Liver or 'Lover'? Alcohol kills both!

William Shakespeare once said, 

"Alcohol provokes the desire but takes away the performance"

(Courtesy: Internet)

It is perfectly true that medically it is advisable to have alcohol in small amounts especially the red wine, as it increases the HDL which is the 'good' cholesterol. When in moderate amounts, it is also seen as an aphrodisiac, thereby increasing the libido during sex by removing the sexual inhibitions and intensifying the feelings of well-being and sexual satisfaction during intimacy. But the catch word here is 'moderate'. Overconsumption often leads to the culmination of the euphoria and thus results in the impotence that follows later. So how is alcohol and impotence connected? And what are the symptoms?

I have already discussed how Smoking may lead to impotence. Impotence is when the man is not able to maintain his erection sufficient enough to complete his act of sexual intercourse with his partner. The erection is lost much prior to ejaculation. It only includes the lack of sustaining the erection and not any other problem like failure to ejaculate, loss of libido, etc.

There are many theories why excessive alcohol can cause impotence. 

1. Long term alcohol abuse can result in interference in the signal pathways between the brain's pituitary gland and the genitals. This system is responsible for engorging the penis with blood by dilating the blood vessels in the penile architecture.

2. Some physicians also believe that the alcohol abuse can cause damage to the nerves of the penis thereby hindering the sensory input during the intercourse which is essential for the erectile mechanism to initiate.

3. After initial euphoric stimulation of the brain's libido center, excessive alcohol further causes inhibition of the center, thus reducing the sexual desire terminating the sexual pleasure. Concentration and judgement become cloudy as the brain is suppressed by the inhibition through alcohol and physical activity and movement are also impaired.

4. Many scientists believe that alcohol has a deleterious effect on the testosterone producing capacity of the cells in the testis. Testosterone is the masculine hormone that is responsible for differentiating a man from a woman.  Low levels of testosterone thus diminishes the sexual drive and function.

5. Heavy drinkers are often associated with co-morbid psychological conditions like depression, stress and anxiety. This makes them all the more susceptible to impotence. It is a vicious cycle in this case leading to the aggravation of the physical and psychological deterioration in their health increasing the chances of impotence. 

6. Since alcohol has a really bad effect on the liver, the body may develop chemical substances within the skin that create inflammation as well as irritation which will make sexual activity so uncomfortable that the psychological effect may cause your body to disassociate with intimate contact. Cirrhosis will even cause hypogonadism which atrophies a mans testicles, also reducing or even ruining the lovemaking drive and/or performance.

So what do you do when you end up with alcohol induced impotence?

a. Firstly you need to acknowledge that the problem exists and that Help is available. Early intervention can almost cure the disorder with effective co-operation between the physician and the patients themselves.

b. It is always advisable to just avoid alcohol when its time for intimacy or before your love making. Alcohol being a depressant, lowers blood pressure making it tough to stay in rigidity while keeping focused. Since alcohol constricts the bloodstream, particularly the smaller capillary routes, there is certainly much less awareness within the sensors which support erectile performance.

b. There are medicines available such as Viagra which can be prescribed by the physician after taking into consideration, the etiology, the risk factors and the benefits of starting the drug. 

c. If the impotence is as a result of physical damage to the vessels of the penis or the nervous system there are injectables that your doctor may offer you for correcting the impotence. 

d. Alcoholic induced impotence can best be addressed with a lifestyle adjustment. When one cannot remove drinking completely, one could at the least cut it right down. A 50% decline in drinking can give significantly enhanced efficiency potential. Changing to a more gentle kind of alcoholic drink, such as wine beverages, may also assist the return of sexual performance if this continues to be the main reason for impotence

So think ahead before sipping that glass before making love, because you may not just kill the liver inside you but also the 'lover' inside you...

(The above post is written only from informative point of view. Kindly do not consider it as a prescription. Talk to your physician for further details of the treatment discussed here.)

Are you really depressed?

Most of us feel sad in our daily life. Its not unusual for someone to feel the 'blues' now and then. But then what exactly falls in the criteria of being 'depressed'? Let me put up a few points for you to help you identify the signs and symptoms of Depression. Do NOT stop reading further! Even if you feel you are strong enough mentally to not 'encounter depression at any point ever', I insist you to go through this once, as it might help you help your dear ones or friends in their low times. I would specifically write focusing on the younger teen-agers who I feel are the most vulnerable lot during this exam season.

(Courtesy: Internet)

Being sad is not unusual but being sad most of the time is. The phrase 'most of the time' medically suggests a period of at least 2 weeks of sustained sadness of mood. If this sadness is often giving you problems with your studies or your performance in schools/colleges, your behavior at home or with friends or getting addictions like alcohol, smoking or problems during sex, then most probably you are going through DEPRESSION. To put it in a simpler way to help you identify I am putting down a check list below with criteria for depression. Remember that the following symptoms should not be secondary to any other medical condition.

