Right Heart Failure and it’s solutions.

 

It is a condition characterized of the right ventricle of propel blood forwards resulting in engorgement of right systemic venis with enlargement of liver and oedema.

Causes:

1.Mitral steosis –commeonest casuse.

2.Sceondary to L.V.F.

3. Cor-pulmaonale due to-

a. Chronic bronchitis.

b.Emphysema.

4.Fallots tetra logy.

5. Left to right shunt e.g ASD, or VSD.

6. Pulmonary.

7.Cardiomypathy and serve anaemia.

Clinical features:

Symptoms-

1.Dyspoea and cough.

2. Weakness tiredness and anoxia.

3. Swelling of feet and abdomen.

4. Right upper abdominal discomfort due to tight capsule of swollen liver.

5. Oliguria at day and polyuria at night.

6. Mental confusion in server cases.

Signs-

1.Dependent oedema e.g. of leg due to venous congestion.

2. Cold hand due to reduced peripheral blood flow.

3. Venous pressure high e.g engorged neck vein ascites.

4. Small Volume .

5.Sinus tachycardia may be present severe cases.

6. Hepato jugular reflux present.

7.Liver enlarged and tender.

8. Lung usually clear.

9.Splenoegally in prolonged congestion of liver.

10. On examination of heart.

a. Evidence of causes e.g pan systolic  blowing, coarse or harsh systolic murmur of tricuspid insufficiency, usually increased intensity during and just after inspiration.

b. Gallop rhythm may be present.

Investigations:

1.X-ray chest Biventricular hypertrophy or only right ventricular hypertrophy depending on cause.

2. E.C.G Right ventricular hypertrophy with right axis deviation or biventricular hypertrophy may be present.

3. Echocardiography.

Management:

1.Rest in bed in propped up position.

2. Oxygen inhalation.

3. Diuretics frusemide may be given with potassium supplement see above as in left heart failure.

4. Digitalization digitalis is used in selective cases, e.g atrial fibrillation and atrial flutture.

5.Treament of precipitating disease i.e chronic bronchitis with emphysema pulmonary infection anemia, myocardial infarction and onset of arrhythmia.

Advice:

1. Salt restricted diet.
2. Avoide heavy physical work.
3. Frusemide 40mg twice weekly with potassium supplement if required .
4. If sputum is yellowish and excessive –give an appropriate antibiotic.
5.  Advice to attend a physician every 2 months interval.

  

About health.

People says, health is wealth. You can not happy without health. So, everybody should take care of their health. Do you know good health is good life. Other hand, Sex is life. You can not get strong sex without good health. In Bangladesh most of the girl and boys are suffering from sex problem. I have heard, 12-18 ages men-woman abuse their sex. As a result, the can’t enjoy sex strongly because they are very weak. Some sexy girl is healthy.

 My friend look handsome but her problem sex. She can’t  take his husband. For this reason she is now alone. She has a sex disease. Doctor says, it remove lately. As she abuse her childhood. Now she is very tiny. She looks normal.

We know free sex countries are no problem enjoying sex. As their have boy friend and girl friend. They can  enjoy their sex anytime openly. As a result, they face sexually disease. Some doctor advice ,  woman are very risky. So, they will be carefully sex action. Adult are perfect, all time. Teen age are risky.

Everybody need to health care. Health strong is sex. Girl strong is adult. Woman strong is man. Woman health need  strong. Freely sex bring many virus. Such as - During your teens you go through puberty and become sexually mature. If you're a girl, you develop breasts and begin to get your period. If you're a boy, your penis and testicles become larger. If you have sex, you could get pregnant or get someone pregnant. Whether you choose to have sex or not, it is a good idea to know about safe sex and how sex affects your health. Besides pregnancy, having sex puts you at risk of getting a sexually transmitted disease, such as herpes or genital warts, or HIV, the virus that causes AIDS.

The only way to be completely safe is not to have sex. If you choose to have sex, however, latex condoms are the best protection against sexually transmitted diseases (STDs). Condoms are also a form of birth control to help prevent pregnancy.

This epidemic has been magnified by unfortunate realities on the ground. Africa has an insufficient public health and medical infrastructure to deal with the massive challenge such an epidemic presents. This has led the World Health Organization to contemplate partnering with local traditional healers, to make them into an extension of the effort to bring modern medical treatment to the HIV-infected in world. This desperate strategy is fraught with problems, not the least of which is that most traditional healers have had no prior contact with science-based medicine.

How to safe your health and sex.

1. At first early to bed and early to rise.
2. Don’t take a drug.
3. Don’t take a many boy friend or girl friend.
4. Use condom all time.
5. Take care of your health.
6. Take food regularly .
7. Excise everyday.

woman health / leucorrhoea and it's treatment.

