Eczema is a skin condition which is characterized by rough, cracked, red, itchy and inflamed skin. Sometimes it can also cause blisters. Eczema is also known as atopic dermatitis. It is a severe condition which starts during infancy and can go on throughout childhood. While some people may outgrow this condition, the rest might have it till adulthood.

Causes of Eczema:
1. Irritants- Certain irritants found in vegetables, meats, juices extracted from fresh fruits, disinfectants, shampoos, detergents and soaps can cause eczema.
2. Allergens- Dandruff, mold, pollens, pets and dust mites can also contribute to Eczema.
3. Microbes- Certain bacteria such as Staphylococcus Aureus, fungi and viruses can also cause eczema
4. Food products- Many people are allergic to food products such as wheat, soy products, seeds, nuts, eggs and dairy products. This might contribute to Eczema.
5. Stress- This doesn t cause eczema but can aggravate the symptoms of it.
6. Hormones- Women usually experience worsening of Eczema during certain stages of their menstrual cycle or during pregnancy.

Symptoms of eczema in infants and children:
1. Rashes appearing on the cheeks and scalp
2. Rashes which bubble up before fluid discharge
3. Rashes which cause itchiness and lead to disturbed sleeping; continuous scratching and rubbing can result in skin infections
4. Rashes which can appear behind the creases of the knees and the elbows; these rashes are also common on the legs, creases of the buttocks, ankles, wrists and neck.

Symptoms of Eczema in adults:
1. Rashes on the nape of the neck
2. Rashes on the eyes, face and neck
3. Rashes that can cause extremely dry skin
4. Extreme discomfort caused due to itching
5. Scaly skin caused due to rashes
6. Rashes which can result in skin infections
7. Lichenification, a condition wherein the rashes thicken and develop knots, is also a possibility.

How is Eczema treated?
1. Topical ointments and corticosteroid creams- These are anti-inflammatory medications which relieve symptoms of eczema such as itchiness and skin inflammation.
2. Antibiotics- These are usually prescribed if there is any underlying bacterial skin infection.
3. Antihistamines- These mainly reduce scratching at night. In some cases, it can also cause drowsiness.
4. Topical calcineurin inhibitors- This is a drug that suppresses activities of the immune system. It helps to prevent flare-ups and decrease inflammation.
5. Barrier repair moisturizers- These types of moisturizers repair the skin and reduce water loss from the skin.

Eczema - 5 Ways It Can Be Treated!

Hernia refers to the condition when an organ or fatty tissue inside the body begins to protrude from its location. Hernias are mostly detected in the groin, belly, or the stomach region. They occur because of muscle weakness in the said region where it is detected but they can be treated with surgery. In most cases, a surgery is prescribed and laparoscopic hernia repair is a very popular surgical procedure that has proven to be successful in most of the cases. This is why a growing number of patients decide to go for it.

Laparoscopic hernia repair: procedure: In this surgical procedure, a laparoscope (an instrument with a high-resolution camera and high-intensity light) is passed inside the abdomen through small incisions that varies between 0.5 and 1.5 inches in length. When the laparoscope moves inside the abdomen, it sheds light on the hernia and sends the images to the monitor connected to it. The surgeon views the hernia on the monitor and then the abdominal cavity is made to swell with carbon dioxide so that the surgeon can find enough space to operate the hernia. Once this is done, the surgeons operate the hernia with tiny surgical instruments. Once the hernia is removed, space or the hole is covered with a mesh from inside the abdomen.

Advantages of laparoscopic hernia repair: The laparoscopic procedure is popular because it is comfortable for the patient in many ways. They have to endure lesser post-operative pain as compared to open surgery, which means the recovery is quicker. They require lesser drugs for healing and the patient can get back to work in fewer days. It is an advanced form of surgery and thus, gives better results.

Disadvantages of laparoscopic hernia repair: While the non-invasive laparoscopic surgery has several advantages, it also comes with some drawbacks. It is lengthier in comparison to open surgery and also costs more. It cannot be performed by all the surgeons and only those who are skilled in this type of surgery can do justice to the different cases of a hernia. 

