Health tips for better life

We need to start with a brief reminder of the underlying mechanics of an erection. When your brain recognises a situation as sexually stimulating, it sends a message to the arteries leading into the penis. Although blood is routinely circulated through the penis – it prevents gangrene and the flesh rotting – the volume is low. When the message from the brain is received by the arteries, they dilate and the volume of blood entering the penis increases dramatically. It slowly begins to fill a sponge-like area of tissue. As this swells, it presses against the veins taking the blood out. This traps blood inside the penis and the erection grows and hardens. When the stimulation disappears, the arteries into the penis contract. The flow of blood is reduced and the erection fades away. Ignoring the problems of psychology, this places the key performance requirement on the ability of the arteries to dilate and contract upon demand.

There are smooth muscles built into the walls of arteries all round the body and, depending on the energy requirements and environmental conditions like temperature, they all expand and contract as needed. Unfortunately, the blood carries a number of different elements through the body including cholesterol and triglycerides. These cause the walls of the arteries to harden. Plaques form which prevent dilation and contraction. This becomes the disease called artherosclerosis. It first affects the smallest arteries and, if not treated, spreads through the whole system of blood vessels until the heart can no longer cope. Strokes and heart attacks follow.

When we apply this to erectile dysfunction, the lessons are clear. The arteries leading into the penis are among the smallest in the body and so the ones most likely to be affected by artherosclerosis. If the early onset of this disease is preventing you from enjoying an erection, this suggests the rest of your blood vessels will be affected over time. The best estimates are that you have about four years from the first appearance of erectile dysfunction to take effective preventative action to prevent heart disease. Because the medical science is clear, any man reporting erectile dysfunction to his physician will be treated as a heart patient until tests prove the risks are low. Put another way, erectile dysfunction is a warning sign giving you the chance to avoid the pain of a stroke or heart attack and extend your life. Ignore this warning at your peril.

You could just surf the internet, find a recommended online pharmacy and buy cialis. This drug is clearly the best of the treatments because it gives the longest response times. If you take the as-needed version, it gives thirty-six hours of responsiveness. The once-daily version gives you responsive power as and when the opportunity presents itself. This would restore your erections and give you several years of satisfaction and pleasure. But during these years, the artherosclerosis will be developing. If you have not at least made lifestyle changes to your diet, your health is seriously at risk, and no amount of cialis is going to prevent the arrival of serious diseases. Take the wise course of action. Have the full range of tests. If they prove negative, you are reassured and your health insurance company is happy. If you are at risk, the preventive treatments will extend your and keep your insurance company’s bills small. Everyone’s a winner!

It’s a sad fact of modern life that rheumatism in all its many forms is increasingly common. As an inflammatory disease, it’s most likely to affect the joints and connective tissue, and it resists most forms of treatment, i.e. it slowly reduces mobility and causes chronic pain. In some forms such as Rheumatoid Arthritis (RA), the damage goes beyond the joints with organs affected as well. It’s estimated that RA affects about 1% of the world’s population and it most often appears between the ages of 40 and 50. You will understand that 1% is about 670 million people and then you reduce that number to favor older people. Under normal circumstances, we would just tolerate the loss of mobility but there is a more serious problem. RA accelerates the onset of artherosclerosis, and there is very clear evidence to show a significant increase in the rate of people affected by strokes and heart attacks. Even with the full range of modern medicine brought to bear, RA reduces life expectancy. Worse, in its earliest phase, it is most likely to cause erectile dysfunction. With the damage to the arteries apparent in the smaller vessels first, the failure to produce an erection often demonstrates the presence of artherosclerosis.

In the Annual Scientific Meeting run by the American College of Rheumatology this year, a research team from St. James’s Hospital, Dublin reported their findings of a very strong link between RA and erectile dysfunction. The recommendation is that the use of erectile dysfunction as a harbinger should be expanded. The current best practice has all primary care physicians react to patients reporting erectile dysfunction as actual heart patients. The full range of diagnostic tools should be used to identify those most as risk of cardiovascular disease and preventative treatment begun in all proven cases. Dr. Sheane is proposing the tests should be expanded to include all tests for the rheumatic diseases in general, and RA in particular. Even though the treatments currently available cannot prevent the development of rheumatism, they can slow it down. More importantly, it gives people a breathing space in which to plan life when mobility is reduced.

