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Handling post retirement bluesYou have given the best years of your life to your career, and now it's time to say goodbye and get ready for the retired life. It is a phase laden with expectations of all things you were too busy to do while working - spending more time with family, going on that fishing expedition, or going on leisure trips around the world. However, despite the wonderful things to come, retirement can get unusually trying and mentally taxing. After all, how many of us really have the flexibility of mind to take this period as a challenge and be the master of our destinies? Just because you are retired doesn't mean you have to wither away and wait for death to claim you. So, here's what you can do to beat the retirement blues Catching up: This is really a bewildering time, as you have a lot of catching up to do, with a lot of things. Prioritize the things you want to do and proceed confidently. You may want to spend time with children, spouse, friends, etc. Go easy on yourself, as you may not be able to fit in as many things in your schedule all at the same time. Boost your self-esteem: Retirement is particularly trying for those who have occupied important positions in office. Such people are known to throw tantrums, as they feel less wanted than before. So don't ever make the mistake of treating your family like you treated subordinates at work. That was a role that you played then, and without reducing your importance or self-esteem you can now play a different role with your family as a friend, philosopher and guide. In fact, you can use your contacts and keep the old network alive by involving youth in your field of expertise and help them benefit from you. Catch up on exercise: The more physically fit you are the less likely that retirement will be a painful process. Perfect time for you to catch up on the fun times with your spouse to remind you of all the great times you have had all these years. If your spouse is not in the best of health then just being together is such a wonderful experience in the golden years. Financial health: Your peace of mind and self-esteem largely depend on how independent you are financially. You can take up a part time job or think of innovative ways to let your hobbies and interests generate money for you. This should be an enjoyable process by which your self-esteem can really benefit. Support groups: There are informal or formal associations of retired people that do various activities like travelling. Make yourself available to them. Sometimes retired people withdraw into a shell and that only makes things worse. These support groups give a fresh perspective on all things in life.
Tips to make you feel handsomeYou must have heard that looking good takes a lot of money and hard work. But trust me, it's not true at all. You just need to stay confident, and follow few simple and easy tips to get that perfect look. Let us start off by trying to understand what exactly does handsome mean. Well, a simple definition could be -"being handsome means being confident and having loads of style and poise". It's not dependent on somebody's face, or body specifically. So, what makes a person handsome? Will his attitude count? Do we need a lot of money to get that look?  Let's answer all such questions in the article. Personal care: The first for getting a perfect look is to look after yourself well. This shall include: Hygiene: Personal hygiene is most important. Dental hygiene, managing body odor, cutting your nails on time, removing hair in the underarms, nose, and taking care of overall body hygiene is of utmost importance. Skin care: Like women, men need to take care of their skin as well. Applying moisturizers or lotions is necessary. Hair care: Try and wash and shampoo your hair at least twice in a week. You could use natural or artificial conditioners in the hair to make it soft.  Get a trim every month, or else they can become too long and unmanageable. The suave and debonair look: Along with everything else, one needs to take care of one's facial hair also. Try and avoid the rough and rugged look, and get a good shave for yourself. You can either keep clean shaved look, or maintain a beard which is well trimmed. This will give you an urbane and classy look. Clothes cabana: One needs to understand that there are some clothes which shall look good on them and others not. Try and determine which shades look good on you. After this, you need to choose your formal and casual wears as well. Take risks, as you cannot guess what will look good on you every single time. The must have checklist is given below:  A pair of good dark blue jeans A white shirt A colored T-shirt Jacket and waist coat Dinner jacket or tuxedo (whichever suits you) Pair of black trousers Sweatshirts A Full pastel shade sweater Accessorize your look- You need to pair good clothes with cool embellishments like- Shoes: Get two different pairs-one leather and the other sports- for formal and informal occasions. The shoes should be buffed with shoe wax regularly, and you can wash off the dirt on your sports shoes once a month, at least. Belts and Tie: A good and well fitting tie, and a sober choice in belts always adds to the look of the "complete man". Watches: A good analog watch is a "must have" on every guy's wrist. Work out regimens: Now, work out does not only mean joining a gym, or keeping a personal trainer. You need to just keep your body fit, and that can be done by jogging, yoga, or even daily walks. You can even pick up a sport, for that matter. Eat healthy: Try to follow a diet regimen which, nowhere, means you need to have nightmarish boiled vegetables only. You just need to avoid eating outside . This shall not only help you look good, but will let you remain  young and fit for many years.  