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Nobody likes surprises, so it's always nice to know what to expect when you take you're pet to the veterinarian. A good physical exam usually begins by weighing and recording so that a continuing record can be formed. An increase or decrease in weight can indicate a problem. Next, the temperature is taken, usually rectally with a normal temperature of 101 to 102.5 degrees for both dogs and cats.
Coat and skin are examined next as poor hair coat or skin can indicate a poor diet or dermatological infection. Coat should be shiny, not brittle and coarse, and the skin, clean and not greasy. While handling your pet, the bones, muscles, and joints, nails, feet, and lymph nodes are checked for any abnormalities. The chest, heart, and lungs are examined with a stethoscope, along with the rate and nature of respiration.
At the head, both ears are examined deep into the ear canal for infections. The visible eye structure and lids are examined and the interior of the eye is checked for cataract formation, and an examination of the mouth and throat for infected gums, loose teeth, tartar buildup on the teeth and any damage or swelling in the throat.
Lastly, at the rear, the anus, anal glands, prepuce/penis or vcalva are checked for any abnormalities, and the anal glands cleaned if they are compacted. During the examination the vet will usually ask the name of your pet's food and any other treats or vitamin supplements, along with any medication you may have given your pet.
A fecal sample will be taken for examination to check for intestinal parasites, such as hookworm and roundworm, and a blood test may be recommended if heartworm is suspected. No checkup would be complete without a flea and tick prevention/treatment with a choice as to who will administer the treatment, you or the vet. While the exam may sound involved and complicated, the entire process usually only takes about 30 minutes and guarantees your pet a healthier happier life.
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A dietary supplement is any product that is intended to supplement the diet and that contains at least one of these ingredients: vitamins, minerals, herbs or other botanicals, amino acids, and substances such as enzymes, organ tissues, glandulars, metabolites, or a combination of these ingredients. If you choose to take a dietary supplement, read the supplement label carefully. The label will show how much of a specific vitamin, mineral, botanical, or other is in each dietary supplement. The Food and Drug Administration (FDA) and its Center for Food Safety and Applied Nutrition developed regulations for manufacturers in order to help consumers make informed choices when choosing dietary supplements. Manufacturers are responsible for ensuring that their supplements’ facts label and ingredient list are accurate, that the dietary ingredients are safe, and that the content matches the amount declared on the label.
Here is the information that must be on a dietary supplement label: A descriptive name of the product stating that it is a supplement. The name and address of the manufacturer, packer, or distributor. A list of each ingredient contained in the product, listed in the order of predominance by common name or proprietary blend. Ingredients not listed on the facts panel must appear in the other ingredient statement beneath the panel. The net contents of the product. The manufacturer’s suggested serving size. There are no rules that limit a serving size or the amount of a nutrient in any form of dietary supplements. Information on nutrients when they are present in significant levels, such as vitamins A and C, calcium, iron, and sodium, and the percentage Daily Value (% DV) where a reference has been established—this is similar to the nutrients listed in the Nutrition Facts panel on food labels. The Daily Value is essentially the same as the DRI (RDA or AI). All other dietary ingredients present in the product, including botanicals and amino acids—those for which no Daily Value has been established.
Multiple and Single Nutrient Supplementation
When you choose a general multivitamin and multi-mineral supplement, consider those that offer the full nutrient spectrum, the full range of B-complex vitamins, and antioxidants like beta-carotene and vitamins C and E. A good rule of thumb is to look for daily value percentage ranges from 50 to 150 percent. If a multivitamin has some but not enough of the other vitamins, you can take additional doses of those particular single supplements. Typically, a multivitamin cannot hold enough calcium. In addition to this basic multivitamin and mineral supplement, you may want to take single supplements to boost your health for specific conditions. To be sure that you will not be taking excessive amounts over what is already in the basic supplement, subtract the amount in the basic supplement from the larger amount listed for that single supplement. The difference is the amount of the single supplement you need to add. For example, if your basic supplement provides 200 milligrams (mg) of calcium, you would only take 800 mg of single supplement calcium to receive 1,000 mg of calcium daily.
