S R Multispeciality Hospital

Chest pain may be caused by multiple problems within the body and while being a problem in itself, may also be a symptom of a bigger underlying problem. Chest pain may be caused by anything from simple chest congestion due to a cold to something far more serious such as the onset of a heart attack. While it is important that life style changes be made to prevent major issues, homeopathy can provide relief for many symptoms till extensive medical steps are taken to correct the problem.

Some causes of chest pain
1. Angina
2. Onset of a heart attack
3. Atherosclerosis
4. Weakness of the arteries
5. Weakness of the heart muscle
6. Palpitations
7. Bradycardia
8. Chest congestion or cold

Symptoms associated with chest pain

1. Stable angina – Vice like constriction or choking, pain may be spread to right or left arm or both, dyspnoea before pain.
2. Unstable angina – Chest pain occurs at rest.
3. Pericarditis – Pain radiates to the left side of the shoulder which gets worse by lying in a flat position.
4. Pneumothorax – Severe chest pain along with shortness of breath, cyanosis, restlessness and collapse.
5. Pneumonia – Sharp pain which, gets worse by taking deep breath and coughing.
6. Pulmonary embolism – Short rapid breathing, sharp pain in middle of the chest that is worse by deep breathing.
7. Gastroesophagial reflux disease – Difficult painful swallowing, pain in the middle of chest which, extends to neck, back and shoulders.
8. Myocardial – Vomiting, dyspnoea features of shock, profuse sweating, fever, low blood pressure, pulse small rapid and irregular

Homeopathic remedies for various kinds of chest pain

Homeopathy is one of the most popular holistic systems of medicine. The selection of remedy is based upon the theory of individualization and symptoms similarity. This is the only way through which a state of complete health can be regained by removing all the sign and symptoms from which a patient is suffering.

The aim of homeopathy is not only to treat chest pain, but to address its underlying cause and individual susceptibility of the patient. For this patient’s current symptoms, past medical history and family history are taken into account. There are many homeopathic remedies which cover the symptoms of chest pain and can be selected on the basis of cause, location, sensation, modalities and extension of the pain. For individualized remedy selection and treatment of chest pain, the patient should consult a qualified homeopathic doctor in person. In medical emergencies like myocardial infarction and pulmonary embolism, immediate hospitalization is usually required. Some important remedies are given below for the treatment of chest pain:

• Arnica mont. – Chest pain with sore and bruised feeling.
• Ranunculus b. – Good remedy for intercostal rheumatism, sharp stitching pain in the chest along with dyspnoea.
• Kali carb. – Stitching pain in the chest,  which gets worse between 2-3 A.M
• Actea racemosa. – Pain worse on the right side.
• Bryonia – Chest pain is of stitching, burning and stabbing in nature, is worse by motion and better by rest and pressure. Thirst for large quantities of water and dryness of mucous membranes often accompanies.
• Rumex c. – Sharp stitching pain through the left lung, often with cough.
• Stannum – Knife like stitches, worse on bending forward and left side.
• Phosphorus – Violent tickling cough, chest pain due to tuberculosis of lungs or pneumonia along with oppression of the chest.
• Aconite – Chest pain due to pneumonia of first stage along with anxiety and restlessness.
• Robinia – Burning pain behind sternum due to hyperacidity.
• Strophanthus – Chest pain is of stitching and twitching in nature and often of cardiac origin. If you wish to discuss about any spIfecific problem, you can consult a homeopath.

Winters can often be gloomy, which is why the Spring Equinox comes as good news for those counting the days until warmer weather. It is the time when equator passes through the center of the sun and the days become longer.  The spring equinox does not only mark as the beginning of the spring, but has great influence over our health.

