Showing posts with label MALE COMPLAINTS. Show all posts
Irritable Bowel Syndrome (IBS) | Cause, symptoms, Diet & Homeopathy
Dr.Fasil Mohammed
04:05
GASTROENTEROLOGY
,
Irritable Bowel Syndrome
,
MALE COMPLAINTS
,
SOCIAL ISSUES
4 comments
IBS is a
functional gastro intestinal disorder characterized by altered bowel habits,
abdominal pain and constipation or diarrhea without any organic pathology.

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Triggering factors
Exact cause for this condition is
not known. In most of the cases diarrhea or (and) constipation predominates.
It is estimated that IBS afflicts
one in six Americans, particularly women, and it is the most common intestinal
problem seen by gastroenterologists.

Population-based studies estimate
the prevalence of irritable bowel syndrome at 10-20% and the incidence of
irritable bowel syndrome at 1-2% per year. Of people with irritable bowel
syndrome, approximately 10-20% seek medical care. An estimated 20-50% of
gastroenterology referrals relate to this symptom complex. The incidence is
markedly different among countries.
What
causes IBS?
It is a difficult question in
case of IBS. What cause IBS is not really known.
Some hypotheses have been
proposed which can trigger IBS Which are
·
Active infections like gastroenteritis which
sometimes causes colonic muscle hyperactivity.
·
IBS is seen in people who are suffering from
depressions.
·
Limbic system abnormalities, as demonstrated by
positron emission tomography, have been described in patients with irritable
bowel syndrome.
·
Bloating and distention may also occur from
intolerance to dietary fats. This kind of food rich in fat can lead to IBS
·
Mental anxiety can trigger the IBS symptoms.
Low mast cell
counts and atopic disease are associated with increased risk for irritable
bowel syndrome, according to data presented at the American Academy of Allergy,
Asthma & Immunology Annual Meeting in San Antonio.
Triggering factors
Ø
chocolate
Ø
drinks that contain caffeine, such as tea,
coffee or cola
Ø
Fried food
Ø
processed snacks, such as crisps and biscuits
Ø
alcohol
Ø
fizzy drinks
Ø
fatty food
What
are the symptoms of IBS?
ü Abdominal
pain or discomfort
ü Diarrhea
or constipation
ü Urgency
for bowel movements
ü A
feeling of incomplete evacuation
ü Abdominal
distension
ü Mucus
in stools
ü Nausea
There can be fibrimyalgic
symptoms associated with IBS. Anxiety or depression triggers the symptoms.
Investigations
There are no specific diagnostic
tests to investigate IBS. Your Doctor can diagnose it by your symptoms itself.
Stool and blood examination should
be done to rule out infections
Endoscopy should be done to find
out any gastrointestinal pathology.
Diet to
be followed
Eat fiber rich food
Vegies which contains fibers
are
- oats
- barley
- rye
- fruit, such as bananas and apples
- root vegetables, such as carrots and potatoes
- golden linseeds
Add enough water in your diet
Avoid food stuffs which are
intolerant to your stomach.
Some
tips on eating
- restrict your tea and coffee intake to a maximum of three cups a day
- have regular meals and take your time when eating
- lower the amount of alcohol and fizzy drinks you drink
- reduce your intake of resistant starch, starch that resists digestion in the small intestine and reaches the large intestine intact – it is often found in processed or re-cooked foods
- avoid missing meals or leaving long gaps between eating
- limit fresh fruit to three portions a day – a suitable portion would be half a grapefruit or an apple
- if you have diarrhea, avoid sorbitol, an artificial sweetener found in sugar-free sweets, including chewing gum and drinks, and in some diabetic and slimming products drink at least eight cups of fluid a day, particularly water and other non-caffeinated drinks such as herbal tea
- if you have wind and bloating, consider stopping all cereals for six weeks or increasing your intake of linseeds (up to one tablespoon a day)
Homeopathy for IBS
There are many
homeopathic medicines which can cure your IBS. The homeopathic medicine is
selected according to your symptom similarity. A detailed individualized case
is taken by your homeopath to get your remedy.
Here we are
listing out some of the common homeopathic remedies which should not be taken
without your physician’s advice.
·
Nux vomica
·
Argentum Nitricum
·
Phosphorus
·
Lycopodium
·
Arsenicum album
·
China
·
Colocynthis
·
Plumbum met
·
Aloes
·
Sulphur
·
Podophyllum
Source:-
http://www.betterhealth.vic.gov.au/
http://en.wikipedia.org/wiki/Talk:Irritable_bowel_syndrome
http://www.nhs.uk/
http://emedicine.medscape.com/article/180389-treatment#showall
http://www.foxnews.com/health/2013/02/12/diet-changes-to-help-relieve-ibs-symptoms/
www.malonie.com
ERECTILE DYSFUNCTION (Impotence) | Cause, Diagnosis, Diet & HOMEOPATHY
Dr.Fasil Mohammed
06:51
Erectile dysfunction
,
INFERTILITY
,
MALE COMPLAINTS
,
SOCIAL ISSUES
,
UROLOGY
8 comments
Erectile
dysfunction (ED) is the inability to get or keep an erection firm enough for
sexual intercourse. It is also called Impotence.