One slight reservation lies in the nature of the research project. It was observational only, i.e. it was research conducted by questionnaire and physical examination with participants interviewed sequentially as they attended rheumatology clinics. It was not a full clinical trial. Nevertheless, the figures are disconcerting. Just under 70% of the patients interviewed had erectile dysfunction. This is rather higher than the incidence of erectile dysfunction in the general population. So here comes the bad news. When you buy cialis, you buy a remarkably effective drug, but it is not a treatment for rheumatic diseases. With RA being particularly aggressive, cialis on its own will only slow down the loss of sexual potency. This is not to say the situation is hopeless. There are a combination of treatments that can reduce the damage to the blood vessels. More importantly, a team from Boston has recently confirmed that sexual activity three or more times every week prolongs the sex life well beyond ordinary limits. Sexual activity also releases endorphins which improve mobility and reduce pain. Sex helps you live a better life with rheumatism.

This takes us back a few years to a time when stories began to surface about adverse side effects to the use of drugs used to treat erectile dysfunction. Men had begun to report changes to their eyesight. One or two men apparently lost their sight for short periods of time. On many occasions when side effects are reported under the Postmarketing Surveillance Program, the FDA does not react immediately. Sometimes, it does not react at all. Without going into the politics of its role, some critics suggest the FDA is in the pocket of the pharmaceutical industry and would never react to reports of side effects unless the evidence is too public and overwhelming to ignore. That’s what made it all the more surprising when the FDA decided to apply a watered down version of the precautionary principle to erectile dysfunction drugs. Just so we all understand, the precautionary principle says you pull a product off the market until it is proved safe. Since proving the negative is difficult, this can mean the product is off the market for a long time. With erectile dysfunction drugs, we are talking about retail sales in excess of one billion dollars in 2008. You do not mess with this market by shutting it down. The most you can do is change the label to warn users of potential dangers.

In July, 2005, the FDA issued a notice acknowledging rare reports of eye problems. The notice did not accept there was evidence of a link between the drugs and the vision problems. It simply advised men affected to seek emergency aid if the rare event affected them. From a scientific point of view, there is a strong likelihood of a link. These drugs target PDE5 in the body. The relevant arteries in the eye are controlled by PDE6. The drug may not be completely specific in all bodies and the effect on PDE5 may shade into PDE6. That said, the pharmaceutical industry had a marketing problem. Even though everyone acknowledged these were extraordinarily rare events, the release of the notice by the FDA did cause some alarm. The industry therefore commissioned some research which was published this year in the Archives of Ophthalmology. It’s good news. Some 250 men men with good eyesight and erectile dysfunction were recruited and given various dosages of the drugs, one pill per day for six months. Their vision was routinely monitored throughout the trial period. There were no significant differences found between their sight before and after the period. There was no measurable effect of any kind in any of the men (except their erections, of course).

One word of caution. To be able to generalize from one sample to the population at large, there should be more men included in the trial. Only 250 men is not statistically significant. That said, this is a detailed study and the results are encouraging. Viagra has not been given an absolutely clean bill of health, but this comes close. If the industry can be persuaded to recruit a sufficient number for the next trial, we can arrive at a definitive result. While we wait, buy viagra with (almost) complete confidence. There is no evidence anyone has ever lost their sight because of this drug.

Let’s start this off with a simple definition. Diabetes is a metabolic disease where the human body cannot use the natural sugar in the blood as energy. The cause is the failure of the pancreas to produce enough insulin. It comes in two different forms. In Type 1, the body fails to make any insulin. In Type 2, the body makes some insulin but fails to use it properly. It’s estimated that about 57 million people in the US are in the slide into diabetes, i.e. their blood sugar levels are already too high because their bodies are resisting the effect of insulin. This can only be described as an epidemic in the making. Why should we care? After all, both forms of diabetes are treatable. Well, the answer comes in two steps. Many people do not realize their danger in time. As a result, the diabetes begins to damage the body. Untreated, it can cause heart disease, kidney failure and blindness. In extreme cases, the feet and legs can develop gangrene and they have to be amputated. The second problem lies in the nature of Type 2 diabetes. This is largely a lifestyle issue. People eat and drink excessively, their weight rises and their body’s metabolism is thrown out of balance. Effective treatment requires change. An extreme measure is gastric bypass surgery to bring down the weight fast. Without this, it depends on people sticking with a diet and exercising regularly.