• On an average, we need 8-10 glasses of water a day to stay hydrated. This helps ensure proper blood circulation that takes nutrients to all the calls of the body, aids digestion, maintains proper functioning of the heart and brain and helps remove toxins from the body. Drinking water also helps improve metabolism and can, therefore, help you manage your weight. However, sometimes, you need to drink more water. The spring equinox is one such time of the year when the body needs more water. 
• The equinox refers to the passing of the earth’s equator plane through the centre of the sun. There are two equinoxes in a year; once in march and once in September. On an equinox, the length of the day and night is almost equal. The equinox in March is known as the Spring Equinox or Vernal Equinox and occurs typically around the March 20. This marks the end of winter and the beginning of spring in the Northern Hemisphere. 
• For a few days before and after the equinox along with the day of the equinox, the sun is directly overhead and very strong. Thus, it is essential to drink a lot of water and stay indoors as far as possible. If you must go out during the day, carry an umbrella or wear a car. The strength of the sun’s rays can dehydrate the body very fast causing nausea, heat strokes and blackouts. In addition, the heat can also make you sweat excessively thereby increasing the amount of water expelled from your body. An easy way to check your body’s hydrated levels is to check your urine.  A pale yellow, straw-like colour indicates good hydration while a darker yellow means that your body is dehydrated. 
• While drinking water is important, drinking water the right way is equally important. Drinking a bottle of water at once may give you the impression that you have drunk enough water, but in reality, the body cannot absorb so much water at one time. Instead, you should space out your water intake and drink throughout the day. Juices, soft drinks, tea, coffee etc cannot be used as a substitute for water. The caffeine in tea and coffee can actually dehydrate your body further and hence should be avoided at this time. If plain water does not sound appealing to you, you could infuse it with herbs like basil or fruits and vegetables like strawberries, oranges, lemons and cucumbers to add flavour. 

Washing your face often and showering twice a day can also help hydrate your skin and cool you down. Alternatively, you could fill a spray bottle with water and spritz yourself from time to time.

Nasal allergy is something that needs proper care and treatment to opt. Nasal allergy is the home to serious health issues, so it is prominent to know the reason behind it. Sometimes people get allergic to dust, tree pollen, some flowers, animal dander or it might be something else which is causing irritation in the nose. Treat your allergies on the priority basis because it is not something which can be ignored. Give a look at the below-mentioned symptoms and know the precautions that can find a way to get you out of this.

1. Nose running: The congestion in your nose can be one of the most common symptoms of nasal allergies. Maintain a distance from the substances which cause irritation in your nose. For instance, if you have nasal allergy from dogs or cats, then washing your hands properly and changing clothes after playing with them can get you rid of a sniffle.
2. Sneezing: The use of antihistamines is very much helpful to get rid of the periodical sneezing, but the follow the instructions provided on the label of the medicine. Over-the-counter pills are really beneficial. Otherwise, keep the miles’ distance from the species and things which cause sneezing. Know the reason behind the sneezing as soon as possible before it takes a serious turn.
3. Eyes’ Itching: If you are annoyed from the watering and itching of eyes, then do not ignore the symptom. Try using a cloth washed with cold water to place on the eyes. Contact lenses should not be adopted. Keep yourself away from the allergy trigger substances. The wearing of sunglasses can also be beneficial so adopt these ways to get the soothing eyes.
4. Postnasal drip: There is a production of mucus in the lining of your nose whenever you are suffering from cold or any other allergic conditions. The thickening of the mucus is the only cause of the post nasal drip. So, opt the saline nasal spray or go for the drinking fluids. To get rid of the lump in the throat and get the pain-free nose without any type of irritation.
5. Sinus pressure: If you are feeling any type of pressure behind your forehead, eyes, and cheeks, then be sure that this is the sinus pressure. Application of a warm and wet cloth to your face can be a very good catch. Try using the saline nasal spray or go for the steam inhalation. But, the long time period of the sinus pressure needs the proper care of the doctor so beware of that.

Do not ignore the symptoms mentioned above because a small mistake can cause the serious problems. The aforementioned points are also beneficial, but the reference of a doctor can provide the best ways possible. Proper care is necessary to be taken if you want to keep your nose working smoothly. Get the best advice and choose soothing breath for you.

