Filed under: Welcome
This site is for folks from all around the world to share their stories and most importantly to help each other whatever condition they suffer from, be it major or minor.
Whatever health issue you have please search our site for information and hopefully we can provide you with pertinent info about it.
This site is all about reaching out, and connecting with other people wherever they may be. Feel free to leave your comments, we’re here to listen.
Filed under: Lose Weight Naturally
If you’ve ever tried to cut back on the calories, you know that old habits are hard to break – especially when it comes to food.
Your grocery cart fills up with chips, cookies and processed foods that you swore you wouldn’t buy.
You find yourself standing in front of the candy machine at work, even though you promised you’d stay away from it.
When your Aunt Betsy offers you a piece of her famous chocolate cake, your hand automatically reaches for it before you can say “no thanks.”
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Millions of people in the United States are overweight or obese, and almost every one of them would gladly lose weight if they could.
Several years ago I discovered a way to win the battle to lose weight and eat a healthy diet. And it has nothing to do with finding the “magic diet,” and I didn’t start taking herbal suppliments or diet pills.
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Filed under: Cannabis Addiction
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(snip)
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Filed under: Quit Smoking Today
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The Quit Smoking Today program is without doubt the easiest way available to kick those evil cancer sticks out of your life for good. It eradicates the usual problems that are associated with quitting smoking such as cravings, short temper, hunger and weight gain. Quit Smoking Today is so successful because it overcomes your desire to light up.
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Filed under: Trichotillomania
Individuals with trichotillomania live relatively normal lives; however, they may have bald spots on their head, among their eyelashes, pubic hair, or brows. An additional psychological effect can be low self-esteem, often associated with being shunned by peers and the fear of socializing due to appearance and negative attention they may receive. Some people with TTM wear hats, wigs, eyebrow pencil, or style their hair in an effort to avoid such attention. There seems to be a strong stress-related component. In low-stress environments, some exhibit no symptoms (known as ‘pulling’) whatsoever. This ‘pulling’ often resumes upon leaving this environment.
Habit Reversal Training or HRT, has been shown to be a successful adjunct to medication as a way to treat TTM. With Habit Reversal Training, doctors train the individual to learn to recognize their impulse to pull and also teach them to redirect this impulse. As a part of the behavioral record-keeping component of HRT, patients are often instructed to keep a journal of their hair-pulling episodes. They may be asked to record the date, time, location, and number of hairs pulled, as well what they are thinking or feeling at the time. This can help the patient learn to identify situations where they commonly pull out their hair and develop strategies for avoiding episodes.
TTM is diagnosed in all age groups; it is more common during the first two decades of life, with mean age of onset usually reported between 9 and 13 years of age. Among preschool children the genders are equally represented; there appears to be a female predominance among preadolescents to young adults, with between 70% and 93% of patients being female. Evidence now points to a genetic predisposition.
When genes that were suspected to cause trichotillomania were injected into laboratory mice in one study, the mice obsessively pulled out their fur and the fur of other mice in the cage. This suggests that the carrying of Trichotillomania is genetic, and may be passed down from generation to generation.
Filed under: Excessive Sweating
If you’ve ever been embarrassed by excessive sweating, I have two things to say to you:
1. You are not alone
2. And you’ve definitely come to the right place!
Here’s why …
I’m about to reveal a 100% all-natural, incredibly easy-to-follow process that you can use to quickly and easily eliminate your sweat problems FOREVER!
Do you or someone you love currently suffer from excessive sweating? If so … I urge you to read this letter to find out how this problem can be cured naturally in less than two weeks!
Now, I know for those of you who’ve been battling sweat problems for most of your life the above claim may sound outrageous but I assure you it’s true and in a second I’m going to prove it …
But first … let me tell you a little more about myself and my own life-long battle with excessive sweat.
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I Know What You’re Going Through …
Hello, my name is Mike Ramsey and I’ve been exactly where you are now. I’ve experienced excessive sweating and the feelings of embarrassment, depression and anxiety that often accompany this condition.
Believe me when I say:
- I know how it feels to be embarrassed by your appearance…
- I know how it feels to live in constant fear, wondering if you smell bad or not …
- I know how it feels to be desperate for a solution …
Here’s My Story …
My battle with excessive underarm sweat actually started in high school where it caused a lot of frustration for me.
I avoided social situations and backed down from potentially embarrassing events such as dances, dates and parties all because of my problem.
But as bad as high school was it still wasn’t half as bad as my experiences in an office environment that began when I was 27. This was when my problem really started taking its toll on me.
At that time, surrounded by and interacting with colleagues 8 to 10 hours a day, I was constantly concerned about my underarms – a distraction that caused me to lose hours of productivity every week. My self-esteem and self-confidence (which were already low) plummeted even further.
I became desperate for a solution to my embarrassing problem – and in my desperation I tried everything I could think of …
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Filed under: Mole, Wart & Skin Tag Free In 3 Days
I am about to let you in on the little secrets that permanently removed my unsightly moles and warts, without any harsh medical procedures or painful over-the-counter products, and changed my life forever.
