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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 enlargement free penis pill sample natural penis enlargment and lengthening penis elargement before and after easy enlargement free penile surgery way homemade pnis enlargement best penis enlagement surgery penile enlargement herb penis enlarement picture

manual pennis enlargement

With the stress of day to day life, many men of today are facing different sexual problems, of which the most common is erectile dysfunction. By erectile dysfunction, it means that the man finds it rather difficult to sometimes achieve penile erection, and sometimes to maintain an erection till ejaculation. Stress is the main culprit to this; and since stress is not avoidable today, many men turn to drugs and medications to help them solve this problem. So if you are in this group of men, you need not wait longer for the happiness pill of your needs, for it has arrived. Those who were longing for a happiness pill for sometime now need not worry as it has scarcely been a decade since the first oral drug; Viagra has been introduced in the market for men suffering from erectile dysfunctions. The chemical used in this wonder drug is sildenafil citrate, and is actually not the first drug that has been created to address erectile dysfunction. In fact, it is the first drug that is taken orally for a cure from erectile dysfunction. Prior to its introduction, drugs were either injected into the penis, or inserted into the urethra by placing it at the tip of the penis. With the introduction of Viagra, many other companies also started launching drugs to help cure erectile dysfunction. Some of the new drugs were vardenafil hydrochloride, named as Levitra and tadalafil called Cialis. They were introduced one after the other, and the thing they both have in common is that they have to be taken about an hour before any sexual activity has been planned. With this tablet, the chemical causes chemical reactions which give rise to increased blood flow to the penis. However, these drugs should not be taken more than once a day. And if the person is under other medications, these drugs are not at all advised. This is because these drugs, on combining with the medications that are taken everyday may cause blood pressure problems and heart attacks. There are other oral drugs available to cure erectile dysfunction; however, it is now being contested if the results of erection are actually due to the drugs or if it is due to the placebo effect. However, there are some medications like testosterone, when taken regularly, may have some adverse affects on the liver. This is the reason it is not actually advised to take any drugs for erectile dysfunction, unless the medication is prescribed b a doctor. It has been found that the drugs or medication that is injected into the penis or inserted into the urethra brings about a stronger and longer erection than the oral drug. However, there have been some side effects with these types of drugs like aching, priapism (which means persistent erection), scarring, bleeding, etc. So with the rapid pace that research is advancing today, it is actually better to wait it out for a better drug to help solve erectile dysfunction. penis enhancement doctor pennis enlargement fact penis enlargement before and after pennis enlargement before and after photo do penis enlargement pills really work cheap penis enlargement penile enlargment fact penis enhancement herb manual pennis enlargement

Impotence or Erectile Dysfunction, in medicine, condition in which a man is unable to attain an erect penis that is rigid enough for sexual penetration or sexual satisfaction. Impotence should not be confused with premature ejaculation, loss of libido, or absence of orgasm; in all of these cases, satisfactory erection may be obtained. Impotence is a common problem; in the United States between 10 and 15 million men suffer from severe erectile dysfunction. The incidence of this problem increases with age. Less than 1 percent of the male population under 30 years of age is affected, 3 percent under 45 years, 7 percent between 45 and 55 years, 25 percent at age 65, and up to 75 percent in men 80 years old. Impotence appears to be on the rise, but this may be due to increasing life span. Impotence is classified as either primary or secondary. Primary impotence is expressed early in adolescence as a fundamental inability to achieve erection; secondary impotence is more common and consists of an onset of erectile inability during adulthood, after a period of normal erectile ability. Normally, when a man becomes sexually aroused, his penis increases in size, becoming erect and rigid, enabling sexual penetration. An average penis is between 7 cm (about 3 in) and 10 cm (about 4 in) long; when it is erect it increases in length to between 13 cm (about 5 in) and 18 cm (about 7 in). An erection occurs when the penis fills with blood. An erect penis contains six or seven times the blood volume of a flaccid penis. During erection, the rate of blood flow into the penis is greater than the rate at which the blood drains out, which leads to an accumulation of blood within the corpus cavernosum (cavernous spaces) of the organ. The process of erection is controlled by the autonomic nervous system. enlagement erection penis pill vimax free penis enargement technique penis elargement pills product plastic surgery penile enlargment vimax truth about penis enlargement pills penile enlargement system cheap penis enlarement natural penis enhancement exercise manual pennis enlargement

