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Fashion tips for tall menRead on for the few tips which shall help you strike that perfect look always! No more tears for the "trousers" Trousers for tall men that you get in the market are too ill-fitting. They end up making you look "Too big for your pants", or "Too thin for your pants". The easy solution would be to choose a brand for your trousers, after proper research, and stick to it. Your quick checkpoints in this case can be: Your large thigh areas always make you look humongous. Hence, try to get a good and appropriate fit for your thighs. A small amount of flare in your lower legs can give you a good look, but that should go well with the texture and look of the trouser. Last but not the least, avoid loose fitting, or baggy pants. They will just make you look too thin, and tall always. Scare away the " shirt" hassles Have you picked up a T-shirt which lets your waistline be visible, the moment you move your hand a bit? That's a usual problem every tall guy faces. Try a few of these solutions, and see the results: If you are a tall and bulky person, then pick up a long double XL T-shirt, fitting you well. If you are a thin and tall person, then pick up a T-shirt which is long enough for your height, and then get it tailored for the perfect fit. Polo neck T-shirts can make you look too skinny. Try to get a formal shirt which fits you well, and is long enough to be worn tucked in. For tall people, tucking in the shirt helps them flaunt their height pretty well. You can also try and get the formal shirt fitted by a tailor, if you find it too big for your size. Forget the "Jacket" jeopardy Jackets and waist coats are the biggest gifts for all the tall guys out there. But how, and what to wear is the major turning point here as well. Complete your formal look with a waist coat. This shall make you look well built, and compliment your height as well. Blazers can be an option, for both the formal and informal look. Pick up a blazer which fits your broad shoulders well. A jeans, a t-shirt, and a jacket can be a killer combination. Go for earthy colors, as they give you a more masculine look compared to other colors. Tipping the "Tie"& Bolting the "Belts" Try to match the right clothes with the right accessories. Let's start off with the tie. Now, for tall men, getting a tie will be a pain. Always try the tie you are buying, and see if it comes till your waistline. You should also try to pick up a bit broader ties, as they make your chest look broader. When it comes to belts, try to pick up the big, horizontal buckles. Choose simple, horizontal buckles for the formal wear. For the informal look, however, you can experiment with other big buckles available. Watches Tall men with long hands and fingers should try to wear a big dial watch. This gives your fingers and arms a bulky look. Choose colors like gray, and black most of the time, as it makes you look more masculine. So, a few simple steps can make you flaunt your height. As the saying goes: "Wear your style; do not search for it in the stores. Your attitude is what matters the most to complete your look."
Make no bones about this - Men have osteoporosis tooOsteoporosis is a condition in which the bones of the body lose their strength gradually and become thin and brittle. This is most commonly seen in women who have attained menopause. The reason being the decrease in the hormonal levels, particularly estrogen. Studies reveal that 20% of sufferers are men. Falling levels of testosterone are one of the causes for men developing brittle bones. Men's bodies convert some amount of testosterone into estrogen, which is very essential in maintaining the bone mass. Genetic deficiency of the enzyme that helps the conversion of testosterone to estrogen also is a major factor for men developing osteoporosis. Calcium and vitamin D play an important role in developing the bone mass and in helping the bone grow. Exercising helps too. When you exercise, the muscle gets pulled and the bone responds by growing. Too much of indoors and sedentary work may make men get the less of all three and it eventually leads to weak bones and osteoporosis. Studies reveal that 20% of sufferers of osteoporosis are men. Certain medications like anti-seizure drugs, drugs for prostate cancer and steroids have side-effects that make it impossible for the body to use vitamin D. Using them for a long time reduces the bone mass density and leaves the bones brittle making them easily prone to fractures. Smoking is a vice that has to be quit for more reasons than one. An analysis of several major studies on the effects of smoking shows that smokers have a 55% higher risk of hip fractures and low bone mineral density than non-smokers. Nicotine has also shown to have a direct effect on bone cells. A long list of medical conditions like diabetes, rheumatoid arthritis, and digestive and blood disorders can take a toll on your bones. Long term medications for the same also have side-effects on the bones. How to prevent osteoporosis? Exercise- As young boys, men have usually been exposed to a lot of bone building exercises through sports. This helps in building up on the bone strength and comes in handy in the later years. A brisk walk for 30 minutes 5 times a week and moderate impact exercises help in maintain the bone mass and reduce the thinning of bones. Calcium intake- The daily calcium needs for men is the same as women. Hence, the dietary recommendations remain the same too. 1,000 mg of calcium a day from ages 19 to 50 and 1200 mg of calcium a day if you're over 50.Along with this, make sure you get the required dose of vitamin D too, so that the calcium you eat is absorbed properly. The standard recommended dietary allowance is 400 IU. Some doctors advise to increase the intake to 800 IU. Regular medical checkups will help you to know beforehand about the risk factors and the necessary precautions you will need to take.Osteoporosis in men is as much a reality as in women. However, there are ways to avoid it too. Awareness about the condition and about the ways to prevent it can help keep osteoporosis at bay. Bone mass matters. It could mean the difference between a hip fracture later in life - or keeping an active, high-energy lifestyle.