I’ll show you the fast and easy way to get rid of your stubborn skin moles, warts, plantar warts, genital warts, and even skin tags, so you too can get out there and LIVE your life… without the fear and health risks they present…
- Freedom from the pain and irritation of your unsightly moles, warts, or skin tags?
- No more endless days of fighting a losing battle with these problems? To wake up and enjoy the rest of your day knowing your skin is clear and pain-free, and STAYS that way?
- The information about how you can naturally REMOVE moles, warts, or skin tags at the root without any scarring? Money in your pocket instead of continuously paying for doctor visits, prescriptions, and over-the-counter medications?
- Your body back? To have the ability to do what you like, whenever you want, without having to worry about how your skin looks? Freedom from the inconvenience of what you can and cannot wear, and what you can and cannot do?
- Confidence and self-esteem that goes through the roof? Imagine what getting rid of your moles, warts, or skin tags will do for you… No more covering them up or trying to hide them. No more staying at home because you are afraid someone will stare and make fun of you. You will be Finally FREE!
- Freedom from expensive and ineffective products, their side effects, and the daily grind of putting harsh unknown chemicals on your skin?
If so… This Will Be the Most Important Information You Will EVER Read! Mole, Wart & Skin Tag Free In 3 Days. All-Natural Cure For Removing Moles And Warts In Just 3 Days!
Filed under: Ovarian Cysts
Some, called functional cysts, or simple cysts, are part of the normal process of menstruation. They have nothing to do with disease, and can be treated. There are 3 types, Graafian, Luteal, and Hemorrhagic. These types of cysts occur during ovulation. If the egg is not released, the ovary can fill up with fluid. Usually these types of cysts will go away after a few period cycles.
One type of simple cyst, which is the most common type of ovarian cyst, is the graafian follicle cyst, follicular cyst, or dentigerous cyst. This type can form when ovulation doesn’t occur, and a follicle doesn’t rupture or release its egg but instead grows until it becomes a cyst, or when a mature follicle involutes (collapses on itself). It usually forms during ovulation, and can grow to about 6cm (2.3 inches) in diameter. It is thin-walled, lined by one or more layers of granulosa cell, and filled with clear fluid. Its rupture can create sharp, severe pain on the side of the ovary on which the cyst appears. This sharp pain (sometimes called mittelschmerz) occurs in the middle of the menstrual cycle, during ovulation. About a fourth of women with this type of cyst experience pain. Usually, these cysts produce no symptoms and disappear by themselves within a few months. Ultrasound is the primary tool used to document the follicular cyst. A pelvic exam will also aid in the diagnosis if the cyst is large enough to be seen. A doctor monitors these to make sure they disappear, and looks at treatment options if they do not.
Another is a corpus luteum cyst (which may rupture about the time of menstruation, and take up to three months to disappear entirely). This type of functional cyst occurs after an egg has been released from a follicle. The follicle then becomes a secretory gland that is known as the corpus luteum. The ruptured follicle begins producing large quantities of estrogen and progesterone in preparation for conception. If a pregnancy doesn’t occur, the corpus luteum usually breaks down and disappears. It may, however, fill with fluid or blood, causing the corpus luteum to expand into a cyst, and stay on the ovary. Usually, this cyst is on only one side, and does not produce any symptoms.
An endometrioma, endometrioid cyst, endometrial cyst, or chocolate cyst is caused by endometriosis, and formed when a tiny patch of endometrial tissue (the mucous membrane that makes up the inner layer of the uterine wall) bleeds, sloughs off, becomes transplanted, and grows and enlarges inside the ovaries. As the blood builds up over months and years, it turns brown. When it ruptures, the material spills over into the pelvis and onto the surface of the uterus, bladder, bowel, and the corresponding spaces between. Treatment for endometriosis can be medical or surgical. Nonsteroidal anti-inflammatory drugs (NSAIDs) are frequently used first in patients with pelvic pain, particularly if the diagnosis of endometriosis has not been definitively established. The goal of directed medical treatment is to achieve an anovulatory state. Typically, this is achieved initially using hormonal contraception. This can also be accomplished with progestational agents (i.e., medroxyprogesterone), danazol, gestrinone, or gonadotropin-releasing hormone agonists (GnRH), as well as other less well-known agents. These agents are generally used if oral contraceptives and NSAIDs are ineffective. GnRH can be combined with estrogen and progestogen (add-back therapy) without loss of efficacy but with fewer hypoestrogenic symptoms. Laparoscopic surgical approaches include ablation of implants, lysis of adhesions, removal of endometriomas, uterosacral nerve ablation, and presacral neurectomy. They frequently require surgical removal. Conservative surgery can be performed to preserve fertility in young patients. Laparoscopic surgery provides pain relief and improved fertility over diagnostic laparoscopy without surgery. Definitive surgery is a hysterectomy and bilateral oophorectomy.
The incidence of ovarian carcinoma (malignant cancer) is approximately 15 cases per 100,000 women per year.
