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Introduction Sex has been the part of the life since the day Adam saw the apple. Man has been striving to achieve a better performance in order to satisfy both his as well his partner’s requirements. Age, hormonal imbalances, society, money and many other things have not been able to remain a barrier for long in this quest. Medicinal herbs, fruits and certain exercises such as meditation have helped him in one way or the other but there has always been a search to help men in his erectile dysfunction in nearly all cases with having minimum of the side effects. Viagra hit the market in 1998 and was an instant success in that regard. But due to its side effects more research was still needed and a new product was about to come. Cialis then came and with its minimum side effects profile and the greater half-life was what people needed the most. What is erectile dysfunction? Erectile dysfunction is the inability of the person to either initiate or sustain a penile erection for a sufficient period of time that is needed to attain a sexual gratification. The causes of it may be many for e.g. psychological, hormonal, arterial or muscular. The diseases associated with it are Diabetes Mellitus, Major Depression, certain thrombotic disorders, etc. What is cialis? Cialis and drugs related to it like Viagra act by inhibiting an enzyme called phosphodiesterase type 5 which release Nitric Oxide from nerve endings and endothelium causing relaxation of smooth muscle and hence penile erection. This is a product developed by Eli Lilly and ICOS and it is a trade name of the product called Tadalafil launched in the market in 2003. What are the advantages and side effects? Although the vasodilatation that is needed is in penis, due to the extreme non-specificity of the product there are certain side effects related to vasodilatation at other sites such as headache, nasal congestion, stuffiness, and fall in blood pressure. Some patients complain of loose motions. These side effects are more applicable to products such as Viagra than to Cialis. Some patients have suffered heart attack and severe fall in blood pressure. Who all can benefit? Men with erectile dysfunction due to some arterial disorders will benefit the most. It doesn’t benefit those with hormonal problems or psychological problems except those with Diabetic neuropathy. There is a myth that a person as soon as taking the drug will have erection but that is not the case. It starts taking action only when a person starts physical activity. How is cialis better than others? Cialis has a half life of around 36 hours while that of Viagra is around 4 hours that means that a person can take the drug and can expect to have erection at a time much later than the time of administration. This achieves much patient compliance. What is the latest research that is going on? The latest research that is going on is hormonal therapy and genetic therapy in this regard. These are basically to avoid the side effect profile of these type of drugs. penis elargement surgery picture penile enlargement stretcher penis enlarement pump where to buy vigrx vimax best enlargement exercise penis real penis enargement natural penile enlargement exercise enhancement manhattan penis surgeon truth about penis enlargement
Appendicitis is considered to be a surgical illness. Due to its severe character, the treatment for appendicitis often involves surgical intervention. Judging by the speed of development and the gravity of the illness, appendicitis can be either acute or chronic. Acute appendicitis evolves very fast and can lead to complications. Chronic appendicitis is less serious and slower to develop. Although there are other options, the safest treatment for appendicitis is considered to be surgery. Appendicitis occurs due to bacterial infection and obstruction of the vermiform appendix, a tube-shaped extension of the large intestine (the colon). The appendix is usually blocked by calculus or feces, causing it to swell. However, in some cases, the enlargement of the lymph nodes is responsible for the inappropriate activity of the appendix. Due to bacterial infection (also very common in appendicitis), the lymph nodes begin to swell and press against the walls of the appendix, causing it to block. The local blood circulation is also perturbed, causing the death of the appendix. The swelling of the appendix and bacterial infections can lead to serious complications, such as gangrene, sepsis and perforation of the appendix. The best option available in the treatment for appendicitis when confronted with a seriously damaged appendix is to surgically remove it from the body. The appendix doesn’t have a vital role inside the organism and its absence doesn’t affect the normal activity of the body. The surgical treatment for appendicitis consists of a procedure called appendectomy. In uncomplicated forms of appendicitis, appendectomy is a simple surgical intervention. Most patients respond well to the surgical treatment for appendicitis and they fully recover within a few weeks after the operation. However, if the treatment for appendicitis is delayed, the chances of recovery are considerably diminished. Appendicitis affects about 6-7 percent of the population in the United States and Europe. However, statistics indicate that in the last years the number of people diagnosed with appendicitis has considerably decreased. The development of appendicitis is facilitated by inappropriate diet. A healthy lifestyle and a diet rich in fibers can be useful in the prevention of appendicitis. Appendicitis can be developed by anyone, at any age. However, acute forms of the illness mostly occur in children and teenagers (ages 3-15) and also in older patients (ages over 50). Despite the medical advance and the abundance of medications available nowadays, the recommended treatment for appendicitis remains appendectomy. Although in uncomplicated cases of the illness the doctors might prescribe antibiotics, the safest treatment for appendicitis is still considered to be surgery. The fact is that antibiotics and other medications can’t unblock the appendix without causing any internal damage and for this reason the most reasonable form of treatment for appendicitis is surgical intervention. If the presence of the illness is discovered in time, appendectomy is the safest option available today in the treatment for appendicitis. com enlargement pennis pennis pump pennis enlargement picture guide to penis enlargement vigrx results penis enargement top penis enlargement pills guide to pennis enlargement penile enlargement device truth about penis enlargement