Polycystic Ovarian Disease results from the disorder more commonly known as PCOS or Polycystic Ovary Syndrome. A syndrome is starkly different from a disease, for the former entails a set of symptoms usually occurring in concurrence, while the latter means a particular biological condition with an identifiable reason behind it. 

A syndrome solicits your concern and forethought in order to eliminate or at least control the chances of an underlying disease. Trigger to a syndrome is undetectable and hence fighting it efficiently is fairly problematic. It is rare to find adolescent girls without hormonal problems.
 
Hormonal imbalances are just too common to be a novel topic any further. Polycystic Ovary Syndrome is faced due to imbalances in hormone secretions. It refers to the development of multiple cysts in your ovary. This condition usually affects women falling within the age group of 15 to 50. Eight among ten women, at a given point of time, are reported with PCOS. Symptoms of PCOS, when neglected, can lead to Polycystic Ovarian Disease. If you have been facing similar health issues, it is advisable to undergo a check- up and get diagnosed at the earliest possible. 

Symptoms of Polycystic Ovarian Disease

1. A receding hairline or increased hair fall can lead to thinning of scalp hair. Such a sign should not be taken lightly as it could be indicative of Polycystic Ovarian Disease.
2. Extremely painful menstruation, irregular periods or prolonged periods with heavy bleeding might be reason enough for worrying.  
3. Development of acne could be another sign. Acne is common to girls attaining puberty, but an unprecedented growth should be a matter of concern. 
4. Patchy skin, pigmentation and discoloration of the skin are the other symptoms.
5. PCOS may also result in continual depression and anxiety.
6. Obesity is the most commonly noticed symptom. People suffering from Polycystic Ovarian Disease have lower metabolism and thus, reducing weight is an ordeal. 
7. Many women tend to grow thick facial hair or chest hair. Such a condition discourages the person to go out in public. It leads to social ostracizing which further bears severe effects on one's mental health.
8. PCOS mostly affects women belonging to the childbearing age. As a result of this syndrome, females stop ovulating. Conception becomes extremely difficult as the syndrome may lead to infertility.

Polycystic Ovarian Disease can result in Type 2 diabetes or even cardiovascular problems. If not diagnosed and treated at an early stage, it might lead to ovarian cancer. There is hardly any preventive measure to counter the chances of such a syndrome, but certain alterations in your diet under the guidance of a dietician and regular exercising can improve your health.

There is ample evidence to suggest the fact that anxiety or stress and the problem of hair loss are indeed related. The relationship between the two, despite being a complex one, can be easily established. If you’re worrying too much about how the rate of hair loss in your case has seemingly multiplied, then it’s time that you stop over-thinking. Your anxieties are contributing significantly to the condition itself. Hair-fall owing to excessive stress may occur anytime within the 6 weeks to 4 months time period that follows an event that might cause extreme pressure on you, psychologically or otherwise.

However, it is imperative to remember that it is a rare possibility for acute hair-fall to occur in case your anxiety is less than severe. Stress triggers a plethora of conditions that effectively contribute to hair loss, the most common ones being:

• Telogen Effluvium: The most frequently observed condition wherein more amount of hair than what is considered normal prepares to fall off.
• Alopecia Areata: Sudden increment in a fall of large clumps of your hair around the scalp.
• Trichotillomania: This is an otherwise habitual condition led by anxiety and stress wherein the person affected pulls out his hair without even realizing it himself.

The good news is that for those who suffer from anxiety induced hair-fall is that, the problem isn’t a permanent one. If anxiety and stress are the conditions that have triggered this problem, then best results might be achieved by implementing measures to reduce the stress causing factors. However, ensure that you’re addressing this problem properly and directly so that a fall or reduction may be observed in both your anxiety levels as well as your hair-fall problems.

