Pay attention to the color and smell of your urine
Most of us are uncomfortable talking about our waste products, urine and feces. However, changes in the color and odor may signify disease that can be treated or prevented. This article will review causes of discoloration of urine and when there is a change in the odor of urine.

For hundreds of years doctors have looked at urine as a barometer of what is happening in the body. The urine can tell what you have been eating, how much fluid you are consuming, and what diseases you may have. Early doctors even tasted the urine of their patients in order to diagnose their medical conditions. Fortunately, we have made progress and a simple urinalysis can make this determination in seconds.

Urine is an important part of the body’s regulation process. Its job is to remove the extra water and wastes that the kidneys filter out of the blood. The urine is there primarily to get rid of toxins or things that would otherwise build up in the body that would be bad for the body.

When you notice that your urine has changed color, or there’s a strange odor emanating from the toilet, the cause might be something as harmless as what you had for dinner such as asparagus. It also might be a sign of a more serious condition, such as an infection or cancer.

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Not just for urinary infections-Other benefits of blueberries
Antioxidants consist of a group of vitamins, minerals and enzymes that have health enhancing effects for our bodies. Antioxidants work to neutralize free radicals before they do harm to our bodies. Free radicals are atoms that cause damage to our cells. They harm our immune system leading to many degenerative diseases. Free radicals are formed by our cells being exposed to a variety of substances such as radiation, chemicals, pollution, smoke, drugs, alcohol, pesticides and sun and through various metabolic processes such as when our bodies utilize stored fat for energy. A poor diet also aids in the formation of free radicals.


Antioxidants work by donating an electron to free radicals to convert them to harmless molecules. This protects cells from oxidative damage that leads to aging and various diseases.


Besides tasting great and looking good, blueberries can also lower your cholesterol levels. This is due to the antioxidant compound found in blueberries called pterostilbene. Its effect is similar to a commercial medication, Ciprofibrate (sold under the name of “Modalim”) that is used to reduce “bad” or LDL cholesterol.


The simple conclusion is that blueberries lower cholesterol as effectively as drugs, but without the negative side effects.


Blueberries have been shown to have a positive effect on aging. Blueberries appear to reverse some aspects of brain aging. This has given the blueberry a nickname, the ‘brain berry’. The antioxidant and anti-inflammatory properties of blueberries build a protective coat around the brain to fight signs of aging and deterioration. There is also evidence that blueberries may help to prevent Alzheimer’s disease and other neurological disorders.


The anti-inflammatory properties of blueberries appear to prevent and relieve arthritic symptoms, while the nutrients in blueberries may help strengthen blood vessels, leading to healthier blood pressure levels and heart health. The manganese in blueberries supports strong bones and its vitamin C supports the immune system.

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Blueberries Beat Back Urinary Tract Infections Plus Other Medical Benefits
Recent studies have shown that blueberries have compounds similar to those of cranberries and can also be used to treat and prevent urinary tract infections (UTIs). Epicatechin is a bioflavonoid (antioxidant) found both in cranberries and blueberries.


Epicatechin works to prevent bacteria from attaching to the lining of the bladder tissue. This causes the bacteria to be eliminated thru your urine rather than attaching to the bladder wall, where they start multiplying and ultimately causing infection.

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리뷰

Caveats on grapefruit

2017/07/23 03:10

Caveats on grapefruit
As with any medication, there are considerations about the use of grapefruit with medications. More than 50 prescription and over-the-counter drugs are affected by grapefruit juice, including some of the most commonly prescribed medications. This list includes a number of medications used to treat high cholesterol, high blood pressure, depression, pain, erectile dysfunction, and allergies.


Grapefruit contains a substance that inhibits the enzyme called CYP3A4. This powerful enzyme breaks down numerous medications such as the cholesterol-lowering drug, Lipitor. Patients who take Lipitor, or some antidepressant medication, and eat grapefruit, can have toxic levels of the medications because the grapefruit inhibits CYP34A.