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:
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
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.
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
·
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
·
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
http://kidney.niddk.nih.gov
Benign prostatic hyperplasia (BPH) | Cause, symptoms, Lab tests and Diet | Homeopathic medicines
Benign means non-cancerous. Many
things, including prostate cancer and prostatitis can cause an enlarged
prostate. The front of your prostate surrounds your urethra – the tube that
carries urine from your bladder and out through your penis. Any change in the
size or shape of your prostate can narrow this tube, making it difficult for
you to pass urine.
If you have BPH, a rapid growth
in the cells in your prostate can lead to growth of your prostate gland. Not
all men with BPH will develop an enlarged prostate.
Causes and Risk Factors of BPH
Age:
The half-century mark seems to be
the tipping point when it comes to greater risk of developing BPH. While
slightly more than 20 percent of American men ages 40 to 49 have symptoms of
BPH, this figure rises to 35 percent among men 50 to 59, 58 percent in the 60
to 69 age group, and 84 percent in men age 70 and older. Factors that may
contribute to the age-related risk of developing BPH include changes in hormone
levels and damage to the blood vessels that supply the prostate and surrounding
structures.
Men who have a close male
relative (father, grandfather, brother, son) who have BPH have an increased
risk of getting the disease.
Excessive DHT:
DHT is the acronym for
dihydrotestosterone, a substance that is the result of a conversion of
testosterone by an enzyme called 5-alpha reductase. BPH is an
“androgen-dependent disease,” which means it is influenced by the male hormone
(androgen) testosterone. The prostate will not grow unless it is “directed” to
do so by testosterone, which is made mainly by the testes
Elevated estradiol:
It’s natural for men to have some
of the female hormone estrogen (in the form of estradiol). The proper balance
of estrogen-to-testosterone in men is important for a healthy sex drive, to
enhance brain function, protect the heart, and strengthen the bones. When estradiol
levels are too high, however, and the ratio is out of balance, men can
experience fatigue, increased body fat, loss of libido and an enlarged
prostate. An imbalance between estrogen and testosterone increases DHT
activity, and thus encourages prostate cells to grow.
Being overweight, especially
around the midsection, raises the risk of excessive prostate growth. The link
between obesity and BPH may be related to the reduced testosterone levels seen
in the obese. Also, a drop in testosterone means there’s an accompanying rise
in estrogen levels, which can increase the activity of DHT and thus prostate
growth.
Having diabetes increases the
risk of developing BPH, perhaps significantly. The diabetes-BPH link may also
be related to the damage that diabetes does to blood vessels. If the vessels
that service the prostate are damaged, an enlarged prostate may be the result.
Those who had higher levels of
the notorious “bad” cholesterol, low-density lipoprotein (LDL), were more
likely to develop BPH than men who had normal LDL levels. (Parsons 2008) When
the researchers divided the men into three groups (high, medium, low), those
with “high” LDL levels were four times more likely to have BPH than those in the
“low” group.
High blood pressure:
Although no one is exactly sure
how high blood pressure may trigger or worsen BPH, researchers have found a
link between hypertension and BPH.
A lack of exercise may increase
your chances of developing BPH, possibly because exercise helps fight obesity,
type 2 diabetes, insulin resistance, and other risk factors associated with
BPH.
According to a 2008 study
published in the American Journal of Epidemiology, consuming greater
amounts of vegetables and lesser amounts of fat and red meat may reduce the
risk of developing BPH.
- weak urine stream
- hesitancy when starting to urinate
- stopping and starting of urine stream
- sensation of incomplete emptying of the bladder
- frequent daytime urination
- recurrent urinary tract infections
- urgency with or without leakage of urine
- getting up at night to urinate
- Urinary retention
- Painful urination
- Problems in ejaculation
Signs
On Digital Rectal Exam
Findings suggestive of Benign
Prostatic Hyperplasia
- Symmetric prostatic enlargement
- Smooth
- Firm but elastic
Lab Tests Used to Diagnose BPH
Several tests
help the doctor identify the problem and decide whether surgery is needed. The
tests vary from patient to patient, but the following are the most commonly
used tests to diagnose BPH and other problems in the urinary tract:
- Digital rectal exam
- Prostate specific antigen test (PSA test):-
PSA stands for
Prostate Specific Antigen and is a protein enzyme made in your prostate gland
- Rectal ultrasound
- Urine flow study
- Cystoscopy.