Some or all of the following symptoms may be present, though it is possible not to experience any symptoms:
Fullness, heaviness, pressure, swelling, or bloating in the abdomen
Breast tenderness
Pain during or shortly after beginning or end of menstrual period.
Irregular periods, or abnormal uterine bleeding or spotting
Change in frequency or ease of urination (such as inability to fully empty the bladder), or difficulty with bowel movements due to pressure on adjacent pelvic anatomy
Weight gain
Nausea or vomiting
Fatigue
Infertility
Increased level of hair growth
Increased facial hair or body hair
About 95% of ovarian cysts are benign, meaning they are not cancerous.
a warm bath, or heating pad, or hot water bottle applied to the lower abdomen near the ovaries can relax tense muscles and relieve cramping, lessen discomfort, and stimulate circulation and healing in the ovaries. Bags of ice covered with towels can be used alternately as cold treatments to increase local circulation.
chamomile herbal tea (Matricaria recutita) can reduce ovarian cyst pain and soothe tense muscles.
urinating as soon as the urge presents itself.
avoiding constipation, which does not cause ovarian cysts but may further increase pelvic discomfort.
in diet, eliminating caffeine and alcohol, reducing sugars, increasing foods rich in vitamin A and carotenoids (e.g., carrots, tomatoes, and salad greens) and B vitamins (e.g., whole grains).
combined methods of hormonal contraception such as the combined oral contraceptive pill — the hormones in the pills may regulate the menstrual cycle, prevent the formation of follicles that can turn into cysts, and possibly shrink an existing cyst. (American College of Obstetricians and Gynecologists, 1999c; Mayo Clinic, 2002e)
Also, limiting strenuous activity may reduce the risk of cyst rupture or torsion.
Filed under: Cure Panic Attacks
According to the American Psychological Association the symptoms of a panic attack commonly last approximately thirty minutes. However, panic attacks can be as short as 15 minutes, while sometimes panic attacks may form a cyclic series of episodes, lasting for an extended period, sometimes hours. Often those afflicted will experience significant anticipatory anxiety and limited symptom attacks in between attacks, in situations where attacks have previously occurred, and in situations where they feel “trapped”. That is, where escape would be obvious and/or embarrassing.
Panic attacks also affect people differently. Experienced sufferers may be able to completely “ride out” a panic attack with little to no obvious symptoms or external manifestations. Others, notably first-time sufferers, may even call for emergency services; many who experience a panic attack for the first time fear they are having a heart attack or a nervous breakdown.
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DescriptionsSufferers of panic attacks often report a fear or sense of dying, “going crazy”, or experiencing a heart attack or “flashing vision”, feeling faint or nauseous, response)heavy breathing, or losing control of themselves. These feelings may provoke a strong urge to escape or flee the place where the attack began (a consequence of the sympathetic “fight or flight”.
A panic attack is a response of the sympathetic nervous system (SNS). The most common symptoms may include trembling, dyspnea (shortness of breath), heart palpitations, chest pain (or chest tightness), hot flashes, cold flashes, burning sensations (particularly in the facial or neck area), sweating, nausea, dizziness (or slight vertigo), light-headedness, hyperventilation, paresthesias (tingling sensations), sensations of choking or smothering, and derealization. These physical symptoms are interpreted with alarm in people prone to panic attacks. This results in increased anxiety, and forms a positive feedback loop.
Often when shortness of breath and chest pain are the predominant symptoms, the sufferer incorrectly appraises this as a sign or symptom of a heart attack. This can result in the person experiencing a panic attack seeking treatment in an emergency room.
Panic attacks are distinguished from other forms of anxiety by their intensity and their sudden, episodic nature. They are often experienced in conjunction with anxiety disorders and other psychological conditions, although panic attacks are not always indicative of a mental disorder.
