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Male infertility : An overview of the causesWhy men shy away from infertility tests? However, it is ideal for both the man and woman of a relationship to get infertility tests done. This would not only avoid unnecessary tests and expenditure later and could also result in prompt medical treatment of the problem. Following an appointment with a urologist/andrologist, the patient is instructed to provide a semen sample for analysis of the quantity and quality of the sperms in the semen. An additional semen test might be recommended for confirmation of the initial results. The semen analysis is an effective method of knowing what is going wrong in the reproductive system : No-sperm count (azoospermia) - Absence of production of sperms or the non-appearance of sperms in the semen. Sperm Morphology Issues - Issues related to the structure and form of the sperm. Low-Semen Production (oligospermia) - Production of low amount of sperms. Sperm Motility Problems - Abnormal movement of sperms resulting in incapacity to fertilize egg. Did you know that use of laptops placed on your thighs can result in increase of scrotal temperature? This could lead to abnormality with sperm production. Thus, using laptops is best when they are located on table or desks, away from constant contact with your genital region. There could also be a primary medical condition, the symptom of which could be manifested reproductively. The physician will suggest blood and urine tests, among others, for the same. There can be 10 major causes of male infertility : Semen : Semen refers to the ejaculated fluid containing sperms during sexual intercourse. There could be low or no count of sperm. It is also possible that the mobility of sperm is restricted. Sterilization : The cutting and sealing off the vas deferens (the tubes which carry the sperms from testicles to the semen) ensuring that your semen does not contain sperms is known as vasectomy. Though this process can be reversed, they are mostly not fruitful. Lack of sperms : Even though the testicles are producing quality sperms, it is possible that they do not reach the semen. The lack of sperms in the semen is medically known as obstructive azoospermia. Such a condition could be caused due to the blocking in one of the constitutive tubes of the reproductive system. This could be further resulting from an infection or a previous surgery. Ejaculation issues : Some men might find it challenging to ejaculate normally due to retrograde (ejaculation of semen into bladder) or premature (ejaculation in very short period of sexual activity) ejaculation. Medicine and drugs : Certain medications have been found to catalyze the onset of infertility. These include sulfasalazine, chemotherapy, anabolic steroids, and herbal remedies (for instance, the consumption of root derivates of Tripterygium wilfordii). The quality of semen can also be negatively affected by illegal drugs like cocaine and marijuana. Testicles : The function of production and storage of the semen lies with the testicles. In case of injury to them, the quality of the semen could be negatively affected. Causes of injury to testicles include a congenital defect, testicular infection, physical trauma, testicular surgery or cancer and undescended testicles (case where one or both of the testicles do not descend into the scrotum). Hypogonadism : This refers to the presence of a very low level of testosterone (male sexual hormone) which plays a major role in production of sperms. This could be due to tumors, Klinefelter's syndrome, or consumption of illegal drugs. Sexually transmitted diseases (STDs) : A series of sexually transmitted illnesses can result in male infertility, for example, chlamydia. Alcohol and weight : Consumption of over 3 to 4 units of alcohol per day can result in infertility in men. Both men and women are affected adversely due to obesity. Occupational factors and stress : Contact with certain types of pesticides, solvents, and metals can result in deterioration of sperm quality. Stress has also been associated with the loss of sexual drive resulting in lesser instances of sexual intercourse. Moreover, in case of severe stress, sperm production can be unfavorably affected.
