Postado por William graças a Reinaldo Moraes - ou não

Acontece que eu tava navegando pelos arquivos deste singelo blog e eis que vi um rascunho deixado pelo Sr. William Biagiolli, abandonado, jogado às moscas, e sabe-se lá por quê. Então começei a ler e achei algo familiar no que estava lendo. Por isso resolvi postar, sem autorização do amigo William, o post que ele deveria ter postado. No final eu explico o porquê.


***


Estava eu navegando na internet quando encontrei esse texto simpático e creditado ao não menos simpático Reinaldo Moraes. Pra quem não sabe o Reinaldo Moraes é um escritor, e por sinaç, no momento eu estou lendo o livro Tanto Faz dele. Simplesmente genial. Esse texto é bem engraçado, só que como na Internet as coisas são no mínimo duvidáveis, esse texto aqui pode também não ser do Reinaldo Moraes, mas pela qualidade e sinceridade eu acredito que seja. Agora com vocês Toma Logo! pelo Genial melhor escritor do Brasil Reinaldo Moraes.



"...- Vai, Horácio! Toma logo!

- Eu não tomo nada sem antes ler a bula. Cadê meus óculos?

- Pendurados no seu pescoço.

- Isso é ridículo, Maria Helena. Ridículo!

- Então todos os homens da sua idade são ridículos, porque todos estão tomando. E não me puxa esse lençol, fazendo o favor. Olha aí o bololô que você me faz nas cobertas.

- A humanidade conseguiu crescer e se multiplicar durante milênios sem isso. Nós dois crescemos e nos multiplicamos sem isso. Taí o Pedro Paulo, taí o Zé Augusto que não me deixam mentir. Fora aquele aborto que você fez.

- Horácio, eu não vou discutir isso com você agora. Toma logo esse negócio!

- Isso aqui faz mal pro coração, sabia? Um monte de gente já morreu tentando dar uma trepadinha farmacêutica.

- Foi por uma boa causa. E não faz mal coisa nenhuma. Só pra quem é cardíaco e toma remédio. Você não é cardíaco, nem coração você tem mais.

- Não começa, Maria Helena, não começa!

- Pode ficar sossegado que você não vai morrer do coração por causa dessa pilulinha. Eu vi num programa da GNT um velhinho de 92 anos que toma isso todo dia.- Sério?

- Preciso de sexo, Horácio!

- Mas hoje é segunda, Maria Helena...

- Quero trepar. Foder. Ser comida por um macho de pau duro!

- Francamente, Maria Helena, que boca! Parece que saiu da zona

.- Quero ser penetrada, quero gozar!

- O sexo é uma ditadura, Maria Helena. A gente tá na idade de se livrar dela.

- Saudades da dita dura! Olha só, você me fez fazer um trocadilho de merda.

- Além do mais, Maria Helena, nós já tivemos um número mais do que suficiente de relações sexuais na vida, por qualquer padrão de referência, nacional ou estrangeiro. A quantidade de esperma que eu já gastei nesses anos todos com você, dava pra encher a piscina aqui do prédio.

- Com o esperma que você ordenhou manualmente, talvez. O que o senhor gastou comigo não daria nem pra encher um balde daqui de casa. Um penico, talvez. Até a metade.

- Maria Helena...

- E faz quase um ano que não pinga uma gota lá dentro!

- Sossega o facho, mulher. Vai fazer ioga, tai chi chuan. Já ouviu falar em feng shui, bonsai, shiatsu? Arranja um cachorro. Quer um cachorro? Um salsichinha?

- Quero um salsichão, Horácio! Olha aí: outra piadinha infame.

- É porque você está com idéia fixa nessa porcaria.

- Que porcaria?

- O sexo, Maria Helena, o sexo.

- Sabe o que mais que deu naquele programa sobre sexo, Horácio?

- Não estou interessado.

- Deu que as mulheres com vida sexual ativa têm muito menos chance de ter câncer. É científico.

- Come brócolis que é a mesma coisa, Maria Helena. Protege contra tudo que é câncer. Também é científico, sabia? E com azeite, com alho, fica uma delícia!

- A que ponto chegamos, Horácio! Eu falando de sexo e você me vem com brócolis com azeite!

- E com alho.- Faça-me o favor, Horácio!

- Maria Helena, escuta aqui, você já tem 50 anos, minha filha, dois filhos adultos, já tirou um ovário, já...

- Não fiz 50 ainda! Não vem não! E o que é que filho e ovário têm a ver com sexo?

- Maria Helena, me escuta! Depois de uma certa idade, as mulheres não precisam mais de sexo.

- Ah, não? Quem decidiu isso?

- Sexo nessa idade é pras imaturas, pras deslumbradas, pras iludidas que não sabem envelhecer com dignidade.

- Prefiro envelhecer com orgasmos.

- O que é que Freud não diria de você, Maria Helena?

- E de você, então, Horácio? No mínimo que você virou gay depois de velho, seu Boiola!

- Maria Helena! Faça-me o favor! Eu tenho que ouvir isso na minha própria casa, na minha própria cama, diante da minha própria televisão?

- Aliás, gay gosta de trepar! É o que eles mais gostam de fazer. Você virou outra coisa, sei lá o quê! Um pingüim de geladeira, talvez.

- Maria Helena, dá um tempo, tá? Tenho mais o que fazer.