1.You feel depressed most of the day, nearly every day like feeling empty or feeling sad. In younger age and children this may rather manifest as irritable mood. 

2. a significant decrease in interest in activities which used to be pleasurable before. 

3. a marked decrease or increase in weight or appetite. (>/= 5% of baseline body weight) 

4. inability to sleep or excessive sleep pattern 

5. feeling tired/lethargic most of the day, almost everyday. 

6. often feeling 'I am worthless' or excessive or inappropriate guilt about something. 

7. psycho-motor agitation/retardation : restlessness or slowing down while performing activities or doing mental work. 

8. inability to think rationally or finding it difficult to take any decision on your own. 

9. Lastly... recurrent thoughts about death and not just fear of dying, thinking about suicide with or without  a plan ready.

So if you check at least 5 out of the above 9 criterias, you are just one of the ten people in this world who are going through Depression. But as you can see, by that statistics, Depression is really common in todays world. At least 4 percent of adolescents get teen depression each year. But the good news is that you have treatment  ready and if you take early interventions, you need not worry much about the duration of the treatment or relapses.

(Courtesy: Aasra)

If you are depressed, please TALK to someone! It is very important to talk and ventilate yourself. There are many people out there waiting to LISTEN to you. The sooner you do this, the better. You can yourself visit some mental health professional or take someone's help, someone whom you trust the most, your family member, your friends, your teacher. Remember there is always some help around you. You need not feel ashamed of what you are going through, however down your life takes you. They say, "If you are going through hell... still Keep going!"

Having depression doesn't mean you are mentally 'weak', its just another ailment which needs 'treatment'. Some may require psychotherapy, some may need medicine and some need both. Your Psychiatrist, unlike few years ago, has many choices to choose the right medicines today with minimal side-effects. Anti-depressants are no longer always 'sedatives'. Psychopharmacology is an upcoming trend today. Needless to say, if you know someone who might be going through depression, please step forward and offer help. If directly helping doesn't work, talk to an adult related to that person whom you can trust. 

Why do people get depressed? The answer is a huge one. There are many causes for depression just like any other medical disease like diabetes, heart disease or say liver disease. Mental disorders are different only in the aspect that they affect your day to day activities and their management requires a psycho-socio-behavioral approach and not just an individualistic one.

I hope this article helps those who need help and also for those who are willing to help... Remember,

"We cannot help everyone, but Everyone can certainly help someone."

What is Schizophrenia?

Schizophrenia is a mental disorder in which the patient finds it difficult to tell the difference between real and unreal experiences, to think logically, to have normal emotional responses, and to behave normally in social situations. There are various symptoms, the combination of which establishes the type of Schizophrenia the person may be suffering from. Despite many researches and studies, there is still no concrete evidence as to what exactly causes Schizophrenia. 

CAUSES:  

(Courtesy: Internet)

1. Genetic factors play a major role. People with family history of schizophrenia may be more likely to get the illness themselves.

2. Environmental events may trigger schizophrenia in people with genetic background. For example, infection during intranatall development or stressful psychological experiences may increase the risk for developing schizophrenia later in life. Social and family support  plays a vital role in the improvement of the illness.

PREVALENCE:

Schizophrenia affects about approximately 1% of the people worldwide. However, it occurs equally among men and women. In women it is seen to begin later and is milder in intensity. Although schizophrenia usually begins in young adulthood, there are cases in which the disorder begins later (over age 45). Childhood-onset schizophrenia is the one which starts after age 5. 

SYMPTOMS:
Schizophrenia develops slowly over months or years. Like other chronic illnesses, it cycles between periods of fewer symptoms and periods of more symptoms. At first, you may feel tense, or have trouble sleeping or concentrating. You can become isolated and withdrawn, and have trouble making or keeping friends. As the illness continues, psychotic symptoms develop:

• Appearance or mood that shows no emotion (flat affect)
• Bizarre movements that show less of a reaction to the environment (catatonic behavior)
• False beliefs or thoughts that are not based in reality (delusions)
• Hearing, seeing, or feeling things that are not there (hallucinations)

Problems with thinking often occur:

• Problems paying attention
• Thoughts "jump" between unrelated topics (disordered thinking)

Symptoms can be different depending on the type of schizophrenia:

• Paranoid types often feel anxious, are more often angry or argumentative, and falsely believe that others are trying to harm them or their loved ones.
• Disorganized types have problems thinking and expressing their ideas clearly, often exhibit childlike behavior, and frequently show little emotion.
• Catatonic types may be in a constant state of unrest, or they may not move or be underactive. Their muscles and posture may be rigid. They may grimace or have other odd facial expressions, and they may be less responsive to others.
• Undifferentiated types may have symptoms of more than one other type of schizophrenia.
• Residual types experience some symptoms, but not as many as those who are in a full-blown episode of schizophrenia.

