Jaundice is a disease which causes the skin and the sclerae of the eye to turn yellow. It is caused by hyperbilirubinemia or excess secretion of bilirubin into the blood. The body fluids may also turn yellow. The shade of the skin depends on the bilirubin level. A mild increase in the bilirubin turns the skin pale yellow, and high level makes the skin turn brown.

There are three primary types of jaundice:

    Hepatocellular jaundice: This type of jaundice occurs due to liver disorders.
    Hemolytic jaundice: This type of jaundice occurs due to the breakdown of erythrocytes or red blood cells, and then excess bilirubin is produced.
    Obstructive jaundice: This type of jaundice develops due to an obstruction in your bile duct, restricting the bilirubin to exit the liver.

The common causes of jaundice are as follows:

    Inflammation of the liver disables the secretion and production of bilirubin and results in a buildup of bilirubin.
    Inflammation of the bile duct disables the secretion of bile juice, which results in bilirubin removal and leads to jaundice.
    In case the bile duct gets obstructed, the liver cannot dispose the bilirubin and leads to hyperbilirubinemia.
    Hemolytic anaemia may result in jaundice. When a large number of red blood cells break down, bilirubin production gets enhanced.
    An inherited condition known as Gilbert s syndrome may also lead to jaundice. The enzyme s ability to process bile excretion is also impaired.
    Another medical condition called Cholestasis disrupts the flow of bile from the liver. The conjugated bilirubin containing bile remains in the liver and leads to jaundice.
    Jaundice is also caused from alcoholic liver disease, caused due to excess alcohol consumption.

Treatment of jaundice
Jaundice itself cannot be cured and hence, the underlying cause of the jaundice is treated. Different types of jaundice are cured using different methods:

    Jaundice induced by anaemia can be cured by increasing the iron amount in your blood. This is done by intake of iron supplements or having iron rich food.
    Jaundice caused from hepatitis is treated by injections of anti-viral and steroid medicines.
    Obstruction induced jaundice has to be treated by surgical means. The obstruction is removed by surgery.
    Jaundice inflicted from medication is usually treated by choosing alternative medicines and abstaining from the medicines which caused the jaundice.
    Jaundice can be kept away if you take proper care of your liver. For this, you should eat a balanced diet, work out regularly and prohibit yourself from consuming excess of alcohol.

Jaundice is the most common type of liver disorder and occurs in people of all ages and also in newborn babies. Keep away from contaminated food and water, if you want to avoid jaundice.

Jaundice - 7 Factors That Can Cause It

Lung diseases are some of the most common diseases suffered by human beings throughout the world. Smoking and infections are responsible for most lung diseases. The lungs perform one of the most important functions of the body. It is also one of the most active organs in the human body and hence lung problems can arise due to problems in any other part of the body. Some of the most common and infectious lung diseases are discussed below.

1. Asthma
Asthma is a common long term disease which is characterized by reversible airflow obstruction and bronchospasm. The symptoms of asthma include coughing, shortness of breath and tightness of chest. These symptoms may occur frequently during a day and depending on the person, it may become worse during night or during a certain exercise.

2. Pneumonia
Pneumonia is another common lung problem which is suffered due to inflammation in the microscopic air sacs in the lungs known as alveoli. Symptoms of pneumonia include dry cough, chest pain, breathing problem and fever. Pneumonia is caused most commonly by viruses or bacteria. It is also caused by certain medications and conditions which are popularly known as autoimmune diseases. There are a number of vaccines available to prevent certain types of pneumonia. Other methods include hand washing and refraining from smoking.

3. Tuberculosis
Tuberculosis is a very infectious disease which is caused by the bacteria mycobacterium tuberculosis. Although tuberculosis generally affects the lungs, but it has been known to affect other parts of the body as well. Symptoms of tuberculosis include cough containing sputum with blood, night sweats, fever and weight loss. Air is an active medium for spreading tuberculosis. This happens when people who already have tuberculosis sneeze, cough or speak. Infection occurs more in those who have hiv/aids or those who smoke. Prevention of tuberculosis includes staying away and keeping those who are at high risk, early detection and treatment and vaccination.

4. Mesothelioma
Mesothelioma is a type of cancer which affects the lungs. It affects the lining of the lungs and chest wall. Symptoms of mesothelioma include shortness of breath, swollen abdomen, cough, chest pain, weight loss and general lethargy. Mesothelioma is caused mainly due to exposure to asbestos. Those people who mine asbestos, produce products from asbestos, work with asbestos products are at high risk. Mesothelioma also results from genetical problems and due to infection caused by the simian virus 40.