- Fazer? Essa é boa. O que é que um funcionário público aposentado com salário integral tem pra fazer na vida, posso saber?

- Sem comentários, Maria Helena, sem comentários!

- Tá bom, sem comentários! Bota os óculos e lê duma vez essa bendita bula.

- Só que precisa de dois óculos pra ler isso. Olha só o tamaninho da letra. Se é um negócio pra velho, deviam botar uma letra bem grande. Pelo menos isso!

- Vira o foco do abajur para cá! Assim... melhorou?

- Abaixa essa televisão também! Não consigo me concentrar ouvindo novela. Mais... mais um pouco!

- Pronto, patrãozinho. Sem som. Vai, lê duma vez!

- O princípio ativo do medicamento é o citrato de viagra cialis online pharmacy pharmacy.- Sei...- Veículos excipientes: celulose microcristalina...

- Celulose vem da madeira. Pau, portanto. Bom sinal.

- Onde foi parar a sua pouca educação, Maria Helena?

- Vai lendo, Horácio! Depois conversamos sobre minha pouca educação.

- Cros... camelose sádica. Croscamelose. Castrepa, Maria Helena! Recuso-me a tomar um troço com esse nome. Deve ser alguma secreção de camelo. Se não for coisa pior.

- Não é camelose! Num tá vendo aí? É caRmelose. Deve ser algum adoçante artificial pro seu pau ficar doce, meu bem...

- Putz! Só rindo mesmo. A menopausa acabou com sua lucidez, Maria Helena!

- Troco toda lucidez do mundo por um pau tinindo de tesão por mim!

- Absurdo, absurdo!

- Que mais, que mais, Horácio?

- Dióxido de titânio.

- Ah, titânio! Pro negócio ficar bem duro!

- ...índigo carmim...- Índigo? Deve ser o que dá a cor azul da pilulinha.

- Será que esse negócio não vai deixar o meu pau azul, Maria Helena?

- E daí, se deixar? Você não sai por aí exibindo seu pênis, que eu saiba. Ou sai?

- Mas, e se eu for a um mictório público? O que é que o cara ao lado vai pensar do meu pinto azul?

- Diz que você é um alienígena, ora bolas! Que seu corpo está pouco a pouco se adaptando à terra, que ainda faltam alguns detalhes, ou explica que você é nobre, de sangue e pinto azul, ou não diz nada, ora bolas! Acaba de mijar, guarda o pinto azul e vai embora, pô!

- Escuta! Agora vem a parte que explica como esse petardo funciona.- Isso. Quero ver esse petardo funcionando direitinho.

- Presta atenção: "O óxido nítrico, responsável pela ereção do pênis, ativa a enzima guanilato ciclase que, por sua vez, induz um aumento dos níveis de monofosfato de guanosina cíclico, produzindo relaxamento da musculatura lisa dos corpos cavernosos do pênis, permitindo, assim, o influxo de sangue". Cacete! Corpos cavernosos? Já pensou, Maria Helena? Corpos cavernosos sendo inundados de sangue? Puro Zé do Caixão.

- Corpo cavernoso só pode ser herança do homem das cavernas. Vocês homens evoluem muito lentamente.

- Pára de viajar, Maria Helena! Parece que fumou maconha.

- Não é má idéia pra relaxar! Vou roubar do Pedro Paulo. Eu sei onde ele esconde. Podíamos fumar juntos.

- Eu já tô relaxado. Tô até com sono, pra falar a verdade...

- Lê, lê, lê, lê aí! Você já dormiu tudo que tinha direito nessa vida!

- Vou ler. "Todavia, o sildenafil não exerce efeito relaxante diretamente sobre os corpos cavernosos..."

- Não?

- Não, Maria Helena. Ele apenas "aumenta o efeito relaxante do óxido nítrico através da inibição da fosfodiesterase-5, a qual" - veja bem, Maria Helena, veja bem - "a qual é a responsável, pela degradação do monofosfato de guanosina cíclico no corpo cavernoso?". Ouviu isso? Degradação, Maria Helena! Dentro dos meus próprios corpos cavernosos... Degradante...

- Degradante é seu pau mole!

- Olha o nível, Maria Helena, olha o nível! Vamos ver os efeitos colaterais. Olha lá: "dor de cabeça". Você sabe muito bem que se tem uma coisa que eu não suporto na vida é dor de cabeça.

- Na cultura judaico-cristã é assim mesmo, Horácio! Pra cabeça de baixo gozar, a de cima tem que padecer!

- Não me venha com essa sua erudição de internet, Maria Helena! Estamos off-line!- Deixa de ser criança, Horácio! Se der dor de cabeça, você toma um Tylenol, reza uma Ave-Maria, canta o "Hava Naguila" que passa!

- Outro efeito colateral: "rubor". Rá, rá. Vou ficar com cara de quê, Maria Helena? De camarão no espeto?

- Se for camarão com espeto, tá ótimo! Que mais, que mais?

- "Enjôos". Ó céus. Enjôos...- Você sempre foi um tipo enjoado, Horácio! Ninguém vai notar a diferença.

- Vamos ver o que mais... hum... "dispepsia". Que lindo! Vou trepar arrotando na sua cara!

- Você me come por trás. Arrota na minha nuca...

- É brincadeira! É essa a sua idéia de amor, Maria Helena?

