Tag Archives: Magnetic resonance imaging


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



Exploring Spinal Cord Injuries

The Evolving Science Of Spinal Cord Injuries

Spinal cord InjuryThe most important structure that plays the role of a link between the body and the brain is the spinal cord. It extends from the medulla oblongata of the brain through to the level of the first lumbar vertebrae. It is a cylindrical structure of nervous tissue that is composed of white and grey matter. On each of its sides, two consecutive rows of nerve roots emerge. These roots distally join forming the 31 pairs of spinal nerves. It is housed within the vertebral column. The spinal cord makes up approximately only 2% of the central nervous system but has very vital functions.

A spinal cord injury refers to any damage to any part of the spinal cord or damage of nerves at the spinal canal’s end. Below the site of the injury, there often occur permanent changes in sensation, strength and other body functions.

The subject of spinal cord injuries is not a new one. Many people are familiar with it and understand its financial implications. Many families have had to put up with hefty hospital bills after a spinal cord injury of a member. Special equipment like wheelchairs have had to be purchased to assist victims of spinal cord injury. Some victims even lose their jobs after a spinal cord injury due to inability to perform their tasks at the work place. This is a very serious financial blow to them considering the fact that they require large amounts of money to lead a normal life.

There is a complete relationship between the physical, financial, emotional and social implications of spinal cord injuries. For example when one suffers a spinal cord injury, they get paralyzed which calls for the purchase of special equipment. In some cases paralysis may lead to loss of a job. When one loses a job, they become emotionally affected and thus their social life is also greatly affected.

Spinal cord injuries are of different levels and seriousness depending on the site of injury. The vertebrae that make up the spinal column are grouped into sections. Since spinal injuries affect body functions below the site of injury, the higher the sight of injury, the more severe the dysfunction that results.

Spinal cord injury cure has been the focus of science for so long. New strategies are being developed and old strategies are being revised to make them better and improve their efficacy.

Regenerative strategies

The last two decades have witnessed tremendous efforts in attempt to enhance regeneration of spinal cord axon though many techniques. These techniques include neutralization of neurite inhibition, synthetic channel implantation, various cell transplantation and administration of neurotrophic factors. Some of these strategies have been applied to animal models and they have been so promising to the extent that their potential human application is being explored by clinicians. The main factor limiting recovery from a spinal cord injury has been attributed to the failure of the central nervous system to regenerate. All these strategies aim at making it possible for the axons in the central nervous system to regenerate. Expectations become high with the identification of growth inhibitory molecules in the central nervous system. It was thought that neutralizing these factors would allow for functional axonal regeneration in the central nervous system. But as happens to most seemingly bright researches, the dark side finally showed in this. There exist mixed results of therapeutic approaches that were based on this assumption. Neurons are suggested to differ in their regenerative abilities through similar extracellular environments by recent data. These neurons have also been shown by recent data to undergo a developmental loss of intrinsic regenerative ability. Intrinsic regenerative abilities are mediated by factors that include expression of:

  • Cytoskeletal proteins mediating the axon growth mechanics
  • Receptors for inhibitory molecules
  • Molecules in the intracellular signaling cascades mediating response to chemoattractive and chemorepulsive cues.
  • Surface molecules permitting adhesion of axon to cells in the growth path

Sharply contrasting to axon development, its regeneration involves internal protrusive forces. Micro tubules generate these forces either by transporting other skeletal elements like neurofilaments to the tip of the axon or through their own elongation. It is the complexity of the regeneration program that casts a dark shadow on the progress.

Multi- cell therapy

Spinal cord injuryTransplantation of cells replaces the damaged neural tissues and restores function after spinal cord injury. Successful results have been obtained with different cell types including adult neural stem cells, mesenchymal stem cells, fetal tissue, embryonic stem cells and myelin producing cells.

In transplants of fetal tissue combined with neurotrophic factors, axonal growth has been seen. Transplanting polymer guiding channels with Schwann’s cells also helps in achieving novel axonal growth towards a cell transplant.

It is important to note that enough immune suppression is needed lest the cell transplant will be rejected. Attention is currently focused on mesenchymal stem cells to try and circumvent this immunological rejection of transplanted cells. After transplantation, they differentiate into desired cells.

Even though multiple studies have shown success of these multi-cell strategies, it is still not clearly understood what mechanisms lead to functional improvement following transplant.

For more information about bone marrow transplant and stem cell transplantation, visit www.awaremednetwork.com. Dr. Dalal Akoury has years of experience in integrative medicine and will be of assistance.

While at it, visit http://www.integrativeaddiction2015.com to learn about the upcoming integrative addiction conference 2015. The conference will deliver unique approaches to telling symptoms of addiction and how to assist patients of addiction.