Recovery after laparoscopic hernia repair: The patient takes one to two weeks after the surgery to return to light activity and daily routine. Nevertheless, heavy exercise and strenuous activity should be avoided until four weeks after the surgery. The full recovery time differs from patient to patient depending on their age, gender, and health condition but one month is the average time for full recovery.

555 Manish Technique for inguinal hernia repair:

Totally extra-peritoneal (TEP) repair of inguinal hernia is now a standard surgical technique. A 12 mm incision in infra-umbilical region for Hasson trocar is must for TEP repair of inguinal hernia. This is the only technique known to laparoscopic surgeons. We have innovated a "555 Technique" for completing Mini TEP repair of inguinal hernia by using all three 5 mm ports.

555 Technique" is a feasible option without compromising the principles of TEP repair for inguinal hernia. Innovation of simple "Manish Retractor" is the key in completing Mini TEP repair. This technique is simple, less invasive, less morbid, and cost effective as it avoids dependence over costly Hasson trocar with better cosmetic results.

Laparoscopic Hernia Repair - What Should You Know

Top 10 Everyday Skin Care Hacks

You skin needs just a little care daily. There are some very simple ways in which we can provide that much needed affection and get back radiance and softness. And all this without any extra effort!

Try these everyday regimes for the glow.

1. Adopt Hydration - The first thing your skin needs to stay beautiful is adequate 'hydration,' or what they call in plain terms as plenty of water. So bottoms up to at least two liters of water daily.

2. Avoid Dehydration  - While you are busy hydrating your skin, remember to be careful and not dehydrate by staying out under the harsh sun for longer than 10-15 mins at a stretch. Ditch the caffeine habit (Soda, coffee, tea) as it dehydrates your body on the cellular level, inviting the onset of those dreaded wrinkles early than anticipated. 

3. Apply Lesser Layers - Your skin is your body's largest organ and it needs to breathe. So try and not swathe it under layers of heavy makeup and pore clogging chemical body butters on a regular basis.

4. Give It Fresh Air - To get your skin breathing truly fresh, put on your exercise gear and head outdoors to spend some quality time with Mother Nature at the nearest park or maybe you can take that long pending weekend trip out of the city!

5. Don’t Stress - Do not be stressed all the time unnecessarily. Learning how to manage stress effectively can take away years from your skin. 

6. Exercise - Run. Jump. Dance. Get moving, in short. The more your skin sweats, the better will it look and the elasticity would improve dramatically too. 

7. Get Nutrition - Get in the habit of starting the day with plenty of fruits and a healthy breakfast with the right amount of protein, carbs and essential fats. Fats are required by your skin to lubricate and moisturize from the inside. But make sure you stick to good fats found in olive oil, eggs, yogurt (the ones without any additives or artificial sugars), and whole grain breads etc.

8. Go Smoke-free - Just stop smoking and you would see a dramatic improvement in your skin tone within a few weeks (yes, it takes time to reverse that kind of damage) 

9. Wear Sunscreen - Slather on the sunscreen before you leave the house but make sure it's SPF index must be 30 and above for it to be effective under the harsh Indian sun.

10. Exfoliate & Detox - Scrub-rub-a dub every week. NOT every day though.. Make sure you use organic scrubs made with rice granules or sugar grains instead. Use a natural face mask such as Banana mash or a Tomato-Cucumber-Honey paste every alternate day to detoxify, cleanse and moisturize your face and body. 

If you would like to consult with me privately, please click on 'Consult'.

From Lybrate: If you found this tip useful, please thank the doctor by clicking on the heart icon below. Also, spread good health by sharing this tip with your loved ones over WhatsApp, Facebook and other media.


10 Only Skin Care Hacks You Will Ever Need

Cheese vs butter- what should be a part of your daily breakfast?

Both cheese and butter taste great, but when it comes to making them a part of your daily diet, you must keep their nutritional content in mind. Check how they rate nutritionally.

1. Calorie content

Butter is much higher in calorie content than cheese. While 100 grams of cheese have 349 calories, the same amount of butter comprises 717 calories. Moreover, 306 of the calories present in cheese are in the form of fat, while 713 calories come from fat in butter.

