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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.
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.
Infertility at workplaceSince infertility among the younger age is increasing, it is important that a couple decides an early suitable date to attempt conception. Time and again it has been found that infrequency of intercourse is the cause of delayed pregnancy. It is advisable that the woman has a thorough examination by the gynecologists to identify the ovulation dates and for the man to have a thorough spermatic fluid check.  If both are normal then they could wait for a suitable date later. Should there be a problem the quicker it is attended to better. Also, early in the marriage they should start a fund which could be utilized for matters related to conception. For the male, the main treatment covers his personal sex life and a detailed examination of his spermatic fluid. It is the female who has to undergo many detailed tests and possibly surgeries which are expensive. It is often seen that not only the procedures for both take a toll on their personal and intimate relationship but also severely affect their finances which may come to a point that it does not allow them to complete the treatment as for e.g. the woman undergoing IVF may costs several lakhs of rupees. The treatment of infertility has improved greatly, but interferes severely with the work schedule. Working couples particularly women may have a hard time keeping to their schedules. Depending on their infertility diagnosis, many workplace challenges exist including the need to take time off to undergo tests and other appointments. It is difficult to balance the medical and surgical procedures with daily life and work. This is a difficult issue for many people as they fear their employer may discriminate against them for taking time off from work. Sadly in India there are very few employers who include medical benefits and cost of treatment for infertility. Suggestions have been given on stress dealing with infertility treatment and work. Here are few pitfalls to avoid: Do Your Homework: Review your organization's HR policies so you understand the amount of leave you have and other policies that pertain to your situation. You may be able to arrange for flex time or work from home on the days of your appointments, so that you do not actually miss any work. Be Honest:  Go to supervisor and let her or him know that you will be using your leave time and will give as much notice as possible. Honesty is the best policy. Remember people are inherently curious about the disease of infertility. If you feel the questions are invasive and make you feel uncomfortable, remember you do not have to answer the questions. You can respond nicely and let them know that you appreciate their concern but you are not ready to answer any questions. Your co-workers are asking question because it is human nature to be curious. In conclusion, not everyone needs to know what is happening with your reproductive health. At work place should medical help be available do take advantage of it.  This treatment has nothing to do with your performance at work. Go to work feeling confident that you will be able to perform your job and handle your workload during this time.
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.
Pediatric diet formula food vs traditional foodAccording to the World Health Organisation, it is unnecessary to give your baby rice cereals at the age of four months as breast milk can provide all the nourishment a baby needs in the first year. No other solid food is required. Breast milk has all the nutrients like fats, protein, cholesterol, carbohydrates, vitamins and minerals which are required in the first year of life. According to most studies,formula foods are not the healthiest option to begin solid foods on. Doctors prefer that babies be given boiled vegetables and mashed fruits like bananas and not formula cereals that contain simple carbohydrates. It is not a good idea to give babies processed and refined foods that are found in all formula foods. Formula foods do have nutrients, but they are not as easy to absorb as nutrients from foods prepared at home. You can also ensure quality in food that is prepared at home. Formula foods cannot imitate the natural taste of foods. Babies like to choose foods according to taste just like the adults and you can give them a wide variety of choices like offering them different fruits and vegetables rather than the similar tasting formula. You will be surprised to know that mother's milk has the taste of the foods she eats and so babies develop taste for a variety and may like the insipid taste of formula. Another reason why formula foods may not work that well is that they contain cereals. However, the enzymes that are required to digest carbohydrates are not fully developed in babies until they are more almost three years old. Cereals and breads are very difficult for babies to digest. Undigested grains can throw off the balance of bacteria in the gut and this is the reason for a lot of digestive issues once they are grown up. Solids should not be introduced until six months of age, as studies now reveal that if solid foods are given early on then it increases the likelihood of allergies, especially of those foods introduced. Babies produce only few enzymes and digestive juices that are mainly required to digest protein and fats. This is because mother's milk has 50 to 60% healthy fat which is a must for the babies' mental and physical growth. Most baby infant nutritionists feel that formula feed is not a complete food. Babies will get deficiency,such as iron, as it is difficult to absorb them from formula foods. The debate continues as many feel that the marketing gimmicks are what selling these foods and not the nutritional value they provide to babies. A note of caution, excessive amount of juices are harmful for babies as these can lead to obesity.
