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Monday, 4 March 2019

SEXUALLY TRANSMITTED DISEASE CHANCROID - Dr. Naval Kumar


TO KNOW ABOUT THE CHANCROID:- 
                     Chancroid is a bacterial infection that causes open sores on or around the genitals of men and women. It’s a type of sexually transmitted disease (STD), which means it’s transmitted through sexual contact. It occurs most frequently in developing countries. The bacterium Haemophilus ducreyi causes this infection. It attacks tissue in the genital area and produces an open sore that’s sometimes referred to as a chancroid or ulcer. The ulcer may bleed or produce a contagious fluid that can spread bacteria during oral, anal, or vaginal intercourse. Chancroid may also spread from skin-to-skin contact with an infected person.


CAUSES AND MODE OF TREATMENT:-
                     Chancroid is a bacterial infection caused by the fastidious Gram-negative streptobacillus Haemophilus ducreyi. It is a disease found primarily in developing countries, most prevalent in low socioeconomic groups, associated with commercial sex workers.
You can get chancroid sores or spread them through skin-to-skin contact with open sores, from hands that have touched a sore, or from sex toys such as vibrators that have touched a sore. At the same time you can get the disease after touching someone’s skin with a sore. It is one of the ways when Chancroid may be caught even without sexual activity through contact with infected fluid of other ulcers. 

SYMPTOMS OF CHANCROID:-
                      The following symptoms can occur in both men and women:-

The ulcers can vary in size and are usually anywhere from 1/8 to 2 inches across.
The ulcers have a soft center that’s gray to yellowish-gray with defined, or sharp, edges.
The ulcers may bleed easily if touched.
Pain may occur during sexual intercourse or while urinating.
Swelling in the groin, which is where the lower abdomen and thigh meet, may occur.
Swollen lymph nodes can break through the skin and lead to large abscesses, or collections of pus, that drain.
DIAGNOSIS OF CHANCROID:-
1. Physical examination
                        Ulcers usually measure 1 to 2 cm and have sharply demarcated borders with ragged, undermined edges and a friable base. The base may be covered with a grayish or yellow exudate. Induration is not present.
In men, the majority of ulcers are located on the prepuce or frenulum, or in the coronal sulcus. Less commonly, the glans, penile shaft, meatus, or anus is involved.
In women, ulcers are usually on the fourchette, labia, vestibule, or clitoris. Larger periurethral ulcers may be present. The vaginal walls and cervix should be inspected, as these lesions are often painless and go unnoticed. Female patients are less likely to develop ulceration. Vaginal discharge may be present.

2. Sample collection
Genital swabs- The base of the ulcer is flushed with sterile saline. Tissue is collected from the cleansed ulcer base and undermined margins with a Dacron, cotton, or calcium alginate swab.. Four samples should be taken. Any urethral or vaginal discharge should also be swabbed.
Bubo aspirates- A needle and syringe should be used to aspirate the purulent material. The needle should be inserted through normal tissue to reduce contamination.
3. Detection of H ducreyi
Gram staining- The classic appearance is of gram-negative coccobacilli or slender bacilli in a railroad or chaining pattern. Gram staining is not a reliable finding (sensitivity 5%-63%; specificity 51%-99%) because of the polymicrobial flora of most genital ulcers. 
Culture- This is the diagnostic standard, in spite of relatively low sensitivity (53%-92%).  The organism is fastidious and difficult to culture. Specialized media are required to optimize growth. Use of 2 different types of media increases sensitivity. The recovery of H ducreyi is improved if culture is attempted in more than 1 type of media (MH-HB and/or GC-HgS). Vancomycin 3 micrograms/mL is added to inhibit growth of other bacteria.
Nucleic acid detection- There is no FDA-cleared PCR tests for H ducreyi available in the US. However, some clinical laboratories have developed their own PCR test and have conducted CLIA verification studies in genital specimens. The sensitivity (98%) and specificity (53% to 90%) for detection of chancroid are better than with other methods.  
Serology- Serologic tests to identify antibodies against H ducreyi are available.

