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Obesity Overview

Obesity is defined as having a body mass index (BMI) greater than 30. The BMI is a calculation of the body weight with that of the height is used to define underweight, overweight and obesity in individuals. After tobacco, obesity is rated as the second most common cause of preventable death in the U.S. The developing nations have also seen a rise in prevalence of this disease. With rich supply of food and physical labor being reduced due to high dependability on machines, obesity has taken the form of an epidemic. The medical field views obesity as chronic disease which occurs due to years of negligence of health and acts as the pioneer for many leading diseases. Body mass index, also known as the Quetlet index is calculated as weight/height2 where weight is in kilograms and height is in meters. These values are age independent for both the sexes.  WHO classification of obesity
Grade 1 – overweight is a BMI of 25-29.9 kg/m2
Grade 2 – obesity is a BMI of 30-39.9/m2
Grade 3 ‘ severe obesity is greater than or equal to 40 kg/m2   Studies suggest that fat distribution across the body affects the incidences of a concomitant but unrelated pathological or disease processes. A degenerated metabolic process resulting in android obesity could be due to high abdominal fat content including visceral and subcutaneous abdominal fat. Gynecoid obesity is due to heavy fat distribution on the gluteal region.   Though there are still debates over obesity being the cause of a host of concomitant disorder, medicos have observed an aggravation of the underlying pathological or diseased condition whenever a person has diagnosed with obesity.  
Pathophysiology
An increase in adipocytes is said to be the main cause of obesity. Adipocytes are cells that are specialized in synthesis and storage of fats. These cells serve the function of maintaining proper energy balance. They store all the calories in form of lipids and when stimulated they mobilize energy sources in response to hormonal stimulation.   The pathogenesis of obesity is multifaceted and stretches beyond the simple explanation of excess energy intake in comparison to decreased energy output. It been observed that children with obese parents tend to get obese, while in case of twins, mostly if one twin is obese the other one also tends to? be overweight directing the study to the fact that obesity could be genetic in predisposition .  
Etiology
The factors responsible for the development of obesity can be classified as  

  • Primary
  1. Metabolic factors
  2. Genetic factors
  3. Level of activity
  4. Behavior
  5. Endocrine factors
  6. Race, sex, and age factors
  7. Ethnic and cultural factors
  8. Socioeconomic status
  9. Dietary habits
  10. Smoking cessation
  11. Pregnancy and menopause
  12. Psychologic factors
  13. History of gestational diabetes
  14. Lactational history in mothers
  • Secondary
  1. Hypothyroidism
  2. Cushing syndrome
  3. Insulinoma
  4. Hypothalamic obesity
  5. Polycystic ovarian syndrome
  6. Genetic syndromes (eg, Prader-Willi syndrome, Alstr??m syndrome, Bardet-Biedl syndrome, Cohen syndrome, B??rjeson-Forssman-Lehmann syndrome, Fr??hlich syndrome)
  7. Growth hormone deficiency
  8. Oral contraceptive use
  9. Medication-related (eg, phenothiazines, sodium valproate, carbamazepine, tricyclic antidepressants, lithium, glucocorticoids, megestrol acetate, thiazolidinediones, sulphonylureas, insulin, adrenergic antagonists, serotonin antagonists [especially cyproheptadine])
  10. Eating disorders (especially binge-eating disorder, bulimia nervosa, night-eating disorder)
    Hypogonadism
  11. Pseudohypoparathyroidism
  12. Obesity related to tube feeding
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Men Beware-Insomnia Can Make You Die Young

Latest studies have revealed that there is a direct link between life expectancy and sleep. However, this differs in sexes as men are more affected by insomnia than women. According to the study, men who suffered from insomnia were at a higher risk of dying in the next 14 years than men who enjoyed healthy sleep.  What is insomnia?

The inability to fall asleep, remain asleep or awaken too early is termed as insomnia.

Men who suffered form insomnia were followed for 14 years and it was found that one in five men died in that span. The average age of the subjects was 50. The subjects were kept in a lab and their sleep patterns were observed including how well the slept and the duration of their sleep. The researchers observed that even after some patients were cured of underlying disorders such as sleep apnoea, there was a difference in death rates between self-described insomniacs and good sleepers. The study showed that more than 51 % of the subjects who were insomniacs died during the study period compared to 9 % of men who enjoyed a healthy sleep.  
Relation between insomnia and general health

