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Sinusitis is swelling of the sinuses, usually caused by an infection. It's common and usually clears up on its own within 2 to 3 weeks. But medicines can help if it's taking a long time to go away.

Check if you have sinusitis

Sinusitis is common after a cold or flu.

Symptoms of sinusitis include:

pain, swelling and tenderness around your cheeks, eyes or forehead
a blocked nose
a reduced sense of smell
green or yellow mucus from your nose
a sinus headache
a high temperature
toothache
bad breath
Signs of sinusitis in young children may also include irritability, difficulty feeding, and breathing through their mouth.

What are the sinuses?
How you can treat sinusitis yourself

You can often treat mild sinusitis without seeing a GP by:

getting plenty of rest
drinking plenty of fluids
taking painkillers, such as paracetamol or ibuprofen (do not give aspirin to children under 16)
avoiding allergic triggers and not smoking
cleaning your nose with a salt water solution to ease congestion
How to clean your nose with a homemade salt water solution
A pharmacist can help with sinusitis

A pharmacist can advise you about medicines that can help, such as:

decongestant nasal sprays or drops to unblock your nose (decongestants should not be taken by children under 6)
salt water nasal sprays or solutions to rinse out the inside of your nose
You can buy nasal sprays without a prescription, but they should not be used for more than 1 week.
https://www.tabibakk.com/2021/04/sinusitis-treatment.html

The safety and efficacy of a mixture of honey, olive oil, and beeswax for the management of hemorrhoids and anal fissure: a pilot study
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We have found that a mixture of honey, olive oil, and beeswax was effective for treatment of diaper dermatitis, psoriasis, eczema, and skin fungal infection. The mixture has antibacterial properties. A prospective pilot study was conducted to evaluate the therapeutic effect of topical application of the mixture on patients with anal fissure or hemorrhoids. Fifteen consecutive patients, 13 males and 2 females, median age 45 years (range: 28-70), who presented with anal fissure (5 patients) or first- to third-degree hemorrhoids (4 with first degree, 4 with second degree, and 2 with third degree), were treated with a 12-h application of a natural mixture containing honey, olive oil, and beeswax in ratio of 1:1:1(v/v/v). Bleeding, itching, edema, and erythema were measured using a scoring method: 0 = none, 1 = mild, 2 = moderate, 3 = severe, and 4 = very severe. The pain score was checked using a visual analog scale (minimum = 0, maximum = 10). Efficacy of treatment was assessed by comparing the symptoms' score before and after treatment; at weekly intervals for a maximum of 4 weeks. The patients were observed for evidence of any adverse effect such as appearance of new signs and symptoms, or worsening of the existing symptoms. The honey mixture significantly reduced bleeding and relieved itching in patients with hemorrhoids. Patients with anal fissure showed significant reduction in pain, bleeding, and itching after the treatment. No side effect was reported with use of the mixture. We conclude that a mixture of honey, olive oil, and beeswax is safe and clinically effective in the treatment of hemorrhoids and anal fissure, which paves the way for further randomized double blind studies.
Source
https://www.tabibakk.com/2021/04/olive-oil-piles.html

Very interesting , thank you very much
https://www.tabibakk.com/2021/04/hemoroides-surge.html

Causes
The veins around your anus tend to stretch under pressure and may bulge or swell. Hemorrhoids can develop from increased pressure in the lower rectum due to:
• Straining during bowel movements
• Sitting for long periods of time on the toilet
• Having chronic diarrhea or constipation
• Being obese
• Being pregnant
• Having anal intercourse
• Eating a low-fiber diet
• Regular heavy lifting
Risk factors
As you age, your risk of hemorrhoids increases. That's because the tissues that support the veins in your rectum and anus can weaken and stretch. This can also happen when you're pregnant, because the baby's weight puts pressure on the anal region.
Complications
Complications of hemorrhoids are rare but include:
• Anemia. Rarely, chronic blood loss from hemorrhoids may cause anemia, in which you don't have enough healthy red blood cells to carry oxygen to your cells.
• Strangulated hemorrhoid. If the blood supply to an internal hemorrhoid is cut off, the hemorrhoid may be "strangulated," which can cause extreme pain.
• Blood clot. Occasionally, a clot can form in a hemorrhoid (thrombosed hemorrhoid). Although not dangerous, it can be extremely painful and sometimes needs to be lanced and drained.

