Haemorrhoids

Friends today I am discussing about gale problem known as Pelvic Inflammatory Disease (PID). What is pelvic inflammatory disease? Pelvic inflammatory disease (PID) is an infection of the reproductive organs in women. The pelvis is in the lower abdomen and includes the fallopian tubes, the ovaries, the cervix, and the uterus. According to the U.S. Department of Health and Human Services, this condition is common and affects about 1 million women each year in the United States. Several different types of bacteria can cause PID, including the same bacteria that cause the sexually transmitted infections (STIs) gonorrhea and chlamydia. What commonly occurs is that bacteria first enter the vagina and cause an infection. As time passes, this infection can move into the pelvic organs. PID can become extremely dangerous, even life-threatening, if the infection spreads to your blood. If you suspect that you may have an infection, see your doctor as soon as possible. Risk factors for pelvic inflammatory disease Your risk of pelvic inflammatory disease increases if you have gonorrhea or chlamydia. However, you can develop PID without ever having an STI. Other factors that can cause pelvic inflammatory disease include: having sex and being under the age of 25 having sex with different people having sex without a condom using an intrauterine device (IUD) to prevent a pregnancy douching having a history of pelvic inflammatory disease Symptoms of pelvic inflammatory disease Some women with pelvic inflammatory disease don’t have symptoms. For the women who do have symptoms, these can include: pain in the lower abdomen (the most common symptom) pain in the upper abdomen fever painful sex painful urination irregular bleeding increased or foul-smelling vaginal discharge tiredness Pelvic inflammatory disease can cause mild or moderate pain. However, some women have severe pain and symptoms, such as: sharp pain in the abdomen vomiting fainting a high fever (greater than 101°F) If you have severe symptoms, call your doctor immediately or go to the emergency room. The infection may have spread to your bloodstream or other parts of your body. Once again, this can be a life-threatening condition. Tests for pelvic inflammatory disease Diagnosing PID Your doctor may be able to diagnose PID after hearing your symptoms. In most cases, your doctor will run tests to confirm the diagnosis. Tests include: pelvic exam to check your pelvic organs cervical culture to check your cervix for infections urine test to check your urine for signs of blood, cancer, and other diseases After collecting samples, your doctor sends these samples to a laboratory. Assessing damage If your doctor determines that you have pelvic inflammatory disease, they may run more tests and check your pelvic area for damage. PID can cause scarring on your fallopian tubes and permanent damage to your reproductive organs. Additional tests include: pelvic ultrasound: imaging test that uses sound waves to create pictures of your internal organs endometrial biopsy: outpatient procedure where a doctor removes and examines a small sample from the lining of your uterus laparoscopy: outpatient procedure where a doctor inserts a flexible instrument through an incision in your abdomen and takes pictures of your pelvic organs Treatment for pelvic inflammatory disease Your doctor will likely have you take antibiotics to treat PID. Because your doctor may not know the type of bacteria that caused your infection, they may give you two different types of antibiotics to treat a variety of bacteria. Within a few days of starting treatment, your symptoms may improve or go away. However, you should finish your medication, even if you are feeling better. Stopping your medication early may cause the infection to return. If you are sick or pregnant, can’t swallow pills, or have an abscess (pocket of pus caused by the infection) in your pelvis, your doctor may send you to the hospital for treatment. Pelvic inflammatory disease may require surgery. This is rare and only necessary if an abscess in your pelvis ruptures or your doctor suspects that an abscess will rupture. It can also be necessary if the infection does not respond to treatment. The bacteria that cause PID can spread through sexual contact. If you are sexually active, your partner should also get treated for PID. Men may be silent carriers of bacteria that cause pelvic inflammatory disease. Your infection can recur if your partner doesn’t receive treatment. You may be asked to abstain from sexual intercourse until the infection has been resolved. Ways to prevent pelvic inflammatory disease You can lower your risk of PID by: practicing safe sex getting tested for sexually transmitted infections avoiding douches wiping from front to back after using the bathroom to stop bacteria from entering your vagina Long-term complications of pelvic inflammatory disease Make a doctor’s appointment if you think that you have PID. Other conditions, such as a urinary tract infection, can feel like pelvic inflammatory disease. However, your doctor can test for PID and rule out other conditions. If you don’t treat your PID, your symptoms can worsen and lead to problems, such as: infertility: inability to conceive a child ectopic pregnancy: pregnancy that occurs outside the womb chronic pelvic pain: pain in the lower abdomen caused by scarring of the fallopian tubes and other pelvic organs The infection can also spread to other parts of your body. If it spreads to your blood, it can become life-threatening. Homeopathic Medicines for Pelvic Inflammatory Disease (PID) Sepia Succus – Natural Medicine for PID with Pain in Lower Abdomen/ Pelvic Area Sepia Succus is an excellent homeopathic medicine for treating PID with marked pain in lower abdomen or pelvic area. Along with pelvic pain, a prominent bearing down sensation in the pelvis assist. In some cases needing Sepia Succus, burning or griping in the uterus is present. Vaginal discharge of yellowish or greenish may also arise that may be offensive. Merc Sol – Effective Homeopathic Medicine for PID with Vaginal Discharge Merc Sol is a natural medicine for PID with excessive vaginal discharge. The symptoms that indicate the need for Merc Sol include acrid, excoriating, and itchy discharges that cause a burning sensation in the vagina. The discharges may be purulent, yellow or green. The discharges tend to get worse upon urination. In some cases, a stitching uterine pain may be present. Additionally, there may be a stinging ovarian pain. Phosphorus – Natural Remedy for PID with Bleeding from Uterus between Periods Phosphorus is a beneficial homeopathic medicine for treating PID cases where there is bleeding from the uterus between periods. The uterine bleeding tends to be profuse. Weakness usually follows the menstrual bleeding. Other symptoms include ovarian pain (specifically left-sided). The ovarian pain is felt the most during menses. Leucorrhoea of white or watery mucus may be present. A weak sensation in the abdomen may be present along with leucorrhoea. Sabina Officinalis – Effective Homeopathic Treatment for PID with Heavy Periods Sabina Officinalis is a well-indicated homeopathic medicine for pelvic inflammatory disease with heavy periods. The periods are profuse and gushing in nature. The bleeding is bright red colored with dark clots in it. The blood may have an offensive odor. Motion tends to worsen the blood flow. Pain in the sacral back extending to pubes is a primary accompanying symptom. This remedy is also recommended for inflammation of uterus and ovaries that may occur following childbirth or an abortion. Medorrhinum – Natural Homeopathic Medicine for PID with Painful Periods Medorrhinum is a significant homeopathic medicine for PID where the woman experiences intensely painful periods. There is an excruciating pain the pelvic area along with ovarian pains that get better with pressure. The menstrual bleeding is copious, dark and offensive. Vaginal discharge of acrid nature and a fish-like odor is also present in some cases. Kreosotum – Natural Treatment for Pelvic Inflammatory Disease with Pain during Intercourse Kreosotum is a natural medicine PID when there is pain during intercourse (dyspareunia). Burning in the genitalia is felt along with pain. Kreosotum is also useful in cases of pelvic inflammatory disease where there is bleeding after intercourse. Along with the above symptoms, there may be offensive, itching, corrosive leucorrhoea. The leucorrhoea worsens in between menses and often leaves a yellow stain on clothes.