2. Fat content

Cheese and butter are both made from milk, but their fat content differs due to their different methods of preparation. 100 grams cheese contains 32 grams of fat, with 18 grams of saturated fats and 1.1 grams of trans fats. On the other hand, the fat content of butter is 81 grams per 100 grams butter, with 51 grams of saturated fats, and 3.3 grams of trans fats. This is the reason why butter is mostly avoided by people who aim at maintaining optimum weight.

3. Vitamin and protein content

There is only 0.8 gram of protein in butter, in comparison to 18 grams in the same quantity of cheese.

However, both cheese and butter are rich in vitamin a and choline, containing about 945 ius and 2499 ius vitamin a per 100 grams respectively. Vitamin a is known for improving your vision, boosting immunity and promoting cell growth. Also, vitamins e and k, and folate are present in small amounts in cheese and butter. They ensure good health of your red blood cells, help in blood coagulation and in maintaining bone metabolism (the process of forming new bone tissues). Additionally, cheese also contains vitamin b6, b12 and betaine.

4. Mineral content

Ample amount of minerals like calcium, phosphorus and potassium are present in both cheese and butter, which help in strengthening your muscles, minimising the chances of osteoporosis, maintaining acid-base balance in your body and diminishing the chances of heart diseases. Moreover, cheese also contains iron, selenium and zinc in smaller amounts, whereas butter has traces of fluoride, zinc, selenium and magnesium, which enhance your immunity and promote fertility among both men and women.

5. Energy giving capacity

Butter being rich in fat can boost up your energy level instantly. While cheese also provides your body with energy, it does not have an instant action like butter.

If you would like to consult with me privately, please click on'consult.

Cheese vs Butter- What should be your daily breakfast preference?

Chronic obstructive pulmonary disease is a long-term condition of the lungs where the flow of air to the lungs is restricted (obstructed). Symptoms include cough and breathlessness. The condition is most often caused by smoking and the most important treatment is to stop smoking. Inhalers are commonly used to ease symptoms. Other treatments such as steroids, antibiotics, oxygen, and mucus-thinning (mucolytic) medicines are sometimes prescribed in more severe cases, or during a flare-up (exacerbation) of symptoms.

What causes COPD?
Smoking is by far the biggest risk factor for COPD. The lining of the airways becomes inflamed and damaged by smoking. Cigarette smoking is the biggest risk factor.

Air pollution may cause some cases of COPD, or make the disease worse. Air pollution can be indoor air pollution or outdoor air pollution. Indoor air pollution seems to be involved in more cases of COPD than outdoor air pollution. Indoor air pollution includes fumes from indoor fires or stoves, and dust, fumes or chemicals present in some workplaces. The combined effect of exposure at work to air pollutants and smoking increases the chances of developing COPD.

A small number of people have a hereditary (genetic) risk of COPD due to very rare protein deficiencies that can lead to lung, liver and blood disorders. (The condition is called alpha 1 antitrypsin deficiency. Less than 1 in 100 cases of COPD are due to this.


COPD symptoms-


Cough is usually the first symptom to develop. It is produced with phlegm (sputum). It tends to come and go at first, and then gradually becomes more persistent (chronic). You may think of your cough as a 'smokers cough' in the early stages of the disease. It is when the breathlessness begins that people often become concerned.
Breathlessness (shortness of breath) and wheeze may occur only when you exert yourself at first. For example, when you climb the stairs. These symptoms tend to become gradually worse over the years if you continue to smoke. Difficulty with breathing may eventually become quite distressing.

Sputum - the damaged airways make a lot more mucus than normal. This forms sputum. You tend to cough up a lot of sputum each day.

Chest infections are more common if you have COPD. A sudden worsening of symptoms (such as when you have an infection) is called an exacerbation. Wheezing with cough and breathlessness may become worse than usual if you have a chest infection and you may cough more sputum. Sputum usually turns yellow or green during a chest infection. Chest infections can be caused by germs called bacteria or viruses. 
Other symptoms of COPD can be vaguer. Examples are weight loss, tiredness and ankle swelling.

What is the difference between COPD and asthma?


COPD and asthma cause similar symptoms - in particular difficulty breathing (breathlessness). However, they are completely different diseases. Briefly:

In COPD there is permanent damage to the airways. The narrowed airways are fixed, and so symptoms are persistent (chronic). Treatment to open up the airways is therefore limited.