5. Pulmonary embolism
This is a disease caused due to blockage of an artery in the lungs by a substance which has travelled from another part of the body by the bloodstream. Symptoms of this disease include chest pain, breath shortness and coughing up of blood. There may also be signs of blood clot in the legs.

Types of Lung Diseases

Intrauterine insemination is a comparatively simpler treatment used for fertility purpose. It is performed without the use of any fertility drugs. In this procedure, the semen is transferred to the uterus by using a thin catheter after a special washing treatment. There are various reasons which can contribute to the IUI treatment which are mentioned below:

Infertility of males: One of the most prominent reasons for undergoing this procedure is when a male produces low sperm count or have very low motility of sperms.

Presence of hostile cervical mucus

This type of mucus is inappropriate for becoming pregnant. It can occur due to the substance abuse where the adverse effects of drug consumption are prevalent such as infertility producing drugs, imbalance of hormones and other infections. Hostile mucus can be acidic, contain inflammatory cells or antibodies that can cause harm to sperms and may be excessively thick, dry or sticky in physical appearance.

When the sexual intercourse is painful
The complications such as the dryness of vagina, cysts in ovaries and endometriosis (where a female experiences severe pain and cramps during menstruation or ovulation), unusually tight hymen, any cancerous tissue, etc. can be the reasons that make it nearly impossible for her to get pregnant.

Risk factor
A woman is consuming any medications for fertility, and then there is a risk associated with respect to getting pregnant with multiples. The success rate of IUI is affected by several factors which are as following:

The success rate of IUI becomes 20% higher after performing this procedure each month regularly. But it is further affected by variables such as the cause of infertility, medications used for the same, etc.
IUI procedure is an invasive and cost-effective choice which makes it less successful than In vitro fertilization.
The pregnancy is 8 to 17 % successful when a combination of fertility drugs and IUI is used.
The success of this procedure also depends on the age and of the couple.

Hence you can always have a discussion with your medical health provider before opting for this procedure by keeping in mind the various factors, risk factors and cost involved.

Intra Uterine Insemination (IUI) - Cases Where It Is Beneficial!

Diabetes is caused in your body due to an insulin imbalance or improper functioning of insulin, and it can affect multiple parts of your body within a short time. Therefore, regular check-ups of your body are very essential to know if you have diabetes.

Once you find out that you have tested positive for the disease, you need to become even more thorough in your testing to find out if your blood sugar levels are rapidly fluctuating. If they get out of hand, they may cause medical emergencies that may be impossible for you to tackle alone at home.

Hence, daily monitoring of blood sugar is of great importance, and can be done in the following ways-

  Monitoring with a meter - In this rather simple but effective way, you have to draw blood from a small puncture on your skin made with the help of a needle or small pricking device. The blood is placed on a strip and then introduced on a testing meter, which displays accurately your blood sugar levels.

  Meters that monitor blood from several body parts - There are meters that monitor glucose levels in blood from several parts of the body. These parts include the base of the thumb, and the forearm too. This method of diagnosis is particularly helpful for those whose blood sugar levels constantly fluctuate, as this device provides an average of blood sugar levels from different parts of the body, as a composite whole.

  Continuous glucose monitoring systems - Known as interstitial glucose measuring devices popularly, they give results not as accurate as the other two devices, but still a fairly accurate estimate.

How to keep your sugar levels in constant control?

If your blood sugar levels are too high or too low, you have to bring them to normal via treatment, and if they are at a harmless level, you have to maintain it at that mark. There are several ways to maintain your sugar levels at acceptable rates. They are-

  Daily regulated exercise - Daily exercise dramatically helps your health if you have diabetes because it increases your insulin sensitivity and promotes better utilization of it in your body. Exercise is also helpful to guard you against other illnesses related to high bad cholesterol, or a weak immune system.

  A balanced, healthy diet - A balanced diet helps you keep your sugar levels in check while providing you with the requisite nutrients for making your body even healthier. Make sure to include an abundance of fresh fruits and green leafy vegetables in your diet, and cut down intake of fast, processed and extremely sugary foods/beverages.

  Drinking plenty of water - Drinking adequate water hydrates your body, and contributes to a healthy diet. It also reduces your risk of diabetes and guards you against diseases like gallbladder stones which are caused due to a lack of water in your body.