PREVENTION FROM CHANCROID:-
Avoid sex when you about it weather you or your partner is suffered from this condition.
Use a new male or female condom every time for vaginal, anal or oral sex.
Use a new dental dam or latex gloves for rimming and fingering (exploring your partner’s anus with your fingers, mouth or tongue) and use latex gloves for fisting.
Wash the sex toys when you want to use them.  And cover them with fresh condom.
Having multiple sexual partners can also increase your risk of getting chancroid. If you are having sex with multiple partners, it’s even more important to use condoms and have regular STI tests.
Discuss your sexual health with your partner. Knowing each other’s sexual health status can help you decide together how to have safer sex.
  

HOMOEOPATHIC APPROACH IN CHANCROID:-
                                       In homoeopathy you can take treatment not only for your disease but for your whole body which means reoccurrence of disease is not possible if you choose homoeopathy for treatment. We provide a holistic and gentle cure for your disease.
 When we do slight alteration in our life style and diet & regimens, we can achieve our past healthy life. Some facts about homoeopathic medicines are as follows:-
Homoeopathic medicines are effective and gentle in every aspect.
Medicines are safe for every age group even for pregnant and infants.
There is no resistance in homoeopathic medicines.
In homoeopathic mode of treatment, medicines are in very much minute form which means there are no side effects such as allopathic medicines.

There are so many homoeopathic medicines for Chancroid. We can provide you best plan of treatment with diet plans as your body type. Some of them are as follows:-
1. Alumina
2. Arsenicum album
3. Bryonia
4. Calc carb
5. Cuprum met
6. Gelsemium 
7. Hydrastis 
8. Lycopodium
9. Nitric acid
10. Platina 
11. Pulsatilla
12. Rhus Tox
13. Sarsaparilla 
14. Sepia
15. Silicea.
16. Staphysagria
17. Sulphur 
18. Tellurium 
19. Thuja 
20. Tribulus Tre and many more.

Tuesday, 12 February 2019

The Benefits of Homeopathic Medicine


There are many benefits of homeopathic medicine, including:

                                                                                             
1. It can be used by pregnant and nursing women;

2. It can be used by children and infants;

3. It does not interfere with medications taken by a person;

4. Homoeopathic Medicine having no side effects, it is completely safe and will not harm the person at all;

5. Other than occasional, mild, and short-lived symptom aggravations which pass quickly and tend to be followed by improvements in the symptoms of a person, there are no side-effects of homeopathic remedies.  This symptom aggravation is actually regarded by homeopaths as a sign that the correct homeopathic remedy has been selected and usually results in symptom improvements;

6. It can be used for chronic or acute conditions;

7. It is an individualized system of medicine which treats the person, not merely the symptoms.  The symptoms, however, are addressed when using this approach and are typically improved;

8. Homeopathy is a holistic approach to healing:  one that involves the body, mind, emotions, and spirit of the person being treated;

9. Homeopathic remedies are readily available and can, therefore, be used by anyone;

10. Homeopathic remedies are typically inexpensive and therefore provide an affordable approach to healing;

11. Homeopathic remedies can be stored for long periods of time;

12. Homeopathic medicine is non-invasive;

13. There are many studies proving the effectiveness of homeopathy, when used correctly


Dr. NAVAL'S HOMEO CLINIC AND RESSEARCH CENTRE was established in 1995. Since 16 years, it has grown tremendously in various fields of Human health care treating thousands of patients with various disorders. We have modern clinics in West and South Delhi and spreading all over India. Our clinic equipped with latest software and efficient central monitoring suited best to the needs of community at large. Here we are not only dealing with Homoeopathy, there is an Complete Wellness centre for your family health. All the canters supervised under the perfect guidance of Dr. NAVAL KUMAR. And here we are the team of specialist doctors who have been personally trained by him. We treat patients with the medicine and also take care of them with our expertise team of wellness department.
DR. NAVAL KUMAR VERMA BORN IN 1969
World authority in Wellness, Preventive medicine and Homeopathy, Graduated Bachelors Degree in Homeopathy form Delhi, Masters Degree in Homeopathy M.D.(Hom) from Dr B.R. Ambedekar University Agra, and he has got many international qualifications and super specializations in Homeopathy He got the diploma in Naturopathy and Yoga, and Fellowship in Homeopathy from UK, also Post Graduate in Homeopathy from UK.
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Thursday, 4 October 2018

10 Early Sign For Enlarged Prostate That Every Guy Needs To Know !gnorance Is Not A Bliss

An enlarged prostate is the most common problem occurs in men if his age is above 50 years.it is also known as Benign Prostatic Hypertrophy. it starts by pressing on the urethra and slowly obstruct it by increasing urination and other urinary problem. (Benign Prostatic Hypertrophy)BPH can be present with any of the following described symptoms below.