  • Sleep is essential for our survival: Sleep in the time when the body replenishes the lost energy. This is one of the reasons why the doctors recommend people to rest when they are tired. Nonetheless, the current lifestyle has deprived men of vital sleep due to which they sleep 90 minutes less than the men 40 years before. The risk also increases with age. In America alone, there were 55 million sleep directional dispensed in the year 2009. If the person is not able to catch on to lost sleep, he can start suffering from chronic fatigue which can make him lethargic and decrease his concentration. This affects their personal and professional life.
  • Repairs wear and tear: The body goes through a lot of wear and tear in the day time. From the skin to the organs, all of them get affected. Due to lack of sleep, the organs are not able to undergo the repair that is needed due to which their condition keeps worsening. This may even trigger some diseases and deteriorate the functioning of the organs.
  • Snoring: Snoring can cause disruption of sleep and in severe cases can lead to cardiovascular problems.
  • Medications: Some medications can deprive people of their sleep and this includes both directive medicines and medicines that one can get over the counter.
  • Obesity: Studies have shown that obesity and insomnia are interrelated. Obese men are more likely to suffer from cardiovascular diseases, cancer and organ failure which can prove fatal over time.
  • Decreased immunity: Bad sleep can weaken the immune system and make the person more susceptible to infections. It can also trigger various chronic problems such as kidney and liver failure.

Insomnia in the form of disorders has various side effects. It can be treated medically and through counseling.

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Link Between Testosterones and Body Weight

Effect of increased level of testosterones–In women who are on testosterone therapy, they tend to gain weight. The weight gain is more because of increase in muscle mass and bone density than increase in fat content. This occurs as testosterones help in increasing the level of muscles in the body and make the women appear muscular and manly. In males also, it has similar affects. This is one of the reasons which make men and women who are under testosterone therapy gain weight. Testosterones can also drastically increase the appetite due to which people eat more calories than the amount that is burnt. This in turn tends to make them gain weight.  
Effect of decreased level of testosterones-
Testosterones help in normal functioning of the metabolism. Studies conducted on fat men revealed that men who had access weight have low level of testosterone. Low testosterone decreases the basal metabolic rate due to which the rates at which the fats are burnt to convert them into calories are low. A decrease in the level of testosterones is termed as hypogonadism and as been linked to various other problems such as erectile dysfunction, low sperm count, fatigue, mood changes and weaker bones. Studies have also revealed that low level of testosterones can cause increase in the abdominal fat especially in men. As men age, their level of testosterone decreases due to which the stomach continues to protrude. This is one of the reasons why old men tend to have a huge paunch. For men who are suffering from this disorder, there is testosterone replacement therapy but this should be taken under medical guidance as it can lead to an increase in the level of testosterones which can again cause an increase in weight.
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Methadone and Severe Back Pain

Methadone is a synthetic narcotic pain reliever with opioid properties.? It’s medically relevant as an analgesic, antitussive and is also a part of primary treatment for drug addiction and maintenance programs. This drug was originally developed by scientists in Germany in 1937 as an opiate-based painkiller. It drug is different from other opioids such as morphine and heroin in its chemical constitution but has similar effects as it also acts on the opioid receptors. This drug has long lasting effect and thus it is used to manage chronic pain. Added to that, it is also available at a reasonable rate making it highly popular among doctors and patients.During drug addiction therapy, this drug is also known to reduce withdrawal symptoms in people addicted to heroin and other narcotic drug without having the same effects that is found in drug addiction.   Action of methadone on pain
This drug binds to the opioid receptor and produces analgesia. These receptors are bound to endogenous opioid compounds and are classified as mu, kappa and delta. This medicine occupies the mu receptor which is located peripherally (on the outer side) on the sensory nerves and immune cells and on the central side in the spinal cord and brainstem. This drug is prescribed for severe cancer pain, post operative pain and other forms of severs body pains. This drug can successfully treat both local and generalized pain and is recommended by the WHO in limited dosage .   This drug is contraindicated in the below mentioned cases.

  • Respirator disorders like asthma, COPD or sleep apnea (snoring)
  • hypothyroidism
  • abnormal curvature of the spine
  • a history of head injury or brain tumor
  • epilepsy or other seizure disorder
  • gallbladder disease
  • Addison’s disease or other adrenal gland disorders
  • enlarged prostate, urination problems;
  • mental illness
  • low blood pressure
  • History of drug or alcohol addiction.
  • liver or kidney disease

  Side effects

  • Prolonged use of this drug can cause addiction that is far more serious than other opioits as it takes more than 6- 5 weeks for recovery while the others may take a week to ten days. Withdrawal symptoms include severe muscle and bone pain, respiratory disorders, nausea and vomiting, tachycardia, involuntary twitching and kicking, intestinal spasms, depression, anxiety, mood swings, hallucinations along with suicidal thoughts.
  • Overdose of this drug can slow the breathing to such an extent that it can lead to death.
  • Combining this drug with alcohol can have serious side effects and may even cause death. It can impair a persons thinking or reactions

  Usage
It’s important to have the same amount of dose as prescribed by the physician and only for the given time. Over dosing and prolonged usage can have severe side effects. It’s also advised not to stop taking this drug suddenly as even that can have adverse effects.

