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Other factors leading to erectile dysfunction are diabetes mellitus, which is a well-known cause of neuropathy).[2] ED is also related to generally poor physical health, poor dietary habits, obesity, and most specifically cardiovascular disease, such as coronary artery disease and peripheral vascular disease.[2] Screening for cardiovascular risk factors, such as smoking, dyslipidemia, hypertension, and alcoholism is helpful.[2]
With the pumps, erections last until the user hits the deflate button, which Kohler says "doesn't happen" accidentally. He adds that pump prostheses "are locker-room proof: Nobody can see that you have one." (Obviously, this is not the case with the always-on malleable rod option.) Implanted pumps are reliable, experts say, with more than 90 percent of the devices working for 12 to 15 years.
VIP is a neurotransmitter with regulatory actions on blood flow, secretion and muscle tone with intracorporal adenylate cyclase activation and smooth muscle relaxation. VIP has been shown to elevate cAMP intracellular concentrations without affecting cGMP levels. However, when VIP is given alone it may not induce erection and requires combination with phentolamine or papaverine for it to be effective (88). Common associated adverse effects were facial flushing and headache. VIP in combination with phentolamine is currently being used in the UK and Europe and is seeking regulatory approval for use in the United States.
Surgical intervention for a number of conditions may remove anatomical structures necessary to erection, damage nerves, or impair blood supply.[8] Erectile dysfunction is a common complication of treatments for prostate cancer, including prostatectomy and destruction of the prostate by external beam radiation, although the prostate gland itself is not necessary to achieve an erection. As far as inguinal hernia surgery is concerned, in most cases, and in the absence of postoperative complications, the operative repair can lead to a recovery of the sexual life of people with preoperative sexual dysfunction, while, in most cases, it does not affect people with a preoperative normal sexual life.[13]
If PDE5 drugs don't work or cannot be used because of potential side effects, your doctor can recommend other therapies. The drug alprostadil (Caverject, Edex, Muse) allows blood to flow more freely in the penis, leading to an erection. The drug can be injected with a tiny needle into your penis. Or, a small pellet (suppository) can be inserted into the opening of the penis. Suppositories and injections are effective in the majority of men.
ED usually has a multifactorial etiology. Organic, physiologic, endocrine, and psychogenic factors are involved in the ability to obtain and maintain erections. In general, ED is divided into 2 broad categories, organic and psychogenic. Although most ED was once attributed to psychological factors, pure psychogenic ED is in fact uncommon; however, many men with organic etiologies may also have an associated psychogenic component.
Taking one of these tablets will not automatically produce an erection. Sexual stimulation is needed first to cause the release of nitric oxide from your penile nerves. These medications amplify that signal, allowing some men to function normally. Oral erectile dysfunction medications are not aphrodisiacs, will not cause excitement and are not needed in men who get normal erections.
Since the advent of PDE5i, many other selective and non-selective peripheral acting compounds have been developed or are in development. Avanafil has shown promising results in treating ED in post-prostatectomy patients with suspected cavernous nerve injury (111). Other PDE5i marked in Asia such as udenafil, and mirodenafil also effective at treating ED may minimize side effects due to shorter half-lives (112-114). Soluable guanylate-cyclase inhibitors and potassium channel activators are compounds that have induced erections in animal models but remain experimental requiring further investigation (115-117).
Implantation of penile prosthesis remains an important option for men with ED if medical treatment fails or is inappropriate. Prostheses are available as a saline-filled silicone device or a malleable device. The benefit of the former is a more natural appearance in the deflated state, closely approximating the appearance of a flaccid penis. The trade-off is a higher mechanical failure rate and higher cost. Satisfaction rates for patients who underwent penile prosthesis surgery have been reported to be near 90%.36 However, in the majority of patients who receive this treatment, less invasive alternatives have failed and therefore satisfaction with this treatment would be expected to be higher in this subset of patients. Risks of these devices include surgical and anesthetic risk, device infection, and device malfunction. Mechanical failure rates depend on the specific device being investigated. Overall, the percentage of devices that are free from mechanical failure at 5 years ranges from 84% to 94%.19 Infection rates in the era of coated devices and improved techniques are reported to be less than 1%.37
The most common treatment for erectile dysfunction is drugs known as phosphodiesterase-5 (PDE-5) inhibitors. These include tadalafil (Cialis), vardenafil (Levitra), and sildenafil citrate (Viagra). These are effective for about 75% of men with erectile dysfunction. They are tablets that are taken around an hour before sex, and last between 4 and 36 hours. Sexual stimulation is required before an erection will occur. The PDE-5 inhibitors cause dilation of blood vessels in the penis to allow erection to occur, and help it to stay rigid. Men using nitrate medication (e.g. GTN spray or sublingual tablets for angina) should not use PDE-5 inhibitors.
There are also alternative treatments, such as using a penis pump or a penile injection. Penis pumps work by creating a vacuum and thereby causing more blood to flow to your penis. Penile injections need to be used shortly before intercourse. They contain a medication which widens your blood vessels. A doctor's prescription is needed for the injections.
Factors that mediate contraction in the penis include noradrenaline, endothelin-1, neuropeptide Y, prostanoids, angiotensin II, and others not yet identified. Factors that mediate relaxation include acetylcholine, nitric oxide (NO), vasoactive intestinal polypeptide, pituitary adenylyl cyclase–activating peptide, calcitonin gene–related peptide, adrenomedullin, adenosine triphosphate, and adenosine prostanoids.
Their treatment plan will include a great deal of information about ED. It is important you take the time to read it all. You will be better prepared to manage your condition as a partner—and not just a patient. Also, erectile dysfunction is often a symptom of a more serious underlying condition—like heart disease, diabetes, high blood pressure, or even depression. That's why we want you to learn as much as you can. Nothing would be a sign of our success more so then if you could resolve the condition that causes your ED instead of needing to use the medications your doctor prescribes. We strongly recommend optional laboratory tests. You do not need to get them to receive treatment but it can be one of the best things you can do for your health in the long run.
As recently as two decades ago, doctors tended to blame erectile dysfunction on psychological problems or, with older men, on the normal aging process. Today, the pendulum of medical opinion has swung away from both notions. While arousal takes longer as a man ages, chronic erectile dysfunction warrants medical attention. Moreover, the difficulty is often not psychological in origin. Today, urologists believe that physical factors underlie the majority of cases of persistent erectile dysfunction in men over age 50.