Symptoms
Signs and symptoms of hemorrhoids usually depend on the type of hemorrhoid.
External hemorrhoids
These are under the skin around your anus. Signs and symptoms might include:
• Itching or irritation in your anal region
• Pain or discomfort
• Swelling around your anus
• Bleeding
Internal hemorrhoids
Internal hemorrhoids lie inside the rectum. You usually can't see or feel them, and they rarely cause discomfort. But straining or irritation when passing stool can cause:
• Painless bleeding during bowel movements. You might notice small amounts of bright red blood on your toilet tissue or in the toilet.
• A hemorrhoid to push through the anal opening (prolapsed or protruding hemorrhoid), resulting in pain and irritation.
Thrombosed hemorrhoids
If blood pools in an external hemorrhoid and forms a clot (thrombus), it can result in:
• Severe pain
• Swelling
• Inflammation
• A hard lump near your anus
When to see a doctor
If you have bleeding during bowel movements or you have hemorrhoids that don't improve after a week of home care, talk to your doctor.
Don't assume rectal bleeding is due to hemorrhoids, especially if you have changes in bowel habits or if your stools change in color or consistency. Rectal bleeding can occur with other diseases, including colorectal cancer and anal cancer.
Seek emergency care if you have large amounts of rectal bleeding, lightheadedness, dizziness or faintness.
Prevention
The best way to prevent hemorrhoids is to keep your stools soft, so they pass easily. To prevent hemorrhoids and reduce symptoms of hemorrhoids, follow these tips:
• Eat high-fiber foods. Eat more fruits, vegetables and whole grains. Doing so softens the stool and increases its bulk, which will help you avoid the straining that can cause hemorrhoids. Add fiber to your diet slowly to avoid problems with gas.
• Drink plenty of fluids. Drink six to eight glasses of water and other liquids (not alcohol) each day to help keep stools soft.
• Consider fiber supplements. Most people don't get enough of the recommended amount of fiber — 20 to 30 grams a day — in their diet. Studies have shown that over-the-counter fiber supplements, such as psyllium (Metamucil) or methylcellulose (Citrucel), improve overall symptoms and bleeding from hemorrhoids.
If you use fiber supplements, be sure to drink at least eight glasses of water or other fluids every day. Otherwise, the supplements can cause or worsen constipation.
• Don't strain. Straining and holding your breath when trying to pass a stool creates greater pressure in the veins in the lower rectum.
• Go as soon as you feel the urge. If you wait to pass a bowel movement and the urge goes away, your stool could dry out and be harder to pass.
• Exercise. Stay active to help prevent constipation and to reduce pressure on veins, which can occur with long periods of standing or sitting. Exercise can also help you lose excess weight that might be contributing to your hemorrhoids.
• Avoid long periods of sitting. Sitting too long, particularly on the toilet, can increase the pressure on the veins in the anus.

Source
https://www.tabibakk.com/2021/03/hemorrhoides-treatment.html

https://www.tabibakk.com/2021/04/hemoroides-surge.html

https://www.tabibakk.com

https://www.tabibakk.com/2021/04/hemoroides-surge.html

The stop-squeeze technique is one of several ways you can delay your orgasm and prolong masturbation or partner sex.

It may also benefit people who experience premature ejaculation (PE).

Here’s how to give it a shot, other in-the-moment techniques to try, and more.


How to use stop-squeeze technique
The stop-squeeze technique is a form of ejaculatory control. It allows you to near the point of climax and then back off suddenly by holding the tip of the penis until the sensation subsides.

You can repeat the stop-squeeze several times, or you can do it once.

Keep in mind that delaying your own orgasm might delay or reduce satisfaction for your partner. You should make sure you and your partner are on the same page before you begin.

For masturbation
1. Begin stimulating yourself, keeping a pressure and pace that are comfortable and will get you to climax.