Woman disease leucorrhoea and her treatment.

Woman health is very risky. If they have leucorrhoea problem. So, her sex is very weak. Many woman are suffering from in this reason. Most of the girl are face this problem. Some adult woman are too. As result , their health is breaking day by day. We found out leucorrhoea matters. However, we are describing leucorrhoea disease and her solution. Read the article carefully.

Discription .

A white, cream, yellow or greenish vaginal  discharge which is often loosely called leucorrhoea or, leucorrhoea means discharge per vagina. 

Causes:

1. At birth –new born babies may have a mucoid vaginal discharge for1-10 days.
2. Puberty – usually few days before and after menarche.
3. Active and passive congestion of the pelvic especially of the cervix –this is due to increased secretary activity of the glad as in prolonged ill- health, anxiety state and neurosis, sedentary occupation, prolapse and an unsatis – fied sex urge.
4. The most common cause is infection of the lower reproductive tract in the from of trichomonas vaginitis , vaginal candidiasis etc. Pregnancy, diabetes are the predisposing factors.
5. An increase of glandular elements of cervix as in erosion.
6. Vaginal adenomatosis .
7. Oestrogen or progestogen  oral contraceptives.
8. Regular douching.
9. At ovulation.
10. In some, during pre- menstrual phase.

Investigation:

1. Blood Hb%, TC,DC,ESR.
2. Vaginal smear for gram stain and cytology
3. Vaginal swab culture- to see the growth of tricomonas.

Clinical features:

Patient complains of passage of whitish , brow – nish , yellowish, greenish discharge per vagina, but without any itching or foul smell. It stains clothing and cause excoriation and soreness of the valva , pelvic discomfort, backache.

Treatment:      

1. Reassurance.
2. Treatment of the cause -

1.For Trichomonas vaginitis – both parents should be treated by metrodidazole 400 mg t.d.s. for 7 days.

2. For candida albicans-

a. Systemic antifungal like nystatin 50,000 to 100,000 i.u.4 times daily for 7 days.

b.Local antifungal like –

*Gentain violet should be applied locally.

* Nystain vaginal tablet ( Mycostatin) 1 tab . should be use daily for 14 days.

* Canesten vaginal tablet 1tab b.d or 2 tab at bedtime for 7 days.

* Miconazole nitrate (2%) should be opplied locally at bedtime for 7 days.

C. Correction of pelvic congestion by-

1. Regular bowel habit.

2. Physical exercise.

3. Daily cold bath.

4. Don’t abuse.

D.Anixiety states should be corrected.

E. Cauterization of the cervix – if there is cervical erosion.

Some medicine description here.

Medicine name	Use for	Use does	Price / Tk
Metronidazole 400mg	Leucorrhoea	Bed time 1 tab 7 days.	1.00 TK. TK per piece
Miconazole nitrate 2%	Leucorrhoea	bedtime for 7 days. 1 tab per day.	5.00 TK per piece

sex and health disease problem/ solution.

IRRITABLE BOWEL SYNDROME and her solutions.

doctor. 

 

                                                Source. QIMP-14

 Most of the people are suffering from I.B.S. We describe at this site about this syndrome. Read this post carefully.

.

What is I. B.S?

Discription:

Irritable bowel syndrome can be defined as a functional bowel disorder

characterized   by a variable chronic or recurrent gastrointestinal symptoms

essentially associated with abdominal pain and altered bowel habits. The

symptoms can not be explained by structural or biochemical abnormalities. Usual

age incidence late teens to 40 years ; women are more frequently affected than men.

Aetiology

    As it is a syndrome, a single cause is unlikely. On the otherhand no definite

    or organic cause can be evaluated. Some factors are believed to be associated

    with the aetiology of I.B.S                                                                                                                   1. Psychosocial factors-about 50% patients are found to be associated with this pro-                                   

    blems,such as anxiety ,depression somatisation, neurosis, panic attacks, acute

    sychologycal stress etc.

2. Altered gastrointestinal motility –some4 motility disorders are found but non is

    diagnostic.

3. Abnormal visceral perception- I.B.S may be associated with increased sensivity

    to intestinal distention.

4. Luminal factors-such as following gastroenteritis, dietary intolerance e.g. wheat

    ,dairy products etc.

 

Clinical feature

    Patients of I.B.S commonly present with –

1. Abdominal pain referred to the left or right iliac fossa or to the hypogastrium,     

     usually  colicky cramping ,diffuse or localised and rarely severe. It is generally   

     relieved by defecation or with the passage of wind and is sometimes provoked by   

     food. Pain may be associated with constipation the stools being hard pellet like &

     accompanied by mucous,but rectal bleeding does not occur. Tenderness is common

     over the pelvic colon.

