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Anger management in menThis isn't a tirade against TV Violence. On the contrary, why blame the movies for spewing out blood, guts and gore, when all they really do is reflect the times we live in. Art imitates life doesn't it? So why blame the rising crime graph and street violence on TV and movies? Why not peep within our own selves and see the sheer ferocity of the anger which we project collectively on box office sell-outs. Examine the angry man within. So well you shrug it off and say "We didn't start the fire, it's been always burning since the world's been turning." You can certainly do your bit to help douse that fire before it turns into a conflagration, spiralling out of control until it consumes you mentally, physically and spiritually. Anger is bad. Period. Inscrutable and mysterious indeed are the ways of anger. It is to do with the pace of one's life in these times which starts it all we suppose. Then comes the classic conflict between nature and nurture further adding 'reddie points' to the anger account which is ticking away somewhere accruing interest. Someday something as silly as a traffic snarl or a bad joke or anything really trivial or big; justifiable or unjustifiable will cause this anger to spew out like molten lava from the fissures of your head. Self control, restraint and tranquillity are then mere concepts which lie in a crumpled heap as the angry young man in you takes over and hits out at everything within sight. Since time immemorial, the male temperament has been programmed to hunt, protect and gather. The caveman in most males has not evolved at all! It now wears a suit and goes hunting gathering in his corporate cave. This is the monster in most of us we have to tame through "Anger Management". We might have taken a dig at the caveman being the corporate type, but he could be anyone with an anger issues - you, me, the petrol pump attendant or even Sean Penn and Charlie Sheen. Celebrities often have the luxury of having anger issues and, as we all know it, many a famous anger tantrum is often overlooked as a creative outburst. For us however it could mean a long term in jail and much worse - our days filled with regret! Anger is an emotion and therefore much as I hate to say it necessary to tell us something is not right. So it is nature's way of helping us perceive through our senses and feel anger as a result of that perception, much like happiness and sadness. However anger has a particular corrosive quality about it which if not expressed or acknowledged can wreck havoc on a man's health. Why do you think men outnumber women right from barroom brawls to health conditions like hypertension, heart attack and migraines? Most men when questioned after socking the living daylights out of someone state that they just had that lightheaded feeling as the serpent raised its ugly hood, the blood pressure shot up and adrenalin coursed through the veins, the ears heard that sickening thud of a pacing heart and then "The other guy was down on the ground and I didn't even feel a thing when I sliced his throat open! Honest! I have issues!" Can you imagine how horrifying it must be to lose our faculties and go berserk? Can you imagine how many innocent people are victims of road rage and unjustified violence? So how do you ditch that anger? First step is to find yourself a relaxation routine and deep breathing exercises can help you be more in control of your temper. Relax your muscles of all that tautness which anger makes it do. Consciously at a regular time do this relaxation routine. Feel your body respond by 'letting go' of old holding patterns. Yoga Postures, especially the 'Shavasana' can help tremendously by relaxing excitable natures and enables them to relax the body at will. Next time you feel angry about something you will find yourself responding appropriately. Remember it is you against anger. Tell yourself that anger is like a serpent it might bite its owner. So find a suitable method of letting out your anger, and know that doesn't include steeping down on the accelerator and running into the back of someone's car. That is anger getting the better of you and that's 'Road Rage' and Murder and suicide. Punch a pillow, get a pair of boxing gloves and wallop the hell out of a punching bag, run a mile, shout your head off in a deserted place if you must, but unclench the jaw and fists and maybe you will start seeing the lighter side of things. There are enough things in this world that truly deserve your anger. Without anger sometimes we cannot enforce change on the negative things in society. Whenever we hear of a rape of a helpless woman on a bus we are bound to feel anger. However letting that anger getting the better of us and going in for instant vigilante justice for perceived crimes is just as wrong. Then what sets us apart from people who rape, loot, plunder or murder? If we all exercise restraint and express anger as and when it registers instead of holding it inside would help a great deal. If you are angry about being given the short end of the stick at work and if for some reason you cannot express it then ensure that you don't implode by keeping it in or explode somewhere it is completely unwarranted. There will be a day when we will hear "TV Violins" instead of watching TV Violence.