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Loss of Lordosis – Its Definition, Causes and Treatment

Lordosis is an excessive inward curvature of a part of the spine. This curvature is abnormal and differs from the spine’s normal curve. The shape of the spine is different at the cervical, thoracic and lumbar regions which in a healthy body are in two directions i.e. kyphotic (around region near the neck) or lordotic (near the lower back).   Spine and Its Functions The spine is located on the posterior or dorsal (back) side of the body and runs along the whole length from the base of the brain to the pelvis. The functions of the spine are as follows.

  • It gives the body a structure and shape and provides the necessary support to stand. It also allows the body to move around. Without the spine, humans would have been vegetables, and wriggled around, without a proper support to stand.
  • It protects the spinal cord which is a column of nerves that connects the brain with rest of the body and enables humans to control their movements.
  • It is also important for normal functioning of the organs as it carries messages from the brain to rest of the body parts.
  • The natural curve of the spine between the brain and the pelvis is designed to functions as a shock absorber during movements.
  • It distributes body weight evenly.

In the initial phases (hyper-lordotic), the patients may be mildly affected, where the issue may not cause any pain or symptoms. But if the spine is subjected to abnormal stress, it can lead to loss of lordosis.   Lordosis Causes:-  

  1. Congenital anomaly – During fetal development, there may be irregular lordotic development due to which the front and back discs do not have the same thickness. Due to this, the individual vertebra tips slightly and increases the normal curvature of the spine.It is one of the major lordosis causes.
  2. Tight low back muscle- In this case it may cause an imbalance on the posture and exert excess pressure on the spine.
  3. Weak hamstrings and tight hip flexors
  4. Pregnancy- During pregnancy, the anterior weight of the women can increase, due to which the pressure on the spine is more than what it can take. This leads to loss of lordosis.
  5. Flat back– It can occur after spinal fusion surgery and is called as flat-back.
  6. Deficiency of vitamin D– The deficiency of this vitamin causes rickets which can also lead to this condition.
  7. Pot belly/Paunch– Men with a heavy stomach have a similar effect on the spine as pregnant women. Due to this the spine develops an abnormal curve causing loss of lordosis.
  8. Sitting posture- Wrong sitting posture, continuously for hours, which are characterized by stooped shoulders, can also cause this condition.
  9. Discitis – inflammation of the intervertebral disc space.
  10. Osteoporosis- The decrease in the bone density can cause vertebrae to loose strength and have an abnormal curvature which leads to loss of lordosis.
  11. Spondylolisthesis– this is a condition in which one vertebra in the lumbar spine slips forward in relation to an adjacent one.
  12. Hereditary– Usually loss of lordosis has a family history, where most of the members suffer from this condition after a certain age.
  13. Obesity- The spine is deigned to support a certain amount of weight. When the weight rises above the spines carrying capability, it tends to develop an abnormal curve which leads to loss of lordosis.

  Lordosis Symptoms:-   The??lordosis symptoms vary depending on the part of the spine that is affected. The generalized lordosis symptoms consists of ‘

  1. Pain in the localized area especially during movements.
  2. Abnormal standing posture especially while standing.
  3. Forward spinal curvature of the lower back.
  4. Numbness in the affected area such as the nape of the neck, or small of back
  5. Muscle spasms.
  6. Tingling sensation in the affected area.
  7. Weakness and bowel/bladder changes.

The best way to diagnose this disorder is by taking PA (posterior/anterior or back to front) and lateral (side) X- rays. The X-rays show the degree of curvature.   Lordosis Treatment- Depending on the level of curvatures, the doctor chooses between surgical and non surgical lordosis treatments.  

    • Non surgical Lordosis Treatment – This is when the curvature is not to steep and is not affecting the movements of the body.
      1. Pain killers and anti-inflammatory medications help to ease the pain and ensure that there is no inflammation.
      2. Physiotherapy- this helps to rebuild the strength, flexibility and helps to perform daily tasks better.
      3. The patient may be put on braces around the affected area, especially if the patient is an adolescent who is in the growing phase.
      4. If the cause of loss of lordosis is obesity, then the patient is advised to loose weight.

 

  • Surgical Lordosis Treatment – Surgery is considered if the spinal cord is getting affected which is leading to tingling, loss of sensation or muscle spasm. Based on the condition, front or back surgery is performed.