Both ED and low testosterone (hypogonadism) increase with age. The incidence of the latter is 40% in men aged 45 years and older. [15] Testosterone is known to be important in mood, cognition, vitality, bone health, and muscle and fat composition. It also plays a key role in sexual dysfunction (eg, low libido, poor erection quality, ejaculatory or orgasmic dysfunction, reduced spontaneous erections, or reduced sexual activity). [16]
The views expressed in this article intend to highlight alternative studies and induce conversation. They are the views of the author and do not necessarily represent the views of hims, and are for informational purposes only, even if and to the extent that this article features the advice of physicians and medical practitioners. This article is not, nor is it intended to be, a substitute for professional medical advice, diagnosis, or treatment, and should never be relied upon for specific medical advice.
Clearly, PDE5i have revolutionized the treatment of ED in general and the neurogenic ED population is no exception. They remain safe and effective in most men with neurogenic ED; however, care must be taken in prescribing PDE5i to men high spinal cord lesions, MSA or possibly PD. VEDs are minimally-invasive and can be as effective as other modalities at leading to erection. However, high discontinuation rates are associated with VED use related to pain, difficulty using the device or cold penis. Intracavernosal therapy has been a mainstay of treatment for neurogenic ED and remains extremely successful in the SCI population. Trial of intracavernosal therapy for other causes of neurogenic ED can be considered second-line therapy, but there is a relative paucity of data for clinical outcomes related to its use outside of SCI men. Surgical therapy via penile implantation remains another second line approach and may also be utilized to assist men with bladder management. Higher complication rates of infections, and perforation have been reported compared to neurologically intact men. Many other compounds are currently being evaluated for the treatment of neurogenic ED as well as gene and stem cell therapy, but still should be considered investigational until substantiated by randomized controlled trials.
Certain types of blood pressure medications, antiulcer drugs, antihistamines, tranquilizers (especially before intercourse), antifungals (hetoconazole), antipsychotics, antianxiety drugs, and antidepressants, known as selective serotonin reuptake inhibitors (SSRIs, including Prozac and Paxil), can interfere with erectile function. Smoking, excessive alcohol consumption, and illicit drug use may also contribute. In rare cases, low levels of the male hormone testosterone may contribute to erectile failure. Finally, psychological factors, such as stress, guilt, or anxiety, may also play a role, even when the impotence is primarily due to organic causes.
In some cases, however, these drugs may be unsuitable for patients with heart disease. If you are considering one of these drugs and you have heart disease, as many diabetics do, be sure to tell your doctor. In rare cases, the pills may create "priapism," a prolonged and painful erection lasting six hours or more (although reversible with prompt medical attention).
"For men who are unwilling or unable to self-inject alprostadil, the FDA has approved this dissolvable pellet that can be inserted directly into the urethra, the opening of the penis," says Dr. Feloney. MUSE, with an inspiring name that actually stands for medicated urethral system for erection, will trigger an erection in about 10 minutes that may last as long as an hour. Using MUSE to treat ED can result in somewhat unpleasant side effects, however — including an aching sensation, burning, redness, and minor bleeding.
Usually there will not be a specific treatment that will lead to the improvement of erectile dysfunction. However, there are treatments that will allow erections to happen and can be used to allow sexual activity to take place. There are three main types of treatments: non-invasive treatments such as tablet medicines and external devices (e.g. vacuum device); penile injections; or for men who have not had success with other treatments, surgery may be an option.
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Of particularly concern are antihypertensive medications for CVD (eg, digoxin, disopyramide [Norpace], gemfibrozil [Lopid]), anxiety, depression (eg, lithium, monoamine oxidase inhibitors, selective serotonin reuptake inhibitors, serotonin-norepinephrine reuptake inhibitors, tricyclic antidepressants), or psychosis (eg, chlorpromazine, haloperidol, pimozide [Orap], thioridazine, thiothixene). Antihypertensive drugs, such as diuretics (eg, spironolactone, thiazides) and beta blockers, may be associated with ED. Discontinuation or switching to alternative drugs, such as angiotensin-converting enzyme inhibitors or calcium channel blockers (eg, diltiazem, nifedipine, amlodipine), may reduce ED. The newer angiotensin II receptor antagonists may be less problematic with respect to ED, but long-term data is needed to evaluate this.
Many experts believe that atrophy, a partial or complete wasting away of tissue, and fibrosis, the growth of excess tissue, of the smooth muscle tissue in the body of the penis (cavernous smooth muscle) triggers problems with being able to maintain a firm erection. Poor ability to maintain an erection is often an early symptom of erectile dysfunction. Although the condition is called venous leak, the real problem is not with the veins but malfunction of the smooth muscle that surrounds the veins. The end result is difficulty with maintain a firm erection (losing an erection too quickly) that is now believe to be an early manifestation of atherosclerosis and vascular disease.
Taking one of these tablets will not automatically produce an erection. Sexual stimulation is needed first to cause the release of nitric oxide from your penile nerves. These medications amplify that signal, allowing some men to function normally. Oral erectile dysfunction medications are not aphrodisiacs, will not cause excitement and are not needed in men who get normal erections.
Communicate with your partner. Do you feel comfortable and accepted when it comes to your sexual performance? If you're worried about meeting your partner's too-high expectations or living up to some kind of standard, it will be harder to maintain an erection - it's called performance anxiety. If you think your partner's judgment might be hindering your ability to have satisfying sex, you need to communicate your needs and find ways to make your sexual environment more inviting.
It is normal for a man to have five to six erections during sleep, especially during rapid eye movement (REM). Their absence may indicate a problem with nerve function or blood supply in the penis. There are two methods for measuring changes in penile rigidity and circumference during nocturnal erection: snap gauge and strain gauge. A significant proportion of men who have no sexual dysfunction nonetheless do not have regular nocturnal erections.
Long-term predictions based on an aging population and an increase in risk factors (eg, hypertension, diabetes, vascular disease, pelvic and prostate surgery, benign prostatic hyperplasia, and lower urinary tract symptoms) suggest a large increase in the number of men with ED. In addition, the prevalence of ED is underestimated because physicians frequently do not question their patients about this disorder.
Nerves originating in the spinal cord and peripheral ganglia innervate the penis. There are autonomic (parasympathetic and sympathetic), and somatic separate and integrated pathways. The autonomic pathways neurons originate in the spinal cord and peripheral ganglia from the sympathetic and parasympathetic systems, respectively. They merge to form the cavernous nerves that travel alongside the prostate, enter the corpora cavernosa and corpus spongiosum to affect the neurovascular events required for tumescence and detumescence. The somatic nerves send sensory information from the penile skin, glans, and urethra via the dorsal penile nerve and pudendal nerve to the spinal cord. The somatic nerves also initiate contraction of the ischio- and bulbocavernosus muscles.
When other treatments haven't helped, a penile implant may be the right solution. A penile implant is a medical device that is surgically placed into a penis to mimic the look and performance of a natural erection9. Implants are custom-fitted to your anatomy. Sensitivity and the ability to ejaculate aren't typically affected either, so you'll be able to have an orgasm normally (unless you have a medical condition that prevents this)7.