Aging milestonesChanges in old age depends on attitude as much as person to person. In young old age some changes begin to take place in a person’s appearance. Wrinkles, warts, age spots begin to form on the body. Hair begins to thin or becomes grey and even height lessens because the bone density decreases. While in ‘old‘ old age these changes are already permanent. Men might look distinguished if in good health, but women all look grandmotherly. In ‘young’ old age, cells begin to decay and muscle mass declines and immunity is no longer as strong as it used to be. People lose energy as the age progresses.  ‘Old’ old age brings in a lot of physical decline, profound changes in appearance and motor abilities, as also in sensation. Skin gets less elastic and becomes thin and blood vessels can break under the skin. The senses also begin to become dull. Eye lenses get affected and color perception and reading ability becomes very low. Hearing loss may lead to paranoia and ‘old’ old age people begin to think everyone is plotting against them because they can’t hear properly about what others are saying. Sense of smell also declines, but the taste remains almost intact. In ‘young’ old age, reflexes also slow down and so do the motor abilities. By the time they reach ‘old‘ old age most adults find that their response time has become quite reduced. This can be seen most in driving situations where it is difficult for ‘old‘ old aged adults to operate their vehicles as they have poor spontaneous responses. The ‘young’ old adults do not lose as much of their motor abilities as the ‘old‘ old adults, especially when holding small things like needles and pins. Of course, there are changes in sexuality and there may be a decline in the ability to have sex as men may not have an erection and women become dry due to lack of female hormones. Cognitive decline in 40% to 60% of older adults can be arrested with remedial training. Despite all the changes, most people even in their 70s remain comparatively active if they do not suffer any illness. Mental, physical, and social activity is necessary to maintain the quality of life. Old people begin to withdraw from work and other important roles and allow the younger people to take over. They are a lot happier as is also advised in Vedic literature as vridhashram. While activities are important, disengagement is equally important. Memory loss becomes aggravated and other cognitive abilities begin to decline and there are many ‘old‘ old adults who get Alzheimer’s and lose the ability to look after themselves. Old people also dwell on questions of death and sometimes go through a phase of denial and then anger that they have so little time left. Acceptance of death comes, but after a struggle and the idea of losing the family saddens them. Old people require support in their declining years as they begin to lose their faculties.
Marrying late in lifeConventionally, the marriage age is determined according to the linear formula of happiness that we have constructed and believe to be true. The formula being: getting married by 24 --> having children by 27 --> working (optional) --> becoming a grandparent (that too, real soon!). However, time and again, men and women wandering in their 40s-50s have woken up from the deep disturbed slumber to realize that maybe- just maybe, they had walked into things too fast. They had been unable to know who they are and to become a self-conscious human being before being ready to fuse their lives with another. The prime point of being single and marrying later in life is not to go on some form of egoistic joy-trip but to be able to know oneself and become ready to be the right person for the other. By marrying late, you give yourself time to experience freely what you like and dislike. You get to explore the world at your own terms- travel whenever you want and involve yourself in festivals and activities that manifest who you are. Marrying early doesn't allow for time to explore one's being, as marriage generally immediately follows the time you finish your studies or begin working. One of the most important aspects of adulthood today is travelling. However, every individual has unique wants of travelling and being a single adult will allow you to experience the world fully. You will also get in touch with yourself, exploring how you would like to live. The decision will arise from a ground of experiences which would clearly tell you what repels and what appeals to you. Such experiences are rarely findable once you begin living with another, as you would have to schedule your days and basically, your routine around the other's life as well. Financially, you have reached a point where you know how to take care and manage finances, allowing you to plan your wedding pragmatically. Marrying at a later point in your life allows you to be clear about when you would like to be a parent. Your experiences also ready you to be a considerate and understanding parent who can guide a child. As you grow older, you tend to become more tolerant and the propensity towards differences turning into unnecessary fights is lowered. As our ways of looking at the world change, every person as an individual has the need to learn to see the world as a home. This feeling of being at home is created only through series of experiences one has to go through as a responsible adult. In the face of inexperience, two individuals coming together often find themselves incapable of being happy with one another. Marrying later allows you to have grown into a wiser person yourself before sharing your life with another.