- Isso não tem nada a ver com amor, Horácio! Já disse! É profilaxia contra o câncer. E arrotar, você já arrota mesmo o dia inteiro, sem a menor cerimônia. Na mesa, na sala, em qualquer lugar.

- Como se você não arrotasse, Maria Helena!

- Mas não fico trombeteando os meus arrotos. Isso é coisa de machão broxa. Em vez de trepar com a esposa, fica arrotando alto pra se sentir o cara do pedaço.

- Como você é simplória, Maria Helena! Como você é... menor. Desculpe-me, mas acho que seu cérebro anda encolhendo, sabia? Ou mofando. Ou as duas coisas.-

Vai, Horácio, chega de conversa mole! E de pau idem. Pula os efeitos colaterais.

- Como, "pula os efeitos colaterais"? É porque não é você quem vai tomar essa meleca, né? Vou ler até o fim. Os efeitos colaterais são a parte mais importante. Olha lá: "gases". Que é que tá rindo aí?

- Do efeito cu-lateral. Desculpe-me. Esse foi de propósito. Não agüentei.

- Admiro seu humor refinado, Maria Helena! Torna você uma mulher tão mais sedutora, sabia?

- Obrigada, Horácio! Agora, quanto aos seus gases, pode relaxar o esfíncter, meu filho, numa boa. Tô tão acostumada que até sinto falta quando estou sozinha. Sério! Fico pensando:

- Ah, se o Horácio estivesse aqui, agora, pra soltar uma bufa de feijoada com cerveja na minha cara...

- Maria Helena, qualquer dia você vai ganhar o Oscar da vulgaridade universal.

- Vou dedicá-lo a você.

- Vamos ver que mais temos aqui em matéria de efeitos colaterais. Ah! "congestão nasal". Que gracinha! Vou ficar fanho, que nem o Donald. Qüém, qüém, qüém!

- Um pateta com voz de pato. Perfeito! Ridículo! Absurdo! Idiota!- Ridículo você já é, Horácio! E quem não é? Além do mais, é só calar a boca que você não fica fanho.

- Ah, tá! E se eu quiser falar alguma coisa na hora?

- Você não diz nada de interessante há mais de dez anos, Horácio! Vai dizer justo na hora de trepar?

- Eu não nasci para dizer coisas interessantes a você, Maria Helena!

- Hum. Ouve só; "diarréia"

- Quê? É outro efeito colateral dessa bomba aqui. Fala sério, Maria Helena! Isto aqui é um veneno! Não sei como vendem sem receita.

- Deixa de ser pueril, Horácio! Imagina se alguém vai ter todos os efeitos colaterais ao mesmo tempo! No máximo um ou dois.

- A caganeira e os arrotos, por exemplo? Ou a ânsia de vômito e os gases?

- Faz um cocozinho antes, pra esvaziar! Agora, Horácio! Eu espero.

- Eu não estou com vontade de fazer cocozinho nenhum, Maria Helena! Faça-me o favor! E olha aqui, mais um efeito colateral: "visão turva".

- Você bota seus óculos de leitura. E que tanto você quer ver que já não viu?

- Maria Helena, você não entendeu? Essa droga perturba seriamente a visão. Vou ficar cego por sei lá quantas horas, quantos dias! E tudo por causa de uma reles trepadinha? E se a minha visão não voltar? Vou andar de bengala branca pro resto da vida?

- Pode deixar que eu guio sua bengala, Horácio! Olha, pensa no lado bom da cegueira: você vai poder me imaginar 20 anos mais moça, trinta, se quiser!

- Maria Helena, desisto! Não vou tomar essa porcaria e tá acabado!- Dá aqui essa cartela, Horácio! Abra a boca! Beba a água! Engula! Pronto! Isso! Que foi? Engasgou, amor?! Tosse pra lá, ô! Me molhou toda! Que nojo! Quer que bata nas suas costas? Ai, meu Deus, Horácio! Você está bem?- Respire fundo! Isso, isso... E aí, amor? Melhorou? Morrer afogado num copo d'água ia ser idiota demais, até prum cara como você.

- Arrr! E com essa pílula monstruosa entalada na garganta! Ufff! Me dá mais água!

- Quanto tempo isso aí demora pra fazer efeito?

- Isso aí o quê?- A pílula, Horácio, a pílula!

- E eu sei lá!?

- Vê na bula, Horácio!

- Hum... tá aqui: "30 minutos".

- Ótimo! Dá tempo de ver o fim da minha novela.



Reinaldo Moraes.



"Ponhado no saiti por William Biagioli"


***


Acontece que este texto é mesmo do Reinaldo Moraes. E ele é muito mais longo. Continua com o término da novela, e depois do termino da novela vem o filme, e depois o termino do filme e, bem, ele é bem mais longo, mas não menos engraçado. O nome do texto também não é 'Toma Logo!', e não poderia ser mesmo. Acho que foi isso que deixou o William desconfiado. Porque em se tratando de Reinaldo Moraes esse título (toma logo) seria muito simplório para sua genial criatividade. O nome real do texto é 'Sildenafil'. Estranho? Não se você ler o texto na versão completa. Mas onde encontrar a versão completa? Simples. Em qualquer boa livraria. Este conto foi publicado no livro UMIDADE, do mesmo autor. E reúne várias outras histórias muito divertidas. Vale a pena conferir, experiência própria!



