Crohn s disease is a condition characterized by the inflammation of the digestive tract or gut. The inflammation caused by Crohn s disease can lead to severe diarrhoea, abdominal pain, fatigue, malnutrition and weight loss. It is also known as enteritis or ileitis. 

Crohn's disease is a form of Inflammatory Bowel Disease (IBD) out of the two main forms. The other form is known as Ulcerative Colitis.

Causes-
The accurate cause of Crohn's disease remains unknown even today. Formerly, stress and diet were made accountable, but now it is known that these factors aggravate it but are not responsible for causing Crohn's disease. Factors such as heredity and an abnormal reaction in the immune system play a role in the development of this disease.

A bacterium or virus may also play a role in its development. For instance, E. coli bacteria has been associated with Crohn's disease. Smoking can be another risk factor.

Symptoms
Crohn s Disease is known to be a very individual condition. It can effect any part of the gut, starting from the mouth and down to the anus. In the most common cases, however, the ileum (the lower part of the small intestine) or colon (part of the large intestine) is majorly affected.

Its symptoms may vary from person to person, and depend on the location of the disease in the gut. Crohn s disease develops gradually, but sometimes it comes suddenly, without any warning. Symptoms exhibited change over time, with intervals of good health when your body shows no symptoms (remission) and periods of bad health when your symptoms are more vigorous ( flare-ups  or relapses).

Some of the major symptoms of Crohn s disease when it is active are:

Abdominal pain
Diarrhoea
Fever
Tiredness
Fatigue
Anal Fistulae
Mouth ulcers
Loss of appetite and weight loss
Perirectal Abscesses
Anaemia
Patients suffering from severe Crohn's disease also may experience:

Inflammation of the bile ducts or liver
Inflammation of eyes, joints and skin
Delayed sexual development or growth, in children
Diagnosis
There is no specific diagnostic test known for Crohn s disease. Patients with fever, abdominal pain and tenderness, diarrhoea with blood, and anal diseases such as ulcers are sometimes diagnosed with Crohn s disease. Elevated white blood cell counts and sedimentation rates are mostly demonstrated in laboratory blood tests. Both of which suggest infection or inflammation in the digestive tract. Other blood tests may reveal low blood proteins, low red blood cell counts (anaemia), and low body minerals, reflecting the loss of these minerals due to chronic diarrhoea.

Conclusion
Although many effective medications are available in the market to control the symptoms of Crohn s disease, yet there is no cure developed for it. Surgery can extensively improve the quality of life in certain individuals, but the reappearance of this disease after surgery is familiar to many. A better insight into the role of environmental factors and genetics in causing this disease can help in improved treatments and prevention.

Crohn's Disease - What All Should You Know

Urinary tract infection (UTI) is usually caused by inflammation or bacteria in the urinary tract. Pregnant mothers are most susceptible to this infection, especially after the sixth week and before the twenty fourth week of pregnancy. This usually happens due to the alterations that take place in the urinary tract during pregnancy.

Also, a growing uterus can block the urine drainage from this part of the body, leading to the accumulation of bacteria which causes infection. The symptoms are uncomfortable and even painful. These include pain and burning sensation, frequent urination, fever and chills. So how can you prevent UTI during pregnancy? we have a few tips for you!

- Hydration: The best thing you can do to both prevent and treat a urinary tract infection is to start drinking at least six to eight glasses of water in a day. Another good way to prevent and treat UTIs is with the help of cranberry juice which has powerful antioxidants that flush toxins out of your system effectively. You will, however, need to ensure that the cranberry juice is fresh and natural, without any sweeteners.

- Hygiene: Keeping yourself clean is one of the most important ways in which you can avoid UTI. It is best to clean from front to back, rather than the other way, so that you drive away bacteria and dirt. Also, make sure that you wash your private parts with warm water infused with a few drops of normal liquid antibacterial, so that you can be sure that the bacteria do not get a chance to thrive and affect your system. Also, remember to use soaps, washes and creams that have a mild formula, rather than a harsh chemical concoction. Hygiene for this area of the body includes keeping it dry.

- Diet: Your diet should have plenty of fluids and lemons or other citrus food that are rich in vitamin c, as this is a good vitamin to keep bacteria at bay. Also, you should eliminate sweet and refined products to ensure that you do not contract UTI. Other foods to avoid include caffeine and alcohol.

- Clothing: Wear airy and cotton based undergarments that are breathable and have a soft texture. This non abrasive type clothing can also help in keeping the area dry, so that bacteria does not get a chance to develop, as they typically need a damp environment for growth. Change your undergarments twice a day, if need be, and avoid wearing trousers and shorts that are too tight.

These tips and many others including urinating as soon as the urge sets in, can help in fighting the risk of contracting UTI during pregnancy.

Tips To Prevent UTI During Pregnancy

There are a number of conditions that may come to affect the delicate skin of newborn and growing babies. Some of them may be simple to diagnose and treat, while others may be slightly more serious. Intertrigo is an exceptionally normal inflammatory condition influencing those areas of skin that are naturally in contact with each other. For example, the groin, armpits and other skin overlays. These territories of skin that are in contact with each other are in contact to the intertriginous zones.

