Erectile dysfunction

Erectile dysfunction

Ten years ago it was taboo to talk about erectile dysfunction but thankfully attitudes have now changed. Although some patients may still find it embarrassing to talk to their health care professional about sexual issues, getting help for erectile dysfunction is worth the effort. This is a condition that cannot be taken lightly especially as it can be a sign of a more serious health problem.

Erectile dysfunction occurs when a man is unable to maintain an erect penis sufficient for satisfactory sexual intercourse. It also occurs when sexual stimulation or arousal does not result in enough blood flow to the penis which leads to an erection . This condition only affects men and is more likely to increase with age. Erectile dysfunction is often confused with impotence – this term is used to describe other problems that interfere with sexual intercourse and reproduction, such as lack of sexual desire and problems with ejaculation or orgasm.

This condition is often hard to measure as men are less likely than women to talk about physical conditions as they find it uncomfortable. Erectile dysfunction may be as a result of psychological or physical reasons but either way this condition is distressing. It could lead to a loss of confidence and self-esteem or depression, as well as relationship problems.

Physical reasons for erectile dysfunction could include the following:

Cardiovascular disease
Nerve damage (which is common in men with diabetes)
Brain and spinal injuries
Smoking
Fatigue
Excessive intake of alcohol
High cholesterol which narrows the blood vessels.

Psychological reasons for erectile dysfunction could include:

Stress
Relationship problems
Depression
Existing values and attitudes to sex
Anxiety
Intimacy problems
Guilt.

But help is available and the condition is totally manageable. Erectile dysfunction is treatable at any age and awareness of this fact has been growing. More men have been seeking help and returning to normal sexual activity because of improved, successful treatments. But first off you have to recognise there is a problem and then talk to your health care professional about treatment solutions. Treatments, especially oral medication, can help relax the blood vessels which then allow the penis to become filled with blood resulting in an erection.

Treatments can include:

Vacuum treatment (a physical device to be used prior to sexual intercourse)
Counselling to help identify psychological reasons – it is also a good idea to involve your partner
Hormone treatment
Oral treatments like Sildenafil (Viagra),Tadalafil (Cialis) or Vardenafil (Levitra).

Although there are treatments for erectile dysfunction, it is also a good idea to look at making changes to your lifestyle. Ask your community pharmacist about ways to cut down on alcohol, to stop smoking and to reduce stress.

Swallowing difficulties (dysphagia)

Causes of swallowing difficulties

Swallowing difficulties can happen at any age. There are a wide range of causes for them, including:

some medicines, such as antipsychotics
heartburn and acid reflux
cancer, such as mouth or throat cancers
nervous system or brain disorders
muscle disorders
blockages or structural issues with your mouth, throat or oesophagus.

Symptoms of swallowing difficulties

Symptoms of swallowing difficulties may include:

coughing or choking when eating or drinking
bringing food back up, may be through your nose
the feeling that food is stuck in your throat
having issues chewing your food
problems with dribbling.

Swallowing difficulties can cause weight loss, dehydration and chest infections.

Diagnosing swallowing difficulties

Let your healthcare provider know if you have swallowing difficulties. They will ask you about your symptoms and check if any other health conditions you have may be the cause.

Your healthcare provider may refer you to a specialist for tests. These may include a:

gastroscopy—a camera is passed down through your mouth to look at your throat and stomach
swallowing study—your throat and stomach are x-rayed as you swallow small amounts of food.

Treating swallowing difficulties

How your swallowing difficulties are treated depends on the cause and how severe it is. Treatments may include:

medicines to treat acid reflux
swallowing therapy with a speech and language therapist
making changes to what you eat and drink, such as softer foods and using thickener in drinks
using special spoons, plates and cups
surgery to widen your oesophagus.
using special medication lubricants eg Gloup to help make it easier to swallow tablets etc. For more information click here.

Self care for swallowing difficulties

As well as seeing your healthcare provider, the following tips may help you to get food or liquids into your stomach.

Sit upright in a chair—at a table is best.
Have regular small meals instead of the main large meals.
Eat or drink small mouthfuls at a time.
If your voice is gurgly when you eat or drink, give a small cough to make sure your airway is clear.
Wet food will be easier to swallow as dry food can catch in your throat.
If your food has 2 consistencies, such as fruit in juice and cereal in milk, try to mix it into 1 consistency, or eat the solid and liquid portions separately.
Concentrate on eating and avoid talking.
Hot, ice-cold or fizzy liquids are easier to swallow than room temperature liquids.
If you are told to have thickened liquids, avoid ice-cream and jelly as they thin before swallowing.
Drink from the top half of you cup to avoid tipping your head back.

Have a look at our range of Gloup medication lubricants here which can help with difficulties swallowing tablets...

Bureta Pharmacy Shop

We're 'the little pharmacy with the big heart' - our slogan explains our attitude - small in size but big in attitude, we like to go the extra mile for our customers!