Mammary duct ectasiaSigns and Symptoms In most of the cases, female patients do not have any symptom. In few cases, women may present with nipple discharge, tenderness or inflammation of the surrounding region. In some cases, there may be a lump over the breast or the nipple may get inverted. Causes Exact cause of mammary duct ectasia is unknown. But few possible cause or risk factors have been proposed by the doctors : Increasing age - Probability of developing mammary duct ectasia increases with age. With ageing, the breast changes its nature. Glandular tissue is replaced by fatty tissue. This change may lead to duct ectasia. Smoking- Milk ducts are widened due to smoking. This increases risk of inflammation which may lead to duct Ectasia. Inverted nipple - Inverted nipple obstructs the milk duct. It may lead to inflammation followed by duct ectasia. Complications Complications of duct ectasia may be may be of varying severity. They are usually minor, but sometimes become serious. Localized discomfort- Discomfort occurs due to pain and swelling around the nipple. Nipple discharge - Ectasia is frequently associated with discharge of thick and sticky fluid from nipple. Infection- Bacterial infection may develop due to stagnation of fluid in the milk duct. If it is neglected, it may lead to localized collection of pus known as abscess. Abscess requires surgical treatment. Abscess is drained surgically. Diagnosis The doctor usually diagnoses duct ectasia by clinical examination. However, few investigations may be required. Mammography- X-ray of the breast tissue is known as mammography. It helps the doctor to evaluate the breast tissue. Ultrasound- Ultrasound enables the doctor to evaluate milk ducts beneath the nipple. Treatment Duct ectasia is usually relieved by treatment. Following are the treatment options : Medications: The doctor prescribes antibiotic therapy for 10 to 14 days. It may be accompanied by mild painkillers like ibuprofen, etc. for initial few days till the remission of the disease sets in. Most of the cases are usually relieved by medications. Surgery: If duct ectasia is not controlled with medications then the doctor chooses to remove the duct ectasia surgically. Surgery is required very rarely.  Self care measures Following self-care measures often provides relief to the patients. These remedies can be adopted at home. The patient may wear a breast pad or support bra. The patient may apply warm compression to the affected region. The patient must stop smoking. The patient may be advised to sleep on the opposite side of the affected breast. Female patients should be educated regarding mammary duct ectasia so that they can detect possible symptoms of duct ectasia themselves. This will help to prevent possible complications of mammary duct ectasia and early diagnosis will provide early cure.
Your child is ready for school... but are you?It was still okay. Just 2-3 hours which you could utilize for other things while your child was away briefly. Now you will have to compete along with teachers, textbooks and homework for your child's attention. Well Mother, we know this is going to be difficult for you, but let's see if we can try and make it any easier. Think of school as an extension of the tender loving care that you provided. The only difference is that the TLC will go towards nurturing and developing his/her brain and help it learn important skills which will help gain a balanced development. At this point your child feels bad and completely unsafe in this new hostile world of teachers and uniforms and what not! If you weaken at this point your child will cop on and then will come the emotional blackmail. So explain the importance of school to your child as it will make the transition easier. It is always good for mothers to accompany their children to school but imagine watching mother walk away and all hell can break loose. So if your child's school has a school bus facility you can walk him to the bus stop and then say your goodbyes there. A lump in the throat at the bus stop is preferable any day than a scene at school with a child holding on to mother for dear life. Do not criticize your child's school or assignments given by them as children can catch on quite quickly and that can be reason enough for them not to concentrate on school activities. Always encourage your child to talk about what he did at school and ask him questions about his friends and teachers. This gives the impression that school is as important as home and gradually even you will reconcile yourself to the fact that school is here to stay.