Your doctor will ask you questions about your symptoms and health history. They may do tests to determine if your symptoms are caused by an underlying condition. You should expect a physical exam where your doctor will listen to your heart and lungs, check your blood pressure, and examine your testicles and penis. They may also recommend a rectal exam to check your prostate. Additionally, you may need blood or urine tests to rule out other conditions.
Chronic stress dumps adrenaline in your system multiple times a day. And that can lead to high blood pressure, heart disease, obesity, and diabetes. Chronic stress is like red-lining your car all day long. When you drive 100 mph all the time, something is going to break down. A high-stress environment can actually change the way your brain sends messages to your body. Dumping too much adrenaline into your bloodstream can affect blood flow and severely limit your ability to achieve and maintain an erection.
Psychosocial problems are important and may cause erectile dysfunction by themselves or together with other causes of erectile dysfunction, such as diabetes and heart disease. Relationships are complicated and many factors cause tensions, which can affect sexual relations. For some men, these problems can become ongoing and it can help to talk through the issue with a skilled counsellor. It is important to know that the longer erectile dysfunction is left untreated, the greater the effect on relationships. This is another reason why early treatment of erectile dysfunction is important.
Vacuum therapy devices have a few disadvantages. One must interrupt foreplay to use them. You must use the correct-size tension ring and remove it, to prevent penile bruising, after sustaining the erection for 30 minutes. Initial use may produce some soreness. Such devices may be unsuitable for men with certain bleeding disorders. In general, vacuum constriction devices are successful in management of long-term ED.
The views expressed in this article intend to highlight alternative studies and induce conversation. They are the views of the author and do not necessarily represent the views of hims, and are for informational purposes only, even if and to the extent that this article features the advice of physicians and medical practitioners. This article is not, nor is it intended to be, a substitute for professional medical advice, diagnosis, or treatment, and should never be relied upon for specific medical advice.
Begot, I., Peixoto, T. C. A., Gonzaga, L. R. A., Bolzan, D. W., Papa, V., Carvalho, A. C. C., ... & Guizilini, S. (2015, March 1). A Home-Based Walking Program Improves Erectile Dysfunction in Men With an Acute Myocardial Infarction. The American Journal of Cardiology, 115(5), 5741-575. Retrieved from http://www.ajconline.org/article/S0002-9149(14)02270-X/abstract
A study published in May 2014 in The Journal of Sexual Medicine found that some men can reverse erectile dysfunction with healthy lifestyle changes, such as exercise, weight loss, a varied diet, and good sleep. The Australian researchers also showed that even if erectile dysfunction medication is required, it's likely to be more effective if you implement these healthy lifestyle changes.
NO is produced by the enzyme NO synthase (NOS). [13] NOS plays many roles, ranging from homeostasis to immune system regulation. To date, 3 subtypes have been identified: nNOS, iNOS, and eNOS, which are produced by the genes NOS1, NOS2, and NOS3, respectively. This nomenclature is derived from the sources of the original isolates: neuronal tissue (nNOS), immunoactivated macrophage cell lines (iNOS), and vascular endothelium (eNOS). The subtypes are not, however, limited to the tissues from which they were first isolated.
Several pre-treatment factors have been described that may indicate success with PDE5i therapy. The presence of an upper motor neuron lesion up to T12 suggests a successful response, as well as requirement for a lower dosage of medication (62,68-71). Additionally, the presence of residual erections after injury or an incomplete SCI (ASI-A vs. ASIB-D) also improve the chance of PDE5i treatment success (59,67,68,71).
PDE5 inhibitors, the primary second-line therapy, have been the mainstay of ED treatment since the release of sildenafil (Viagra) in 1998, with the subsequent development of many others, and still more in the development stage. These medications do improve erectile quality for the majority of men, and they work by enhancing blood flow in the corpora cavernosa. These medications are generally used on demand and need to be taken about an hour before sexual intimacy. Tadalafil (Cialis) is longer acting and does come in a daily preparation potentially eliminating the 'on-demand' need. The daily dosing of tadalafil, 2.5–5 mg\day, has also been approved by the FDA for treatment of symptoms of BPH.41 PDE5 inhibitors are contraindicated in men taking nitrates, but otherwise PDE5 inhibitors are very safe and effective. When PDE5 inhibitors are coadministered with nitrates, pronounced systemic vasodilation and severe hypotension are possible. Many patients with ED are elderly and have the same risk factors as patients with CAD, so these drug combinations are commonly considered or encountered in clinical practice.42
It is estimated that up to 20 million American men frequently suffer from impotence and that it strikes up to half of all men between the ages of 40 and 70. Doctors used to think that most cases of impotence were psychological in origin, but they now recognize that, at least in older men, physical causes may play a primary role in 60% or more of all cases. In men over the age of 60, the leading cause is atherosclerosis, or narrowing of the arteries, which can restrict the flow of blood to the penis. Injury or disease of the connective tissue, such as Peyronie's disease, may prevent the corpora cavernosa from completely expanding. Damage to the nerves of the penis, from certain types of surgery or neurological conditions, such as Parkinson's disease or multiple sclerosis, may also cause impotence. Men with diabetes are especially at risk for impotence because of their high risk of both atherosclerosis and a nerve disease called diabetic neuropathy.
The laboratory results should be discussed with the patient and, if possible, with his sexual partner. This educational process allows a review of the basic aspects of the anatomy and physiology of the sexual response and an explanation of the possible etiology and associated risk factors (eg, smoking and the use of various medications). Treatment options and their benefits and risks should be discussed. This type of dialogue allows the patient and physician to cooperate in developing an optimal management strategy.
The Latin term impotentia coeundi describes simple inability to insert the penis into the vagina; it is now mostly replaced by more precise terms, such as erectile dysfunction (ED). The study of ED within medicine is covered by andrology, a sub-field within urology. Research indicates that ED is common, and it is suggested that approximately 40% of males experience symptoms compatible with ED, at least occasionally.[38] The condition is also on occasion called phallic impotence.[39] Its antonym, or opposite condition, is priapism.[40][41]
If you bike a lot and have a very narrow saddle on your bicycle, consider switching to a "no-nose seat" which is wider at the back than a conventional saddle, allowing more of your weight to be distributed to the sitting bones. Make sure the seat is level or angled slightly downward and at a height that allows your knee to be just slightly bent at the bottom of the pedal cycle. Raising the handlebars on your bike so that you're sitting upright may also help.
