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Who would have thought 8 years back that sildenafil citrate, a drug used for the treatment of angina pectoris (a cardiovascular disease), could work wonders for treating male erectile dysfunction (ED)? The results were astounding. The drug was less effective for angina but provided astonishing results in treating ED. It was patented in 1996 by the drug company Pfizer and approved for use in ED by the FDA on March 27, 1998. No other drug was approved before in the US to treat ED. Pfizer used brand name ‘Viagra’ for its hitherto new product. The name rhymes with the famous “Niagra” falls (ostensibly evokes a sense of incredible erectile and ejaculatory strength). Another theory has it that ‘Viagra’ originates from the Sanskrit word “vya-ghra", which means tiger. Viagra is also informally known as "Vitamin V", "the Blue Pill", “the Wonder Pill” and various other nicknames. It is a prescription drug and must be taken after thorough consultation with the doctor. The reasons for the popularity of Viagra are obvious. According to a study, there are estimated 30 million clinically impotent men in the US. The causes for such impotence may be psychological, resulting from stress, fatigue, anxiety, or depression. But over 90% of the time, there are identifiable biological problems. The ED or impotence is prominent amongst men over 50 due to various hormonal changes in the body. This could result in partial or total loss of sexual function. It is here that Viagra scores over the traditional treatment options like penile implants, injectable drugs (into the penis), and vacuum constriction devices. Viagra Mechanism? Simply, Viagra keeps the smooth muscle of penis relaxed. A relaxed penis allows good blood flow in and generation of an erection. Viagra works in sync with the natural processes of the body. It blocks the action of type 5 phosphodiesterase enzyme (PDE5). This enzyme, in turn, promotes the accumulation of cyclic guanosine monophosphate (cGMP), a compound that causes a reduction in the amount of calcium within a muscle cell. This, in turn, results in relaxation of that muscle cell and promotes penile erection. The more cGMP inside the cell, the better the erection will be. However, cGMP is broken down by the PDE5 enzyme, which is available in large supply in the penis. This is why Viagra's ability to block the action of PDE5 is so essential. The drug allows the accumulation of cGMP, which permits an erection to develop and be maintained. Side Effects The likelihood of side effects increase as the dosage gets stronger. Some of the known side effects of Viagra are – Severe headache Dizziness or loss of balance Nasal problems Abnormal vision Indigestion Complete blackouts Severe hypotension (low blood pressure) Sudden death in extreme causes Overall, despite the obvious risks, Viagra is an incredible positive development for men suffering from erectile dysfunction. Other Benefits Recent research has found that Viagra can reduce the effects of stress on the heart. Scotland on Sunday has recently reported that consultants at York hill Children's Hospital in Glasgow are using Viagra as a life-saving treatment for children suffering from pulmonary hypertension, a cause of so-called "blue baby" syndrome that affects the blood flow to the lungs. penis enlargment secret best penis elargement pills penis enlargment device penis enlarement before and after photo natural pnis enlargement exercise free penis enargement tip penis enlagement before and after picture real penis enhancement

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While sore throat is an ailment that clears on itself within a few days, strep throat often requires medical treatment with antibiotics. Physicians claim that in the absence of an appropriate medical treatment, strep throat can rapidly aggravate and lead to complications such as rheumatic fever, cardiovascular diseases or kidney affections. Before penicillin was discovered, infection with streptococcus bacteria could even cause life-threatening diseases. However, nowadays strep throat can be easily overcome with the means of specific antibiotic treatments. It is very important to understand that sore throat and strep throat are not the same thing. Sore throat is caused by infection with viral agents and its generated symptoms are mild. By contrast, strep throat is caused by infection with group A streptococcus bacteria and its generated symptoms are usually intense. Strep throat produces symptoms such as inflammation and swelling of the throat, cough, nausea, fatigue, high fever, enlargement of the tonsils and lymph nodes. While the symptoms of sore throat usually ameliorate within a few days in the absence of medical treatment, the symptoms of strep throat intensify gradually and can persist for more than a week. In many cases, untreated strep throat can lead to tonsillitis, otitis and scarlet fever. On the premises of a weak immune system, the infection can even become systemic, affecting the body on multiple levels. Strep throat is very contagious and it can be easily acquired in the flu seasons. Unlike in the case of sore throat, the symptoms of strep throat have a rapid onset and they are considerably more intense. Sometimes, clinical examinations alone can distinguish between sore throat and strep throat. By measuring patients’ body temperature and by examining the aspect of the tonsils, doctors are usually able to tell whether the infection is