A burn scar on your skin does not only spoil your appearance, but also hampers your self-confidence. You can undertake a plastic surgery in order to eliminate burn scars and burn marks. A burn repair surgery is an effective way to fix any previous or fresh burn scars. Although a burn scar cannot be totally eliminated, this surgery helps in improving basic functions and makes the scar less prominent or noticeable.

About Burn Repair Surgery: There are two types of burn repair surgeries. An acute burn surgery is carried out immediately after a burn injury has been inflicted. It is undertaken in a hospital by a team of surgeons who specialize in acute burn repair surgeries.

A re-constructive burn surgery is usually carried out after the initial burn scar heals. Re-constructive burn surgery aims at improving both the functional appearance and the cosmetic appearance of a burn scar. This form of burn surgery incorporates the modification of the scar tissue. The treatment procedure for scar tissues requires several months to be successful. New scar contractures may appear for a long time after an injury. Facial burn scars, which cause problems with the eyes, lips, nose and cause hair loss can be rectified. Abnormally thick, white and discolored scars can also be lightened by undergoing a burn repair surgery.

Procedure: The surgical procedure of burn repair surgery primarily involves scar release methods. After a tight scar has been released, the opening or incision made in the skin is repaired. Several techniques are applied for the purpose of closing the wounds. These include skin grafts and skin rearrangement or Z-plasty. Sometimes, more advanced flaps are required. This depends on the location of the scar and the desired results. Minor procedures are performed in the form of an outpatient surgery, but in case of larger grafts and flaps, inpatient facility is required.

After undergoing the surgery, you must follow your surgeon's care instructions properly for effective healing. This would also enable you to have a long-term effect and improved appearance of burn scars. Follow-up appointments with your surgeon after the surgery are essential.

Before deciding on undergoing a burn repair surgery, you must consult an efficient cosmetic surgeon and discuss about the surgical procedure. You should know all important facts regarding the surgery and also have an idea about the results, which would be obtained. Non-surgical therapies can also be undertaken for repairing burn scars, which include scar massage, application of pressure garments and some other topical therapies.

How Effective Is Burn Repair Surgery?

The development of breasts is one of the most prominent physical difference between the structure of a man and a woman. In some cases, hormonal imbalances can cause enlargement of the male breast gland, which is known as gynecomastia.  Apart from being a cause for embarrassment, it is also associated with a number of medical conditions such as kidney failure and liver cirrhosis. However, there is little need to worry if you have been diagnosed with such a condition as it can easily be treated with dietary changes, medication and surgery. Among these, surgery is the only method of treatment that guarantees a permanent and immediate solution to the problem. 

Surgical treatment for gynecomastia is of two types

Liposuction 
Mastectomy
The type of surgery suitable for you will depend on a number of factors including the extent and type of gynecomastia.

Liposuction involves the removal of fat from the breast, but does not touch the breast tissue itself. For this surgery, a surgeon makes a small incision on either side of the chest or along the edge of the areola. Excessive fat is then removed through these incisions and the skin and remaining tissue is then restructured. Liposuction can take anywhere between a week and 3 weeks for complete recovery. In the meanwhile, the patient must wear a compression garment to minimize the swelling and support the chest tissue as it heals. 

A mastectomy on the other hand is used to remove the breast tissue. A mastectomy is performed endoscopically and hence is less invasive. In this case, the incisions are located around the edge of the areola or in the natural crease of the chest. A mastectomy requires a shorter recovery period. In some cases, a combination of the two techniques may also be used. 

The results of both surgical approaches can be seen immediately after the surgery. Slight soreness and pain is a common side effect of this procedure and can be relieved with pain medication. Some men may also experience a temporary loss of sensation over the treated area. 

Though the results of both types of surgeries are permanent, it is important to maintain a healthy lifestyle after the surgery. Unhealthy eating that leads to significant weight gain can make the problem recur. Use of steroids or medication that affects the testosterone levels in the body and certain medical conditions can also lead to recurring gynecomastia.

Enlarged Male Breast Problem - Is Surgery Helpful?