Once in a week, though, you can easily dig into your favorite foods. Say no to cigarettes and alcohol: Working out, or eating healthy will never help you get in good shape till you say no to all the bad . Try and quit smoking and drinking, as they affect your health and stamina adversely. Along with that, they also have a very bad effect on your mental health. Million dollar smile: Try to wear a good and sweet smile, as a straight face might end up making you look unapproachable and arrogant. So, remember, smiling always helps to complete your attire, and style. Good stance: Wearing all the best outfits  might go all in vain if you have a bad body posture. Try to walk and sit straight. Having an erect stance always makes you look more confident, attractive, and masculine. Wear your confidence and attitude: Lastly, be comfortable and confident with whatever you wear, and however you look. Being confident makes you win half the battle always. So, what are you waiting for? Start off your preparations, as being handsome does not really require an occasion.
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.
Woman, look below your face too!Skin problems are not restricted to the face alone. There are several places where there could be problems. You don't have to grimace and bear it always! Moles: A mole is formed when the skin grows out in a crop or cluster. Moles can be quite harmless. At times, moles are also precursors to serious melanomas. If your mole suddenly grows big or changes colour or starts to bleed, see your dermatologist right away. He will advice a biopsy to rule out anything serious. It is always safe to be in the clear! Rosacea: This is an irritating skin condition that is brought on by specific triggers. It is usually manifested as red spots on the face, flushing or small red eruptions on the face. This condition has multiple triggers, the most common one being the sun. With no cure being available for rosacea, avoiding the triggers like sun, alcohol and extreme temperatures is the only solution. For moderate to severe cases, topical or oral antibiotics are prescribed. Depending on the severity, laser treatments that zap the blood vessels that cause the flushing can also be opted for. Ingrown hair: Too much of waxing and shaving results in the hair growing haphazardly. It results in hair curling up and growing up backwards. It can be a painful condition, especially if it gets infected. Wipe the skin with a cloth dipped in warm water to soften the skin so that it can grow freely. If the pus has already found its place, dab a bit of benzyl peroxide on it. Stretch marks: When your skin stretches with rapid weight gain, as in pregnancy, the result is unsightly stretch marks. Stretch marks, though a proud and happy achievement, can be an embarrassingly reality too! Treatment for them is possible when they are still fresh and pink. Applying a vitamin A or retinoid based cream regularly helps reduce the visibility of the stretch marks by making the skin more pliable. White spots: White spots can be anything from PMLE to Vitiligo. Polymorphous Light Eruptions are the typical whitish spots that come up on the exposed parts when you are out in the sun too much. It occurs due to the damage to the melanocytes by the harsh rays of the sun. In some cases, there are antibodies that the body produces against the melanocytes that go around killing the melanocytes in random places. This causes large white spots at random locations on the body which typically spread. So use a sunblock every time you step out into the sun. If you find the spot growing in size, consult your dermatologist. He may determine whether it is vitiligo. Vitiligo has no cure, there are oral medications available, which along with the sunrays help restoring some color to the skin. Birthmarks: These are pigment cells that are overgrown. Most birthmarks fade over time. However, if yours starts growing and changes to a dark brown color, get yourself checked by a skin specialist. Chances are that it could be a melanoma. Birthmarks are usually harmless and do not require removal except for cosmetic reasons. However certain medical conditions like melanoma also warrant their removal. Varicose veins: When blood in the legs isn't unable to pump up against gravity or if the valves of the leg veins are faulty, the blood starts stagnating in the leg. This causes the legs to swell and the veins to look prominent. This painful condition occurs in obese people, at times in pregnancy and in people with jobs that requires them to stand