Teach your kid to stand up to bulliesAlmost everyone has heard of the beach bully who goes around kicking sand in the face of the skinny lad. That's the quintessential imagery associated with bullies and it has stayed with us for over 3 decades since the first ads came out. The ads generally endorsed body building products using the classic 'Before' and 'After' construct, i.e. before you got your face sandblasted by the beach bully and after you took that protein shake or muscle builder to get even. Bullying is a phenomenon where a person or group wilfully targets someone with the intention of troubling them over a specific thing. (Bullies generally pick on someone they perceive as physically, mentally, financially, socially or racially inferior.) There is no age-limit for bullies as the bully could be a school going kid with an attitude problem or a fully grown adult, who could indulge in it from sheer force of habit or due to a mental problem. Again there is no age limit for the victim as well. Anybody could really be a target for the bully menace, right from school children, teenagers, disabled or even old people. Well bullying has changed considerably in these times and you also have the e-bully version where insecure bullies go about harassing people, especially teenagers over the internet. Bullies resort to tactics like causing public humiliation or embarrassment to hapless victims or resort to threats or other control-based abusive behaviour. Ok so everyone has undergone bullying from time to time but the question is should you allow it to happen to your teenaged son or daughter? Mind you, here it isn't simply a question of some leg pulling by friends or teachers but some serious malice that could well destroy your teenager's confidence and cause permanent scars on his self-esteem. Yes, if your teenager is being subjected to bullying then teach him how to kick the sand right back in the bully's face. Before we learn how to do that let's see the types of bullying that your kid could be subjected to: Verbal bullying This includes teasing or making caustic remarks directed at someone on a regular basis. The school bully does that, doesn't he? As you would probably remember from your own school days that fat lout who made you quiver with fright as he snatched your lunch box away to feed the dogs. Yes, the very same guy who pulled your sister's pig-tails and called you names which made you go red in the face. You could do nothing but pray he wouldn't notice you somehow. Well so something similar could be happening with your teenager. Verbal bullying need not be done by a school friend. Even a responsible teacher could target someone for deprecatory remarks causing much embarrassment, ridicule andfeelings of inadequacy to a teenager. Sometimes kids look up to their teachers for encouragement and support and those very people could actually damage a child's self-esteem by unjustified criticism and bullying behaviour.Teenage girls could suffer taunts and remarks about certain physical traits and since they are at a delicate age where their bodies are undergoing changes, such verbal abuse can indeed cause long-term depression or personality issues. Physical bullying Physical bullying is where your teenager could be subjected to physical harassment at the hands of the bully. Whether it is a simple case of holding your teenager's hand or unprovoked physical assault, the end result is the same-injuries to the body and mind. The bully may not go as far as inflict any visible scars on the teenager's body but the episodes could certainly cause great fear and trauma to him. Even teenage girls are not spared physical abuse at the hands of bullies. In certain cases, teens suffering from long-term bullying actually took some extreme measures by committing suicide or breaking down completely. Internet bullying Internet bullying is where your teenager is probably most vulnerable. At least school bullying is restricted to school, but here your teenager is at the mercy of just about everyone - from the school bully to the earnest paedophile! Causing embarrassment on public forums, threats of physical or sexual harm is the most common and as a parent you have to take every step possible to not just protect your child but also help him take care of himself or herself. The bully menace The school bully is comparatively easier to deal with than the internet lout! Well, one can't be too sure of that statement either since these days,school kids are known to blow up their own classmates or participate in a heist with adult precision. Always watch out for the classic signs of bullying. If your child appears withdrawn or disturbed after school hours then gently probe and encourage your child to tell it all. If you feel there is enough reason to think your child is being subject to bullying then bring it to the notice of the school immediately as others could have similar complaints. Do not admonish your child or scold him as it could cause him to withdraw in to the shell that the bully provided him in the first place. Parents and elder siblings can be bullies too so remember that. Teach your child to stand up to bullies. The bully is generally an insecure person who uses brute force to feel good about himself, at the cost of others. The school bully generally has his way and is not used to being challenged. Teach your child to look the bully in the eye and register protest. This will go a long way in teaching your child how to fight back and not take any nonsense from others.If the situation worsens, then always keep a track of your teenager's whereabouts especially if it is a girl. Once the bully realizes that he is being tracked he generally lies low or picks on someone else. Internet bullying requires different measures. You can monitor your child's online activities and teach them to never ever share any personal information or photographs online or on forums which are off-limits for children and adolescents. You can complain to the authorities if things get out of hand. If someone repeatedly issues threats to your teenager, either online or in real life, is a cause for real concern and one must take them seriously. If your child does not learn to cope with bullies it could affect him well in to adulthood, where he will feel helpless and easily scared by imposing people or even develop a hatred for authority figures. Bullying can fuel an already weak personality in to gaining an inferiority complex; the flip side is that kids who have been subjected to bullying can repeat the same patterns on their younger siblings or at school. So a bully creates another bully if continued unchecked. Mental problems in children are on the rise, so bullying is also no longer an innocent joke but could be a serious crime. Bullies whether children or grown-ups, suffer from some personality disorder or a serious inferiority complex which makes them compulsive trouble makers and their victims are generally people who cannot hit back or are vulnerable. Take Hitler for instance. Wasn't he just a bully who was unhappy in his own life? Look what he did to millions of innocent people. Wasn't that a bully gone berserk?  