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1. Difficulty in starting and ending of urination process. There is also difficulty in urination while in standing position.

2. Decreased flow of urine and change in its color.

3. A burning in the urethra while urinating.

4. pain or numbness occurs in the joints like thighs, hips, legs or in other lower body part.

5. Painful ejaculation.

6. Impotence-Erectile Dysfunction.

7. Blood in urine.

8. Blood in semen.

9. Swelling or Discomfort in legs or pelvic area.

10. Pain in the bone which can lead to fractures.

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A survey shows that out of every 5 men one is affected by Enlarged Prostate which leads to many deaths as due to lack of awareness men's are dying. so for making your old age a happy experience contact your physician for a checkup so that if there is any problem then it can be cured.
BPH or Enlarged Prostate is generally treated by Surgical methods and 95 % people believe that there is no other cure for this Problem.

Whereas Homeopathy is a field which can cure the problem of the enlarged prostate gland. Homeopathic medicines are completely Natural and organic which aims to completely remove the underlying cause of the enlarged prostate instead of just curing the Symptoms.
For more details contact DrNaval Homeo Clinic & Research Center.

Tuesday, 18 September 2018

Dr.Naval-Homeopathic Treatment of Migrane

MIGRAINE AND ITS TREATMENT THROUGH HOMEOPATHY

A migraine is a headache disorder which is a neurological condition which causes multiple symptoms. It’s frequently characterized by intense, debilitating headaches. Symptoms may include nausea, vomiting, difficulty speaking, numbness or tingling, and sensitivity to light and sound. Migraines often run in families and affect all ages. The most common categories of a migraine headache are those without aura (previously known as common migraines) and those with aura (previously known as classic migraines).

Migraines can begin in childhood or may not occur until early adulthood. Women are more likely than men to have migraines during the time of menstruation. Family history is one of the most common risk factors for having migraines. for more details visit Homeopathic Treatment of Migraine.



 

Migraine Symptoms and signs

Migraine Symptoms may occur one to two days prior to a headache. they are basically characterized in four type.

1.Prodrome phase

2.Aura phase

3.Pain phase

4.Postdrome phase

 
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Prodome

A prodrome stage is the first phase which shows or gives a warning sign of a migraine.it can be characterized as

1.Depression

2.euphoria

3.Food craving

4.irritability

5.hyperactivity

6.neck stiffness

7.fatigue or low energy.

prodrome or premonitory phase occurs in 65% of people who are suffering from a migraine with an onset ranging from two hours to two days.
contact Dr.Naval Kumar for expert advice.

Aura
Aura occurs after the prodrome which is a transient focal neurological phenomenon that occurs before or during a headache. its symptoms can be visual, motor and sensory in Nature and many people experience more than one.

the Example of this problem is

1.Temporary losing your vision.

2. Seeing shapes, light flashes, or bright spots.

3.difficulty speaking clearly

4.feeling a prickling or tingling sensation in your face, arms, or legs.

Pain

Pain phase is the most acute or severe of the phases when the actual migraine pain occurs. In some people, this can overlap or occur during an aura. Attack phase symptoms can last anywhere from hours to days. Symptoms of a migraine can vary from person to person. Some symptoms may include:

1.increased sensitivity to light and sound

2.nausea

3.dizziness or feeling faint

4.pain on one side of your head, either on the left side, right side, front, or back, or in your temples

5.pulsing and throbbing head pain

6.vomiting

People describe migraine pain as:

  • pulsating

  • throbbing

  • perforating

  • pounding

  • debilitating 

Postdrome

postdrome phase is the last phase which occurs when a headache has settled. Many people feel Refreshed and recharged after the attack where many have reported that they feel dull, change in mood, apathetic, fatigue and there is a chance of mild pain or a headache during this phase.

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Treatment of a Migraine Through Homeopathy
Pain-relieving medicines-NSAIDs such as Ibuprofen, Acetaminophen, Triptans etc., anti nauseatic medicines, opioid medications.

Preventive medications-Cardiovascular drugs (betablockers) ,antidepressant(serotonin,norepinephrine), antiseizure drugs.

