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It can be surprising to realize that an organ as high-powered and sophisticated as the brain also has a plumbing system. And, as the case with a house's plumbing, the drainage side of the system can get gummed up. But the symptoms are different. When a home's drainage backs up, well...I won't go there. When the brain's drainage system backs up, the brain's owner can become confused, incontinent of urine and unsteady on his or her feet. The plumbing system in question is that which produces and drains the cerebrospinal fluid (CSF). Normal CSF looks the same as water from a faucet, but is created from the bloodstream in the choroid plexus tissue within three of the brain's four inner chambers -- the right and left "lateral" ventricles and the midline "fourth" ventricle, but not the interposed, midline "third" ventricle. The CSF percolates through passageways from one ventricle to another, finally emerging through openings at the base of the brain to bathe the outer surfaces of the brain and spinal cord before getting reabsorbed into the bloodstream again. This re-absorption occurs in special collection-nodes in the membranes surrounding the brain. The entire CSF volume of about 150 milliliters or five ounces (about as much as a glass of wine) is produced and reabsorbed four times a day, so the fluid is constantly turning over. But blockages along the way can interfere with the normal flow of the CSF. For example, when the passageway between the third and fourth ventricles becomes narrowed or choked with sludge, the CSF backs into the lateral and third ventricles. Those ventricles react to the increased pressure by becoming physically dilated or enlarged. In this case, a CT or MRI scan could reveal the location of the blockage by showing expansion of the two lateral and the single third ventricles, but a normal-sized fourth ventricle. Another example of a blockage and its consequences is when the collection-nodes responsible for CSF re-absorption in the brain's overlying membranes (meninges) become clogged. In this case, all four ventricles are upstream from the blockage, and all four of them expand. This, too, is visible on brain scans. Both cases are examples of hydrocephalus, or water on the brain. The first case is one of "internal" or high-pressure hydrocephalus. The second is called "external" or normal-pressure hydrocephalus (NPH). In NPH the pressure is inexplicably normal much of the time, but the term is somewhat misleading because prolonged recordings with pressure-monitors do show intermittent periods of increased pressure. Hydrocephalus of one kind or another is especially prevalent at the two extremes of the life cycle -- in the very young and the very old -- but can occur at any age. In infancy, hydrocephalus can be caused by malformed brain-tissue. In contrast, adults with hydrocephalus were usually born with normal brain anatomy, but acquired a blockage due to a tumor, injury, bleed or infection. However, many cases of hydrocephalus in adults occur without a history of these preceding illnesses. CT and MRI scans are sensitive tools in detecting hydrocephalus, particularly when it's striking enough not be confused with ventricular enlargement due to gradual loss of surrounding brain tissue from aging. The main treatment of hydrocephalus is for a surgeon to insert a tube (shunt) into one of the swollen lateral ventricles and provide an alternative pathway for the backed-up CSF to drain. Once the shunt equipment is in place, a piece of hardware about the size of a large button sits outside the hole made in the skull (but inside the skin of the scalp) and redirects the excess CSF through another tube into either a jugular vein in the neck or into the abdominal cavity (peritoneum). Thus, the patient can receive either a "VJ" shunt or a "VP" shunt, with the letters designating the locations of the two ends of the shunt. The success or failure of shunting depends not just on the skill of the surgeon, but also on the selection of appropriate patients. Sometimes hydrocephalus turns up unexpectedly on scans when doctors are looking for something else entirely. Although an unexpected finding like this should always cause the doctors to re-think the case, the point is that hydrocephalus doesn't always cause problems. Sometimes the hydrocephalus has been there for years and the brain has adjusted to it in a way that produces no symptoms. This is an example of a case that should not be shunted, though it would still be appropriate to monitor the patient and his or her scans over subsequent months and years. Who, then, should receive a shunt? The answer, in short, is people for whom the benefits of the operation exceed its risks. Identifying them, however, is the tough part. And the task is made even more difficult by the lack of randomized, controlled trials in which a group of patients receiving treatment is compared to an equivalent group of patients not receiving treatment. Although similar reasoning applies to adults thought to have internal (high-pressure) hydrocephalus, I'll lay out the decision-tree as it applies to external (normal-pressure) hydrocephalus. Published observations imply that shunts are most likely to help NPH patients who have the following features:substantial enlargement of all four ventricles a full "triad" of symptoms, including