Crave for non-food substances to put in your mouth? Go ahead take your pica!We all have strong cravings in some form or the other, especially for food. Just thinking of a chocolate cake or ice cream can set the mouth watering and the hand creeping to open the refrigerator. However, some people have an unusual craving and it is to consume non-food items. Everyone knows that children are known to eat chalk, dirt or lick walls but at times, even adults have this unusual craving for non-food items. This condition is termed as 'Pica'. One can understand a child popping something into its mouth as it's discriminatory skills are not developed, but what about fully grown adults who have this habit? Is it a mental ailment? One can't really call it a full blown mental condition as it occurs commonly in pregnant women. The cravings are as strong as any other food craving and sometimes these people go out of the way to satiate their cravings. So, right from paint thinner, to chalk to ink, ice, plaster, paint, linoleum to plastic bits can form the obsession or craving. Pica is a combination of psychological and biochemical processes and is generally a deficiency which sets about these intense cravings.  When pica strikes pregnant women, then it could be a cause for much concern and the doctor should be kept informed. While it is easier to indulge a pregnant woman's ice cream cravings if she also develops a thing for iron fillings on top of her ice cream, then obviously it can be a rather dangerous thing to do. Ice and chalk are comparatively harmless and other than affecting the teeth and the taste, do nothing much else, but what about turpentine and toxic materials? They can definitely interfere with the body's digestive processes and can even spread harmful toxins in the body to cause blood poisoning, intestinal infections, bowel blockages and lead poisoning or arsenic poisoning.  If you have such strong non-food cravings then before you give in to them talk about it to a medical practitioner. It could well be an iron deficiency or perhaps even anemia which is attracting you to chew pencils up or making you pop dirt in your mouth. If you are pregnant then certainly the doctor will need to address the underlying issue and ensure that the pica goes away before you deliver. Wouldn't want you chewing up the baby's soother now would we?
Cleanliness - A clean body, clean mindPhysical Benefits: Killing of Germs: Disinfecting your living area allows negligible scope for breeding and spreading of germs and bacteria. Though not visible to your eyes, many of these can cause severe illnesses. Prevention of Food Contamination: Clean cooking utensils and counter tops allow for low risk for contamination of food. The parts of the utensils which have come in contact with fish, raw meat, or eggs are recommended to be washed with hot water and soap. Make sure you wash your hands to avoid spreading of any bacteria in your house.  Keeps Illnesses and Allergies at Bay: Many allergies could be caused due to dirty mattresses, carpets, sheets, walls, and furniture. In order to keep away mold, dust mites, cobwebs, and mildew, make sure you dust, mop, and vacuum the house on a regular basis. The sheets should be washed at least once a week with hot water and detergent. Floors and walls, wardrobes, and refrigerator should be cleaned using disinfectant sprays up to 2 to 3 times per month. Thoroughly clean your carpet and upholstery at regular intervals. Psychological Benefits: Association of Non-Cleanliness with Moral Lapse: In a review by Current Directions in Psychological Science, it has been found that physical cleanliness does not only physically benefit a being, it also results in weighing the person on a moral radar. When we perceive a physical contamination, we respond in the same way as we would in case of an act of moral disobedience. This response includes repulsion and disgust accompanied by their behavioural components like scowling and frowning. Sense of Accomplishment: Those who clean their house and living space have been found to have a consequent sense of accomplishment that adds to the way one feels about oneself. Clarity and Organization of Thoughts: It has been discovered that those living in a clean and neat environment tend to have a greater capacity to think than those who live in a messy and unclean atmosphere. Proactive Sanitation Teaching for Children: Start with your own home. A child emulates its parents, and if the parents practice cleanliness as part of their lives, children would notice and follow suit. Children tend to connect who they are with their home environment and as they grow up they ensure that such a cleanliness of their world around is maintained.  towards their immediate surroundings, thus ensuring that they do not contribute towards pollution and environmental degradation, at least on an individual level.
