What are Warts?

Warts are infectious outgrowths that may appear on any part of the body. For example, the most common warts occur on fingers. They are caused by virus, most typically the Human Papilloma Virus (HPV) and several of its subtypes. They appear as dense painless rounded nodules of about 0.3- 1 cm in diameter. The mode of transmission of this virus is usually by contact. You can also contract warts by sharing objects like razors, towels or other personal items. They can be sexually transmitted if the warts are present on genitals.

Usually, they are benign outgrowths but sometimes, they may be cancerous if present on genitals.

How To Prevent Warts?

Earlier, the only way to prevent contracting warts was avoiding contact with infected people. But now-a-days, vaccines against HPV are present that are given in teen years to prevent genital warts and cancer caused by them.

How are they diagnosed?

Your doctor can easily tell if the outgrowth is a wart just by having a look at it. If it is not clear, your doctor may take a sample of your skin and look at it under the microscope to ensure that it is a wart.

Treating Warts-

CAUTERIZATION

Cauterization is a medical procedure wherein a part of the body is burnt in order to damage some tissue in order to prevent an outgrowth. Cauterization can be done by medicine, cryotherapy (using localised or general low temperatures to treat benign or malignant tissues), radio frequency cauterization or laser. The method applied depends on size and location of the outgrowth or the choice of you dermatologist as well.

It is recommended to get warts removed at its earliest to prevent spreading of the disease.

Several myths are present in the market that state cure to warts by various homemade remedies but these can do more harm than good. Treating warts must be done by practised medical personnel. Incomplete removal of warts can cause recurrence of warts due to secondary infection.

Warts - How To Get Rid Of Them?

Stretch marks don t only happen after childbirth, they can happen to anyone due to sudden changes in body size and weight. These are like ugly brown scars usually present on the stomach, thighs and hips. Truth be told, 90% of pregnant women will get stretch marks around these parts of their bodies.

These are some very easy things one can do to get reduce the appearance of stretch marks both old and new:

Moisturizing- Lotioning  up regularly can lighten stretch marks. Moisturizing helps to hydrate skin and this makes it easier for it to stretch. Moisturizing is very effective in lightening new stretch marks and can prevent new stretch marks from forming. Older stretch marks are more difficult to get rid of, though.

Retin A- Retin-A based creams are very effective against stretch marks. Retin-A works by boosting collagen production which helps the skin to stretch out and avoid tears which cause stretch marks. Pregnant and nursing women should not use Retinoic acid containing products, however. It also doesn t work on old stretch marks.

Glycolic Acid- This too can increase collagen production when used on skin. It is even more effective as alpha-hydroxy acid (AHA) which is used in chemical skin peels. You can use glycolic acid on skin even during pregnancy. Save your skin from sunlight when using glycolic acid.

Vitamin E Oil- This is touted as the miracle cure for stretch marks and it delivers especially when used on new stretch marks. Use it with an unscented moisturiser for better coverage.

Essential Oils- These are common home remedies for tackling stretch marks. One can use them directly on skin or mix with the carrier oil before use. These are the ones to go for:

Lavender

Rose

Frankincense

Vitamin C- You can take Vitamin C as a supplement to lighten stretch marks. You can also mix topical glycolic acid with Vitamin C and apply on the skin directly.

Lasers- These are the magic wands of cosmetic surgery and rightly so. Fresh stretch marks can be tackled using a pulsed dye laser also called vascular laser. The downsides of this laser treatment are that it works on early stretch marks and not on mature ones. It is also very expensive. This laser also doesn t work on darker skins.

Fractional Laser Treatment- These are very effective against older stretch marks. Your doctor will use this laser to resurface the older marks smoothing the surface of the skin. The treatment is very expensive and can cause hyper-pigmentation and scarring.

Abdominoplasty or Tummy Tuck- This is the only certain way to obliterate stretch marks. What the surgeon does is cut out swathes of skin from your abdomen with stretch marks. Downsides are that it s a risky procedure. There could be life-threatening complications and recovery takes long, sometimes as long as 3 to 6 months.

Stretch Marks - How To Get Rid Of Them?

Vitiligo is a skin condition that causes loss of pigmentation of the skin. Melanocytes, the pigment cells, within the skin are destroyed. This causes these parts of the skin to lose color and turn pale. It might affect different parts of the body including the arms, legs, face and even genitalia. It can affect a person of any age, ethnicity or gender.

Causes
The exact cause of vitiligo is not definitively known. However, there are a number of risk factors that might contribute towards the condition. These include-

Autoimmune disorders- Vitiligo might be a result of an autoimmune disorder where the overactive immune system destroys the pigment cells of the skin.
Exposure to Chemicals- Exposure to certain chemicals can increase the risk of vitiligo by causing depigmentation.
Hereditary factors- There might be a genetic pre-disposition towards vitiligo. Though a person can exhibit symptoms of the condition at any age, it is most commonly found to manifest itself around the age of 20 years.
Symptoms
Vitiligo may start with a simple spot of pale skin but over time, this spot expands and turns paler until it is white in color. Irregular in shape, the edges of these spots may inflame and cause itchiness.

Treatment
The treatment of vitiligo will be determined by a number of factors such as the number and the extent of the white patches and where they are located. Vitiligo treatment includes cosmetic, medical and surgical methods.