Triggers and causesLong-Term, Predisposing Causes — Heredity. Panic disorder has been found to run in families, and this may mean that inheritance genes plays a strong role in determining who will get it. However, many people who have no family history of the disorder develop it. Various twin studies where one identical twin has an anxiety disorder have reported an incidence ranging from 31 to 88 percent of the other twin also having an anxiety disorder diagnosis. Environmental factors such as an overly cautious view of the world expressed by parents and cumulative stress over time have been found to be causes. Biological Causes — Generalized anxiety, obsessive compulsive disorder, post traumatic stress disorder, hypoglycemia, hyperthyroidism, Wilson’s disease, mitral valve prolapse, pheochromocytoma and inner ear disturbances (labyrinthitis). Vitamin B deficiency from inadequate diet or caused by periodic depletion due to parasitic infection from tapeworm can be a trigger of anxiety attacks. Phobias — People will often experience panic attacks as a direct result of exposure to a phobic object or situation. Short-Term Triggering Causes — Significant personal loss, including an emotional attachment to a romantic partner, life transitions, significant life change, stimulants such as caffeine or nicotine, or the drugs marijuana or psilocybin, can act as triggers. Maintaining Causes — Avoidance of panic provoking situations or environments, anxious/negative self-talk (“what-if” thinking), mistaken beliefs (“these symptoms are harmful and/or dangerous”), withheld feelings, lack of assertiveness. Lack of Assertiveness — A growing body of evidence supports the idea that those that suffer from panic attacks engage in a passive style of communication or interactions with others. This communication style, while polite and respectful, is also characteristically un-assertive. This un-assertive way of communicating seems to contribute to panic attacks while being consistently present in those that are afflicted with panic attacks. Medications — Sometimes panic attacks may be a listed side effect of medications such as Ritalin (methylphenidate). These may be a temporary side effect, only occurring when a patient first starts a medication, or could continue occurring even after the patient is accustomed to the drug, which likely would warrant a medication change in either dosage, or type of drug. Nearly the entire SSRI class of antidepressants can cause increased anxiety in the beginning of use. It is not uncommon for inexperienced users to have panic attacks while weaning on or off the medication, especially ones prone to anxiety. Hyperventilation Syndrome — Breathing from the chest may cause overbreathing, exhaling excess carbon dioxide in relation to the amount of oxygen in one’s bloodstream. Hyperventilation Syndrome can cause respiratory alkalosis and hypocapnia. This syndrome often involves prominent mouth breathing as well. This causes a cluster of symptoms including rapid heart beat, dizziness, and lightheadedness which can trigger panic attacks. Situationally Bound Panic Attacks — Associating certain situations with panic attacks, due to experiencing one in that particular situation, can create a cognitive or behaviorally predisposition to having panic attacks in certain situations (situationally bound panic attacks). It is a form of classical conditioning. See PTSD Pharmacological Triggers — Certain chemical substances, mainly stimulants but also certain depressants, can either contribute pharmacologically to a constellation of provocations, and thus trigger a panic attack or even a panic disorder, or directly induce one. This includes caffeine, amphetamine, alcohol and many more. Some sufferers of panic attacks also report phobias of specific drugs or chemicals, that thus have a merely psychosomatic effect, thereby functioning as drug-triggers by non-pharmacological means.
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Physiological considerations
While the various symptoms of a panic attack may feel that the body is failing, it is in fact protecting itself from harm. The various symptoms of a panic attack can be understood as follows. First, there is frequently (but not always) the sudden onset of fear with little provoking stimulus. This leads to a release of adrenaline (epinephrine) which brings about the so-called fight-or-flight response wherein the person’s body prepares for strenuous physical activity. This leads to an increased heart rate (tachycardia), rapid breathing (hyperventilation) which may be perceived as shortness of breath (dyspnea), and sweating (which increases grip and aids heat loss). Because strenuous activity rarely ensues, the hyperventilation leads to a drop in carbon dioxide levels in the lungs and then in the blood. This leads to shifts in blood pH (respiratory alkalosis or hypocapnia), which in turn can lead to many other symptoms, such as tingling or numbness, dizziness, burning and lightheadedness. Moreover, the release of adrenaline during a panic attack causes vasoconstriction resulting in slightly less blood flow to the head which causes dizziness and lightheadedness. A panic attack can cause blood sugar to be drawn away from the brain and towards the major muscles. It is also possible for the person experiencing such an attack to feel as though they are unable to catch their breath, and they begin to take deeper breaths, which also acts to decrease carbon dioxide levels in the blood.
The “panic trick” (Carbonell 2004)Dr. David Carbonell describes panic attacks and Panic Disorder as a “trick”. First, it tricks the sufferer into believing what they are experiencing is dangerous; for example, having a heart attack, fainting, insanity, and/or “doing something crazy”, when a panic attack presents no danger. Second, it tricks those afflicted into doing anything they believe will help them, which can make the panic attacks worse. These activities would include avoidance behaviors, trying to control panic attacks (for example, by taking deep breaths), fighting panic attacks, superstitions and rituals to avoid panic attacks and excessive self-protection. (Carbonell 2004)
Symptoms
Heart palpitations
Diaphoresis or perspiration
Trembling or tremors
Dyspnea
Hyperventilation
Chills
Hot flashes
Nausea
Abdominal pain or abdominal cramping
Chest pain
Headache
Dizziness
Lightheadedness
Faintness
Tightness in throat
Tunnel vision
Trouble swallowing
A sense of impending death
Feeling like one is experiencing a myocardial infarction (heart attack)
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Filed under: Cure Hemorrhoids
Causes
Increased straining during bowel movements, by constipation or diarrhea, may lead to hemorrhoids. It is thus a common condition due to constipation caused by water retention in women experiencing premenstrual syndrome or menstruation.
Hypertension, particularly portal hypertension, can also cause hemorrhoids because of the connections between the portal vein and the vena cava which occur in the rectal wall — known as portocaval anastomoses.
Obesity can be a factor by increasing rectal vein pressure. Sitting for prolonged periods of time can cause hemorrhoids. Poor muscle tone or poor posture can result in too much pressure on the rectal veins.
