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Product URL: https://najzdravnik.com/products/bioapigyn%C2%AE-vaginalno-mazilo-za-obcutljivo-noznico-in-proti-uhajanju-urina-50-ml
2 Keywords: vaginalsmellcauses,vaginalsmellduringpregnancy
Article Title: What are thecausesofvaginalsmellduringpregnancy?
ArticleBody:
Ifyour urine is cloudyandsmellsfishy, it is most likely a urinarytractinfection. A urinarytractinfection is whenmicro-organisms enter theurinarytract, wheretheymultiplyandcauseinflammation. Bacteria are the most commoncausativeorganisms, whilefungi, virusesandparasites are lesscommon. Urinarytractinfections are the most commoninfections in peopleofallgenerations, alongwithrespiratoryinfections.
Theycan be broadlydividedintolowerurinarytractinfections (urethritis, cystitis, prostatitis) andupperurinarytractinfections (acutepyelonephritis, renaloradrenalabscess), depending on thelocalisationoftheinflammation. Urethralandbladderinfections are non-invasive, whilekidneyand prostate infections are invasivetissueinfections. Infectionsmayalso be asymptomatic.
Thedefinitionofurinarytractinfection as uncomplicatedorcomplicated is veryimportant, as it determinesthepre- and post-treatmentinvestigations, thechoiceofchemotherapeutic agent, thedurationoftreatmentandtheneedforurinarytractmorphologicalexaminations.
At theonsetofsymptomsandsignsofinfection, wecannotyetpredict how theinfectionwillprogress. Therefore, a historyofpreviousdiseases is veryimportant.
Uncomplicatedinfections are most oftencontractedbyotherwisehealthywomenofchildbearing age who are not pregnant.
Complicatedurinarytractinfections are most oftenthoughtofwhentreatment is not effective. Complicatedurinarytractinfectionoccurs in groupsofpeople at higherriskofurinarytractinfectionsdue to thepresenceofaninflammatoryfocusorotherfactors, which are characterisedbyaninfectionthat is more difficult to treatandcanlead to severe complicationssuch as kidneyloss, acuterenalfailure, sepsisandevendeath.
Acuteinflammationofthebladder (acutecystitis) is manifestedby a suddenfrequentandburningdischargeofsmallamountsof urine (dysuria), which is cloudyandfoul-smelling, bloodmayalso be present; pain in the area ofthebladderabovethesymphysismayoccur. To confirmacutebacterialurinarytractinfection, thediagnosticfinding is pyuriaandbacteriuria. Themidstreamofthe urine sample is examinedduringcontinuousmicturition. A youngerwomanwho is not pregnant is treatedempiricallywith oral nitrofurantoinfor 5 days; trimethoprim-sulfamethoxazole is prescribedfor 3 days. Acuteuncomplicatedurinarytractinfections do not usuallycausechronicrenalimpairmentorarterialhypertension. Asymptomaticbacteriuriadoes not causesequelae, except in pregnantwomen, in whom it is activelysought. Recurrentacuteuncomplicatedcystitis is defined as a womanwhohashadacutecystitis at leastthreetimesduringherchildbearing period in the last year. Recurrentlowerurinarytractinfections (reinfections) are verycommon in youngwomen. A complicatedurinarytractinfection in a renalordiabeticpatient, anunresolvedobstructionor a neurogenicbladdercanacceleratethedevelopmentofchronicrenalfailure in a patientwithchronickidneydisease.
BioapigynVaginalOintment is aneffectivemethod to preventvaginalinflammationandother vulvo-vaginaldisorders. It is also used to treaturinaryincontinenceorleakageof urine. Theointmentcontainsnaturalactiveingredientsof bee andplantorigin. Bioapigyn® VaginalOintmentcreatesanacidicandviscousenvironmentwith a lowwatercontentthatpreventsthegrowth, adhesionandreproductionofpathogenicmicro-organisms, whileloweringthe pH ofthe vagina to optimallevels. A protectivelayer is created on thedamagedvaginalmucosa, moisturisingthe vagina andallowing it to recover more quicklyandpreventingfurtherirritation. Thecombinationofessentialoilsandherbalmaceratealsoeliminatesunpleasantodours, oftenmanifestedby a 'fishysmell'.
For more information on BioapigynVaginalOintment, pleasevisit: https://dottoria.com/products/bioapigyn%C2%AE-vaginal-ointment-for-urinary-incontinence
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Product URL: https://dottoria.com/products/saltmed-salt-inhaler
2 Keywords: inhalingsaltforasthma, asthmasymptoms
Article Title: Caninhalingsaltwatertreatsymptomsofasthma?