  Stay mentally sound and stress-free - Controlling your stress and anxiety levels can work wonders for your diabetes. If you make it a goal to stay stress-free about factors that are beyond your control, and be optimistic about life in general, it could work wonders for control of your diabetes.

Diabetes is a potentially life-threatening disease with a host of secondary complications. To avoid the worst of it, make sure you go for regular medical checks. If you do happen to be diagnosed with it, perform regular tests to check your levels, and take adequate measures to keep it under firm control.

Ways To Monitor Blood Sugar And Followup Care!

Chromosomal abnormality happens when a cell has too many or too few chromosomes. The most common form of chromosomal anomaly is Down s syndrome. If a parent has a chromosomal anomaly, she/he will pass it on to the child. PGD or Pre-implantation Genetic Testing aims to select only the embryos with normal chromosomal count and only these embryos are implanted to achieve a healthy pregnancy and bring down the number of children affected with a chromosomal anomaly.

The risk of Aneuploid pregnancy:

The older a woman is when she tries to conceive (aged 35 or more), the higher the risk of Aneuploid pregnancy (carrying a baby with genetic or chromosomal abnormality). Most of these pregnancies end in miscarriages and the few that come to term produce babies with chromosomal abnormalities.

Causes of Chromosomal Abnormality:

Usually, chromosomal abnormalities occur due to an error in the cell division. Meiosis refers to the cell division, which the sperm and the egg undergo during the development procedure. Normally, meiosis breaks the chromosomal material into two equal halves, so that each of the parents contributes 23 chromosomes to the pregnancy. However, when the number of chromosomes in the cell goes up or down than the normal, it results in genetic/chromosomal anomalies.

PGD Procedure for a Chromosomal Anomaly:

If a couple elects to go for Pre-implantation Genetic Diagnosis, they have to undergo ICSI Cycle. ICSI cycle initiates a fertilization cycle to produce embryos. When the embryos reach upto day 5 and blastocyst are formed, they are biopsied and further sent to genetic lab for detecting the chromosomal abnormalities. The embryos are incubated for the entire duration of the genetic screening. Only the embryos that the genetic test clears are implanted. PGD never reveals the gender of the embryo.

PGD can help detect the single genetic disorders that may lead to the following ailments:

  Cystic fibrosis
  Muscular dystrophy
  Tay-Sachs
  Sickle cell anaemia
  Thalassemia
  Turner syndrome

PGD is a revolutionary science that can help root out incurable disorders linked to genetics. It ensures that pregnancy is sustained until term and a healthy baby is born.

Suffering From Genetic & Chromosomal Anomalies - Know About PGD!

Psoriasis is a chronic dermatosis characterised by an unpredictable course of remissionn & relapse. It is an non-infectious skin disaease chracterised by scaly, silvery patches mainly on the scalp and extensior surface of the body. Its exact cause is unkown. In ayurveda, it is closely resembles with ekakushta. The features of ekakushta explains in ayurveda classics resembles with the symptoms of psoriasis. Psoriasis is the challenge for modern science. There is no definite treatment for psoriasis in modern science till today. The drug available in the market use to treat psoriasis are not very effective and have local and systemic effects.

In ayurveda, vata pitta and kapha dosha is the main contributory factor for the disease. Due to vitiation of three dosha, the disease manifest and main line of treatment for psoriasis is panchkarma and internal medicine. It is considering the best approach for skin disorder in ayurveda. A case report of 42-year old male, presented with well demarcated red scaly, silvery patches mainly on both legs, hands, scalp, chest and back with itching, and also nail and joint involvement has been presented in this article.

Etiology of Psoriasis: 

Unknown but many factors have been associated-

Genetic: may be autosomal dominant

Triggers: physical trauma ,infection and drugs.

Biochemical change: like increase level of arachidonic acid and Cgmp.

Immunological factors: helper T cells PLAY A KEY ROLE.

Epidemiology: 

Roughly, 1% of population is affected. Can occur at any age and affected both sex. Most patients as worse in winters.around 7 million people are affected in developed country.

Histopathogenesis:

Increased epidermal cell proliferation.

Retention of nuclei in stratum corneum.

Proliferation of fibroblast.

Dilated and tortous capillary loops.

Shortened epidermal turnover time from normal of 60 to 10 days.

Clinical features: Usually chronic indolent lesions which persist for month. Lesions are mildly papule or plaque.erthematous plaque lesions with characteristic slivery, large, loose scales. The patients of psoriasis may also suffer from depression and low self-esteem.