Erectile dysfunction is one of the first symptoms of Type 2 diabetes in men. The arteries leading into the penis are among the smallest in the body. To achieve an erection, the smooth muscle walls must be able to dilate. Unfortunately, as the blood sugar level rises, the walls of all blood vessels begin to harden. This slows down the dilation and the ability to achieve an erection gradually disappears. This disappearance is what drives men into seeking help. In turn, this prompts the diagnosis of the underlying problem.

Then, it’s all up to the man to change. Everything that can be done to prevent the spread of the disease must be done. This means following the treatment program laid down by your doctor and removing all the factors contributing to the erectile dysfunction. So you have to remove all the major causes of stress from your life. Try to be more laid back for all the right reasons. Quit smoking and stop excessive drinking. Some alcohol is OK but not a lot. And then lose some weight. Change your diet and, most importantly, start exercising. Raising your fitness and stamina levels improves the circulation of your blood and gives better erections. This is a high priority. As your blood sugar levels come under control, the damage to your body will slow. You can use viagra as needed to maintain the hardness of your erection but, as your weight drops, you should find erections improve naturally. Congratulations! You brought diabetes under control before all the major health disasters hit you and restored your erections. If you do not take effective action, buy viagra. This will keep you going for a year or so but note the warnings given above. The point of the diagnosis is giving you the chance to prevent a disease from making you seriously ill in a few years time. The longer you delay effective action, the greater the risk of heart disease, blindness and amputations.

There’s always something faintly alarming about information when you start putting numbers into the news. Tell someone there’s a chance of rain and they nod without worry. Change that to a warning there’s a 90% chance of rain and they reach for their umbrella. Putting numbers on risk or indicating the size of the population at risk makes the danger seem more real. So just writing that millions of men suffer from erectile dysfunction is vague and not alarming. Say there’s 90,000 new cases of impotence in the US every year and suddenly you’re doing sums on the back of an envelope. There are how many million living in the US? Are there an equal number of men and women? How many children are there? So the risk of… Hey, that’s serious! And don’t forget that the 90,000 are just the men who admit the problem. Millions more either suffer in silence or quietly buy the treatment online.

Once you get your head around the scale of the possible problem, two thoughts come to mind. Sexual performance in the bedroom is the basis of almost all stable relationships. If the erection fails, many relationships also fail. Secondly, if there are 90,000 new cases of impotence plus all the current ones, there must be millions of unhappy women. Since relationships usually rely on sex, this leaves many women with no active partner which must be deeply frustrating. Without having to resort to the use of drugs, there’s always good news from the medical community about alternative remedies. In this case, the simple and natural treatment is a regular routine of physical exercise.

When it comes down to simple plumbing, the usual reason why men do not get an erection is that the arteries into the penis do not carry enough blood. This is a problem with the circulation of the blood in general and the muscles in the artery walls that do not dilate as they should. If men become more active, this improves the circulation system and encourages a harder erection. But, to be effective, this exercise must be regular, sustained and sufficiently energetic to build up muscle tone and increase the heart rate. It’s not enough to go for a gentle walk once a week. You need a daily vigorous exercise routine which builds up fitness.

You could just reach for the viagra and boost your performance with little effort. But exercise is good for you in a number of ways. You look better and become more attractive as you lose some weight. You also feel better in yourself. To stay motivated, pick exercise that you enjoy. You could go dancing or plant vegetables in the yard and enjoy fresh produce as part of your diet. Whatever you do, you can use viagra while you are rebuilding the strength in your body. When sexual power is restored, put the viagra away until you are older and stay with an exercise program that lets you dance your way to success on the dance floor and in the bedroom.