Avoiding nappy rash - A few words of adviceNappy rash is a skin condition that takes its name from the nappy in which a baby is wrapped. It is a reddish rash, or tender skin around the buttocks and inner thighs of babies, which occurs due to prolonged wetness from either urine, or stools, or both. Nappy rash may be in the form of an unusually tender bottom on a child, or an inflammation around the genitals, and inner thighs, or folds of the skin. It generally occurs in really small babies, less than a year old. Most times, nappy rash is not a very serious condition, provided care is taken. No matter what type of nappy you use, whether promising complete dryness, or absorbent nappies, your baby is likely to develop 'nappy rash' at least once. The rash can make the baby feel uncomfortable, and cranky as a result. Steps to avoid nappy rash: Always ensure that your baby's bottom remains dry by changing nappies at regular intervals. Use a mild medicated baby soap which will help in keeping the skin around the inner thighs and buttocks soft. Give your baby some nappy free hours. You will be the best judge to know when she is likely to have comparatively dry spells, which can allow the skin and parts below the waist some breathing space. Regular bathing should take care of most rash related problems. Use an emollient, or medicated soap for bathing. Sometimes, nappy rash is a result of a thrush or yeast infection. The baby's resistance at these times is low so that it allows the yeast to thrive in the form of ugly red patches. Always show a medic to rule out the possibility of bacterial infections. Anti-fungal creams should also take care of normal nappy rashes.    
Not very chummy! Menophobia - The fear of periodsMenstruation or periods begin as female reaches puberty. This is the time when there are hormonal changes which occur in the body as nature takes the girl and makes her ready for womanhood. The onset of periods can be distressful with lots of mood swings accompanied by abdominal cramps, bloated feet as the menstrual blood flows. This is also a time when the girl needs to be comforted and educated the most, as it can be truly a terrifying experience. Normally mothers or elder women in the family ensure that they take complete care of the girl in this transition phase. For some women, their initial experience with periods may not have been particularly pleasant, causing them to actually dread those 4 days and this fear can then take the shape of a full blown phobia -Menophobia! The reason could vary. For some the pain factor could be the reason for menophobia, while for others, it could be the memory of embarrassing red stains on the clothes which could set it off. In menophobia, just before the onset of the periods, the person starts getting anticipatory anxiety and the pain which could be normal period pain, is then imagined to be ten times worse. This brings on panic attacks and feeling of utter dread which while is entirely psychological can be utterly distressful and downright crippling. Counseling can help greatly along with pain medication to manage the pain and the fear of this natural phenomenon called periods. In therapy, this is what is iterated. That menstruation is a completely natural process and if there is a fear of menstrual blood then gradually, the woman is encouraged to accept it as a natural body function which plays a major part of her being a woman.