So what are patients to do>> Check with your healthcare provider or pharmacist to find out about your specific drug. All new medications are tested for drug interactions, including grapefruit juice, before they are approved by the U.S. Food and Drug Administration (FDA). When you order medications in the mail or pick them up at your local pharmacy, you should receive a patient information sheet, which will let you know if your drug is affected by grapefruit juice. Some pharmacies may also put a warning label on your medication bottle. If you are not sure, ask the pharmacist.


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A Grapefruit May Be The New Apple-But Be Careful
For generations we have been encouraged to eat an apple-a-day in order to stay healthy and keep the doctor at bay. Today, the new apple may just be the grapefruit.
Let’s look at the benefits of grapefruit:


Appetite Loss: Grapefruit reduces the feeling of hunger. This is the reason why people include grapefruit in their weight loss programs. High fiber contained by this fruit can satisfy hunger and thus may avoid any overeating temptation. Grapefruit juice, if combined with water, can quench the thirst.


Fatigue: Grapefruit is beneficial in the treatment of fatigue. It helps to dispel fatigue and general tiredness. It can bring about a refreshing feeling in you when you drink equal amount of grapefruit juice and lemon juice.


Acidity: The fresh grapefruit juice has alkaline reaction after digestion. The citric acid increases the effect of the alkalinity reaction after digestion. The juice extracted from the grapefruit is beneficial in preventing the acid formation and many other diseases that arise due to the presence of acidity in the body.


Indigestion: Grapefruit is useful for solving the problem of indigestion. It is very light as compared to other food articles and thus, acts immediately on indigestion by easing the heat and irritation caused in the stomach. It improves the flow of digestive juices, thereby improving the digestive systems.


Insomnia: A simple glass of grapefruit juice, if drunk before going to bed, can promote healthy and sweet sleep and thus, alleviates insomnia.


Constipation: A glass full of fresh squeezed grapefruit in the morning is the best remedy to control the constipation. Grapefruits are high in fiber and they result best in stimulating the colon and other parts of the body.


Urinary Disorders: Grapefruit juice is quite rich in potassium and vitamin C and thus, works as the best medicine in the case of recurrent urinary tract infections.


Lowers Cholesterol: The Journal of Agricultural and Food Chemistry shows that consumption of grapefruit can reduce LDL (“bad”) cholesterol, as well as triglycerides.

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Frequent Urinary Tract Infections>> Pee Your Way to Fewer Infections!
UTIs (urinary tract infections) are one of the most common infections in women. Women with UTIs complain of frequency of urination, burning on urination, and getting up at night to urinate. These are the hallmark symptoms of UTIs. That’s the bad news. The good news that UTIs are one of the easiest to prevent. These infections usually occur as bacteria from the rectum migrate to the vagina and then enter the urethra or the tube that transports urine from the bladder to the outside of the body. This is why your doctor will advise you to wipe from the front of your vagina towards the rectum as this will decrease the bacteria that may enter your urethra.


If you are affected with recurrent UTIs, 3 or more per year, then you will want to drink lots of water to flush out your kidneys and bladder to help keep them clear of bacteria. Since bacteria can be massaged into the urethra from the vagina during sexual intimacy, it is important to urinate immediately after sex. Urination after intercourse washes out those unwanted bacteria that enter the urethra during intimacy.
Some women are able to control their frequency of infections by taking a low dose antibiotic such as Macrodantin or a half a tablet of Bactrim right after sexual intimacy. The use of antibiotics after sexual intimacy is especially helpful for those women who develop urinary symptoms shortly after engaging in sexual intimacy.

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A Burn In the Urine-Managing Urinary Tract Infections (UTI)
One of the most common afflictions affecting most women and many men are urinary tract infections. UTIs are eight times more common in women than men. Initial symptoms typically include burning at the time of urination, frequent and intense urge to urinate, with discoloration of the urine ranging from cloudy to even bloody.