Preparing for fatherhoodFrom the time you decide to go for a baby, all the attention is concentrated on the mother-to-be. And this is not without reason, since she is the one that's going to bear the child for the next nine months. But that doesn't mean that the man's role is any less important. It is important for the father-to-be to ready himself for the next phase of his life. Following a healthy lifestyle Fertility is a growing problem. As per statistics more than 45% of infertility issues are related to men. Therefore, eating healthy food, exercising and living the healthy way will boost your chances of getting over these problems. Nutrition has an impact on the sperm production. So scrap the junk food for a while and get on to a healthy lifestyle. Men need to get at least 12 to 15 mg of zinc each day. Even short-term zinc deficiencies can reduce semen volume and testosterone levels, much needed for healthy sperms. Good sources of zinc include baked beans (a one-cup serving has 3.55 mg), nuts, cereals, seafood, and chicken meat (2.38 mg per three ounces). Regular intake of vitamins and calcium is a must to improve male fertility and prevent sperm defects. Natural sources of calcium such as fat-free milk and curd can be consumed. Get atleast 90mg of vitamin C daily. This boosts immunity. More will be needed if you smoke. Folic acid is a fuel for healthy sperms. Dads need 400 micrograms of it and green leafy vegetables are good sources of this nutrient. Dads-to-be can take the liberty to grab the extra cup of mocha. Caffeine may help men by stimulating sperm motility. Quit smoking and drinking The party's over for your partner once you start trying for a baby, but what about you? Same goes for men. Now is the time to stop smoking, and to stop any excessive consumption of alcohol. A man who smokes has a lower sperm count and a misshapen sperm, incapable of creating a child. Heavy or binge drinking can seriously affect ability to produce quality sperm. Exercise Add exercise session to your daily routine if you aren't doing them already. Exercise improves general health, stamina, and sperm quality. Start with walking for 15 minutes and increase it gradually if you have never exercised before. If you are trying for a baby, avoid exercising in tight-fitting briefs. It causes damage to sperms. Frequent sessions in a sauna or hot tub, long bicycle rides, or any such activity that could cause the testicles to become overheated can compromise the health of sperm and should be avoided. Medical examinations It is a good idea for the father-to-be to have a complete check-up to assess if there are any issues that need to be addressed before trying for a baby. Some conditions to watch out for include: Varicocele, a condition of varicose veins on the scrotum, the sac of skin that contains the testicles. It can lead to infertility. The condition is entirely treatable, so talk to your doctor about the options. Conditions like erectile dysfunction, diabetes, and prostatitis can cause infertility. Sexually transmitted infections, which may cause male infertility. Your doctor can help you get tested and treated. Your doctor can refer you to urologist or a male fertility specialist if you need additional testing or treatments. Remember to discuss possible hereditary birth defects with your doctor. Share with her the medical history of yours and your wife's family. Get finances organized Plan a baby budget. You surely want to give the best to your child. Start planning now. Consider expenses like baby food, diapers, toys, doctor visits, clothes, and day care. This will help you in the future. And this is the perfect time as you are just in the planning phase of baby making. Take advantage of this time before the baby arrives to get things in order concerning your job, insurance and budget plan. If you and your spouse discuss and agree on expectations, goals and strategies now, you can avoid arguments on money later. After all, you don't want baby to pick up on any tension. Dump your stress Chilling out can increase your potency. So the 'go for a holiday' advice actually works. Practise regular meditation or any exercise that will help bring down your stress levels. Try reading books on fatherhood or parenting and learn tips and advices well in advance. So gear up and start preparing for the change from being the coolest dude to the coolest dad.It is your responsibility to help your partner in all possible ways and make her feel that you are equally excited and keen for having a baby.