Ricardo Schneider graças a William Biagiolli e Reinaldo Moraes. Ou vice-versa. Ou Tanto Faz.

FRACTURE PENIS (penile fracture)

FRACTURE online pharmacy (penile fracture)



 


Saturday night, Mbah Dukun Bagong's neighbour made conversation with mbah dukun Bagong, he asked can the penis get injury like fracture and if it can happened, what the treatment. Mbah Dukun explained fully convincing


DEFINITIONS

Fracture penis is a rupture of one or both corpora cavernosum of the penis with or without corpus spongiosum as blunt trauma in the erect penis.  This is common in sexual  hard, masturbation, or deflect the force an erect penis

.

During coitus, normal size of thickness of the tunica albuginea is 2 mm be thinned to 0.25 mm.  forcibly bending penis is very possible occurrence of rupture.  Both corpora cavernosum rupture can occur, can also rupture the corpus spongiosum which is wrapped around the urethra corpus, if this happens to make urethral rupture.



EPIDEMIOLOGY

Fracture penis is a rare urological emergency, first reported in 1924, a total of 183 reports have been published with 1331 cases since 1935 until 2001.  Over the past 8 years (1987-1995) 12 incidents of Fracture penis have been reported.  And in the years 1982-2002 have been reported 56 patients with Fracture penis.

In the year 1986-1987 reported a surgical repair in 8 cases of Fracture penis.  Malik et al in his research found the average age in 11 patients with Fracture penis is at the age of 19-56 years.  In Western countries the most common cause is sexual intercourse, whereas in the Middle East and Mediterranean countries the most common cause is masturbation.



ETIOLOGY
The most common cause fracture of the penis is trauma during coitus, other causes are masturbation, nocturnal penis manipulation did not realize or to reduce the erection, penis erection knock down with a blunt object, or penis is caught in tight pants.  Most (75%) occurred on one side, 25% on both sides, and 10% of them involving the urethra.

Generally, patients complain of Fracture penis due to coitus with a partner on top position astride the body of the penis.  When coitus penis out of the vagina and when will put back the penis hit the pubis or perineum.  All patients reported a typical crack sound ("Cracking sound") followed by loss of erection, severe pain, penis edema and discolored, and deformed penis.



PATHOPHYSIOLOGY

At the time of erection arterial blood flow to the penis, causing the corpus cavernosum and spongiosum enlarged longitudinal and transverse direction so that the penis becomes hard and its mobility is reduced, the tunica albuginea is thinner than 2 mm reach 0.5 - 0.25 mm, so easily torn if there is trauma.  The penis will swell, hematoma, pain, and bent in the opposite direction from the side of the fracture.  Hematoma is usually confined to Buck's fascia, if Buck's fascia hematoma can get involved then get to the scrotum, perineum anterior, and lower abdominal wall.



DIAGNOSIS

a.Anamnesis

Generally, patients complain of Fracture penis due to coitus with a partner on top position astride the body of the penis.  When coitus penis out of the vagina and when will put back the penis hit the pubis or perineum.  Patients hear the sound of a typical crack (cracking sound) is followed by an ever-greater pain increases, the pain spread to the lower abdomen when driven.  Patients also complained of pain during urination.

Patients complain of sudden penis swelling and increasingly expanding.  followed by loss of erection, severe pain, penis edema and discolored, and deformed penis ..



b. Physical Examination

On physical examination found penis hematoma, penis deviation, penis swelling significantly.  ecchymosis penis can occur if the buck's fascia is not intact, visible ecchymosis formation of butterfly-pattern if the fascia COLLES not intact.

The penis looks swollen and bruised.  If Buck's fascia rupture then bruises will extend to the lower abdominal wall, into the perineum and scrotum.  Pain will be felt on palpation in the area tearing of tunica albuginea.  If the urethra is damaged it will be followed by the discharge of blood through the urethra or meatus occurred hematuria microscopic.  Can also occur gross haematuria, painful urination, and urinary retention.

Sometimes patients present with a history of pain during intercourse, and swelling of the penis, but when checking on the tunica albuginea remained intact, in this case caused by hematoma due to rupture of the dorsal penis vein that required handling of simple ligation of venous rupture.

c. Additional Examination

If there is blood in the urine or if the patient complained of pain or difficulty urinating, do retrograde uretrogram to see the rupture urethra.  Agrawal et al.  (1991) recommends urethrography in all cases of Fracture penis.

Cavernosography is used intracorporeal injection of contrast to see a fracture, ultrasound is used to confirm the diagnosis is uncertain.  Magnetic resonance imaging (MRI) can accurately demonstrate the location of rupture, but this is just a very complex way to investigate a condition in which the diagnosis is generally obvious from anamensa (sounds cracked, detumesence sudden, and pain during intercourse) and clinical examination  (swelling and bruising of the penis).

In general, in the case of Fracture penis is not needed investigation, but in cases where the etiology and physical examination are not balanced, and uretrogram cavernosogram can be done.



TREATMENT and THERAPY

a) conservative

First, the management of Fracture penis with the use of conservative penis splint, cold compress, analgesic drugs, NSAIDs and absent from sexual intercourse for 6-8 weeks . This therapy slowly changed since 1986, 80% of patients following surgery Fracture penis

Jallu et.al reported 4 cases of Fracture penis that did well with conservative treatment of Oxyphenbutazone 3 x 200 mg and diazepam 10 mg orally 3 times daily for 2-3 weeks.  But many authors who advocate immediate exploration to take action.  Conservative management is indicated only for patients who are unable to receive anesthesia, no surgical facilities and surgical team, the reluctance of patients to surgery and a history of penis trauma but normal on physical examination found no abnormalities .