confusion, urinary incontinence and altered walking poor walking as the first of the three symptoms temporary improvement of symptoms after drainage of 50-60 milliliters (2 ounces) of CSF by lumbar puncture (spinal tap) The elderly patients most at risk for NPH are also at increased risk for other diseases, and the shunting operation doesn't help symptoms produced by other causes. For example, confusion can be caused by Alzheimer's disease and strokes. Urinary incontinence can be due to prostate disease in men and sagging pelvic tissue in women. Walking can be disrupted by arthritis, fractured bones, low vision, inner-ear disease, Parkinson's disease and many other unrelated processes. So it's important for the doctor to determine if other diseases might be to blame for the very symptoms that seem, at first glance, to be from NPH. Assuming that NPH still seems likely, the next round of decision-making concerns the possibility that an operation will cause harm. Even a patient whose brain scan and symptoms are classic for NPH can develop serious complications from the operation. A particularly feared complication is bleeding into the space outside the brain, called a subdural hematoma. Older patients are also more likely to have other medical conditions that could compromise the safety of an operation, like coronary artery disease or emphysema. Cases in which expected benefits of the operation are much greater than risks, or in which the risks are much greater than the expected benefits, are easy to make decisions about. But many other cases are in the gray zone in which potential benefits and risks are more evenly matched and the chances of doing harm with an operation come close to canceling out the chances of doing good. (C) 2006 by Gary Cordingley penile enlargement result penis enhancement excersizes penile girth enlargement pnis enlargement pills review vimax penis enlargement program pnis enlargement technique free penis enlargement tip truth about penis enlarement

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“What terrible times I had when I was the age of my kids? They don’t have to undergo the same despondent feelings my wife and me had to endure”, you lazily say to yourself as the hammock sways to and fro in the gentle breeze. You still dread the day you were diagnosed with erectile dysfunction. “Impotence won’t affect my kids”, you think reassuredly looking at the magic blue pill in your hand. Viagra has replaced the reliance on painful surgeries and therapies with the popping habit. Viagra was the first approved prescription pill for the treatment of ED. Erectile dysfunction is the sexual dysfunction of men characterized by the inability of penis to attain and maintain sufficient erection for satisfactory and enjoyable sex. For long, ED was considered as a potential relationship-breaker by the affected patients. Men and women were reporting emotional upheavals and other physical ailments directly to indirectly attributable to ED. The treatments available were not very popular owing to their invasive and painful nature. No oral drug was approved by the US FDA to treat ED till 1998 when Viagra came to the fore. Actually, the advent of Viagra in itself was nothing more than accidental. Sildenafil Citrate – the active ingredient of Viagra – had been in use for the treatment of angina for the past 20 years. The results for the treatment of angina were not very positive. But sildenafil citrate proved to be a boon for the sufferers of ED. 4 out of 5 patients showed promising signs in the clinical trials. And the rest is history. Viagra works within 14 minutes of its intake, in some cases. The effects of the drug last up to 4 hours in some cases. With minimal side effects, Viagra became overnight hit and has posted record sales since its launch. The patients, after a proper prescription from the doctor, can buy Viagra online. The privacy and convenience of the patients is generally well looked after by the sites dealing with Viagra online penile enlargment excersizes free penis enlargment video penile enlargement technique vimax extender natural pennis enlargement pro solution pills penile enlargment photo vimax truth about penis enlargement pills easy elargement free penis surgery way

Just about everyone is aware that a male or a female can contact genital herpes from someone who has this sexually transmitted disease. This type of herpes virus is very well known as HSV-2. Recent studies have proven that this herpes virus can also be passed on orally. Both sets of symptoms are very similar to one another. Blisters and sores can appear on different parts of the body. Although as the name suggests, those who have contacted oral herpes will have signs of the virus on the mouth. While those who have contacted genital herpes will show signs of the disease on the penis of the male, and vagina or cervix of the female. In some cases, the virus may also be inside the urinary tract of both males or females. Oral herpes will first begin as lesions. Doctors refer to the initial outbreak as the primary episode. These lesions will appear between two to tens days after the start of the infection. These are small red lesions that will mature into blisters, and then turn into full-blown sores. The infected individual’s gums will become swollen and red. There have been incidents with some patients where their tongues