Breast lumps- myths busted!The rise in the occurrence of breast cancer in women, since past decade or so, has made women, especially in the urban areas, very cautious about lumps in their breasts. Whenever there is a small lump in the breast, the first thought that comes to mind, is may be this is cancerous. However, instead of taxing your brain with worries, it is better to take action and consult your caregiver. Here are some of the myths that are regularly associated with breast lumps and the real facts related to the same. Myth: If there is a breast lump, it must be cancerous Statistics reveal that out of 10 cases of breast lumps in women, only 2 are cancerous. More often, these lumps are due to fibroadenoma or cysts. In many women, lumps are formed during the menstrual cycle and they go away after it ends. It is not simply possible to tell exactly what kind of lump it is, just by feeling through hands. However, it is important to detect the composition of the lump and to do so at the initial stages, so that if it is detected cancerous, early diagnosis and treatment can save your life. Myth: If your mammogram is normal, you are safe and the lumps are not cancerous This is not particularly true. To detect the presence of cancerous cells, you need to get more tests done; an ultrasound, an MRI and also a follow up mammogram, to get a second view of the lump. Doctors also suggest a biopsy to be 100 percent sure of the diagnosis. If the lumps persist but there is no detection, your doctor may ask you to keep doing the tests at frequent intervals, to assess the development. Myth: Malignant breast lumps do not cause any pain Although breast cancer patients do not suffer from much pain, this does not mean that if you do not have pain, the lump is non-cancerous. There are different types of breast cancers; and in some types such as the inflammatory breast cancer, the patient can suffer from warmth, tenderness, redness and swelling, followed by pain in the lumps. Myth: If you get a lump while breastfeeding, it is not cancerous It is true that breastfeeding reduces the chances of development of cancerous cells. But there is still a possibility and hence you should not ignore the formation of lumps. It is advisable to immediately get an ultrasound to confirm the condition of the lump. Myth: Lump in young women cannot be cancerous Women can develop breast cancer at any age. Hence, if you have a breast lump at a young age, or even if your teenage daughter has developed a suspicious lump in her breast, you should always get it checked, at the earliest. Most often, cancer develops in the breast when women are past their menopause period. But this, in no way means, that they cannot get it at younger age. Myth: Only a larger lump can be cancerous, not a smaller one Lumps in the breasts can be of all sizes; and the size, does not determine the presence of cancerous cells. According to breast-imaging specialist at New York's Manhattan Diagnostic Radiology, Melissa Scheer MD, you must immediately see a doctor, whenever you feel the presence of even a tiny lump, because, a small lump too may turn out to be aggressively cancerous. Most often, the lump in the breast is non-cancerous; however, it is advisable to consult your caregiver immediately, once you discover the lump for the first time.
Just how sporty is your sports bra?Very few women in the world really know the right size of their bra and end up using wrong size bra all their life. A study shows that all over the world only 2 women out of 10 wear the right sized bra due to which they can never get the look they want. Since there is lot of difference in sports bra of different brands, you need time and patience to find out the most suitable one for you. You should keep on measuring yourself every year, and especially if you have added weight or lost weight. It is also necessary to check your bra-size after pregnancy.  On an average, the size of sports bra range from A to H and most women find a comfortable fit among either of this size. A good sports bra should always offer three things- support, comfort and breathability to the breasts. Choosing a Bra with a Good Fit Most of the elite bra shops offer good range of different sports bra. But it is important to know which one suits you or is of your size. A well fitting bra gives you the liberty to exercise or move with confidence and comfort. One thing you should keep in mind while purchasing a sports bra is your life style and preferences. Some like it padded, some like it embroidered, while some may like it simple. So apart from correct measurements, your style should be given preference while buying a sports bra. Moreover, you also should take into consideration the dress you are wearing on this bra. Here are some tips that can help you in selecting the right bra when you will go to the lingerie shop. Support   A good bra should offer your breast complete support, irrespective of whether they are small, medium or even big. If you have breasts ranging in between A to C cup, you should choose a compression bra that offers more comfort and support. If you are looking for a bra that also encapsulates and gives proper shape to your breasts then you should choose a bra accordingly. These bras offer more support than the compression bra. For getting both comfort and support, you can choose a compression bra that also encapsulates your breasts properly. Comfort You should feel comfortable when you wear a bra. It should stay in place and should not chafe. If possible, try one of the samples in the changing room and check whether the straps dig into your shoulders or whether the bands provide comfortable support to the breasts. The bra should hold the breasts comfortably without being restrictive. A good bra is one that holds your breasts in place even when you are performing all the jumping, running and swinging acts. Breathability The fabric of the sports bra should be good enough to wick away the sweat from the skin so that it dries quickly and allows the skin to breathe properly. The bra should allow excess heat and perspiration to pass through the fabric keeping you dry and cool during summer &  warm and dry during winter.  