Erythrocytosis has been noted in men on TRT, and should be monitored every 6–12 months depending upon the patients' response to changes in haematocrit levels. For mild elevations, the dosage of testosterone can be decreased or the interval of using the medication can be increased. With the haematocrit greater than 50%, decisions to temporarily discontinue the medication or periodic phlebotomy may be indicated.38
Research has even found possible links to frequent ejaculation and a lower risk of prostate cancer. In one study of 32,000 men published in 2016 in the journal European Urology, for example, men who ejaculated at least 21 times per month while in their 20s were less likely to be diagnosed with prostate cancer than those who ejaculated four to seven times per month. And men who ejaculated more often in their 40s were 22 percent less likely to get a prostate cancer diagnosis.
Causes of impotence are many and include heart disease, high cholesterol, high blood pressure, obesity, metabolic syndrome, Parkinson's disease, Peyronie's disease, substance abuse, sleep disorders, BPH treatments, relationship problems, blood vessel diseases (such as peripheral vascular disease and others), systemic disease, hormonal imbalance, and medications (such as blood pressure and heart medications).
Between 10 and 88% of patients diagnosed with cancer experience sexual problems following diagnosis and treatment. The prevalence varies according to the location and type of cancer, and the treatment modalities used. Sexuality may be affected by chemotherapy, alterations in body image due to weight change, hair loss or surgical disfigurement, hormonal changes, and cancer treatments that directly affect the pelvic region.
Over a 2-year period, a third of the men randomized to a weight loss program demonstrated resolution of erectile dysfunction.10 A Mediterranean diet and nutritional counseling reported increased erectile quality.18 Little evidence supports that increased physical activity alone improves erectile quality; however, the strong association between physical activity and lower BMI is well described, and therefore recommended for men with erectile dysfunction and without a contraindication to physical activity.
It is important for clinicians prescribing these drugs to make the patient aware of the action of the drugs especially the fact that they do not result in an immediate erection, and that they do not cause an erection without sexual stimulation. There is frequently a great expectation when men begin using these drugs and it is wise to temper their enthusiasm and explain they do not work immediately, and may not work every time, but also let the patient know that if these drugs do not work, there are other options.
Whenever I am prescribing a medication to a patient, I'm always asking myself, what can the patient do before requiring the medication? What changes do they have to make in order to reduce the amount of medication or preclude their even needing it? So a good candidate is somebody who has an understanding of a healthy lifestyle, about physical activity, about sleep, about nutrition, alcohol, smoking. So patients, individuals, have to do their share before they're a candidate for anything. All right?


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We are excited about the repeat breading of Phoebe and Blaise. Their seven beautiful puppies pictured below were born March 25. We have a fantastic assortment of colors from creams to caramels - some are partis, others have white mismarks. They will mature to 30-35 pounds.
Reservation List Phoebe/Blaise (below): Go Home Date ~ May 20, 2019
- Casabianca
- Franco
- Goochee
- Breeder's Choice-LCL
- Cardinal
- Open
- Open
Paisley and Blaise's litter has arrived and will be ready for their forever homes on May 26, 2019. This beautiful litter is a mixture of parti and solids and will mature to be small-mediums in the 28-30 pound range. This reservation list is full.
Reservation List Paisley/Blaise (above): Go Home Date ~ May 26, 2019
- Breeder's Choice-LCL
- Breeder's Choice-Mountain Home
- Breeder's Choice-Maggie
- Caliger


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$10 – $200
Event description
A day to inspire and motivate young women ages 13-18 to dream bug and find their voice. This interactive conference will include a panel discussion with women from a variety of fields and backgrounds, breakout sessions, motivational speakers and more! $10 per person; group rates available!
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out of 10
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out of 10
#[Container.ReviewCount] reviews
As you want to go soon, please call us now on 0345 498 6060 , so we can book your holiday for you. It'll only take a few minutes.
First floor apartment with double sofa bed in lounge and bunk bedded area with curtain divider. Open plan with sliding patio doors to balcony.
1 bedroom(s)
Up to 4 people
Yes 2 pet(s) allowed
EntertainmentPasses Included
Beach within3 miles
Outdoor SwimmingPool
Indoor SwimmingPool
Children'sPlay Area
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10 out of 10
A great park for kids and adults alike.
Confirmed guest, 2019-03-25
9 out of 10
Very nice and relaxing.
Only negative being we couldn't use bar, restaurant etc as our dog wasn't allowed in the facilities.
Confirmed guest, 2019-03-15
Coming again says it all
Confirmed guest, 2019-02-18
Great apartment,neat ,tidy and very functional
Confirmed guest, 2019-02-15
Fantastic! Highlight recommend to families with children.
Confirmed guest, 2019-02-11
Confirmed guest, 2018-12-29
8 out of 10
We booked last minute so happy that there was availability. There was ample parking outside of the apartment and we we warm and cosy throughout our stay. The bedroom area was rather small and may be better suited for children than adults but this did not affect our stay too much. The facilities on site were nice, we especially liked the swimming pool area - the foot spa section and the jacuzzi was excellent. Only slightly disappointed that the nightly Bingo games did not take place as there weren't enough people around to participate.
Confirmed guest, 2018-11-02
Couldn't manage the sofa bed and not good in a bottom bunk bed. Bedding not made up. But nice and clean.
Confirmed guest, 2018-09-10
Cracking apartments, decent size. Only down side is trying to fit the sheets yourself on the bunkbeds - its a mission!!
Confirmed guest, 2018-09-07
7 out of 10
The apartment was nice and clean. Was a little on the small side however it was a nice apartment., the water pressure in the shower was very poor and having long hair it took a very long time to wash the shampoo out. The bunkbeds were perfect for our children. The sofa bed was very uncomfortable with lumps and bumps all over it.
Confirmed guest, 2018-08-24
Stanwix Holiday park is clean, providing the necessary comfort to have a great holiday on site and is a great base for touring the lakes.
Confirmed guest, 2018-08-11
good holiday
Confirmed guest, 2018-06-30
Good basic accommodation.
Confirmed guest, 2018-06-16
Steps upto apartment a bit steep... Not recommended for large/older dogs
Confirmed guest, 2018-05-19
Confirmed guest, 2018-04-27
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8.1 /10 35 reviews
Ground floor apartment with one double, one bunk bedded area with curtain divider and a double sofa bed in the lounge. Open plan with sliding patio doors onto terrace.
Includes - discount
8.1 /10 28 reviews
12ft-wide caravan with one double and one twin.
8.8 /10 16 reviews
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12ft-wide caravan with one double and two twin.