2. When you feel you’re almost to the point of ejaculation, release the pressure and slow your pace.

3. Grip the end of your penis, where the head (glans) meets the shaft. Maintain a firm but not tight squeeze for several seconds, or until the feeling of an impending climax passes.

4. When you’re ready, begin manually stimulating yourself again with a pace and pressure that will help you reach climax.

5. Repeat the process as desired.

For partner sex
1. Begin sexual activity with normal penis stimulation.

2. When you get to the point that you believe you’re ready to climax, stop all thrusting or rubbing.

3. You or your partner can squeeze the end of the penis, where the head meets the shaft. Maintain a firm pressure until the sensation passes.

4. Begin sexual activity again, and repeat the technique as desired.

How to use stop-start (edging) technique
Like the stop-squeeze method, the stop-start technique can help you delay a climax during the middle of sexual play.

But this technique, also known as edging, requires a hands-off delay. You’ll stop all sexual stimulation before returning to it again after the sensation has passed.

You can repeat this cycle a few times until you’re ready to have an orgasm. Edging will delay your orgasm — it may also make it more intense — but it can be a tedious or time-consuming practice if your partner isn’t aware of your intentions. Be sure to discuss this before you begin edging during sex.

For masturbation
1. Begin manually stimulating yourself. Maintain a pace and grip pressure that will bring you to the point of climax.

2. Just as you reach the brink, or edge, of climax, stop all simulation entirely. Wait several seconds or minutes. Let the sensation pass entirely.

3. When you’re ready, begin masturbating again. Repeat the edging technique as many times as you wish.

For partner sex
1. Begin the sexual activity, whether it’s oral, anal, or vaginal sex, or some other form of stimulation.

2. When you reach the point of climax, stop thrusting or rubbing, and back away. Pause for several seconds or minutes.

3. You can resume sexual activity when the sensation has passed and you no longer feel that you’re on the brink of climax.


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Other in-the-moment strategies
In addition to the stop-squeeze and stop-start techniques, these practices may help delay climax:

Prolong pre-intimacy
Help alleviate pressure or expectations by foregoing intercourse for a longer period of time.

Instead, focus on other types of sexual play, such as massage, intimate touching, and kissing.

If you’re trying to delay your orgasm but not your partner’s, you might also try manual or oral stimulation.

This way, you may be able to delay your climax until they’re ready, too.

Wear a climax-control condom
A typical condom, which is made with a thin layer of latex, can help decrease sensation and may prolong your sexual activity.

You can also buy condoms that are designed specifically to delay climax. These condoms are typically made with a thicker latex.

Some use a numbing agent like benzocaine or lidocaine to reduce sensation on the surface of the penis. This can prolong the time it takes to reach climax.

Apply a topical anesthetic to your penis
The same numbing agents used in condoms are available as creams and sprays.

You may be able to delay climax by applying one of these topicals to your penis 10 to 15 minutes before starting masturbation or sexual play.

Masturbate before intercourse
You may be able to delay ejaculation during intercourse by masturbating an hour or two earlier.

You may not be able to anticipate sex beforehand in every case, but when you can, this strategy might be helpful.

Long-term strategies
Methods like the stop-start or stop-squeeze technique can help you avoid PE. However, they may not be techniques you want to continue practicing in the long-term.

You may find these strategies helpful:

Practice Kegel exercises
These pelvic floor exercises aren’t just for people who have a vagina.

Indeed, individuals who have a penis can also build and strengthen their pelvic floor muscles.

This may help you maintain sexual activity longer and delay ejaculation.

Try oral medications
Some prescription medications have been found to help delay orgasm in people who experience PE.

These medications include:

antidepressants
analgesics
phosphodiesterase-5 inhibitors
It’s important to remember these medications can cause side effects, so talk with your healthcare provider about your individual risks and other considerations.

See a sex therapist
These specially trained healthcare providers can help you talk through any underlying concerns that may be affecting sexual health.

For example, underlying anxiety about work or stress within a relationship may affect sexual function.