Pregnancy causes hypertension and increases strain during bowel movements, so hemorrhoids are often associated with pregnancy.
Excessive consumption of alcohol or caffeine can cause hemorrhoids.[5] Both can cause diarrhea. Note that caffeine ingestion increases blood pressure transiently, but is not thought to cause chronic hypertension. Alcohol can also cause alcoholic liver disease leading to portal hypertension.
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Symptoms
Many anorectal problems, including fissures, fistulae, abscesses, or irritation and itching, also called pruritus ani, have similar symptoms and are incorrectly referred to as hemorrhoids.
Hemorrhoids usually are not dangerous or life threatening. In most cases, hemorrhoidal symptoms will go away within a few days.
Although many people have hemorrhoids, not all experience symptoms. The most common symptom of internal hemorrhoids is bright red blood covering the stool, on toilet paper, or in the toilet bowl. However, an internal hemorrhoid may protrude through the anus outside the body, becoming irritated and painful. This is known as a protruding hemorrhoid.
Symptoms of external hemorrhoids may include painful swelling or a hard lump around the anus that results when a blood clot forms. This condition is known as a thrombosed external hemorrhoid.
In addition, excessive straining, rubbing, or cleaning around the anus may cause irritation with bleeding and/or itching, which may produce a vicious cycle of symptoms. Draining mucus may also cause itching.
Food
Insufficient liquid can cause a hard stool, or even chronic constipation, which can lead to hemorrhoidal irritation. An excess of lactic acid in the stool, a product of excessive consumption of dairy products such as cheese, can cause irritation; reducing such consumption can bring relief. Vitamin E deficiency is also a common cause.
Eating fruit helps avoid conditions that lead to hemorrhoids.
Food considered “probiotic”, such as yogurt with active culture, may help keep the gut functioning normally and thus prevent flare-ups.[citation needed]
Types of hemorrhoids
External hemorrhoids are those that occur outside of the anal verge (the distal end of the anal canal). Specifically they are varicosities of the inferior rectal arteries, a branch off of the pudendal artery. They are sometimes painful, and can be accompanied by swelling and irritation. Itching, although often thought to be a symptom from external hemorrhoids, is more commonly due to skin irritation. External hemorrhoids are prone to thrombosis: if the vein ruptures and a blood clot develops, the hemorrhoid becomes a thrombosed hemorrhoid. Internal hemorrhoids are those that occur inside the rectum. Specifically they are varicosities of branches off of the superior rectal arteries. As this area lacks pain receptors, internal hemorrhoids are usually not painful and most people are not aware that they have them. Internal hemorrhoids, however, may bleed when irritated. Untreated internal hemorrhoids can lead to two severe forms of hemorrhoids: prolapsed and strangulated hemorrhoids: Prolapsed hemorrhoids are internal hemorrhoids that are so distended that they are pushed outside the anus. If the anal sphincter muscle goes into spasm and traps a prolapsed hemorrhoid outside the anal opening, the supply of blood is cut off, and the hemorrhoid becomes a strangulated hemorrhoid.
By degree of prolapse
The most common grading system was developed by Banov
Grading of Internal Hemorrhoids
Grade I: The hemorrhoids do not prolapse.
Grade II: The hemorrhoids prolapse upon defecation but spontaneously reduce. Grade III: The hemorrhoids prolapse upon defecation, but must be manually reduced.
Grade IV: The hemorrhoids are prolapsed and cannot be manually reduced.
Prevention
Prevention of hemorrhoids includes drinking more fluids, eating more dietary fiber (such as fruits, vegetables and cereals high in fiber), exercising, practicing better posture, and reducing bowel movement strain and time. Hemorrhoid sufferers should avoid using laxatives and should strictly limit time straining during bowel movement. Wearing tight clothing and underwear will also contribute to irritation and poor muscle tone in the region and promote hemorrhoid development. Some sufferers report a more comfortable experience without underwear or wearing only very lightweight underwear.
Women who notice they have painful stools around the time of menstruation would be well-advised to begin taking extra dietary fiber and fluids a couple days prior to that time.
Fluids emitted by the intestinal tract may contain irritants that may increase the fissures associated with hemorrhoids. Washing the anus with cool water and soap may reduce the swelling and increase blood supply for quicker healing and may remove irritating fluid.
Kegel exercises for the pelvic floor may also prove helpful.
Many people do not get a sufficient supply of dietary fiber (20 to 25 grams daily) and small changes in a person’s daily diet can help tremendously in both prevention and treatment of hemorrhoids.
Use of squat toilets
Based on their very low incidence in the developing world, where people squat for bodily functions, hemorrhoids have been attributed to the use of the unnatural “sitting” toilet. In 1987, an Israeli physician, Dr. Berko Sikirov, published a study testing this hypothesis by having hemorrhoid sufferers convert to squat toilets. Eighteen of the 20 patients were completely relieved of their symptoms (pain and bleeding) with no recurrence, even 30 months after completion of the study. This chart summarizes the results.