Post non-surgical Lordosis Treatments doctors recommend back exercises and a healthy diet that is rich in calcium. This can help correct the posture, strengthens the abdominal muscles and increases the spine flexibility. Post-operative care involves regular follow-ups with the doctor. Usually the doctor recommends home customized programs.

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What you should know about Directive and non Directive Drug?

Drugs or medicines are essential part of every individual’s life today, as almost all of us consume drug to get cured of some or the other heath related disorder. Medicinal drugs can be categorized into two categorize Directive Drugs and Non-Directive Drugs which bear some difference in term of law and miniscule dissimilarity in terms of functions. It is always better to have information about the relevant subjects; hence, here is some information on both the categories   Directive Drugs: Directive drugs are nothing but medicines which are licensed by the legislation. These medicines mandate the requirement of a directive, by a health care specialist or other medical experts in order to be obtained from chemist or druggist. It should be understood that various jurisdiction inflict dissimilar regulation in regards with the definition of directive drugs. Directive drugs usually are distributed with required monograph which significantly provides detailed information on the particular medicine. This monograph can either be in the form of small descriptive literature on the side of the package or in form of leaflet usually found inside the package. The reason why this monograph is considered essential is that it carries vital information about the drug such as doses, adverse reactions etc.   Directive drugs are usually suggested by certified medical practitioners, dental practitioners, vet or veterinaries, ophthalmologist etc. A directive should be generally authorized by Doctor of Medicine, Doctor of Osteopathic Medicine, Physician Assistant, Doctor of Optometry, Doctor of Podiatric Medicine, Doctor of Veterinary Medicine, Doctor of Dental Surgery or Doctor of Dental Medicine. In the United States, Food and Drug Administration is the body that looks after the definition of laws passed in respect with Directive Drugs. Directive drugs were also commonly referred to as Legend or Rx Only drugs. However, you may find that most packaging of legend drugs usually has the Rx Only indication.   Nondirective Drugs: Nondirective Drugs are also prominent by the name OTC or Over-The-Counter. These medicines are drugs which can be directly vended to the consumer without any requirement of any directive by health care experts such as aforementioned doctors. OTC drugs are also usually examined and authorized by some regulatory body. These agencies ensure that nondirective drugs are manufactured with safe and efficient ingredients which will be useful to the consumer and does not cause any harm when consumed without doctor’s directive. These nondirective drugs are generally manufactured using API or active pharmaceutical ingredients which are biologically active. By eradicating the need of drug formulation, the government permits the drugs producing companies to devise sole ingredients or mixture of ingredients into patented formulas. Nondirective drugs are usually placed on shelves, like any other conventional packet product, in stores. In some cases, few medicines may be classified as Over The Counter drugs, but may require a chemist employee to evaluate the patient’s requirement before providing the drug. You may also find some OTC drugs being sold in stores other than pharmacy, for example supermarkets, conventional stores etc. These nondirective drugs are usually of low power and are examined of any side effects or harm to the consumer before they are introduced. One of the suitable examples of nondirective drugs would be general low power anodyne often sold at pharmacies.   Similar to directive drugs, even nondirective drugs are practical and effective in curing relevant physical conditions. The only difference would be the requirement of evidencing directive of doctors to obtain directive drugs. Directive drugs may be high power drugs which are prescribed by doctors in severe medical cases; hence, both the category of drugs stands fair at their respective levels.
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Impotence Causes in Details

Impotence is the disorder of the male reproductive system that disables the capability of the men to get is strong during the love-making activity. Nowadays, the impotence issue is being discussed a lot as people are getting more and more vocal about their health problems. Basically, impotence occurs due to the inconsistent flow of blood to the male reproductive system. The disturbance in the blood flow incapables men to attain the hard state for male reproductive organ. For this process to work properly, adequate blood flow in mandatory. It is only after the blood fills the veins and arteries in the male reproductive organ that man is able to attain the stiffness of male reproductive organ.   As per the recent survey carried out by the International Journal of Impotence Research and Studies, around 60% of the men are noted to be suffering with the impotence, either temporarily of permanently. Previously only old-aged or middle-aged men were observed to be suffering with the impotence, but nowadays even young men are noted to be facing the problem of the impotence. This is basically noted due to the unhealthy lifestyle pattern that we are following.   The issue of impotence puts an adverse impact on the overall health of the individual. As the man is not able to perform during the love-making activity he gets frustrated and loses his mental stability.   In many of the cases due to the negligence of the married men toward the impotence problem, it leads to the divorce. So, to stay away from all these problems it is necessary to overcome impotence or better is to prevent the occurrence of the impotence. But, it is very sad to know that men are very shy to discuss about this problem, which leads to the negligence and makes the situation more problematic. Thus, it is my advice to all the men to be open about their health problem and share it with your partner and discuss it with doctor to overcome it.  