Your bundle of joy comes with bundles of fascinating facts Blue-eyed wonder: Most babies are born blue-eyed. The melanin pigment that decides the color of the eyes is not developed at the time of birth. So the babies are born with blue/light eyes irrespective of the genetic makeup. By the time the baby is 6-7 months old, the pigments start developing and the baby's eye colour changes as per the genetic makeup of the parents. Marked for life: One in every three infant is born with a birthmark! No tears: That is true! New born babies do not shed any tears. The lacrimal duct and the tear glands are well developed but they produce just enough tears for lubrication. Actual tears start appearing after one month of age. Crawling wonders: New research has found that babies can crawl almost as soon as they are born. When left to themselves, they are quite capable of using their limbs and find their way to food i.e. the mother's breast.And we thought that they are tiny helpless creatures! Temperature sensitivity: Babies are much more sensitive to temperature changes and body heat.Though the baby can't throw off the clothes to cool down, it is smart enough to do other things. When the baby is cold, it will move around more and if it is too hot it may just lie still as if sunbathing. Touch therapy: Touch is the most highly developed sensation in babies, even in premature ones. The touch sensation develops from head to toe with the mouth being the most sensitive. No wonder they tend to put everything in their mouths. Short-sighted: Babies are short sighted at birth. Their vision is set to a limit of 8-to-12 inches. They can see people and objects clearly only if they are within this range. Brain size: The brain grows at such a rate in newborns that by the end of the first year,the brain is double the birth size and half its final size! Palmar Grasp: New born babies have a strong grip, as strong as a monkey's. The grip is so strong that if you dangle them on one hand, they can support their own weight. This probably originated from the primitive survival instinct. This strong grasp reduces after a couple of months. Taste buds: Babies have more than 10,000 taste buds situated all over the tongue and even at the roof and sides. As they grow, these extra taste buds disappear.
A baby - proofed guide to childcareCaring for kids is an important task. Everyone wishes to nourish kids in a loving and caring yet protective atmosphere. Initial stages of development call for more care and attention. Health, hygiene and safety at home and outside are important when it comes to kids. Here are a few helpful tips to all the parents: Nurture your infants with massage. Learn a right way or get it done from a professional. It is a great therapy to make muscles strong and bond with the baby. Prolonged crying bothers parents a lot. Usually continuous crying for long hours is suggestive of colic or stomach ache. It is the most common problem in kids, the reason being immature gastric system. Do not panic. Keep medicines at hand and give them as per instructions by your kid's doctor. Toddlers often insist on being carried even when they know how to walk well. Make sure to hold them comfortably. Diapering a baby is a skill that must be mastered especially when the baby is fidgety. Holding baby in right position flat on the back simplifies the task. Parents adapt to doing the job effortlessly with practice. Transition period of swapping from breastfeed to bottle known as weaning is a tough task for most of the babies. Consider gentle weaning strategies advised by the doctors. Do not be abrupt. Go slow! Some Safety Tips: Cap and lock the medicines, detergents, chemicals etc. in containers keeping them far away from the children. Bathingwater should be always checked before bathing the baby. Do not leave kids alone near water tub or any water source alone. Avoid leaving baby in a highchair to prevent injuries such asbaby climbing out, falling, or sliding. Lock up all the knives, matches, and plastic bags away from children to prevent poisonings, bleeding injuries, burns and suffocation.