There are several quick fixes that go a long way in contributing to the correction of this condition:

• Meditation aids in altering your brain’s neural pathways, thereby improving and strengthening your resilience towards stress.
• Connecting with your loved ones more often helps you relax and heal emotionally, significantly lowering your anxiety levels.
• Music that soothes the senses, calms down your nerves, and lowers the blood pressure levels, helps in alleviating the effects of a stressful living.
• It is vital to keep in mind the fact that a healthy lifestyle and regular exercising go a long way in keeping your health intact-whether it be securing your tresses or lowering your anxieties.

The abnormal growth of the endometrium tissue outside the uterus is known as endometriosis. Ideally, the abnormal tissue is supposed to break down and exit the body. However, in this condition, the tissue is unable to pass out of the body. As a result, the surrounding tissue tends to get irritated and leads to the formation of scar tissues.

The various causes of endometriosis include:

1. Immune system disorder: Complications in the immune system might render it incapable of destroying the endometrial tissue that grows outside the uterus.
2. Surgical scar implantation: Certain surgeries such as a C-section may result in the attachment of endometrial cells to the incision area.
3. Embryonic cell transport: These cells may be transported to other parts of the body by the blood vessels which may lead to endometriosis.
4. Retrograde menstruation: Instead of passing out of the body, under this condition, the blood flows back into the pelvic region via the fallopian tubes. When these cells attach themselves to the pelvic cavity, it causes endometriosis.

Symptoms
1. Pain during sexual intercourse
2. Pain during periods including pelvic pain, especially during periods, lower back pain and abdominal pain.
3. Excessive bleeding during periods
4. Fatigue
5. Constipation

6. Bloating

The major complication that results is fertility problems. Endometriosis may prevent the combination of the egg and the sperm and thus, impairs your ability to conceive. It is recommended not to delay pregnancy if you have endometriosis. This disorder also tends to increase the risk of ovarian cancer in some women.

How can it be treated?

Endometriosis is usually done using surgery or medications. 

1. Medication: It usually involves painkillers.
2. Hormone therapy: Some of the hormonal therapies include:
   1. Hormonal contraceptives
   2. Progestin therapy
   3. Gonadotropin-releasing hormone (Gn-RH) agonists and antagonists
3. Conservative surgery: If a patient wants to become pregnant, surgery is done as much as possible without harming the uterus and ovaries. Suggested procedures include laparoscopy and traditional abdominal surgery.
4. Assisted reproductive technologies: An example of this form of treatment is In Vitro Fertilization.
5. Hysterectomy: Under severe circumstances, total hysterectomy is conducted in order to facilitate the removal of cervix and uterus.

Heart Blocks are a result of plaque buildup in your arteries, which blocks blood flow and circulation to the heart, causing heart muscle damage and heightens the risk for heart attack and stroke.
Arteries which have smooth and elastic walls become thick and restrict blood flow from the cholesterol deposits over the years. Blood clots can also block the arteries that supply oxygen rich blood to the heart. These can eventually lead to strokes and heart attacks.

Some warning signs that you may be at risk of heart blockage:

1. Have you had a mild stroke: Plaque that accumulates in the carotid artery supplying oxygen rich blood to the brain can cause a stroke. People who have had strokes are more prone to heart attacks.
2. Do you often feel fatigue and dizziness: Reduced oxygen from poor circulation and blood flow can result in fatigue and tiredness as well as dizziness.
3. Experiencing shortness of breath: Poor blood flow can lead to shortness of breath from even mild forms of exercise or even from carrying out daily chores or walking.
4. Sudden chest pain: Chest pain or angina result from reduced supply of blood to the heart. It can be felt as pressure, tightness in the chest, squeezing in the chest, numbness or burning.
5. Unexplained lower back pain: This can result from pressure in the spine as a result of pinched nerves due to compressed vertebrae discs as a result of poor blood flow.
6. Erectile dysfunction in men: If an erection becomes difficult or impossible, it could be a warning sign of clogged arteries. These arteries supply blood to the pelvis area and help achieve an erection.
7. Calf pain: Blocked leg arteries can cause calf pain, especially in smokers . THis is an early sign of possible heart blocks.
8. Painful, numb and cold hands and feet: Plaque build up in the arteries of the extremities can cause numbness and coldness in the hands and feet.