Hypothyroidism is a condition in which the thyroid gland is not producing the thyroid hormones adequately. This is a fairly common condition.

What is thyroid gland?

The thyroid gland is a small butterfly-shaped gland located just below Adam s apple. It encircles the windpipe or the trachea. It is about 4 cms in height and weighs about 18 gms. This gland is responsible for the secretion of thyroid hormones. Hormones are chemicals produced by special glands like thyroid, adrenals, ovaries etc. They act as messengers and are carried by the blood to the various target organs.

What are the hormones produced by thyroid gland and what do they do?

The thyroid hormones are of two types   T3 (Tri iodo thyronine) and T4 (Thyroxine). These hormones are mainly responsible for the body s metabolism - a process in which food is converted into energy in the cells. They influence growth and development and regulate various bodily functions which are mentioned below:

Heartbeat
Body temperature
Breathing
Body weight
Metabolism of fat
Menstrual cycles in females
Functioning of Nervous system
Digestion
Burning calories etc.
What is Hypothyroidism?

Inadequate production of hormones by the thyroid gland is termed as hypothyroidism. This is also called Underactive thyroid state. Hypothyroidism can make the body s development to slow down and reduces metabolism rates.

What are the causes of Hypothyroidism?

Hypothyroidism can be caused by a number of factors:

Hashimoto's thyroiditis: This is the commonest cause. This is an autoimmune disorder (normally body s defence system fight against external infections. In autoimmune disorder the defence system attacks the healthy cells of the body by mistake). In Hashimoto s thyroiditis the immune system/defence system produces antibodies that attack the thyroid gland and destroy it.
Iodine deficiency in diet. For the production of thyroid hormones iodine is very important. The body does not produce iodine normally, so it needs to be supplemented from outside. Iodine is mainly present in the food we eat. It is mainly present in shellfish, salt-water fish, eggs, dairy products. If a person does not eat iodine rich foods, he may end up with iodine deficiency leading to hypothyroidism. Currently, this causative factor is on the decline due to government initiative of table salt with iodine.
Surgery: Surgery to remove thyroid gland (for e.g. thyroid cancer treatment, overactive thyroid etc.)
Radiation to the neck (to treat cancer in the neck area): The thyroid gland cells are damaged due to the radiation.
Treatment with radioactive iodine: This treatment is used for managing hyperthyroidism/overactive thyroid, where the thyroid gland produces excessive thyroid hormones. One of the treatment modalities is by radioactive iodine. Sometimes this radiotherapy destroys normal functioning cells which lead to hypothyroidism.
Certain medicines: Certain medicines used to treat heart conditions, cancer, psychiatric conditions etc.   for e.g. amiodarone, lithium, interleukin-2, interferon-alpha.
Pregnancy: Pregnancy (the reason is unclear but it has been noticed that the thyroid may get inflamed after delivery   this is called Postpartum thyroiditis.
Damage to the pituitary gland: Pituitary gland is a gland which is present in the brain. It produces a hormone called TSH (Thyroxine-Stimulating hormone).The TSH tells the thyroid gland how much thyroid hormone it should make. If the levels of thyroid hormone in the blood are low, then the TSH will stimulate the thyroid gland to produce more Thyroid hormone.
Hypothalamus disorders: This is an organ in the brain. This produces a hormone called TRH (Thyrotropin Releasing Hormone) which acts on the Pituitary gland to secrete TSH. So any disorder of Pituitary gland will indirectly effect the production and secretion of Thyroid hormones. These are very rare disorders.
Congenital thyroid defects: Some babies are born with thyroid problems. This is due to the thyroid not being developed normally during pregnancy. Sometimes the thyroid gland does not function normal. This can be identified by screening for thyroid disorders in the first week after delivery. This is usually by a blood test using a small drop of blood from the baby s heel.
What are the different types of hypothyroidism?