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Featured items
Dark Alice in Wonderland Digital Scrapbooking Kit, instant download digital paper and clipart Mad Hatter, Queen of Hearts, White Rabbit
Distressed Writing Paper, notebook digital paper grunge junk journal pages printable 8.5x11 inch A4 paper scrapbooking instant download
Luxury Diamond Clipart in PNG format with borders, sparkle frames clip art and strands instant download for commercial use
Shabby Paper Textures, vintage shabby chic flower paper backgrounds printable scrapbook paper instant download for commercial use
All of my graphics are commercial use and POD (print on demand) friendly with NO CREDIT REQUIRED (Unless you want to - it is always appreciated!) Some restrictions apply... please see FAQ or item descriptions for complete license.
Please visit my facebook page www.facebook.com/DigitalCurio for flash sale coupon codes announced once a month, which are usually 40% off with no minimum purchase!
At this time I cannot accept any custom orders, special requests or requests for color changes to existing clip art or digital paper. Even if the request is small, I get many per day and I struggle to keep up with a busy schedule. Thank you for understanding :)
All of my graphics are commercial use and POD (print on demand) friendly with NO CREDIT REQUIRED (Unless you want to - it is always appreciated!) Some restrictions apply... please see FAQ or item descriptions for complete license.
Please visit my facebook page www.facebook.com/DigitalCurio for flash sale coupon codes announced once a month, which are usually 40% off with no minimum purchase!
At this time I cannot accept any custom orders, special requests or requests for color changes to existing clip art or digital paper. Even if the request is small, I get many per day and I struggle to keep up with a busy schedule. Thank you for understanding :)
- All 1935
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mspirit26 on Apr 23, 20195 out of 5 stars
Mrs. Singleton on Apr 23, 20195 out of 5 stars
loved, will purchase from seller again
Samantha on Apr 23, 20195 out of 5 stars
Instant Downloads for Creative Souls
Hello! Thank you for taking the time to visit Digital Curio! We are Kate and Aaron Rose from Roseville, California. We are self-taught designers, having fallen in love with Photoshop and Illustrator as soon as we discovered them. We feel very fortunate to have stumbled upon such a rewarding and fun pastime.
We opened Digital Curio in 2014. I (Kate) create the artwork from scratch or using vintage images in the public domain, while my husband Aaron runs the store and does most of the logistics involved! The MO is eclectic; I love all styles and forms of digital art and have become a sort of jack-of-all-styles in artistic endeavors. A good friend suggested we try opening an Etsy shop for my designs, which had mostly been a side hobby for the past eight years. I never thought there could be a market for them, and we have been pleased and surprised at the support of the online community!
We strive to offer the highest quality graphics for your creative needs, whether it be for personal or commercial projects. We take pride in our work and it is important those who are interested in our designs feel that they can connect with us on a personal level.
We thank each and every customer from the bottom of our hearts for your support!
Shop members
Kate Rose
Owner, Creator, Designer
Aaron Rose
Shop policies
Digital downloads
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I gladly accept cancellations
I don't accept returns or exchanges
I accept returns I do not accept returns
I accept exchanges I do not accept exchanges
I accept cancellations I do not accept cancellations
Because of the nature of these items, unless they arrive damaged or defective, I can't accept returns for:
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Frequently asked questions
* The images can be used for personal or commercial purposes. POD friendly. Commercial use does NOT require an additional license purchase! Hooray!
* Images can be used to create commercial physical and printed goods.
* POD products are fine. However, no uploading to 3rd party apps.
* Any DIGITAL commercial use, in which you are selling a digital download, MUST be sold in the form of a flattened, complete design. You may not sell as-is or make other digital design resources. Using my graphics to make clip art, digital papers, add-ons, or other design resources is NOT ALLOWED. If you are unsure if use in your product is ok, please send me a convo.
* Do not redistribute, resell, share or copy. I retain copyright to the images in my shop.
I will gladly refund and cancel your order, if you have not yet downloaded the files. Due to the nature of the product, there are no returns for digital items that have already been downloaded.
It is important that you are 100% satisfied with your purchase. Please contact me if you have a question or concern with the graphics.
Some of my products exceed Etsy's file size limit. Those products are kept off-site at my file transfer service, WeTransfer. Your download from Etsy contains a link to your actual product there. If you are not comfortable using WeTransfer, please contact me and I would be happy to upload to an alternative transfer service of your choice (such as DropBox or Google Drive).
No. The images must be used in a flattened, finished design or product that is not meant to be used in a creative way by your customer. Digital scrapbooking kits and scrapkits are design resources. Some examples of digital products that are OK are invitations, calendars, art prints, planner stickers, printable party decor and games, logos, and branding materials. Please send me a convo if you have a product in mind but are unsure of usage terms!
If you want to sell or give away your work containing my images, it must be a complete, finished design or product and NOT a design resource. Combining images or textures to make "new" clipart or textures that you sell or post for free is not allowed. If you are not clear on what constitutes a design resource versus a finished product please send me a convo!
Yes. Most home printers have the capability to print larger images two ways. You can instruct your printer to shrink the image to fit to page, or to crop off the sides that extend beyond normal paper size. This capability and the steps to do so will vary by printer. If you have any trouble, I offer free resizing on most of my digital papers up to 10 sets. Some sets do not qualify for free resizing due to the composition of the images on the 12x12 format.
The gold as seen in the listing will not appear as shiny as in the photo when in print, because it doesn't print as real foil and would be ink or toner on paper rather than backlit pixels. To print with real foil requires a different file setup and foiling equipment. The images in my shop are not formatted for use with real foil.
For best results on the gold, I recommend printing on pure white paper so that the colors come out closest to what you see on your screen. If the image is dark, I recommend using a laser printer rather than inkjet, and cardstock which is at least 90 lb weight.
Digital paper and clip art are sets of digital images. If you purchase a listing from my shop, you will be able to download the images by going to your purchases and reviews section.
Once downloaded to your computer, you must "unizp" the zipped folders of your download to get access to the images. If you use Windows, you can do this by right-clicking the zipped folder and choosing "extract." This will place a file full of the images in your chosen location on your computer. I usually extract to the desktop so I can find them easily.
You can then use the images to design with digitally, or to print directly. Once unzipped, digital papers are ready to print for use in paper crafts.
At this time due to a busy schedule I am not able to do custom requests, create logos or create exclusive designs.


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Peter Flesor, age 94, passed away Key Largo, FL. Beloved husband of the late Elizabeth; dear brother of the late Gus (Jenny and the late Anastasia) Flesor; dear uncle of Michael (Pam) Flesor, Kay Breeden, and Demetra (Dr. Anthony DeMonte); uncle of many nieces and nephews, dearest friend to Karen and Ike Beal of Key Largo, FL. At the family's request those attending the funeral on Wednesday shall meet at the Transfiguraton Chapel in Elmwood Cemetery, River Grove, IL for 12:30 p.m. services. Funeral Arrangements are under the direction of George Vergos Funeral Director. For info 847-768-5800.