all day. Resting with the feet above chest level is a solution for mild to moderate cases. In severe cases, the solution is laser treatment. Scars: As a child, you burnt your leg by accidentally placing it on the hot silencer of daddy's bike? You may still have a scar to remind you of that incident! Scars happen after an injury to the skin's collagen and elastin. If scarred, you may have to live with it. However, there is no reason why the new injuries have to have reminders for life. Skin discolorations, keloids or pockmarks from acne attacks, whatever the scar, there are multiple creams and laser options available to treat them. Age spots: Also called Liver spots, they have nothing to with either your age or liver. They are caused when your skin produces extra melanin to cope with your sun exposure. Alternate application of a bleaching cream like hydroquinone and an exfoliating cream like a retinoid based cream can help lighten the spots. Do this under your dermatologist's guidance only. Other options include chemical peels and microdermablasion. Lasers are last option treatments for stubborn old spots. Eczema: This is a long-term skin disease, also known as atopic dermatitis. Most common symptoms include dry and itchy skin, rashes on the face, inside the elbows, behind the knees, and on the hands and feet. Currently, there is no single test to diagnose eczema, so doctors rely on information about you and your family. Treatment options do not include cure, only immediate relief from the inflammation and itching can be obtained. Hives: Hives are the red and sometimes itchy bumps on your skin. They usually appear as an allergic reaction to certain foods or drugs. People who have some form of other allergy are more likely to get hives than people who don't have any allergy at all. Other causes include infections and stress. Hives usually go away on their own, but if you have a serious case, you might need medical help. Skin is the largest organ of our body. It is the protective barrier between our body and the outer harmful world full of bacteria, viruses and other dangerous microbes. Hence, it becomes extremely essential that caring for our skin should find top spot on our health care list.
Bow legsCauses: Physiological - As mentioned before, bow legs are normal below 18 months of age. Thereafter as the child continues to grow the bowing begins to improve slowly. By the age of 3 to 4 the deformity usually gets corrected. Blount’s disease - This disease results in bowing of legs due to abnormality of the growth plate of the upper part of shinbone known as tibia. Growth plates are the growing end of the bones. It is diagnosed after the child is 3 to 4 years old. Rickets - Rickets is a group of diseases that occurs due to deficiency of vitamin D. Rickets is characterized by bow legs and other bony deformities. Most commonly rickets occurs in children due to deficient intake of vitamin D. Signs and symptoms: The bony deformity becomes visible when the affected child walks or stands. The uncommon walking pattern of the child is the commonest symptom. Bow legs usually do not cause any pain. However, persistent and severe bow legs cause discomfort to other bony structures like spine and hip. Test and diagnosis: The doctor at first asks questions to the parents regarding the development of the child. This is followed by physical examination of the child. Physical examination often suggests bow legs. If the doctor suspects an underlying disease, necessary laboratory tests are done. The doctor always asks for an x-ray of the affected legs to evaluate the severity and extent of bowing. Treatment: If the bow legs persist after 3 to 4 years or an underlying disease is detected, treatment is undertaken. Medical and non-surgical treatment- In cases of physiological bow legs, no treatment is required. The parents are reassured by the doctor and spontaneous resolution takes place by the age of 2 years. Continuous followup is advised for borderline cases. Children with Blount’s disease need treatment with a brace. Children with rickets need medical management by a specialist doctor. Additionally, they need advice and regular followup by an Orthopedic surgeon. Surgical treatment  - If the bony defects persist in children with bow legs even after medical and nonsurgical treatment, surgery is required to correct the bowing. Two types of surgery is advocated to correct bony deformity of the legs. Guided growth:  Growth of the healthy part of the growth plate is stopped and that of the abnormal part is promoted. This allows straightening of the legs. Tibial osteotomy: The shinbone (tibia) is cut and reshaped to correct the deformity. Then bone is fixed with screws and plate. In both surgeries a cast is applied to promote healing of the bone. Crutches may be required for a few weeks to prevent weight bearing on the limb. Later, physical therapies are advised for complete recovery of range of movements and regular activities. Prevention The parents need to be vigilant about appearance of any bony deformity in legs of their child. The child must be given adequate amount of vitamin D in diet or vitamin D supplementation to prevent development of rickets.
