In one sentence, describe what the following article is about: In general, the first 36-48 hours of a gout attack are the most painful but you can relieve the initial pain and make sure you are doing all you can to end the gout attack as soon as possible. You can relieve some of the pain of gout by icing the joint. Use an ice pack wrapped in a towel and apply to the affected area for 20-30 minutes every hour that you are awake. Keep the affected joint elevated as much as possible while you ice it. This will help to avoid the blood settling in the area that is being iced. Your can take common pain relievers, such as ibuprofen (eg.Advil, Motrin IB) and naproxen (eg.Aleve). Use any OTC NSAIDs for as short a time as possible. Long-term NSAID use can increase the chances of a heart attack or stroke and can also increase the risk of ulcers and bleeding. Make certain you follow manufacturer’s directions exactly.  However, avoid any aspirin or topical aspirin products (eg. Aspercreme or any topical cream with salicylates). Aspirin products can cause more uric acid to deposit in the joints. Tylenol (acetaminophen) is not an anti-inflammatory medicine and is not likely to help. You could also take colchicine, but you may need a prescription from a doctor for that medication. For chronic control of gouty flares, you should take allopurinol, which decreases the amount of uric acid in the body. Topical analgesics have been shown to be very effective, especially for joints such as the toes, ankles, knees, elbows and hands. For example, Voltaren gel is a prescription topical NSAID that can greatly reduce gout pain. Talk to your doctor about the use of Voltaren gel Over-the-counter topical treatments that may be helpful include:  Capsaicin cream: Capsaicin is a substance derived from cayenne peppers that depletes Substance P — a pain signal.  Make sure you wash your hands well after applying capsaicin — it can cause an intense burning sensation, especially if it gets near your eyes. Homeopathic creams: These include Topricin, which contains a mixture of homeopathic pain remedies. Gout relief ointment: Tanza Botanicals has a Gout Relief Ointment that is made of a number of pain-relieving herbs.
Summary: Ice the area. Take over-the-counter pain relievers. Try a topical pain-relief cream or gel.

Erectile dysfunction is often related to blood flow and circulation. Being sedentary or overweight can result in poor circulation, increasing the risk of ED. By keeping your blood flowing at a healthy pace, you can improve your sexual performance and alleviate or prevent erectile dysfunction. Commit to getting exercise every day to improve symptoms of ED. You don't have to start running marathons to see results. One study demonstrated that just 30 minutes of walking a day reduced ED risk up to 40%. A healthy diet is good for your overall health, and  this will benefit your sexual performance. Eating right will give you the nutrients you need for energy and good circulation, while also helping you maintain a healthy weight.  Cut out saturated fats, processed sugar, and enriched wheat. These foods can clog your arteries and increase your cholesterol levels. Both will lead to poor circulation that could contribute to ED. Eat more fruits, vegetables, and whole grains. These foods will help keep your cholesterol low, give you a healthy blood pressure, and improve circulation. Vitamin B12 deficiency has been suspected to contribute to ED. You can remedy this with a daily multivitamin or eating shellfish, dairy products, and fortified cereals. These muscles help keep blood in the penis to maintain an erection. Weak pelvic muscles can let blood escape and contribute to ED.  You can strengthen the pelvic muscles with Kegel exercises. These are usually recommended for women, but men can benefit from them as well.  To do Kegels, you'll have to flex the muscles you would use to hold urine in. Tighten these muscles for five seconds, then relax for five seconds. Do this four or five times in a row. Repeat three times daily. . Among other health problems, smoking causes poor circulation. This will decrease blood flow and make it difficult to get and maintain an erection. If you smoke, it's best to quit as soon as possible to benefit not only your sex life, but your overall health.
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One-sentence summary -- Increase your level of physical activity. Maintain a healthy diet. Strengthen your pelvic floor muscles. Quit smoking

Q: Avoid the temptation to begin formulating a response before getting to the very last word in the correspondence. As you read the entire text, other insights may come to mind that will make it much easier to provide a truly constructive response. Let customers immediately know you care for and plan on investigating their concerns, there is personnel responsible for such actions, and a solution will be reached.  Try a few of the following replies to personalize your own:  At (business name), we are 100% committed to meeting the needs of our customers.  One of our customer representatives will reply within 24-hours. In an effort to monitor and improve customer satisfaction at (business name), we would like to inform you we take all feedback seriously, and will reply to your concern as soon as possible. We appreciate your concern and hope to keep your future business.  Please allow us some time to investigate your issue and determine a suitable solution. Whenever possible, go one step further and personally acknowledge the receipt. This is especially important if it will take time to gather the information necessary to adequately respond to customer queries, concerns, or suggestions. There are customer software packages that do this for you, but in general there should be a way to identify the customer, their contact information, and their specific complaint.  Be sure to include enough information, like a unique ID number, in case the customer has more than one bad experience.
A: Read the customer's email carefully. Acknowledge the customer email as quickly as possible. Track all customer interaction.

Problem: Article: Unfold the cardboard box and lay it flat. Peel off any tape holding the flaps in place. Then, remove the flaps so your hamster has plenty of space to move through the container. Make the toy out of plain cardboard. Avoid using tissue boxes or other types of cardboard with ink, since ink can be harmful to your hamster if it is chewed and swallowed. If you make the toy out of a big cardboard box, cut it to size with scissors or a utility knife. Choose a good spot for the toy, then use a tape measure to determine how much space you have available. Mark these measurements on the cardboard before cutting it.  To reduce the amount of measuring and cutting you need to do, use smaller boxes like tissue boxes. Save bigger boxes for toys left out of a cage, such as those placed inside a playpen. Another way to make use of a bigger box is to cut it into panels. Trim the panels so they’re all the same size, then stack them and glue them together to create a box-shaped house. The glue will begin curing within a couple of hours. Wait for it to completely solidify so the decorations don’t fall off when your hamster starts climbing on its new toy. Waiting is important, especially if you used a hot glue gun.
Summary:
Trim the flaps off a cardboard box with scissors or a utility knife. Measure and trim the box if needed to fit it in a cage. Leave the glue for 24 hours to dry if you used any.