Archive for January, 2010

Treatment of Epididymitis

Epididymitis is a sexually transmitted infection in men. Most of the sexually transmitted epididymitis are acute and generally affect only on one side. Epididymitis causes pain, tenderness (pain on pressure to that part), swelling of epididymis and these symptoms may or may not be accompanied by signs and symptoms of urethritis (infection/inflammation of urethra).

What are the causative organisms of acute sexually transmitted epididymitis?

Most commonly the causative organisms of acute sexually transmitted epididymitis is Clamydia trachomatis and less commonly due to N. gonorrhea, especially in case of males below 35 years of age and sexually active.

Other conditions which should be differentiated from acute epididymitis are torsion of testis, trauma or due to tumor. In torsion of testis, which is a surgical emergency there is sudden onset of pain, the testicle is located in the scrotal sac, there is rotation of the epididymis from a posterior to an anterior position. In torsion of testis on Doppler study there is absence of blood flow to the testis. If symptoms do not subside after complete treatment with appropriate antibiotics, it suggests tumor or a granulomatous disease like tuberculosis. In trauma there is history of trauma.

Treatment of epididymitis:

The treatment of choice for acute epididymitis is ceftriaxone 250 mgs single dose intramuscularly followed by doxycycline 100 mg orally two times a day for next 10 days. This regime cures acute epididymitis due to Clamydia trachomatis as well as due to N. gonorrhea. Previously fluoroquinolones like ciprofloxacin were used, but at present not recommended due to emergence of resistance against fluoroquinolones.  Levofloxacin is used sometimes if the causative organism of epididymitis is found to be Enterobacteriaceae, but it is not useful if epididymitis is due to other organisms.

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Posted by - January 25, 2010 at 12:36 am

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Correct Your Vision with Contact Lens

Contact lenses are mainly used for corrective (correction of refractive errors of the eye like myopia, astigmatism, hypermetropia and presbyopia) purpose. Generally contact lenses are used for correction of myopia or short sightedness, hypermetropia or long sightedness, astigmatism (a condition where light rays are not focused on retina), and presbyopia (inability to adjust the eyes to focus on far and near objects quickly). Many individuals, especially younger generation do not want to use glasses for correcting refractive errors of the eye and prefer to use contact lens instead.

Contact lenses can be soft lens or hard lens. There are several advantages and disadvantages of using either type of contact lens (hard as well as soft lens). The advantages of using soft contact lens are the comfort of use and lesser chances of injury to the eye due to softness of the lens. The advantages of hard contact lenses are the cheaper price and longer lasting qualities of hard lens.

One of the major disadvantages of using contact lens over glasses is the chance of infection and injury to the eyes, especially if not used with proper caution with aseptic precaution and care. To overcome this common problem of contact lens, nowadays disposable contact lenses are available and very popular. Disposable soft lenses as well as disposable hard lenses is available. The disposable contact lens can reduce the incidence of infection drastically and use of disposable soft lens can cut down the incidence of injury to the eye due to use of contact lens.

Soft contact lenses are also used for therapeutic purpose e.g. use of soft contact lens to protect injured eye or cornea from constant rubbing of the cornea due to blinking, which allow the injured cornea to heal properly and faster. Contact lenses are also developed to deliver drugs in certain conditions.

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Posted by - January 24, 2010 at 4:03 pm

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Treatment of Urethritis in Men

Urethritis in men is caused by many different types of organisms and ideal treatment would be to identify the infecting organism and treat it with specific antibiotics highly effective in treating such infection. But it may not be possible in every cases of urethritis. In practice after diagnosing a case of urethritis in men, initially Gram’s staining is done, if it reveals gonococci, treatment for gonococci is done and if it does not reveal gonococci than treatment for NGU (nongonococcal urethritis) is done.

Treatment of gonococci infection:

Gonococci infection is treated with cephalosporin antibiotics. Among cephalosporin antibiotics ceftriaxone (125 mg intramuscularly single dose), cefpodoxime (400 mg orally single dose) or cefixime (400 mg orally single dose) can be used.

If no diagnostic test is available or performed in a patient with urethritis, than treatment regimen should be single-dose regimen for gonorrhea (as above) plus azithromycin (1 gram orally as single dose) or doxycycline (100 mg twice a day for 7 days) for treatment of clamidial infection (C. tracomatis) which occurs frequently in patients suffering from urethritis due to gonococci.

If gonococci are not demonstrated by Gram’s staining, it should be treated as NGU (nongonococcal urethritis) like azithromycin (1 g orally in a single dose) or doxycycline (100 mg orally 2 times a day for 7 days).

How to treat recurrent cases of urethritis?

Recurrent cases of urethritis should be treated with the same regimen as before if they did not comply with the earlier treatment or if they are reexposed to same infection. If the patient was treated appropriately previously, than an intraurethral swab specimen and a first-voided morning urine sample should be tested (culture of the swabs and antibiotic sensitivity done). If compliance to the initial treatment can be confirmed and reexposure excluded (in persistent cases) the treatment should include metronidazole or tinidazole (2 gram orally in a single dose) plus azithromycin (1 gram orally in a single dose).

