Saturday, March 22, 2014

Is an Overactive Bladder Disrupting Your Life?

Article Link: http://www.webmd.com/urinary-incontinence-oab/oab-13/kegel-exercises?ecd=wnl_sxr_032214&ctr=wnl-sxr-032214_promo_4&mb=37dz9PaVSpmjqdfYp%40TOnuHnVev1imbCkGiMegP%2f4k0%3d
Kegel exercises are one of the most effective ways of controlling urinary incontinence naturally.
Kegel exercises can help many women and men with urinary incontinence, regardless of cause or age. Kegel exercises aim to strengthen pelvic floor muscles that support and hold up the bladder.
When the pelvic floor muscles are weak, you are at greater risk for involuntary urine leaks. The value of improving urinary incontinence with Kegel exercises is now widely accepted.
Here's what you need to know:
  • Who can benefit from Kegel exercises? Anyone, at any age, who suffers urinary incontinence or leaks urine. While the exercise mainly helps those with stress urinary incontinence, it can also help those with another common type, urge incontinence from overactive bladder. With urge incontinence, you have a sudden urge to urinate and don't always make it to the bathroom. Men with urinary incontinence problems can do Kegel exercises, too. Studies on men have shown that these exercises improve urinary incontinence that can happen after prostate surgery.
  • How are Kegel exercises done? To exercise the pelvic floor muscle, pretend you are trying to stop the flow of urine. Pull in and squeeze those muscles. Hold the squeeze for about 10 seconds, then rest for 10 seconds. Try for three or four sets of 10 contractions every day.
  • How do Kegel exercises help? Kegel exercises strengthen the muscles that help control the urethra. When these muscles are weak, the result can be urinary incontinence.
  • When should I expect to see results from my Kegels? Just as it takes time to build your biceps and strengthen any other muscles, it takes time to strengthen muscles in the pelvic floor. Give the Kegel exercises three to six weeks. And remember, you must keep doing them, and you should do them daily.
  • When and where should I do Kegel exercises? The beauty of Kegels is that you can really do them just about anywhere, anytime. No one would know unless you tell them what you are doing. Try doing a few sets of Kegels when you are in your car, sitting at your desk, or watching TV. To be sure you are doing Kegels correctly, ask your doctor or the nurse to describe the proper form. They can also check that you are doing them correctly.
  • Do I need any equipment for Kegel exercises? Not for doing Kegels alone. For women, some doctors may suggest using weighted cones as they do Kegel exercises. The idea is to insert these vaginal cones, available in various weights, and perform the Kegel exercises with the cones in place. A woman would gradually increase the weight of the cone she inserts. Sometimes, Kegel exercises are used in combination with biofeedback, a monitoring system that helps you gain control over bodily processes such as urinary control. And sometimes Kegels are done in combination with electrical stimulation, in which very brief doses stimulate muscles in the area. But you can choose to do Kegel exercises by themselves, with no equipment.
  • Are there any other benefits to Kegel exercises? Yes. Kegel exercises aren't just good for improving urinary incontinence. They are often recommended in sex therapy That was an accidental "side effect" discovered by Kegel. He heard back from his patients about these sexual benefits. The pelvic floor muscles contract more strongly during orgasm once they are strengthened.
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WebMD does not provide medical advice, diagnosis or treatment.

Why do we assume that as we age, our desire for sex is going to fade?

Why do we assume that as we age, our desire for sex is going to fade?
Dr. Ruth, Westheimer, PhD, Sex Therapist:
God forbid! Don't assume it. People after 50 should continue to have a wonderful sex life if they so desire, if they say they don't want it anymore, I say goodbye, but if they so desire, but they have to be sexually literate. A woman has to know that after menopause she needs a lubricant, not to engage in intercourse with a not well lubricated vagina, it's painful, she's going to say, who needs it. And men must know and even physicians don't know, that after a certain age, there is no psychogenic erection. After a certain age, a man does not have an erection when he wants one, when he thinks about sex. A man needs physical stimulation, rubbing against the partner, his hand, or her hand on his genitalia in order to obtain and to maintain the erection.Here is what happens. They are trying to have sex, he doesn't have an erection, she thinks I'm not attractive any more. I don't look, my body has changed, I don't look like I looked 10 or 20 years ago, and then there is more to that. She also doesn't want to have the feeling that she is going to make him unhappy, because if they try to have sex, and he doesn't have an erection, he gets very unhappy, so she avoids it. There is an avoidance pattern by both. Then he starts to think, I would like to have sex but I know I have problems, and if he thinks that, he can be assured that he is not going to have an erection. Male sexual apparatus is very delicate. The moment he thinks, oh my gosh, what happened to me yesterday is going to happen again, he will not have an erection.

Sunday, March 16, 2014

My take on joint property: advise to all to keep clarity........

My take on joint property:   
One leading doctor Bhat in his 80's had come to me for an advise. He loved his son and daughter equally. So he  said that I am going to make my daughter and son joint owners of flats he had as flats were of different size and different area so valuation were different. 

It took long time to convince him that his sentiments does not work and in future a time  may come when heirs of brother (son) and sister ( daughter ) may not gel with each other and then your wish to keep them tied togather with a joint property may turn in to a reason for quarrel. 

Finally he gave one flat to daughter , one to son , one he kept in name of wife. I believe things settled without anyone going to court and relationship between son and daughters family is great even after 10 years of Dr Bhat's death. 

But at times situation can be different: 

One of the great person in the family purchases a property. Circumstances are such that unable to divide property and thus becomes co owned / joint.
The person purchases have a typically fatherly wish that his all sons / grandsons live together.
But as time passes all members get spread out and hence no scope of living together. Long time passes and then the closeness / intimacy / tolerance become difficult.
Some become busy and some do not hv vision and others have greed, some have need and others do not hv, some are having enough flare and time for  litigation, some hv relative specially piharside of new daughter in laws who may misguide / intervene ….and so on and finally property becomes disputed. And once disputed then andha pise kutta khaye.
Police, advocates, courts make money. In Indian conditions courts take decades .
Ambani, Birla, Tata to all families have had disputes. But they hv army of lawyers and staff to assist so they do not hv to spend time. They hv more than enough so expenditure is not a burden.
But in other cases in smaller families those in service can not take leave, those abroad can not come frequently to take care of joint property, they can not attend court, many employer will not see it right if their staff is in court ( and many disputes take ugly turn and become criminal offence which no  govt, and multinational will like and remove the person. The value of the property may be good so everyone expects big fees/tips/bribe which one of the person may not b able to pay or may not wish to pay or may not know to pay but those who pay may still get cheated , waste whole life, increase BP/ Diabetes/ stress/ heart ailment / depression and so on.
There are incidences where whole family / several ppl r in court. As time passes the number of legal heirs increases and there is no understanding and tolerance between them and things become difficult. If some co owners  or their children r abroad then can they come to settle disputes, do transactions, ………..and so on.
Ball is in everyone‘s court. It is all co owners and their family members call. Take it or leave it.
Why I am taking initiative?

Thanks and Regards,
Alok Tholiya,
09324225699 /   02226125699/26173203