Rheumatoid Arthritis it's an auto-immune disease that causes inflammation of the joints. This inflammation is chronic in nature and does not subside on its own. It causes destruction of the joint tissues Rheumatoid Arthritis or RA tends to occur more commonly after 40 years of age. This does not mean that it cannot occur in younger patients but it is more commonly seen in patients who are above 40. Similarly, more women are affected than men though the reason for the same is also not known. Symptoms of Rheumatoid Arthritis . CAUSES . Rheumatoid Arthritis is caused when the immune system of the body starts giving an abnormal response. The immunity of the body is meant to defend the body from external harmful agents. Such agentsmay be infectious like bacteria or virus or any microbe. In some cases, the immune system of the body starts attacking one’s own body instead of defending it. The immunity of the body attacks the joints and the synovial membranes lining the joints. Over a period of time, the cartilage of the joint is destroyed. Even the bone is damaged. The ligaments and tendons become weak and are unable to bear the weight of the body or undertake normal daily activities. Although the exact reason is still unknown, the following factors have been noted-Women are more prone to have Rheumatoid Arthritis. Family history of having RA increases your chances of having RA Smoking also increases your chances of having RA Obesity can be another factor when it comes to the chances of having Rheumatoid Arthritis . SOME OF FOLLOWING HOMOEOPATHIC REMEDIES WHICH HAS BEST RESULTS ARE. 1. Causticum- Causticum is one of the best Homeopathic remedies for Rheumatoid Arthritis where there are deformities in the joints. The patient tends to get weak over a period of time, with muscles losing their strength gradually but surely. The patient tends to be restless at night with the restlesness being centred more on the legs than any other part of the body. There may be contractions in the tendons causing severe pain and deformities. The pains are usually tearing and drawing in nature. In some cases, burning pains are also found. There is numbness and loss of sensation in the hands and other parts of the body. The muscles of the forearm and hands become weak and make it difficult to grip anything firmly. The ankles seem to be weak and cannot bear the weight of the body causingpain while walking. The gait may be unsteady and one even tends to fall while walking. The pains are better by warmth and more so from the warmth of bed. 2. Caulophyllum. another very good Homeopathic medicine for Rheumatoid Arthritis, is primarily a woman’s remedy, which means that the symptoms pointing to its use are found more commonly in women. It affects the small joints much more as compared to the larger joints of the limbs. Therefore, it is more useful for the Rheumatoid Arthritis of the fingers of the hand and toes of the foot. The pains are erratic or flying in nature ie they change their position every now and then, in a matter of minutes. The patient feels pain in the right hand for some time and afterwards the pain gets better on its own but the pain starts to affect the left hand;then the pain in the left hand stops and shifts to a foot. The pain is severe and drawing in nature. The wrist joints ache andthere is cutting pain on closing the hand. 3. Colchicum. Colchicum has been the mainstay of the treatment, when it comes to Homeopathic remedies for Rheumatoid Arthritis and rightly so. It is more suited to the chronic rheumatic states. It tends to affect all tissues like periosteum, synovial membranesand muscular tissues too. The parts tend to be inflamed as is evident from the redness,heat and swelling of the concerned parts. The pains are tearing in character and get worse in the evening and at night. The patient cannot afford to get the joints touched, so much is the sensitivity. There may be a feeling of pins and needles in the hands and fingers. The tips of the fingers may be numb. There is stiffness in the joints and feel warm or feverish. The patient feels a sense of tingling in the finger nails. The problems tend to get aggravated in the warm weather. 4. Ledum Pal. The defining characteristic of Ledum in thetreatment of Rheumatic Arthritis is that the rheumatism begins in the feet and later on spreads upwards to other joints of the body. The other important distinguishing characteristic of this remedy is that the patient feels cold and chilly but still cannot tolerate warmth of his bed. The small joints of the foot are more commonly affected with shooting pains. The ankle may be swollen and so may be the great toe. The pains are worse at night and better from cold or putting the feet in cold water. 5. Bryonia- another wonderful homeopathic remedy for rheumatoid arthritis, affects almost all joints and the serous membranes of the joints causing swelling and pain. The defining characteristic of this medicine happens to be the pains that it causes. The pains are stitching in nature and are aggravated by motin of any and every kind while the patient feels better when at rest.The joints are red and swollen with tearing and stitching pains. The patient feels worsein warmth and in warm weather and is better by lying on the painful side or by pressure and by cold. THANK YOU.