Operative therapy is better than conservative therapy.  In several studies have reported 10-41% of patients experienced complications with conservative management.  Other researchers reported conservative therapy provides 25-53% of complications.  Complications may include blood clot, curvatura abnormal on the penis, infection, penis abscess, persistent extravasation of urine, pain on erection and erectile dysfunction.  No postoperative complications occurred and generally does not affect sexual activity in the future.  Length of stay in hospital about 14 days compared with operative treatment - average 6.6 days.

b) Operative

Surgery is the primary choice in Fracture penis haematoma with severe clinically.

The principle of surgery consisted of open hand fractures in the tunica albuginea, evacuation of haematoma, and closing the tunica damaged.  The location of fracture can be opened by degloving the penis through an incision around the sulcus circumcision subcoronal.

As an alternative, a incisi can be made directly over the defect, with the assumption that the degree of swelling is not too big.  if there is a urethral trauma, degloving generally allow exposure to repair the urethra.  An alternative is a midline incision of the distal midline raphe scrotum to the penis along the shaft.

  Incision with degloving incision to expose both corpora cavernosum so that if any other unexpected bilateral trauma can be fixed easily.

Preoperative catheter placement remains controversial, there is suggesting as a routine action after the physical examination there was no sign - a sign of urethral injury.  Installation of the catheter facilitate intraoperative dissection without injuring the urethra and prevent postoperative wound contamination.

Exploration action with circumscibbing degloving incision and exposure of the corpus cavernosum and corpus spongiosum, followed by hematoma evacuation, and identification of tears to the tunica albuginea.  Tear in a 3-0 Vicryl suture with interruptus, leather stitched with "chromic catgut" in interuptus 3-0.

All patients treated for 5 days in good condition.  Follow-up to 6 weeks, there was no deformity of the penis, the penis can be erect with straight without pain and coitus can be done well.



 COMPLICATIONS

In several studies have reported 10-41% of patients experienced complications with conservative management.  Other researchers reported conservative therapy provides 25-53% of complications.  Complications may include blood clot, curvatura abnormal on the penis, infection, penis abscess, persistent extravasation of urine, pain on erection and erectile dysfunction.  No postoperative complications occurred and generally does not affect sexual activity in the future.



  Prognosis

Patients who were treated with conservative at high risk of complications.  No postoperative complications occurred and generally does not affect sexual activity in the future

Xenical Is Specialized In Offering Lipase Inhibitor Medicines

Health.

Get the best health care from xenical - human body works like a machine. As the machine frequently gets troubles and needs to be given special services by the mechanics, so also the human body that requires simple and occasional treatments for small but vital diseases. At the beginning it functions well, then slowly it starts to get problems and demands occasional special cares.


For example, cold and stomach upset are very common problems and can be treated by oneself at the first stage. - xenical is one of the reliable resources of this frequent healthcare. Even, if you need to visit a doctor for proper diagnosis and medication, yet the frequency and degree of severity and emergency remain the same. However insignificant these small diseases may seem, yet the medication must be appropriate and functional. Xenical is such an institution that has set their objective to provide best health care and services. For these recurrent small diseases, we need to purchase our medicine from a reliable and reputable medicine manufacturer and dealer.


The formulation of the health care mission has been the strong ground of social service and human development. - the range of products includes various types of medicines for different purposes. With this purpose, Xenical is bound to offer high quality service, with reliable products quality and continuous supply. From the basic regular use medicines for small diseases, even to complex medicines for critical diseases - all the types are widely covered and supplied. Xenical offers specialized Pharmacist only medicines for various purposes. There are various types of heal care sectors like - - Baby Care. - Coughs& Colds. - Hair Care. - First Aid. - Personal Hygiene. - Sports Medicine. - Vitamins.


The diseases generally covered under the Pharmacist only medicines are - - Allergies and Hay fever. - Indigestion. - Ear and Eye Care. - Fungus and Warts Treatments. - Laxatives and Haemonhoids. - Nicotine Therapy. - Pain Relievers. - Sleeping or Travel Aids. - Vomiting and Diarrhea. - Worms and Lice Treatments. - Miscellaneous. - this is mainly used by obese or overweight people. Xenical is specialized in offering lipase online pharmacy medicines. Xenical encloses the dynamic element orlistat. Like all the medicines, here also you must have to follow some basic guidelines while taking this medicine. The basic function of this type of medicines is not to suppress appetite but to absorb the dietary fat that is unnecessary and harmful to the body function.


Be careful to consult a doctor. - if you have any other disease, or you are pregnant or breast feeding, then also consult a doctor before taking this medicine. Find out whether you are allergic to any medicine. Strictly follow the dosage and regularity of the medicine. Along with that, intake proper food with required amount of fat, vitamins, carbohydrates, minerals and protein regularly.

Eating for a Better Bate: Bone Food

See also: cialis | 


A Special BateLife Health Series



You may not think much about how food can affect your bate, but what you eat can definitely have an effect on your meat. In this special BateLife health series, Eating for a Better Bate, we're going to explore what foods can make your dong harder, your bate longer, and your entire bate experience better. Enjoy and bate on!