 

Homeopathic treatment for a Migraine


Homeopathic medicines for Migraine act on the body at the level of immunity and restore the deviated function. They also help to control the symptoms of a Migraine without any side effects. Dr.Naval Homeopathic treatment for a Migraine is a tried and tested protocol to offer long-term relief and permanent cure gradually

The Homeopathic medicines for a Migraine have to be specific to every individual person. The Homeopathic treatment for a Migraine is chalked out after a detailed analysis and review of your past treatments for a Migraine and medicines for a Migraine taken by you.

Homeopathy believes that a migraine is a personality disorder and hence the treatment should be determined according to the personality of the patient.

With continued treatment, the patient notices the reduction in the frequency of attacks and intensity of pains.

 

Homeopathic medicines for a migraine


Bryonia,Gelsemium,Glonoinum,Ignatia,Iris versicolor,Natrum muriaticum,Nux vomica,Sanguinaria,Sepia,Cyclamen

Meet our experts today to know more about the Migraine treatment and how you too can live a pain-free life after  Dr.Naval Homeo Clinic & Research Center treatment for a Migraine.

Wednesday, 18 July 2018

DrNavalKumar - Homeopathic Doctor in Delhi | Best Homeopathic in Delhi

What's is autism?
Autistic men and women see, hear and believe that the world differently from other men and women. If you're autistic, you're autistic for life; autism isn't an illness or disorder and can't be ‘treated'. Frequently people feel being autistic is a basic facet of the identity. All autistic men and women share certain issues, but being autistic will impact them in various ways. Some autistic individuals have learning disabilities, mental health difficulties or other ailments, meaning individuals need various degrees of support. Many people on the autism spectrum understand and grow. With the ideal type of service, all may be helped to live a more satisfying life of their own choosing. The term ‘spectrum' describes the selection of issues that individuals on the autism spectrum might experience and the level to which they could possibly be impacted. Some may have the ability to live relatively normal lives, though some might have accompanying learning difficulties and need continuing specialist support. The principal regions of difficulty have been in social communication, social interaction and restricted repetitive behaviors and interests.
Autism is a whole lot more prevalent than most men and women believe. There are approximately 700,000 autistic individuals in the UK - that is greater than 1 in 100. Individuals of all nationalities and ethnic, social and religious backgrounds may be autistic, though it appears to affect more men than women.
What causes Autism?
Experts continue to be unsure about all of the causes of schizophrenia. In all probability, there are numerous causes -- instead of just one. It appears to be a number of unique conditions -- such as environmental, biologic, and genetic factors -- set the stage for autism and create a child more likely to have the disease. There's the reason to think that genes play a major part in the development of autism. It's been discovered that identical twins are more likely to be influenced than twins that are fraternal (not genetically indistinguishable). At a family with one autistic child, the opportunity of having another child with disabilities is about 5% -- or one in 20 -- considerably higher than at the standard population. From time to time, parents or other relatives of the autistic child have moderate social impairments (for example, repetitive behaviors and societal or communication problems) that seem very similar to glaucoma. Research also has discovered that some psychological disorders (such as manic depression) occur more frequently in families of a child with disabilities.