Friends today I am discusing about Piles (Hemorrhoids) . Homeopathic medicine for piles Piles or hemorrhoids refer to swollen, dilated, engorged veins in and around the anus. In this condition, the veins around the anus or lower rectum become swollen and inflamed. Hemorrhoids are a problem in both men and women. Homeopathy medicine for piles is prescribed according to individual symptoms to treat the condition on a long-term basis. The leading causes of piles include a sedentary lifestyle, prolonged sitting, chronic constipation, chronic diarrhea, low fiber content in the diet, excessive use of alcohol, obesity and increased straining during defecation. Pregnancy and genetics also play an essential role in the development of piles. The top homeopathic medicines for piles are Aloe Socotrina, Muriatic Acid, Ratanhia Peruviana, Hamamelis and Collinsonia Canadensis. Why Choose Homeopathy for Treatment of Piles? Conventional treatment for piles involves the use of medicines that make the condition more manageable but do not help treat it. These medicines offer temporary relief from the symptoms, and continuous use is often necessary. Over-the-counter (OTC) medications for piles include ointments, pads, creams and, painkillers. In case of grade 4 piles (or hemorrhoids) cases, surgery is the only option given to most people. Homeopathy offers comprehensive treatment options that help treat the condition and ease the symptoms of piles. Some significant benefits of homeopathy regarding piles/hemorrhoids treatment include: 1. No Side-Effects Homeopathy does not cause any side effects because of these are made of natural substances that are highly diluted. Over-the-counter remedies for piles only help relieve the symptoms, and certain side-effects come with their usage. For example, creams containing corticosteroids are recommended for reducing pain and inflammation for piles, but prolonged usage of these cause skin reactions, increased sweating and growth of body hair, inflammation of hair follicles and increased vulnerability to infections. 2. Natural Remedies to Treat Piles As an ancient 200-year-old medical science, homeopathy uses cures found in nature that help restore the natural healing processes of the body. Homeopathy treatment for piles involves a comprehensive treatment plan that works in harmony with the system. In conventional treatment, use of stimulant laxatives to relieve constipation as a result of piles may cause side effects like abdominal cramps, bloating, rectal irritation, weakness and, pain. 3. Holistic Approach to Treat Piles Homeopathy aims to treat the problem internally, by understanding the cause of different symptoms instead of suppressing them. OTC drugs, ointments and other symptom-relieving options only provide temporary relief. Out of ten people, at least one person is recommended for a piles-related surgery. This invasive treatment has a host of complications, like difficulty passing stools and urinary tract infections post-surgery. Surgeries like hemorrhoid stapling may cause complications like rectal prolapse (part of the rectum pushes out of the anus) and hemorrhoid recurrence. 4. 4. Individual Treatment Homeopathy works by analyzing the individual symptoms of the disease in a person. There is no blanket treatment provided for a particular illness since every individual is treated according to their specific symptoms. For example, for a person dealing with piles with painful defecation, the medicine Muriatic Acid is prescribed. In case a person suffering from piles complains of bleeding along with stools, the medicine Hamamelis Virginiana is prescribed. 5. Simple and Effective A single dose of the correct medicine can help relieve the symptoms and also treat piles to a large degree. By restoring the internal processes of the body, these medications help address the condition naturally and effectively. Invasive procedures like surgery can be held-off with the help of homeopathy. 6. These are Safe Medicines for piles treat the problem by reducing the engorgement of blood in the rectal veins as well as improving blood circulation. Unlike conventional drugs for piles that are usually not recommended to be taken for more than seven days in a row, these medicines are taken in small doses over a continuous period. This helps improve the efficacy of the natural substances in the medicines, which in turn thereby helping reduce the severity of the symptoms and treats the problem on a long-term basis. Homeopathic Medicines for Piles Depending on the grade, severity, and symptoms of piles, different medicines are recommended to decrease the severity of the symptoms and treat the condition on a long-term basis. 1. For External Piles Aloe Socotrina is a medicine used to treat for external piles that are sore and tender. Sharp or burning pain in the rectum and a constant feeling of bearing down in the rectum may be felt. Application of a cold compress may help relieve the pain or burning sensation. This medicine is also used to treat anal fistulas. 2. For Painful/Protruding Piles Muriatic Acid is a medicine used to treat conditions of piles that are intensely painful, sore and protrude outside the anus. The hemorrhoids are very swollen and look bluish. The pain may get worse while passing stools. Stitching pain that gets worse on touch is present, and it gets better from warm-washing. This medicine is also used to treat cases where the soreness in the hemorrhoids worsens during menses in females. 3. For Piles with Burning Sensation Ratanhia Peruviana is a medicine used to treat piles where a burning sensation after defecation is present in the rectum. The person may have to strain to pass stool. Knife-like stitching pains in the anus or the feeling of a sharp splinter of glass in the rectum may be present. 4. For Piles with Bleeding Hamamelis Virginiana is a medicine used to treat piles with profuse bleeding. Weakness due to bleeding, soreness at the anus, hard stool and anal-itching are other symptoms that indicate the need for this medicine. 5. For Piles with Constipation Collinsonia Canadensis is a medicine used to treat piles accompanied by constipation. The stool in such cases is lumpy, dry and is passed with a lot of strain. Other symptoms include aching and burning at the anus, a sensation of sharp sticks in the rectum, anal-itching and a constricted sensation in the anus. 6. For Piles with Shooting Pain Aesculus Hippocastanum is a medicine used to treat piles with sharp, shooting pains where the stools are knotty, dry and hard. This medicine is used to treat external, blind and bleeding piles. 7. For Blind Piles Nux Vomica is a medicine used to treat blind piles where there is pronounced burning and itching around the anus. A constant desire to pass stools may be there, but constipation and passing of scanty stool is the main symptom. Pulsatilla Nigricans is a medicine used to treat blind piles with a cutting, sticking or burning pain. The pain gets worse during lying down. Itching in piles and constipation with a backache and pressure in the rectum is another symptom. 8. For Piles caused by Childbirth Sepia Succus is the medicine used to treat piles that develop after the delivery of a child. It is also used in cases of constipation where the stools are very hard. Kali Carb is a medicine used to treat piles in females that develop post childbirth. The piles are extremely tender to touch. There may be stitching, smarting, pricking and tingling sensation at the anus along with sharp pain. Constipation lasting for days along with hard stool, and white mucus after bleeding from piles may also be present. 