Infertility at workplaceSince infertility among the younger age is increasing, it is important that a couple decides an early suitable date to attempt conception. Time and again it has been found that infrequency of intercourse is the cause of delayed pregnancy. It is advisable that the woman has a thorough examination by the gynecologists to identify the ovulation dates and for the man to have a thorough spermatic fluid check.  If both are normal then they could wait for a suitable date later. Should there be a problem the quicker it is attended to better. Also, early in the marriage they should start a fund which could be utilized for matters related to conception. For the male, the main treatment covers his personal sex life and a detailed examination of his spermatic fluid. It is the female who has to undergo many detailed tests and possibly surgeries which are expensive. It is often seen that not only the procedures for both take a toll on their personal and intimate relationship but also severely affect their finances which may come to a point that it does not allow them to complete the treatment as for e.g. the woman undergoing IVF may costs several lakhs of rupees. The treatment of infertility has improved greatly, but interferes severely with the work schedule. Working couples particularly women may have a hard time keeping to their schedules. Depending on their infertility diagnosis, many workplace challenges exist including the need to take time off to undergo tests and other appointments. It is difficult to balance the medical and surgical procedures with daily life and work. This is a difficult issue for many people as they fear their employer may discriminate against them for taking time off from work. Sadly in India there are very few employers who include medical benefits and cost of treatment for infertility. Suggestions have been given on stress dealing with infertility treatment and work. Here are few pitfalls to avoid: Do Your Homework: Review your organization's HR policies so you understand the amount of leave you have and other policies that pertain to your situation. You may be able to arrange for flex time or work from home on the days of your appointments, so that you do not actually miss any work. Be Honest:  Go to supervisor and let her or him know that you will be using your leave time and will give as much notice as possible. Honesty is the best policy. Remember people are inherently curious about the disease of infertility. If you feel the questions are invasive and make you feel uncomfortable, remember you do not have to answer the questions. You can respond nicely and let them know that you appreciate their concern but you are not ready to answer any questions. Your co-workers are asking question because it is human nature to be curious. In conclusion, not everyone needs to know what is happening with your reproductive health. At work place should medical help be available do take advantage of it.  This treatment has nothing to do with your performance at work. Go to work feeling confident that you will be able to perform your job and handle your workload during this time.
Teenage troubles for autistic kidsTeenage brings along with it a lot of physical and psychological problems. Your body undergoes a lot of changes, the way the world looks at you is changing and you are not in the position to accept all this. Teenage is one of the most painful periods in one's life.  For an autistic child teenage can be compared to living a nightmare day in and day out. Here is a look at the problems of teenage from an autistic kid's point of view: Social Interaction The ability to interact socially is absent in autistic kids. They are loners who prefer to be left alone and undisturbed in their own worlds. Such a child is a natural target for bullying and ragging by other kids of his age group. At times even if the autistic child wants to come out and make friends, he is not able to do so due to lack of the required skills. Teenage is a period where you need at least one friend to confide in. It can be an extremely difficult phase when you are all alone. Puberty This is the dramatic time in life dilled with hormones and emotions. Your body undergoes lots of changes and you are confused about so many things. You don't know whom to ask or whom to turn to for guidance. Autistic children do not have the maturity to understand this phase. Special issues for autistic teens and sexuality include: Knowledge of physical changes in body. Knowledge of 'good' and 'bad' touch. Ability to communicate about a 'bad' touch or action. Keeping 'safe' distance from others. Handling menstrual cycles. Avoiding 'self-touch' in public. It can be a phase of emotional turmoil for the parents. They need to work closely with their child's special teachers to chalk out a plan that will be best suited to the child in handling puberty successfully. Self-help skills Simple self-help skills like hygiene can be a challenge for teenagers with autism. Improper motor skills, compliance, and sensory problems may interfere with a teen's progress. The proper training of hygiene and grooming can help to add these elements into the daily routine. The right approach is to simplify each task into simple small steps. The positive reward system is a great source of encouragement, as positive motivation always help the teenagers. Higher Functions Autistic teenagers are socially awkward. They lack the power to comprehend and process complex social cues which includes sarcasm, body language, humor, emotional responses and facial expressions. What complicates the problem is that the autistic child lacks empathy and hence may appear rude. Such kids are likely to be teased a lot in school settings.