Garrett Popcorn alleges former employee stole secret recipes. 'Once it has been shared, there is no way to 'undo' the disclosure,' lawsuit says.
Here's what we know about the disappearance of 5-year-old Andrew 'AJ' Freund of Crystal Lake
Naperville's 'Jeopardy!' record-breaker wins 13th in a row, approaches $1 million in winnings
Copyright © 2019, Chicago Tribune


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Laguna Niguel Grand Opening SpecialsApril 23, 2019
New! Grand Opening Specials Celebrate the opening of our newest location in Laguna Niguel with our Grand Opening Takeout Specials! Choose from 3 packages to feed 4 or more for $24.99!* Whole Chicken, Tri Tip or Full Slab of Baby Back Ribs Served with a small vegetarian BBQ Chopped Salad, large Garlic Mashed Potatoes,… Read More
Spring SpecialsApril 22, 2019
Introducing our Spring Specials! Just in time for spring, we have introduced 4 new spring-themed specials. Try these new items April 22nd in our Thousand Oaks, West Hills, Laguna Niguel, and Ventura locations, and or on April 29th, when they will be available in all locations! Superfood Fiesta Salad Bowl – A spicy salad… Read More
Chicken and Ribs for 2April 8, 2019
Made for sharing, our Chicken and Ribs for 2 includes a 1/2 chicken, prepared BBQ or Lemon Garlic, a 1/2 Slab of Baby Back Ribs, a Petite BBQ Chopped Salad and 4 Freshly Baked Breadsticks all for $19.99. Ready to order? Please see the Limited Time Only section of our online menu! Order Now!… Read More
Feed Your March Madness Party!March 8, 2019
If your house is the gathering place for this year's March Madness tournament, we have you covered with the ultimate party menu that is sure to be a "slam-dunk!" N Create your bracket with your Stonefire favorites with our 2 Sandwich or Wrap Package. For only $10.99 per person, you can choose any of our… Read More
National Meatball WeekMarch 4, 2019
We're celebrating National Meatball Day all week! From March 4th through March 10th, get a free order of individual meatballs with any $10 purchase, just mention"National Meatball Week" when ordering. With locations across Southern California, including Los Angeles, Ventura County, Orange County, the Inland Empire and the San Fernando Valley, find the location closest to you… Read More
National Carrot Cake DayJanuary 28, 2019
Our favorite holiday is back! Every year, February 3rd is set aside to celebrate this wonderful dessert and we're celebrating with 50% off full and half slices of our Incredible Carrot Cake all week long from 2/3/19-2/9/19.! In honor of this very special day, here's a little bit of history about our favorite dessert. HISTORY… Read More
A Healthy Start to the New YearJanuary 23, 2019
Happy New Year! If you're like most people, you've likely made some New Year's resolutions and we'd be willing to bet that one of your resolutions includes eating healthy in the new year. Good news! Stonefire Grill offers tons of healthy options, so you don't have to worry about breaking your resolutions or the bank… Read More
Mashed Potato WednesdayOctober 31, 2018
The month of November always gets us thinking about the many things we have to be thankful for; after all, we do set aside an entire day just to give thanks! In keeping with the spirit of gratitude, we'd like to take this opportunity to list just a few of the things we're thankful for.… Read More
Stonefire Grill Craft Your Own SaladOctober 3, 2018
We're all about making our guests feel right at home, which is why we offer so many tasty options on our menu. We like knowing that no matter how big your family is, everyone in your household will find something they like at Stonefire Grill; even your pickiest eaters. Well, to make you feel even… Read More
Family MealsSeptember 26, 2018
Feed Your Family of 4 or More! Love incredible tasting, home-cooked meals at an exceptional value? Well, have YOU heard about our Family Meals? Choose from a variety of grill options, a medium salad (Garden, Caesar, Cartwheel or Greek), and 12 of our Freshly Baked Breadsticks. 1/2 Chicken & 1/2 Tri Tip $39.99 Whole Chicken $43.99… Read More


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WW1 - Life in the Trenches
Feel the same gut-wrenching turn from optimism to sickening depression that soldiers felt as they entered the war and realized exactly how dire the situation was. This video, while not narrated, provides a close-up of how miserable life in the trenches can be. Use this to prompt a writing assignment or a discussion on the trials of trench life.
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Leland Linman's War: A Look at Soldiers' Daily Lives in World War I
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New Review The German Painter Who Fought In The Trenches - Otto Dix
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Waiting for meaning in wonder
(Waiting For-) Texts For Nothing Samuel Beckett, In Play by Joseph Kosuth, Australian Centre for Contemporary Art 111 Sturt Street, Southbank, until February 27
THE blinding light of summer prepares you well for a dark installation by Joseph Kosuth. You enter ACCA as if penetrating an ancient mausoleum: matte black paint absorbs the light that leaks faintly from a frieze of neon letters at the top of the gallery walls, and black rubber underfoot kills the sound and deletes your footstep.
The illuminated entablature delineates the wall; and the weak spill of light from the neon tubes creates the illusion of curvature, as if the ceiling is vaulted. As you walk deeper into the void, you have only the white inscription above to guide you. It is a frame for the otherwise inscrutable space.
As in the lofty buildings of Rome, with authoritative incantations carved on high, it's hard to read the inscription, even in English; and a cynic might say that it's a pompous way to communicate words. The complex title, '(Waiting for-) Texts for Nothing,' Samuel Beckett, in play, tells us that the content comes from Beckett's Waiting for Godot and Texts for Nothing.
The focus on Beckett is literal. Kosuth even includes a dim grey picture by Caspar David Friedrich of two men looking at the moon, which Beckett admired and may have inspired Waiting for Godot.
To understand the large work, three earlier pieces have been installed alongside it. The first is a suite of dictionary definitions of the word ''nothing'' from 1969, echoing Kosuth's famous inquiry into the relation of language to art: One and three chairs, showing a chair, its photographic image and a dictionary definition of chair. But unlike a chair, the word nothing is entirely immaterial: there's nothing that you can put beside it, since the noun doesn't have a visual manifestation. It may be abstract, but it's also distinctly real. The word Kosuth uses for a game rises to alarming corporeality in the circumstance of ''nothing'' to eat: starvation.
The second language-game piece concerns James Joyce's Ulysses, but it's just a display of neon words and has no evocative dimension; and the third, Zero & Not is based on Sigmund Freud's explanation of the slip-of-the-tongue. With its crossed-out sentences and German words - which are needed to follow the slip - the work is entertaining if you have much prior knowledge. Once you sort out the underlined parts with the numbering, you can reconstruct the sentences: it's an esoteric intelligence test.