Crossing the smoke screenWhy should someone quit smoking? Smoking is probably the worst sedentary lifestyle habit that we pick up. Quitting smoking changes everything right from the way you feel, taste and smell, your breath smells better and even your cough goes away. Quitting smoking cuts down the risk of cancer, stroke, neuropathy, heart disease and breathing disorders like bronchitis, pneumonia, and emphysema. Not just that, quitting saves money too... just one of the many financial rewards of quitting. Quit Smoking Tips Write down the reasons you want to quit for, and how it will benefit you: for e.g. live longer, feel better, family safety, save money, smell better, find a soul mate easily, etc. You know what's bad about smoking and you know what you'll get by quitting. Read the list daily. Ask for help from your family and friends. Help and support of family and friends without being judgmental helps a lot. You need their support when you become irritable and even irrational while you withdraw from your smoking habit. Set a Deadline. Set a quit date when you will extinguish forever. Prepare a plan. Talk with doctor and take his support and guidance. Exercise. Exercise helps relieve stress and recovers body from damage caused due to cigarettes. Start slow and increase up to 30 to 40 minutes. Begin to breathe. Daily deep breathing for 5-15 minutes will help cleanse the respiratory system and provide more oxygen repairing the damage caused to respiratory system and help cope with withdrawal symptoms. Do not quit abruptly. Cut down on cigarettes gradually. Plan everything about number of cigarettes you will smoke each day till the quit date, reduce the number each day. Buy single cigarette at a time. This helps a great deal to limit smoking. Change brands. This way you won't enjoy smoking as much. Undertake social commitment. Keep your packet of cigarettes with someone else, so that you have to ask for them each time you want to smoke. This way you'll feel guilty about asking and hence smoking; hence lowering the number of times you smoke. Find a mate who is trying to quit. This will boost the morale and keep up the positivity. Try finding a quitting chat room. Learn what triggers desire to smoke - like stress, the end of a meal, arrival at work, entering a bar, etc. Avoid these triggers or if that's impossible, plan alternative ways to deal with the triggers. Now, after you have read this, sit down and write your own list suitable to your personality and way of doing things and create your own plan for quitting.  
Causes and treatment of sleep talkingIt is usually believed that sleep talking is associated with dreaming, but there is no scientific evidence available to support this hypothesis. In few cases, it may be associated with sleep disorders or any other diseases. Sleep terrors and REM sleep behavior disorder (RBD) are two sleep disorders associated with sleep talking. Sleep terrors are associated with frightening scream, kicking, and thrashing. It is commonly seen in children. Awakening becomes difficult during sleep terror. Patients with RBD utter a sudden loud cry, grunt, shout, or act out their dreams, usually violently. Other causative factors of sleep walking are emotional stress, mental health illnesses, substance abuse, fever, and certain medications. Treatment: Evaluation of the patient Patients with sleep talking should be evaluated by a specialist doctor especially if it is seen in adults or associated with violent actions, screaming, or intense fear. If children with sleep talking have disturbed sleep pattern, they should be evaluated by the pediatrician. The doctor asks questions to the parents, roommates, and bed partners about the nature and the extent of sleep talking. There is no definitive treatment available for sleep talking, although the doctor may test to record the sleep pattern of the patient to identify any sleep disorder. This test is known as polysomnogram. Management Sleep talking usually does not require treatment. Avoidance of stress and plenty of sleep at night may help to decrease sleep talking. However if any sleep disorder is identified by polysomnogram, it is treated accordingly by the doctor. If underlying causes like mental illnesses, substance abuse, or medications are identified, they are also managed accordingly. Mental illnesses like depression should be treated with proper counseling and medications. The patients should refrain from alcohol, heavy meals, fatty meals, etc. The patients are advised to follow regular sleep schedule, get adequate amount of sleep, and practice proper sleep hygiene so that severity and frequency of sleep talking is decreased.