Anger management for your teenaged daughter - Handling difficult teenage times If one fine day you find your daughter suddenly reacting differently to a particular situation, do not be surprised, especially if she is in her teens. The outburst is beyond her control and she herself is confused by her own behavior, at times. It's important rather than scolding her for her misbehavior, one must wait for her to calm down and then speak to her regarding the incident when she is in a jolly mood. It is impossible to forgive such behavior if it repeats regularly, though. Here are some ways to deal with your daughter if she strays the limits of accepted norm for a behavior. You can seek the help of a counselor and understand why this is happening and solve her queries so that she could handle them better in the future. Why do Teenage Girls Lose Temper?By the time, the girls enter their teens they would have become aware about the social etiquettes, importance of looks, acting in an acceptable manner in social scenarios and creating a 'cool' image about themselves when they are outside their homes. So, even if they are hurt, or are angry at something, they do not let it go public, lest their 'cool' image gets shattered. However, the same anger becomes bottled up and vents itself out when they reach home. It's much like the workplace anger showing up at home. This is the place where they can behave wildly and still expect forgiveness. However, that does not mean that you should let your daughter get away with such kind of madness. After she has cooled down, you need to talk to her to find out what is bothering her or making her behave in such a manner. Probably, she may not accept that she has a problem, but you will have to find a way to reach to the root of the issue. More often girls want to be like someone in their college or peer group. They want to fit into a particular group and being unable to do so makes them nervous and distraught. Teach your daughter to believe in herself. Make her understand that she is a unique person on her own and do not need to convert herself into someone else. It may take consistent effort on your part to imbibe all these things into her mind, but you have to work hard to make her understand. Self-Control is the KeyMany young girls do not know how to solve a particular problem when they are faced with it. Apart from taking her to a good counselor, you can discuss problem solving techniques with her. Ask her to understand the situation first, put a foot backwards, relax, and then find a solution to the problem. This habit will make her probe into the problem in a better way and she will be able to handle similar situations when they occur again. You can ask her to write down the problems that are bothering her and ponder over them. You can assist her initially, but as she matures she will find her own solutions depending on her past experiences. Adolescent girls have sometimes trouble keeping their anger, rage, and fear under control and hence their problems should be handled patiently. Brainstorming SolutionsOnce she has ripped apart every aspect of the problem and has come to a brainstorming solution, advise her to write down the plan of action. For example, if she is disturbed due to a particular teacher who does not seem to like her grades, she may do well seeking help through friends who are better in that subject, or for that matter, a bad remark by someone in a group might unsettle her, thereby venting her anger at home. With restraint on your part, make her understand that anger will only block her process to think or find a solution. If you teach her to find answers for the problems in a calm manner, your teenage daughter will surely learn to control her anger and behave normally as she grows into an adult.
