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The Prostate: Part I – BNP What is situated below a body of water, has four zones and is commonly associated with venial pleasures. No it is not some romantic European city, but rather a walnut sized male organ that serves important procreative functions. It also happens to be an organ that plagues men as we age. This organ or gland is the prostate. This is the first of two articles on the male prostate. This article will focus on a disease process that affects older men, something we refer to as benign prostatic hyperplasia (BPH). BPH is a non-cancerous growth in the size of the prostate gland that impairs the flow of urine out of the bladder. The second article will focus of prostate cancer. But first a little about the small yet important male organ. The gland is located just below the bladder. It usually measures one inch by one-and-a-half inches (approximately the size of a walnut). It surrounds the urethra (the tube that takes urine out of the bladder). It is responsible for producing a fluid important in male sexual function. In the past the prostate was described as having “lobes”, but today we refer to it as having concentric zones. These zones are important both on an anatomical as well as histological level. We can separate pathology along these zones as well. For instance most all cancers occur in the peripheral zone while the benign process of enlargement occurs almost exclusively in the transitional zone (which only occupies about 5% of the total prostate volume). The prostate gland is also made up of different cell types. Cancer cells develop from the epithelial cells, but it is the interaction with stromal cells that is important in the behavior of the cancer. BPH develops from an interaction between these cells as well, but it is complex and poorly understood. Testosterone and other hormones and their interactions with this gland are hot topics of research in understanding prostate disease. The prostate gland produces most of what is found in the male ejaculate. The average volume is about 3 mL. This is less than a teaspoon and only 1% of it is sperm. The majority of the semen volume is made of products of the seminal vesicles and the prostate. The male ejaculate is very rich in potassium, zinc, citric acid and fructose. Along with these substances it also contains prostaglandins. There are many other unusual substances found in the semen. Not all is know about their function or purpose. This important male organ is a complex mix of anatomical structures and cell types that make it possible for human reproduction. However beyond the reproductive years of men, this organ becomes one of burden rather than usefulness. We will discuss the finer points of BPH and how to best avoid it and if plagued with it, treatment options. BPH typically affects men from their fourth to fifth decade of life and beyond. Several hormones come into play that have a drastic effect on the transitional zone (the zone that is most central and surrounding the urethra). Namely a metabolite of the male androgen Testosterone called Dihydrotestosterone (DHT) plays a big part on the enlargement of cells of the prostate and the encroachment on the urethra. There are several signs and symptoms that correlate with BPH and they are: slow urinary flow, the urge to urinate all the time, nighttime urination, enlargement and distension of the bladder with continuous urine leakage (incontinence) and urinary obstruction. Autopsies suggest that more than 90% of men older than 70 years have BPH. The average age for symptomatic development is about 65 years for white Americans and about 60 years for African-American men. Ways to prevent the effects of DHT on the prostate gland and the ensuing enlargement are via medications that block the enzyme 5-alpha-reductase, which converts Testosterone to DHT. Proscar is such a drug commercially available through a pharmaceutical company. Proscar works on blocking the effects of androgens on the epithelial cells and can actually shrink the size of the prostate making some of the symptoms of BPH resolve. Alternatively two FDA approved drugs that aid in symptoms of BPH (but act differently than Proscar) are Hytrin and Cardura. Both Hytrin and Cardura are drugs in the alpha1-blocker class. Originally researched as a centrally acting blood pressure reducer for patient with hypertension, it was discovered that this drug would actually relax the prostate tissue surrounding the urethra making symptoms of BPH resolve. Side effects generally include low blood pressure, dizziness, and nasal stuffiness. While neither of these two drugs will “cure” or reverse the process, they certainly do provide symptom relief for the patient plagued with BPH. Another way to treat this disease and a more natural approach is the use of herbs know for their anti-androgenic effects on the prostate. These include the well-studied Saw Palmetto herbal extract that blocks 5-alpha-reductase in the same manner as the prescription drug. Saw Palmetto taken in a standardized dose of 160mg twice daily has shown increased urine flow, with minimal side effects. Saw Palmetto