Kosuth's work is intentionally not about an aesthetic experience. He has been an early critic of formalist aesthetics, feeling that the handsome appearance of an artwork negates the chances of art attaining the conceptual. Kosuth rather sees conceptual art as analytical and propositional; it has a linguistic character that especially expresses definitions of art.
As we see at ACCA, art indeed approaches philosophy, even though it ignores ethics. But while making a tomb of obscure ontologies, the work hardly makes aesthetics redundant.
Kosuth's work disproves its own theory. It is most arid when confined to language definitions and most valuable when it transcends its linguistic agenda. The large work at ACCA is interesting because it acts through space, not words; and the larger evocative dimension of the work is precisely where the words fail.
In the south-western corner, Beckett's words in fact read: ''communicated by the intervals, not the terms''. Language itself is built up with a great elasticity of images and only arrives at the conceptual by means of metaphor, which is poetic and aesthetically rich. Language never exhausts an abstract concept but creates it in partial images that are historically defined.
Kosuth's installation says little about language and its best attribute is its immersive character, which is aesthetically charming. It creates a space of sacralised wonder that has nothing to do with language. And finally, in spite of its laborious references from Beckett, the work at ACCA is quite removed from the playwright, a poet of absurdity who humours the bitterness of an end without a purpose.


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A cement mill (or finish mill in North American usage) is the equipment used to grind the hard, nodular clinker from the cement kiln into the fine grey powder that is cement.Most cement is currently ground in ball mills and also vertical roller mills which are more effective than ball mills.
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Mortar is a workable paste used to bind building blocks such as stones, bricks, and concrete masonry units together, fill and seal the irregular gaps between them, and sometimes add decorative colors or patterns in masonry walls.
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Portland cement is not a brand name, but the generic term for the type of cement used in virtually all concrete, just as stainless is a type of steel and sterling a type of silver. Cement comprises from 10 to 15 percent of the concrete mix, by volume.
The name for portland cement came from the Isle of Portland, off the English coast, where deposits of the mineral components used in modern concrete were first found and chemically isolated. By 1908, Thomas Edison was experimenting with building pre-cast concrete houses in Union, N.J.
Indeed, cement is the key ingredient of concrete. Semantics aside, concrete is the signature material in driveways, patios, basements, and a host of other American items. It is also the world's most widely used building material .
The basic difference is that cement is a fine binding powder (which is never used alone), mortar is composed of cement and sand, and concrete is composed of cement, sand, and gravel. Cement It is made most commonly of limestone, clay, shells, and silica sand.
A cement mill (or finish mill in North American usage) is the equipment used to grind the hard, nodular clinker from the cement kiln into the fine grey powder that is cement.Most cement is currently ground in ball mills and also vertical roller mills which are more effective than ball mills.
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1.0 Abstract The ball mill is the largest single power consumer in a cement plant. In recent applications 11,500 hp and larger drives have been installed.
Cement history. Throughout history, cementing materials have played a vital role and were used widely in the ancient world. The Egyptians used calcined gypsum as a cement and the Greeks and Romans used lime made by heating limestone and added sand to make mortar, with coarser stones for concrete.
The main reason for building a ball mill was to grind up bentonite for a refractory component in a furnace I am building. I looked all over the place on the internet about how to grind granular clay to a powdery consistency.
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The most common task of any Salesforce implementation is the creation of user accounts. All projects need users! It can be as simple as inputting a few users from the UI or loading one or several CSV files dealing with parent-child relationships. The user object has a particular place in Salesforce between metadata and real data. In this post, I'm going to talk about users import and configuration in an org where you've already deployed the security components profiles, permission sets, roles, public groups and queues.
Preparing Your Toolbox
Before starting your journey into users import, you need to make sure you've got the right tools and approach to doing the job.
File Format
📃 The usual format used during data migrations is CSV. It's a simple text structure, easy to manipulate but not very robust. My recommendation is to learn a method which (1) works for you and (2) deal with all use cases. This way, you won't have to reinvent the wheel project after project.
In particular, I suggest to always stick to UTF-8 for character encoding. Even if you're not working on an international double-bytes characters project you may get a couple of foreign last names lost in the bulk of your data that caries accented characters from Western or Eastern Europe.
✏ When editing CSV files I use Easy CSV Editor on my Mac and Ron's Editor on my PC. Sometimes a text editor, like VS Code, for instance, can be handy to access raw data, validate delimiters and the general shape of a file. If you're not sure, you can use the online service csvlint. Ban the use of traditional spreadsheets ("Excel" or "Numbers") as it's difficult to control how the data is actually saved to disk. Instead, prefer database apps like "Access" or my Salesforce Users Import Template.
🤖 There are two APIs available to load data in Salesforce (SOAP and Bulk). I normally use the Bulk API. It might be a bit touchy at times, especially when dealing with files, but there are some settings to tune it.
🛠 At some point in the process, you'll have to identify fields by their API names. I recommend using the Chrome Extension Salesforce Inspector for this purpose. And for when you need to look around in the database, nothing beats the Salesforce professional's Swiss army knife: The Workbench.
Data Loader
🚛 To load your data in a Salesforce server, you need a client app. Here is a short list of the free options on the table. I'm not evaluating the paid options as they're not a fit for consultants. Expect the below results to change drastically when paying for the service.
This is the reference to which all tools are measured. It's provided and supported by Salesforce which is a key advantage. It's got a comprehensive list of tuning options and is very robust. When an insert is timing-out with another tool, I always end up trying with the Salesforce Dataloader. The main issue I have with it, is that it's not convenient to use when running many transactions, redoing stuff, changing org… You're always starting from scratch.
|Ease of use
Dataloader.io is well known for dealing with parent/child lookups from within the field mapping section. Which means that there's no need to retrieve Salesforce IDs before loading records containing parent lookups! It's also very easy to use, thanks to its slick UI. And that's also its default, there's not much to configure should you want to tune a data load. Also, there's no support which can become a blocker when you need it.
|Ease of use
Jitterbit feels like a data loader created by people who are used to load data! With one login to your Jitterbit account to get access to all the salesforce orgs, you're working on. You can create a library of queries, run multiple queries in parallel, run the same query on multiple orgs and do some clever transformations. The support is done via a community forum where questions usually get a quick answer. The setup process can be tricky though and the last update was released in Decembre 2016.
|Ease of use
So, in the end, Jitterbit is my weapon of choice and I keep Salesforce Dataloader as a backup tool.
From time to time, I log on Dataloader.io and check if it's any better. It has the potential to become the best option but it's not there yet and I hope that Salesforce's acquisition of Mulesoft will help the product in this respect.
Getting Organised
There's a logical order to go through the migration.
- Deploy the metadata to the target org (including security components).