ArticleBody:
Asthmatreatmentorasthmasymptom relief consistsofseveralcomponents, includingpharmacologicaland non-pharmacologicaltherapies. Non-pharmacologicalmeasuresincludeeducatingthechildandespeciallytheparentsaboutthedisease, thepossibletriggersofasthmaexacerbations, thecorrectuseofmedicationand management ofasthmaexacerbations. Most childrenwithasthmahaveanallergic form ofthediseaseandcommonallergens are thosefound in theenvironment in whichthechildlives (e.g. dust mite, pet hair). Parentsshouldalso be educatedthatthechildshouldavoidsubstancesthatirritatetheupperairways in a non-specificway, such as cigarettesmoke, dust, andstrongodours (e.g. eau de toilette). Thediseasecan be monitoreddailybymeasuringthe PEF andbykeeping a diaryofmeasurements. A writtentreatment plan is preparedforeachpatientandinstructions are given on what to do in theeventofanexacerbation.
Whentreatingasthma, it is alsoimportant to take intoaccountcomorbidconditionsthatmayaffectthediseaseitself. Theconditionsthat most commonlyaffectasthma are chronicrhinitis, sinusitisandgastroesophagealrefluxdisease (GERD). Allergicrhinitisoccursveryoften in combinationwithasthmaand is found in as many as 90% ofasthmaticchildren. GERD is alsoanimportantfactor in asthma, occurring in 64% ofasthmaticchildren. It exacerbatesthroughaspirationofgastricacidintotheairwaysandvagus-mediatedbronchospasm. Treatmentof GERD includes histamine H2 receptor antagonists (ranitidine) or proton pump inhibitors (omeprazole, pantoprazole).
PHARMACOTHERAPY OF ASTHMA
Thepharmacologicaltreatmentofasthma is aimed at thecontrolofbronchospasmandchronicairwayinflammation. Medications are dividedintorelievers (bronchodilators) andpreventersoranti-inflammatorydrugs. Bronchodilatorsquicklyrelieveairwaysmoothmusclespasm, whileanti-inflammatorydrugspreventairwayinflammationandhyper-sensitisation, which is thetriggerforacuteexacerbations.
ANTI-INFLAMMATORY DRUGS
Inhaledglucocorticoids (IGCs) are the most commonly used anti-inflammatorydrugs in thetreatmentofasthma. An importantmechanismofactionofIGCs in asthma is thereducedproductionofcytokines (especially Th2 cytokines), whichactivateeosinophilsand are responsiblefortheincreasedproductionofIgEantibodies, andinhibittheproductionofthevasodilators PGE2 and PGI2. There are veryfewsideeffectsofIGCscompared to systemicglucocorticoids (at lowandmediumdoses), oral candidiasismayoccurdue to localinhibitionoftheimmunesystem.
TheuseofIGKs in childrenover 5 yearsof age is effective in eliminatingasthmasymptoms, reducingexacerbations, improvingqualityoflifeandlungfunction, andreducingexercise-inducedairwayobstruction. In clinicalpractice, lowdosesofe.g. 100-200 microgramsoffluticasone are prescribed. IGK can be combinedwithlong-acting β2 adrenergic receptor agonists in childrenover 5 yearsof age withpoorlycontrolledasthma.
In addition to IGCs, leukotrieneantagonists (montelukast), which are lesseffectivethanIGCsbut are often used in mildseasonalasthma (becausetheyalsoinhibitallergicinflammationoftheupperairways) and in bronchospasm on exertion In some patients, leukotrieneantagonistsalonecanachievewell-controlleddisease, ortheycan be combinedwithIGCs. Systemicsteroidsandbiologics (monoclonalanti-IgEantibodies - omalizumab) are alsoavailableforvery severe asthma.
BRONCHODILATORS
Bronchodilatorsrelaxthesmoothmusclesoftheairways, therebyreducingtheobstructioncausedbymusclespasm. Bronchodilatorsincludeshort-acting (SABA) andlong-acting (LABA) β2 adrenergic receptor agonists, muscarinic receptor antagonists (ipratropium, tiotropium) andmethixanthinderivatives (theophylline, aminophylline). In addition to bronchodilation, β2 adrenergic receptor agonistshaveaninhibitoryeffect on thereleaseofinflammatorymediatorsfrom mast cellsand TNF alphafrommonocytesandincreasemucusclearancebyaffectingciliafunction. Theanti-inflammatoryeffectof β2 agonists is mainlyexploited in thefixedcombinationof LABA with ICS.