No follow-up studies have ever been published. The American Society of Colon & Rectal Surgeons is silent regarding the therapeutic value of squatting.
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Examination
After visual examination of the anus and surrounding area for external or prolapsed hemorrhoids, a doctor would conduct a digital examination. In addition to probing for hemorrhoidal bulges, a doctor would also look for indications of rectal tumor or polyp, enlarged prostate and abscesses.
Visual confirmation of hemorrhoids can be done by doing an anoscopy, using a medical device called an anoscope. This device is basically a hollow tube with a light attached at one end that allows the doctor to see the internal hemorrhoids, as well as polyps in the rectum.
If warranted, more detailed examinations, such as sigmoidoscopy and colonoscopy can be performed. In sigmoidoscopy, the last 60cm of the colon and rectum are examined whereas in colonoscopy the entire bowel is examined.
A pathologist will look for dilated vascular spaces which exhibit thrombosis and recanalization.
Treatments
Treatments for hemorrhoids vary in their cost, risk, and effectiveness. Different cultures and individuals approach treatment differently. Some of the treatments used are listed here in increasing order of intrusiveness and cost.
For many people, hemorrhoids are mild and temporary conditions that heal spontaneously or by the same measures recommended for prevention. There is no medicine that will cure hemorrhoids but local treatments such as warm sitz baths, using a bidet, extendable showerhead, cold compress, or topical analgesic (such as Nupercainal), can also provide temporary relief.
Especially in the case of external hemorrhoids with a visible lump of small size, the condition can be improved with warm bath causing the vessels around rectal region to be relaxed. Consistent use of medicated creams during the early stages of a hemorrhoid flare-up will also provide relief and may stave off further development and irritation. However, creams containing steroid preparations weaken the skin and may contribute to further flare-ups. Keep the area clean and dry, with some lubrication provided by hemorrhoidal creams or a lubricant. Ointment or suppositories such as Proctosedyl and Faktu can also relieve the symptoms.
Natural treatments
Some people claim to have successfully applied natural procedures for treatment or reversal of chronic conditions. These procedures largely echo the prevention measures. However, self-care measures, including herbal or “natural” remedies, should not be undertaken without medical consent to avoid possible drug interactions. They include:
Reducing regional pressure in such ways as improving posture and muscle tone, or in severe cases, undergoing a profound psychophysical reeducation, by a method such as the Alexander Technique. Taking herbs and dietary supplements that strengthen vein walls, such as Butcher’s Broom, Horse-chestnut, bromelain, and Japanese Pagoda Tree extracts. Drinking 99% pure aloe juice can also relieve itching and swelling.[citation needed] Topical application of natural astringents and soothing agents, such as Witch hazel (astringent), Cranesbill, Aloe vera, and honey. Drinking chamomile tea several times a day. Eating fiber-rich bulking agents such as plantain and Psyllium seed husks to help create a softer stool that is easier to pass, to lessen the irritation of existing hemorrhoids. Using the squatting position for bowel movements.[15] For sufferers of hemorrhoids caused by poor vein circulation (coupled with varicose veins in lower extremities and/or varicocele), sleeping overnight with raised legs helps reduce or completely eliminate especially external hemorrhoids. Using a hand held shower massage to direct a pulsating stream of cold water at external hemorrhoidal tissue for a few minutes each day tends to shrink the swelling, stop the itch and over time may reduce or eliminate the condition. Pressure used must be low at first but should be increased over time during future applications as tolerance builds. The combination of internal and external remedies is particularly recommended, e.g., Witch-hazel suppositories combined with frequent cups of strong chamomile tea.
Dietary supplements can help treat and prevent many complications of hemorrhoids, and natural botanicals such as Butchers Broom, Horse-chestnut, and bioflavonoids can be an effective addition to hemorrhoid treatment.
Butcher’s Broom extract, or Ruscus aculeatus, contains ruscogenins that have anti-inflammatory and vasoconstrictor effects that help tighten and strengthen veins. Butcher’s Broom has traditionally been used to treat venous problems including hemorrhoids and varicose veins.
Horse-chestnut extract, or Aesculus hippocastanum, contains a saponin known as aescin, that has anti-inflammatory, anti-edema, and venotonic actions. Aescin improves tone in vein walls, thereby strengthening the support structure of the vein. Double blind studies have shown that supplementation with Horse-chestnut helps relieve the pain and swelling associated with chronic venous insufficiency.
Bilberry extract, or Vaccinium myrtillus, is an anthocyanoside bioflavonoid. Supplementation with this potent flavonoid protects and maintains venous strength and function.
Surgical and non-medicinal treatments
Some people require the following medical treatments for chronic or severe hemorrhoids:
Rubber band ligation
Sometimes called Baron ligation. Elastic bands are applied onto an internal hemorrhoid to cut off its blood supply. Within several days, the withered hemorrhoid is sloughed off during normal bowel movement.