Do you have an average size or a short penis? Of course you’ll probably not be caught dead, neither sober nor drunk admitting that to your sex partner, especially prospective ones, or even to yourself. But you need not worry or let it dampen your self confidence. There is a way of keeping you and your lover sexually satisfied so take advantage of this lovemaking position. You and your partner will learn a simple lovemaking technique that is incredibly sexual and will mutually enhance your pleasure. Here’s how… In that most famous of love making text, the Kama Sutra, you’d be called a ‘hare man,’ on the basis of the size of your penis. This lovemaking position is called the ‘closure.’ To begin this lovemaking position your lover is lying on her back, place a cushion, under her bottom raising her hips towards you. Then place yourself between her legs. Keep your feet on the floor. Press your lover’s thighs against her torso and put your hands under her arms or hold her shoulders tight in an embrace clasping her body to yours. As a vital part of love making you would already have engaged in lots of foreplay with your fingers, hands, mouth or toys before trying this lovemaking position skillfully leaving her extremely arouse and wet and ready to receive you. Now insert your penis inside her vagina and pump and gyrate your hips. Be sure to keep yourself attuned to her responses since in this lovemaking position you want her arousal to build leaving her burning with pleasure. Even better is that this lovemaking position with your lover on her back, her thighs and bottom positioned in this manner, the walls of her vagina squeezes together creating a deliciously tight space. However, it can be a little tiring for her so alternate your lovemaking position. Best of all, as a couple, this lovemaking position can increase both you and your partner’s level of sexual intimacy leaving little time to worry about size and plenty of time to enjoy the sexual ride. pnis enlargement stretcher penile enlargment pills review prosolution penis enlargment pills free penis enlarement tip enlargement manhattan pennis free natural penis enlarement pennis enlargement traction device pnis enlargement fact manual pennis enlargement

The length of your performance, the quality of your sexual technique and even the strength and reliability of your erections are all, to some degree or another, controlled by the foods you eat on a daily basis. I know – that’s a bold statement. But think of the relationship between your food and your sexual performance like the fuel used by your car. Put the wrong type of gas in, and – if you’re lucky – you’ll just about splutter a few feet, for a few seconds. Eat the wrong foods and your sexual performance will be similarly impacted: you’ll conk out sooner and generally perform more poorly than if you were eating the best things, most of the time. Okay, the question’s been posed: What can you eat to boost your sexual prowess? And how can the foods you consume improve your ability to put in, time and time again, a powerful and multi-orgasmic sexual performance – for you and the woman you’re with? First on the menu: Sexual Super-foods. Sexual super-foods are the absolute best things you can eat to help you out in the bedroom, because they contain chemicals, fibres and vitamins that are all suited to boosting and improving your body in relation to love-making. There are 7 different sexual super-foods, each containing a different selection of natural ingredients and therefore each targeting different areas of sexual skill. I’m going to tell you about one of them right now. The blueberry is a sexual super-food often referred to as ‘nature’s little blue pill’ because of its remarkable similarities to the wonder drug ‘Viagra’. However, unlike ‘Viagra’, blueberries are cheap, readily available and able to be consumed in bulk! The beauty of blueberries in regards to maximising your sexual ability lies in what they contain. Firstly, they’re loaded with soluble fibre, which helps push excess cholesterol through your digestive system before it can be broken down, absorbed and deposited in your arteries. They’re also packed with compounds that help relax your blood vessels and improve circulation throughout your body. The benefit of lower cholesterol and improved blood flow is more blood to your penis during sex and firmer erections as you get older. To harness the powers of this sexual super- food – which include stronger, longer lasting erections – pop a handful of blueberries into a fruit smoothie a couple of times a week. Next on the menu: General nutrition and Health. To most people, eating the right foods at the right times is a boring, fairly unfulfilling prospect. I mean, we all know of the overall health benefits of eating right, but we don’t generally care very much about sticking to strict diets – especially considering the time and effort usually involved in doing so. But if most men knew about how much their sexual ability and performance would improve if they simply improved their diets a little and upped their exercise just slightly, they’d be amazed. It breaks down like this. Eating healthily improves your cardio-vascular fitness (your stamina) and helps maintain high levels of energy – both vital components of any impressive, lengthy sexual performance. A secondary product of eating well, which stems from your high levels of energy and endurance, is a positive mental attitude – in essence, feeling happy and stress-free. These kinds of feelings come about naturally when you eat well because your body is chemically balanced and has high stores of useable energy. You don’t need to go crazy when it comes to improving your diet to notice a big improvement in your sexual ability. A great place to start is by always, always eating breakfast. But not just any breakfast. Eating cereal that is high in thiamine and riboflavin (check the label) helps your body store energy efficiently – which will come in really handy when you get down and dirty later in the day! Also, eat breads and cereals with lots of niacin in them (again, check the nutritional fact labels). Niacin is a vitamin that’s essential for the secretion of histamine. Your body needs histamine in order to control and trigger explosive orgasms! Lastly, always get that minimum of 5 portions of fruit and vegetables in a day. You’ll really notice the difference eating them makes, in and out of the bedroom. Okay, so there you have it. A good general diet can be used as a base, which gives you the fundamental levels of energy, fibre and vitamins needed to perform well in bed. Then, the 7 sexual super-foods can be eaten to naturally boost specific chemical levels in your body and thereby further improve your body’s sexual capabilities. You’ve learnt about one of those 7 sexual super-foods already. The bottom-line? Eat better, perform better!