Dehydration: Prevention and curePlaying outside is great for the child's physical as well mental development. But if your child has spent the entire day outside and comes back with fever, diarrhea, or vomiting, and is sweating a lot, then watch out for the signs of dehydration. What is dehydration? Dehydration means abnormal loss of water from the body, especially from illness or physical exertion. Under normal conditions we all lose some body water through sweat, urine, and tears. Kids lose large amount of water and salt from body during fever, diarrhoea, vomiting, or long hours of physical activity or exercise without any water intake. How do I know it is dehydration? If your child has any of the fever, diarrhoea, vomiting or is sweating a lot on hot days then watch for these signs: Sunken eyes Dry or sticky mouth Dark urine or lack of urine output Tiredness, lethargy, irritability or fatigue How can I prevent dehydration? The best way to prevent dehydration is to ensure the child drinks plenty of fluids when they are sick or physically active. Get your kid in the habit of drinking enough water before he/she even feels thirsty.If it is very hot, explain to the kids the benefits of drinking water frequently. If possible, avoid going out in the sun. Give your kids a well-balanced meal to be sure that they are getting all the adequate nutrients. What if my kid gets dehydrated? If the kid is below 1 year, care should be taken to breast feed the baby often. If the dehydration is due to vomiting, feed small amounts frequently for it to absorb in between the vomiting episodes. Give a spoonful of ORS solution every 10 minutes to replace the lost fluids. For kids above 1 year, start with plain water initially when the kid complains of thirst. Later the kids may need drinks containing sugar and electrolytes. Also, the child should be made to rest at home in a cool environment until the lost fluid has been replaced. Once the child is rehydrated, resume to normal routine and diet.
Communicate to strengthen the family tiesA family that talks to each other stays together. Sounds easy? But how often does your family sit down together in the week to spend time with each other? How about breakfasts and dinners? Are you all able to match your meal times or are you catching each other by the end of the coats in the fast paced world that has us spinning us on our heels constantly? As the family members run in and out of the house, like in a hotel, engulfed in their daily routines they slowly start drifting away from each other. Somewhere pushed to the depths of the heart are old connections and affections with the family. Ideal conversations during childhood, encouragements received during tough times, sibling squabbles in adolescence and many a wonderful memories tug at the heart keeping the family from disintegrating altogether. On the contrary, improper communication and bottled feelings singe the heart in such circumstances and lead to the tumbling of the family ecosystem. Understanding how to build effective communication within the family is important as it helps build a stronger, inseparable family. Here are some effective practices: Communicate Frequently:With the limited time that you have with your family, make communication a common and frequent activity.  While traveling in the car, during meal times, replace TV time with talking, talk to your young ones at bedtime. Keep designated time for informal family meetings and encourage conversations among the family members. Keep the cell phones and laptops in the other room when the whole family is sitting together. Communicate Clearly and Directly:Develop an environment where the family members feel okay to communicate clearly and directly. Allow them to express their thoughts and feelings without having to mask and filter them. This is important in a parent-child relationship and sibling-sibling relationship. It also helps build confidence, family intimacy and bonding among the family members. On the other hand, veiled, indirect or vague communication is ineffective and harmful as it increases confusion and communication gaps. Active Listening:Open and free communication flows only when it is received well and the other person's perspective is acknowledged and respected. Active listening is the cornerstone of effective communication. Whether listening to your partner or child, it is necessary to pay attention to not just the words but tell-tale signs in the tone of communication and non-verbal messages too. Nodding of the head, or words of acknowledgment like, "I understand" make the other person feel that what they are saying is valued