Infants and babies with intertrigo have red and sore skin in the folds of skin, under the neck, under the arm and in the nappy area. Dissimilar to nappy rash, the rash is most dangerous, if it is found inside the folds of the skin. In a nappy rash, the skin inside a fold is usually protected, but the rash is exceedingly bad in areas touched by the nappy.

In case you or your child has intertrigo, your doctor may propose just keeping the affected range dry and exposed to the air. You may control oozing of certain liquids with moist packs of an astringent called Burow's solution. Then air dry it and let it heal on its own.

The surface of the affected skin is exceptionally sensitive and hard. It should be dealt with delicately. Washing it with water can be difficult. Utilizing sorbolene to clean the skin might be a gentler option. Be careful so as not to rub the skin. Pat it dry softly and regularly. Keeping the skin fold as dry as possible is very helpful.

Creams or balms that shield the skin from dampness such as the ones that are utilized for nappy rash might be useful. Zinc creams, zinc and cod-liver oil creams can be helpful. Check with your doctor (drug specialist) for other valuable creams or salves. In case the rash is not improving or it is spreading, see your specialist as the contamination may require treatment. Thrush infections are normal. Utilizing a defensive cream like the ones used to counteract nappy rash are beneficial and effective.

Top Five Remedies For Intertrigo In Babies

Pregnancy is a journey in itself where you tend to go through physical changes, psychological changes and social changes as well. While the body struggles to cope with the hormonal and other major changes, the mind also tries continuously to adapt and cope with emotional as well as mental stress. Teenagers are considered to still be in a maturing stage when they have difficulty dealing with factors such as peer stress, emotional ups and downs, identity issues, personality building challenges and psychological barriers. 

So, getting pregnant at this stage can be very traumatizing. Issues such as postpartum depression have become very common among teenagers. 

Psychological Barrier in Teenage Pregnancy
As per the Pediatrics Journal, teenage mothers tend to have higher rate of depression compared with adult women who experience pregnancy. This may be due to various reasons like difficulty to face the society, unplanned pregnancy, immaturity to deal with pregnancy and related symptoms, own social involvements, which come between pregnancy and a whole lot of reasons.

However, the psychological effects and stress, which account for these barriers are sometimes quite severe and according to researchers, teen mothers often show symptoms of Post Traumatic Stress Disorder, which may sometimes lead to suicidal tendencies.

Signs and Symptoms of Stress and Trauma
1. Some of the major stress signs in teenage pregnancy either in the prepartum or postpartum period may include anxiety, depression, concentration difficulties, eating disorders, insufficient sleep, sadness or mood swings.

2. Already teenage pregnancy leads to excessive mental stress and if there is a complication in delivery or premature birth before 37 weeks, the level of depression tends to get higher.

3. There is a distinct difference between postpartum depression and baby blues. While baby blues are similar to stress and sleep problems, eating troubles, mood fluctuations seem the same as postpartum depression, they tend to go off within two to three weeks, while depression lasts.

4. Excessive fatigue resulting into a brittle mood.

5. Sudden attacks of panic are also quite common.

6. Difficulties in bonding with baby or having patience with baby's demands.

This type of stress and trauma may lead to child abuse, neglecting children or depression. Lowered self-confidence and irritated state of mind are also some of the common complaints. Therefore, to avoid the postpartum stress and major difficulties, teenage pregnant moms can consult psychiatrists for help and advice.

Stress and Trauma Related to Teenage Pregnancy

Blemishes refer to the discolored patches on your skin left behind by skin disorders such as pimples, acne, pigmentation or due to skin pores clogged by excess oil secretion. Blemishes, pimples and acne are some of the skin problems, which keep on affecting your skin and are hard to keep at bay completely. If you are suffering from the distressing problem of blemishes and wondering whether it is possible for you to get rid of them forever, then the good news is that it is not absolutely impossible. But in order to do so, you have to persistently work hard on your skin care regime.

Following are some interesting ways to eliminate those blemishes forever:

1. Skin exfoliation: skin exfoliation is a very effective process for getting rid of blemishes permanently. Exfoliation helps to shed the upper layer of your skin or rather the affected layer of your skin. But after exfoliation, a strict skin care routine must be followed everyday, which should combine cleaning, toning and moisturizing, so that the pimples and acne do not get a chance of popping out again.

2. Avoid overexposure to sun: too much exposure to sun can worsen your blemishes and make them darker in color. It can also create difficulties to get rid of them. Sun exposure may lead to break out of more pimples and acne, which in turn will leave behind marks on your skin.

3. Cut down on sugar: research shows that consuming excess sugar can trigger the break out of acne on your skin. Therefore, cutting down on your sugar intake will prevent further acne breakouts, which, in turn, will help you to get rid of your blemishes forever.

4. Apply lemon juice: applying lemon juice to the affected areas on a regular basis is another great remedy.

5. Avoid oily and fried foods: excluding oily and fried foods from your diet can help reduce the excess oil secretion by the skin pores and also prevent clogging of the pores.

Can You Really Banish Those Blemishes From Your Face Forever?

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 

Don't wait any longer, manage your Bio-Chemics online with a Lybrate doctor today

Consult for Bio-Chemics - Online and Easy!

FilterClear All

COMMON SPECIALITIES

COMMON ISSUES