caused by viruses or bacteria. However, strep throat can be correctly diagnosed only with the means of laboratory tests. In order to determine the nature of the infection, doctors take a sample of mucus for analysis. If the illness is indeed caused by group A streptococcus bacteria, doctors usually recommend an appropriate medical treatment with antibiotics. Considering the fact that antibiotics can generate various side effects, physicians only prescribe these drugs when the illness is serious. If the throat inflammation doesn’t appear to be caused by infection with streptococcus bacteria, doctors usually recommend letting the illness heal naturally. If the symptoms of strep throat persist for more than a few days and appear to intensify, physicians may prescribe a treatment with penicillin or amoxicillin. These antibiotics have been successfully used to cure strep throat for decades and they are still effective in overcoming the illness in present. The treatment with antibiotics needs to be followed for more than 10 days in order to ensure a complete recovery. It is very important to respect the doctor’s indications and to correctly follow the prescribed medical treatment. If the treatment with antibiotics is prematurely interrupted, the infection is very likely to reoccur. prosolution penis enlargement pills penis elargement exercise compare penis enlargement pill penile enlargment product permanent penile enlargement free penis enlagement homemade penis enlagement penis elargement cream enlargement penis pills vimax

Definition: Benign prostatic hypertrophy is swelling of Prostate gland. The prostate is a walnut sized gland that is only present in men. It is located just below the bladder and top of the penis. This gland surrounds the urethra (the tube through which urine flows from the bladder and out through the penis). It is a very astonishing fact to know that the condition BPH has been explained in ayurveda long back. The anatomical position of prostate gland, symptoms of BPH and its remedies are explained by Acharya Sushruta. The anatomical position of prostate gland is described in ayurvedic classics as follows... In Yogaratnakara it has been described as -- “ NAABHERADHASTHAATSANJAATAHA SANCHAARI YADI VAACHALAHA | ASHTEELAAVAD GHANO GRANTHIROODHWAR MAAYATA UNNATAHA || “ Which means “ Below umbilicus (NAABHI), there is a hard gland which is little bit bulged and changes its place some times and some times stays stationary. This gland is like “Ashteela” (A small stone used to sharpen swords). This gland when affected by vitiated vata causes a disease called “vataashteela” (or benign prostate hypertrophy) Sushruta explains the structure, anatomical position of prostate gland and symptoms of BPH as follows. “SHACRANMAARGASYA BASTHESHCHA VAAYURANTARAMAASHRITAHAI ASHTEELAAVADGHANAM GRANTHIMMOORDHVAMAAYATA MUNNATAM|| “ Which means - the place between rectum and bladder is occupied by vitiated vata it affects the easy flow of urine, stools and semen by enlarging the gland “ Ashteela”. The prostate gland enlarges in all men as age advances. BPH is very common and affects one third of men who are over 50. A person suffering from BPH does not have the increased risk of prostate cancer. Functions of Prostate gland. One of the main functions of the prostate is to produce a fluid, which contribute to the liquid portion of semen and this liquid allows the sperm to move freely. The gland is divided into peripheral, transitional and central zone. The overgrowth takes place in central zone which leads to BPH. Effects of BPH Prostate gland surrounds urethra. When prostate gland enlarges, it constricts the urethra reducing the urine flow. The emptying of bladder becomes very difficult because of this. Causes of BPH According to present medical concepts the actual cause of prostate enlargement is unknown. But the causes of BPH are very well explained In ayurveda which is based on tridosha theory.The causes of vataashteela or BPH are explained as follows. Causes for vataashteela according to dosha theory: vataashteela is caused by vitiated vayu and apaana vayu ( a subcategory of Vayu) (APAANA VAYU is located in two testicles, urinary bladder, phallus, umbilicus, thighs, groins, anus and colon. Functions of apana vaayu are Ejaculation of semen, voiding of urine, stools, elimination of menstrual blood and expulsion of fetus.) The vitiation of vayu and apaana vayu is caused by 1. Controlling the urge of urinatio 2. Controlling the urge of defecation 3. Over indulgence in sex 4. Consuming dry, very cold and less quantity of food 5. Old age 6. General weakness 7. Indigestion 8. Physical and mental overexertion Symptoms of BPH • Difficulty in starting to pass urine ( hesitancy ), • A weak stream of urine, • Dribbling after urinating • The need to strain to pass urine, • Incomplete emptying of bladder. • Difficulty to control the urination urge. • Having to get up several times in the night to pass urine, • Feeling a burning sensation when passing urine. • Passing urine mixed with blood (indication of infection) Symptoms of vatashteela are described as follows. “VINMUTRAANILA SANGASCHA TANNAADMAANAMCHA JAAYATE| VEDANAA CHA PARAA BASTOU VAATAASHTEELETI TAAM VIDUHU ||“ The vitiated ashteela gland when enlarged is called as “vatashteela”. This enlarged gland causes 1. Obstruction to easy flow of urine. 2. Obstruction to Easy passage of stools and gas 3. Bloating of Stomach. 