and received. Asking questions and requesting clarifications for the parts of the message you do not understand is a very important part of active listening. Trust and Honesty:Only when the family members feel that they can trust each other, can they communicate honestly. Trust is the key for strong familial relationships. Trust is propagated through openness and honesty. Understanding the Individual:The way each individual of the family feels and communicates is different. The way you communicate with the different family members should vary accordingly. Especially in case of young children, as their maturity levels are different than the young adults and adults in the family. The unspoken messages:Not everything might be said in words. Learning to read non-verbal communication such as expressions and body language are very important in understanding the entire message being conveyed to you or the parts being held back. Stay Positive:Many complications and problems between family members can be avoided or solved by effective communication. When dealing with undesired or negative situations, it is important that the words and tonality of the communication is positive. Avoid engaging in negative communication like criticism, defensiveness or contempt. Such negative communication patterns discourage communication.Communication is essential to successful family functioning. Taking inventory of how well the family is doing and readjusting course and practices will help improve the family environment and build a happy family that shares openly and honestly with each other.
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.
10 bedtime beauty essentials! Here are the beauty essentials you need to take into consideration, before you hit the bed: Baby-soft soles :Before you sleep, apply Vaseline on the sole of your feet. This will adequately moisturize your soles and you can wake up to the great opportunity of wearing those heels you have been dying to try out! Healing the puffy eyes : If you are worried about waking up with puffy and tired eyes (even after 6 to 8 hours of sleep), then put on a little eye cream. You can also keep an extra pillow and make sure you sleep on your back. This will allow the fluids around your eyes to drain easily and reduce the puffiness. Trying out wavy hairstyle : Bedtime is the best time to work on your hairstyle. Before you sleep, shower and fashion your hair into the style you want. Apply a styling cream on your hair gradually, after having air-dried it. Now, decide if you would like to put them up in buns or braids. Stylize them into the pattern and wake up to wavy hair! Let your skin breathe : Those who are suffering from dry skin can apply moisturizer. A humidifier is also a great accessory for help in these cases. You can switch on the humidifier before you go to sleep. This will help your skin to retain its moisture through appropriate hydration. Keep aging at bay :Did you know that sleeping on cotton pillowcases can increase the chances of creases and wrinkles on your skin? Prevent wrinkles by using silk or satin bed clothing. This will also reduce hair breaking. Wake up, miss white smiles: If you want to take off the yellows from your teeth, then brush some baking soda and let them stay for about 8 minutes. Afterwards, thoroughly rinse your mouth. Do not perform this beauty tip more than once a week, it will negatively affect the structure of your enamel. Work on your complexion :During the day, sunlight might disable some face creams from working effectively on your complexion. Make the most use of night and apply a face cream containing retinal and vitamin C. Lengthen your lashes : Eye lashes depth and grace to your eyes. You might feel that working on your lashes will require way too much effort. But, much to your surprise, everything your lashes need is contained in a natural ingredient - castor oil. Consisting of Omega-3 fatty acids, which are highly hydrating, they will avoid your lashes from breaking and also strengthen them. Apply castor oil on your lashes before you sleep and watch them grow thick and healthy within a few weeks! Taking care of your hair : Skim leave-in conditioner through your hair in the evening and let them stay on till the morning. This will let them become soft and shiny. You can also use coconut oil as an alternate conditioner. Readying your nails for polish : Depending on the skin type, the nails of certain people become dry. If you are one of them, it would be best to apply a cuticle cream or oil on them before you sleep to wake up to polish-ready nails.
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.