Definition: Benign prostatic hypertrophy is swelling of Prostate gland. The prostate is a walnut sized gland that is only present in men. It is located just below the bladder and top of the penis. This gland surrounds the urethra (the tube through which urine flows from the bladder and out through the penis). It is a very astonishing fact to know that the condition BPH has been explained in ayurveda long back. The anatomical position of prostate gland, symptoms of BPH and its remedies are explained by Acharya Sushruta. The anatomical position of prostate gland is described in ayurvedic classics as follows... In Yogaratnakara it has been described as -- “ NAABHERADHASTHAATSANJAATAHA SANCHAARI YADI VAACHALAHA | ASHTEELAAVAD GHANO GRANTHIROODHWAR MAAYATA UNNATAHA || “ Which means “ Below umbilicus (NAABHI), there is a hard gland which is little bit bulged and changes its place some times and some times stays stationary. This gland is like “Ashteela” (A small stone used to sharpen swords). This gland when affected by vitiated vata causes a disease called “vataashteela” (or benign prostate hypertrophy) Sushruta explains the structure, anatomical position of prostate gland and symptoms of BPH as follows. “SHACRANMAARGASYA BASTHESHCHA VAAYURANTARAMAASHRITAHAI ASHTEELAAVADGHANAM GRANTHIMMOORDHVAMAAYATA MUNNATAM|| “ Which means - the place between rectum and bladder is occupied by vitiated vata it affects the easy flow of urine, stools and semen by enlarging the gland “ Ashteela”. The prostate gland enlarges in all men as age advances. BPH is very common and affects one third of men who are over 50. A person suffering from BPH does not have the increased risk of prostate cancer. Functions of Prostate gland. One of the main functions of the prostate is to produce a fluid, which contribute to the liquid portion of semen and this liquid allows the sperm to move freely. The gland is divided into peripheral, transitional and central zone. The overgrowth takes place in central zone which leads to BPH. Effects of BPH Prostate gland surrounds urethra. When prostate gland enlarges, it constricts the urethra reducing the urine flow. The emptying of bladder becomes very difficult because of this. Causes of BPH According to present medical concepts the actual cause of prostate enlargement is unknown. But the causes of BPH are very well explained In ayurveda which is based on tridosha theory.The causes of vataashteela or BPH are explained as follows. Causes for vataashteela according to dosha theory: vataashteela is caused by vitiated vayu and apaana vayu ( a subcategory of Vayu) (APAANA VAYU is located in two testicles, urinary bladder, phallus, umbilicus, thighs, groins, anus and colon. Functions of apana vaayu are Ejaculation of semen, voiding of urine, stools, elimination of menstrual blood and expulsion of fetus.) The vitiation of vayu and apaana vayu is caused by 1. Controlling the urge of urinatio 2. Controlling the urge of defecation 3. Over indulgence in sex 4. Consuming dry, very cold and less quantity of food 5. Old age 6. General weakness 7. Indigestion 8. Physical and mental overexertion Symptoms of BPH • Difficulty in starting to pass urine ( hesitancy ), • A weak stream of urine, • Dribbling after urinating • The need to strain to pass urine, • Incomplete emptying of bladder. • Difficulty to control the urination urge. • Having to get up several times in the night to pass urine, • Feeling a burning sensation when passing urine. • Passing urine mixed with blood (indication of infection) Symptoms of vatashteela are described as follows. “VINMUTRAANILA SANGASCHA TANNAADMAANAMCHA JAAYATE| VEDANAA CHA PARAA BASTOU VAATAASHTEELETI TAAM VIDUHU ||“ The vitiated ashteela gland when enlarged is called as “vatashteela”. This enlarged gland causes 1. Obstruction to easy flow of urine. 2. Obstruction to Easy passage of stools and gas 3. Bloating of Stomach. 4. Pain in bladder. When the above mentioned symptoms are noticed then one should seek proper medical advice. Diagnosis A digital rectal examination will be performed to examine the size of prostate by inserting a finger into the rectum. A distended bladder can be felt per abdomen. Ultra sound examination will be done to determine the amount of urine left in the bladder after urination. Routine urine test will be done to rule out infections. A prostate gland tissue may be collected using a needle to check for cancerous cells. Ayurveda tips for SELF-CARE If symptoms are mild, the following methods can be tried for relief: 1. Vata gets vitiated when natural urges are controlled. Hence do not control the natural urge of passing urine. Urinate when you first get the urge. 2. Go to the bathroom even if you do not have urge. 3. Alcohol, tobacco, coffee increase vata and vitiate it. Hence avoid alcohol, tobacco and coffee, especially after dinner. 4. Vata gets normalized and vitiation comes down when body is warm. This can be accomplished with regular exercises and keeping the body warm. 5. Mental exertion leads to increase of vata. Avoid mental exertion at work place and at home. 6. Avoid foods which cause constipation as constipation causes vitiation of vata. Other general tips 1. Avoid drinking fluids from two hours before going to bed. 2. Avoid cold and cough medications that contain decongestants or antihistamines. These medications can increase BPH symptoms. 3. Avoid drinking excess amount of liquids. Distribute the intake of fluids throughout day. Prevention BPH can be prevented by - 1. Consuming low fat diet 2. Including lots of fiber in diet ( fruits and vegetables which are rich in fiber). 3. Visiting your family physician as soon as you notice any symptoms while passing urine. Apart from these many effective herbal remedies have been mentioned in Sushruta samhita and Yogaratnakara. best penile enlargment free penis enhancement natural pennis enlargement and lengthening buy penis enargement pills medical penis elargement penis enhancement surgery picture vimax penis enlargement testimonials safe penile enlargement truth about penis enlargement
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