is an herb indigenous to the Lowcountry of Georgia and South Carolina. Pygeum Africanum is shown to do the same yet it is not as effective and there is a fair degree of stomach symptoms. Pygeum is derived from an African evergreen tree. Stinging Nettles (Radix urticae) is another herb used widely in Europe for prostate health that has been shown to lower the residual urine volume in men with enlarged prostates. These phytotherapeutics (plant derived medicines), used and described by the Egyptians as far back as the 15 Century B.C., have a common compounds called phytosterols. The most effective phytosterol is beta sito sterol for BPH. None of the medications or herbs has been shown to prevent prostate cancer. These prescription medications and herbs are for the treatment, reduction in size or prevention of the benign process of enlargement of the prostate. Prostate cancer prevention and treatment is by other means and the subject of the next article. Besides the herbal and drug therapies there are a few surgical therapies worth mentioning. These include the most common transurethral resection of the prostate or TURP. This is where under the care of an urologist the constricted urethra within the prostate gland is “reamed out” thus mechanically or surgically widened the opening. A variant of this is the transurethral incision of the prostate (TUIP) where an incision rather than resection of the tissue is performed. A suitable procedure for patients with prostates 100 mL in volume. This involves an abdominal operation and removal of the whole prostate. Of course symptoms mentioned above for TURP are of greater frequency with this more radical procedure. There is also thermotherapy (a type of microwave treatment) that alleviates irritative symptoms, but not much is available in long-term results in the medical literature. And finally stent placement is an option. This can be used in selected cases of patients with a poor general condition and in the non-operative candidate. Symptoms of BPH include: Obstructive symptoms: Hesitancy in initiating voiding (trouble getting started) Weak urinary stream, prolonged voiding Post-voiding dribbling (mild incontinence) Sensation of incomplete emptying Nocturia (night time urination) Overflow incontinence Acute urinary retention (very painful condition) Irritative symptoms: Dysuria (discomfort in urination) Frequency Urgency Scoring BPH: The American Urological Association Symptom Index (AUASI) and International Prostate Symptom Score (IPSS) are now considered the gold standard measurement tools for the assessment of BPH symptoms and response to treatment. Both questionnaires can be used by a physician in a clinical practice to quantify the subjective symptoms of BPH and monitor therapies. Part II in this series will cover annual examination of the prostate, blood testing, prostate cancer. It will also cover prevention and treatment of prostate cancer. Reference: http://www.prostatehealth.com Lowe, FC. Et al, Phytotherapy in treatment of benign prostatic hyperplasia: a critical review. Urology 48:12-19, 1996 Dreikorn, K. et al, Stellenwert von Phytotherapeutica dei der Behandulng der benighnen Prostatahyperplasia. Urologe (A)34:119-129, 1995 Fitzpatrick, J.M. et al, Phytotherapeutic Agents in Management of Symptomatic Benign Prostatic Hyperplasia. Urological Clinics of North America. 22:407-412, 1995 Wilt T, Ishani A, Mac Donald R.. Serenoa repens for benign prostatic hyperplasia. The Cochrane Database of Systematic Reviews 2002, Issue 3. Art. No.: CD001423. DOI: 10.1002/14651858.CD001423. [Research by Sagalowski and Wilson, 1998] © 2005 free penis elargement technique safe penile enlargment vigrx side effects enlargement manhattan pennis vimax review easy enlagement free penis surgery way pennis girth enlargement penis enlargment information

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Ocular migraines are a period of strange visual sensations that may, or may not be followed by a migraine headache. Who gets them? They are most common in people who already suffer from classic migraine. So what happens? An ocular migraine usually only happens in one eye. When it begins, you may just notice that something is off with your sight. You may see a tiny spot. Over a period of a few minutes, that spot may get bigger. You may start to lose your vision in patches. The expanded spot may start to shimmer or develop a colored or zig-zagged border. This pattern may get bigger until it is not only in the center of your vision – but in the outer part too. Usually over 15-30 minutes the distortion may travel out to the side of your vision as well and then simply disappear. You may, or may not go on to develop a migraine headache. Many people who suffer with this say that they only feel tired after the experience. What causes ocular migraine? No one’s quite sure – but it is believed to be caused by an unusual stimulation of the nerves at the back of the brain. In classical migraine, a spasm affects the surface of the brain. In ocular migraine, the blood supply to the eye or the supply to the vision area of the brain is affected. How often do they happen? In the