Talk to a doctor or other healthcare provider
Although these methods may be helpful for occasionally delaying ejaculation, you shouldn’t rely on them to treat persistent PE.

Instead, talk to a doctor or other healthcare provider about your options for treatment.

It may take you some time to find the right treatment or to feel confident in your plan of action.

Keep your provider updated with any changes you experience, and don’t hesitate to reach out with questions.

source
https://www.tabibakk.com/
https://www.tabibakk.com/2021/03/garlic-benifits.html

Premature ejaculation is the most common sexual problem for men. It is a lack of control over ejaculation so that it often happens sooner than the man or his partner wants, causing distress for one or both partners.

Some men ejaculate as soon as pre-intimacy starts. Others lose control when they try to insert their penis, while some ejaculate very quickly after penetration. Whatever the case, premature ejaculation can cause distress and create tension between a man and his partner.

Some men will have premature ejaculation from the time of their first sexual experience (lifelong), while in others, it will develop after a period of normal sexual activity (acquired).

Occasionally losing control over ejaculation is normal. Premature ejaculation is only a problem if it happens frequently. Most men occasionally reach orgasm sooner than they'd like. For example, it is common for a man to ejaculate quickly the first time he has sex. It is also common if a man hasn't ejaculated for a long time. The occasional loss of control doesn't mean the man has a sexual problem.

Causes of premature ejaculation
In the past, premature ejaculation was thought to be entirely psychological. However, it is now thought that some men (particularly those with lifelong premature ejaculation) have a chemical imbalance in the brain centres controlling this function (this is called a neurobiological cause). This can, in turn, lead to associated psychological problems, such as performance anxiety.

Acquired premature ejaculation can be caused by psychological factors such as:

depression or anxiety, particularly about performance
feeling anxious about rejection by a sexual partner
expecting failure
negative sexual experiences in childhood
religious beliefs
stress
problems within the relationship.
source
https://www.tabibakk.com/
https://www.tabibakk.com/2021/03/postpartum-depression.html

Premature ejaculation (PE) is the most frequent sexual dysfunction in males, and its prevalence has been reported as 21-33%. Currently, there are no universal criteria for the diagnosis, or treatment strategies or approaches for PE. Lack of observational studies directed to PE makes comprehension of this sexual dysfunction difficult. The common point for definition of PE is a short duration between penetration and ejaculation, little or no control on voluntary control of ejaculation, and annoying character and negative effect of this condition on the individual. There are various treatment methods since ejaculation physiology and neuroanatomy is not yet clearly demonstrated. According to neurobiological hypothesis of Waldinger, a dysfunction in the serotonin pathway of the central system such as serotonin-2C hyposensitivity and/or serotonin-1A receptor hypersensitivity is a possible cause of lifelong PE. These experimental animal models showed that serotonergic activity at hypothalamic level inhibited ejaculation reflex. Based on this physiological effect, selective serotonin reuptake inhibitors (SSRI), and serotonin agonists increase intravaginal ejaculation latency time (IELT). A number of studies showed that exercise increased the functional effect of serotonin in the human brain.

The effects of physical activity level on human health have attracted interest worldwide. Lack of physical activity forms the basis of various health problems, however regular physical act contributes prevention and treatment of a number of disorders.

In current study, investigators will compare the ejaculation control, IELT, and prevalence of PE between sportsmen that have regular physical activity, and the individuals with a sedentary lifestyle.
source
https://www.tabibakk.com/2021/03/premature-ejaculation.html
https://www.tabibakk.com/

The “Stop-Start” Strategy
One of the oldest and most effective ways to stop premature ejaculation is through the use of the “stop-start” strategy during sexual intercourse.

The stop-start strategy is exactly what it sounds like — during sex, you start moving, stop, and start again after giving yourself time to relax and prevent ejaculation. Most books and studies that reference the stop-start strategy advocate stopping as you feel ejaculation approaching.

As simplistic as this approach sounds, it’s highly effective. Books such as The Encyclopedia of Clinical Psychology recommend it as a preferred therapy technique for preventing premature ejaculation, and studies show short term symptomatic benefits in 45 to 65 percent of men.