Healing yourself after a broken relationshipThere is no singular formula to get over a relationship. Moreover, you cannot 'get over' a relationship like you get over a broken phone. Every relationship is like a grown tree. When it breaks, you have to let it molder into the Earth - the time period between the breaking of the relationship and your comeback as 'you' is the time for transformation - this is your time to understand yourself, your relationship with others, and reach out to the world. Did you know the over 50% of people undergoing breakup tend to resort to emotional eating to rescue themselves from sadness and rush in the comfort hormones? Keep an eye on what you eat to trace the emotional signs you are disguising. Keep a tab on your diet and pamper your body with care. Here are seven basic stages through which you can consciously walk to recover through your broken relationship. Such a process is not linear and you could be undergoing various stages at the same time or in a different order. However, make sure you go through each stage. Missing any stage could result in residual and subconscious anger or denial. Stage 1: Let it outDon't be afraid to accept that you are heartbroken, that you feel like a mess and just wish that your ex-partner was around again. Accepting your emotional state is the first step to being able to unravel yourself out of it. Stage 2: Pondering over the causeThe initial stage post-breakup is primarily spent trying to distract oneself from the absence of the ex-partner by busying oneself with other activities. However, the nagging question 'why did our relationship not work? why did it have to be this way?' lingers, ready to barge in at the very instance you have your moment of peace. The first thing to understand during a breakup is that there is a distinction between analysing and understanding on one hand and obsessing on the other. Try to go through the stages in your relationship which you intuitively trace as being of significance to the break-up. However, remember not to be biased towards yourself and to weigh your responsibility towards the breakup as much as you do your ex-partner's. Stage 3: Taking a hard look at the relationship and learningYou might have had other relationships before where you did not feel the kind of intimacy you felt with this particular person. However, if you feel that you are up to a large part responsible for the break up, then look for the pattern of behavior or thinking which was causing such a breakup. Taking a hard look at your relationship will help you to recognize your mistakes and learn readying yourself to become a more sensitive person with greater understanding of human emotions. Stage 4: Reaching out to the WorldWhile you are working yourself through reasons for breakup and your role in it, don't step back from reaching out to people. Communication is the basic balm that will heal the wound of a broken relationship. Your inner communication with yourself is one dimension of it while talking things out with your friends and close ones is another important dimension. During a conversation about the breakup, don't simply blame your ex-partner completely to blind yourself towards healing. Be honest to yourself and attempt to talk to those friends who can help you through the hard time with care. If you love animals and nature, then reach out to the wild. Take time off from your usual routine and follow your interests. Stage 5: The Bigger Picture of the Break-up Having pondered over the reasons particular to your past relationship, understand that the fundamental reason for any relationship to break up is that the two people involved in it have different ways of looking at the world. Remember that differences do not imply a hierarchy. Differences are essential to human nature. This will help you to forgive your ex-partner, catalysing your redemption from the land of anger and despair. The world is a beautiful place full of diverse kinds of people. Do not let your breakup make you give up on humanity. Stage 6: Letting yourself freeNow is the time to have a relationship with yourself. Explore your interests and dip yourself in them. It is not a crime to be happy with yourself. However, do not use these activities to escape the pain. Let your activities be your company in pain - slowly the pain will fade and you will reconcile with the reality of your broken relationship. Join hobbies which will help you have some time for yourself: pottery, nature watching, animal care, voluntary work. Remember that your identity does not depend on the opinion of your ex-partner: you create who you are. Most importantly, take care of your body - we tend to mess up our body cycles during a breakup. Stage 7: Giving yourself time to become complete before starting off with another relationshipDo not rush into a relationship before you have completely healed from the past relationship. There is a high tendency to try to fill the gap of the absence by moving onto the next most intimate person you know. Give yourself time to recover and answer the following questions before entering into a relationship again: What kind of relationship do you want to have? How would you like to spend your day with her/him? (Remember that a whole day is a series of small activities that you will share with your love - don't focus just on the big stuff like finance, house, and others, emphasis on shared interests). What future do you expect from a relationship? These are the three basic questions. Be free to add on the relevant questions according to your needs and answer them honestly before writing a new chapter into your life. Having pondered over the reasons particular to your past relationship, understand that the fundamental reason for any relationship to break up is that the two people involved in it have different ways of looking at the world. Remember that differences do not imply a hierarchy. Differences are essential to human nature. This will help you to forgive your ex-partner, catalyzing your redemption from the land of anger and despair.
