Incontinence is to have a loss of bowel or bladder control but is not a disease – rather a symptom of some underlying problem. Lots of medical issues can cause incontinence and these can include birth defects, pelvic region injuries, pelvic surgery, neurological diseases, aging issues brought on by degeneration, multiple sclerosis, and certain infections. Pregnancy and childbirth in females can also be a cause.

The problem can occur at any age and in both sexes, although urinary incontinence is more prevalent in females, mainly due to child birth. Sufferers may also be mentally affected as well as physically, and many individuals tend to lock themselves away for fear of being ridiculed. This obviously affects the social and professional life of the individual involved.

Nearly 80% of urinary incontinence sufferers can have their condition cured or vastly improved but a proper diagnosis has to be made initially to determine what type of incontinence is present as there are different types with different treatment options. In the more usual circumstances, incontinence involves combined treatments of medication, pelvic muscle reeducation, behavioral modification and collection devices.

Incontinence

Medication treatment on its own is also quite a common treatment, but this is only prescribed by a doctor once correct diagnosis has occurred. Surgery is also an option for many types of incontinence.

Down syndrome is a genetic disorder otherwise known as trisomy and it is where an individual has inherited an additional or extra copy of a particular chromosome. In the case of Down’s syndrome, the affected individuals have three copies rather than two of chromosome 21. The consequence of this additional copy is that it changes the balance of the body resulting in characteristic intellectual and physical features.

Down Syndrome

There are three kinds of Down’s syndrome: regular trisomy 21 which is where all the cells in the body have an extra chromosome 21 and is the most common type of the condition with nearly 94% affected with Down’s having it; translocation, which is where extra chromosome 21 material attaches to another chromosome, and four percent have this type; and mosaic, which is where only some of the cells have additional chromosome 21. This usually has milder features than the other two types and only two percent of affected individuals have mosaic.

Down syndrome sufferers look different to normal people and usually have a flat type of facial profile with eyes slanting upwards. Smaller ears, protruding tongue and a flat back of the head are other features. Individuals affected tend to be shorter than normal, have poor muscle tone and have broad, short hands. Half the affected individuals have a heart defect, which can be treated in some, but not others. Some have problems with their gut, making it difficult to eat while increasing the risk of constipation and thyroid problems.

There is no cure for Down syndrome but there are treatments available for the accompanying symptoms as well as support for the learning difficulties.

The testicles are found within the scrotum which is a loose sac of skin hanging down behind the penis.  The function of the testicles is to produce sperm and the male sex hormone testosterone.  Most of the time any lumps or swelling within the testicles are benign but it is natural for people to worry when they have found a lump.

Testicular torsion results in swelling of the testicles if the testicle has become twisted.  This interrupts blood flow and causes a large tender distension.  It often happens in developing boys who are experiencing puberty but has also been know to happen in men in their 20’s although it is quite rare.  Testicular torsion is a medical emergency due to the fact that it needs to be rectified by surgery within 6 hours or there is a risk that the testicle will be lost.

Symptoms of testicular torsion include nausea; vomiting; swelling of the scrotum; fever; abdominal pain; the need to urinate often; and, excruciating pain in one testicle.  The cause of testicular torsion results from a spermatic cord that is too long.  The spermatic cord is where the testicles hang from and in some boys this cord is too long leading to increased movement of the testicle which means the cord becoming twisted.  If it twists too much it will cut off the blood supply and the testicle will die.  Testicular torsion can sometimes just happen for no reason at all or it can be the result of strenuous exercise or other physical activity.

An ultrasound scan can be done to confirm suspicion of testicular torsion. Surgery needs to take place almost immediately to save the testicle.  The surgeon will have to cut the scrotum and untwist the cord.  He will then sew the cord to the scrotum to prevent this happening again.

Testicular Torsion