develop a white coating. This condition will last for two to three weeks. After that time, they will dry up, and heal without scaling. In addition to the obvious physical signs of oral herpes, other symptoms may be finding it difficult to eat, running a fever, feelings of irritability, and muscle pain. The varying symptoms make it very difficult for the doctor to conclusively tell if the patient has oral herpes. It is not until the sores or blisters begin to appear on the face that a final diagnosis of oral herpes can be made. Oral herpes, just like genital herpes, is passed on while touching, kissing, and during intercourse. Unfortunately, an infected adult can also unintentionally transmit this to a child with a simple good night kiss. The good news regarding this infection, is that oral herpes can be controlled with the proper medication. Proper hygiene goes a long way in helping to prevent the spread of oral herpes. People should wash their face regularly, especially the affected area, with soap and water. For someone infected with this disease, it is important to remember not to hold, or even touch an infant, since the immune system of a baby will be unable to fight off this disease. Oral herpes may last longer than another type of herpes virus. The reason is stress. Those who are not highly stressed individuals can recover in two weeks, while those who have to face the daily pressures of work, or home life, and find doing so to be difficult, will suffer a little while longer. Anti-viral tablets are the best-known medication to help control oral herpes. Studies have shown that these medications can also help to prevent the disease from recurring. Some patients are forced to be confined in the hospital, and to undergo IV medication until they recover. This happens only to those patients who are suffering from severe cases of oral herpes, or to infants and young children. elargement manhattan penis penis enlarement doctor vig rx pill vimax easy enlargement free penis surgery way best pnis enlargement surgery penis enlargment pill magna rx penile enlargement picture penis enlargement traction device easy elargement free penis surgery way

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An obvious physical change in a man’s body part, the erection is not as simple as it may appear. If you can understand your erection, you can control it as well. Your erection is an important part of your personal life, so understanding what and how things happen to your penis is crucial to getting more from your sex life. How Erection Happens – What Is the Erection? Erection of the penis happens as the two tubular structures that run the length of the penis (called the corpora cavernosa) suddenly become engorged with venous blood. This can be the result of any number of stimuli. Located just below the corpora cavernosa is the corpus spongiosum. This is a single tube containing the urethra. Here passes both men’s urine and semen during urination and ejaculation. Therefore, the erection results in swelling and enlargement of the penis enabling men’s sexual activities. Stated simply, as the blood flows into the penis, it stiffens. Both its girth and length increase, and the penis rises to an angle from 15 degrees to sometimes over 90 degrees. The Stages of Erection Leading to Ejaculation Stage1 – The Excitement Phase This begins with vasocongestion (accumulations of blood in the pelvic area). This is dependent on sexual stimulation. Here the diameter of the urethra doubles. The scrotum moves towards the body, and both heart rate and blood pressure increase. There is a pronounced muscular tension throughout the body. Stage 2 – The Plateau The penis is now hard, and has risen to an angle. It has increased in both girth and length. The testes have increased 50% of their normal size, and are closer to the body. The heart is beating faster, and is now at about 100 to 150 beats per minute. Muscular tension throughout the body has now increased. Stage 3 – The Orgasmic Phase Just before the orgasmic phase begins, there is a pronounced enlargement of the penis and a further hardening condition. This will be accompanied by a very familiar internal sensation that the orgasm is arriving. This is technically called “ejaculatory inevitability”. It cannot be stopped (unless you can move back to Stage 2). Just after you sense this, the man will ejaculate. It is notable that orgasm and ejaculation are not the same event, and can occur separately. There are great physiochemical changes in the man’s body causing what is known as the orgasmic reaction. Stage 4 – The Resolution Just after ejaculation, the man’s body starts to return to its normal un-excited state. The penis loses about 50% of its erection at once, and in less than 5 minutes, it is its normal size. However, it can take many hours for a man to actually return to his normal state. This is why sleep often follows ejaculation and orgasm. After the erection, orgasm and ejaculation, a man moves into something called the refracatory period. During this phase they usually cannot be re-stimulatied (unless this period is very very short in duration). Understanding your erection lets you control it. For example, as you see yourself moving into stage 3, slow down, step yourself back to stage 2. In this way you can prolong your sexual experience and more, prolong your partner’s sexual experience.