12 Surprising pain triggersPain, one word that can send shivers down one's spine and can make one go weak in the knees. Such is the effect of pain, you utter the 1st alphabet of this word everyone dreads and you see how the room full of people will stare at you in horror. Now, pain can be of different types, good pains (No! I am not crazy, there is such a thing as good pain, don't get the gist of it, well the good pain is none other than labor pain) and then there is bad pain. Now, bad pain can be caused by a number of things, say you dropping a paper weight on your foot or eating something super cold (that hurts the teeth so much, you can barely talk) worse, pain from an accidental fall. Now, pains are common with both men as well as women, they both have abdominal pains, headaches, muscle pains, and back pains, but there are some forms of pains which are pretty common with the men folks rather than the women. Let's have a look at what those surprising pain triggers are: Wallet: Yes! You heard that right, according to Dr. Mehmet Oz, wallet is known to be one of the major surprising pain triggers. Having your wallet in your back pocket while driving, can cause chronic back pains, pain in the hips as well as shoulders. Since the wallet is in your back pocket, you sit unevenly, with one butt cheek being lower and one higher due to the wallet. So the solution to this problem is to keep your wallet in the glove box of your car or your bag. Phone: Phone, or any kind of technology gadget, is known to be the other surprising pain trigger. Want to know the pain these little gadgets can inflict? Well, it starts from the neck down. Since you are constantly bending down and hovering over your gadget, it can cause back pain, muscle pain, and headaches. Solution: Use a stand to hold these gadgets, so you wouldn't have to bend down or hover over your gadgets. Another cost effective solution happens to be taking frequent breaks and relieving yourself of the pain. Extra weight: Yes, the other evil, this is the one thing that can cause physical as well as mental anguish. Gaining a few extra kilos or pounds especially in the abdominal section, can cause massive stress to your spine and also cause realignment of your body structure. The only solution to get rid of this pain is to lead an active lifestyle, eat healthy food, and exercise to shed those extra kilos or pounds. Work schedule: If you have a hectic work schedule, chances are you aren't getting any rest, due to which the stress increases. The only way to get rid of this problem is to find a way out of your crazy schedule and have some time to relax and do activities that you like and enjoy, so that the stress that is mounting up on you can be relieved. Perfume: Shocked, aren't you? Well, this is another one of the pain triggers that can wreak havoc on you. Perfumes are known to contain certain fragrances and chemicals that can cause headaches. The only solution is to stop using perfumes that have those chemicals and use a fan at work, so that lingering smell of perfume won't give you a headache. Bad weather: This is another one that causes more pain or mental anguish. Bad weather can cause mood swings and terrible headache. The solution to this problem is taking a painkiller on the day of the bad weather to save you further from the throbbing headache. Bright lights: These can often cause a bad eye soar, not only that, they are also responsible for migraines. The solution is use sunglasses whenever out on the sun. Exercise: This might make you men folks go crazy, but the truth is too much of an exercise can also cause pain. Where, you might ask? Well, how about the muscles or headaches or even back pains for that reason. The solution to this problem is to stop exercising, well not totally, but, you should only exercise for the amount of time prescribed by your trainer or doctor. You don't need to go overboard. Cuts of meats: Yeah, these cuts or cold cuts as they are known, are one of the major reasons of causing headaches and stomach aches. The solution to this problem is to avoid eating raw or frozen foods as much as possible. Skipping Meals: You don't need to be an "Einstein" to figure this one out. Skipping meals, whatsoever the reason maybe, causes the blood sugar levels to drop down to a considerably low level which can cause migraines or severe headaches. The solution to this problem is to eat at regular intervals; this way you won't have headaches and your calories will also remain in check. Smoking: Don't be surprised, smoking has a slew of risks attached to it. Well, to begin with it causes asthma, it causes cancer (ranging from the esophagus to the lung), but it also causes frequent headaches. The only solution to help you get rid of these ailments and pains is to stop smoking. Caffeine: The pain related to caffeine is more mental or psychological than anything else. If you are a person who is addicted to caffeine, chances are you can't live without it. The solution to this problem is slowly and steadily cutting down the amount of caffeine you have. Shocked are you at the kind of things that can cause pain? Well, no need to be! Our body can shock us in ways we can't imagine. So don't be surprised the next time you have any sudden outbursts of pains.