Coffee

That morning cup of joe may be waking up more than just your brain. The caffeine kick from a cup of Java boosts your metabolism, gets your blood pumping to your nether regions and could also enhance endurance by releasing fat stores, giving you the energy 
to last all night.



Chilies

When your face flushes after eating a spicy dish, that’s the blood vessels expanding thanks to the effect of the chillies. And it’s not just the blood vessels in your face that get the boost. Biologically speaking a hard-on is simple hydraulics: more liquid (blood) being forced into little tubes (blood vessels) in your penis – so what you need is a strong heart and smooth, healthy pipework.





Cherries

Cherries are packed full of anthocyanins–colorful plant chemicals which protect your artery walls, helping prevent the fatty plaques that lead to clogged arteries. Clean pipes help blood pump effectively. Don’t fancy cherries? Berries, or brightly colored fruit such as peaches, nectarines and plums, will all keep your arteries flowing free.











Salmon

The omega-3 fatty acids in oily fish make the blood less sticky, enhancing blood flow to the parts that matter. Eat fish like salmon, mackerel, trout and fresh tuna twice a week to keep your arteries well-oiled.



Oatmeal

It’s not sexy, but the soluble fiber in oatmeal mops up cholesterol, helping keep your blood vessels smooth and stretchy, allowing blood to flow efficiently through all of your pipes, including your cock, since a boner requires 10% more blood than a limpie.



Bananas

Hard men have healthy hearts, so eat bananas for potassium, which is great for your heart and circulation. Getting enough potassium helps keep your sodium levels under control, stopping your blood pressure from hitting the roof and reducing your risk of heart problems. If you eat too much salt and don’t like bananas, get your potassium from oranges or jacket potatoes (the mineral’s in the skin).



Onions & Garlic

The phytochemical allicin in onions and garlic thins the blood and enhances your circulation, as well as making it less likely to clot and clog. Avoid unsexy onion breath by chewing parsley or peppermints.

















Oysters

Yes, there is a reason for their sexy reputation. Oysters are rich in the mineral zinc and vitamin B6, both of which are vital for testosterone, without which you’d have the sex drive of a dead slug. If the thought of grey shellfish gloop sliding down your throat makes you gag, boost your testosterone with nuts and seeds instead.





Wine

Wine–especially red wine–is a great source of the antioxidant phytochemical resveratrol, which helps open the arteries by enhancing the production of nitric oxide. Nitric oxide allows the blood vessels to expand, and this is how cheap viagra works. But while the little blue pill only works on tiny blood vessels, resveratrol helps your main arteries too. Make sure you stop at one or two glasses–too much alcohol leads to the dreaded droop.



Pork

To make your own porker stand at full mast, your neurons must be coordinated with military precision. You need thiamine, aka vitamin B1, for a healthy nervous system, so eat pork to help fire your swimmers in the right direction. Can’t or don’t eat pig? Get your B from beans and whole-grain bread.















(With material from Men's Health UK)

Erection Therapies

Erection analysis accept to be one of the aboriginal accomplish you can yield to advance your animal life. Although cheap cialis contest programs and penis amplification programs are about a analogue for spam emails these days, there are companies which accept developed abundant articles that can advice any man become added annoyed with his sex activity and feel added assured if it comes to affectionate relationships.

Penis amplification contest are everywhere. With the appearance of the Internet, the adjustment has acquired a abundant accord of acceptance and it’s a almost bargain advantage for men searching to access penis admeasurement or artlessly to accretion added ascendancy over their erections and animal performance.

There is no curtailment of online manuals and programs available, whether chargeless or by subscription. The superior of these programs, the accuracy and amplitude of advice and the akin of applicant abutment provided do alter appreciably however.

Just like with any added business, some merchants are honest and will action acceptable amount for your money and some accept alone one affair in mind: accomplish money as fast as possible, no amount what.

If you charge advice with impotence, baby erections, adjustment ascendancy etc or if you artlessly accept that penis contest can enhance your animal adventures and accomplish you feel added confident, and again you should alpha by researching offers accessible on the internet.

There is a lot of plan to be done, there are a lot of web sites to analysis and a lot of important decisions to make, so yield it easy. If it comes to your bloom and able-bodied being, you don’t wish to blitz into a affairs that will prove abortive in the continued run.

One of the capital attempt of adjustment analysis contest is to advance apportionment of the penis and to access the aggregate of claret captivated aural the arrect tissue. It is the arrect tissue that engorges with claret if sexually angry consistent in an erection.

The approach goes that if the arrect tissue can be encouraged to authority a greater aggregate of claret than it could contrarily by itself accommodate, again this will in about-face aftereffect in a beyond penis admeasurement both if arrect and flaccid.

The added actual important affair if it comes to ascendancy your erections is the Pubococcygeal beef (or PC muscle). This beef can be accomplished and it is the one a lot of important affair that helps us advance an erection.

Also, the array of the penis is bent by two muscles: the Ischio Cavernous (IC) and Bulbo Cavernous (BC). These two bedding of autonomous beef blanket about the shaft of the penis like the belts on a adorable tire. If pumped and apprenticed they accord added acerbity and array to the shaft. As with any of the autonomous muscles, these can be acclimatized and both their backbone and admeasurement improved.