Sweetie, I am addicted to you!Research shows sugar can be more addictive than heroin. What was the last thing you ate or drank before reading this? Bread? Banana? Chocolate? Cake? Fries? Wafers? Doughnut? Biscuits? Soda? Juice? Wine? Vodka? Coffee? Tea? They are all sugars ultimately. Some taste sweet, some don't. The first thing we taste as babies is milk. It is naturally sweet. From that young age, we learn that sugar is what we like and what we want. You may be a sugar addict, if: You need 'something sweet' after every meal. You cannot have tea or coffee without that second pinch of sugar. Dessert is a must every time you eat out. You go hunting to the refrigerator looking for cake leftovers. A little bite of that chocolate bar is all you need to be happy. You are the one who finishes off the last piece of laddu in the house. You want ketchup with everything - fries, noodles, pizza, burger, samosa, kachori. You want all the above listed items because you just read their names. When out in the hot sun, water is not sufficient for you, you want flavored sweetened chilled drinks. A mocktail or a soda drink makes your dinner complete. And many more such things. So, you see, almost all of us are sugar addicts. Studies show every person in countries like, USA, UK and Australia, may be a sugar addict. The reasons behind the sugar addiction are manifold. First, beyond doubt sugar tastes awesome. Taste factor cannot be debated with. But do you know, the taste is conditioned? Cravings are not always and entirely natural. They are a result of what you give the body and teach your taste buds. Second, businesses heavily exploit this weakness for sugar. Wherever you go there is unimaginable variety of sugar products. A café, a restaurant, a general store, a superstore, a street cart - they all have several options for you to indulge in. How much can one resist and how much can on filter the menu! Third, sugar creates instant gratification. That does work for it and that does add to our trouble. A sad day at work and some chocolate perks you up. Feeling dull and bored, let's go out for an ice cream. This happens too often. Why sugar isn't that sweet? We feel what harm can little sweet do, being happy is more important. However, sugar is worse than many other food vices. As an experiment, check the contents of everything in your kitchen and count how many of them have sugar, in any amounts. Try skipping everything that has sugar in it for the next three days. You will be shocked. The options to eat cut down to several degrees if you skip sugar. The problem with sugar is it makes you want more. A bit does not satisfy you. Sugar increases the desire for sugar - immediate and long term, likewise. The moment you have a bite of something sweet, you cannot stop there, you need to eat another bite, and another, and another. In the long run, your taste buds are getting deeply conditioned for sugar cravings. Your body learns that every time the mind is feeling low, it should ask for sugar. That is how it has been taught to feel better. You are entering a vicious cycle when you entertain these cravings. Sugar is often defamed as a white poison. It is not an exaggeration. Sugar has no nutritive value, apart from generating energy in the body. It simply increases the risk of numerous health complications. Sugar is a known culprit for diabetes mellitus, obesity, heart disease, hormonal imbalance, sexual dysfunctions, and others. Sugar addiction is the most common addiction of all. It is difficult to leave sugar completely out, but one can always cut the portions. How to beat that addiction? Time for some action? All this information must be making you want to cut down on your sugar intake. Hold on. Alcohol, smoking, drugs - they are understood and accepted as addictions. So, there are support groups, people around us will motivate and help us to de-addict. Getting rid of our sugar addiction is even tougher. It will require tremendous amount of will power and determination. Are you ready for the challenge? Let us see some simple ways to de-addict from sugars: Drink less Cut down on all the artificially sweetened drinks - colas, orange, iced teas, flavored canned drinks, sodas. They have zero health benefit. The only reason why you have them is because of the taste factor. Remember the taste is momentary. Once inside the body, these drinks are creating havoc for your system. One spoon less - Tea or coffee? What do you need to start your day? Whatever it is, try reducing the sugar portions. If you take two spoons, try one. If you take one spoon, try half. It will be difficult in the beginning but eventually you will get used to it and you will even like it. Have whole fruits instead of juices. Anything drinkable in the cans contains sugar. Say no to cans. Eat less Give the ketchup bottles some rest. Decide your weekly chocolate quota. Don't let the moods overpower your decision. Bakery items are loaded with sugar, forget they exist. Turn a blind eye to that shelf when you go grocery shopping. A fan of breakfast cereal? Check the packets for sugar content. The ones that are flavoured have more sugar. Pick the plain ones. You can add your own choice of fruit and dry fruits for nutrition. Desserts should be a onetime thing, only when the occasion calls for it. You don't need them daily. Let the sweetness be in your words, not on your plate.