Faking illnesses - An illness in itself?In 2008, a 28 years old woman in the US shared some shocking news with her friends. She had been detected with cancer. She posted updates on social networking sites and wrote blogs on her illness. Sympathy poured in from all corners. Some even sent in monetary help to cover her expenses. The saddest part of the incident though was not her cancer; it was the fact that she had faked it! Police investigations revealed her little trick when no evidences or records were found at the hospitals! Apparently, this isn't a unique case;  faking illnesses or malingering is a very common occurrence. All of us have done it at some point in our lives. While we may have done it to escape a school punishment or to take undue advantage of the office 'sick leaves' for personal purposes, it is usually done on a harmless level. But faking illness can be a chronic disorder too and  medical professionals even have a name for it-; Munchausen's Syndrome. People suffering from this syndrome fake illnesses that they don't actually have, to gain sympathy or simply to be the center of attention. Usually gaining sympathy is the main reason why people fake illnesses. It gives them a chance to be in the spotlight. Everyone calls and visits, expresses concern and fusses over them. Lots of love is showered upon them. Another common reason for faking illnesses, is money and at times, the monetary benefits are higher than the emotional ones. No one hesitates to fulfill the last wish of a dying person, however expensive it may be. Often there are mixed motivations and the person faking an illness has many reasons to keep up the pretense of being sick, for as long as possible. Some people really do have a disease — a mental illness known as a factitious disorder. People with this disorder pretend to have an illness, which is usually a terminal one and often go to great lengths to maintain their hoax. Munchausen syndrome by proxy, is another form of faking illness. People with this disorder, fake illnesses of people under their care; and they usually do this, for monetary benefits. Children are the most common victims in this disease. When you tell someone that your child has cancer, you will receive a great amount of sympathy and all the money you want, no questions asked! People with these disorders are extremely cunning. They go to great extents to maintain their lies. They will build grand stories, complain of fake pains and aches, get admitted to hospitals and undergo a battery of tests, numerous times. Interestingly, they never allow and frequently discourage medical professionals, from talking to any of their family members. Since they know they are faking the illness, they will refuse to undergo treatment, for obvious reasons. . If you think a loved one may be exaggerating or faking their health issues, attempt a gentle conversation, voicing your concerns. Avoid anger, judgment or confrontation, while offering support and care and if possible, help them in finding a treatment. Treatment includes empathy, helping in identifying feelings and issues that led to the development of the disorder and finding  alternative healthy ways to deal with those feelings and issues.
10 best and worst appetizersWhen you are munching on appetizers before your meal, the idea is to eat something that can trigger off the production of your digestive juices in the intestine, so that what you eat next, the food is easily digested. However sometimes, the appetizers are much more complex and heavier on your tummy and can actually reduce the metabolic activity and imbalance the digestion process. Here are some of the best and worst appetizers that are commonly served: Best Appetizers Vegetable Kababs: These highly nutritious and low calorie appetizers are a good alternative to fried items. Grilled vegetables or kababs are prepared by skewering red and green bell peppers, onions, tomatoes, mushrooms and zucchinis. To add to the taste, you may brush over some low-fat herbs and even garlic marinade. Two delicious vegetable kababs, will get you only 75 calories. Crab Cakes: Seafood offers you high nutrition and the best way to include the properties of seafood in your diet, is by choosing crab cakes as appetizers since these offer only 20gms of fat and 300 calories, while providing you with a high level of sodium (960mg). Spinach Salad: The best thing about good appetizers is that they are low calorie foods and provide great flavor and satisfaction while eating. One such fulfilling appetizer, is spinach salad. You can also use other green leafy vegetables to add more nutrition to the recipe. If you eat this appetizer before your meal, chances are, you will eat 10 to 15 percent less of the main course, which is certainly a great way to cut down on the calories. A cupful of fresh salad gives you only 80 calories. Beef Skewers: If you are in the mood to pamper your taste buds, but still want to stick to eating healthy, then beef skewers is the right option for you, in the appetizers section. These are usually served with peanut sauce in restaurants. You can opt for lean beef along with soy, garlic, hoisin, onions and barbeque sauce to make this dish yourself. Quarter to the pound is the recommended serving, which consists of 5 gms of fat, 130 calories and a high sodium content of 803 mg. Stuffed Mushrooms: Potato skins are a common appetizer people go in for, but these add more calories. Instead, you should opt for stuffed mushrooms that are way more delicious. The caps of mushrooms are stuffed with breadcrumbs and the cheese of your choice; and they provide only 50 calories per cup. This means that even if you eat six stuffed mushrooms, you are still within the limit of 300 calories. The worst appetizers are deceptive yet tempting in their looks and taste. But you should always keep a check on the ingredients before gorging on them, for your own benefit. Worst Appetizers Onion Blossom: Fried onions are certainly bad for your waistline. It is always better to eat a starter stuffed with more vegetables, instead of fried things. A restaurant preparation of onion blossom consists of 161 gms of fat, 1,049 calories and around 4100 mg sodium, which is more than double the limit required by an adult, making this appetizer a completely unhealthy choice. Cheese Fries: Cheese fries are one of the worst appetizers; these can be even more overwhelming than your meal itself, which is why health experts advise not to include this appetizer in any type of menu. Sometimes cheese fries actually come with more melted cheese on top, which is obviously worse. Spinach Artichoke Dip: Although this starter starts with the word 'Spinach', it is in no way a healthy appetizer. One dip of spinach contains loads of calories-1600, fat-100 g and 2500 mg sodium. It is certainly not the spinach but the cream base that is rich in saturated fat. Potato Skins: Potato skins have all the high calorie foods such as meats, sour cream and cheese. When you take one pop of these, you will be adding 150 calories, which is quite a big number. Moreover, these appetizers are not filling. A plateful of potato skins adds 1,340 calories, 1,850 mg sodium and 94 gm fat and yet leaves you hungy. Cheeseburger Skins: Although these appetizers look small, there are loads of calories packed in them. One order of Cheeseburger skins can total up to 1270 calories, with an added 2310 mg sodium and 82 gm of fat.