One classification is based on whether the defect is with the thyroid gland or not:

Primary hypothyroidism: The problem is in the thyroid gland itself and thus there is reduced production /secretion of thyroid hormones.
Secondary hypothyroidism: Here the problem is with the Pituitary gland or the Hypothalamus. This results in abnormal production of TSH or TRH, which indirectly leads to less production and secretion of thyroid hormones.
Another classification is based on the symptoms and levels of the thyroid hormones and TSH:

Overt hypothyroidism: Here the patient is having the symptoms. Further the T3/T4 are low and TSH is high
Subclinical hypothyroidism: Here patient may or may not have symptoms. The T3/T4 levels are normal but TSH is high. In this situation the patient is at an increased risk of developing overt hypothyroidism in the future especially if he has Thyroid peroxidase antibodies on testing.
Who are at risk of developing Hypothyroidism?

Women have a higher risk of suffering from hypothyroidism than men.
Older people are at increased risk.
People suffering from other autoimmune diseases like Coeliac disease, Type-1 Diabetes Mellitus, Vitiligo, Pernicious anemia, Multiple sclerosis, Rheumatoid arthritis, Addison s disease etc.
People with psychiatric conditions such as bipolar disorder
People with Chromosomal abnormalities like Down syndrome, Turners syndrome also have a high risk of suffering from hypothyroidism.
What are the symptoms of hypothyroidism?

Symptoms vary from person to person. They may also mimic other conditions and hence be difficult to diagnose. Symptoms may also develop very slowly over a span of moths-years. Some of the characteristic symptoms of this disease are:

Depression
Constipation
Hair loss
Dry hair
Dryness of the skin
Tiredness
Body pains
Fluid retention in the body
Irregular menstrual cycle
Increased sensitivity to cold
Reduced heart rate
Increase in size of the thyroid gland   called Goitre. This is due to constant stimulation of the thyroid gland by TSH.
Weight gain
Carpal tunnel syndrome
Hoarse voice
Infertility
Loss of libido/sex drive
Confusion or memory problems especially in the elderly
What are the symptoms to look for in a baby if you suspect hypothyroidism?

Infants suffering from congenital hypothyroidism may show no symptoms or exhibit signs of excessive drowsiness, cold hands, cold feet, constipation, hoarse cry, poor growth or absent growth, poor appetite, bloating of abdomen, puffiness of face, swollen tongue, persistent jaundice.

How to diagnose hypothyroidism?

Blood tests:

TSH: This hormone is made in the pituitary gland and it stimulates the thyroid gland to produce thyroxine. If the thyroxine levels are low in the blood, the pituitary gland produces and secretes more TSH into the blood to act on the thyroid gland to produce more thyroxine. A raised TSH level indicates hypothyroidism. Other tests are not usually necessary unless a rare cause of hypothyroidism.
T4: A low level of thyroxine indicates hypothyroidism.
T3: these levels are generally not needed to diagnose hypothyroidism
Anti-Thyroid peroxidase antibodies (anti-TPO antibodies) or Anti- thyroglobulin antibodies are present in 90-95% of patient with autoimmune thyroiditis.
Other blood tests include Creatinine Kinase, Serum Lipids, Complete blood picture etc.
Ultrasound of the neck is done if the patient presents with a thyroid swelling.
What is the treatment of hypothyroidism?

Overt hypothyroidism is treated by synthetic Thyroxin hormone which should be taken every day on an empty stomach at least 30   45 minutes before breakfast. The treatment is continued for the rest of the patient s life. Regular thyroid function tests are done once every 8 weeks-12 weeks to adjust the dose of the thyroxine in the initial period of diagnosis. Once the thyroxine dose is stabilised, the tests can be done even once a year. This treatment is quite effective.

Sub-clinical hypothyroidism is only treated if the patient is a woman and is contemplating pregnancy, in patients with symptoms or if the TSH is quite high.

What are the side-effects of thyroxine medication?

There are few side effects if any. Most people tolerate these medications quite well. An important consideration before starting medication is to check if the patient has chest pain/angina. These people are started on the least available dose. If these patients are started on a higher dose they notice a worsening of their angina pains.

Side effects mainly occur if the thyroxine dose is high which leads to hyperthyroidism. The symptoms of this could be palpitations 9increased heart beat), weight loss, profuse sweating, anxiety, irritability etc.