Top 10 tips for weight maintenanceTIP 1: Stay Calm and PlanDon't worry about your weight excessively. This will only result in stress which can be counter-productive to your pursuit. Remember that you have reached the goal you had to and you are strong enough to sustain it. Take one day at a time. Do not think about how you are going to keep it forever. Just focus on the next day. TIP 2: Health JournalKeep a journal where you note down your eating and exercising patterns. Write down what you eat, plan your meals, drink adequate water, and form an exercise regime. Did you know that you can include an activity within your life as a habit by performing it for 21 days? Do these things not because you have to but because they are good for your health. Slowly, they will become a part of who you are. TIP 3: Being Healthy Is A Lifetime DealOne of the greatest mistakes that people do is to think that once they have lost weight, they can return to their early eating habits. Remember that your health is with you for life. Shift your perspective from 'I have to become thin' to 'I have to be healthy.' Once you do this, you will find it easier to stay healthy for the well-being of your body. TIP 4: Be RealisticWhen you are planning your lifestyle, don't take up unrealistic goals. This is one of the reasons why weight-trainers say that the best way to reduce and sustain right weight is to make it 'your life.' Eat right, sleep well, and drink lots of water. These three, if done properly, can help you to have the right body weight. If you have any rules like 'don't eat cake or pastries ever,' 'quit drinking,' then rethink about them. Are you going to be able to never eat sweets? The primary goal is to make a balance, choose the middle path. TIP 5: Get An Idea Of Your Weight-PatternMany people stop weighing their body once they have reached the ideal weight. They think that the scales are only for the fat ones. A person with such a perspective is only looking for slim bodies and not healthy ones. Remember that your weight is not a judgment of your appearance, but a barometer of your health. So do not stop doing the weekly weight checks. Keep a report of your weight every week and check out the causes for any abnormal changes. TIP 6: Accept Your Limitations And Learn From ThemEveryone has their ups and downs. Don't get discouraged and be angry at yourself if you binged on a donut on a cloudy day. Everyone makes mistakes. It is not the end of your weight maintenance. It is simply a blip. Learn from it. Know what the causes are for it and work on making sure you react to the cause differently next time. TIP 7: Thirst And HungerYour body could confuse your thirst for hunger. So, if you are feeling hungry really soon after your previous meal, then start by drinking a glass of water and check if you feel better. If you do not, then it is time for a light healthy snack. TIP 8: Inspire YourselfWeight maintenance is primarily a psychological task. Till the time you were reaching the ideal weight, you learn everything you had to about being healthy. Now, you have to make sure you don't let obstructions stop you from sustaining this healthy lifestyle. So, join other people who are only in the process of maintaining their weight. Become part of the running blub or catch up with a health conscious friend regularly. TIP 9: Mind Over MatterBalance your eating patterns. If you think that you will be going out for lunch, then have a healthy breakfast and cut down on the dinner. You might be craving for a dessert, so you can have salad for the main course and treat your sweet tooth. Talk to yourself about what you are going to eat. Ask yourself if you really want to eat it because you are hungry or are there any other reasons for it. How would you feel about it after you are done eating? TIP 10: Celebrate Your AchievementsLastly, be proud of your weight maintenance program. Celebrate the fact that you worked hard towards making sure you have a healthy body and invite people who were part of your pursuit. Embrace your body and toast to the next year of a healthy lifestyle.
