delayed discovery and attention may be the cause of one’s demise and “misfortune”.

Checking one’s self for possible symptoms or signs is easy. Here are some of the most common signals to watch out for…..The first thing to do is ask check if you have any feeling or sensation of pain and discomfort in the groin and abdomen area especially the testicles. Other testicular cancer symptoms include either the enlargement or deflating testicles this may be due to the uneven blood supply to and from the testicles. Emotional instability and decreased sexual arousal are one of the symptoms to look after when examining ones self. Basically, any odd or strange feeling and sensation should be a cause of alarm for any male.

If continual and persistent testicular cancer symptoms occur and meddle in daily life then it is best to have a medical check-up with a trustworthy and able doctor. There are doctors known as that specialize in the male over all and reproductive anatomy. These specialized doctors are capable of helping you in any way they can like providing you with the proper cure or medications. Always do keep in mind that the regular self check up goes a long way because prevention is definitely better than cure itself.

Flora and Fauna of Corbett National Park

Flora of park:

The Corbett is one of the most popular wildlife planet to enjoy the scenic beauty. The park has been spread over 520.8 square kilometers and is known for the rich and varied flora and fauna. The fauna of the park includes the evergreen Sal (Shorea robusta)and all the associated trees, the Sheesam (Dalbergia sissoo), Kanju (Holoplete integrifolia). The other trees in the park which are extensively found in the ridges like Ber (Zizyphus mauritians), dhak (Butea monosperma) and bael (Aegle marmelos). The other important trees are simal (Bombax cibea), Jhingan (Lannea coromandelica) and Khair (Acacia catechu) that blooms in the spring season that starts just before the summer season.

The Sal and Sheesam is the most important characters of the north India is the timber trees which is grown in abundance in North India. The green leaves of Rohini which is an associate tree of the Sal and is the favorite for the elephants in the park. The another floral characteristic of the Corbett national park is the ‘Charus’ better known as the flat grassy blank of herbs and tall and short grasses which works as the grazing ground for the herbivores. Another important plant of the Corbett National Park which is found along the nullahs and ravines that provides both the fodder for the wilds of the Corbett National Park. There are also many such forest trees like palas, amaltas and kachnar that blossoms in the spring season and also adds to the beauty of the Corbett National Park.

Fauna of the park:

The Corbett National Park is considered as the well protected and also the leading attractions of the country. The park has been developed by the Jim Corbett on the Himalayan mountain range and is the most visited site in the country. The fauna of the park includes the mammals, birds, reptiles and fishes.

Mammals: The mammals in Corbett National Park includes the Sloth Bear, Himalayan Black Bear, Dhole Jackal, Yellow Throated Martem, Himalayan Palm Civet, Indian Grey Mongoose, Common Otter, Porcupine, Clack taped Hare, Chital, Spotted Dear, Para, Kakka and the Barking Dear.

Birds: The Peacock, Jungle Fowl, Partridge, Kaleej Peasant, crow, vulture, parakeet, Laughing thrush, Oriole, kingfisher, dove, drongo, woodpecker, duck, stork, teal, seagull and cormorant are the most popular species of the Corbett National Park.

Reptiles: The reptiles in the park includes the Indian Crocodile, Ghariyal, King Cobra, Russels Viper, Python and the monitor lizard are the popular reptiles of the park.

Major Causes Of Hair Loss In Men And Women

During a cycle of hair growth, there is little shedding. It is absolutely a normal thing and a natural process. But, for a large number of people, there is unusually excessive hair fall. It finally leads to partial or total baldness. This is a serious matter that must be attended instantly. The problem needs immediate treatment. Before moving towards the solution for this embarrassing disturbance, it is necessary to have a deep insight of what actually causes it.

Genetics

Experts reveal that the most common of all causes of hair loss among women and men is their genetic makeup. However much of the details are not known yet. It is fully understood now that the gene for hair loss is dominant in such people. It can be transferred either form mother or father. In people with inherited hair loss, the problem is progressive. It continues to occur throughout years or for their entire life. For some, early twenties is the age when they start experiencing this trouble. For others, it occurs later in life.