Causal Factors

Causal factors of impotence are many. Some factors contribute directly, whereas some other factors contribute indirectly toward the occurrence of impotence. Basically the cause of impotence is noted to be the insufficient blood supply to the penile region.  

Process of Impotence Occurrence

In the male reproductive system, the process of stiffness of male reproductive organ is being guided by the namely the two enzymes, cyclic guanoyl monophosphatase (cGMP) and phosphodiesterase 5 (PDE-5). The enzyme cGMP is coordinates the process of improving the blood supply to the male reproductive system. This signal is being given by brain to the male reproductive system. This way the man attains the stiffness of male reproductive organ.   Once man achieves the climax, the process of enzyme PDE-5 begins. It withdraws the blood from the penile region. So the stiffness subsides. The impotence occurs when the amount of the enzyme PDE-5 in the male reproductive system is more. This enzyme curtails the blood flow from the male reproductive organ even before the person attains climax. As a result the stiffness subsides very shortly and person faces the problem of impotence.  

Factors that cause impotence are as follows

Hormonal imbalance is being statistically observed to be one of the prominent causes of the impotence in men. Less amount of the testosterone in the man’s body, make the male reproductive organ gets flimsy. The muscles in the penile region don’t get the enough amounts of the blood flow and the required nitric oxide. As a result these muscles don’t get sturdy and the man fails to attain the stronger erections. So, to avoid such impotence you must pay a good attention toward the hormone levels in the body. If you are facing the hormonal imbalance then please try to treat it as it may later on lead to the impotence.  
Injury to Male Reproductive System
Physical injury to the male reproductive organ damages the penile muscles, nerves, or veins in the male reproductive system. Even the injury to the testis is noted to malfunction the normal functioning of the male reproductive organ. This impotence arises due to this. The person with any physical injury to the male reproductive system has 90% chances of suffering with the impotence. The worst thing of the impotence caused due to the physical injury is that it is incurable. This is permanent impotence and can be treated only through the vascular reconstructive surgery, but the success rate of this mode of treatment is only 20%. Thence it would be better if you take a good care of the male reproductive system and should stay away from any thing that would cause physical injury to the male reproductive system  
Psychological Conditions
Pressure to perform and anxiety occurring during the love-making sessions is the reason for the impotence in majority of the men. Thinking a lot about the performance during love-making is nevertheless going to work in your favor. Instead this will make your anxious about the performance and ultimately you will face the problem in getting the necessary erections. Sometimes, man thinks a lot about his image, he then get conscious about his male reproductive organ size which is okay, but he still feels it to be smaller. This way he feels ashamed of his insufficient male reproductive organ size and gets in tension about how will he be able to satisfy his ladylove? This is how he gets depressed, which ultimately disturbs his mental stability and reduces his stamina. Thus, he fails to hold on for sufficient time. Many times the impotence arising from the psychological imbalance can be cured easily by improving the methodology and practicing the technique.  
Heart Problems
Healthy heart is a key to satisfactory love making activity. Your heart health is important to enjoy the love making activity to its best. As per the research studies it has been concluded that more than 60% of the heart patients suffer with the impotence. The unhealthy heart doesn’t perform well. So, the blood supply to the different parts of the body gets very improper. This way the sufficient blood doesn’t reach the body organs. The insufficient blood flow to the male reproductive organs results in the impotence. Atherosclerosis is the heart disease that deposits the plaque in the arteries and disturbs the blood supply thus increasing the chances of suffering with the impotence.  
Diabete
Impotence is being closely linked with the diabetes. The abnormal sugar levels in the body keeps the density of the blood fluctuating. If the sugar amounts are more then it ultimately increases the density of the blood that makes it difficult to transfer to other body parts. As a result the blood doesn’t reach the male reproductive system. Nearly 40% of the diabetes patients are found to be suffering with the impotence. Whether you are suffering with type 1 or type 2 diabetes, the chances of suffering with malfunctioning of male reproductive system are doubled. It would be best for the diabetes patients to keep their sugar levels at constant level in order to stay away from the impotence.  