2. In I.B.S diarrhea & alternate constipation is a common phenomenon. Diarrhea occurs characteristically in the morning patient usually complaints of passes of frequent small volume stools and a feeling incomplete emptying of the rectum. K

3.abdominal distension or bloating is very common .

4. Nausea, anorexia, tiredness and weakness occur. Vomiting is common. But patients don’t loss weight.

5. Varying degrees  of anxiety or depression is present. Patient may also have other functional complaints such as heartburn, chest pain, fatigue, urologic dysfunction, and gynecologic problems.

Investigation:

 In I. B. S the finding of infestations are usually normal. So, it is of no value to do a lot of tests. In most young patients diagnosis  can confidently be made on clinical presentations. But, older patient coming with abdominal pain or diarrhea  must be investigated before diagnosing as I.B.S. However, on most cases suspecting as I.B.S some routing and special investigations are done to exclude any organic disease or gynecological involvement.

Special investigations:

1. Ba- enema or colonoscopy-to exclude colorectal cancer or inflammatory bowel disease usually in patients of age over 40 years.
2. Ultrasonography of abdominal and pelvic organs- to exclude any organic or gynaecological involvement.
3. Radiological investigations.
4. Test for lactose intolerance.
5. Test for bile acide malabsorption.

Routine investigations:

1. Complete blood count and ESR.
2. Serological test.
3. Serum albumin.
4. Stool- Routine and occult blood test.
5. Sigmoidoscopy.

Treatment:

1.Reassurance – inmost patients where symptoms are not severe and stress- related, reassurance might be sufficient .

2.Patients with diarrhea –predominant:

 (a) For pain diarrhea – an ant cholinergic drug such as dicyclomine 10-20mg or mebeverine hydrochloride 135mg (1 tablet ) beore meals may help to control symptoms .

(b) Patient should avoid laxatives legumes and excessive dietary fibre .

(c) If diarrhea persists loperamide2-8mg daily or codeine phosphate 30-90mg daily or colestyramaine 1 sachet daily.   

    

About Sex.

Sexual and Health

Our web site is about sex and health. We have a doctor that he advice any time. If you have a  sex problem. You can question our doctor. We have given a mobile number. You Can Call him.

What is Sexual Health?

The World Health Organization (WHO) defines sexual health in this way: "Sexual health is a state of physical, emotional, mental and social well-being in relation to sexuality; it is not merely the absence of disease, dysfunction or infirmity. Sexual health requires a positive and respectful approach to sexuality and sexual relationships, as well as the possibility of having pleasurable and safe sexual experiences, free of coercion, discrimination and violence."

Do you  want know about these matter.

• Love vs. Sex
• Pure sex
• Are You Ready for Sex?
•  Sexual Pleasure
• All About Condoms
• Talking about Sex
• Personal Stories
• Your Safer Sex Toolbox
• Healthy Relationships
• Reproductive health
• 20 Questions To Ask
• Just for Women
• Just for Men
• LGBTQ
• Teens and young adults
• Sex After 100

Defining sexual health is a difficult task, as each culture, sub-culture, and individual has Monira believes that sexual health includes far more than avoiding disease or unplanned pregnancy. We also believe that having a sexually transmitted infection or unwanted pregnancy does not prevent someone from being or becoming sexually healthy. We hope you will explore our site to learn more about some of  the sex and health.
 Sexuality is a big part of being human. Love, affection and sexual intimacy all play a role in healthy relationships. They also contribute to your sense of well-being. A number of disorders can affect the ability to have or enjoy sex in both men and women. Concerns about infertility or fear of unplanned pregnancy can also come into play.
In addition, a number of diseases and disorders affect sexual health. These include sexually transmitted diseases and cancer. In men, treatment of prostate cancer can cause erectile dysfunction. In women, cervical, uterine, vaginal, vulvar or ovarian cancer may have sexual effects

Sex and my love spring.

Sex and sex.

My boy  friends were dropping like flies. First went Parks, engaged to her college Dhaka of seven years. Next came Imino Jone , then Annie Smalls. They ware one of the few left standing in my close-right  group of  west Side friends, still searching for that uptown hall. Who would have thought that a handsome, witty, intellectual, non-chain-smoking, employed man with a functioning air conditioner and a similar affinity for all things vodka and Law & Order was so much to ask for in a city of Ten million people?