Hormonal disturbance

Any changes in normal hormonal level in body cause various syndromes. One of these is hair loss. These are briefly described here:

Hyperthyroidism:

Overactive thyroid leads to thin damaged hair.

Hypothyroidism:

Under-active thyroid is also detrimental for hair growth. It makes them coarse and rough.

Male and Female hormone imbalance:

In women, if any imbalance in sex hormones of male and female occurs, it causes hair thinning and loss.

Pregnancy:

It is widely known that pregnancy causes hormonal changes that ultimately lead to excessive hair loss. A large reserve of protein and calcium is taken up by fetus so there is a dearth of essential nutrients that are beneficial for hair growth. This major transfer of nutrients leaves a woman severely deficient in hair food.

Menopause:

Some women suffer from hair loss when they enter menopause phase. The main cause is estrogen lack.

Hormone Replacement Therapy:

It is often given to treat health problems and symptoms related to menopause. This mostly causes hair shedding in women.

Malnutrition

A diet deficient in essential nutrients necessary for hair growth leads to baldness. Although, a poor dietary intake is not directly related to this problem but, it has serious implications upon the growth and health of the hair. People who are deprived of proteins, biotin, vitamin A and other important vitamins or minerals for a considerably longer time are more likely to face such problems, as compared to those who take a well-balanced diet.

Disease

Several diseases such as diabetes, psoriasis, lupus, dermatitis, hepatitis and breast cancer are also a causative factor for loss of hair.

Infection

Ringworm fungus makes scalp infectious in children. It also causes weakening of hair shaft and patches all over scalp.

Medications

Anticoagulants or blood thinners, overdose of vitamin A, anti-depressant drugs, contraceptive pills and gout-treatment medicines can cause hair loss.

In order to treat hair loss, its causes must be clearly understood with no ambiguities and myths. When the main factor is confirmed, its cure can be more effective and focused.

How to Get Rid of Onion Smell

Depending on the variety, an onion can be sharp, spicy, tangy, pungent, mild or sweet. They are commonly used as a base for curries, or made into a paste and eaten as a main course or as a side dish. Unfortunately, after chopping onions, you may notice that you still have the odor of them on your hands for many hours after. As delicious as onions are, walking around smelling like them is another story.

Onion smell is pervasive and irritating long after the delicious meal is over. It clings to the fingers and nail region with ferocity. It even affects your breath! Indeed, onions have a very potent smell, because onion oil contains 1-propenyl sulfenic acid, which is thought to be the lacrimator in onions. The lacrimator is something that makes your eyes water and gives the onions such a distinct smell.

Bizarrely enough, this stinging, tangy chemical is also the cause for a lot of the great flavor in onions, as well as the satisfying fragrance when you fry the vegetable. You’ll also get sulfenic acids by cutting up garlic, chives and leeks, but they don’t form the same irritating gas, just a strong smell.

Who has the cure? Must fingers smell onion-like after chopping? Must breath smell so strong after eating this malodorous vegetable? This article may have all the answers you’re looking for.

Onion Smell Removal

* Wear gloves. That’ll keep the onion smell off of your hands.

* Peeling the onion and then chilling it in the refrigerator before you slice will minimize the release of gas somewhat, because the change in temperature alters the compounds in the onion. Cooking an onion before you slice it will also work for the same reason. Another easy solution is to cut the onion underwater or run the tap over it as you slice.

* Rub your hands against stainless steel metal (a kitchen sink works well) under cold running water for about a minute; rubbing with a large metal spoon works, too. It is also possible to purchase vegetable-shaped or oval-shaped stainless steel “soaps” that can sit permanently at your kitchen sink. They don’t cost much and they really work. Look in the kitchen supplies section of a local store.

The science behind this phenomenon lies in the theory that the sulfuric odor from the onion would be attracted to and bind with one or more of the metals in stainless steel. Formation of such compounds is what makes stainless steel stainless, after all.