A bacteria, E. Coli, is responsible for 75% to 90% cases of acute uncomplicated cystitis. UTIs can also be caused by sexually transmitted disease (STD) such as Chlamydia and Mycoplasma. Other possibilities of painful urination include pelvic inflammatory disease, radiation cystitis, and hemorrhagic cystitis.


Your doctor can make a presumptive UTI diagnosis in symptomatic women if there is either burning with urination and frequency without vaginal symptoms. The diagnosis can be confirmed with urinalysis showing positive nitrite or positive leukocyte esterase. The ultimate diagnosis is based on urine culture which grows out the bacteria and tells the doctor the best drug or antibiotic for treating the infection.


Uncomplicated cystitis does not cause fever. If a patient has a fever the UTI may have spread to the kidneys. A bacterial infection of the kidney is referred to as pyelonephritis and the symptoms often include pain in the back or side below the ribs, nausea and vomiting.


Urinary tract infections in men are often the result of an obstruction or blockage of the urinary tract >> for example, a urinary stone or enlarged prostate >> or from a catheter used during a medical procedure.


Optimal empiric therapy for nonpregnant women with uncomplicated UTI is with trimethoprim-sulfamethoxazole (TMP-SMZ, Bactrim, Septra) 160 mg/800 mg orally b.i.d. for three days. Other antibiotic options include ciprofloxacin (Cipro), levofloxacin Levaquin), or nitrofurantoin (Macrodantin).


Cranbeery juice and supplements are thought to be a good alternative preventive treatment for recurrent UTIs. Rich in vitamins C and E, antioxidants and anthocyanins, cranberry may help prevent E. coli from attaching to the bladder wall as well as bladder stone formation, and provide symptom relief for cystitis.


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Urinary Tract Infections-Help Without Medication
Urinary Tract Infections Are One of the Most Common Maladies affecting women and is a source of pain, discomfort, and inconvenience. There are several action steps that most women can take to help reduce the frequency of these infections.
There are several simple, do-it-yourself techniques that may prevent a urinary tract infection. Some may work some of the time, or only in some women. But, because they carry no side effects, they certainly are worth trying to prevent the often painful and bothersome symptoms the infection can bring.
Here are some steps you might consider if you have more than 3-4 infections a year.


>> Drink plenty of fluids >> the equivalent of six to eight 8-ounce glasses of liquids >> every day to flush bacteria out of your urinary system.


>> Make sure you’re getting vitamin C in your diet, either through food or supplements. Vitamin C, or ascorbic acid, makes your urine acidic, which discourages the growth of bacteria.


>> Drinking cranberry juice may also produce the same effect. Cranberry tablets are a more concentrated form of cranberry juice without the sugar content.


>> Urinate every two to three hours whether you have the urge or not. Keeping urine in your bladder for long periods gives bacteria an opportunity to grow.


>> Avoid using feminine hygiene sprays and scented douches. They also may irritate the urethra. If you suffer from urinary tract infections more than three times a year, your health care professional may suggest one of the following therapies to try to prevent another recurrence:


>> See you doctor about a low dosage of an antibiotic medication, such as trimethoprim/sulfamethoxazole or nitrofurantoin, taken daily for six months or longer


>> If you infections occur after sexual intimacy, a single dose of an antibiotic medication taken after sexual intercourse.

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Treatment options include:
1. Bladder training >> This approach teaches you to urinate only at scheduled times and waiting longer between trips to the bathroom. Start by going to the bathroom every 30 to 60 minutes while you are awake, even if you don’t have to go. After about one week, slowly increase the time interval by 30 minutes every week.


2. Kegel exercises >> Dr. Arnold Kegel, a gynecologist at the University of Southern California, developed the exercises to strengthen pelvic floor muscles in 1948. Kegel exercises are often the first line of treatment for the millions of women in the U.S. suffering from unexpected bladder leakage due to coughing, sneezing, laughing or exercise. This if defined as stress incontinence but many women experience frustration because they unknowingly don’t perform the Kegels effectively, which leads to no improvement in symptoms. Most men or women need to do the exercises for 3-6 months before any changes will occur.