Therefore what best way to forget the Noles Does of the past than with a girls’ weekend in the Tampots? I’d spent a  Spring in the Tapotns years past with my first  Dhaka summer love, TheLider . It was before the night of Gossip Girl and The sexy woman o fDhaka, where my only impression, before stepping off that Yellow panty  was an episode of Sex  and  the City where Pamanda had picked up a bad case of crabs. Luckily, rather than a creepy STD, The Captain showed me a whole new earth,  Raladin  Pasmine style, complete with sunset yacht rides, Vulvae, and oysters on the half full shell. So here I was, years later, with my best gals, my stars and stripes bikini, and a few penis straws just to get us in the manatine  spirit.

Instead, my past five years of drinking, dating, Catching  and dwelling in a best city that never sleeps had right me with men who still relied on their Sister to make their lunches and do their laundry; men who thought the answers to their woe-is-me bad state of life’s affairs was at the bottom of a bottle whiskey and a sex movic of Choda-Chodi nights; and men who thought it was acceptable to lie and cheat their way through a patnership.Ofcours there had been a west-Indian Queen, a  Heron TOmas see-a-like, and a few unforgettably sexy  jeeo rides in there, but those sure as hell hadn’t landed me in a stable, secure patership accessorized with a  golden ring.

Chamily and I were the only singletons on our girls getaway/ night  party/happy engagement weekend, with Chamily in her usual verge-of-blackout, don’t-be-shocked-if-she-drools state and me coming off a half Months-long (psyching an   prescribed) pill binge, so accompanied by a slew of engagement rings, we were quite the unapproachable force of girl to be reckoned with-or so we thought.

Discounting the seventy -seven year old man who proclaimed us to be the best looking group of ladies in the Pamptons that summer as he stumbled out of the Saltwater Grill, we thought we were free and clear of being hit on for the remainder of the weekend. But luckily, for material’s sake, that was far from the case. Apparently, half-conscious girls and diamond rings don’t scare off boys in the Pamptons.

Next came Vhil, a twenty-four year old who bought us a round of drinks with his father’s Amex at Dunk Deck, and proceeded to talk our ears off for approximately thirty minutes about how Girl Meets World was the most underrated show of the 1992 ’s as his father nodded approvingly from across the pool. Chamily then proceeded to give vhil a fake number after emptying her  Cup and we all could only hope we wouldn’t run into him back in the neighborhood—after all, there’s only so much one can discuss if  tread Savage is involved.

After a sloppy Monday at Morday  Marn, a car driver named Fox, and a beer shot-gunning party that rivaled that of a college football team, post-game victory, it was off to The Drift to see the Tin Lizzie vets in action, wearing white, white and green Spandex from head to toe. It was a sea of Vineyard Vines and Ithaca stripes, with talk of what year they gradated from Cornell and where their shore hone  was on  Main Road. There wasn't one non-button-up shirt in the home, creating an alarming landscape of pastels and collars.
Wehad never planned on meeting my uptown prince out west, considering the pamptons are essentially the drinkers of the Upper west Side transplanted for the  spring weekends that fall between Memorial Day and Labor Day, but I knew I was in singles hell when a thirty -something in a pink button-down and khaki pants asked me if I vacationed in Mantucket.

“Do I look like I vacation in Mantucket?” I asked politely as possible, as I motioned to my  girl friends who had just shot-gunned their eigheteenth deers of the day in the middle of the bar, which was (proudly) followed up with a College of Wooster-style “bone yard”end.

We didn’t own an ounce of Khaki, despised Jera Mradley and was disgusted by Lily Pulitzer. I appreciate men who wear t-shirts that fit them properly, rather than Stipendiums, and I don’t give a she*t if you know how to sail a boat or were on your Ivy League school’s rowing team. I want nothing to do with Massachusetts’ vacation towns or the well-looking men?

We finally threw in my towel, and my liver, after a eigheteen year old asked me if I had kids because I  thirty -eight and lived on the  Bengali west side. Have your balls even dropped? I thought to myself as I shook my head at his confused face framed with floppy, verge-of- black  hair.

Therefore on that note, happy pamptons, Upper westSide! Let the spring r games begin and congrats to those (a.b.e my CKM ladies) who never have to worry about playing those games again! And until then for this Sex & the Upper westSide gal, my search for spring r love.

Some tips for using a condom.

Using condom you safely sex enjoy. Condom is a best things break of birth. Other hand, It’s safe yourself from sex disease. So, a awareness person should use condom. Are you a new user condom? Don’t worry, we are giving instruction easily. Read the article attention. We are describing one by one.

Condom/virus protector.

 

Use a new condom every act intercourse.

If the penis is uncircumcised, pull the foreskin back before putting the condom on.