same way as classic migraines, ocular ones seem to happen with no particular pattern. You may find that you have several in one week and then not suffer any more at all for months or even years. Do they have any warning, like a migraine aura? Some people find that they are extra-sensitive to light and/or sound and this is their signal that an ocular migraine could be on the way. So who do I go to see – a Doctor or an ophthalmologist? Many people often go and see their ophthalmologist as they are worried that they are losing their sight. People starting with ocular migraine should also see a neurologist so that other conditions which can give rise to the same sort of symptoms can be ruled out. These include a blood clot in the retinal artery, migraine with aura and stroke. What treatment can I get for them? Ocular migraines themselves don’t usually require treatment. They appear to be triggered by the same triggers common to migraine. Prevention is the best way of coping with them: Avoid known triggers Keep stress levels down Keep to a regular routine Make sure you get enough sleep If they are followed by a migraine headache, the usual migraine medications might be prescribed by your Doctor. Please note: Triptans, which are now commonly used for migraine treatment should not be used for people with ocular migraine. This is because they work by reducing the enlargement of blood vessels and therefore get rid of the pressure on nerves. This constricting effect could give rise to problems with the blood vessels of the retina and could even result in lost vision. Triptans include: Sumatriptan (Imitrex) Zolmitriptan (Zomig) Naratriptan (Amerge) There are other triptans too. If worried or in any doubt, please see your Doctor. natural penis enlargment technique vimax easy enlargement free penis surgery way penis enlargement cream home penis enlargment free penis elargement vimax penis enlargement doctor penis enlargement surgery picture penis enlargement program free pennis enlargement

Before the popularity of the acai berry gained notoriety we had only vitamins A, C and E consumed by drinking orange juice or taking vitamin supplements. But today, we are not talking about just small preventative measures taken, but a real blow to sickness and disease, which has taken the form of antioxidant rich functional health beverages that many consumers swear by in their quest for health and wellness. Currently, the antioxidant gaining the most attention the acai (pronounced ah-SAH-ee) berry which is known as a super antioxidant. The acai berry is a small dark blue fruit, similar in size to a blueberry or small grape but with less pulp, that grows in clusters of berries on acai palm trees. The acai fruit is popular among health food enthusiasts because it is high in many important vitamins and minerals, including B vitamins, Omega-3 fatty acids (such as Omega-3, Omega-6 and Omega-9), and anthocyanin/anthocyanidin phytonutrients which are members of the flavonoid class of antioxidants. The dark purple berry, which tastes something like a blend of berries and chocolate, supposedly contains 10 to 30 times the flavonoids contained in red wine. Traditionally, Brazilians used the fruit to treat stomach disorders and skin conditions. The fruit is highly unstable when picked and rots easily, so it is rare to find the acai fruit whole when you are not in the region where they are grown. Outside the tropics the fruit is usually found in either juice or pulp form. This wonder food is purported to fight cancer, control cholesterol, increase energy, improve physical intimacy and helps weight loss. Some people even use acai as a facial astringent because the fruit has high anti-bacterial properties. The other two superfoods getting a lot of publicity are goji and mangosteen. Many people are familiar with these two superfoods because they are the ingredients in some very popular functional health beverages. However, there are ony two companies that I know of that have managed to package all three Superfoods in one container and bottle! Let’s discuss the other two main Superfoods, shall we? Both have been identified as being just as important for healthy well-being as the acai berry. Goji Berries - are being called the World’s Most Powerful Anti-Aging Food. In addition to being cultivated in China, Goji berries are red and grow on vines in the Himalayas in Tibet, and Mongolia. The Goji fruit is nicknamed the “happy berry” because of the sense of well being it is said to induce. Goji Berries are nutritionally rich, containing Beta-carotene, Vitamins C, B1, B2, and other vitamins, minerals, antioxidants, and amino acids. Goji Berries also contain complex phyto-nutrients and bio flavinoids. Goji Berries are believed to enhance the immune system, help eyesight, protect the liver, boost sperm production, and improve circulation and longevity, among other effects. Goji Berries are sweet in taste and have the highest content of beta-carotene among all foods on earth. Goji Berries have been used in Tibet for at least 1,700 years for the treatment of kidney and liver problems, to lower cholesterol and blood pressure, and cleanse the