In asthma, there is inflammation in the airways which makes the muscles in the airways narrow (constrict). This is temporary so the narrowing comes and goes. So, the symptoms tend to come and go, and vary in severity from time to time. Treatment to reduce inflammation and to open up the airways usually works well.

COPD is more likely than asthma to cause an ongoing cough with phlegm (sputum).

Waking at night with breathlessness or wheeze is common in asthma and uncommon in COPD.

COPD is rare before the age of 35, whilst asthma is common in under-35s.

There is more likely to be a history of asthma, allergies, eczema and hay fever (so-called atopy) in people with asthma.

Do I need any tests?

The most common test used in helping to diagnose the condition is called spirometry. This is a breathing test. You will be asked to breathe or blow into a small machine called a spirometer which will measure how well your lungs are working. This test can help make a diagnosis of COPD.


A chest X-Ray show signs of COPD and can be used to help exclude other serious conditions (including lung cancer). Occasionally, a special CT scan of the chest - high-resolution CT - is needed. A blood test to make sure you are not anemic is often helpful.

A pulse oximeter is a device which can be clipped on to your finger. It measures your heart rate (pulse) and the amount of oxygen in your circulation (oxygen saturation). Lower levels than normal tend to be found in people who have COPD, especially if you have a flare-up (exacerbation) of your symptoms.

COPD treatment-

Smoking cessation is the most important step towards treatment.
Inhalers

The main treatments are medications given in devices called inhalers. The medicine within the inhaler is in a powdered form which you breathe in (inhale). The medicines in standard inhalers reach the lungs better if used with a spacer device. Inhalers include one, two or even three types of medicines. They may include:


A bronchodilator agent - this is a medicine which opens up (dilates) the airways. Some work quickly but don't last very long; others are longer-acting.
A steroid - these reduce the inflammation in the airway, thereby reducing the swelling. This, in turn, adds to the space available for air to pass.
A medicine which helps to dry up the secretions produced by the airways.
Home oxygen
This may help some people with severe symptoms or end-stage COPD. It does not help in all cases. Unfortunately, just because you feel breathless with COPD it does not mean that oxygen will help you. Great care has to be taken with oxygen therapy. Too much oxygen can actually be harmful if you have COPD.
Regular follow up in OPD is an essential part of treatment success.

Chronic Obstructive Pulmonary Disease - Know More About It!

In today s time, modern lifestyle certainly has made a living a lot simpler, but it has also invited early death rate.

What does study say?
As per the data made by the National Healthcare Center, it has been found out that over the past few years, the number of death rates is increasing due to heart attack and the prime reason for the same is stress and an unhealthy diet. Often we tend to search online for what things can be done to prevent such early death due to a heart attack. In that case, you have to make up your mind and ensure that the diet regimen, workout session and changes in lifestyle are followed in the right manner.

Preventive measures to reduce risk of a heart attack:
It does not matter what is your current age, looking at the changes that a human is going through with the lifestyle there is no doubt that even young people are prone to this problem.

Here are some important tips that can help you from a heart attack.

A healthy diet is the best option: Avoid eating junk food, cholesterol based food, or the do no drink much as these slowly reduce your life quality. Cholesterol based or high-fat food increases the risk of heart attack. Junk food is all about taste, and there is nothing healthy included in it. Instead switch to healthy diet plan rich in fibre, vitamins, and minerals that can regulate the body. Choosing healthy meat with the leanest cuts and restricting down the sugar intake will have a good impact on your overall health.
Workout is another answer for All Your Problem: It is always better that you are physically active so that you can keep the heart rate at a good speed. This will speed up metabolism rate, burn unnecessary calories, and increase the rate of your heart so that you can lose weight at the same time stay active. Besides, physical activities like aerobics and swimming are some high-intensity workout that reduces the risk of heart attack to a great extent. Right from kids to adults above 60 years of age should perform a workout of at least 30 minutes even a walk is fine, but staying physically active is extremely important.
These are just some of the tips that can help you improve your quality of life. Your doctor is your life saver. He is the one who can guide you at every step and help you understand the right way to stay fit and healthy in the long run. Instead of just ignoring the symptoms, if you notice any make sure you speak with your doctor about the same and take necessary preventive measures as advised. 

Heart Attack - Can You Prevent It?

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