Hemorrhoidolysis/Galvanic Electrotherapy
Desiccation of the hemorrhoid by electrical current. Sclerotherapy (injection therapy)Sclerosant or hardening agent is injected into hemorrhoids. This causes the vein walls to collapse and the hemorrhoids to shrivel up. CryosurgeryA frozen tip of a cryoprobe is used to destroy hemorrhoidal tissues. Rarely used anymore because of side effects. Laser, infrared or BICAP coagulationLaser, infrared beam, or electricity is used to cauterize the affected tissues. Lasers are now much less popular. Infrared coagulation has been studied in comparison with RBL and found to be as effective in hemorrhoids up to grade III. These are the most readily available non-surgical procedures in the US.
Hemorrhoidectomy
A true surgical procedure to excise and remove hemorrhoids. Has possible correlation with incontinence issues later in life; in addition, many patients complain that pain during recovery is severe. For this reason is often now recommended only for severe (grade IV) hemorrhoids.
Stapled Hemorrhoidectomy
Also called the procedure for prolapse and hemorrhoids, it is designed to resect soft tissue proximal to the dentate line, which disrupts the blood flow to the hemorrhoids. It is generally less painful than complete removal of hemorrhoids and also allows for faster recovery times. It’s meant for hemorrhoids that fall out or bleed and is not helpful for painful outside conditions. EnemaThis practice is used to clean the rectum. While it is a simple procedure, it can be complicated by hemorrhoids, so in such cases, it should be done by a doctor. In an enema, water is injected into the rectum and then flushed out, cleaning the area.
Doppler Guided Hemorrhoidal Artery Ligation
The only evidence-based surgery for all grades of hemorrhoids. It does not involve cutting tissues or even a stay at the hospital; patients are usually back to work on the same day. It is the best treatment for bleeding piles, as the bleeding stops immediately.
HAL-RARTo date, Doppler Guided Hemorrhoidal Artery Ligation was indicated in management of Grade II & Grade III Hemorrhoids but with the availability of HAL Recto Anal Repair Management of prolapsing hemorrhoids without excision is also possible. Transanal hemorrhoidal dearterialization (THD)Similar to HAL, but more standardizable and therefore safer, less painful and has a shorter recovery time. Radiofrequency Coagulation
Diseases with similar symptoms
Symptoms associated with rectal cancer, anal fissure, anal abscess, anal fistula, Perianal hematoma, and other diseases may be similar to those produced by hemorrhoids and may be reduced by the topical analgesic methods described above. For this reason, it is a good idea to consult with a physician when these symptoms are encountered, particularly for the first time, and periodically should the problem continue. In the US, colonoscopy is recommended as a general diagnostic for those over age 50 (40 with family history of bowel cancers); a clear (normal) scope is good for 10 years.
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Filed under: Yeast Infections
ManifestationYeast infections may be fatal if left untreated in certain populations but most are treatable and result in minimal complications (such as redness, itching and discomfort). In immunocompetent persons, candidiasis is usually a very localized infection of the skin or mucosal membranes, including:
Candidiasis is a very common cause of vaginal irritation, or vaginitis, and can also occur on the male genitals. In immunocompromised patients, the Candida infection can affect the esophagus with the potential of becoming systemic, causing a much more serious condition, a fungemia called candidemia.
Especially when the immune system is compromised, candidiasis can affect the the whole body, which is called a “systemic candidiasis” (fungemia).
Causes Oral candidiasis on the tongue and soft palate.Candida yeasts are usually present in most people, but uncontrolled multiplication resulting in disease symptoms is kept in check by other naturally occurring microorganisms, e.g., bacteria co-existing with the yeasts in the same locations, and by the human immune system.
In a study of 1009 women in New Zealand, Candida albicans was isolated from the vaginas of 19% of apparently healthy women. Carriers experienced few or no symptoms. However, external use of irritants (such as some detergents or douches) or internal disturbances (hormonal or physiological) can perturb the normal flora, constituting lactic acid bacteria, such as lactobacilli, and an overgrowth of yeast can result in noticeable symptoms.Pregnancy, the use of oral contraceptives, engaging in vaginal sex immediately and without cleansing after anal sex,and using lubricants containing glycerin have been found to be causally related to yeast infections. Diabetes mellitus and the use of antibiotics are also linked to an increased incidence of yeast infections. Diet has been found to be the cause in some animals. Hormone Replacement Therapy and infertility treatments may also be predisposing factors.
A weakened or undeveloped immune system or metabolic illnesses such as diabetes may predispose individuals to candidiasis. Diseases or conditions linked to candidiasis include HIV/AIDS, mononucleosis, cancer treatments, steroids, stress, and nutrient deficiency, among many others. Almost 15% of people with weakened immune systems develop a systemic illness caused by Candida species. In extreme cases, these superficial infections of the skin or mucous membranes may enter into the bloodstream and cause systemic Candida infections.
Antibiotic and steroid use are the most common reason for yeast overgrowth. The former kills the bacteria which would otherwise help maintain Candida at safe levels, thus allowing the fungus to overgrow.
Since the Candida fungus thrives in warm, moist, and dark places, exposed areas with these conditions such as the mouth, skin folds, armpits, and vagina are more vulnerable.
