ERECTILE DYSFUNCTION (Impotence) | Cause, Diagnosis, Diet & HOMEOPATHY

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                Erectile dysfunction (ED) is the inability to get or keep an erection firm enough for sexual intercourse. It is also called Impotence.
A penile erection is the hydraulic effect of blood entering and being retained in sponge-like bodies within the penis. It is not necessarily a normal part of aging. The process is often initiated as a result of sexual arousal, when signals are transmitted from the brain to nerves in the penis. Erectile dysfunction is indicated when an erection is difficult to produce.
Disorders such as erectile dysfunction (ED) and female sexual dysfunction are becoming increasingly more important as a result of the aging population and newer therapies.

unsatisfied sex


What Causes ED?

We can classify the causative factors as given below.


Vascular causes               
Vascular diseases account for nearly half of all cases of ED in men older than 50 years. Vascular diseases include atherosclerosis, peripheral vascular disease, myocardial infarction, and arterial hypertension.
·         Atherosclerosis
·         Peripheral vascular disease
·         Myocardial infarction
·         Arterial hypertension
·         Vascular injury from radiation therapy
·         Vascular injury from prostate cancer treatment
·         Blood vessel and nerve trauma (eg, due to long-distance bicycle riding)
·         Medications for treatment of vascular disease
Systemic diseases          
·         Diabetes mellitus
·         Scleroderma
·         Renal failure
·         Liver cirrhosis
·         Idiopathic hemochromatosis
·         Cancer and cancer treatment
·         Dyslipidemia
·         Hypertension
Neurologic causes          
·         Epilepsy
·         Stroke
·         Multiple sclerosis
·         Guillain-Barré syndrome
·         Alzheimer disease
·         Trauma
Endocrine conditions    
·         Hyperthyroidism
·         Hypothyroidism
·         Hypogonadism
·         Diabetes
Respiratory disease       
·         Chronic obstructive pulmonary disease
·         Sleep apnea
Psychiatric conditions  
·         Depression
·         Widower syndrome
·         Performance anxiety
·         Posttraumatic stress disorder
Penile conditions           
·         Peyronie disease
·         Epispadias
·         Priapism
Nutritional states           
·         Malnutrition
·         Zinc deficiency
Hematologic diseases  
·         Sickle cell anemia
·         Leukemias
Medications     
·         Antihypertensives
·         Antidepressants
·         Antipsychotics
·         Antiulcer agents (eg, cimetidine)
·         5-Alpha reductase inhibitors (eg, finasteride, dutasteride)
·         Cholesterol-lowering agents
Surgical procedures       
·         Brain and spinal cord procedures
·         Retroperitoneal or pelvic lymph node dissection
·         Aortoiliac or aortofemoral bypass
·         Abdominal perineal resection
·         Proctocolectomy
·         Transurethral resection of the prostate
·         Radical prostatectomy
·         Cryosurgery of the prostate
·         Cystectomy
Lifestyle habits
·         Smocking
·         Alcohol conception
·         Lack of exercise
ED has a high prevalence in men over than 50 years. The incidence increase with aging and its ethiology appears to be multifactorial. The anamnesis and detailed physical evaluation ought to be performed in order to detect the main etiological factors. The best approach to obtain better results is to identify the main etiology. A multidisciplinary evaluation should be recommended for all patients.

( Read ; Benign Prostatic Hyperplasia | Cause ,symptoms , Lab tests & Diet )


How ED is diagnosed?

                There is no specific test to diagnose ED. Routine blood examination is done to exclude infections.
History:-  Sexual functioning in a male is goes through these phases- arousal (libido), erection, orgasm, ejaculation, and a refractory period. The history taking is aimed to find out in which stage the patient is suffering from.
                In history taking, the doctor will be asking you about the past medications, surgery and any emotional disturbances you might have gone through.

Physical examination:- After history taking the patient is examined physically to find out the systemic causes.  If penis is not sensitive to physical touch, a problem in the nervous system may be the cause.
If there is abnormal secondary sexual characters like unusual hair growth and well developed breast , the cause may be from hormone disturbance.

Psychological examination: - interview and a questionnaire with the subject will help to rule out the psychological cause. Both the partners are interviewed in this.
Other tests: - Monitoring erections that occur during sleep-nocturnal erections-can help rule out certain psychological causes of ED. A normal healthy individual has involuntary erection during sleep. If it is absent the cause is physical.