High heels can walk you to the hospital bedHigh heels make a fashion statement which makes us look tall, elegant and good but they cause injuries on a regular basis. High heel shoes have been luxury item once upon a time; today high heels have made themselves a part of every girl's life thanks to supermodels and stars. You will not find any health warning on shoes but they ought to, as they seriously put you at a high risk of numerous health problems. How are high heels and low back painrelated? High heels significantly affect your natural posture and your spine. The natural arch of spine becomes acute when walking in high heels. This poses high risk to the spine getting injured. This not only wears  and tears intervertebral cushions called discs but cause injury to the nerves too.  High heels put strain on muscles of lower back causing pain after a long day of wearing high heels. Nerve trapping, nerve pain and radiculopathy can result from wearing high heels for a long period. This is exhibited     as tingling, numbnessand pain. Arthritis, nerve pain, hammer toes, ingrown toenails and bunions are all common problems due to high heels. Calf muscle shortens and tightens after prolonged use. Jogging, playing, running with high-heeled shoes can tear and rupture calf muscles. What can you do to prevent damage? Firstly ensure your body is in top shape before you start. There is a much less chance of developing low back pain if you are strong and fit. So do activities like swimming, pilates, circuit class, box-exercise and whatever else thatmakes you feel good. Focus on activities that make the abdominal area strong includingyour deep core muscles. Secondly a regular regime of stretching will prevent a lot of problems occurring. Either get involved in a yoga class or make sure you do 10-15 minutes of stretching every day. Stretch your back, your calves and hamstrings especially. Thirdly get sports massage at leastonce-a-month. This will loosen the tightened structures, realign the spine and lengthen the hamstrings, calves and Achillestendon
High fiber foods and their benefitsFiber has many health benefits and that is why it is important to include fiber in your diet. However, if you are not used to fiber in your diet then introduce it slowly or it could cause indigestion and gas. Fibers are good for overall health and help to boost the immune system and help prevent a number of diseases. The digestive health benefits of fiber : If bowel movements are regular, then fibers will prevent both constipation and diarrhea. Regular movements flush out excessive cholesterol as well as harmful toxins from the intestines which could also be carcinogenic. Fiber helps to reduce inflammation of the intestines, could bring relief from irritable bowel syndrome and prevent piles, ulcers, and acidity. The benefits to the heart Soluble fiber is good for the heart. Fiber reduces the bad cholesterol levels (LDL). It helps to lower blood pressure, improves the levels of good cholesterol (HDL). Fibers reduce the risk of stroke also. These factors are good for heart heath. Weight Loss Fiber can help you to lose weight as it makes you feel fuller for longer which means you will eat less. High-fiber fruits and vegetables have lower calories, so by adding these to your diet cuts calories which could aid in weight loss. Eat 21 to 38 grams of fiber per day depending on your age and gender. Diabetes If you already suffer from type II diabetes then you should have soluble fiber as it slows down the absorption of sugar and can help to maintain blood sugar levels. Regulating blood sugar can also reduce the risk of kidney and gallbladder stones. Cancer prevention Though research is still ongoing, but the general conclusion is that eating fiber foods keeps the colon in a better condition and this could prevent colon cancer. However, it does prevent digestive tract cancer. The more fiber you eat the more fluids you should drink as that helps to absorb fiber better. Good for the skin Eating fiber is good for the skin as they help to flush out toxins from your body which otherwise cause acne. Besides eating a lot of fruits and vegetables produce antioxidants that are good for your skin. Some tips Start your day with fiber as it keeps you full and sugar levels just right to keep you energetic. Try to replace white rice, bread, and pasta with brown rice and whole grain products. Eat seeds, nuts, and flaxseeds either whole or ground and sprinkle some on fruit, yoghurt, or cereal. Add beans and legumes to your diet as often as possible. Eat whole fruits instead of juice. Insoluble fiber can be found in foods like whole grains, wheat, cereals, and vegetables such as carrots, celery, and tomatoes. Whereas soluble fibers are found in barley, oatmeal, beans, nuts, and fruits such as apples, berries, citrus fruits, and pears. Foods like meat, dairy, and sugar have no fiber and some foods like white rice, white bread, and pastries have no fiber either because it has got removed because of refining.