Botanicals Common in High-Potency Supplements
Common herbal supplements are sometimes found in the formulation of high-potency or a health-benefit specific multivitamin and mineral supplement. Some herbs are used as specifics and are taken for brief periods or only when symptoms are present. Some herbs are used as tonics and are taken long term, sometimes with short breaks in between. For more information on using herbs and their health benefits, read about them from a reliable source and then discuss them with your health practitioner. Become informed!
Here are a few common herbs and their unique properties that you may find in your supplements:
Ginkgo Biloba (Ginkgo Biloba) is an antioxidant and improves circulation and memory. It may interact with monoamine oxidase (MAO) inhibitors and blood-thinners and may cause gastrointestinal upset and headaches. Ginseng (Panax ginseng, P. quinquefolius) helps increase energy, and is used as a tonic for fatigue and athletic performance. It may worsen the side effects of stimulants, such as caffeine. Some people experience over-stimulation or stomach upset when taking this herb. Avoid this herb if you have high blood pressure, heart palpitations, insomnia, asthma, or a high fever. Siberian Ginseng or Eleuthero (Eleuthero senticosus) helps increase energy and is used as a tonic for fatigue and stress. Its use may increase the effectiveness and side effects of some antibiotics. Saw Palmetto (Sernoa repens) is effective in the treatment of prostate enlargement or benign prostatic hyperplasia (BPH). Some people experience stomach upset when taking this herb. Echinacea (Echinacea augustifolia, E. pallida, E. Purpurea) is known for its ability to stimulate the body’s defenses against minor vial and bacterial infections such as colds and the flu. Persons allergic to the pollen of other members of the aster family, such as ragweed, may also be allergic to echinacea. Its use may counteract immune-suppressive drugs. Green Tea Extract (Camellia Sinensis plant extract) has antioxidant properties, particularly the phytochemical epigallocatechin gallate (EGCG) and is used as a tonic. Milk Thistle (Silybum marianum) is considered a liver protector and healer and is used as a liver tonic. Black Cohosh (Cimicifuga racemosa) has been shown to be effective for premenstrual and menopausal symptoms, such as hot flashes. It may cause stomach upset. Pregnant and nursing women should avoid using this herb.
Copyright 2006. Mary El-Baz. All rights reserved.
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Impotence may have a physical, lifestyle, or psychological cause. An underlying medical condition is the most common cause of impotence. Such conditions may interfere with the blood supply to the penis, the generation of nerve impulses involved in getting and maintaining an erection.
Some medical conditions that commonly cause impotence include diabetes, cardiovascular disease, atherosclerosis, or the hardening of the arteries, kidney disease, and diseases affecting the nervous system. Diabetes causes damage to both blood vessels and nerves. Cardiovascular and other vascular diseases reduce the flow of blood to the penis, and the veins that remove blood from the engorged penis may be leaky. Kidney disease may cause impotence through chemical changes that affect circulating hormones, blood supply, nerves and overall energy. Conditions that affect the brain or nerves, such as stroke, Alzheimer’s disease, or multiple sclerosis may all interfere with the flow of nerve impulses that are needed for an erection.
Besides medical conditions, surgery that involves the bladder or prostate and pelvic and spinal cord injuries may affect nerves supplying the penis or involved in maintaining an erection. Certain hormonal imbalances such as low testosterone levels can also cause impotence and several types of prescription drugs can cause impotence as a side effect.
Lifestyle factors implicated in impotence are lack of physical exercise, being overweight, and the use of alcohol, smoking and illegal drugs. Alcohol and tobacco cause damage to blood vessels and nerves. Lifestyle factors may exist alone or be accompanied by psychological factors such as depression.
Psychological causes of impotence include stress, anxiety, depression, or guilt. Sometimes, people who have been physically or sexually abused may suffer from psychological impotence. Another cause of psychological impotence is confusion about one’s sexual identity. Often, someone with an underlying physical condition may also be depressed or anxious, adding to the combination of factors causing impotence.