How to treat ED?

The treatment starts after finding out the cause. Simple lifestyle rearrangement and modification will show wonders in your sexual life. The patient should quit smoking and alcohol conception and should engage in some physical activities for better results.
                Phosphodiesterase-5 inhibitors (PDE-5) like sildenafil citrate (Viagra®),vardenafil HCl (Levitra®), tadalafil (Cialis®) are the commonly used drugs to treat ED.  These drugs work by relaxing the muscle cells in the penis allowing for better blood flow and production of a rigid erection.
The most common side effects are headache, stuffy nose, flushing and muscle aches. In rare cases, sildenafil can cause temporary blue-green shading of vision.

Diet to prevent ED

·         Drinking water can help flush your system but also flush cholesterol that may clog penile arteries. You should drink 100 ounces per day.
·         Eat smaller meals (about the size of your fist). You should eat about 5-6 meals daily.
·         Eating vegetables is extremely important for the vitamins, minerals and especially the fiber. The fiber will help flush the body.
·         Keep your dairy products to a minimum because of the high levels of cholesterol.
·         Avoid caffeinated beverages that may cause higher levels of stress.
·         You should eat lean meat and seafood. Avoid red meats which can clog arteries.
·         Bran cereal is great in the morning for fiber.
·         Supplement foods with high levels of zinc. Zinc deficiency is common in ED sufferers. You can get plenty of zinc with whole grain cereals, chicken, turkey, brown rice, beans and low fat yogurt.
·         Eating fruits is important but should be lessened because of too much sugar. High levels of sugar is associated with male impotence.

Homeopathy for Erectile dysfunction

                Homeopathy has shown significant results in ED.  Homeopathy has a unique method of case taking.  A complete casetaking will need a detailed explanation of mental as well as physical generals of the individual. This casetaking itself will help the physician to find out the cause. There are many medicines which will deal with ED in homeopathy.

Argentum Nitricum:
Want of desire. Apprehensive impotency before coition. Penis shriveled. Coition painful, sensitive at orifice. Painful tension during erection. Testicle drawn high up. Psychological impotency.

Caladium Seguinum:- Sexual organs relaxed and swelledNocturnal emission without dream. Imperfect erection and premature ejaculation of semen. Excitement does not erect penis. Feeling of coldness in penis.

Conium Maculatum:
 Want of energy in coition. Erections imperfect, and of too short duration. Easy emission of semen, even without firm erections. Dejection, after coition. Sometimes emission at mere presence of women.

Agnus Castus:- The penis is small and flaccid, so relaxed that voluptuous fancies excite no erection. The testicles are cold, swollen, hard and painful. Impotence with gleets. Diminution of sexual power.

Phosphoricum Acidum:- Absence of sexual desire. Neurasthenia after sexual intercourse. Weakness of sexual organs with onanism and little sexual desire. Frequent and very debilitating pollutions. Onanism.

Lycopodium Clavatum:- Impotence of long standing. Weakness or total absence of erections. Penis small, cold, relaxed. Emission too speedy or too tardy during coition.Flow of prostatic fluid, without an erection. Abhorrence of coition.

Nux Vomica:- Excitement easy. Strong sexual desire with painful erection. Increased sexual desire with frequent erections and pollution in the morning. Pollution with flaccidity of penis fllowed by coldness and weakness in lower extremities. Involuntary seminal emission. Nightly emissions. Impotency due to masturbation and sexual excess.

Phosphorus:- Impotency after excessive excitement and onanism. Involuntary emission.Feeble and too speedy emission during coition.

Selenium:- Impotence with lascivious ideas. Discharge of semen, drop by drop, during sleep. Flow of prostatic fluid during evacuation and at other times. Thin and scentless semen. During coition, feeble erection, too prompt emission, and long-continued voluptuous thrill. Priapism.

Staphisagria:- Organs relaxed with backache and weakness of the lower extremities. Seminal emissions followed by great chagrin and mortification Dyspnoea develops after coition. Secretion of prostatic fluid during evacuation.

Damiana:- An excellent remedy for impotency. Give 5-10 drops a dose thrice daily.

Sulphur:- Too quick discharge of semen during coition. Erection fails when coition is attempted. Incomplete rection during coition. Impotence with mental depression, relaxed penis, with sexual desire and excitement. Testes relaxed and hanging down. Watery semen.