There are some tablets which increase with thyroxine tablets. These include carbamazepine, iron supplements, calcium supplements, rifampicin, phenytoin, warfarin etc.

What are the complications of hypothyroidism?

If untreated hypothyroidism can lead to:

heart problems like heart attack due to increased levels of bad cholesterol like LDL, or heart failure due to fluid retention
obesity
infertility
joint pains
depression
A pregnant woman with hypothyroidism is at increased risk of giving birth to a baby with congenital hypothyroidism, also known as cretinism. Further, the woman may have pregnancy related complications like pre-eclampsia, premature delivery, low birth weight baby, anemia, post-partum haemorrhage (bleeding after delivery) etc.
Myxoedema is another complication where the patient has extremely low levels of thyroid hormone. The body temperature drops drastically making the person lose consciousness or go into a coma.
References:

2013 ETA Guideline: Management of Subclinical Hypothyroidism; European Thyroid Association (Nov 2013)
Management of primary hypothyroidism: statement by the British Thyroid Association Executive Committee; British Thyroid Association (2015)
The diagnosis and management of primary hypothyroidism; Royal College of Physicians and others (June 2011)
Suh S, Kim DK; Subclinical Hypothyroidism and Cardiovascular Disease. Endocrinology Metabolism (Seoul). 2015 Aug 4.
UK Guidelines for the Use of Thyroid Function Tests; British Thyroid Association (2006)
Gaitonde DY, Rowley KD, Sweeney LB; Hypothyroidism: an update. American Family Physician. 2012 Aug 1 86(3):244-51.
Bindra A, Braunstein GD; Thyroiditis. American Family Physician. 2006 May 15 73(10):1769-76.
Wilson GR, Curry RW Jr; Subclinical thyroid disease. American Family Physician. 2005 Oct 15 72(8):1517-24.
British National Formulary; NICE Evidence Services (UK access only)
Baumgartner C, Blum MR, Rodondi N; Subclinical hypothyroidism: summary of evidence in 2014. Swiss Medical Weekly. 2014 Dec 23 144:w14058. doi: 10.4414/smw.2014.14058. eCollection 2014.

Know Everything About Hypothyroidism

Green Tea is often referred to as the elixir of health. It is refreshingly light, has minimal calories and provides so many health benefits that you would love introducing this to your everyday fitness and health regimes. Check out some of the wonders of Green Tea-

1) Cuts Your Risk of Cancer - Major researchers from all over the world agree that drinking Green Tea regularly can reduce your risk of cancer. Several polyphenols found in Green Tea are potent antioxidants that can prevent the growth of cancer cells and reduce the opportunities for tumors to thrive!

2) Protects Skin - Consumed or applied Green Tea has several benefits as well. For instance, Green Tea, when applied directly on the skin can help block skin cancer and reduce tanning. That's the reason why growing number of companies now use green tea extracts in their moisturizers and sunscreens. At the same time, it soothes your skin from cuts and scrapes when applied directly.

3) Increases Metabolism - You have heard it before! But we will remind you of the same again. Green tea is often known for increasing metabolism, which in long run, with exercising and healthy dieting can help you lose more weight. Drink a cup about half an hour before exercising and you will feel more powerful.

4) Stay Young - Green Tea, when consumed at least two cups a day regularly can help you stay younger, by giving your skin a natural glow and ensuring that your arteries don?t clog fat and cholesterol.

5) Steadies your Blood Pressure - Sipping even a single cup of Green Tea every day can help in reducing your chances of getting hypertension and high blood pressure. This is because of polyphenols, which can keep vessels from contracting and raising blood pressure.

If you have any more questions, click on consult privately to ask me.

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Top 5 Reasons to Start Drinking Green

Eczema is a skin condition marked by eruptions that are often pus filled boils and can be of many kinds. One of the kinds of eczema is also known as Atopic Dermatitis. Before treating Atopic Eczema it is always good to take an opinion of a Dermatologist, as the skin of Atopic patients is sensitive and not all home remedies may suit everyone. It is known to aggravate during cold and biting months of winter and can lead to dryness and scaly patches. It is commonly found in patients who are young children and babies. The flare up can also relapse again. Reddish brown patches and oozing boils characterize this skin ailment. It is mostly found on the face, scalp, knees and elbows.