People with any type of schizophrenia may have difficulty keeping friends and working. They may also have problems with anxiety, depression, and suicidal thoughts or behaviors.

SIGNS AND TESTS:

A psychiatrist should perform an evaluation to make the diagnosis. The diagnosis is made based on a thorough interview of the person and family members. No medical tests for schizophrenia exist. The following factors may suggest a schizophrenia diagnosis, but do not confirm it:

• Course of illness and how long symptoms have lasted
• Changes from level of function before illness
• Developmental background
• Genetic and family history
• Response to medication

CT scans of the head and other imaging techniques may find some changes that occur with schizophrenia and may rule out other disorders.

TREATMENT:

During an episode of schizophrenia, you may need to stay in the hospital for safety reasons, and to receive basic needs such as food, rest, and hygiene.

MEDICATIONS:

Antipsychotic medications are the most effective treatment for schizophrenia. They change the balance of chemicals in the brain and can help control the symptoms of the illness.

These medications are helpful, but they can have side effects. However, many of these side effects can be addressed, and should not prevent people from seeking treatment for this serious condition.

Common side effects from antipsychotics may include:

• Sleepiness (sedation) or dizziness
• Weight gain and increased chance of diabetes and high cholesterol

Less common side effects include:

• Feelings of restlessness or "jitters"
• Problems of movement and gait
• Muscle contractions or spasms
• Tremor

Long-term risks of antipsychotic medications include a movement disorder called tardive dyskinesia. In this condition, people develop movements that they cannot control, especially around the mouth. Anyone who believes they are having this problem should check with their doctor right away.

For people who try and do not improve with several antipsychotics, the medication clozapine can be helpful. Clozapine is the most effective medication for reducing schizophrenia symptoms, but it also tends to cause more side effects than other antipsychotics.

Because schizophrenia is a chronic illness, most people with this condition need to stay on antipsychotic medication for life.

SUPPORT PROGRAMS AND THERAPIES:

Supportive and problem-focused forms of therapy may be helpful for many people. Behavioral techniques, such as social skills training, can be used during therapy or at home to improve function socially and at work.

Family treatments that combine support and education about schizophrenia (psychoeducation) appear to help families cope and reduce the odds of symptoms returning. Programs that emphasize outreach and community support services can help people who lack family and social support.

Important skills for a person with schizophrenia include:

• Learning to take medications correctly and how to manage side effects
• Learning to watch for early signs of a relapse and knowing how to react when they occur
• Coping with symptoms that are present even while taking medications. A therapist can help persons with schizophrenia test the reality of thoughts and perceptions.
• Learning life skills, such as job training, money management, use of public transportation, relationship building, and practical communication

Family members and caregivers are often encouraged to help people with schizophrenia stick to their treatment.

PROGNOSIS:

The outlook for a person with schizophrenia is difficult to predict. Most people with schizophrenia find that their symptoms improve with medication, and some can get good control of their symptoms over time. However, others have functional disability and are at risk for repeated episodes, especially during the early stages of the illness.

To live in the community, people with schizophrenia may need supported housing, work rehabilitation, and other community support programs. People with the most severe forms of this disorder may be too disabled to live alone, and may need group homes or other long-term, structured places to live. Some people with milder forms of schizophrenia are able to have satisfying relationships and work experiences.

COMPLICATIONS:

• People with schizophrenia have a high risk of developing a substance abuse problem. Use of alcohol or other drugs increases the risk of relapse, and should be treated by a professional.
• Physical illness is common among people with schizophrenia due to an inactive lifestyle and side effects from medication. Physical illness may not be detected because of poor access to medical care and difficulties talking to health care providers.
• Not taking medication will often cause symptoms to return.

CALLING FOR HELP:

Call your health care provider if:

• Voices are telling you to hurt yourself or others.
• You feel the urge to hurt yourself or others.
• You are feeling hopeless and overwhelmed.
• You are seeing things that aren't really there.
• You feel like you cannot leave the house.
• You are unable to care for yourself.

PREVENTION:

There is no known way to prevent schizophrenia. If you do have the condition, the best ways to prevent symptoms from coming back are to take the medication your doctor prescribed, and see your doctor or therapist regularly. Always talk to your doctor if you are thinking about changing or stopping your medications

(Disclaimer: The above post has inputs from the PUBMED Health articles. It is written only from an informative point of view. It should not be taken as a consultation. Kindly discuss with your physician regarding the details about Schizophrenia.)