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Renal cancer diagnosis

Renal cancer diagnosis: Physical exam and tests

Renal cancer diagnosis

Renal cancer diagnosis. With all the indicators the presence of kidney cancer symptoms like physical pain on your side

With all the indicators the presence of kidney cancer symptoms like physical pain on your side, unexplained weight loss, or extreme fatigue. Or during your routine medical checks your doctor may have found a lump in your side or seen a sign of kidney cancer during a test for another disease. Those are good indicators, but regardless of all, doctor Dalal Akoury MD, President and founder of AWAREmed Health and Wellness Resource Center reiterates that, to ascertain the true renal cancer diagnosis, going through a thorough physical exam, health history, and tests will be essential.

Renal cancer diagnosis: Possible kidney cancer disease tests

During your routine checks, your doctor will feel your abdomen and side for lumps and check for fever and high blood pressure, among other things. He/she will also ask questions about your health habits, any past illnesses, and types of treatment if any. But for the assurance, your doctor will make a diagnosis of kidney cancer depending on one or more tests like these:

A CT scan that uses X-rays and a computer to create a series of detailed pictures of your kidneys which may require the use of an injection of dye. CT scans have virtually replaced pyelogram and ultrasound as a tool for diagnosing kidney cancer.

Blood tests to show how well your kidneys are working.

Intravenous pyelogram (IVP) involves X-raying your kidneys after the doctor injects a dye that travels to your urinary tract, highlighting any tumors.

Magnetic resonance imaging (MRI) uses strong magnets and radio waves to create detailed images of soft tissues in your body. You may need an injection of a contrast agent to create better pictures.

Renal arteriogram. This test is used to evaluate the blood supply to the tumor. It is not given often, but may help diagnose small tumors.

Ultrasound uses sound waves to create a picture of your kidneys. It can help tell if a tumor is solid or fluid-filled.

Urine tests check for blood in your urine or other signs of problems.

Unlike with many other cancers, your doctor may be pretty certain about a diagnosis of kidney cancer without a biopsy. Sometimes, a biopsy will be done to confirm the diagnosis. A doctor may use a needle biopsy to remove a sample of tissue, which is then examined under a microscope for cancer cells. The biopsy may also tell the grade of the cancer how aggressive the cancer is likely to be. Often the surgeon will simply remove the entire tumor and then have a sample of tissue examined.

Finally, once your doctor makes a diagnosis of kidney cancer, you may need other tests to tell if the cancer has spread within your kidney, to the other kidney, or to other parts of your body. When cancer spreads from the place where it first started, it has metastasized. You might need a CT scan or MRI. A chest X-ray can show whether the cancer has spread to your lungs. A bone scan can see if it is in your bones. All these tests are done to help determine the stage of kidney cancer.

Renal cancer diagnosis: Physical exam and tests


female suxuality

Diagnosis procedures of erectile dysfunction

Diagnosis procedures

Diagnosis procedures of erectile dysfunction becomes the first step in finding lasting solutions

Diagnosis procedures of erectile dysfunction

Before anything can be done on a patient, it is very important that the right cause of the problem is established. This can only be done by following professionally all the diagnosis procedures of erectile dysfunctions. How to go about this will mark the beginning of any successful healing at the end of it. Doctor Dalal Akoury and her team of experts from AWAREmed Health and Wellness Resource Center will be very helpful to you should you find that you are struggling with erectile dysfunctions. It will also interest you to note that in her many decades of experience helping people get back their sexual lives, doctor Akoury has over the years brought restoration to many people with America and beyond with her skills in delivery timely and affordable treatment to those who needs it. Therefore, if you or any one you know is struggling with sexual dysfunctions, you can be of help to them or for yourself by scheduling for an appointment with doctor Akoury today on telephone number 843 213 1480 for further professional consultations. In the meantime, let us consider some of the working diagnosis procedures of erectile dysfunctions as follows:

Diagnosis procedures of erectile dysfunction: Blood test

Ordinarily blood test is normally done in a lab and the same applies also to ED. The blood test is likely to reveal among other things possible causes of ED, like for instance the presence of chronic kidney complications/disease, diabetes, any hormonal problem and atherosclerosis. Doctor Akoury is reiterating that doing this is very important as it will trigger treatment of all these conditions, thereby avoiding other serious health complications.