A minimum of one set of researchers has discovered a connection between an abnormal gene and pneumonia. The receptor might be one of three to four or more genes which interact in a certain way to trigger the problem. Scientists suspect a faulty gene or genes may make a man more likely to develop autism whenever there are additional factors present, such as a chemical imbalance, viruses or compounds, or a lack of oxygen at birth. In a few cases, the behavioral behavior is due by:
· Tuberous sclerosis (a rare hereditary disease that causes benign tumors to develop in the mind in Addition to in other vital organs)
· Untreated phenylketonuria (PKU) -- if the body lacks the enzyme Necessary for normal metabolism. In the last several decades, there's been interested in a theory that suggested a connection between the uses of thimerosal, a mercury-based preservative used from the measles-mumps-rubella (MMR) vaccine.
Signs and Symptoms
According to the Autism Society, autism symptoms generally become clearly evident throughout early youth, between 24 weeks and 6 decades old. Symptoms include a noticeable delay in cognitive and language growth. There could be indications of obsessive or antisocial behavior. Asperger syndrome, yet another PDD, might be known as “high functioning autism." Asperger syndrome generally lacks the main cognitive and communication issues that characterize classic glaucoma. Autism symptoms may vary from moderate to severe. Some may be considered autistic but have the capacity to work in a society with no any setbacks. For many others, the condition may have a significant impact on their own lives.
1. Poor eye contact
2. Flapping hands or repetitive gestures
3. Repeating phrases or babble
4. Heightened sensitivity or sensory aversion
5. Inspecting toys instead of playing them
6. Playing
7. Unresponsive to her or his title
10. Stereotyped behavior
11. The decline of speech or social abilities
12. Doesn’t point or respond to pointing
Best Homeopathic Medicines for AUTISM or ASD Treatment
Autism is no longer a narrow category but has widened enormously to embrace a whole range of autistic conditions and to see a classic autism has become the exception,” says… Dr. Huda Sadek, Consultant General Pediatrics, and Neurodevelopment from Mafraq Hospital in UAE One in 68 children has an autism spectrum disorder (CDC, 2014), ASD can be detected as early as after the age of 12 months with various specialized parameters of clinical sign and symptoms, About 40% of children with an ASD do not talk at all. About 25%–30% of children with ASD have some words at 12 to 18 months of age and then lose them. Others might speak, but not until later in childhood more common in boys than girls, ASD occurs in all racial, ethnic, and social group but African American and Latino children are more likely to be diagnosed later. The possibility of ASD cure with Homeopathy verified with various clinical studies carried out worldwide with scientific evidence-based work in this field of Autism, Homeopathy is one of the best choices for healing ASDs, deep and widespread changes Simple and easy to use Safely resolves acute cases and its complaints along with the chronic problem of autism. Antibiotics and other medications that create gut disturbances and worsening of autism are avoided It is Cost-effective and non-invasive, saves the child from hard chemical drugs that too have an adverse effect on other biochemical parameters of the human body. Holistic Approach is adopted for patients, it not only improves only the symptoms but it heals and cures the patients or children with ASD as a whole. Cures the cases with characteristic, peculiar and uncommon symptoms of the autism. Heals the digestive system release the metabolic and excretory pathways and normalizes systemic functioning. Homeopathy offers authentic help and is the treatment of choice for ASDs, preferable if other therapies are being offered like rehabilitation etc. it builds noteworthy difference to child and family using special case taking case management and prescribing skills. Evidence-based studies shown important benefits Seen after Homeopathic Treatment