Let us look at the natural ways in which it can be treated effectively:



Oil Massages: Atopic Eczema is usually characterized by severe dryness, which can be fixed with the help of coconut oil and olive oil massages. Sunflower seed oil and others like camomile, chickweed, licorice and thyme can help in bringing down the inflammation by soothing the area and removing the dryness to a great extent. These oils also have antibacterial properties which can help in treating the eczema in an efficient manner. Further, green tea, primrose oil, aromatherapy and other such methods can also be used to soothe the skin and treat the condition.
Probiotics and other Essentials: It is important to get a good dose of Omega-3 oils as well as other essentials like probiotics and flavonoids that are contained in food like green and leafy vegetables, dairy products, fish and others. These elements can help in treating Atopic Eczema in a natural manner.
Vitamins: Eating the right food can help in removing painful symptoms to a great degree. One can turn to the best vitamin d supplement that will supply precious Vitamin D to the body and help the skin become clear. Vitamin D can also be found in green vegetables, fish and dry fruits like figs and almonds.
Lifestyle Changes: There are other ways of treating this condition. One of the methods includes making lifestyle changes like using deep breathing and meditative techniques that can bring the stress level down so that the flare up does not happen and the immune system continues to function properly. Also, patients would be advised to use a cold compress every night as this is when the itching increases by leaps and bounds. The use of oat meal baths with baking soda can also help.
Aloe Vera Gel: The soothing and healing properties of Aloe Vera are well known. One can use the gel of this herb to bring down the painful inflammation as well.
Healthy drinks: Green tea usage can be found efficient in treating eczema, according to many pieces of research. Apart from consuming green tea, there are many other healthy drinks which you must consume if you are suffering from eczema.
There are various ways to deal with Atopic Eczema and hygiene is one of the top methods along with a good lifestyle.

The Best Natural Remedy for Eczema

It is a chronic autoimmune skin disease, in which the skin cells form a mass of scales. Usually, these patches of skin, which are dry, red and itchy, occur on the skin of the back, scalp, palms, knees, elbows and around the fingernails and toenails. But some people have the patches all over the body. The patches may also crack, flake and bleed. While there is no definite cure, the symptoms can be managed and treated.

Symptoms of Psoriasis

The symptoms of psoriasis may vary from patient to patient. However, if more than two of the following signs are seen, it is likely that psoriasis is the causative condition:

1. A sharp and localized pain in the joints accompanied by stiffness
2. Soreness in the throat
3. Tiny depressions in the nails or large brown patches under the nails
4. The diseased patches of skin can crack, peel and bleed
5. Swelling and tenderness of the limbs
6. Dental plaque
7. Muscle pain due to the swollen bands of connective tissue
8. A whitish and silvery mass of scales surrounded by red patches of stinging, itchy skin
9. The appearance of blisters or rashes on the dry scaly skin and also along the nails
10. Bumps on the folded skin like back of the knees, armpits etc.

Causes of Psoriasis

HIV
Human Immuno-deficiency Virus adversely affects the immune system and increases susceptibility of all kinds of infections and diseases. HIV-positive individuals have been found to have an increased risk of psoriasis than HIV-negative people.

Medication
Anti-malarial, anti-inflammatory and blood pressure medicines can cause psoriasis as a side effect. The disease is also an effect of withdrawal from topical steroid creams and other steroid-based medication.

Genetics
More than 32% of the cases of psoriasis have been linked to genes. In case of identical twins, if one twin has the disease,the other has a 70% chance of getting it too. There are several genes associated with the disease- most of these genes are related to the immune system. T cells (lymphocytes which affect cell specific immunity) can also cause psoriasis.

Other diseases
Diseases like strep throat, chronic infections, skin infections and stress may be responsible for the condition. Other factors like obesity, alcoholism, skin dryness and smoking can also lead to psoriasis.

Psoriasis: Symptoms and Causes

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