The age of nutritionAdvantages of Healthy Eating: Increased mental acuteness Resistance to illness and disease Higher energy levels More strong immune system Faster recuperation times Better management of chronic health problems Eating Obstacles for Seniors:  Lifestyle changes: Lifestyle changes can be an eating obstacle. For example single seniors may not know how to cook or may not like eating alone. Activity level: Seniors often cut back on activity for physical and medical reasons. Weight gain can result from the decrease in calories burned. Metabolism: Every year over the age of forty, our metabolism slows down. This means that even if you continue to eat the same amount and kinds of food as when you were younger, you're likely to gain weight because you're burning fewer calories. In addition, you may be less physically active now. Taste and appetite: The senses of taste and smell diminish, so one may be inclined to season one's food more heavily than before even though seniors need less salt than younger people. One may struggle with loss of appetite due to lifestyle, loneliness or a medical condition. Health Issues: Physical ailments and prescription medications, become a daily exercise, and ends up often negatively influencing appetite. Digestion:Due to changes in your digestive system, you generate less saliva and stomach acid as you get older, making it more difficult for your body to process certain vitamins and minerals, such as B12, B6 and folic acid, which are necessary to maintain mental alertness, a keen memory and good circulation. Emotional Factors: Emotional factors such as loneliness and depression can affect your diet. For some, feeling down leads to not eating and in others it may trigger overeating. Specific Nutritional Recommendations for Seniors: Some important guidelines for seniors include Reduce sodium (salt) to prevent high blood pressure, Monitor fat intake in order to maintain healthy cholesterol levels Consume more calcium and vitamin D for bone health Eat more fibre-rich foods to prevent constipation Cut back on sugar and on dry foods Ensure getting recommended amount of important vitamins and minerals Increase water intake, and Perform regular physical activity Eating well as you age is easier than you think: Focus on good carbohydrates. Opt for whole grain nutrition (brown rice, whole wheat bread, rolled oats, barley, and millet), not refined "white" products, such as white bread, white rice, or products made with white flour. To manage weight and maintain optimum health, focus on eating efficiently. This means choosing foods that maximize nutritional value, not calories. Whole, natural, fresh foods such as fruits and vegetables, whole grains, nuts, legumes, healthy sources of protein (poultry, fish, eggs, and tofu) and dairy products that contain calcium constitute efficient eating. Highly processed and refined foods usually contain more calories and fewer nutrients. Raw equals roughage! Aim to eat at least one daily serving of your fruits and vegetables raw. This not only preserves their nutritional value, it's an easy way to eliminate constipation. Steaming is the best way to cook vegetables; it preserves nutrients. Light sauting is next. Bone up on calcium. All dairy products are not created equal. Milk, cheese and yogurt retain their calcium content; cream cheese, cream and butter do not. As part of a healthy senior diet, choose fat-free or low fat dairy products. Choose first-rate fats. Get your "good" fats from oils such as olive oil and sunflower oil, avocados and avocado oil, nuts and seeds. Keep it moist. In addition to drinking enough water each day, aim to consume foods with high water content. Staying properly hydrated flushes toxins from your body, relieves constipation, helps keep your joints flexible and your mind clear. High water content foods include melons, grapes, cucumbers, onions, apples, cabbage, and, of course, soup.