Good routines are aimed both at training the anatomy and accretion the claret aggregate captivated aural the arrect tissue. It’s absolutely account the time and accomplishment to acquisition a acceptable affairs that can advice you accomplish your goals and accept a added accomplishing sex life.

To learn more the exercises that can help increase the size and ease of your erections, visit http://www.penishealth.com

Intra-cavernosal Injection of Vasoactive Drugs --Practical Approach

See also: cheap cialis | 


One of the most dramatic changes in urology has been the introduction of intracavernous injection of vasoactive drugs for the diagnosis and treatment of ED. At the 1983 annual meeting of the American Urological Association, Brindley personally demonstrated erection after injection of phenoxybenzamine(much to the surprise and shock to the audience). Subsequently, Zorgniotti and Lefleur (1985) reported their experience instructing patients in the technique of autoinjection of a mixture of papaverine and phentolamine for home use.
Intracavernosal injections provide an effective therapy for men with erectile cheap cialis who can not take oral agents or for whom oral agents are not effective.

Drugs and Pathophysiology:
Papaverine.
Papaverine, an alkaloid isolated from the opium poppy, exerts an inhibitory effect on PDE, leading to increased cyclic AMP and cyclic GMP in penile erectile tissue. Papaverine also blocks voltage-dependent calcium channels, thus impairing calcium influx, and it may also impair calcium-activated potassium and chloride currents.All these actions relax cavernous smooth muscle and penile vessels. Papaverine is metabolized in the liver, and the plasma half-life is 1 to 2 hours.
Alprostadil (Prostaglandin E1).
Alprostadil is the synthetic form of a naturally occurring fatty acid (i.e., alprostadil refers to the exogenous form, PGE1 to the endogenous compound). It causes smooth muscle relaxation, vasodilation, and inhibition of platelet aggregation through elevation of intracellular cyclic AMP. Alprostadil is metabolized by the enzyme prostaglandin-15-hydroxydehydrogenase, which has been shown to be active in human corpus cavernosum. After intracavernous injection, 96% of alprostadil is locally metabolized within 60 minutes and no change in peripheral blood levels has been observed.


How to give Injection:

The injection may be given anywhere from the base of the penis to two-thirds of the way down the penile shaft at the 10 o'clock and 2 o'clock locations on the upper side of the penis away from the urethra and the head of the penis. Injections are rotated within that area and the side of the injection is alternated with each injection.

Pathophysiology:
Preparation:


Methodology: :Start with 29-30 G Insulin syringe for the injection therapy.



Papavarine:It can be started with 15 and given till 60 mg. Inject in any corpus.
Bimix:Add chlorpromazine ( 4 ml papavarine to 0.1 ml chlorpromazine combination) start with 0.1 to 0.2 ml and then gradually increased .Again the injection can be given in any one of the corpus.
Trimix:add PGE-1 50 mcg( conventional vial contains 500 mcG so we will have to tae 0.1 ml ).



Procedure:

1)start in lying down position
2)Give complete privacy
3)Ask patient to fantasize and stroke his penis(patient allowed to read erotic materials)
4)If no response after 15 minutes ask him to stand erect and repeat the procedure.
5)Some men are known to have late response so minimum wait till 30-45 minutes advisable.
6)If no benefit call the pateint at next sitting and increase the dose.

Commonly encountered situations in andrology practice:
1)A 50 year old diabetic usinessman came to me .He had history of impotence.He was seen by Urologist outside and was given intra-cavernosal injection with no benefit.
When we enquired history ;he was given the injection without asking him to engage in sexual provokation.Poor man kept on waiting for the drug to act.The person was declared a failure case for the ICIVAD.We repeated the test after providing him erotic materials and he was able to get nice erection.He is now on self administered injections at home.
2)Many times patient is not at all comfortable at hospital setting.There is no privacy.There is no separate room only a curtain.The patient can hear every thing that goes around on that side of the curtain.Worst sometimes some hospital personnel mistakenly peeps inside.This makes the patient very nervous and his vasomotor tone prevents erection.
3)We have seen middle aged people not getting erection in lying position.So they prefer sex in standing position with female partner on the couch in lying position. Somehow they get reasonable erection in this position.Similar thing should be replicated if patient doesnot get erectiojn with the injection in the lying postion.

Home Administered Injection:
If the diagnostic testing helps then patient is started on home administerd injection.Prefilled Bimi Insulin syringes can be given.This can be stored at room temperature for 6 months.
Good sexual counselling and involvement of female partner is essential
Some times obese person cannot do it on his own so wife can give injection while husband stretches the penis.

The patient has to be warned about priapism .It is always good for patient to have access to the andrologist for any complications.
As priapism is rare the pateint needs reassurance and fisrt 2 -3 injections can be started in Clinic to gain confidence and allay fears about the injection.

Patient Acceptance and Dropout
In long-term studies, 13% to 60% of patients drop out for a number of reasons. These include loss of interest, loss of partner, poor erectile response, penile pain, concomitant illness(Many obese individuals are relunctant for injection because abdominal fat apron prevents them good vision of the penis.And the partner initially may help but later on gives up thinking this as more of mechanical process than romantic emotional encounter) , recovery of spontaneous erection, and ultimate choice of other therapy(Many people in the interim go for penile implant without having to resort to injection everytime they have sexual act).
Serious Adverse Effects
Priapism and fibrosis are the two more serious side effects associated with intracavernous injection therapy. Some people face pain on injection and this can be a reason for abandoning the injection therapy.