Since the stop-start strategy doesn’t involve any medications or costly treatments, it’s a great first option for stopping premature ejaculation.

You can practice the stop-start technique with your partner or by yourself. As you feel yourself approaching orgasm and ejaculation, stop the stimulation and take a break, then repeat until you feel more confident in your ability to control your ejaculation.

The “Squeeze” Technique
Another technique for stopping premature ejaculation is the “squeeze” technique.

Just like the stop-start strategy, the squeeze technique is exactly what it sounds like — during sex, as you’re approaching ejaculation, squeeze the area between the shaft and glans of the penis to prevent ejaculation.

Most of the resources on the squeeze technique recommend squeezing the penis for about 30 seconds to stop premature ejaculation. Since everyone is different, the ideal amount of time for the technique might be slightly shorter or longer.

Using the squeeze technique, you can delay orgasm several times, allowing yourself to perform for longer during sex.

Like the stop-start technique, the squeeze technique has its downsides. First, it results in a stop in sexual activity, which can be frustrating for both you and your partner. It can also occasionally reduce the intensity of your erection, which also affects sexual enjoyment.

Masturbating Before Sex
Sometimes, the easiest way to increase your time to ejaculation is to simply masturbate shortly before sex.

While there’s no scientific evidence to support this method (not surprisingly, finding a group of subjects willing to participate is a challenge for researchers), many men find that masturbation shortly before sex is an effective way to delay orgasm and stop premature ejaculation.

The idea behind this approach is that during the refractory period (a recovery phase that occurs after orgasm), most men won’t be able to orgasm again. The end result is a longer average time to orgasm and, for their partners, better sexual satisfaction.

Since there’s debate about the male refractory period in the sexual medicine community, this is an approach that’s best regarded as “unproven” at best. Still, it’s an easy, low-risk method that you can attempt to delay orgasm and prevent yourself from ejaculating too early during sex.

Selective Serotonin Reuptake Inhibitors (SSRIs)
Right now, there aren’t any medications specifically designed to treat PE. However, there are a variety of existing drugs — particularly depression medications — that have proven to be effective in helping men delay orgasm and ejaculation.

In a 2007 study, men suffering from premature ejaculation were prescribed either paroxetine, fluoxetine or escitalopram. All three of these drugs are selective serotonin reuptake inhibitors (SSRIs), which are usually used to treat depression and anxiety disorders.

The drugs were administered in the morning and given for four weeks. After the study period, 100 percent of the men that received SSRIs showed a reduction in premature ejaculation using a validated Arabic Index of Premature Ejaculation (AIPE) questionnaire.

Interestingly, there was no difference in results between the different drugs, suggesting that all three of the SSRIs administered as part of the study could be effective in stopping premature ejaculation.

SSRIs are prescription medication, meaning you’ll need to speak with a doctor about this PE treatment method. Most medications in this class also have side effects, which you’ll want to discuss with your doctor prior to considering treatment.

Gels, Creams and Other Topical Treatments
Finally, there are gels, creams, sprays and other topical treatments designed to reduce penile sensitivity and stop premature ejaculation.

Most of these gels and sprays use local anesthetics such as lidocaine — the same anesthetic that’s used by dentists and laser hair removal technicians — or lidocaine/prilocaine, a mix of two different local anesthetics.

Studies show that this topical anesthetic combination is fairly effective. For example, in a study from 2002, men that used a lidocaine/prilocaine five percent cream before sexual activity saw an increase in time to ejaculate compared to men that used a placebo base cream.

An older study from 1995 showed similar results, with men reporting significant improvements in premature ejaculation after applying 2.5 grams of lidocaine/prilocaine cream before sex.

However, topical treatments like lidocaine/prilocaine cream may have a downside.

Because they numb the penis and reduce sensation, they might contribute to erectile loss — a symptom noted by more than 50 percent of the men that received the cream in the 2002 study. In the study, all 10 men who applied the cream 45 minutes before sexual contact, and six out of 10 of the men who applied it 30 minutes before sexual contact, experienced erectile loss.
source
https://www.tabibakk.com/2021/03/premature-ejaculation.html