- Retrieve the security components IDs.
- Import the users using the "Profiles" and "Roles" IDs.
- Retrieve the user IDs from the success log.
- Load the assignment junction objects.
At this point, you're ready to complete the data migration using the users and queues IDs to set records ownership.
Retrieving The Security Components IDs
Although profiles, permission sets, roles, public groups and queues can be migrated as data, you're better-off deploying them as metadata. So, assuming they've already been deployed when the users' migration starts, the first thing to do is to retrieve their IDs. The following SOQL queries will do just that.
[code lang=text]
— Profiles
SELECT Name, Id FROM Profile
— Roles
SELECT Name, Id FROM UserRole
–Permission Set
SELECT Name, Id FROM PermissionSet WHERE IsOwnedByProfile = FALSE
— Groups
SELECT Name, Id FROM Group WHERE Type = 'Regular'
— Queues
SELECT Name, Id FROM Group WHERE Type = 'Queue'
Store the results in the tabs starting with IDs of my Salesforce Users Import Template.
Importing The Users
There is quite a lot of fields to gather in this part of the process:
- The users' data that the business owner wants to import.
- The users' data that Salesforce considers mandatory.
- The many-to-many relationship between users and their permission sets, public groups and queues membership.
😱 This may look like a simple task but it tends to be a pain. It usually requires multiple back and forth between the business owner and yourself, juggling with several versions of an Excel file.
As I needed a smoother workflow, I came up with the process I'm sharing in this post which is based on a Google Sheet. In a nutshell, both tabs and columns headers follow the same colour code:
- Blue: for the business owner and yourself if you can help.
- Yellow: comments that are not imported.
- Red: for yourself only.
- Grey: Not supposed to be edited.
The tab "Values" contains the sandbox prefix in cell "A2". It should be emptied when dealing with a production environment.
The fields listed below are required and identified, in the "Users" tab, by a dark blue column header.
- Alias
- EmailEncodingKey
- LanguageLocaleKey
- LastName
- LocaleSidKey
- CommunityNickname
- ProfileId
- TimeZoneSidKey
- Username
👍 If you add new columns to the template use the field API Name as a column header so that you will be able to do an "auto-map" when configuring the data loader insert job.
Tab "Input – Users"
To create the CSV file for users records, select the "Input – Users" tab, then menu "File", "Download as" and "Comma-separated values (.csv, current sheet)". Then load the data in the User object.
Retrieving The User IDs
To retrieve the user IDs, simply copy the ID column from the "Users" insert success file into column "E" of the "Users" tab. The rows are kept in the same order to allow a simple "Copy & Paste".
Loading The Assignments
Assignments (permission sets) and memberships (public groups and queues) are junction objects supporting no extra attribute. So, a pair of IDs is always the only thing to load.
Tab "Input – PS"
To create the CSV file for permission sets assignments, select the "Input – PS" tab, then menu "File", "Download as" and "Comma-separated values (.csv, current sheet)". Then load the data in the PermissionSetAssignment object.
Tab "Input – Groups"
To create the CSV file for "Public Groups" memberships, select the "Input – Groups" tab, then menu "File", "Download as" and "Comma-separated values (.csv, current sheet)". Then load the data into the GroupMember object.
Tab "Input – Queues"
To create the CSV file for "Queues" memberships, select the "Input – Queues" tab, then menu "File", "Download as" and "Comma-separated values (.csv, current sheet)". Then load the data in the GroupMember object.
The End
This is it! At this stage, you should have a security model fully replicated in your target org with the users correctly mapped into it and ready to be used. Hooray!!! 🎉
Related Posts & Resources
- Salesforce post (2013): Fifteen Things to Consider Before Your Next Data Migration
- Trailhead project: Import and Export with Data Management Tools
- SOAP API reference: User Object
- Salesforce data model: User, Sharing and Permissions


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Family Physician
Exp 50 years
I will be looking into your question and guiding you through the process. Please write your question below.
1 Doctor agrees with this answer
Yes, even a day without insulin can lead to serious complications.
hi. i m anil jain from bhilai, age 29 yrs, i m suffering from diabetes high side for past 2 yrs, right now i m in tablets which is in fair control, i want to know that wether insulin is better for me as it effects in early age or i cont.. with tablets only. also good diabetologist in nagpur or mumbai.
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My mother is 62 years old and suffering from High BP for the last 10 years and Diabities since last 2 years. Her treatment is still going on. Till today she was taking medicines but now doctors are saying that she has to take insuline injection. After taking every precaution, before meal her suger level is 145 and after meal 280. What can i do in this condition? Is insulin injection is only option or any ways are still pending?
Hi doctor I ve had a bad pain in my left side back and front for 3 days now. Went to a walk in doctor and he said it s not my spleen or kidney . The pain gets worse when I eat and I have had some constipation with it. Now I m having pulsating on the inner side of my left knee no pain though just annoying. I also had pain in the right side of my neck. I ve been sick since April and now I m concerned about my pancreas . What could all of this be?
hi, i am 45yrs male,5 5 feetheight,70kg weight..i was diagnosed with chronic pancreatitis for last 8-9yrs andhave been diagnosed for fatty infiltration liver for past 3 months.. my gall bladder has been removed already in the surgery.. n other organs i.e kidney, spleen , urinary bladder ,prostate are normal..i have pain in upper abdomen..gradual onset,continous type,dual pain with nausea and dyspepesia..my amylase and lipase levels have increased from 194 to 326 and 120 to 255 resp.in past 3 months.. i consulted the doctor and he suggested rabemac,creon,glucomorn,ornilox,DUNIRS,deminal..my current glucose levels are 199.. please suggest me my options for the treatment..
my husband had 14 inches of his bowel removed 1 month ago ,and 1 week ago he was mowing grass and felt a pop in his stomach called his DR he said to get ct scan and they called and said he has diverticulitis and lesion on pancreas put him on 2 antibiotics. what does this mean ?
In 2006 I had CT of the abdomen and they found a 3mm cyst lesion, low density area. in the body of the pancreas. It hadn t changed from the previous CT in 2003 and diagnosed as chronic. I haven had another CT since then. It s been 6 years and now I have abdomen issues with digestion. Should I be concern over it or is it a negligible problem.
Sir, I am 59 years with no sugar and blood pressure problem . During routine yearly blood test , my Amylase and Lipase tests showed elevated levels. Amylase level showed MORE THAN 1000 in Thyrocare lab and 3661 IN XXXXXXX HOSPITAL LAB, BENGALURU....
I am currently 25 and fighting alcoholism! today it the first day I didn't drink in a while but, i was always drinking hard liquor most days throughout the years as I I'm allergic to beer. I have fructose allergies and so that has caused a lot of...


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