Onions and garlic contain amino acid sulfoxides, which form sulfenic acids, which then form a volatile gas (propanethiol S-oxide), which forms sulfuric acid upon exposure to water. These sulfuric compounds are responsible for onions burning your eyes while cutting them and also for garlic’s characteristic scent.

* If you don’t have steel handy, you can make a paste of baking soda, (bicarbonate of soda) and water and rub it over your hands, then wash off. The odor will disappear with the soda.

* Squeeze toothpaste or pour a small amount of mouthwash on one palm, then rub your hands together. Rinse with water.

* Squeeze the juice of lemons into a bowl. Dip your hands in for 3 minutes, then rinse off. Your hands will smell like fresh lemons instead of onions!

* Good-Bye Smell is a professional foaming cleanser developed by a Physician-Chef that totally eliminates food odors (fish, garlic, onion, and so on) from your hands and under nails, while providing a clean and smooth feeling of freshness. Fast-acting and economical, it’s alcohol-free and can be used in professional cooking facilities and restaurants, as well as home kitchens and outdoor cooking.

This product is gentle enough for frequent use and will not dry your hands. Just pump the foam into dry hands, rub briskly – including under your nails – until the foam disappears, and then rinse. Repeat if needed.

* Make sure to use cold water for most of your rinsing; when you wash your hands in warm water, it opens up the pores in your hands and traps in the onion smell.

* Use warm water only when washing with table salt, tomato juice or similar cleaning agents, as these dissolve quicker in hot liquid and get rid of the smell from your pores.

* You can also put a tablespoon or more of everyday table salt in the palm of your hands. Wash your hands vigorously under warm water. Rinse off and dry.

* Dip your hands in tomato juice for at least five minutes. Then rinse them with liquid detergent in warm water. Make sure the tomato juice you’re going to use to get rid of onion smell has not reached its expiration date before you put your hands into it. Either canned or cold tomato juice will work for this solution.

Onion Breath Removal

* Bacteria-induced onion breath can be reduced by usual oral hygiene methods. Standard halitosis remedies include regular use of mouthwash, brushing and flossing teeth, and tongue scraping.

* There are also commercial bad breath remedies available that are more powerful than the usual mouthwashes you can buy in supermarkets. These are available from your doctor, your pharmacist or the Internet.

* Another method of reducing onion breath is to eat parsley with your meal. This seems to counteract the problem to some extent (the same with onion’s far more powerful cousin, garlic), although it doesn’t prevent it completely.

* Some people also claim that chewing cardamom seeds has a similar effect to parsley and can work as an onion breath remedy. Cardamom has a very strong flavor, so this might not be an option for some people.

Why Does the Smell of Onions Make People Cry?

As any chef knows, cooking an onion produces a very strong aroma that most people enjoy, but cutting up an onion stings your eyes and makes you tear up uncontrollably. If you love to include onions in your dishes, you’re probably often frustrated by this. So just what is it in onions that make them such an ordeal to prepare?

Oddly enough, the volatile compound that makes you cry is also responsible for the great taste in onions. When you slice through an onion, you break open a number of onion cells. Some of these cells have enzymes inside them, and when they are sliced open, the enzymes escape. The enzymes then decompose some of the other substances that have escaped from the sliced cells. Some of these substances, like amino acid sulfoxides, form sulfenic acids that then quickly rearrange themselves into a volatile gas.

The gas reaches your eyes and reacts with the water that keeps them moist. This changes the chemical’s form again, producing, among other things, a mild sulfuric acid that irritates the eyes. The nerve endings in your eyes are very sensitive and so they pick up on this irritation. This is why your eyes sting when you slice onions.

The brain reacts by telling your tear ducts to produce more water to dilute the irritating acid so the eyes are protected. Your other reaction is probably to rub your eyes, but this will actually make the irritation a lot worse, especially if you have onion juice all over your hands.