Neurological Disorders
Neurological disorders disturb the functioning of the overall body. So, even the normal working of the male reproductive system is being perturbed. It is the brain that guards the functioning of the men during love making activity. The activity of the neurons gets improper due to the neurological disorders. The signals that are sent by the brain to the male reproductive system after the stimulation are not being delivered as the functioning of the brain is improper due to the neurological disorders. This is how the male reproductive system doesn’t get the required blood. As a result, the person starts facing the impotency problem. Working of the erection mechanism is being noted to be going wrong due to the neurological disorders like Alzheimer disease, multiple sclerosis, and Parkinson disease. If you suffer with any of these diseases then you need to get them treated at the initial stage because this will later on lead to the impotency in men.  
Alcohol Consumption
Alcohol consumption if not good for the overall health, additionally it has a severe adverse impact on the normal functioning of the erectile mechanism. Due to the excessive alcohol intake the kidney of the person malfunctions as it is not able to cope with so much of alcohol present in the body. It then throws out this excessive alcohol through the urinary tract. The person gets the urination feeling frequently when he drinks a lot. When the alcohol passes through the urination tract it damages the nerves in the penile region. Sometimes even these penile nerves get broken. This way the blood is unable to stay into the male reproductive organ for the sufficient time as a result men loses the erection quickly. Thus, alcoholic men suffer with impotence.  
Chewing or Smoking Tobacco
We all know smoking is injurious to health, but we all still smoke. Now, I want to make you aware of one more ill effects of smoking i.e. Smoking tobacco will make you impotent. Remember your love life would be completely devastated by the use of the tobacco. Either you chew or smoke, both contain high amount of the nicotine that influences the blood supply to the male reproductive organ and certainly reduces the amount of blood reaching to the penile region. As a result, men are not able to attain the erection or sometimes they lose the erection very quickly during the love-making session. This way the smokers get prone to the impotence.  
Peyronie’s Disease
Peyronie’s disease is the abnormal condition of the male reproductive organ. This disease is characterized by the slightly angular curvature of the male reproductive organ. The person is said to be suffering with Peyronie’s disease when his male reproductive organ is noted to be bending in between. The bend is not from the base, but it is from the central position. In this disease the veins and nerves in the male reproductive organ gets constricted due to the bend. This way the blood doesn’t reach to the all parts of the male reproductive organ. Due to the improper distribution of the blood in the penile region the men with Peyronie’s disease also gets prone to the impotence.  
Obesity
Obesity is the disease that is caused by the excessive weight gain. As per the research studies the person who is obese is double the times prone to the impotence. During the study from 100 men about 37 obese men were observed to facing some kind of erection problems. During the obesity the excessive amount of the fats and carbohydrates gets deposited in the body. Excessive amounts of fats put the stress on the subordinate veins and arteries that supply blood to all parts of the body. The nerves and veins get narrow and thus the blood supply gets disturbed. As a result male reproductive system doesn’t get the required blood flow to enact the erection process. This leads to the failure in the erection and finally it leads to the impotency in men.  
Drugs and Surgeries
Impotence is being observed prominently among the men who have undergone the surgeries. Specifically the men who have undergone heart surgeries, kidney replacement face the problem of impotence. Even the men who undergo major surgeries for bladder cancer (radical cystectomy) and for prostate cancer face the problem of impotence as they need to remove the nerves from the male reproductive organ. You may face the impotence problem due to the intake of drugs like tranquilizers, heart medications, and high blood pressure controlling medications, antidepressants, and sedatives. These drugs may cause either temporary or permanent impairment of the erection mechanism, so please avoid taking these drugs without any reason.