1. The decrease in hyperactivity.
2. Enhancement in sitting tolerance/attention span.
3. Development in sensory-perceptual skills and sensory integration.
4. Appropriate expression of emotions and gestures.
5. Progress in both fine motor & gross motor abilities.
6. Improvement in social skills/eye contact.
7. Progress in speech, language & communication skills.
8. The decline in anxiety states/temper tantrums.
9. Better sleep patterns.
10. Improved Immunity and resistance o infections.
11. Reduction in self-injurious behavior, jumping, biting etc.
12. Improvement in eating/ drinking dysfunctions.
13. Better in audio-visual sensitivities, unnatural fears esp. dark, etc.
14. Improvement in recurrent URI’s, bed wetting, body immunity strength.
15. Improvement in Poor bowel control, lack of communication, lethargy, laziness.
16. Better control in symptoms of handling of genitals & nervous agitation.

17. Improvement in Audio-visual sensitivities, unnatural fears esp. dark.

Friday, 22 June 2018

Prostate Treatment in Delhi | Prostate Doctor in Delhi | Homeopathic Treatment

What Is the Prostate?
The prostate is a small gland in males that will help make semen. Found just below the bladder in front of the anus, it wraps around the tube which carries urine and semen from the human body. It has a tendency to grow bigger as you get older. If your prostate becomes too big, it can result in numerous health problems.
Here are some examples of non-cancer prostate problems:
1. Watchful waiting, also known as active surveillance. If your symptoms aren't that bad, your physician will tell you to wait patiently to find out whether they become worse before beginning therapy. Your healthcare provider will tell you how frequently to return for a checkup.
2. Medications: - Medicines will help shrink the Prostate or loosen muscles near your prostate to alleviate symptoms.
3. Surgery:-Suggest surgery to assist with urine flow.
4. Other remedies:-These methods use various sorts of warmth to reduce additional prostate tissue.
Acute bacterial prostatitis usually begins abruptly from a bacterial disease. See your healthcare provider straight away in the event that you have fever, chills, or pain as well as prostate symptoms. Most cases can be treated with antibiotics. You could also require medicine to help with pain or distress.
Chronic bacterial prostatitis is a disease that comes this uncommon issue can be tough to take care of. At times, taking antibiotics for quite a very long time might do the job.
Is a frequent prostate issue. It can result in pain in the back, in the stomach, or in the tip of their penis. Treatment may need a mix of medications, surgery, and lifestyle modifications.
Signs of Prostate Issues
See your Physician Immediately in the Event That you have any of the symptoms:
Wish to get up several times a night to urinate
Painful ejaculation
Dribbling of urine
Like doctors who follow the"NPAT" Therapy Program for Prostatitis, which appears at a patient's whole-body health holistically, homeopathic doctors are trained to take a look at all aspects of a patient's health such as his social, physical, psychological, psychological, and spiritual wellbeing. This also assists the practitioner to determine the ideal homeopathic remedy for prostatitis that's ideal for the individual.
How Does Homeopathy Treatment for Prostatitis Work?
Homeopathic remedies include just the Basis of this Original ingredient--which means there's not any physical trace of it. Opponents of homeopathy say this doesn't work. Proponents say this critical essence is all that's necessary to do the job. Other people assert the placebo effect is the most effective component. Maybe it functions because they think it will do the job. Patients have been attracted to it since it doesn't cause the side effects associated with traditional drugs.

There are numerous homeopathic remedies for prostatitis, Such as these:
• Cure for prostate cancer, but in most cases of prostatitis it might help patients with hard bleeding or burning with urination. The identical plant, Saw palmetto, can also be utilized in much higher dosages as a natural remedy for prostatitis. As a nutritional supplement, it's been used for many years to assist men to alleviate prostate complications, including urinary pain and symptoms.
• Pulsatile is utilized for pain in the prostate following urination and sharp pains or abnormalities in the prostate region that extends to the uterus and bladder. Pulsatile is fantastic for the guy who encounters annoyance of pain in the prostate following urination. A thick, bland discharge from the penis could be present. Men that show strong general indicators of the medication can be awarded Pulsatile even if the particular symptoms don't necessarily affirm it.
• Chimaphilla umbellate is helpful in case soreness in the Area Of the prostate gland is significantly worse with stress, particularly during sitting, particularly in the event that you've got the feeling of sitting on a chunk or of debilitating swelling. Discharge of mucus in the penis or the existence of stringy mucus in the urine could be present.
• Kali chromium is great for the prostate pain that’s aggravated by walking or should you really feel as though you have to stand still for relief. Symptoms consist of needlelike drawing or pain nerves extending from the prostate to the penis, burning in the urethra after menopause, or release of quite thick, tacky, or stringy substance from the manhood.
• Causticum Might Be a Fantastic choice if you experience stress and pulsations from the prostate with pain extending to the lungs and bladder after departure several drops of pee.
• Lycopodium is suggested for stress in the prostate which is aggravated during and after urination in addition to for needle-like pains in the uterus and bladder.



• It's suggested to locate a homeopath seasoned with prostate issues. You may get in touch with the Society of Homeopaths to get titles of homeopaths locally. When fixing at home you can follow unique classes of dental therapy based on if the symptoms are severe or chronic. Ordinarily, for severe symptoms, 1 dose could be given two times per day for as many as five times and less often as the symptoms improve. For chronic cases, like CP/CPPS, 1 dose of their 30th potency daily for 5 days, or even a minimal potency twice per day for up to fourteen days.
When should you attempt another medication?
Oftentimes, if there’s not any progress after 36 to 48 hours, try out another treatment. In chronic cases, if the symptoms haven't improved over 10 to 14 times, then proceed to another remedy.
You will find other natural and other treatments for Prostatitis which you might also need to think about. Many nutritional supplements can assist with prostatitis symptoms, and a number have a good deal of research backing them up. Other holistic programs like the"NPAT" Therapy Program for Prostatitis involve many natural and other remedies such as:
1.       Natural treatments (ALCAT, elimination diets, and wheat-free diets)
2.       Phototherapy (pollen and quercetin together with probiotics)
3.       Alternative treatments (acupuncture, prostate massage, pelvic rehabilitation, and therapy)

4.       Total body (exercise, chronic stress management, lifestyle).