Digital Rectal
Exam (DRE)
This exam is
usually the first test performed. The doctor inserts a gloved finger into the
rectum and feels the part of the prostate next to the rectum. This exam gives
the doctor a general idea of the size and condition of the gland.
Risk Analysis
and PSA Range
- Normal: 0-4
ng/ml
- Slightly
Elevated: 4-10 ng/ml
- Moderately
Elevated: 10-20 ng/ml
- Highly
Elevated: 20+ ng/ml
Complications of BPH
BPH Can Cause
Complications—But Not Prostate Cancer
Enlarged
prostate (BPH) is not a form of prostate cancer and does not lead to prostate
cancer. Thus, BPH is not life-threatening. However, as many men know, BPH may
be lifestyle-threatening and can cause great discomfort, inconvenience, and
awkwardness.
In some cases,
men can develop medical complications if the growth of the prostate causes the
urethra, which passes through the prostate on its way from the bladder to the
penis, to become blocked. These complications include:
• Acute
urinary retention, which is a condition that results in a complete inability to
urinate. A tube called a catheter may be needed to drain urine from the
bladder.
• Chronic
urinary retention, which is a partial blockage of urine flow that causes urine
to remain in the bladder. In rare cases, this may lead to kidney damage if it
goes undiagnosed for too long.
• Urinary
tract infection, which can cause pain or burning during urination,
foul-smelling urine, or fever and chills.
Other
complications from BPH may include bladder stones or bladder infections.
Having an
enlarged prostate (BPH) does not directly affect the mechanics of sexual
function. However, it is common for the symptoms of BPH and sexual dysfunction
to occur at the same time.
Managing your BPH
Dietary Guidelines for Prostate Health
So to reduce
symptoms, incorporate these factors in your daily diet:
- increase intake of fruits, vegetables and whole grains, soy, and green tea, foods rich in omega 3 oils (cold-water fish – salmon, sardines, mackerel) and in zinc (raw pumpkin seeds for omega-3 and zinc)
- reduce foods high in fat and cholesterol
(butter and margarine, beef and
whole milk), sweet foods, and refined carbohydrates (white bread and white-flour pasta) - avoid or decrease intake of alcohol, coffee, and beer, particularly after dinner, and tobacco
- taking saw palmetto* supplements may benefit the prostate
* Saw
palmetto (Serona repens) is a type of palm tree, also known as the dwarf
palm. Its primary medicinal value is in the oily compounds found in its
berries. Most dietary supplements are composed of an extract or powder derived
from the berries. Saw palmetto is believed to inhibit the actions of
testosterone on the prostate that causes prostate enlargement.
Homeopathic medicines
As I always say, for better
results your complete history is important. A patient cannot take homeopathic medicine by
their own. There are many so many medicines for BPH. A homeopath will be
individualizing you to get a proper single constitutional medicine by detailed
case taking. I am figuring out some of the medicines which matches the symptoms
of BPH.
Sabal serrulata :
this medicine has been recommended for various
prostatic troubles, but its homoeopathic use seems confined to acute cases of
enlarged and inflamed prostate, the gland is hot, swollen and painful, here
also come in our regular inflammation polycrests , such as "Aconite"
and "Belladonna" .Sabal is not altogether useless in senile
hypertrophy, the writer has seen a marked palliative action in several cases
and avoidance of surgical interference .
Lycopodium :
Pressure in the perineum near anus while
urinating. It is a hot and right sided remedy. Melancholy, afraid of being
alone. Headstrong and haughty when sick. Apprehensive.
Conium :
This remedy is useful in chronic
hypertrophy of the prostate with difficulty in voiding urine, it stops and
starts and there is an accompanying catarrh of the bladder. The suitability of
conium to the complaints of the aged should be considered. Depressed, timid with weak memory.
Chimaphilla :
Gives occasional good results in relieving the
tenesmus, frequent urination and general discomfort due to prostatic
hypertrophy, Spongia is also a remedy for this condition .
Thuja :
Frequent pressing to urinate with small discharge,
patient strains much, stitches from rectum into bladder, discharge of prostatic
juice in the morning on awaking.
Ferrum picratum :
is one of the best medicines for
prostatic enlargements in the aged .
Constitutionally Calcarea carb,
carcinosen, Phosphorus, baryta carb, aurum met, Sulphur, lachesis, Ars alb and
silicea can be thought of.
source:
www.fpnotebook.com
en.wikipedia.org
www.med.wayne.edu
www.prostate.net
source:
www.fpnotebook.com
en.wikipedia.org
www.med.wayne.edu
www.prostate.net
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