What, how, and why of the sex muscle answeredWhat the Penis is made up of? The penis is made up of several parts. The head: This is also called as the 'glans'. The glans is coated with soft pinkish tissue called the mucosa. The protective covering of the glans is called the foreskin. The foreskin is retractable. In circumcised men, it is the foreskin that is removed. The shaft: The shaft or the body of the penis has two surfaces. The dorsal part i.e. the upper part of an erect penis and the ventral part i.e. the lower part that faces backwards in a flaccid penis. The root: This is the attached part of the penis. Corpus cavernosum: This is the tissue that lines the shaft on two sides on the dorsal side. During sexual excitement, this corpus cavernosum fills with blood that results in the stiff erect penis. Corpus spongiosum: This is the tissue layer running in between the two layers of corpus cavernosum on the ventral side of the shaft. The urethra: This is a narrow tube that runs through the corpus spongiosum. The urethra's main function is to excrete the urine out of the body. How the Penis does what it is supposed to do? Urination: The process of expelling urine is a coordinated act involving the bladder muscles, the central and the somatic nervous systems. The urethra present in the penis serves as a tube for the urine to pass out. Erection: A erect penis is required for the successful insertion into the vagina. During the height of sexual excitement, there occurs dilatation or enlargement of the blood vessels in the corpus cavernosum causing a rush of blood into it. This elongates the penis and makes it hard and stiff. Erection angles: The way a normal penis points when erect is called the erection angle. The penis is either pointing straight to the front or it may be facing up or down to the feet. An upward angle is most common. A study published in 'Journal of Sex and Marital Therapy', shows the erectile angles in standing males from 20 to 69 age groups in the following table In the table, zero degrees is pointing straight up against the abdomen, 90 degrees is horizontal and pointing straight forward, while 180 degrees would be pointing straight down to the feet. Angles from vertically upwards: 0-3 - 5% of male 30-60 - 30% of males 60-85 - 31% of males 85-95 - 10% of males 95-125 - 20% of males 120-180 - 5% of males Ejaculation: Ejaculation is when the semen is pushed out of the penis. During the sexual act, the process of ejaculation forms the culmination with the male achieving an orgasm immediately after. At times, there is ejaculation of semen spontaneously during sleep, called Wet Dreams. Normal Variations- When you have what others don't (and it is completely normal to have them)! Curvatures: While most penises are straight, it is not abnormal to have a curved penis. Curvatures up to 30 degrees are considered normal and no medical attention is advised. Over 45 degrees may need you to get yourself checked for certain diseases, though. Phimosis: This is the inability to retract the fore-skin fully. It is harmless and occurs in about 8% of boys. The British Medical Association suggests that no medical treatment may be required till 19years of age. Pearly Penile Papules: These are small pale bumps that are found around the tip of the penis. They are very common in men aged 20 to 40 years and may be mistaken for warts. Unlike warts though, they are completely harmless and require no treatment. The human penis has one of the most advanced designs through eons of natural selection for high sperm competition. Disorders of the Penis: When you have what others don't (and it is not normal to have them)! Paraphimosis: This is the inability to retract the foreskin. It may be extremely painful when retracted. This condition occurs when there is leftover fluid accumulated n the foreskin due to some previous surgery. Peyronie's Disease: This is a condition where the penis is extremely curved. It is caused due to a scar tissue running through the shaft of the penis. There is an option of surgical correction. Herpetic Eruptions: This can happen when there is unprotected intercourse with an infected partner. It shows as painful ulcers and eruptions on the head and shaft of the penis. Absence of sensations and erection: This is a condition where one is not able to feel any kind of sensation in the penis and a total lack of erection. This occurs secondary to diabetes mellitus and also as an after-effect of past falls on the back or injuries to the groin area. Erectile Dysfunction: This is a condition that happens due to psychological stress, performance anxiety, natural ageing and diabetes mellitus. It is expressed as an inability to get aroused or inability