9. For Piles and Anal Fistula Silicea is a medicine used to treat piles and anal fistula. The piles tend to protrude during the passage of stool. The stool is hard and tends to recede into rectum several times during defecation. Burning in anus after passing hard stools, and a foul-smelling discharge of pus or serum from the anal fistula may also be present. 10. For piles with Chronic Diarrhea Merc Sol is a medicine used to treat piles in people suffering from diarrhea. There is an urge to pass stool, more frequently during the night. The stools in most cases smell sour and are undigested bits of food. Burning at the anus while passing stools, protrusion of piles during defecation, exhaustion, and chilliness with shivering and a feeling of nausea is also present. 11. For Piles Protruding during Urination Baryta Carb is a medicine used to treat piles which protrude during urination. Other symptoms that indicate the need for this medicine include an urgent need to pass stools, and an itching, burning, soreness and shooting pain in piles. 12. For Piles Protruding during Cough/Sneeze Lachesis Muta is a medicine used to treat piles that protrude during a cough or sneeze. In most cases, a stitching pain and a throbbing sensation in the piles is present. Piles in females during menopause are also treated with this medicine. 13. For Piles during Pregnancy Sepia Succus is a medicine used to treat piles that develop during pregnancy in females. The piles may be bleeding or non-bleeding, and a protrusion of piles during stool occurs. Itching at the anus and rectum, constipation and the presence of hard and large stools also indicate the need for this medicine. 14. For Piles during Menses Ammonium Carb is a medicine used to treat piles that get worse during the menses in a female. The piles tend to bleed during menses, and the affected person feels better upon lying down. 15. For Piles with Rectal Prolapse Lycopodium Clavatum is a medicine used to treat piles in cases where there is a rectal prolapse. The piles may be swollen and painful, and the pain gets worse upon touching and sitting. Chronic constipation with a scanty stool, painful constriction at the anus and excessive flatulence and bloating in the abdomen may also be present. 16. For Internal Piles Phosphorus is a medicine used to treat internal piles where there is bleeding during stool. Excessive exhaustion, an urgent need to empty bowels and rectal tenesmus (desire to evacuate the bowels) are some other symptoms. 17. For Large, Swollen Piles Causticum is a medicine used to treat large, swollen piles that hinder the passage of stool from the anus. The person needs to pass stool by straining hard in a standing position. The piles are hard, painful and constant and get worse upon sitting, standing and walking. There may be a pressing and sticking pain in the anus along with a burning, stinging sensation. 18. For Piles and Anal Fissure Nitricum Acidum is a medicine used to treat piles and anal fissure when there are tearing pains in the anus while passing stools. The stool can be hard or soft but is passed with difficulty and may also bleed. There may be splinter-like pains in the anus. 19. For Itching Piles Sulphur is a medicine used to treat piles when there is a soreness and tenderness at the anus along with a hard, knotty stool. Weakness after passing stool, excessive rectal pain, and a biting sensation at the anus that gets better upon lying down are some other symptoms that indicate the need for this medicine. 20. For Piles with Pain after Stool Sedum Acre is a medicine used to treat painful piles that feel worse after a few hours of passing stool. In a majority of cases, the pain is constricting. Sedum Acre is also useful for treatment of anal fissure with pain that worsens a few hours after passing stool. For Piles that get Worse during Sitting Graphites Naturalis is a medicine used to treat painful piles that get worse during sitting. Cutting pains and swelling with cracks at the anus are present. The stool tends to be hard, knotty and scanty. The Different Types of Piles Piles are of different types, classified according to their location and whether they bleed or not. External piles, internal piles, protruding/prolapsed piles and blind piles are the most common types. External piles are present on the skin around the anus and can be seen or felt from the outside. The main symptoms of external piles include painful swelling and hard lumps around the anus. If these hemorrhoids get irritated, they may cause itching or bleeding. Internal piles lie deep inside the rectum and cannot be felt or seen from the outside. They are mostly painless since there are no pain receptors in the region where they tend to appear. The only symptom of internal piles is bleeding through the anus while straining during a motion of the stools. Protruding or prolapsed piles are hemorrhoids that get pushed out towards the anus when a strain is applied to pass stools. They look like pink, moist pads of skin. Prolapsed or protruding hemorrhoids tend to hurt since the anus area is dense with pain-sensitive nerves. The typical symptoms of hemorrhoids are mucus discharge, itching, and pain. Blind Piles are those hemorrhoids that do not bleed. They feel like protruding masses, usually detectable after passing stools, at the opening of the anus. The Different Grades of Piles according to Severity Piles can also be classified into grades, according to their severity. Grade 1 piles are small inflammations that are usually found inside the lining of the anus and are not visible. Grade 2 piles are larger than the grade 1 piles, but they too remain inside the anus. These protrude outside the anus while passing stools and go back into the rectum after defecation. Grade 3 piles protrude during defecation and need to be manually pushed back inside the anus. Grade 4 piles are a severe case. These cannot be pushed back inside and need immediate medical attention. Causes and Risk Factors of Piles Primarily, the swollen veins that are seen in piles develop due to increased pressure in the rectum. This pressure may cause disintegration of the tissues supporting the anal walls, leading to hemorrhoids. Various factors contribute to causing this kind of pressure: Irregular Bowel Movements Factors like constipation, straining to pass stools, overuse of edemas or laxatives, chronic diarrhea, spending too much time on the toilet add to the strain on the rectum and anus, leading to the development of piles. Diet Lack of a fiber-rich diet, low water intake, excessive intake of alcohol, consumption of over-spicy food and junk food also contribute towards this condition. Pregnancy There is increased pressure on the abdomen and pelvic area during pregnancy, which is a leading cause of piles during pregnancy. In some cases, hemorrhoids develop as a result of childbirth due to the excessive pressure on the rectum and anus. Age and Heredity Other factors like age and heredity can contribute towards the development of piles due to the weakening of the tissues supporting the rectum and anus. Portal Hypertension Portal hypertension refers to a condition where there is an increase in the blood pressure within the veins of the portal venous system. The veins coming from the spleen, stomach, pancreas, and intestines merge into the portal vein, which travels through the liver. In case of any complication due to which blood cannot flow properly through the liver, a high pressure develops in the portal system. This pressure can cause the development of large, swollen veins in the stomach, esophagus, and rectum. As a result, hemorrhoids may develop in the anal area. Symptoms of Piles Pain in the