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.
Treating sore throatTest and diagnosisPatients with sore throat are examined by ENT specialists. At first, the doctor performs a local examination of throat. Clinical examination usually guides the doctor towards diagnosis. Although in order to confirm the diagnosis, the doctor may ask for culture and sensitivity test of the throat swab. Treatment Home remedies: Mild cases of sore throat are usually cured by home remedies. Following remedial measures can be adopted at home: Warm saline gargle – Gargle with warm saline water helps to relieve the discomfort and irritation of the throat. Half to one teaspoonful of salt is added to one full glass of warm water and the patient is advised to gargle. This process may be repeated 3 to 4 times a day to have a soothing effect on throat. Additionally, smoking and use of other tobacco products must be avoided. The patient must drink adequate amount of fluids. Warm liquid and semi-solid food must be consumed to provide a soothing effect on the throat. Cough lozenges to help relieve irritation and pain in the throat. Seeking advice of the doctor: If the signs and symptoms persist and are not adequately controlled by home remedies, the patient must seek advice of a specialist doctor. Viral infections usually do not require treatment. They are usually cured in 5 to 7 days. Bacterial infections require treatment as per the advice of a specialist doctor. Bacterial infections may require treatment by antibiotics. The treating doctor selects an antibiotic which is suitable for the patient depending on factors such as the age of the patient, report of the culture and sensitivity of throat swab, previous drug history of the patient, etc. Antibiotics usually effective in bacterial infection with sore throat are from the group of penicillins, cephalosporins, and macrolides. PreventionViral and bacterial infections are contagious. Good hygienic lifestyle and habits help prevent infections. Following things to be noted are: Frequent and thorough hand washes before consumption of food, after using toilet, and after sneezing and coughing. Use of a hand sanitizer during consumption of food outside home. Avoid sharing food and drinks from same glasses and utensils. Use a tissue paper or handkerchief while sneezing and coughing. Avoid close contact with patients with sore throat. If sore throat develops, few home remedies may prove to be curative. If sore throat persists, advice of a specialist doctor must be sought.
Work woes - The sexual problems of busy peopleThat one day Mr. X took half a day off and sneaked into his house to surprise his wife, he found her not tending to the garden, but attending to Mr.XXX, the neighbor! Long after the echoes of the shotgun had died down and way after Mr. XXX hopped off, holding on to dear life with trousers around his ankles, Mr. X was found asking himself loudly - why me? Though this story does bring about some amusement, it really isn't amusing to know a whole lot of relationships just going bust all because of the sex word and deed. Couples today are busier than ever, and after the initial euphoria of the relationship wears off; work, career advancements, salary packages get more precedence. Relationships start going off into the realm of a comfort zone where physical touch, intimacy, and sex take a back seat as most people think - "there will be a lot of time for that later." However, time and tide wait for no one- not even bright career enthusiasts, who put their careers over their relationships, only to wake up one day to see their love gone wrong! This is not to say that careers and hefty pay packages and promotions are not important. After all, we can rightly hear one say, "One cannot survive by love and fresh air alone." However, just as it is compulsory to swipe your card at the office door, couples have to ensure that they save some swiping for the bedroom as well. Easier said than done? Perhaps! Here are some of the typical problems that plague the love life of busy people : We have a relationship, why do we need sex? That may be just one partner's opinion! A man who thinks for two and loves for two is going to be in for a nasty surprise at some point. Sure, work pressure will always be there and so will conference calls and decision making. So, if you think your partner is going to live by the memories of your last intimate encounter, you need to get a reality check. Sure, your partner will probably understand that you are busy and maybe the fault is not entirely yours- maybe she is busy too! Sooner or later, you will have to figure out whether you are just flat mates or a real couple. And a real couple does things together- laughs, meets, makes love, fights, makes up, and all that! A good sex life only reinforces the emotional bond between couples and takes the relationship to another level. Going purely by sexual intercourse, then yes, sexual intercourse is, of course, healthy and has a lot of physiological benefits to offer like reduction of pain and feel-good endorphins. Some of us might just take only that bit and have sex with the first available person in sight! The point is sex