5 Muscle building smoothiesProtein is highly important for muscle building as it repairs the muscles and help in their rapid recovery after a workout. That is why most of the trainers recommend taking protein smoothies after workouts. Generally, banana and peanut butter alternatively, are used to add the protein content to the smoothies. Apart from these, Chocolate is a hot favourite as well. But if these do get boring, here are some smoothie ideas, only for you. Hot Cocoa (bed-time and post workout) Ingredients: 1-cup milk (fat-free), 1 scoop whey protein chocolate, 1 packet Swiss Miss Diet hot Cocoa and ½-cup cottage cheese (low fat). Recipe Heat the milk and just when it gets to the boiling point, blend it in the blender with the protein, cottage cheese and cocoa until smooth. Ensure that the mixture has mixed well. This protein smoothie can be taken just before bedtime as well, because the cottage cheese contains slow digesting proteins that are great for overnight muscle repairing. Each glass of the Hot Cocoa smoothie contains: Calories-275 Protein-44 gms Carbs-20 gms Fat-1 gm Fiber-0gm Root Beer Float (post-workout) Ingredients: 1 scoop vanilla flavored whey protein, ½ cup vanilla yoghurt (fat free(, 1 scoop vanilla casein protein and 1 ½ cup root beer Recipe In a bowl mix all the protein powders into the yogurt slowly and stir well to avoid clumps. Now, pour the root beer in a large beer glass and add this mixture of yoghurt carefully, without stirring. Since the root beer starts carbonation process, the shake becomes quite frothy without having to use a blender for mixing. Each large glass of the Root Beer Float smoothie contains: Calories-443 Protein-48gms Carbs-61 gms Fat-1 gm Fiber-1 gm Post workout or pre-workout smoothies provide the necessary protein to the body that contributes in rapid muscle recovery and growth. Peach Cobbler (pre-workout) Ingredients: 1-cup water, ½ can of sliced peaches with juice, 1 scoop vanilla whey and 1 packet Quakers Instant Oatmeal (lower sugar maple and brown sugar) Recipe Mix all the ingredients in a blender and serve. Use an immersion blender for this one, to get a finely mixed smoothie. Each glass of the Peach Cobbler smoothie contains: Calories-305 Protein-24 gms Carbs-49 gms Fat- 2 gms Fiber-3 gms Orange Creamsicle (pre-workout) Ingredients: 1-cup orange juice, ½ cup fat-free yoghurt (vanilla flavor) and 1 scoop vanilla whey protein Recipe Mix all the ingredients in the blender and enjoy your smoothie. Ensure that you use real orange juice and not the flavored orange drinks for this one to get the desired result. One glass of the Orange Creamsicle smoothie contains: Calories-280 Protein-27gms Carbs-43 gms Fat-1 gm Fiber-2 gms Chocolate Almond Brownie (pre workout or early morning) Ingredients: 1 cup milk (fat-free), ¼ cup almonds (chopped), ½ Clif brownie bar (chocolate flavor-chopped finely) and 1 scoop of chocolate flavored whey protein Recipe Mix the milk and the flavored protein in the blender and serve with almonds and Clif bar topping. Use a spoon as you will be eating as well as drinking the shake, because the almonds and the bar chips can settle to the bottom. One glass of this Chocolate Almond Brownie smoothie contains: Calories -457 Protein-39 gms Carbs-41 gms Fat-17 gms Fiber-8 gms
A quick guide to high blood pressureWhat is blood pressure? Blood pressure is the force or pressure exerted by blood on the walls of arteries while flowing through it. What is normal? A blood pressure value of 120/80 mm Hg is ideally said to be the normal. The upper value (systolic) reads the pressure when the heart beats (squeezes to pump the blood). The lower value (diastolic) computes pressure at rest in between the heartbeats when the heart refills with blood. What is hypertension or high blood pressure? The condition in which the pressure of blood in the arteries is persistently high.More the pressure, harder the heart has to work to pump the blood. The prolonged and too high blood pressure (BP) raises the heart's work persistently and can lead to grave damage to the arteries. This eventually leads to uncontrolled high blood pressure raising the risk of heart disease, stroke, and kidney disease in the long run.A blood pressure above 130/90 mm Hg is said to be high. What are the symptoms of hypertension? Hypertension can go unnoticed without any symptoms and thus remain untreated for years altogether. Thus, it is also called as silent killer sometimes. What causes hypertension? The cause of hypertension is unknown in most of the cases. Sometimes, hypertension occurs secondary to kidney disease or adrenal gland disease. Who are at risk of getting high BP? The risk of developing high blood pressure is more in people above the age of 45, those who have close relatives already suffering from hypertension, and who have history of diabetes, Many people consistently have blood