RELIEVING ASTHMA SYMPTOMS WITH THE SALTMED SALT INHALER
TheSaltMedsaltinhaler is used to relieveasthmasymptoms in childrenandadults. It is also used to treat COPD, chronicsinusitis, rhinitisandacts as a preventive methodagainstrespiratoryinfections. Thebeneficialactionofsaltprotectstherespiratorytractagainstinfectionsbyrestoringtherespiratorymucosaandmaking it resistant to bacteriaandviruses.
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Product URL: https://dottoria.com/products/bioapifit%C2%AE-anti-hemorrhoidal-ointment-50-ml
2 Keywords: hemmeroidsexternal, hemmeroidsitchy
Article Title: How to cureitchyexternalhemmeroids?
ArticleBody:
Haemorrhoids are normal vascularstructures in theanalcanal. They are the most commoncauseofbleedingfromthelowergastrointestinaltract. Bleedingcan be heavy, recurrentandoccur at thebeginningorendofbowelmovements. Theblood is lightordark red, freshand most often on top ofthestool.
Internalhaemorrhoids are classifiedaccording to thedegreeof prolapse (slippage) fromtheanalcanal.
Epidemiology
The prevalence ofhaemorrhoids is 4.4%, most commonlybetweentheagesof 45 and 65. The incidence is the same in bothsexes.
Pathogenesis
Haemorrhoidalcushions are normal anatomicalstructures in thesubmucosallayeroftherectum. Depending on thedentate line, externalandinternalhaemorrhoids are distinguished. Internalhaemorrhoidsarisefromtheupperhaemorrhoidalcushion. In the normal analcanal, threemaincushions are present (leftlateral, rightanteriorandrightposterior). Theepitheliumviscerally is not resuscitated, so they are not sensitive to pain, touchor temperature. Thecause is unknown, butpresumablythefollowing: with age, theconnectivetissueweakensandthehaemorrhoidsslipandbulge, hypertrophyoftheanalsphincter, duringdefecation, faecespresses on thehaemorrhoidalplexusagainsttheinternalanalsphincter, abnormaldilatationofthevesselsoftheplexus. Externalhaemorrhoidsarisefromtheinferiorhaemorrhoidalplexusand are coveredbyanepitheliumcontainingmanysomaticpainreceptors, so thesehaemorrhoidshurtwhenthrombosisoccurs. Age, diarrhoea, constipation, lackofexercise, tumoursofthepelvis, pregnancy, flatulence, anticoagulanttherapy, low-fibrefoodallcontribute to theformationofhaemorrhoids.
Clinicalsigns
Approximately 40% ofpeoplewithhaemorrhoids are asymptomatic. Symptomaticpatientsreporthaematochezia, painassociatedwiththrombosisoritchingaroundthe anus.
Haemorrhageassociatedwithhaemorrhoids is almostalwayspainlessandoccurs on passingstool, rarelyspontaneously. Theblood is usuallybright red. Bleedingcancauseanaemiaandsignsoffatigueandheadache. Patientsalsoreportfaecalincontinence, mucusdischargeand a feelingoffullness in theperianalspace. Irritationoftheskinaroundthe anus, leading to itching, acutepainand a typicalbulgedue to thrombosis are alsocommon.
Diagnosis
Haemorrhoids are suspectedwhenthere is light-colouredbleeding, itchingandacuteperianalpain. Ifdefecation is painful, it is usually not associatedwithhaemorrhoidsunlessthere is thrombosisandswelling. Haemorrhoidaldisease is diagnosedbyinspectionoftheperineumandrectalexamination. Thrombiandpeeling are observedbydigitalexamination. An anoscopymayalso be performed.
Differentialdiagnosis
Thedifferentialdiagnosisofpruritusincludes: anal fistula, solitaryrectalulcersyndrome, polyps, colorectalcancer, proctitis (inflammationoftherectum). Itchingcanalso be causedbyanalabscess, fistula, dermatologicaldiseases, infectionsoftheanoderm.
Treatment
Forthetreatmentoftheinitialformsofhaemorrhoids, anti-constipatingagentsandstoolsofteners (cortisonesuppositories) are used, as well as sedentarybaths. Additionally, ligationwithelastic ligature andsclerosant is possible. Internalhaemorrhoids are treatedsurgically - ultrasound-guidedligation, mechanicalstaplersurgery. Endoscopy is chosen in patientswithdarkbleedingor in patientswith a familyhistoryofbleeding.