Diagnosis procedures of erectile dysfunction: Nocturnal erection test

This test is always done when the patient is deep a sleep. It can either be done at home or in a special sleep lab. The procedure involves the patient wearing a kind of plastic ring around the penis. The plastic devise will help in the establishment of whether an individual is important or not. The devise works in a way that if there is an erection during sleep time in the night, the devise will break. Ordinarily men do have between three to five erections during the night. This is what will be fundamental in ascertaining the erection power of the client.

Besides that there is also a more complicated version of carrying out this test. This is where an electronic monitoring device is applied to record how firm the erections are, the number of erections, and how long each erection last. In both cases if an erection is established, then the patient is physically capable of having an erection and the cause of the ED is more likely a psychological or emotional issue. However if the patient does not have erections during either test, the ED is more likely due to a physical cause.

Diagnosis procedures of erectile dysfunction: Injection test

This happens when a professional healthcare provider injects medication into the base of the penis primarily to cause an erection. This could also be done by insertion of medication through the urethra besides injection. All these methods are done to cause an erection. An evaluation of how long the erection last and how full the penis will be is done. This evaluation will enable the healthcare provider to establish the real cause of dysfunction. Other than the aforementioned diagnosis procedures, Doppler ultrasound and mental health exam could also be conducted. All these are tailored at establishing the cause of ED.

Diagnosis procedures of erectile dysfunction



Erectile dysfunction diagnosis procedures

Erectile dysfunction diagnosis procedures

Understanding Erectile dysfunction diagnosis procedures in men marks the beginning of healing of broken relationships

Erectile dysfunction diagnosis procedures: Establishment of ED in patients

There are several things your healthcare provider will consider for the correct erectile dysfunction diagnosis to be established. The most important of all would be have the direct patient psychologically accept that he has a problem. Up on this acknowledgement, doctor Dalal Akoury MD, President and founder of AWAREmed Health and Wellness Resource Center says that, there will be the willingness to continue with the process. The physician will then adopt any of the following procedures in making the right ED diagnosis:

  • Medical and sexual history
  • Physical examination
  • Blood test
  • Nocturnal erection test
  • Injection test
  • Doppler ultrasound
  • Mental health examination

For the purpose of this article, we will be discussing medical and sexual history and physical examination as diagnosis procedures and have the rest discusses in the subsequent articles. In the meantime you can call doctor Dalal Akoury in case of any concern about ED.

Erectile dysfunction diagnosis procedures: Medical and sexual history

Taking a medical and establishing the patient sexual history is one of the first examinations the health care provider may do in determining the accuracy of ED diagnosis. And for that to be attained, the physician is likely to ask the patient to willingly provide information based on the following concerns:

  • How the patient would rate his confidence that he can get and keep an erection
  • How often the patient’s penis is hard enough for penetration when he has erections from sexual stimulation
  • How often the patient is able to maintain his erection after penetration during sexual intercourse
  • How often sexual intercourse is satisfying for the patient
  • If the patient has an erection when he wakes up in the morning
  • How the patient would rate his level of sexual desire
  • How often the patient is able to reach climax and ejaculate
  • Any operations that may have damaged the nerves or blood vessels near the patient’s penis
  • Any prescription or over-the-counter medications the patient may take
  • If the patient uses illegal drugs, drinks alcohol, or smokes

This information will help the health care provider understand the problem and define the degree and nature of the ED. The medical history can show diseases that lead to ED, and reviewing sexual activity can help diagnose problems with sexual desire, erection, ejaculation, or orgasm.

Erectile dysfunction diagnosis procedures: Physical examination

Your physician is also likely to carry out a physical examination to help diagnose the causes of ED. During the examination, the physician may want to:

  • Look at the penis to ascertain its sensitivity to physical touch. If this is penis lacking, then that could signal a problem in the nervous system.
  • Identify any uncommon features of the penis which could point to the source of the problem. Like for instance, Peyronie’s disease causes the penis to bend or curve when erect.
  • Looks for loss of body hair or breast enlargement, which can point to hormonal problems.
  • Checks blood pressure.
  • Checks the pulse in the wrist and ankles to determine if the patient has a problem with circulation.