blood. Goji Berries have a long history of use in the treatment of eye problems, skin rashes, psoriasis, allergies, insomnia, chronic liver disease, diabetes and tuberculosis. Goji Berries are used by the people of Tibet to increase longevity and for overall general health. Science has shown that this bright red berry not only contains extremely high levels of antioxidants, vitamins, and minerals, but also contains many unique phytochemicals, polysaccharides, and complex compounds that scientists are only beginning to understand. Goji Berries contain the following complex compounds: Betaine, which is used by the liver to produce choline, a compound that calms nervousness, enhances memory, promotes muscle growth, and protects against fatty liver disease. Physalin, which is active against all major types of leukemia. It has also been used as a treatment for hepatitis B. Solavetivone, a powerful anti-fungal and anti-bacterial compound. Beta-Sitoserol, an anti-inflammatory agent. It has been used to treat sexual impotence and prostate enlargement. It also lowers cholesterol. Cyperone, a sesquiterpene that benefits the heart and blood pressure. It has also been used in the treatment of cervical cancer. Mangosteen- The mangosteen a tropical evergreen tree, believed to have originated in the Sunda Islands and the Moluccas. The edible fruit is deep reddish purple when ripe. The outer shell of the fruit (pericarp) is rather hard, resembling a spherical, black cartoon bomb. Cutting through the shell, one finds a very pale, fleshy fruit. Mangosteen has compounds with antioxidant, anti-bacterial, anti-fungal, and anti-tumor activity that may help maintain intestinal health, strengthen the immune system, neutralize free radicals, help support cartilage and joint function, and promote a healthy respiratory system. Laboratory testing thus far indicates that extracts of mangosteen have activity against several cancer cell lines including breast, liver, and leukemia. Most notably, the mangosteen provides powerful anti-inflammatory benefits which play an important role in numerous health conditions. For hundreds of years, the people of Southeast Asia have used the mangosteen, especially the rind, to ward off and treat infections, reduce pain or control fever, and treat various other ailments. Most of the studies with mangosteen have focused on the pericarp, or the dark, woody rind as opposed to the fruit inside the woody rind. The pericarp contains the active xanthone compounds. Mangosteen is the only fruit that contains xanthones! The fruit itself probably has some beneficial compounds but the compounds within the mangosteen fruit have not been studied as well as the mangosteen rind. Yerba mate is also one of the ingredients in this functional health beverage in addition to Aloe Vera Gel Pulp, CoEnzyme Q10, Cat’s Claw Bark and over 100 other nutritional ingredients. Yerba Mate (pronounced yer-bah mah-tay) - Although yerba mate has not enjoyed the same level of media exposure as the acai berry has recently, it certainly commands respect and attention. Yerba mate is a tea like beverage popular in Argentina. The word mate derives from the word Mati that names the gourd that is used to drink the tea. It is widely held that this tea contains mateine, a chemical cousin of caffeine that has subtly different properties. Though similar to caffeine in its ability to provide energy, it can have a milder and safer delivery to the body. Although, yerba mate is not known to interfere with sleep cycles, it does have a tendency to balance the cycles, inducing more REM sleep. Many people report that they require less sleep when using mate; usually such an experience is accompanied by a deeper, more relaxing sleep experience. Yerba maté is replete with antioxidants that help the body fight free-radicals. Yerba mate may assist with the following: increased mental awareness and elevated mood, weight loss, increased ability to fight off disease and increased energy and vitality. Additionally, yerba mate helps relieve allergies. It has been noted that yerba mate is helpful in opening respiratory passages to overcome allergy symptoms. It has been shown to reduce the severity of some allergies and hay fever. Yerba mate works by stimulating the adrenal glands to produce corticosteroids, which help suppress the inflammation and immune response due to allergies. Does yerba mate exhibit anti-cancer properties like green tea? Aside from its significant antioxidant effects, research from the University of Illinois suggests yerba mate could in fact be a potent ally in cancer protection. Labs around the country are starting to test the Acai to find what possible medical use it has. There is no doubt that this amazing fruit has a promising future in the medical world. While more study needs to be done to prove the effectiveness of some of these claims, there is no doubt that adding any of one of these plants or fruits to your diet will improve your overall and future health! The health beverage industry is a booming market. It is currently producing over 4 billion dollars in sales and is forecasted to grow to over 10 billion in the next few years. The growth is being fueled by one thing: consumer demand. It should be no surprise why so many companies are jumping on the functional health beverage band wagon. Medical Disclaimer "Information on this site is for educational purposes only. It is not intended to act as a substitute for medical advice provided by a qualified health care provider, nor is any information on this intended to diagnose, treat, care or prevent any diseases. Statements have not been evaluated by the food and drug administration." penis enlargement tool penis girth enlarement guide to penile enlargment pro solution penis enlagement exercise do penis enhancement pills really work penis enlagement exercise safe penis enhancement free pennis enlargement