Intra-cavernosal Injection of Vasoactive Drugs --Practical Approach

See also: cialis | 


One of the most dramatic changes in urology has been the introduction of intracavernous injection of vasoactive drugs for the diagnosis and treatment of ED. At the 1983 annual meeting of the American Urological Association, Brindley personally demonstrated erection after injection of phenoxybenzamine(much to the surprise and shock to the audience). Subsequently, Zorgniotti and Lefleur (1985) reported their experience instructing patients in the technique of autoinjection of a mixture of papaverine and phentolamine for home use.
Intracavernosal injections provide an effective therapy for men with erectile cheap cialis who can not take oral agents or for whom oral agents are not effective.

Drugs and Pathophysiology:
Papaverine.
Papaverine, an alkaloid isolated from the opium poppy, exerts an inhibitory effect on PDE, leading to increased cyclic AMP and cyclic GMP in penile erectile tissue. Papaverine also blocks voltage-dependent calcium channels, thus impairing calcium influx, and it may also impair calcium-activated potassium and chloride currents.All these actions relax cavernous smooth muscle and penile vessels. Papaverine is metabolized in the liver, and the plasma half-life is 1 to 2 hours.
Alprostadil (Prostaglandin E1).
Alprostadil is the synthetic form of a naturally occurring fatty acid (i.e., alprostadil refers to the exogenous form, PGE1 to the endogenous compound). It causes smooth muscle relaxation, vasodilation, and inhibition of platelet aggregation through elevation of intracellular cyclic AMP. Alprostadil is metabolized by the enzyme prostaglandin-15-hydroxydehydrogenase, which has been shown to be active in human corpus cavernosum. After intracavernous injection, 96% of alprostadil is locally metabolized within 60 minutes and no change in peripheral blood levels has been observed.


How to give Injection:

The injection may be given anywhere from the base of the penis to two-thirds of the way down the penile shaft at the 10 o'clock and 2 o'clock locations on the upper side of the penis away from the urethra and the head of the penis. Injections are rotated within that area and the side of the injection is alternated with each injection.

Pathophysiology:
Preparation:


Methodology: :Start with 29-30 G Insulin syringe for the injection therapy.



Papavarine:It can be started with 15 and given till 60 mg. Inject in any corpus.
Bimix:Add chlorpromazine ( 4 ml papavarine to 0.1 ml chlorpromazine combination) start with 0.1 to 0.2 ml and then gradually increased .Again the injection can be given in any one of the corpus.
Trimix:add PGE-1 50 mcg( conventional vial contains 500 mcG so we will have to tae 0.1 ml ).



Procedure:

1)start in lying down position
2)Give complete privacy
3)Ask patient to fantasize and stroke his penis(patient allowed to read erotic materials)
4)If no response after 15 minutes ask him to stand erect and repeat the procedure.
5)Some men are known to have late response so minimum wait till 30-45 minutes advisable.
6)If no benefit call the pateint at next sitting and increase the dose.

Commonly encountered situations in andrology practice:
1)A 50 year old diabetic usinessman came to me .He had history of impotence.He was seen by Urologist outside and was given intra-cavernosal injection with no benefit.
When we enquired history ;he was given the injection without asking him to engage in sexual provokation.Poor man kept on waiting for the drug to act.The person was declared a failure case for the ICIVAD.We repeated the test after providing him erotic materials and he was able to get nice erection.He is now on self administered injections at home.
2)Many times patient is not at all comfortable at hospital setting.There is no privacy.There is no separate room only a curtain.The patient can hear every thing that goes around on that side of the curtain.Worst sometimes some hospital personnel mistakenly peeps inside.This makes the patient very nervous and his vasomotor tone prevents erection.
3)We have seen middle aged people not getting erection in lying position.So they prefer sex in standing position with female partner on the couch in lying position. Somehow they get reasonable erection in this position.Similar thing should be replicated if patient doesnot get erectiojn with the injection in the lying postion.

Home Administered Injection:
If the diagnostic testing helps then patient is started on home administerd injection.Prefilled Bimi Insulin syringes can be given.This can be stored at room temperature for 6 months.
Good sexual counselling and involvement of female partner is essential
Some times obese person cannot do it on his own so wife can give injection while husband stretches the penis.

The patient has to be warned about priapism .It is always good for patient to have access to the andrologist for any complications.
As priapism is rare the pateint needs reassurance and fisrt 2 -3 injections can be started in Clinic to gain confidence and allay fears about the injection.

Patient Acceptance and Dropout
In long-term studies, 13% to 60% of patients drop out for a number of reasons. These include loss of interest, loss of partner, poor erectile response, penile pain, concomitant illness(Many obese individuals are relunctant for injection because abdominal fat apron prevents them good vision of the penis.And the partner initially may help but later on gives up thinking this as more of mechanical process than romantic emotional encounter) , recovery of spontaneous erection, and ultimate choice of other therapy(Many people in the interim go for penile implant without having to resort to injection everytime they have sexual act).
Serious Adverse Effects
Priapism and fibrosis are the two more serious side effects associated with intracavernous injection therapy. Some people face pain on injection and this can be a reason for abandoning the injection therapy.