Erectile dysfunction diagnosis procedures: Establishment of ED in patients




Perfecting erection to defeat erectile dysfunction

Perfecting erection

perfecting erection and sex performance begins by identifying the root causes of any available dysfunctions.

Perfecting erection to defeat erectile dysfunction: Albuginea membrane

The conditions leading to perfecting erection take place when blood flow increases into the penis. This increase causes the firmness and penis enlargement. To facilitate this perfection, doctor Akoury explains that, the two long chambers inside the penis known as corpora cavernosa plays a significant role. Corpora cavernosa contain a soft malleable tissue that draws the blood into the chambers. The spongy tissue also contains smooth muscles, fibrous tissues, blood-filled spaces, veins, and arteries. A membrane known as the tunica albuginea, encases the corpora cavernosa.

The urethra, which is the tube that carries urine and semen outside of the body, runs along the underside of the corpora cavernosa in the middle of a third chamber called the corpus spongiosum. With these structures well set, doctor Akoury registers that perfecting erection that will defeat ED will then requires a specific sequence of events. Like for instance:

  • An erection begins with sensory, mental stimulation or both. The stimulus may be physical and could be triggered by touch, sound, smell, sight or a sexual image or thought.
  • When the brain registers a sexual urge, it sends impulses to local nerves in the penis that cause the muscles of the corpora cavernosa to relax. This then releases the blood flow through the arteries and fills the spaces in the corpora cavernosa in the same way water filling a sponge.
  • The blood then exerts pressure in the corpora cavernosa thereby causing the enlargement of the penis.
  • The role of the tunica albuginea is to keep the blood in the corpora cavernosa and this is what enables one to keep an erection.
  • The erection ends after climax or after the sexual arousal has passed. The muscles in the penis contract to stop the inflow of blood. The veins open and the extra blood flows out of the spaces and back into the body.

That is actually the process through which the body system is able to succeed in perfecting erection to defeat erectile dysfunction. And now the next concern would be, who can develop ED?

Perfecting erection to defeat erectile dysfunction: Who can develop ED?

From the experience any man suffering from any of the underlying diseases that can cause ED are at a greater risk of developing ED. Nonetheless, ED doesn’t discriminates and can affect any man from all races and in all regions. And when that happens the following are some of the consequences:

  • The inability to get the partner pregnant
  • Emotional problems such as depression, anxiety, and low self-esteem
  • An unfulfilled sex life
  • A loss of intimacy between the couple, resulting in a strained relationship

Perfecting erection to defeat erectile dysfunction: Erectile dysfunction diagnosis

For any meaningful treatment to be done, doctor Akoury reiterates that a health care provider will have to first diagnoses ED with a medical and sexual history or by carrying out physical examination. This can be done professionally by adopting any of the following tests:

  • Blood tests
  • A nocturnal, or nighttime, erection test
  • An injection test
  • A Doppler ultrasound
  • A mental health exam

Finally ED can really wear you down, seeking for treatment with the experts from AWAREmed Health and Wellness Resource Center will help you get your sexual health back if only you can call doctor Akoury today.

Perfecting erection to defeat erectile dysfunction: Albuginea membrane



Prefrontal Cortex and Addiction

The Prefrontal Cortex Plays Crucial Role in Addiction

Prefrontal cortexThe prefrontal cortex enables us to make rational, sound decisions. It also helps us to override impulsive urges that may trigger reactions that are not in the best of our interests. If acted upon, these impulses urges can cause us to act without thinking. It is the prefrontal cortex that helps you to even maintain sound relationships around you. Each and every day you may be confronted by this impulsive urge but it is the prefrontal cortex that helps us think rationally and help override the impulsive urges. Obviously, this ability to inhibit impulses is very helpful. It enables us to function well in society. It protects us from harm by allowing us to consider the consequences of our actions. However, when the pre-frontal cortex is not functioning correctly, the opposite occurs. Addiction causes changes to the prefrontal cortex. These changes account for two characteristics of addiction: impulsivity and compulsivity.