Cosmetic Treatment- Cosmetic and skincare products such as sunscreens, dye or makeup can help relieve and hide signs of the condition.
Medical Treatment- Oral medication or medicated ointments may be prescribed to treat Vitiligo. Photochemotherapy which involves the use of PUVA rays to induce re-pigmentation may also be prescribed. If the condition has spread to a considerable extent then the physician might advise that the color from the remaining areas of the skin also be removed in order to match the affected areas.
Surgical Treatment- Surgical treatments are at times prescribed which involve skin grafting or tattooing. This is usually prescribed for those with small patches of affected areas.
With ongoing and extensive research being conducted on this skin condition, we will in the near future be able to both understand and treat it better.

Vitiligo - What Causes It and How Can It Be Treated?

Corns and calluses refer to the hardening of the skin to form a layer over an area where constant pressure and abrasion is experienced. This thickening of the skin is known as a corn or callus. One will usually experience pain and tenderness in the area where this thickening happens. While corns are thick and tender coatings, a callus is usually the flattened thick area on the skin. As far as shape goes, corns are conical and sharpened while calluses are flat. They are most typically found on the hands and feet. There are various ways of treating this condition. Let us find out more.

What causes corns and calluses?
To understand how to treat these corns and calluses, it is important to first of all understand what causes the same. These corns and calluses are usually formed as a natural defence as the body tries to strengthen the skin when it meets too much friction or pressure. This condition may occur when the toes are pressed together constantly with an abnormal elevation. This can also happen when there is prolonged use of high heels as well as sports training footwear. Bone deformities in the toes and fingers can also be one of the causes of this condition. In many cases, the gait and movement of the patient can cause corns and calluses. Also, when a person plays musical instruments that require constant strumming like a guitar or other instruments, it may result in formation of corns and calluses in the fingers.

1. Medical intervention for complications: if a patient is suffering from conditions like diabetes or peripheral arterial disease, it may lead to poor circulation and delicate skin. This can cause the development and growth of corns and calluses. It is important to see your doctor in such cases so that such symptoms may be treated at the onset before they become too painful and end up spreading.

2. Medication: a patient will have to ingest salicylic acid based medicines and even resort to the use of sulphur in order to cure these corns and calluses. One must ensure that a skin specialist or dermatologist prescribes the medicines so that one can apply and administer as per the correct dosage.

3. Home remedies: personal hygiene is one of the primary factors that can help in treating and curing this condition. Keeping the affected area clean can increase the chances of the growth to clear up soon. Also, one may have to avoid wearing high heels and constricting footwear for a while until the corns and calluses clear up or fall off. This will also ensure that there is less friction between the feet and the footwear for better recovery chances.

How to Treat Corns and Calluses?

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

Vitiligo or Leucoderma is an autoimmune disease. In this type of disease, cells (melanin) that are responsible for skin pigmentation are destroyed, attacked, hence stop functioning, which results in irregular white patches on skin. Vitiligo can affect any part of the body and skin type. Vitiligo is not at all life-threatening, but it can be visible by other people easily.

There are a number of treatment options available for Vitiligo. However, by changing dietary and lifestyle choices, one can prevent the worsening and recurrence of the condition.

Home Remedies That Will Help to Treat Vitiligo Effectively:

There are many treatment options available to treat Vitiligo including creams, oral medicines, skin grafting, ultraviolet treatment, etc. However, these treatments totally depend upon the condition and response of the skin cells. These treatments might have some sort of side effects or risks. This is why one of the most effective ways to treat Vitiligo or Leucoderma is by using home remedies. Here are some of the common and effective home remedies used to treat this skin disease without any side effects:

Paste of Mustard Oil and Turmeric:

Turmeric has a lot of medicinal benefits and is also used effectively for the treatment of Vitiligo. One can lower the effects of Vitiligo by using turmeric. Take one tablespoon of turmeric powder with 2 tablespoons of mustard oil and mix them well to make a thick paste. Apply this paste on the affected area, leave for at least 15 minutes, and then wash it off. For better results, apply this paste twice a day.

Honey and Margosa Leaves:

Another amazing home remedy that can do wonders in this skin disorder treatment is the use of honey and margosa leaves. Take one tablespoon of honey juice and mix it well with a few crushed margosa leaves. Have this concoction to get rid of Vitiligo.

Bakuchi Paste:

To prepare Bakuchi paste, one needs Bakuchi (Psoralea carylifolia) and vinegar. Mix them well to make a thick paste and apply it over the white blotches and patches. This is also one of the most popular remedies to treat Vitiligo.

Ginger Juice:

Since ancient times, ginger is used as a medicine for the treatment of many diseases. One such disease is Vitiligo. Ginger is very much effective for the treatment of white patches. To make this home remedy, take a piece of ginger and blend it with water to make a thin liquid. Pour this juice in a cup with the help of a strainer. Drink this juice twice a day to heal Vitiligo.

Ghee and Pepper:

This is another most effective home remedy used to treat Vitiligo. For this remedy, heat 10 pepper in 10 gm of ghee. Remove the pepper and mix this ghee with normal ghee. One can use this ghee while cooking daily food. Regular consumption of this ghee will purify the blood and improve immunity.  

Final Words:

There are other home remedies available to treat this skin disorder like neem paste, tamarind seed paste, pomegranate powder, goosefoot vegetable juice, black gram paste, etc. However, it is always advisable to consult a doctor before opting for any of these remedies. The condition may vary from patient to patient; this is why consulting a physician is always a great idea.

5 Best Home Remedies To Treat Vitiligo Diseases

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