RelievingsymptomsofhaemorrhoidswithBioapifitointment
Bioapifithaemorrhoidointment is used to relievethesymptomsofhaemorrhoids, rectalfissuresandotheranorectalconditions. It is alsosuitableforpeopleexperiencinganalitching, rectalbleedingandpainaroundthe anus. Theointmentcreates a protectivelayer on thedamagedrectalmucosa. Amongotherthings, theactiveingredients in theointmentcreate a viscousandacidicenvironmentcontaininglowlevelsofwater. Thispreventsthegrowthofbacteriaandstopsbleedingandshrinksthewoundsurface.
Bioapifithaemorrhoidointmenthashelpedmanypatientswithhaemorrhoidsandrectalfissures.
More informationabouttheointmentcan be found at the link below:
https://dottoria.com/products/bioapifit%C2%AE-anti-hemorrhoidal-ointment-50-ml
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Product URL: https://dottoria.com/products/bioapifit%C2%AE-anti-atopic-ointment-50-ml
1Keyword: psoriasis on legs
Article Title: How toalleviatethesymptomsofpsoriasison legs?
ArticleBody:
Psoriasis is a chronic, incurable, non-infectiousinflammatorydermatosischaracterisedbywellcircumscribederythematousplaquescoveredwithsilveryscales. Sharplycircumscribedpapulescoveredwithscales are found on theskin, whichtend to aggregateintolargerplaques. Thescales are silveryandtend to peeloff. Thescalpelscrapingsresembletheshavingsof a stearin candle (candlephenomenon). Whenthescales are removed, dottedbleeding is seen, thebloody rose phenomenonorAuspitzphenomenon. Thepredilectionsites are oftensymmetrical: elbows, knees, scalpandsacral area. More severe formsofpsoriasis are accompaniedbyitching, fever, chills, general weakness, fluidlosswithconsequentdrynessandjointpain.
Psoriasisofthescalp (psoriasiscapillitii) is common. It is seen in severalforms. Hairdoes not fall out in psoriasisbecausethehairfollicles are not affected. Psoriasis in thefoldsand large creases - inversepsoriasis (psoriasisintertriginosaorinversa) is seen in thegenital area, underthependulousbreasts, in theabdominalfolds, underthearmpits. In psoriasisofthepalmsofthehandsandsolesofthefeet (psoriasispalmaris et plantaris), theskin is red, coveredwiththickscales, andragades are common. Psoriasisofthenails (psoriasisunguium) is seen in 10-30% ofallpsoriasispatientsand is characterisedbydottedindentations. Due to subungualhyperkeratosis, thenailsmay be thickenedandthedistaledgeofthenailraised (distalonycholysis). Thesurfaceofthenail is sometimescloudy, looking as if it hasbeencoveredwithoil (oilstain). Thenails are brittle at thefreeedge.
Threetypes are distinguishedaccording to thecourseofthedisease:
- Exanthematous (extensive) psoriasis is commonafter a historyof angina orupperrespiratorytractinfection. Smallpsoriaticlesions form over a fewdaysorweeksanywhere on thebody. Spontaneousimprovement is possible.
- Chronicstationary (permanent) psoriasis is the most common. It is characterisedbylargerfociand a chroniccourse, withpredilectionsitesusuallyaffected.
Exudative (moist) psoriasis is the form in whichexudativeinflammationpredominates. Thefoci are bright red, sometimespurple. Exudativepsoriasisoftenprogresses to the most severe forms, erythrodermic, pustularandarthropathic
TreatmentofnailpsoriasiswithBioapifitnaturalointment
Bioapifit, a clinicallytestedmedical device based on activeingredientsofnaturaland bee origin, is used to alleviatethesymptomsofpsoriasisandatopic dermatitis. Theactiveingredients in theointmentsuccessfullytreatsymptomsofdry, inflamedorirritatedskinresultingfrominflammatoryskindiseasessuch as psoriasisandatopic dermatitis. Bioapifithasalreadyhelpedmanypeoplesufferingfrom more severe formsofpsoriasis, thesymptomsofwhich are alsovisible on thenails.
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Theprognosisofpsoriasisvariesdepending on a numberoffactorssuch as age, localisationandtreatmentmethods. Individuallesionsmayremainformanyyears, ornewlesionsmay form in place ofoldones. Some may go intoremissionforseveralyears, butthere are alsocaseswherethediseaseprogressivelyworsens.
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