Calcarea Carbonica:- Weakness of the genital functions, and absence of sexual desire. Erections of too short continuance and emission of semen too slow.

Yohimbinum: It is a powerful stimulant of the genital function in males. Sexual neurasthenia, with impotence.

Arnica Montana:- Impotency due to fall or blow. Impotence from excess or abuse.

Sabal Serrulata:- Discharge of prostatic fluid. Pain in back much aggravates after coitus. Drawing pains in spermatic cords; shrunk testes
Kali Bromatum: -Impotency with melancholy, loss of memory; nervous prostration; epilepsy.

Sources:-
http://www.emedicinehealth.com/diagnosing_erectile_dysfunction
http://emedicine.medscape.com
http://www.urologyhealth.org/urology
www.similima .com
http://EzineArticles.com/3352942
http://kidney.niddk.nih.gov


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VOMITING IN PREGNANCY | Cause, Prevention & Homeopathy

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Morning sickness and emesis gravidarum are the other names for it. Nausea and vomiting can be one of the first signs of pregnancy and usually begins around the 6th week of pregnancy. It can occur at any time of the day, and for most women it seems to stop around the 12th week of pregnancy.
 I have seen in some weak women with nausea and vomiting till the last trimester of pregnancy without any harmful effect to the baby.



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An alternative Approach to Hair Loss For Women

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Hair loss can be a sensitive topic for many, especially women. Female hair loss can happen for a variety of reasons. The most common causes are malnutrition, stress, and hormonal changes due to pregnancy or menopause. However, many people are genetically predisposed to Alopecia. Fortunately, the condition is treatable using natural methods, which are outlined below.

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BACK ACHE | Cause, singn & symptoms, Diagnosis, Prevention | HOMEOPATHY

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   Pain in the back from cervical vertebrae to coccyx is called back pain. Lower Back pain is called as Lumbago. Back pain which leads to thighs is called sciatica. The spine is a complex interconnecting network of nerves, joints, muscles, tendons and ligaments, and all are capable of producing pain

Back pain is one of humanity's most frequent complaints. In the U.S., acute low back pain (also called lumbago) is the fifth most common reason for physician visits. About nine out of ten adults experience back pain at some point in their life, and five out of ten working adults have back pain every year

Back pain may have a sudden onset or can be a chronic pain; it can be constant or intermittent, stay in one place or radiate to other areas. It may be a dull ache, or a sharp or piercing or burning sensation. Backache Is not a disease but a symptom of a illness.


What cause back ache?

·         Occupational hazards:- Lifting heavy objects, prolonged standing or sitting, sitting in front of the computer for long hours at a stretch, are the most common cause of back ache.
·         Diseases of vertebral column – like pott’s spine, tumor, and disk prolapse or herniated intervertebral disk, degenerative disk disease, osteomalacia, osteoporosis, spondylosis.
·         Spinal cord infection can cause back pain.
·         Mechanical causes:- abnormal sitting postures, injury or trauma, extreme obesity, sleeping on very soft mattresses.
·         Extra spinal causes:- Peripheral vascular diseases, Hip osteo arthritis, Peripheral nerve lesion like neuropathy and herpes zoster.
·         Referred pain – of renal calculi, renal tumors, renal tuberculosis, pancreas tumor, diseases related to female genital organs.
·         Surgical causes like Lumbar puncture.
·         Prolaps of inter vertebral disc ( IVDP)
·         Gynaecological conditions like premenustral syndrome, fibroid uterus, PCOS Etc…
·         Metastasis – cancer may spread to the bones like breast cancer, lung cancer and causes back pain.
·          Psychological factors: Some factors like anxiety, depression, lack of inner peace, death of a loved one, etc. contribute to back pain.
·          Obesity: Back pain increases in overweight and obese patients.


Read more: Rheumatoid arthritis | Homeopathy




Sing and symptoms related to back ache

·         Pain that develops gradually and slowly gets worse and worse over days or weeks.
·         Constant back pain that is not eased by lying down or resting.
·         Pain that travels to the chest, or is higher in the back behind the chest.
·         Extension of the pain may occur to the other parts of the body especially to the buttocks, back of thigh, calf muscles.