rectal region is one of the first signs of piles. Pain experienced while passing stools, painful lumps in or around the anal area, swelling and blood in the stools are the most common symptoms of piles. A small mass of skin may protrude out of the anus upon defecation. The area around the anus may feel sore, red and itchy. In some cases, a feeling of fullness may remain, despite having passed stools. Larger piles can cause discomfort in the form of pain, itching, and mucus discharge. All these symptoms need a clinical diagnosis to rule out the presence of any other rectal problems. A visual rectal examination, anoscopy, and colonoscopy may be required. Piles or hemorrhoids can sometimes lead to further complication escalate into a more severe condition. These include excessive anal bleeding that may lead to anemia, incontinence, anal fistulas, and infections or clots within the hemorrhoids. Q. I am passing blood with stools, is it indicative of piles? Bleeding with stool is one of the primary symptoms of piles. However, blood in the stool may appear from many other conditions like anal fissures and severe conditions like ulcerative colitis or any malignancy of the GIT. Further investigation by a physician may be required to determine the exact cause of bleeding. Q. Is anal itching indicative of piles? While anal itching is one of the symptoms of piles, it may also be present due to other conditions like worm infestation, anal fissures, anal fistula or a skin complaint around the anal area. Other symptoms like painful defecation, bleeding with stools, burning/soreness at the anus or swelling are also indicative of piles. A physical examination of the anal region may be required to pinpoint the exact problem. Q. If I feel a mass protruding out of the rectum while passing stools, is it piles? A mass protruding from rectum while passing stools can be indicative of two conditions – piles and rectal prolapse. A rectal examination is required to know the exact cause. Q. I have piles with excessive swelling around the anus and painful defecation. Will applying ointments solve my problem? Ointments may help in temporarily reducing the discomfort and soothe the symptoms of piles. To cure piles, a proper treatment that helps reduce the engorgement of the rectal veins and ensures adequate blood circulation in the veins is required. Q. I am suffering from piles with constipation; can I take a laxative? A laxative is a short-term solution for the management of constipation, but proper treatment is required for long-term treatment to improve the bowel motility and reduce engorgement of blood in the rectal veins. Q. Can I avoid piles surgery with the help of medicines? Yes, natural medicines work to stimulate the internal healing processes of the body, and with long-term use, they can help manage piles without surgery. It should be noted that the results vary from case to case, depending upon the severity of the problem. Q. For how long do I need to take medicines to treat piles? The length of treatment for piles depends upon the duration of the symptoms, their intensity, and how quickly a person responds to personalized medicines. The treatment period can range from a few weeks to a few months. Q. Is surgery a permanent solution for piles or do piles recur after surgery? Surgery for piles is not a permanent solution since in most cases, chances of recurrence are high. It does not treat the cause behind piles. For a permanent solution, the cause of increased rectal pressure and poor blood circulation in the rectal veins needs to be identified and treated. Managing Piles in Everyday Life Foods that Help Treat Piles High-fiber foods like figs, flaxseeds, quinoa, beans, lentils and fresh fruits and vegetables help keep the system healthy and aid in maintaining proper bowel movements. Fresh plant-based food eaten with the skin intact provides a decent amount of fiber. Some also contain a lot of water; watermelons, celery, and cucumbers are made up of almost 90% water. The aim is to ensure that the stools do not become hard and constipation is avoided. Clinical research shows that in case of non-prolapsing hemorrhoids, taking a fiber supplement helped reduce the risk of persisting symptoms and bleeding by almost 50%. Foods to Avoid During Piles Foods with little or no fiber can cause constipation, or worsen the condition, indirectly leading to hemorrhoids. Foods like milk, cheese, and other dairy products should be avoided, as should meat, processed and frozen food. Alcohol, caffeine, excessive salt and spicy food can also worsen the condition. Certain supplements like Iron can lead to digestive problems and should only be taken on the recommendation of a doctor. Staying Hydrated to Prevent Dehydration Dehydration leads to constipation because water is required for the fiber to be able to travel smoothly through the digestive tract. Dehydration and constipation can worsen the symptoms of hemorrhoids. Eating water-based fruits and ensuring an adequate amount of water intake are simple measures to prevent dehydration. homeopathic piles exercisePracticing Healthy Toilet Habits It is essential to understand that the toilet habits practiced on an everyday basis are directly linked to piles. Over-straining during defecation can increase the pressure on the hemorrhoids and worsen the condition. An urge to pass stool should not be ignored, since delaying it can cause the stool to harden. Regular physical activity, consumption of adequate amounts of water and fiber and healthy toilet habits can help prevent constipation naturally, and stop the hemorrhoids from getting worse. For those who like to sit and browse their phone on the toilet – prolonged sitting on the toilet causes unnecessary strain on the body and can make the condition worse. It is important to clean up properly after defecation to prevent infections and worsening of the condition. Cleaning should be done gently, not roughly. A warm bath where the person sits in warm water for 10-15 minutes can help relieve itching, burning and aching, while also cleaning the area. Apart from these, factors like obesity and chronic digestive issues also play an important role. Simple lifestyle modifications can help a lot, and regular exercise is key in weight management and maintaining a healthy bowel movement. A holistic approach towards piles can help manage and treat the condition naturally. A physician can identify the underlying causes of the symptoms of piles and help a person transition into natural, safe treatment options with adequate lifestyle changes to treat the problem.