In a patients with psoriasis always check for nail and joint involvement.

Nail: 10 to 15% of the patients have nail involvement. Pitting, nail plate thickening, subungual debris, discolouration of nail plate and oil spot seen in the nails.

Joints: 10% patients have joint involvement.

Sites: Scalp, pressor points & extensor. Sometimes generalised.

Chronic recurrent psoriasis is difficult to treat. Modern science treat with PUVA and corticosteroids but these drugs having local and systemic side effects like liver and kidney failure etc. So, it is the time to find out the effective and safe treatment for Psoriasis. Medicines which are used in ayurveda are safe and practised since many years. A huge numbers of drugs are prescribed in ayurveda for the treatment of kushta.

Case details: A 42-year old male patient, hindu brahman by religion, presented on 10 april 2016 with well demarcated raised red scaly, silvery patches on chest, back and both legs and hands. He complained of itching all over the body and on scraping, white powder like substances fall down and leaves a bleedy surface. On history, patients had complaints since 20 years and diagnosis of psoriasis by allopathic physician. Since 20 years he has been taking allopathy and homoepathy patients from various practioners of U.P and delhi. He is brahman and lives in well known temple of delhi and visit homes of peoples for religious ceremony. He is afraid that if the disease is spreading continously, then he is unable to work as priest because people neglect him due to disease. The disease is spreading all over his body and also involves nail and joint. Destruction of nail plates of hand and legs was also developed. For this, patients took allopathic treatment for such a long time but do not get relief.

The patients visit our clinic for the first time. He told use that his problem not solves since 20 years and spreading continuously. So, he is unable to trust us. So, we first give him counselling because reassurance and emotional support are invaluable. Physical and mental rest enhance the effects of the treatment. It is also important to tell him that the disease is not contagious and is benign.

SYMPTOMS OF THE PATIENTS :

Itching all over body

Silvery patches, especially, on legs ,chest ,back but now spreading in his hand and scalp.

Destruction on nail plates

Swelling and pain in left middle fingers and flexor deformity in proximal interphalangeal joint

Swelling in right middle metatarso phangeal joint and pain

Some blood test of the patients were done like CBC, LFT, KFT, SR, URIC ACID to assess outcome.

His general health was good and both physical and all blood test were within the normal limts.we advise patients for panchkarma and oral medication but patients refuse for panchkarma so we start his oral or internal medication. 

Investigation Done :

CBC(Complete Blood Count)

LFT(Liver Function Test)

KFT(Kidney function Test)

Sr. Uric Acid

Investigation was done to rule out any other pathology. Investigation were within normal limit.

Internal Medication :

Medication are given into two phase. In First Phase, we are given panchsakara churna - one spoon two times daily for anulomana and pachan, Panchnimba churna- one spoon two times daily with luke water, panchtikta ghrita gugulu - two tab two times daily, and one oil for local application containing jyotishmati,bakuchi, and chakramad for five days. We told patient to apply the oil firstly only on legs for 5 days. Patient taking the same for 5 days and come on 5th day, we see the fabulous result, the rashes which are developed within 4 to 5 months just disappear and other rashes are also subsiding.

After 5 days, in second phase, we continue the same treatment and also added haridra khand - one spoon two times daily, gugulu tiktam kashaya - three spoon two times daily (one hour before food for 15 days). The patient came back on 20th day, with great result, the rashes were almost 60 % subsiding and pain and swelling in finger and ankle also reduce to great extent. Now, patient is not taking any pain killer for pain. Patient also get improvement in nails of legs.

We prescribe the same medicine for one month that time and ask him to do some physiotherapy additional for finger deformity. After that patient came with 70 to 75 % relief in symptoms and patients also tell that during the treatment, he will not develop any additional rashes.

During the treatment, we also told the patients to follow some dietary changes and live according to the rules of Ayurveda.

Result: Psoriasis is a disease with unkown etiology and triggered by many factors. In modern science, treatment of psoriasis is a challenge. They do not have any safe and proper medicine for psoriasis. But, ayurveda treatment gives satisfactory results as well as the quality life to the patients. Ayurveda removes toxin out of the body and corrects the formation of aama. Ayurveda gives the prevention as well as the treatment. So, by following the dietary and lifestyle change we prevent the reoccurrence of the disease.

Ayurveda For Psoriasis 

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