N.B.- The sexual partner/partners (should be tested for gonorrhea and chlamydial infection) also should be treated with the same regimen as given to the male urethritis patient.

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Posted by - January 19, 2010 at 3:45 pm

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Cure for Smoking by Electric Cigarettes

If you are a smoker and want to quit smoking, you might be a frustrated person, because quitting smoking is easier said than done. Scientists have now found out the cause of the difficulty in quitting smoking. The main cause of difficulty in quitting smoking is that, smoking become a habit and part of your lifestyle (every smoker has his/her own style of smoking like the way a smoker hold the cigarettes and absentmindedly smoke and release the smoke are integrated into the lifestyle) and for this reason it is more difficult to quit smoking than to stop drinking, although drinking cause more physical dependency, whereas smoking cause psychological dependency.

But with electric cigarettes or electronic cigarettes or e-cigarettes you can quit smoking more easily. Electric cigarettes are devoid of tobacco, tar, smoke, carbon monoxide, and other harmful and carcinogenic chemicals, which make them safe to smoke. Electric cigarettes produce a smoke (actually vapor mist) which look like real smoke although it is not real smoke. Electric cigarettes style and are a cheaper alternative to actual smoking of traditional tobacco cigarettes. As the main problem of quitting smoking is the psychological dependence on cigarettes, which becomes part of your lifestyle a smoker can stop smoking traditional tobacco cigarettes (full of health hazards) and start smoking e-cigarettes, which will be devoid of the ill effects on health and will provide the style and satisfaction of smoking also. For psychological satisfaction you can also get electronic cigarettes, the same size and color of your original brand of traditional tobacco cigarettes.

So if you are unable to quit your smoking habit, you can try to replace your smoking with electronic smoking, which will help you to maintain your lifestyle and at the same time you can get rid of harmful effects of traditional tobacco cigarettes. This may help you to quit even the electronic smoking also in the long run.

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Posted by - January 16, 2010 at 2:48 pm

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Cure Insomnia with Good Sleep Hygiene

Insomnia or sleeplessness or unable to have normal and satisfactory sleep is a common problem. Insomnia is common these days due to the fast and modern lifestyle. In modern times we live on a fast track, which makes satisfactory sleep for many people a desire which they can not fulfill. Insomnia is generally divided into three categories; transient insomnia is insomnia of few days duration and generally do not last longer; short term insomnia is insomnia of few weeks duration, but may come back again if not managed well; long term insomnia is insomnia that is generally long lasting and may last for many years and this is the most difficult to treat.

But many people are not aware of the fact that many of the cases of insomnia, especially short term (insomnia of few weeks duration) and transient insomnia (insomnia of temporary nature and of few days duration only) can be solved and cured permanently by simply maintaining good sleep hygiene. You may be wondering what sleep hygiene is. Sleep hygiene is the environmental and behavioral factors that immediately precede sleep, e.g. taking hot shower, taking hot beverage like tea or coffee before going to bed, not maintaining a regular sleeping time and waking time etc.

Good sleep hygiene, in simple term is elimination of behavioral and environmental factors that are interfering with your sleep. The factors that interfere with sleep may be different in different individuals and so the maintenance of good sleep hygiene may be different in different individuals. What constitutes poor sleep hygiene may not be poor for some other person. Try to identify factors that are interfering with your sleep and avid or eliminate them.

So eliminate environmental and behavioral factors that are interfering with your sleep and solve your insomnia problem. But be careful, insomnia in many people can not be solved by improving sleep hygiene.

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Posted by - January 13, 2010 at 2:07 am

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MonaVie and its Growth

MonaVie is a Multi Level Marketing (MLM) company based in Salt Lake City, Utah, United States. The company started only few years back and is less than a decade old, but has become one of the fastest growing companies in the United States, especially among nutritional and beverage producing companies.

MonaVie, like many other companies has its own website and also have a website for promoting the products and you can check out MonaVie TV to view the promotional aspects of the company.

The products of MonaVie are made from blended fruit juice concentrates and a high percentage of blended fruit juice concentrate contain freeze dried acai berry pulp powder. Acai berry is considered to be a super fruit with very high concentration, arguably the highest concentration of antioxidants found in nature. Acai berry has more antioxidants than commonly known fruits with high concentration of antioxidants like blueberry, raspberry, blackberry etc.

MonaVie and its nutritional beverage products are said to have nutritional and health benefits, as claimed by the company. But many organizations and individuals question the health and nutritional benefit claims of MonaVie and many of its nutritional beverage products. A research analysis of MonaVie and its many other products was conducted by “Chromadex” which is a contract laboratory, found that MonaVie and its nutritional beverage products contain very low level of important antioxidants like anthocyanins, phenolics and Vitamin C, especially in phenolics content. The phenolics content of MonaVie is very low, as low or lower than apple juice, which has very little phenolics, as the research analysis found, as claimed by the analyst.

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Posted by - January 12, 2010 at 11:14 am

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