Inflammatory (Arthritic) Symptoms:- 
·         Morning stiffness
·         Constitutional symptoms like fever, redness and pain.
·         Pain worse at night


Diagnosis

·         History should be taken to know any triggering factors like fall and trauma.
·         Physical examination should be done :- giant, Posture and extension of pain etc
·         Blood routine:- CBC(complete blood count) to rule out the infection.  Blood culture.
·         X-ray spine To detect Disc prolapse
·         CT Scan and MRI to find out nerve compression and other neuropathies.
·         SLR( Straight Leg Rise ) :-   To evaluate disc herniation. Positive SLR is defined as pain in the posterior leg that radiates below the knee with the hip flexed 60 or less and the patient lying supine and is suggestive of disc herniation.

Management of backache

Making small changes to your lifestyle can reduce your risk of back pain.
If you smoke, stop. It puts you at increased risk for back problems since your blood has trouble delivering oxygen to working tissues, making your back weaker.

Prevention & precautions

·         Always stretch before exercise or other strenuous physical activity.   Don’t slouch when standing or sitting. When standing, keep your weight balanced on your feet. Your back supports weight most easily when curvature is reduced.  
·         At home or work, make sure your work surface is at a comfortable height for you.
·         Sit in a chair with good lumbar support and proper position and height for the task. Keep your shoulders back. Switch sitting positions often and periodically walk around the office or gently stretch muscles to relieve tension. A pillow or rolled-up towel placed behind the small of your back can provide some lumbar support. If you must sit for a long period of time, rest your feet on a low stool or a stack of books.
·         Wear comfortable, low-heeled shoes.
·         Sleep on your side to reduce any curve in your spine. Always sleep on a firm surface.
·         Ask for help when transferring an ill or injured family member from a reclining to a sitting position or when moving the patient from a chair to a bed.
·         Don’t try to lift objects too heavy for you. Lift with your knees, pull in your stomach muscles, and keep your head down and in line with your straight back. Keep the object close to your body. Do not twist when lifting.
·         Maintain proper nutrition and diet to reduce and prevent excessive weight, especially weight around the waistline that taxes lower back muscles. A diet with sufficient daily intake of calcium, phosphorus, and vitamin D helps to promote new bone growth.
·         If you smoke, quit. Smoking reduces blood flow to the lower spine and causes the spinal discs to degenerate

Bed rest versus exercise

          Doctors used to recommend long periods of rest for people with backache, but research has shown this is actually bad for backs. Even crawling around on your hands and knees is better than no movement at all.
Some kinds of exercise, such as walking, don't put too much stress on your back. It's a good idea to make a start on them even if your back is a bit sore, just to get your joints moving and your heart and lungs working.
Use a firm chair when sitting down, or sit on the floor rather than a sofa that’s too soft. Similarly, make sure your bed is firm enough.

Homeopathy for Backache

          Homeopathy gives better results in Chronic as well as acute back aches. There are many homeopathic remedies for back ache. Patient should consult a classical homeopath to start treatment. Homeopathy considers the patient as whole just not the disease. To prescribe a remedy a homeopath need the complete history of the disease and the patient as well.
Most commonly prescribed homeopathic medicines for back ache are
Bryonia,                 Rhus tox,
cimicifuga,             Arnica,
nux vomica,         calc carb,
lycopodium,        Hypericum,
calc phos,             Kali carb,
Sulphur ,            ruta &     Sepia etc



Source:-
http://www.ninds.nih.gov/disorders/backpain/detail_backpain.htm
http://www.bbc.co.uk/health
http://en.wikipedia.org/wiki/Back_pain
Frymoyer  JD.  Back pain and sciatica.  N Engl J Med.  1988;318:291–300.

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HOMEOPATHIC REMEDIES FOR BACKACHE

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          Homeopathy gives better results in Chronic as well as acute back aches (Vertebral disc prolapse (IVDP), Lumbago, sciatica neck pain). There are many homeopathic remedies for back ache. Patient should consult a classical homeopath to start treatment. Homeopathy considers the patient as whole just not the disease. To prescribe a remedy a homeopath need the complete history of the disease and the patient as well.
In constitutional way of treatment a single dose of homeopathic remedy will be sufficient to bring out the cure for chronic backache.


  Read : Backache | Cause, symptoms, Diagnosis & Prevention


Rhus toxicodendron
           A violent pain in the back, as if broken, is the greatest characteristic of Rhus in backache. It is more characteristic than the symptom "relief from

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