Heel pain, also referred to as plantar fasciitis or heel spurs, is one of the most common foot conditions treated in a podiatrists office. In our fast paced lives, heel pain has become an epidemic. This is due to the combination of long work days and lack of exercise. People are also gaining weight and losing their muscle strength and flexibility. These are all contributing factors to heel pain. Typical symptoms consist of pain when getting out of bed in the morning and after sitting. Many people also experience discomfort at the end of the day or the day after exercise/strenuous activity. Others describe their pain as radiating or sharp shooting pain which likely involves a nerve in the heel area. A major support structure known as the plantar fascia is partially responsible for supporting the foot arch and for absorbing shock while walking. The fascia extends from the heel to the ball of the foot. The fascia is a flat band similar in makeup to a ligament. For various reasons, the fascia weakens and causes the arch to fall, thus developing a lower arch or “flat foot”. As a result, there is excessive stretch or tension on the fascial band which causes inflammation or swelling and often small tears of this band. With repeated stress of the fascia on the heel bone or calcaneus, a spur or bone enlargement develops. This is the body’s way of responding to stress. When a tissue is stressed, the body forms more of that tissue, in this case bone. In addition to the swelling of the fascia, there is often a related irritation, entrapment or enlargement of various nerves around the heel. It has been shown that these nerves are a major source of the pain experienced with plantar fasciitis. So what exactly causes the pain in the heel? It is a combination of swelling of the fascia and the irritated nerves of the heel. The heel spur itself causes no pain even though on x-ray it looks pointed and appears as piercing object. As a matter of fact, many people have fasciitis without the spur. Dr. Marc Katz, a Tampa Podiatrist, notes that in his 17 years of practice he has rarely removed the actual bone spur. He also stated that over the past 10 years he has used advanced treatments to heal the pain and more recently has used a cutting edge technology known as Cryosurgery with a high success rate. Dr. Katz is the first Cryostar certified Cryosurgeon in the Tampa area for foot problems. How do we treat Heel Pain? Treatment of heel pain can be frustrating for the patient and physician. Healing can take months and sometimes as long as a year. This does not mean that there will be constant pain for that period of time, however, expectations need to realistic. It is important to seek early treatment. There are many treatments for heel pain. Your doctor should customize a treatment plan depending on individual factors including lifestyle, foot types and any other associated illnesses. Treatment should not only concentrate on the heel but also on the person as a whole. Many factors both physical and psychological may be important to consider. In addition, weight control, systemic medical conditions and injuries should be evaluated. Evaluations consist of a thorough history and physical, x-rays, diagnostic ultrasound and MRI if necessary. Referrals to other specialists may be needed if there are associated medical conditions. Treatment may include anti-inflammatory pills, ice, cortisone injections, custom orthotic arch supports, padding, strapping, night splints, removable casts, stretching, physical therapy, shockwave, homeopathic and natural medicine, change in activities, weight-loss programs, wearing different shoes, change in activities and change in life style. Dr. Katz stated that Cryosurgery is showing some excellent long-term results! This newer treatment is recommended after trying other treatments. However, at times it may serve as a first line treatment for certain patients. This procedure is done in the office and is minimally invasive and allows the patient to quickly return to normal activities. The patient is always advised that to help prevent recurrence of the condition, custom orthotic devices, continued stretching and body weight control are necessary. Treatment of heel pain can be a challenge. Find a Podiatrist that is compassionate and willing to spend the necessary time and try different treatment options. truth about penile enlargement pills pennis enlargement procedure vigrx scam pennis enlargement testimonials penis elargement herb pennis enlargement pills sex vig rx penile enlargment fact free pennis enlargement