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Hormone therapy is known as one of the treatments for prostate cancer. We have heard success stories with hormone therapy for prostate cancer patients from Internet and medical publications. Here we discuss why hormone therapy can be applied to treat prostate cancer. The prostrate gland is found near the base of the urethra.
This is the tube that carries urine from the bladder out through the penis. The front end of the prostrate gland surrounds the urethra and the rear part of the gland presses against the rectum. The prostrate gland is found in the males and is susceptible to tumor growths. These tumors can be benign or malignant. Malignant means that the tumor is cancerous and life threatening.
Faulty Genes Put Right With Hormones
Having a cancerous prostrate tumor is no cause for alarm because if the tumor is diagnosed well in advance, for which there are many symptoms the layman can understand, the prostrate gland can be surgically removed along with the tumor. Thus, one can prevent the spread of the tumor to other parts of the body through the blood and lymphatic system.
It is very rare to find a patient under fifty to have prostrate cancer. The patient can become weary of a tumor on the prostrate gland if he finds the following symptoms: dribbling before or after urinating, feeling that the urinary bladder is never empty completely, discomfort or pain while urinating and passing of blood sometimes while urinating, false calls or frequently wanting to urinate without actually urinating.
Getting Rid Of the Gland
Apart from having the prostrate removed surgically, there are some hormone treatments for prostrate cancer as well. Some of these hormone treatments have known to have produced dramatic results. But, then it is the stage of the disease as well as the age of the person who is treated that also counts.
Doctors all over the world have known for a long time now that cancer can be treated with hormones as prostrate cancer has been known to be hormone or gene related. For instance, men who have had prostrate cancer in the family are more likely to contract the disease that men who have no family history of prostrate cancer.
Even men with the history of breast cancer in the family run the risk of developing prostrate cancer. This led to research on treating cancer with hormones. Research has shown that men live longer with prostrate cancer if it is treated with hormone therapy along with radiation treatment.
The standard hormone treatment is for three years but in many cases dramatic results have come about within six months of the treatment. Researchers from Boston's Brigham and Women's Hospital discovered that men treated with six months of androgen suppression therapy in addition to radiation improved faster and better than men treated with only radiation.
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Women's capacity for orgasm is awesome. They can come over and over again, and still be ready for more! This capacity seems almost limitless. They can experience clitoral orgasms, g-spot orgasms, vaginal orgasms, ejaculatory orgasms, blended orgasms, and not only one but multiples of any of these! They've even been blessed with a body part, the clitoris, whose only purpose is sexual pleasure. This may all seem a bit unfair to men who typically reach a precipice, fall over the edge, roll over and go to sleep!
Why is it then that so many women are frustrated rather than satisfied? Why is it that for so many loving couples, the female orgasm remains an elusive dream; one in which she's perhaps become resigned to sex that's pleasurable but not truly satisfying, or even worse, faking it to salvage her partner's ego. If it is really bad perhaps she fakes orgasm just to get the sexual ordeal over with! Or he sadly wonders: What's wrong with me? Why can't I make her come despite stiff fingers and aching tongue? His sexual self-esteem is wounded, and he secretly feels less of a man believing he has failed her.
The first step on the path to freeing a woman's orgasm is for both men and women to understand that men do not give women orgasms. Women allow themselves to have orgasms. Despite popular belief, no matter how good a lover you may be, unless your partner can give herself up to the pleasures of her body, she won't have orgasms. This realization alone can open the door to women becoming orgasmic. It takes the pressure to "perform" off of men, and it frees women to take responsibility for their own sexual fulfillment.
This is very important. If your woman is blaming you, and you may also be blaming yourself for her not having orgasms, it is quite possible, even likely, that you are both looking in the wrong place to solve the problem. Mind you, an unskilled, selfish, or insensitive male lover can be a real problem, and at the very least is certainly a dull bore. And to say that a woman is responsible for her own sexual fulfillment does not mean you revert to a slam-bam-thank-you-ma'am approach to sex and let her fend for herself. After all, the more skilled and attentive a lover is the more pleasure he himself receives, and although you can't give her an orgasm you certainly can help her to have one, or even lots of them. So even though it's not entirely up to you, there is something you can do to help.