pressure above normal, yet not so high to be called as hypertension (130-140 /80-90). These people are at more risk of developing hypertension. Is salt and blood pressure are related? Sodium content of salt causes water retention thus putting more burden on heart and raising blood pressure. So watch the foods you eat for sodium content and stick to a low-sodium diet. Stress and high blood pressure Stress can increase the blood pressure, but no scientific facts to suggest that it causes hypertension. Stress can lead to addictions, poor diet, lack of sleep which can indirectly contribute to high blood pressure and heart disease. Obesity and hypertension Obesity strains heart and raises the risk. Losing every kilo makes a huge difference. Alcohol  Alcohol can surely raise blood pressure and limiting it mandatory. Pregnancy and hypertension High blood pressure during pregnancy is called as gestational hypertension. It can cause serious complications like preeclampsia. It can harm both the mother and baby. It can compromise oxygen flow to the baby. The blood pressure normalizes after child's birth. Medicines and hypertension Some medicines, like pain killers, birth control pills, steroids, flu medicines etc. can cause the blood pressure to rise. Be careful with the medications. Avoid over-the-counter medications and take doctor's advice before consuming any medicine. "White coat" phenomenon Some people show high blood pressure in doctor's clinic due to nervousness. This is called as white coat phenomenon. These people are at risk of developing high blood pressure. Kids and hypertension Kids who are obese and have a family history are more at risk. How to control high blood pressure? Eat healthy: Eat more fresh fruits, vegetables, whole-grain foods, low-fat dairy products, and nuts. Say no to sweets, saturated fats, and excess salt. Exercise: Regular physical activity lowers blood pressure. Atleast 150 minutes of exercise per week is essential. Activities like brisk walking, swimming, cycling or gardening, all count. Reduce stress: Add yoga, meditation, deep breathing. All have proven to lower the blood pressure and keep it normal. Hypertension is usually a chronic life-long condition. It's very essential to take medications, make lifestyle changes and regularly monitor blood pressure. Keeping it under checkwillreducethe potential riskof heart disease, kidney diseases, and stroke.
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.
Painful intercourseSome of the causes affecting women can be: Going too fast, penetrating from an awkward position. Do not hesitate to tell your partner that it hurts and he needs to slow down or change position in order to make you comfortable and prevent pain. Dry vagina or lack of natural lubrication in the vagina. This dry vagina is caused due to some medications, changes at the menopause. Sometimes just increasing the time of foreplay can help vaginal lubrication. Use water-based lubricant to reduce pain. Failure to fire off. Sometimes failure of the vagina and uterus to respond to sexual arousal can lead to irritation and tenderness. The vagina may be too tight for the intercourse sometimes or the uterus may not be raised so that the penis comes in contact with the cervix during penetration. Using other penetration methods can be helpful to explore the level of arousal before engaging in intercourse. Vaginismus can be the cause of discomfort. Muscles surrounding vagina are sometimes very tight and lead to pain and intercourse to be painful. Woman can examine herself with her fingers to see if vaginal walls are tighter than normal. It can be vaginismus. Normal cause is nervousness or anxiety. It is reversible. Good foreplay before intercourse will help to relax the muscles and help lubricate. Just relaxing before the act can be helpful. Vaginal infection and inflammation due to yeast, herpes, etc. can make intercourse uncomfortable. Fabrics, creams, perfumes may cause irritation in area in some women. Avoid these. First-time sex can be a little painful. Rupture of the hymen can cause discomfort during penetration. Start slowly or begin with forms of penetration other than intercourse. Psychological pain. Sexually traumatic experiences or feelings of guilt associated with sex can make the act painful. Consult a sex therapist or psychiatrist. Discomfort during intercourse is experienced by men too, various causes affecting this outcome for men are: Tight foreskin. During first attempt at intercourse, tight foreskin will make retraction painful. After sometime, the foreskin will become loose and make intercourse comfortable. Any lesion on the penis skin can make intercourse painful. These may result from non-lubricated masturbation or rapid intercourse or STDs. The blisters due to herpes infection can make intercourse extremely painful.
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