4 super foods to keep you healthy this winterWinter is here. It is time for lazy mornings and blanket hideouts. It is also the time when the markets are lined up with a variety of fresh fruits and vegetables, all juicy, healthy and colorful. Discover four such super foods for the cold winter evenings. Citrus fruits: Oranges, sweet lime, lemons; bring them all and have them all. Bright yellow or orange, they are like the bright sunny mornings which you need after a cold night. Rich in vitamin C, antioxidants, flavonoids and several other nutrients, citrus fruits are the perfect measure for your daily dose. Peel it off and chew it up, or slice it off and lick it on, or squeeze it strong and drink it down - choose the way you like. Citrus fruits help in taking care of your cholesterol, as well. Potatoes: Potatoes are the victims of most diet plans. It is loaded with carbohydrates, we should not eat potato, and so on and so forth. Potato is not that bad actually. In fact, its nutritional value may come as a surprise to many. The content of vitamins B6, C and folate is high in potatoes. Potatoes are rich in essential minerals like potassium, zinc and magnesium. The starch content may be significant, but so is the fiber content. They are known to protect against colon cancer. What are you waiting for? Have some potatoes, will you? Make sure there is no guilt. Kidney Beans: Kidney bean is our favorite Indian 'Rajma'. They are a rich source of carbohydrates and proteins, are known to lower the cholesterol levels and reduce the risk of heart disease. They are particularly known for helping to replenish the iron stores of your body. It can be the food of choice even if you have diabetes, as it is almost fat-free and doesn't send a sudden rush of glucose in the blood. When combined with rice, kidney beans make a very healthy meal. So, is it rajma-chawal (kidney beans with rice) for dinner today? Green leaves: Yes, yes, you are bored of reading and listening to the benefits of green leafy vegetables. But, we have to remind you, for the advantages are too many to be ignored. They are the greenest, freshest and leafiest in the winters. Even if you are not a fan, you will feel like picking up a bunch from the grocery store. Spinach (palak), fenugreek (methi), cabbage (gobhi) are the ones that we can commonly find. Others to look for are lettuce, mustard greens, etc. The green leaves are a rich source of a variety of vitamins, mineral, fiber and water content. They are suitable for all ages and can be easily digested. Entertain that potato lying in your kitchen, cook up a dish with the green leafy ones. Alternatively, you could try it in the form of salads, soups, juices, flour fillings, and any other creative ideas that you chefs have.  