The Evolving Science Of Spinal Cord Injuries



The Neurochemistry of Female Sex Addiction

The Neurochemistry of Female Sex Addiction

Female sex addictionSex addiction is a problem that many people are battling with in the US and the world over. However in the past it was thought that men were the main victims of sex addiction but research has since proved that this is a lie as women are more prone to this vice as opposed to women. Another factor that makes women more of victims is the fact that generally society has always associated women who are addicted to sex as sluts while men who are addicted to sex are often thought as studs. The reality of the matter however is, both genders are at a loss when addicted but what makes it easier for men to find help is the fact that they are free and can express their problems when addressed by their therapists and this openness helps them find help. On the other hand, women afraid of all the negative tittles they will be associated are often afraid to open up and let the problem be known and this will manifest in various behavioral changes.

Orgasm and dopamine

Most people who engage in sex for recreational purposes are often in pursuit for the highest sexual climax otherwise known as orgasm. According Wilhelm Reich orgasm naturally helps in discharge of excess bio-energy with the additional liberation of feeling energy, and he also recognized the negative consequences of blocked sexual energies. However it’s quite unfortunate that in addition to exciting peaks, orgasms tend to produce powerful negative side-effects that are only now becoming better understood. This is due to predictable trends in hormonal activity which seem to be similar in all mammals to ensure certain evolutionary objectives, especially the wide mixing of gene pools and the safe raising of offspring. This is achieved with the following neurochemical changes.

As expected there are hormones that come to play; dopamine, the reward hormone; prolactin, the hormone of satiation; oxytocin, the cuddle hormone, and levels of androgen receptors, which all powerfully affect our mood, our desire for intimacy, our perception of our mate, as well as our susceptibility to addictive activities and substances. These hormones can also have different but generally related functions.

The levels of dopamine will abruptly fall and this will induce the usual withdrawal symptoms. The fall of dopamine is rather immediate in men while it takes time in women to occur. As the level of dopamine falls the level of prolactin will heighten and the androgen receptors fall after orgasm. Low testosterone in women is associated with irritability and anger. In sexually-satiated rats it has been shown that serotonin and endorphin levels also rise, and this also decreases dopamine and raises prolactin levels. Oxytocin levels fall after conventional orgasm but remaining in close contact may help to counter this drop and sustain oxytocin levels. It is the fall of dopamine to the lows that is associated with all the withdrawal effects and women, deprived of affection will engage in sex repeatedly to enjoy the magical bliss of dopamine heights during sex especially at orgasm. This is a ‘high’ that is often compared to the feeling those using drugs of pleasure often crave.

Apart from behavioral changes a female addict will suffer from disturbed hormone equilibrium that may last for a week or two, a period in which she will be battling these side effects; being more irritable, dissatisfied, and anxious or depressed. This is exactly the same process and length of time prolactin levels need to recover during withdrawal from cocaine.

Another stimulant that is involved in sex is the phenylethylamine (PEA). PEA is also present in cocoa and chocolate and elevates energy, mood and attention. PEA is produced in greater amounts when one is in love and when this stimulant is in low levels, a person will feel unhappy and deprived.

as mentioned in earlier article, most women get addicted to sex while in pursuit of love and affection, When a woman first fall in love she becomes bonded by rising PEA, oxytocin and dopamine levels .When she is are sexually aroused by close contact her dopamine level rises further and at the time of orgasm she will have a dopamine brainstorm which one researchers have compared to the effects of heroin on the brain. Dopamine is active in all addictions, even in people who have forgotten what sex is. Most of this activity is in the limbic system, the oldest part of the brain.

What causes addiction in women?

Female sex addictionThe honest truth is that what causes sex addiction women is until now poorly understood but researchers have pointed fingers at childhood neglect or abuse, such as physical or emotional abandonment or other forms of trauma. Most of females who are sex addicts are reported to have experienced sex abuse as children. Early child abuse of nearly any kind can impair a child’s ability to bond in healthy ways as an adult, leading to chronic relationship intimacy issues that can eventually morph into sexual addiction.

Research suggests that there’s also a strong neurochemical component to both eating disorders and sexual addiction. One can become addicted to the potent neurochemical rush that occurs during an exciting sexual or romantic encounter. This neurobiological blend includes highly satisfying dopamine as well as adrenaline, oxytocin, serotonin and endorphins. Women suffering from emotional or psychological issues such as depression or anxiety and from childhood trauma or profound trauma as an adult can unconsciously use this neurochemical response to cope with stress and painful emotions. Compulsively reliving or re-enacting the pleasurable fantasies and experiences sets up an addictive cycle of using sex and sexual fantasies to control intensely painful emotions.