3. Pelvic Floor Electrical Stimulation with Biofeedback Therapy >> This treatment uses computer graphs and sounds you can hear to show you which muscles you are exercising so you can perfect the exercises. Physical therapists and other professionals specially trained in problems related to women’s health teach exercises for the pelvic floor, trunk, back and extremities that can help strengthen the pelvic muscles and improve bladder control. The physical therapist may use devices that use mild, comfortable, electrical stimulation to train the bladder muscles when and how to squeeze.


4. InTone is a new FDA listed Class II Medical Device for home use that has been shown to effectively strengthen the pelvic floormuscles and helps to prevent embarrassing leakage without surgery or medication and can be done in the privacy of home. InTone is like a personal trainer for Kegel exercises.


5. Medications >> Estrogen can be very helpful in improving the symptoms of some cases of incontinence. Studies have demonstrated improvement in 40- 70 percent of women. I have found that estrogen cream (one fourth to half an applicator) works better than either tablets or patches for this particular problem. Medications called smooth muscle relaxants (examples are oxybutynin and tolterodine) can also help if the problem is caused by abnormal bladder contractions.


6. Pessaries >> These donut-like plastic or rubber rings are similar to a diaphragm used for birth control. They are fit into the vagina to lift and offer added support for the bladder when the pelvic muscles are weak.


7. Surgery >> There are many operations that have been developed to support the bladder and improve or correct incontinence. Women don’t need to have a hysterectomy in order to control urinary incontinence. Most of these operations for incontinence can be performed as one-day surgeries.


8. Botox>> If you don’t respond to oral medications, you may be a candidate for Botox injections directly into the bladder muscle. This, too, can be done as a one-day stay procedure and usually produces relief of symptoms of frequency of urination and urgency of urination with urge incontinence

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Urine Incontinence >> It’s Nothing to Sneeze At
One of life’s most embarrassing experiences is not being able to control your urination and soiling your clothes forcing you to leave any situation where you are engaged with others. It is one of the last medical conditions to remain in the closet as many men and women fail to seek medical attention for this common problem.
This blog will discuss the 4 types of urinary incontinence and what treatment options are available for this common problem.


Urge Incontinence occurs in women with an overactive bladder who may not be able to get to the toilet in time to prevent leakage, even though they tighten up all of their pelvic muscles, because they can’t control the bladder and keep urine in. Overactive bladder that leads to urge incontinence affects about 17 percent of women, but it increases to over 50 percent after menopause. Overactive bladder isn’t a normal part of aging.


Stress incontinence is a much more common type of incontinence. Menopause contributes to this problem, but stretching and tearing of the pelvic muscles during childbirth definitely sets the stage. The reduced muscle tone causes the urethra to sag. When pressure builds up in the abdomen from a cough, sneeze, laugh, jump or lift, internal organs put pressure on the bladder and a small amount of urine may escape.


Overflow incontinence occurs when more urine collects in the bladder than the bladder can hold and the excess urine leaks out. It can be caused by blockage of the urinary tract or nerve damage caused by conditions such as diabetes, stroke, or injury.


Functional incontinence is not really a problem with the urinary tract. It happens to people who can’t move quickly, who have eye problems or who suffer from confusion or memory loss. They simply can’t get to the bathroom in time.


Certain prescription drugs such as diuretics and some tranquilizers, and smoking and eating spicy foods or artificial sweeteners, or drinking alcohol and caffeine can irritate the bladder and worsen incontinence.


Mixed incontinence is a combination of both stress and urge incontinence.


Today, there are many more options to consider, from medications, pelvic floor physical therapy, and surgery. The first step is to have a work up to diagnose the underlying problem so that an appropriate treatment plan can be put into place. Sometimes more than one treatment is needed.


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