In penile candidiasis, the causes include sexual intercourse with an infected party, low immunity, antibiotics, and diabetes. However, male yeast infection is less common, and the risk of getting it is only a fraction of that in women.However, yeast infection on the penis from direct contact via sexual intercourse with an infected woman is not uncommon.
SymptomsSymptoms include severe itching, burning, and soreness, irritation of the vagina and/or vulva, and a whitish or whitish-gray discharge, often with a curd-like appearance.
Many women mistake the symptoms of the more common bacterial vaginosis for a yeast infection. In a 2002 study published in the Journal of Obstetrics and Gynecology, only 33 percent of women who were self-treating for a yeast infection actually had a yeast infection, while most had either bacterial vaginosis or a mixed-type infection instead.
In men, symptoms include red patchy sores near the head of the penis or on the foreskin, severe itching, and/or a burning sensation. Candidiasis of the penis can also have a white discharge, although uncommon. However, having no symptoms at all is common, and usually, a more severe form of the symptoms may emerge later.
Diagnosis Micrograph of esophageal candidiasis. Biopsy specimen. PAS stain.Medical professionals may use two primary methods to diagnose yeast infections: microscopic examination and culturing.
For identification by light microscopy, a scraping or swab of the affected area is placed on a microscope slide. A single drop of 10% potassium hydroxide (KOH) solution is then added to the specimen. The KOH dissolves the skin cells but leaves the Candida cells intact, permitting visualization of hyphae and yeast cells typical of many Candida species.
For the culturing method, a sterile swab is rubbed on the infected skin surface. The swab is then streaked on a culture medium. The culture is incubated at 37 °C for several days, to allow development of yeast or bacterial colonies. The characteristics (such as morphology and colour) of the colonies may allow initial diagnosis of the organism that is causing disease symptoms.
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Treatment
Treating candidiasis solely with medication may not give desired results, and other underlying causes require consideration. For example, oral candidiasis can also be the sign of a more serious condition, such as HIV infection or other immunodeficiency diseases. Maintaining vulvovaginal health can help prevent vaginal candidiasis.
It is possible for Candida Albicans to develop a resistance to the drugs used to treat it, as seen from research done involving fluconazole, one of the drugs that is used to treat candidiasis. In this case, the recurring infection would have to use a different prescription, and it is possible that resistance is slowly built to many of the available medications used to treat the yeast infection.
Babies with diaper rash should have their diaper areas kept clean, dry, and exposed to air as much as possible. Sugars assist the overgrowth of yeast, possibly explaining the increased prevalence of yeast infections in patients with diabetes mellitus, as noted above. As many Candida spp. reside in the digestive tract, dietary changes may be effective for preventing or during a Candida infection. Due to its requirement for readily-fermentable carbon sources, such as mono- or dimeric sugars (e.g., sucrose, glucose, lactose) and starch, avoiding foods that contain these nutrients in high abundance may help to prevent excessive Candida growth.
History and taxonomic classificationThe genus Candida, species albicans was described by botanist Christine Marie Berkhout. She described the fungus in her doctoral thesis, at the University of Utrecht in 1923. Over the years, the classification of the genera and species has evolved. Obsolete names for this genus include Mycotorula and Torulopsis. The species has also been known in the past as Monilia albicans and Oidium albicans. The current classification is nomen conservandum, which means the name is authorized for use by the International Botanical Congress (IBC).
The full current taxonomic classification is available at Candida albicans.
The genus Candida includes about 150 different species. However, only a few of those are known to cause human infections. C. albicans is the most significant pathogenic (=disease-causing) species. Other Candida species causing diseases in humans include C. tropicalis, C. glabrata, C. krusei, C. parapsilosis, C. dubliniensis, and C. lusitaniae.
Alternative viewsSome alternative medicine proponents postulate a widespread occurrence of “systemic candidiasis”. The view was promoted in a book published by Dr. William Crook, which hypothesized that a variety of common symptoms such as fatigue, PMS, sexual dysfunction, asthma, psoriasis, digestive and urinary problems, multiple sclerosis, and muscle pain, could be caused by subclinical infections of Candida albicans.Crook suggested a variety of remedies to treat these symptoms, ranging from dietary modification to colonic irrigation. With the exception of the few dietary studies in the urinary tract infection section conventional medicine has not used most of these alternatives, since there is limited scientific evidence to prove their effectiveness, or that subclinical “systemic candidiasis” is a viable diagnosis
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Candidiasis encompasses infections that range from superficial, such as oral thrush and vaginitis, to systemic and potentially life-threatening diseases. Candida infections of the latter category are also referred to as candidemia and are usually confined to severely immunocompromised persons, such as cancer, transplant, and AIDS patients.
Superficial infections of skin and mucosal membranes by Candida causing local inflammation and discomfort are however common in many human populations.While clearly attributable to the presence of the opportunistic pathogens of the genus Candida, candidiasis describes a number of different disease syndromes that often differ in their causes and outcomes.