to maintain the erection for a time enough for proper sexual activity. Priapism: This is a serious condition requiring immediate medical attention. Here the erect penis fails to return to its flaccid state and as a result may lead to potentially serious conditions like a thrombosis or gangrenous state. Severe cases may require amputation too. The causative mechanisms are not well-known but involve complex neurological and vascular factors. The condition is associated with drugs like sildenafil, commonly known as Viagra. Pudendal Nerve Entrapment: Too tight pants and underwear, arrow hard bicycle seats, accidents can lead to this condition. The symptoms include loss of sensation and ability to achieve orgasm along with pain in the penis during sitting. Infections: Common infections of the penis include balanitis, urethritis, syphilis and gonorrhea. Theya re characterized by burning, itching and foul discharge. Lasting longer in bed is every man's desire. How do you go about it is very important. Follow the right diet and exercises along with lifestyle changes to achieve the desired effect in bed. Stay away from medications that claim to make you last long. Ref: Sparling J (1997). "Penile erections: shape, angle, and length". Journal of Sex & Marital Therapy 23 (3): 195-207
Sex at 50 for womenAs you age, your reflexes slow down. The passion to love and to be loved is never dying and just because you have grown in age, you should not stop enjoying sex. The body, especially in case of women also undergoes many changes after the menopausal period. Although it may take you more time to become aroused but the desire to have sex is always there. Moreover, with no children and no worry of getting pregnant you can enjoy sex uninterrupted without any tension. Women who continue to remain sexually active after their menopause retain their ability for enjoying normal orgasms. But this does not mean that there is no difference in the enjoyment factor. Several factors can be detrimental in continuing sex activity. However, there are solutions that can help the couple in their fifties still enjoy sex. Better sex can be possible even during the fifties but for this, you should be ready to take some extra efforts and make your body more comfortable for sex. Using lubrication After the menopause, the body of a woman starts producing less female hormone-estrogen. Lower estrogen level leads to physical changes such as less elasticity of vagina, dryness in vagina and so on. Your vagina may also take more time to swell and lubricate; in turn making intercourse painful or uncomfortable. Instead of getting discouraged by such occurrence, you should try to find out a remedy for it. For overcoming the dryness of vagina, you can use different sexual lubricants that are specifically prepared for the older women. You get them in suppositories or gel forms, which you apply liberally to the vaginal area before having sex. There are certain vaginal moisturizers also available in the market that makes vaginal penetration easier by maintaining elasticity and lubrication. Increase the frequency The more often you have sex, the easier it is for you to maintain elasticity and lubrication. So, go for it more often to enjoy it more now. Hormonal therapy treatment If you are suffering from distressing menopausal symptoms like hot flushes, you can opt for hormonal therapy treatment. This will help to relieve the vaginal dryness. Some doctors also suggest local intra-vaginal therapy to avoid discomfort and dryness during penetration. Application of local estrogen into the vagina enhances the blood flow to this area and ensures more sensation and lubrication. Intra-vaginal estrogen treatment This treatment is carried out in three different ways: A small ring of silastic is inserted high inside the vagina and is kept there for three months. This ring release estrogen in right amount to promote optimum vaginal health. A small tablet of estrogen is inserted inside the vagina twice in a week. Conjugated estrogen cream is applied with small applicator twice in a week. So, there are different methods for increasing responsiveness, vaginal lubrication and elasticity that help you enjoy sex better even in your fifties. Overcome awareness about your body The body of women in fifties is saggy and wrinkled. However, if you have a young heart and passion for sex, you should not let the body image spoil your enjoyment. It is your response towards your partner that matters the most as both of you are going to age slowly and get more wrinkles as the age progresses. Like someone said, it's the imperfections and not the perfections that we fall in love with.
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