Integrative Addiction Conference 2015

Finally, sex addiction is not a light matter. It’s a problem that is still holding many women captives .This problem needs to be treated effectively through integrative medicine. Dr. Dalal Akoury (MD) is an expert at this. Call her on (843) 213-1480 for help.

The Neurochemistry of Female Sex Addiction



Pain Management with Injections

Injections for Pain Management

Injections for Pain ManagementPain management is crucial especially in treatment of such diseases that are characterized by chronic pain such as cancer and arthritis. Pain management is also important part of treatment especially in situations where the patient is to go through intense like during chemotherapy for cancer patients or after going through surgery.  Nobody will like to have intense pain maim him for even the least amount of time. People like to be happy and avoid anything that may bring them pain. However in some instances there has to be pain for a much serious health problem to be solved. To manage pain certain drugs are used that helps you to endure the pain, unfortunately most of these are addictive and so as you are using them to manage pain you are at risk of addiction. Opiates are the mostly used drugs in pain management and they work well in ensuring that your pain is moderated if not done away with completely. The nature of these drugs however requires that they be administered by a professional since they are very rewarding and before long the patient may become addicted to them or even dependent on them. There is however one disadvantage of using opiates in pain management; Due to their rewarding nature they can be easily abused and a treatment that once began on the right foot may end up being another nightmare in a person’s life hence there is need for actions to be taken to help patients not to be addicted to this pain drugs.

The medical researchers however did not stop at opiates but went step further to come up with other treatment methods that can be employed to help in treating pain  patients and these involves the use of injections .  In most cases whenever a person has pain in any part of the body, he may be encouraged to try physical therapy or to go for a cortisone injection which normally helps but if all these failed then you need a different approach to tackling the pain. Proliferative therapies like the prolotherapy, Prolozone and the platelet rich plasma therapy (PRP) are a good way to deal with pain but are little known.


Prolozone is a form of proliferative therapy. Proliferative therapy generally involves the injection of natural substances into the affected area. When done properly, these injections stimulate the release of growth factors and formation of new collagen in the affected area. The prefix “prolo” refers to this stage of new tissue growth or “proliferation.” As the body forms new collagen, the treated ligaments and tendons become thicker and stronger and more capable of doing their work. Proper alignment, stability, and function are restored, and typically the pain subsides.

Prolozone therapy uses ozone which is a form of oxygen but with three oxygen atoms. The ozone has a very powerful regenerative ability that helps in treating the damaged connective tissues. When the ozone is injected, it improves the oxygen circulation and delivery to the damaged cells. Prolozone therapy also helps not only by strengthening the tendons and the ligaments but also by rebuilding cartilage in the treated joints. Prolozone therapy was by pioneered Dr. Frank Shallenberger.

Patients enjoy Prolozone therapy as compared to other proliferative therapies like prolotherapy since with Prolozone the number of individual injections is less based on the area treated as compared to the number of injections in prolotherapy. The solution is dispersed over a larger area compared to prolotherapy, due to the injection of ozone gas. This has made Prolozone more preferred by people who do not want many injections

Platelet rich plasma therapy (PRP)

This is a safe non-surgical procedure that helps those with injuries in the tendons or suffering from osteoporosis. This treatment utilizes platelets from the patient’s own blood to rebuild a damaged tendon or cartilage. It has been successful in not only relieving the pain, but also in jumpstarting the healing process.

Platelet rich plasma therapy (PRP)

During this therapy the patients’ blood is drawn and placed in a centrifuge for 15 minutes to separate out the platelets. The platelet-rich plasma is then injected into the damaged portion of the tendon or cartilage with the guidance of an ultrasound machine. This treatment is one of the best non-surgical procedures that can be used against pain plus it takes short time for the patient to heal completely. Averagely patients take three months to be able to return to the activities they were performing before the injury that resulted in the pain.

IV therapy for chronic pain

IV nutritional therapies might have been used in chronic pain management for quite a time and have showed impressive results.  Dr. Dalal Akoury (MD) treats patients with chronic pain on a daily basis and has found that some people who suffer from extensive inflammation or degeneration from rheumatoid arthritis, osteoarthritis, fibromyalgia or other auto-immune problems may just be lacking some of the vital minerals and vitamins in the body and therefore an IV vitamin and mineral therapy might just work well for them.

IV therapy involves administering the minerals, vitamins that the body lacks through and IV drip. The same might be used to administer some medicine that may help to heal the injured tissues and facilitate formation of new tissues.


With the injections for pan management you will not only experience liberating relief for weeks with but also are helpful in finding the long-term pain solution. Injections are so simple and low risk they should be in the pain-management discussion for everyone. To discuss how therapeutic injections can free you of pain and improve your long-term outlook, please call (843) 213-1480 or contact Dr. Akoury Dalal

Injections for Pain Management