The biggest barrier to orgasm for women is mental distraction - thoughts that float into her mind, catching her in her head, and taking her away from what's going on in her body. As soon as she starts thinking, she is out of the moment and will lose touch with her senses and her pleasure. Some of these thoughts may trigger feelings of shame or guilt about experiencing sexual pleasure, for no matter how liberated our attitudes toward sex seem to have become, there yet exists the perception that "good" girls don't! Even today women are divided into categories of "virgin" or "whore". Those who engage lustily in the delights of the body are somehow morally questionable. You can help your delectable partner move beyond these pleasure stifling attitudes by letting her know how much you respect, admire and cherish her fully female sensual self. Tell her often, especially when you're making love, that it thoroughly turns you on to see her let loose the passionate side of her nature.
This is not always easy for men to do. They may have internalized an unconscious conditioning that leads them to accept the rather misogynist belief that women can't be good and pure, and also be fantastic lovers. If they believe this, they are placing themselves in a very unfortunate situation. This belief system inevitably leads to the man selecting one woman for a partner, spouse and mother, and a different partner for an affair or mistress. Adultery is about the only option left to a man who holds such a belief system. The resulting deceit and lying force a separation between the couple and the relationship ends soon enough, for example in breaking up or divorce. In this scenario, the man is at fault and the solution does lie with him. Only a change in his beliefs will solve this problem.
Sexual abuse is a horror and curse that is unbelievably common in our society. Women that have been sexually abused often have great difficulty in allowing themselves to trust their lover, let go into the sensual moment, and surrender to sexual ecstasy. If your lady is having difficulty experiencing orgasm; if you are a reasonably skilled lover; and if you have communicated to her that you honestly wish her to fully awaken as a sexual partner, then the problem could be some psychological damage from sexual abuse. Ask her about this with the greatest tenderness and caring that you are capable of. Be aware that many women actually blame themselves for their own sexual abuse, so this can be the touchiest of all possible subjects for discussion. If sexual abuse is an issue, it is advisable to encourage her to seek professional counseling or some other form of help.
Besides worrying about whether they are "bad" if they really enjoy and want sex "a lot", many women worry about enjoying sex the right way. They worry about how they look, smell and taste. They worry that the cellulite in their upper thighs or the slight bulge of tummy fat may quiver unattractively. They worry about being "clean down there". They worry about how long it takes to reach climax, how much time their man has to spend stroking, licking, and caressing to help them fly over the mountain. All of these thoughts take them out of lovemaking. To help her stay in the pleasures of her body tell her with words and sounds and looks that you adore her, you love to devour her with your tongue, you could keep on touching her forever, it's a delight to you to give her pleasure. And mean it, because if you haven't learned how to enjoy pleasuring your partner, pretty soon you won't have one!
Once she's able to relax into the joys of lovemaking and focus on the exquisite sensations her body can feel rather than listening to the demon distractors her mind can conjure up, a woman's path to orgasm is much clearer. With particular loving skills of your own you can assist her to break that path wide open.
Most men enjoy having their genitals touched at any time, whether they're sexually aroused or not. This isn't usually the case with women. Think of the vagina as a "potential" opening, a magical door that will happily open wide to receive you, but only after you've called ahead to ensure your welcome. Be certain she's eager for your genital explorations by focusing loving attention on other parts of her body first - lots of kissing, neck nuzzling, tender strokes on back, shoulders and arms, then adoring caresses of her breasts. Only after you sense she's ready, through signs like rapid breathing, flushed skin, hardened nipples or enticing moans should you move to her vagina. Once your hand or mouth is at her sweet honey pot begin to explore it from the outside inward - outer lips, clitoris, inner lips, vaginal canal.