Bile block - Understanding gallbladder problemsRavi was a young intern working the night shifts in a government hospital when he was asked to examine a patient who had just been brought in. The patient was a 45-year-old, a fat man, who was complaining of pain in the right side of the abdomen along with nausea and vomiting. On inquiry it was revealed that he had eaten a very heavy fat-laden dinner. Remembering what his surgery professor had taught him about cholelithiaisis, Ravi immediately guessed what the diagnosis could be. He, however, sent the patient for a blood test and an abdominal scan. The reports confirmed Ravi’s suspicions- cholelithiasis, gallstones. The gallbladder is a tiny pear shaped organ that lies just below the liver. It is responsible for storing the bile that is produced by the liver for digesting food. It ensures the smooth outflow of the bile from the bile ducts. When the bile components aggregate in the gallbladder, they build up to form gallstones, similar to kidney stones. The gallstones are usually small enough to pass on to the intestines and be eliminated without causing too much trouble. At times, these stones may be big enough to block the outflow of the bile and give rise to a variety of symptoms depending on the size of the stone and severity of the block. The symptoms include -  Intermittent colic. A bloated sensation with constant nausea. Inability to tolerate fats. Vomiting.  Fever with chills if the stone becomes infected. Gall stones though found in both sexes, is more common in females. The risk factors for developing gallstones include - Diabetes. Organ transplant. Diseases like hemolytic anemia, sickle cell anemia. Liver cirrhosis. Failure of the gallbladder to empty properly, e.g., during pregnancy. Rapid weight and nutrition loss due to any reason. Gallstones are confirmed by a blood test to check the liver function and by an abdominal scan. Medications to dissolve the stones, and surgery in case of large stones that do not dissolve with medications, are the treatment options.
How to communicate with a patient who has a strokeThe first and the most important thing to communicate with the patient, is to give undivided attention. Give attention to his activities, gestures, his facial expressions through which he may try to communicate so his feelings could be understood. Eye contact is also important but the patient having stroke may look at you square in the eyes but he may not respond to your conversation. While communicating with the patient you should always stand in front and tune out all the other sights and sounds in the room. Maintain full silence around the patient in the room, turn down the volume of the television, radio and ask other people in the room to be silent. You may communicate with the patient by making contact by touching the hand, chin, cheek or areas which are not affected by stroke. As the side which is affected by stroke, does not have any sensations. You may communicate with the patient through his family member by telling the family member to communicate with patient by saying, "Look at my face"; through this we can gain the patient's concentration. You should always speak clearly with the patient in a normal soft volume. Express your ideas in simple terms, form simple sentences, do not use complex words. You may repeat the sentences or an important term again. For example to ask if the patient wants tea, repeat the word 'tea'. More complex thoughts can also be similarly conveyed and repeated. You may also use hand gestures with clarification like doing Hello by waving your hand or through your hand action, you may ask questions like, How are you? Are you ok? What do you want? Through this both caregiver and stroke patient can benefit. You may ask your patient to point out whatever he wants or if he needs anything. And gradually he will develop the habit of pointing the daily items like television, newspaper, remote, eyeglasses radio, drapes an uncomfortable foot, the patient can indicate any pain or headache. Through this communication we can make the patient learn, use mechanical lifts to get in and out of the bed, and with the help of the attendant by demonstrating the patient how to use it. Sometimes when the communication does not work, take a break, give it time and try again, do not get frustrated and reassure the patient that yes, he or she can do it. Good communication with the patient is very important as they cannot speak their basic wants and needs clearly. The patients suffered a stroke also have slurred speech. There is a deviation of the angle of mouth. They are mostly bed ridden and could not carry out the routine activities.
Is sex linked to self esteem?Man is a curious creature, full of quirks and contradictions. Sexual intercourse, something that most people consider an intimate and private experience, is spoken about in hushed tones and often, with some discomfort. We don't reveal or talk about our sexual desires, as readily we discuss our salary packages or food habits. This is quite ironic seeing how sex is an important gauge for a person's self esteem and also an indicator of his/her social desirability. The very thing that we do under covers, we somehow choose to "keep under cover". The Link between Sex and Self Esteem: Self esteem is an important factor that determines the mental & physical well-being of an individual. All of us have a craving to be understood, liked and appreciated; and these form the equivalent of our basic needs on the inverted pyramid- Food, clothing and shelter. For a human being to flourish and prosper, consumable food, without the mental food of appreciation, is not enough; and sexual intercourse or an intimacy with the opposite sex, is one way of validating that need. Sex therefore, ceases to be just a physical need instilled by nature for the perpetuation of the species, but goes into the larger emotional cum psychological dimension of self actualization and realization. Though some of us might be embarrassed to broach the topic of 'whether or not we