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Complete Information on Antibiotics

What are Antibiotics? Antibiotics are medications that are derived from the microorganisms; specifically they are the microorganisms with the antibacterial property. They are the best medicines to cure the bacterial infections. All thanks to Mr. Alexander Fleming who invented this superb antibacterial drug. Today, antibiotics are the only drugs that cure the bacterial infections with such an efficacy and without any harmful side effects on the health of the individual taking it. Mr. Selman Waksman in 1942 gave the antibiotics to the microbial culture that has shown antibacterial property. For that day till today lot of advances have taken place in the world of medicines. Previously antibiotics were utilized in its natural form, but today due to the advances in the technological means we are using semisynthetic compound originated from the original microorganism as an antibiotic. Antibiotics are basically of two types one which eradicate the bacterial infections completely by killing them and other ones are those that curtails the multiplication of the bacteria. The antibiotics that kill bacteria are called bacteriostatic and antibiotics that eradicate bacteria are bacteriostatic. As per the historical reviews, the first discovered antibiotic was penicillin, and today there are more than 100 antibiotics present.   When and how to Use Them?Antibiotics treat bacterial infections. They are given to the patients when no other medication is showing any effect against the infecting bacteria. Depending upon type of infection, severity of infection, and overall health status of the individual doctor prescribes the antibiotic. Remember that specific antibiotic is effective against the particular bacterial infection. The dosage of antibiotic is given generally as twice or thrice in a day. Antibiotics are generally taken oral with a full glass of water. It is best to take this medication as prescribed by the doctor.   Is it necessary to consult doctor before using antibiotics?
Yes, it is compulsory to consult the doctor before using antibiotics. They are the medications that can result into serious consequences if taken without proper diagnosis. Remember that doctor understands properly that which type of infection you are suffering from and then only prescribe you the antibiotic. Never take antibiotic on your own. We generally have a tendency to use the same antibiotic when we face the bacterial infections again, but please understand that this may not be the same bacterial infection or it may not be the bacterial infection at all. In this case you put an adverse impact on your health by taking antibiotic. So, we strongly recommend here to consult the doctor before taking antibiotic.   What are the side effects of Antibiotics? The most common side effect of antibiotics is the diarrhea. This side effect is being noted in majority of the patients whose body doesn’t accept the antibiotic dose. This is a preliminary side effect, but if you still face the diarrhea problem then stop taking the antibiotic and consult the doctor for the medical advice. Other side effects noted by the intake of the antibiotics are vomiting, nausea, headache, swelling of the face, itching, rashes on skin, and stomach upset. In some cases the side effects like fungal infections of digestive tract, female reproductive organ, and mouth are noted due to the intake of the antibiotics.   What to do in case I suffer with side effects of antibiotics?
In case you face the side effects due to the intake of the antibiotics then please stop taking the dose of the medication. Consult the doctor immediately for the medical advice. We recommend never to neglect these side effects as they may turn into the severe one. Taking an antibiotic for more duration or in excess is generally noted to be the reason for the occurrence of the side effect. So, please take this antibacterial drug as prescribed.   Can I take antibiotics to treat Viral or Fungal infections?
No. Antibiotics are noted to be ineffective against the viral or fungal infections. The studies have been carried out to note their effect against viral and fungal infections, but none has given the positive results. Sometimes taking the antibiotics unknowingly for the viral or fungal infections can results into the adverse impact on the health or they may sometime make the infection to grow more severe. Thence, before taking the antibiotic please consult the doctor.   Is it safe for pregnant women or nursing mothers to take antibiotics?
It is mandatory to consult the doctor if you want to take antibiotic during pregnancy. There are some antibiotics that are safe during pregnancy and there are some that are very harmful if taken during pregnancy. It is only your doctor who can verify which antibiotic is safe during the pregnancy. Also, the same is applicable for the nursing mothers. Whether you are pregnant or breast feeding the baby, we strongly recommend you to go to the doctor discuss with him about your infection and then only take the antibiotic if doctor prescribed it to you.
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Smoking is the Process of Slow Poisoning

As the slow poisoning process doesn’t affect your body instantly, but devastates your health very slowly and steadily. Same is the case with the smoking addiction. The habit of smoking doesn’t show any adverse impact on the health instantly, but proceeds slowly to destroy the health of the individual. You will even not notice about the negative impact of the smoking for about the year, but later it will start showing its side effect on the health one by one. In simple way, you can describe smoking as the sincere way to commit suicide.

Smoking deteriorates the health of the person by destroying the immune system. Due to this the person gets prone to the various infections. Overall health status of the individual who smoke is very low as compared with the normal person. The smokers are this way always noted to be suffering with some or the other illness.   Majority of the smokers suffer with the cancer, which ultimately leads to the death. Smoking is noted to be one of the most significant causes of the cancer. The most commonly observed in the smokers is the lung cancer. The cases of bladder cancer, cancer of the oesophagus, cancer of the kidneys, cancer of the pancreas, and cervical cancer are noted due to the smoking. The Nicotine present in the tobacco inside the cigarette is carcinogenic in nature that causes the cancer. It is in incurable once it reaches the secondary level. The only method to stay away from this cancer is through the avoiding the smoking. Mentioned below is how the person gets affected due to the smoking in the duration of the 5 years.   Smoking is the root cause behind the various health ailments. Some scientific research studies have linked the smoking with the diabetes. It has been concluded through these studies that 60% of the smokers suffer with the diabetes. The combination of smoking and diabetes is very hazardous to the health. Diabetes makes the condition more severe and destructs the normal functioning of the immune system. As a result, you get prone to various health problems.   Smoking is the root cause behind the various health ailments. Some scientific research studies have linked the smoking with the diabetes. It has been concluded through these studies that 60% of the smokers suffer with the diabetes. The combination of smoking and diabetes is very hazardous to the health. Diabetes makes the condition more severe and destructs the normal functioning of the immune system. As a result, you get prone to various health problems.   Many youngsters found the smoking to be the cool habit and think of it as their endearing trait. But, this is where they make a mistake. I think there is need now to make these youngsters aware of how much harm the smoking habit can make them suffer in their future. Some adolescent give tell that they smoke in order to concentrate during the studies. This explanation is the most ridiculous because this way they get addicted to the smoking and get prone to the various health disorders and sometimes to the dreadful cancer.   The risk of the cardiovascular disorders is being increased due to the smoking. The unhealthy habit of smoking disturbs the proper functioning of the lungs by affecting them with the cancer. The growth of the cells become malignant in the particular area and the person is unable to get in the required amount of the oxygen. This results in the more pressure on the heart and the person dies due to the heart attack. About 20% of the smokers are noted to be suffering with the cardiovascular disorders. Smoking contributes to the chronic obstructive pulmonary disease (COPD). Due to this the air flow is destructed that makes breathing more difficult. The two conditions caused due to it are emphysema and chronic bronchitis.