In the past years, the loss of control over drug intake that occurs in addiction was initially believed to result from disruption of subcortical reward circuits. However, current studies in addictive behaviors have identified a key involvement of the prefrontal cortex (PFC) both through its regulation of limbic reward regions and its involvement in higher-order executive function such as self-control, salience attribution and awareness.in this article we will try to revisit studies that have been done in the past so as to reach an understanding on how the prefrontal cortex is involved in drug addiction. Most studies have suggested that disruption of the PFC in addiction underlies not only compulsive drug taking but also accounts for the damaging behaviors that are associated with addiction and the loss of free will.

In a study where rats were used, it was found that stimulating a specific part of the brain reduces compulsive cocaine seeking. The finding proposes a potential approach to changing addictive behavior. This study and other studies that have been done show that the prefrontal cortex that is involved in decision-making and inhibitory response control is compromised in addiction. Deficits in the prefrontal cortex are involved in drug addiction The Deep-layer pyramidal pre-limbic cortex neurons; is a layer of cells that reach into areas of the brain that have been implicated in drug-seeking behaviors. Activating the Deep-layer pyramidal pre-limbic cortex neurons might reduce the rats’ cocaine seeking.

Medical experts and researchers agree that compulsive drug taking, which brings a myriad of health and social consequences, is one of the most challenging aspects of human drug addiction. In 2011, an estimated 1.4 million Americans age 12 and older were past-month cocaine users. No medications have been approved by the U.S. Food and Drug Administration for treating cocaine addiction. Obviously, cocaine addiction doesn’t affect America alone but the whole world.

Animal model studies

Drs. Billy Chen and Antonello Bonci at NIH’s National Institute on Drug Abuse (NIDA) have been using an animal model of cocaine addiction in a bid to gain insights into the neurobiology of compulsive drug use, trained rats learned to push levers to receive cocaine. When the cocaine doses were later followed by a mild electric shock to the foot, most rats stopped pushing the levers. Some rats, however, exhibited compulsive cocaine seeking by continuing to push the levers in spite of the foot shocks.

In this research, the researchers compared nerve cell firing patterns in the brains of the shock-sensitive and shock-resistant groups of rats. They studied a region of the prefrontal cortex that, in humans, is involved in decision making and inhibitory response control, which are both compromised in addiction. Their analysis focused on deep-layer pyramidal prelimbic cortex neurons because these cells reach into areas of the brain that have been implicated in drug-seeking behaviors. The study appeared online in Nature on April 3, 2013. The scientists found that almost twice as much current was needed to activate these neurons in compulsive cocaine-seeking rats than in the shock-sensitive rats or rats that hadn’t been exposed to cocaine. If these neurons are behind the rats’ compulsive behavior, the team reasoned, and then activating them might reduce the rats’ cocaine seeking behavior.

Prefrontal cortexFor this study the scientists employed a light-based genetic, or optogenetic, technique to activate or inhibit pyramidal neurons in the prelimbic cortex at will. They injected harmless viruses engineered to deliver genes for producing proteins that, once embedded in the neuron’s surface this could induce or inhibit the cells’ activity in response to light of specific wavelengths. Tiny optic fibers were implanted in the rats’ brains to deliver light pulses to the cells. As predicted, activating these brain cells reduced cocaine seeking in the compulsive, shock-resistant rats. Inhibiting the cells in shock-sensitive rats increased cocaine seeking during foot-shock sessions.

“This exciting study offers a new direction of research for the treatment of cocaine and possibly other addictions,” says NIDA Director Dr. Nora D. Volkow. “We already knew, mainly from human brain emerging studies, that deficits in the prefrontal cortex are involved in drug addiction. Now that we have learned how fundamental these deficits are, we feel more confident than ever about the therapeutic promise of targeting that part of the brain.”, he concluded.

“By targeting a specific portion of the prefrontal cortex, our hope is to reduce compulsive cocaine seeking and craving in patients.” Bonci said as he reiterated that his group is now planning clinical trials to test noninvasive methods for stimulating this brain region in people. Dr. Dalal Akoury of AWAREmed Health and Wellness Center has dedicated her life to helping addicts restore their lives by use of integrative medicine. Call her on (843) 213-1480 for help.

The Prefrontal Cortex Plays Crucial Role in Addiction