Remember early detection is the key to prevent or delay heart attacks.

Ingrown hair refers to a situation in which a part of the body hair which has been trimmed, shaved or tweezed grows back into the skin in a curled form. This sometimes causes painful and discomforting skin conditions such as swelling, bump formation and chronic pain in the area from where the hair was removed.

This condition is mostly common among people who have very tightly curled hair on their entire bodies. Among men the most affected areas are cheeks, chin and neck. Additionally, they can also appear in cases of men who regularly shave their head. In case of women, ingrown hair is common in areas like armpits, pubic region and legs.

The most common signs of this condition are:

1. Small skin bumps (papules)
2. Small, pus-filled, blister-like lesions (pustules)
3. Hyperpigmentation (skin darkening)
4. Long lasting and chronic pain
5. Itching 

Ingrown hair might also occur if you do the following activities:

1. Pulling your skin while shaving your body hair can give rise to ingrown hair. This in turn allows the shaved hair particles to penetrate back into the skin without growing outwards.
2. Tweezing of hair can also lead to the hair particles to grow inwards instead of growing outwards.

Some common complications associated with this condition are:

1. Bacterial and fungal infections that usually happen from scratching of the affected area.
2. Hyperpigmentation of the skin which involves an abrupt darkening of the skin areas.
3. Permanent scarring of the tissue of the affecting skin.

The body receives its source of energy and nutrition through the blood, which is the transport medium. The blood runs through a highly complex network of blood vessels, with the aorta being the largest one. It originates in the heart, the left ventricle precisely and supplies oxygenated blood to all parts of the body. Coarctation is a condition where there is a narrowing of the aorta. The heart, therefore, has to exert extra pressure to push out blood so that blood supply to the target organs is not affected.

The exact cause of aortic coarctation is not known, though it often develops at birth and so is known as a congenital disorder. Depending on the severity of the narrowing, symptoms develop at various times in life. While some infants demonstrate symptoms, some may not show any symptoms well into adulthood. Infants with severe narrowing may manifest the below symptoms quite early in life.

1. Difficulty in breathing may gasp
2. Difficulty in feeding
3. Be extremely irritable
4. Profuse sweating
5. Pale skin

When these symptoms are not noticed and treated in time, the child may have heart failure or even die. If the symptoms do not manifest early in life, the infant can grow into childhood quite normally. Symptoms may then manifest which would be different, as below.

1. Increased blood pressure
2. Headaches (frequent)
3. Weakness in the muscles
4. Nosebleeds
5. Chest pain
6. Frequent fainting spells

These are generic symptoms and it is difficult to suspect coarctation of the aorta. Therefore, further imaging would be required to rule out coarctation of the aorta. There are some risk factors, most related to the heart, which puts one at increased risk of developing aortic coarctation.

1. Bicuspid aortic valve
2. Aortic valve stenosis and/or regurgitation
3. Mitral valve stenosis and/or regurgitation
4. Patent ductus arteriosus

Treatment: Diagnosis is the first step in treating coarctation of the aorta. This would include a series of imaging tests including an echocardiogram, electrocardiogram, chest x-ray, CT scan, and MRI.
Surgery is often the most definitive mode of treatment, and the approach chosen depends on the severity and stage of identification. The most common approach is to open up the narrowed portion and keep it from collapsing again, so that blood flow is restored. This is known as a balloon angioplasty and stenting. Some of the other procedures used include:

1. Resection with end-to-end anastomosis
2. Bypass graft repair
3. Subclavian flap aortoplasty
4. Patch aortoplasty

In all affected individuals, after surgery, medications are prescribed to maintain blood pressure levels, which is often increased. In addition, lifestyle changes including exercise and healthy eating habits have to be developed.