Stay healthy, keep flu at bayKeep the influenza virus away from you by following these simple routines : Wash your hands!Hands are a germ factory. Innumerable things are touched by us through the course of a day and that lends the germs a perfect breeding ground. Hence, it becomes imperative that we clean our hands thoroughly, especially before eating. Always keep a sanitizer handy in case you don have access to water and soap. Even while you wash your hands with soap and water, do not rush with the process. Wash thoroughly at least for 20 seconds. Clean the surfaces!Computer keyboards, tables, pens and pencils, shared stationary are all great places to find the flu virus. Regularly clean these surfaces with an alcohol-based disinfectant that will kill these germs. Exercise!Nothing can be as good as regular physical exercise for maintaining good health. Regular exercising boosts the immunity. This makes you fall ill less often. It also gives you greater resistance against viruses so you will not be affected by them no matter how strong the exposure. Top up on vitamin C!Vitamin C is known to boost your immunity levels. It also increases the resistance against viruses. Eat a lot of citrus fruits like oranges and tomatoes. Amla, that is a rich source of vitamin C, can also be consumed in the form of juice or eaten raw! Chicken soup for the ill-soul!Chicken soup is known to be the most effective against the flu virus. So if you feel you are coming down with a flu fever, rush to the kitchen and fix up some nourishing chicken soup for yourself. Nothing works as effectively as this does. Try poking yourself!The ancient Chinese system of medicine, acupuncture, has been known to treat everything from headaches to nausea to arthritis. Acupuncture experts may prick at particular pressure points with hair like needles to keep flu at bay and to reduce the severity if already infected. Though there is no significant scientific evidence against it, there is absolutely no harm in trying it, if you can tolerate the pain from the needles!. OTC drugs!Over-the-counter medications are available in plenty for flu symptoms. The achy feeling all over the body, the sore throat, and the muscle pain are the worst symptoms of flu. Doctors suggest that you do not over-medicate yourself. Instead of going for multi-drug combinations, doctors advise you go for generic medicines like acetaminophen for fever and a cough suppressant. Garlic pods!These smelly things can be of great use when it comes to prevent a lot of diseases, the flu included. Studies show that people who ate two or three pods of garlic daily had better resistance against the flu virus and fell ill less often. Proactive Probiotics!The strength of your immune system lies in your gut, called gut-associated lymphoid tissue or GALT. Almost 80% of the immunity comes from your gut. To keep the gut healthy, eat a lot of probiotic, pro-GALT foods like yoghurt. Sleep well!Sleep is the most essential component of staying healthy. A well-relaxed body is fitter and stronger and will have better immunity against diseases! Prevention is always the better form of cure. Stay protected and stay healthy.
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.
Importance of sex educationOur society is beset with a lot of myths about Human Sexuality and hence the family relationships are affected adversely. A man is considered (mistakenly) as a man only when he performs effectively in bed. In other words a man hangs his self-esteem on his male organ. Hence whenever there is a problem in performing sex, he becomes frustrated and depressed. In order to cover up his inadequacy he may blame his wife for his problems. This attitude will adversely affect the martial relationship, leading to unhappiness in nonsexual aspects of marriage. He may become violent when the wife retaliates. Marital break down, even if not ending in legal separation will be a very messy affair. Sexual behavior is determined by information or knowledge one has on hand and the parameters of comfort zone. Unfortunately we are dealing with a behavior that is besmirched with myths and misconceptions, and a breeding ground for stigmas and taboos, which leads to unhealthy sex life. These barriers have to be broken; otherwise healthy sexual and family life cannot be achieved. It is guesstimated that one in every three couples have some sexual problem or other and they do not know how and where to seek help. The media gives them anonymity and guides them in proper direction. The three main enemies of sexual satisfaction are guilt, anxiety and fear. All these stem from ignorance. Due to the stigmatization sex education is not available. Hence the streets have become not only the libraries for knowledge on sex but also the laboratories. When one of the dimensions (recreation) becomes problematic it impacts the health of the other two dimensions (procreation and relation). Magazine columns endeavor to dispel sexual ignorance and empower people with scientific knowledge. The aim is twofold: First, to inform in simple language, the scientific aspects of sexual problems and clarify myths surrounding sexuality; Second, to help people become comfortable with their own sexual life and elaborate on various treatment options available. People will thus be empowered to take responsibility for their own health and happiness. Have an open mind. All dimensions of human life are important. To consider one as unimportant and attach a stigma will hamper the development of the full potential of an individual. Understanding sexuality will enrich our lives and relationships.
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