Panchakarma- Five Teatments -1 Pancha Karma is the cornerstone to Ayurvedic management of disease. Pancha Karma is the process which gets to the root cause of the problem and corrects the essential balance of 'Tridosha' in body. Pancha Karma is not only good for alleviating disease but is also a useful tool in maintaining excellent health. Ayurveda advises undergoing Pancha Karma at the seasonal changes to clean the body, improve the digestion and to improve the metabolic processes. Panchakarma is a Sanskrit word that means "five actions" or "five treatments ". This age-old science of purifying the body is an ancient branch of Ayurveda, The Treatment in Ayurveda consists of two main types. One is Shaman Chikitsa, used to subdue the vitiated Doshas, due to which any ailments may be produced. It is administered by using various medicinal herbo-mineral preparations. However, if the Doshas are vitiated beyond a particular level, they give rise to various endotoxins, which have a tendency to be accumulated in the minute channels. These are beyond the level of pacification and hence need to be eliminated or removed from the body. In such cases, the second type of treatment, which is Shodhan Chikitsa or cleansing therapy, is indicated. Since it consists of the five types of main therapies, it is known as the Panchakarma Chikitsa. Panchakarma has been given a special place in all the ancient Ayurvedic texts. Aacharya Charak, the author of the most important ancient text on internal medicine, has described a wide use of Panchakarma therapy for almost all the major diseases. Two separate sections, Kalpa Sthanam, and Siddhi Sthanam in Charak Samhita describe the details of special decoctions and other preparations used for Panchakarma therapy. Panchakarma includes three parts namely: Poorva Karma (Preparatory Methods)which includes : Paachan (Digestion) Snehan (Internal and external oleation) Swedan (Fomentation) Pradhan Karma (Main methods)which includes : Vaman (Induced vomiting) Virechan (Induced purgation) Basti (Medicated enema) Nasya (Nasal medicine) Rakta Mokshan (Artificial bloodletting) Pashchat Karma (Post-Therapeutic Measures)which includes: Sansarjan Krama (Specific dietetics), DhumaPana (smoking of medicinal cigars) and some rules to follow specific activities. Purvakarma : Pre-purification Measures Before the actual operation of purification begins, there is a need to prepare the body in prescribed methods to encourage the body to let go of the toxins. The two procedures are 'snehan' and 'swedan'. Snehan is the oil massage. Oil is applied to the entire body with a particular type of massage which helps the toxins to move towards the gastro-intestinal tract. Oil massage also makes the superficial and deep tissues soft and supple. Snehan is given daily for three to seven days, as indicated. Swedan is sudation or sweating and is given every day immediately following the snehan. An herbal concoction may be added to the steam to further loosen the toxins from the individual. Swedan liquefies the toxins and increases the movement of toxins into the gastro-intestinal tract. After three to seven days of snehan and swedan, the doshas become well "ripened". A particular panchakarma method is then given according to the individual's constitution and disorder, prakruti and vikruti, respectively. Panchakarma - Five Basic Shodhans: Cleansing Methods 1) Vaman : therapeutic vomiting or emesis 2) Virechan : purgation 3) Basti : enema 4) Nasya : elimination of toxins through the nose 5) Rakta moksha : detoxification of the blood Vaman: Emesis Therapy When there is congestion in the lungs causing repeated attacks of bronchitis, colds, cough or asthma, the Ayurvedic treatment is therapeutic vomiting, vaman, to eliminate the kapha causing the excess mucus. First, after the snehan and swedan, three to four glasses of licorice or salt water is administered, then vomiting is stimulated by rubbing the tongue which triggers the vomiting center through the gag reflex. One may alternatively take two to three glasses of salt water which will also aggravate kapha and then rub the tongue to induce vomiting. Once the mucus is released the patient will feel instantly relieved. It is likely that congestion, wheezing and breathlessness will disappear and that the sinuses will become clear. Therapeutic vomiting is also indicated in chronic asthma, diabetes, chronic cold, lymphatic congestion, chronic indigestion and edema. Emetic Substances: madan-emetic nut, madhuka-yastimadhu-licorice, neem-bitter leaf, bimbi, kutaj-kurchi- conessi bark, murva-clematis, triloba-devdaru-deodar, Cedrus deodara, Salt, NaCl, ela-cardamom, nux vomica. Indications for Vaman : used for all kapha type disorders good for pitta headache, dizziness, and nausea will help to release blocked emotions respiratory congestion bronchitis chronic cold sinus congestion kaphagenic asthma Contra-Indications for Vaman : below the age of 12 or over age 65 menstruation pre-menstrual period (one week prior) pregnancy emaciation delicate or sensitive person with too much fear, grief or anxiety hypoglycemia vata prakruti vata diseases heart diseases during vata season acute fever diarrhea obesity Virechan : Purgation Therapy When excess bile, pitta, is secreted and accumulated in the gall bladder, liver and small intestine, it tends to result in rashes, skin inflammation, acne, chronic attacks of fever, biliary vomiting, nausea and jaundice. Ayurvedic literature suggests in these conditions the administration of therapeutic purgation or a therapeutic laxative. Virechan is facilitated with senna leaves, flax seeds, psyllium husks or triphala in a combination that is appropriate for the individual person. Virechan Substances: Senna, prune, bran, flaxseed husk, dandelion root, psyllium seed, cow's milk, salt, castor oil, raisins, mango juice, triphala. Indications for Virechan: allergic rash skin inflammation acne, dermatitis, eczema chronic fever ascites biliary vomiting jaundice urinary disorder enlargement of the spleen internal worms burning sensation in the eyes inflammation of the eyes conjunctivitis gout Contra-Indications for Virechan: low agni acute fever diarrhea severe constipation bleeding from rectum or lung cavities foreign body in the stomach after enema emaciation or weakness prolapsed rectum alcoholism dehydration childhood old age ulcerative colitisAyurveda-Panchakarma Basti & Nasya -2 Basti: Enema Therapy Vata's predominant site is the colon. Ayurvedic basti involves the introduction into the rectum of herbal concoctions of sesame oil, and certain herbal preparations in a liquid medium. Basti, is the most effective treatment of vata disorders, although many enemas over a prescribed period of time are usually required. It relieves constipation, distention, chronic fever, cold, sexual disorders, kidney stones, heart pain, backache, sciatica and other pains in the joints. Many other vata disorders such as arthritis, rheumatism, gout, muscle spasms and headaches may also be treated with basti. Vata is a very active principle in pathogenesis. If we can control vata through the use of basti, we have gone a long way in going to the root cause of the vast majority of diseases. Vata is the main etiological factor in the manifestation of diseases. It is the motive force behind the elimination and retention of feces, urine, bile and other excreta. There are eight main types of basti, according to traditional texts, each with their own indications and contra-indications as listed below. 1. Anuvasana (oil enema) is used in pure vata disorders and when a person is having excess hunger or dryness related to vata imbalances. 2. Niruha-Asthapana (decoction enema) is used, among other conditions, for evacuation of vata, nervous diseases, gastro-intestinal vata conditions, gout, certain fever conditions, unconsciousness, certain urinary conditions, appetite, pain, hyperacidity and heart diseases. 3. Uttara Basti (through the urethra with men or vagina with women) is used for selected semen and ovulation disorders and for some problems involving painful urination or bladder infections. This is not to be used for someone with diabetes. 4. Matra Basti (daily oil enema) is used by someone emaciated by overwork or too much exercise, too much heavy lifting, walking too long of a distance, too much sexual activity or someone with chronic vata disorders. It does not need to be accompanied by any strict dietary restriction or daily routine and can be administered, in the appropriate cases, in all seasons. It gives strength, promotes weight and helps elimination of waste products. 5. Karma Basti (schedule of 30 bastis), 6. Kala Basti (schedule of 15 bastis; 10 oil + 5 decoction) 7. Yoga Basti (schedule of 8 bastis; 5 oil + 3 decoction). 