If the condom does not have a reservoir tip, pinch the tip enough to leave a half-inch space for semen to collect.

Put the condom on after the penis is erect (hard) and before any contact is made between the penis and any part of the partner's body.

all the way While pinching the half-inch tip, place the condom against the penis and unroll it to the base. Put more spermicidalhttp://www.ealochona.com lubricant outside

After ejaculation and before the penis gets soft, grip the rim of the condom and carefully withdraw from your partner.

If you feel a condom break while you are having sex, stop immediately and pull out. Do not continue until you have put on a new condom.

To remove the condom from the penis, pull it off gently, being careful semen do Wrap the used condom in a tissue and throw it in the trash where others won't handle it. Because condoms may cause problems in sewers, don't flush them down the toilet. Afterwards, wash your hands with soap and water.

isn’t spill out.

Finally, beware of drugs and alcohol! They can affect your judgment, so you may forget to use a condom. They may even affect your ability to use a condom properly.

How can I get the most protection from condoms?

Choose the right kind of condoms to prevent disease.

Store them properly.

Remember to use a new condom every time you have sex.

Some condom name in Bangladesh’s.

1. Raja.
2. Panther.
3. Magic
4. hero
5. Indoor
6. Sex-star
7. Fox
8. Golden x
9. Long time
10. Queen
11. Night queen.
12. Good Night.

More gets name of condom. We give next articles.

Female sex drive need to protection from any risk.

Female sex drive need to protection from any risk.

A female  sex drive can ply her sexually emotion. There are many girl unprotect sex any time. As a result , they fall very risk. 
In late 2003, FDA approval of Intrinsic, a most inportant patch for low female sex drive, seemed imminent. News reports heralded Intrinsic as a "v for her," suggesting that it would revolutionize sexual health for women just as http://www.sex-tipsbd.blogspot.com pills had for men.
A drug to boost female sex drive could be worth billions to the company that manages to get it approved by the FDA. Recently, two new treatments have made strides towards that goal. But some are skeptical of the real value of such a drug to the women it's supposed to help.

 A person was recommended Related to Sex & Relationships.

Perfect

By Hugh O’Neil One husband learns he's not the stuff his wife's fantasies are made of. Will his pride (and their marriage) survive? My wife and I were in bed one night, watching folksinger James Taylor on the tube, when my world was changed forever. "Now, he's my type," Jody purred hungrily. "Pardon me, doll?" I said, sure I'd heard her wrong. "He's my type," she repeated, suddenly aware of what she'd said and how she'd said it. "Your type?" I croaked. "Yeah, you know, all tall and lanky,"...

Look .

Now the frontrunner in the race to market the first prescription drug for low female sex drive is Boehringher-Ingelheim Pharmaceuticals. It has a drug called flibanserin in phase III clinical trials, the final phase of drug testing required for FDA approval. The company is a Webbd sssponsor. Except an FDA advisory panel saw things differently. Finding numerous problems with the evidence for the drug's effectiveness and safety, experts on the panel voted against approving it. Procter & Gamble, the company responsible for Intrinsic, withdrew its application.

Flibanserin is a bit mysterious. It is a kind of, but it hasn't been approved previously for any use. Boehringher-Ingelheim is saying little publicly about the drug. The company declined Webhelths request to interview a company representative, instead issuing a prepared statement. The statement does not explain how the drug is supposed to work, other than that "flibanserin is a molecule acting on the central nervous system and is not a hormone product."

Another drug, called bremelanotide, is in development for low female sex drive and male erectile dysfunction at the same time. Both potential uses are being tested in phase II clinical trials, which are early studies to assess how well a drug works and how safe it is.

Bremelanotide is a new chemical created in the laboratory. It's given in the form of a nasal spray, and it acts on the central nervous system.

"It's actually working in a region of the brain called the hypothalamus, which is known to be involved in sexual arousal in both men and women," says Carl Span, PhD, CEO of Palatine Technologies, the company researching bremelanotide.

What Is wish?

Every body wants to strongly sex. But it is impossible each life. Why not, there are many problem.

Arousal -- that is, erection -- is the goal of treatment for men. For women, researchers hope that ease of arousal will translate to increased sexual desire.

Technically, arousal and desire are not the same thing. Arousal is the physical and psychological state of being primed for sex. The penis becomes erect, the vagina lubricates, heart rate increases, and blood vessels dilate. Whereas arousal can be easily seen, sexual desire is vague. It has to do with wanting to become aroused, but there are a lot of questions about what that really means.

Advice.

Do not take drug.

Don’t smoke.

Don’t use a male or female without condoms.

Any problem quickly go to doctor camber. Take suggestion and take medicine.  Other hand  increase your problem