The common term frequently used for conjunctivitis is "pink eye." However, this term is only properly used to refer to conjunctivitis which is caused by a viral infection of the eye. What we will target here is allergic conjunctivitis, its causes, and some treatments. Allergic conjunctivitis is caused when the mast cells (part of the body's immune system) in the eye react to allergens which the body's immune system deems to be foreign to one's body. There is a large number of mast cells in the eyes, which makes them a common location for these types of allergic reactions. The allergic reaction causes a release of histamines, which is the immune system's way of counteracting the allergen. What follows is enlargement of the blood vessels in the conjunctiva (a thin membrane which covers the white of the eye and the inside of the eyelid). Symptoms of allergic conjunctivitis may include, but are not limited to, slight swelling of the area around the eyes, redness, itching, and tearing (crying). One may also experience nasal symptoms such as congestion, sneezing, runny nose, and itching. While other forms of conjunctivitis may affect only one eye, the allergic form generally manifests itself in both eyes. There are five different types of allergic conjunctivitis. These are: 1. Seasonal Allergic Conjunctivitis (SAC): This is the most common type of the five listed here. It usually occurs when the seasons change and is caused by airborne allergens such as tree, weed, and grass pollens, as well as many different types of mold. Quite often those who suffer from this eye affliction also have allergic rhinitis, also know as "hay fever." This is often the source of SAC. This form of allergic conjuntivitis can be treated with over-the-counter (OTC) medications, as well as prescriptions. 2. Perennial Allergic Conjunctivitis (PAC): PAC can occur year-round and is frequently cause by pet or animal dander, dust mites, feathers, and other like substances. Although this form of conjunctivitis can occur all year long, the symptoms may be more severe during seasonal changes. The symptoms are very similar to those of the seasonal form. Again, this type of allergic conjunctivitis can be treated by OTC and prescription medications. One may also avoid pet/animal dander and feathers to lessen the chances of "attacks." The use of an air purifier indoors can also provide relief from irritants which may cause this allergic reaction. Although untreated bouts of seasonal or perennial allergic conjunctivitis rarely lead to long-term complications, they can cause serious problems with other parts of the eye. One can develop an inflammation of the iris, or colored part, of the eye. Please seek appropriate treatment for both of these 3. Vernal Conjunctivitis: This a chronic form of conjunctivitis which occurs most frequently during the spring and fall seasons. It can cause permanent damage to one's vision, making it one of the two most dangerous forms of allergic conjuntivitis. Vernal Conjunctivitis is more likely to occur in males than females, and has both allergic and non-allergic forms. An eye-care speciaist who also specializes in allergies should be able to pinpoint and treat this form of conjuntivitis most effectively. 4. Atopic Keratoconjunctivitis: This is a form of allergic conjunctivitis which is associated with atopic dermatitis (also known as eczema) of the eyelids and face. The symptoms include those of seasonal and perennial allergic conjunctivitis, as well as a stringy or ropy discharge from the eyes. This form of allergic conjunctivitis first manifests itself most frequently in persons in their teens and early 20's. It may also occur in persons who have a history of allegies, especially allergic rhinitis and/or asthma. As with Vernal Conjunctivitis, Atopic Keratoconjunctivitis left untreated can cause permanent damage to one's eyes. 5. Giant Papillary Conjunctivitis: This form of allergic conjunctivitis is most frequently associated with the use of contact lenses. It is believed to be caused by an allergic reaction to proteins which may adhere to the surface of the lenses, prosthetic devices used for the eye, or sutures used in eye surgery. The indications of this form of allergic conjunctivitis can be bumps which occur on the insides of the eyelids. It may also have non-allergy related causes. These last three types of allergic conjunctivitis are best treated by an eye-care specialist. It is not advisable to treat these with any OTC products unless so advised by your physician. In fact, it is best to consult a physician or specialist before treating any eye affliction with O-T-C medications. While they may provide short-term relief, it is not always wise to treat one's eyes without first knowing the exact cause of the allergic conjunctivitis, and the most effective and safest form of treatment. Misuse of OTCs can cause other eye ailments or damage which may or may not be reversible. So always consult the appropriate health care professional before treating yourself.