8. Bruhana Basti (nutritional enema) is used for providing deep nutrition in select conditions. Traditionally, highly nutritive substances have been used, such as warm milk, meat broth, bone marrow soup and herbs like shatavari or ashwagandha. General Indications for Basti: constipation low back ache gout rheumatism sciatica arthritis nervous disorders vata headache emaciation muscular atrophy General Contra-Indications for Basti (include but are not limited to the following): Enema therapy should not be used if the patient is suffering from diarrhea, bleeding of the rectum, chronic indigestion, breathlessness, diabetes, fever, emaciation, severe anemia, pulmonary tuberculosis, old age or for children below the age of seven years. for oil enemas: diabetes, obesity, indigestion, low agni, enlarged liver or spleen, unconsciousness, tuberculosis and cough. for decoction enemas: debility, hiccough, hemorrhoids, inflammation of anus, piles, diarrhea, pregnancy, ascites, diabetes and some conditions involving painful or difficult breathing. for nutritional enemas: diabetes, obesity, lymphatic obstruction, ascites. for urethra or vaginal enemas: diabetes Nasya: Nasal Administration The nose is the doorway to the brain and it is also the doorway to consciousness. The nasal administration of medication is called nasya. An excess of bodily humors accumulated in the sinus, throat, nose or head areas is eliminated by means of the nearest possible opening, the nose. Prana, life force as nerve energy, enters the body through the breath taken in through the nose. Prana is in the brain and maintains sensory and motor functions. Prana also governs mental activities, memory, concentration and intellectual activities. Deranged prana creates defective functioning of all these activities and produces headaches, convulsions, loss of memory and reduced sensory perception. Thus nasal administration, nasya is indicated for prana disorders, sinus congestion, migraine headaches, convulsions and certain eye and ear problems. There are six main types of nasya, as listed below. 1. Pradhamana (virechan) Nasya (cleansing nasya) uses dry powders (rather than oils) that are blown into the nose with a tube. Pradhamana nasya is mainly used for kapha types of diseases involving headaches, heaviness in the head, cold, nasal congestion, sticky eyes, hoarseness of voice due to sticky kapha, sinusitis, cervical lymph adenitis, tumors, worms, some skin diseases, epilepsy, drowsiness, Parkinsonism, inflammation of the nasal mucosa, attachment, greed and lust. Traditionally, powders such as brahmi are used. 2. Bruhana Nasya (nutrition nasya) uses ghee, oils, salt, shatavari ghee, ashwagandha ghee and medicated milk and is used mainly for vata disorders. It is said to benefit conditions resulting from vata imbalances such as vata-type headaches, migraine headache, dryness of voice, dry nose, nervousness, anxiety, fear, dizziness, emptiness, negativity, heaviness of eyelids, bursitis, stiffness in the neck, dry sinuses and loss of sense of smell. 3. Shaman Nasya (sedative nasya) is used according to which dosha is aggravated but mainly for pitta-type disorders such as thinning of hair, conjunctivitis and ringing in the ears. Generally certain herbal medicated decoctions, teas and medicated oils are used. 4. Navana Nasya (decoction nasya) is used in vata-pitta or kapha-pitta disorders and is made from decoctions and oils together. 5. Marshya Nasya (ghee or oil nasya) 6. Prati Marshya (daily oil nasya) This helps to open deep tissues and can be done every day and at any time to release stress. Substances Used in Nasya: brahmi, ginger, ghee oils, decoctions, onion, garlic, Piper longum, black pepper, curry pepper, rose, jasmine, mogra flowers and henna. Indications for Nasya: stress emotional imbalances stiffness in the neck & shoulders dryness of the nose sinus congestion hoarseness migraine headache convulsions Contra-Indications for Nasya: sinus infections pregnancy menstruation after sex, bathing, eating or drinking of alcohol should not be used below 7 years or over 80 years of age Click here to read more about 'Nasyakarma' Raktamoksha : Traditional Ayurvedic Method for Purification and Cleansing of the Blood Toxins present in the gastro-intestinal tract are absorbed into the blood and circulated throughout the body. This condition is called toxemia, which is the basic cause of repeated infections, hypertension and certain other circulatory conditions. This includes repeated attacks of skin disorders such as urticaria, rashes, herpes, eczema, acne, leukoderma, chronic itching or hives. In such conditions, along with internal medication, elimination of the toxins and purification of the blood is necessary. Raktamoksha is also indicated for cases of enlarged liver, spleen and gout. Extracting a small amount of blood from a vein relieves the tension created by the pittagenic toxins in the blood. Bloodletting also stimulates the spleen to produce antitoxic substances which helps to stimulate the immune system. Toxins are neutralized enabling radical cures in many blood born disorders. Bloodletting is contraindicated in cases of anemia, edema, extreme weakness, diabetes and in children and elderly persons. Indications for Raktamoksha: urticaria rash acne eczema scabies leukoderma chronic itching hives enlarged liver or spleen gout Contra-Indications for Raktamoksha: anemia edema weakness young children old age during pregnancy during menstruation Read more about Various Diseases and Indicated Panchakarma procedures for them > @

Friends today I am discussing about the common problem of the adult male. From which most of the young guys get confused and have myths about Spermatorrhea. Spermatorrhoea is a kind of sexual disorder. It is the emission of semen without copulation. In other words, it is an involuntary seminal discharge. The term spermatorrhoea in its restricted sense suggests the condition in which involuntary seminal losses occur frequently that create a morbid state. This is the greatest worry for the young men. If the seminal secretion occurs frequently and increases abnormally, it should be given serious thinking. It, then, should be treated as disease. There are many side effects that are associated with Spermatorrhoea. The most important are headache, back ache, lethargy, extreme sweating, feeble vision, weariness, giddiness, limbs tremor, rapid and irregular heartbeat, sleeplessness, gloominess, low sexual urge, etc. Causes The seminal discharge occurs in men who rarely pamper in sexual intercourse. If not ejected through copulation, it is very natural as well as healthy that after some interval the fluid is escaped with no provocation. But, the question is the limit of time when the problem is taken as serious. When does this seminal emission or spermatorrhoea considered as normal? When does it considered to be harmful? There is no fixed law as to the amount of discharge applicable for all the people universally. Nor, there is any common acceptance of the rule. The time that passes away between seminal discharges varies awfully in case of those individuals who however, stay good health regularly. Some men undergo such a discharge once in 15 days, while others may experience it several times in a week, and however preserve perfect fitness. The Main causes of Spermatorrhoea are · Failing of the nervous system · Failing of genital and urinary gland · Frequent masturbation · Narrowness of urinal duct exit · Over leniency to sexual thoughts · Sexual discontentment · Testicular annoyance because of the stiffness of the forefront skin · Rectum