are getting enough', the truth is that every human seeks to achieve his sexual potential, even while he or she might, not be aware of it. Most of us have the ability to get the foods matching our taste preferences onto our plates, but with sex, this could be a little difficult, since sex, is a complex subject with a lot of social, moral and religious links. The truth is evident in the number of marriages (the very cornerstones of civil society) that fail on the basis of sexual compatibility, either by setting unrealistic sexual expectations or by not owning up to, or even identifying, one's sexual needs. This has repercussions on the psyche and self-esteem of a person, and this is especially true in the case of men in particular, as they may feel completely inferior for not being able to attract a sexual partner matching his desires. In some people, this also leads to a case of self-loathing, for having sexual needs which a partner doesn't understand, or much worse, needs which are considered taboo and sinful (Homosexuality, Anal Sex, Group Sex, Fetishes, etc.) These complex emotions can wreak  havoc on a person's self-esteem, by creating severe internal conflicts and serious self-doubts. Now socially, sex can either liberate a person, or hold him prisoner. At times, the unfulfilled needs may get repressed and banished to the shadows, only to be played out later, in the form of sexual adventurism and crime. Just one look at the sexual crimes in our society today, and we can clearly understand just how healthy our collective self esteem is! The very society that frowns upon prostitution, is actually responsible for creating it, though everybody would like to pretend otherwise. The crux of the matter is that "sex" and "self esteem" are closely related; and one should not shy away from addressing any issues one might face regarding one's sexuality. Physical love is necessary for the survival of a relationship and one needs to make time and efforts to successfully create one's own sexual space. The positive effects of a good sex life can be seen in an increased work productivity, fewer illnesses and an increase in one's overall efficiency. Some people are haunted by sexual guilt and confusion and when they keep it all locked up, they suffer from unexplained physical pains and feel 'down in the dumps' mentally. Another problem with appreciation from the opposite sex, is the addiction to  external validation. Some people feel utterly worthless until they receive positive feedback about their looks or abilities on a regular basis. This can be downright devastating, as in these cases, there is a great dependence on external factors for one to feel good. While no one denies the "feel good factor" of sexual appreciation, it is up to each one of us, to decide just how much of control one must be giving to external factors, to determine our personal self-esteem. The appreciation may be theirs, but the esteem is entirely of the self and only the self can decide how much of appreciation and sex is enough.
Impact of sexual dissatisfaction on mental healthIn an idyllic world, this may sound all "sugar and spice and everything nice," but in reality the matter of having sex is considered to be a taboo, something that is looked down upon - not just in third world countries, but in some parts of the  developed world as well. Add to that the effects of being sexually dissatisfied, which is also looked down upon and frowned upon. When a couple finally decides to take the plunge, there are the normal worries such as sexual compatibility, satisfaction, frequency, taboos, etc. What if your spouse/partner is dissatisfied? What if he/she doesn't consider it a pleasurable experience? These questions often arise in any relationship and it is only natural, but what happens when these worries often turn into realities? The dissatisfaction takes a toll on your mental health. Yes, your mental health suffers thanks to your sexual dissatisfaction. Every partner has some amount of expectations as far as sex is concerned, and when those expectations are not matched, dissatisfaction begins to set in. Generally speaking, when a person is sexually satisfied, he or she is always in a better frame of mind, but when they are not, their behavior around people goes downhill. Not just that, but their frustration and angst builds up, taking a toll on their mental health and their relationships as well. Many a times when the couple is incompatible, they decide to keep quiet rather than talk about it. This takes a toll on their mental health, which then turns into stress and its build up can lead to depression, or worse. Even the memories of past transgressions and the guilt after can lead to sexual dissatisfaction, which can either make or break any relationship. There are multiple reasons as to why a person is dissatisfied sexually, be it due to sexual dysfunctions, lower stamina, sexual orientation, or so forth! Rather than accepting that there is a problem, people usually turn to drugs, alcohol, or even someone else for dependency, which also causes mental as well as hormonal imbalance. Most people when asked about sexual dissatisfaction shy away than deal with it, as they are ashamed of it and are afraid to talk to about it. However, what they don't realize is that not talking about it will only lead to problems such as depression, anxiety, dependency, and bouts of sudden outburst which can lead to a severed relationship, not just with your spouse or partner, but also with your family and friends. Sexual dissatisfaction is often the primary cause of depression, which, if not treated, can lead to a host of other problems. So if you are suffering from sexual dissatisfaction and are under great amount of mental strain, it is always better to be open about it to your partner or consult a therapist. Prevention is always better than a cure! Talking about it to someone can lead to you releasing your mental strain and the end result will be your personal satisfaction.
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