Smoking causes high blood pressure problems. It is also observed the women who smoke face the problem in conceiving the child. Even men who smoke a lot face the problem of the impotence and premature climax. Smokers are at high risk of cataracts. The worst thing about smoking is that even the person who is passive smoker faces the health hazards. Staying in contact with the smoker daily affects the health of the passive smoker. They are noted to suffering with lot of allergies. This way smoking affects the overall health of the smoker, whether active or passive, slowly and steadily. Thus, smoking is termed as the process of the slow poisoning.
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Tips to Keep Weight Under Control

Excessive weight gain is now become a problem of every household. On an average in every house at least one fat person is seen. Fatness, I have observed has now become a part of life and many people are taking it very gradually. Please don’t do this as your extra pounds would create a lot of health hazards for you, so do try to keep your weight under control. By maintaining the weight in the normal range you can certainly keep your overall health status at the optimum best. Excessive weight gain is the root cause of the various health hazards. Firstly the extra baggage that you are carrying will make you obese, and once you suffer with obesity, it will later on lead to the various health complications. Heart diseases are commonly observed in the fat people. This happens as lots of fats get deposited on the chest that makes it difficult for the person to breathe properly. Even the disease like blood pressure, diabetes, atherosclerosis, kidney problems, and erectile dysfunction are observed prominently among the fat people. So, to stay away from these diseases you must keep your weight under control. Here are some tips to keep your weight under control:   1] Diet control
What you eat is what you are. If you eat more then certainly you are going to gain weight. The first thing that you must give prior importance is to control the diet. Whoever has to keep his weight under control or has to lose weight must play a specific attention toward what to eat and what not to eat. Here, I would like to suggest that you must avoid eating the foods that are rich in fats and carbohydrates as they are the prime reason that leads to the excessive weight gain. Rather I would suggest opting for the balanced diet as it will provide your body all the necessary nutrients required for the proper growth, development, and maintenance. Controlled diet will help you to keep your weight under control.  
2] Walk more
Walking is the simplest method to keep your weight under control. It is through the process of walking that excessive amounts of the fats and carbohydrates in your body are burned out. Daily walking will never allow any of the excessive baggage to get deposited in the body. If you are fat or doesn’t want to get fat then walking is very efficient way for this. I would recommend here to go out for the walking daily and indulge in this exercise at least for about 30 minutes to get the best results. The process of walking not only keeps your weight under control but also keeps your overall health status in the best condition.  
3] Drink adequate water
Many youngsters found the smoking to be the cool habit and think of it as their endearing trait. But, this is where they make a mistake. I think there is need now to make these youngsters aware of how much harm the smoking habit can make them suffer in their future. Some adolescent give tell that they smoke in order to concentrate during the studies. This explanation is the most ridiculous because this way they get addicted to the smoking and get prone to the various health disorders and sometimes to the dreadful cancer.  
4] Do house hold work
Yes, I would suggest you to get engaged in the household work. By household I mean asking you to cook the food, even that can help, but if you don’t know it then I would suggest you to wash clothes on your own. Even ironing the clothes and cleaning the house would help you to lose those extra pounds. Watering the plants or weeding during the gardening should be done by yourself as this will burn the excessive fats in your body that will ultimately help in the weight loss process. If you get yourself engrossed in all the household work then your weight will stay in normal level and you will not face the problem of excessive weight gain.  
5] Eat fruits
Yes, I would suggest you to get engaged in the household work. By household I mean asking you to cook the food, even that can help, but if you don’t know it then I would suggest you to wash clothes on your own. Even ironing the clothes and cleaning the house would help you to lose those extra pounds. Watering the plants or weeding during the gardening should be done by yourself as this will burn the excessive fats in your body that will ultimately help in the weight loss process. If you get yourself engrossed in all the household work then your weight will stay in normal level and you will not face the problem of excessive weight gain.   Remember, the tips mentioned above will not give you the weight loss effects instantly. You need to follow these tips regularly for about 2 to 3 months to get the visible weight loss results. I assure you that if you follow these tips with complete dedication and determination then certainly you would be able to keep your weight under control.