4. Pain in bladder. When the above mentioned symptoms are noticed then one should seek proper medical advice. Diagnosis A digital rectal examination will be performed to examine the size of prostate by inserting a finger into the rectum. A distended bladder can be felt per abdomen. Ultra sound examination will be done to determine the amount of urine left in the bladder after urination. Routine urine test will be done to rule out infections. A prostate gland tissue may be collected using a needle to check for cancerous cells. Ayurveda tips for SELF-CARE If symptoms are mild, the following methods can be tried for relief: 1. Vata gets vitiated when natural urges are controlled. Hence do not control the natural urge of passing urine. Urinate when you first get the urge. 2. Go to the bathroom even if you do not have urge. 3. Alcohol, tobacco, coffee increase vata and vitiate it. Hence avoid alcohol, tobacco and coffee, especially after dinner. 4. Vata gets normalized and vitiation comes down when body is warm. This can be accomplished with regular exercises and keeping the body warm. 5. Mental exertion leads to increase of vata. Avoid mental exertion at work place and at home. 6. Avoid foods which cause constipation as constipation causes vitiation of vata. Other general tips 1. Avoid drinking fluids from two hours before going to bed. 2. Avoid cold and cough medications that contain decongestants or antihistamines. These medications can increase BPH symptoms. 3. Avoid drinking excess amount of liquids. Distribute the intake of fluids throughout day. Prevention BPH can be prevented by - 1. Consuming low fat diet 2. Including lots of fiber in diet ( fruits and vegetables which are rich in fiber). 3. Visiting your family physician as soon as you notice any symptoms while passing urine. 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Along with face-lift, breast enlargement and a number of other plastic surgery procedures, rhinoplasty is considered as one of the most commonly performed plastic surgery in America. This procedure works by reshaping the contour of the nose for the following reasons: for enhancing the size, change of tip or bridge, change of angle in relation with your upper lip and the nose and to narrow the size of the nostrils. It may also be that it corrects some breathing problems and other birth-related conditions. Rhinoplasty won’t help increase the ideality of your face nor will it change other people’s perception on you. Like with most plastic surgery procedures, the patient often expects that after the surgery, their psychological views about themselves will change along with the change in their physical appearances. Rhinoplasty is not a means to make other people look at you in a way different from how they currently see you or to match your ideal look. People who are considered as best candidates for rhinoplasty are those who are after the improvements it may result to and not for perfection. You have to be physically, emotionally and psychologically healthy before you may be considered as candidate or else all your expectations will become failures. It is mostly performed for aesthetic purposes. The person has the only command over the attitude he or she may take after the procedure. Age can also be part of the considerations before you may be passed as a candidate for the operation. Majority surgeons do not allow surgery for teenagers. Not until they are past the stage of development, 15 for girls and a bit later for boys. It must be noted too that the teenager’s intention is healthy. As it may be observed, all surgeries entail risks and possible failures. However, these chances can be decreased if a certified and experienced surgeon will perform the surgery. Nonetheless, there would still be some complications that can never be prevented such as reaction to anesthesia (both local and general), nose bleeding and infections. It is best to follow your surgeon’s guidelines to minimize such negative effects. There can be permanent and temporary side effects after rhinoplasty. Usually after the surgery, small spots of red blood cells may be seen on your nose. These typically become permanent, it is best to ask your physician concerning it. Scarring on the other hand is very minimal. Rhinoplasty is normally performed inside the nose so the scars wont be visible. Nevertheless, when the surgery is open, especially with the case of shortening the expanse of your nostrils, the scars may still not be visible. There is also a possibility of repeated surgery. But this is a minor issue since only around 10% of all patients will have to endure secondary surgery for correcting deformities. This can never be avoidable and may also happen among the most skilled surgeons. Communication, specifically a good one, must be made between you and your surgeon. You have to discuss your goals and see if they will work for you. On his part, in return, he has to answer all your queries and assure to it that you know all the risks that are covered by the procedure. He must also stress out the factors that will seriously affect your rhinoplasty procedure. These factors, when not properly addressed may have adverse effects on the outcome of your surgery. It is best if these will be disclosed to you. guide to pennis enlargement buy penis elargement pills penis enhancement doctor penis elargement surgery photo enlargement free penis pill sample penis enargement operation penile enlargment herb penis enargement drug enlargement penis pills vimax

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