Generally women reach orgasm most easily through clitoral stimulation. The clitoris is extremely sensitive to touch of all kinds. Often the head of the clitoris, the pointed tip, is too sensitive for much direct pressure, so focus your attention on the sides. Touch around the clitoris instead of right on it, at least until her level of excitement increases. The skin tissue of your fingers is not nearly as sensitive as the tissue around her clitoris. But the tissue of your mouth and tongue is an almost perfect match in sensitivity. Unless you are more highly skilled in using your fingers, it is a much safer way to start by using your mouth for oral stimulation of the clitoris. Experiment with different pressures, strokes and speeds. Ask her which ones she likes best. A good way to do this is to try two different touches, then ask her if she likes "a" or "b" better.
If she's willing, invite her to masturbate for you so you can learn exactly how she likes to be touched. Many women are shy to do this at first but with some gentle encouragement she may really show her wanton self. It can be a great turn-on for both of you. Many men are actually quite frightened by a woman who is fully sexually awakened. They may doubt their own ability as a man to keep up, or to be able to perform adequately. They may fear that if she is too much woman sexually for him, that she may go elsewhere and find what she wants. It may help you to overcome this fear if you remember that you are not responsible for giving your lady sexual satisfaction. She must do that for herself. But if this fear is very strong, you may seek counseling help to deal with it.
When you do find a particular stroke or caress that is really driving her wild, keep doing it and keep doing it and keep doing it. Don't change anything about it. Don't go faster, slower, softer, harder, or switch direction. Keep doing exactly the same thing until she lets you know she wants a change either through words or body movement. This holds true whether you're pleasuring her clitorally or vaginally with your fingers or your mouth. Keep going even if your hands or mouth get really tired!
It's a good idea to wait until she is very aroused before entering her vagina either with your fingers or your penis. Generally if she's not wet, she's not ready. It's as simple as that. If your lover doesn't have a lot of natural vaginal juices even when she is fully aroused be sure to use a good silicone or water-based lubricant. Nothing can be a quicker turn-off than rough, dry skin rubbing on soft vaginal tissues. Water-based or silicone lubricant is better because oil can clog the sensitive vaginal tissue.
The most sensitive part of a woman's vaginal canal is the first inch to two inches. It's here that most of the nerve endings are located, so when you first enter her concentrate most of your attention there. The elusive g-spot can usually be found in this general area, on the top of the vaginal wall, a couple of inches in. Imagine a glass lying on the floor. If you reach your first two fingers into the glass at the top, i.e., toward the ceiling rather than the bottom towards the floor, you should find it. It is difficult to reach the g-spot through intercourse, so you will find it much easier with you fingers than with your penis. There are also some interesting dildos and vibrators with just the right shape to reach the G-spot. Move your index finger or your first two fingers in a "come hither" motion (as if you were asking someone from across the room to come over to where you are) and gently stroke her. When you touch her g-spot you may notice a more bumpy or raised area of skin, but you may not. The best way to know you've found this highly intense love spot is by her reaction. Where you look is not quite as important as when you look. Unless she is excited through and through, perhaps from a clitoral orgasm beforehand, it can be difficult to find the g-spot.
Stimulation of the g-spot can produce extraordinarily intense orgasms. As a woman is approaching a g-spot orgasm she may feel she has to urinate. This may immediately cause her to tighten up, stop, and pull back from the edge of bliss. If she can stay relaxed and keep going through that "have-to-pee" sensation it will pass and move on into deep waves of sexual delight. The woman should urinate before intercourse begins, so she can be more confident that the feeling that she has to urinate is a misleading feeling and can be safely ignored.
For most women it is difficult to reach a climax through intercourse alone. This is because the sensitive clitoris isn't easily stimulated just by thrusting motions; the g-spot is difficult to reach with even a fully erect penis; and because often the male partner goes over the edge into ejaculatory orgasm before the woman has had enough action to bring her to the heights. If you touch her clitoris before and during intercourse, and if you've pleasured her vaginally by touching the g-spot with your fingers, the chances are much better that she will have a deep vaginal orgasm while your penis is inside her.
Learn the strokes that turn her on. Tell her how fabulous it is that she's sensual and sexual. Let her know you adore her body and love to touch and kiss it for hours. Help her forget about trying to make orgasm happen and focus instead on thoroughly enjoying every moment of lovemaking. If you awaken your multi-orgasmic woman you are going to like it!