within the framework of a relationship, can give better results and can foster strong ties, but the guilt from cheating on your partner can also add another reason for stress, which considering your already busy life, could well be the final straw that broke the camel's back. We do have an annual vacation, don't we? Sure! Timeshare holidays and stock options can make the best of vacation places easily accessible. So, the deal is - take your annual vacation abroad and stop groaning! What if you were paid just once a year or were allowed to eat just once a week? Would make you feel really great, right? Relationships need more than your annual vacation. Even a regular walk in the morning together is a better idea than a vacation on a cruise liner. In our material aspirations, we forget that good things in life are completely free. If only you weren't so brand conscious, you would've seen them right away. So, don't save all that sex up for the annual vacation; a weekend getaway will, in fact, add more spunk to your life. Thinking of you! Even the thought that one is in someone's thoughts can be so warm and bring out the best in a person. People who have a partner waving them off when they set off to work are generally happy and more productive at the workplace and have fewer disagreements or upsets. So, imagine the good luck charm being quadrupled by lovemaking! Call it stolen moments of passion. Take a chance... you might just be a little late for work, but then this is important business too! Be spontaneous and watch your partner respond to your sense of urgency. If that's not possible, then at least send a "thinking of you" message, or if you are more creative, you can personalize it with your brand of naughtiness and raunchiness. Rest assured, this will help you actually find the time to make love on a regular basis and your girl might even find a new you and actually miss you when you are gone. Shift workers: Don't shift the blame...shift the time to make love. The tragedy of these times is when both people are out working and both are extremely ambitious and both work different shifts. He is dead tired when she is all up and chirpy. It is night for one, daytime for the other! Wow, what a predicament to be in! One weary soul bone tired and hardly in the mood for love making! Who says you have to go all the way every day. Even touch therapy can be extremely enchanting, healing, invigorating, and can eventually lead to sex. Imagine a hand that caresses your brow as you crib about your boss's bitchiness or the conference that you have been given single handedly to handle? A kiss exchanged at the right time can sometimes do way with the sex part if you are too tired for it. Important thing is to wake up in your lover's arms rather than wake up too late to the fact that you have no love life. This can be a beautiful experience and you can exchange places, giving your partner a sensual body massage when she comes back from her shift. Making love, for sure, is important, but what is more important is keeping the love alive for the making of it!
Stress-free sex: Know your safe period!Having sex is a pleasurable thing; and the nicest way to enjoy it, is to give in without being bogged down by the fears of getting pregnant. Not every act of sexual intercourse will result in pregnancy. There are days when your chances of conception are very high, just like there are days when the chances of getting pregnant are almost nil. Identifying these days will help you enjoy a better and a more stressfree sex life! A woman's menstrual cycle starts from the first day of  bleeding and ends about 28 days after that, on an average. Ovulation occurs on the 14 day of the menstrual cycle. The 14th day is the ideal day, theoretically. Since every woman's menstrual cycle differs, the day of the ovulation also differs. Hence doctors calculate the fertile period from the 12th to the 18th day of the menstrual cycle. This is the period when the chances of ovulating and hence getting pregnant, are optimal. The 1st to the 7th day and the 19th day to the start of the next cycle, are the days when the ovulation chances are very low. This means if you make love during these days, there are very little chances of you getting pregnant. This is the case with women who have regular period cycles. In case your cycles are not regular, then you would need to do a bit of math to calculate your safe period. For example, if your shortest cycle is of 26 days and the longest cycle has been of 31 days, then: 26-18= 8 and 31-10=21, which means the 8th to the 21st day of your cycle, are the most fertile days. The 1st to the 7th day and then the 21st day to the start of your next cycle, are the days that are safe for you to enjoy sex, without fear of getting pregnant. Opting to have sex during the 'safe period', isn't always fool-proof though. A lot of women have irregular cycles and the cycle length can vary from woman to woman; which is why the so-called 'safe period', is in truth, not 100% safe. It is always better to use condoms or other contraceptive methods like the oral pill to prevent unwanted pregnancies.
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