disorders like fissures, piles etc. · Stimulation after the contact · Filled bladder sensation HOMOEOPATHIC REMEDIES FOR SPERMATORRHOEA PHOSPHORIC ACID Q- Phosphoric acid is one of the top remedies for Spermatorrhoea. It is prescribed when there is great weakness followed by seminal emission. The legs are weak, and there is burning in spine worse at night. The scrotum and testicles are flabby , the penis has no power of erection or the erection are imperfect and the semen escapes too soon during coition. Formication or a sensation of crawling on the scrotum is sometimes present.There is sudden relaxation of penis during coition due to exhaustion .Mentally the patient is distressed on account of the culpability of his acts, and is anxious about the future of his health or else perfect indifference is present.Phosphoric acid is also prescribed for discharge of prostatic fluid during a hard stool and frequently seminal emissions. CALADIUM Q- Caladium is considered as a top remedy for nocturnal emission. Here the emissions occur with or without dreams. The glans penis is found to be flabby.No emission and orgasm in coitus for a long time. CONIUM MACULATUM 30—Conium is another effective remedy for Spermatorrhoea. Here the nocturnal emissions are brought on by suppression of the natural desire and there are pain in the testicles . Emission is brought on by slightest provocation. The patient is hypochondriac, melancholic and excitable. Conium persons have emission on thinking of a sexual act or the sight of an attractive women. Seminal emissions by mere contact only. There is great weakness of back and spine after emission. SELENIUM 30-Selenium is one of the top remedies for night emissions.Here the emissions are too rapid with long lasting thrill. Great weakness in morning , and vertigo on rising in the morning. The prostatic fluid oozes during sitting, during sleep, when walking, and during stool.There is great irritability of the sexual organs. Selenium patient feels lack of confidence . The mental condition of inability is more in Selenium patient. AGNUS CASTUS 30-Agnus castus is prescribed for old men who have spent most of their lives in excessive venery. These so called old sinners are just excitable in their sexual passions at 60 as at 18, and yet they are physically impotent. The genital organs are cold and relaxed. Seminal emissions without erections. Scanty emissions without ejaculation. BUFO RNA 30-Bufo rana is effective when the patient longs for solitude, to give himself up to his vice; quick ejaculation, without thrill, with spasms and painful uneasiness of the limbs; frequent nocturnal emissions, followed by debility; slow emission, or entirely absent; aversion to coitus; impotence; imbecility with loss of all decency; masturbation or coitus causes convulsions, simulating those of epilepsy, usually followed by profound sleep; inclination to touch the genitals. STAPHYSAGRIA 30-Staphysagria is another effective remedy for night emissions. Staphysagria is a remedy for the bad effects of masturbation where there is great emaciation with dark rings under the eyes and sallow face. The boy is shy and gloomy. The patient is hypochondriacal and permits the mind to dwell too long on sexual subjects.There is irritability of the prostatic portion of the urethra. Staphysagria is the best remedy in anxious and imaginary persons who are uneasy about the state of the health. LYCOPODIUM CLAVATUM 200- Lycopodium is prescribed when the patient experiences complete impotency. The erections are absent or imperfect and the genital organs are small , cold and shrivelled and night emission in men without erections. Lycopodium is considered as Old man’s balm.Lycopodium persons prefer warm food and drinks. They have a craving for sweet. NUX VOMICA 30-Nux vomica is an excellent remedy for Spermatorrhoea with constipation. For the bad effects of masturbation Nux vomica is an important remedy. It is prescribed when the patient suffers from headache , frequent involuntary emissions at night , especially toward morning and the digestive organs are weak.Nux vomica is more suitable to city men who lead a sedentary life and are alcoholic. There is an irritable condition from sexual excesses , erections taking place , but they are not under control of the mind and may subside at any time during an embrace KALI BROMATUM 30- Kali bromatum is effective for spermatorrhoea. There is frequent emissions with depressed spirits and dull thought. After emissions the patient suffer from backache , staggering gait and great weakness. Emission may be with or without emission. LUPULINUM 1X- Lupulinum is almost specific for seminal emissions. Headache following a night debauch and seminal emissions. CALCAREA CARB. 30-Calcarea carb is prescribed when night sweats follow emission and when coitus is followed by weakness in mind and body . Calcarea carb is suitable to fat , flabby persons where the patient sweats from any exertion. The sexual desire is excessive and the night emissions occurs about 3’ o clock in the morning or later. The erections are excitable , there is sensitiveness of the urethra and irritable impotence. After emissions there is great weakness, cold clammy sweat on the hands , pain in the back and head, trembling of the legs.Calcarea carb patients have a special craving for eggs. GELSEMIUM 30-Gelsemium is prescribed when frequent involuntary emissions at night with relaxation of the sexual organs. The whole system is relaxed and emissions occur from the slightest exertion or excitation.There are no lascivious dreams and it occurs as a bad effect of masturbation. ANACARDIUM OR. 30- Anacardium is prescribed when night emissions occur without dreams. There is increased sexual desire and much itching of the genitals. DIGITALIS PURPUREA 30-Digitalis is prescribed when night emissions occur in deep sleep without waking him. Emissions with great weakness and palpitation of heart . DAMIANA Q- Damiana is considered a specific remedy for night emissions. There is absence of sperm in semen . Chronic prostatic discharge. DIOSCOREA VILLOSA 30-Dioscora villosa is another excellent remedy for night emission.Dioscorea patients having two or three emissions every night. On the following morning the patient feels great weakness particularly about the knees. STANNUM METALLICUM 200-In Stannum met voluptuous feeling in genitals ending in emissions. There is increased sexual desire. Emissions following great weakness. NUPHAR LEUTEUM Q-Nuphar leuteum is effective for night emissions with pain in penis and testicles. Complete absence of sexual desire. Seminal emissions during stool and urinating. SALIX NIGRA Q- Salix nigra is prescribed when Spermatorrhoea occurs due to masturbation. There is painful movement of the testicles. SULPHUR 200-Sulphur is effective when the patient is weak and debilitated, suffer from gastric ailments , and has frequent involuntary emissions at night. The seminal flow is thin and watery and has lost its characteristic properties. The genital organs are relaxed , the scrotum and penis are flabby, the penis is cold and the erections are few and far between.Complete prostration and loss of sexual desire is a marked feature of Sulphur. In coitus the semen escapes too soon , almost at first contact and the patient suffer from backache and weakness of limbs. Sulphur persons are low spirited and hypochondriacal . TITANIUM 1000- Titanium is effective for night emissions with backache ZINCUM METALLICUM 200-Zincum met is effective for long lasting abuse of genital organs with great hypochondriasis. There is easy sexual excitement with too rapid emissions or difficult during embrace.