Urticaria, commonly known as hives, usually occurs due to an allergic reaction. Sheetapitta is a similar condition in Ayurveda, as the symptoms are similar. Sheetapitta is comprised of two words-  sheeta  (cold) and  pitta  (warm). The condition occurs due to dominance of cold (existing in kapha and vata dosha) over pitta dosha.

Causes of Sheetapitta/urticaria-
Ayurveda believes, sheetapitta is caused due to the following reasons-

Excess intake of pungent (katu) and salty (lavana) food, mustard
Over consumption of sour gruels
Sleeping during the day
Contact with cold substances
Exposure to cold wind
Improper emesis (vomiting)
Insect bite (keeta damsha)
Coming in contact with poisonous bugs and insects (krimi samsarga)
Effect of seasonal changes on the body
Due to the factors mentioned above, especially because of exposure to cold wind, kapha and vata doshas become aggravated, and inevitably combine with pitta dosha. These spread all over the body and produce rashes on the surface of your skin.

Symptoms-
A person having sheetapitta/urticaria will encounter these symptoms-

Itching/pricking sensation
Nausea/vomiting
Fatigue
Tastelessness (aruchi)
Thirst (pipasa)
Lethargy
Reddish discoloration of the eyes (rakta lochanata)
Fever
Ayurvedic approach to cure Sheetapitta-

Ayurveda focuses on eradicating the doshas and purifying of the body toxins with Ayurvedic medicines & Panchkarma procedures. This is the essential part of Ayurvedic approach to cure urticaria. Abhyanga (massage), svedana (fomentation), vaman (induced vomiting) and virechen (induced lose motion) are very effective in treating Urticaria.

Ayurvedic treatment for Urticaria (Sheetapitta)-
Ayurvedic treatment for urticaria involves body purification therapy like Samshodhana, and oral medications. Some popular, effective techniques used in the treatment are-

Applying mustard oil all over the body
Applying mustard oil mixed with Saindhava lavana and Yavakshara
Use of a herbal powder named Eladi choornam that contains natural ingredients like elaichi
Applying medicated paste prepared from Haridra and Doorva, Kushta and Ghee over the rashes
Apart from these, herbs such as Guduchi, Yashtimadhu, Amalaki are recommended in the treatment of sheetapitta
Although urticaria is not a fatal condition, it can seriously affect one s quality of life. Many people suffer from urticaria for several months or years. Continual intake of conventional medicines reduces body s immunity. Moreover, the incidence of recurrence of this condition is often found. Thus, Ayurveda has an upper hand in treating hives, as it offers a comprehensive and permanent solution for this problem.

Sheetapitta - Causes, Symptoms & Ayurvedic View On It!

Have you tried one product after another during the dry weather and are still left with dry and itchy skin. Then your skin care product is to be blamed. Creams, lotions and oils all essentially perform the same job of moisturizing your skin. It is how they do it that is different.

There is a wide range of choices available in the market for all three products with individual variations in ingredients including types of oils like coconut, lavender, jojoba, etc., types of value proposition like 24-hour moisture lock, or intense hydrating care and flavors like rose, strawberry and even chocolate that leaves you smelling great.

The main difference between a cream and lotion:
The main difference between the two besides additives is their oil to liquid ratio. Lotions and creams, both contain oils and water. In lotions the proportion of water is more compared to oil. So it is more 'liquid' in nature and is easy to spread on the skin. Creams on the other hand, are thicker because of their higher oil content. They can typically be more 'greasy' in nature because of their consistency.

Choosing between the two:
Lotion and creams, both will do the trick, but it will depend on what you need and when you use it. Give a good thought to your skin. Is it always dry or only during certain times of the year. If your skin dries easily and you can see a white line if you scratch with your nail, you'll need a cream that absorbs more slowly and has benefits that stay longer.

Applying cream then creates a layer of oil that locks the moisture in your skin. The water does not evaporate, and your skin stays hydrated. Lotions are easy to spread on the skin. If your skin is already soft and supple and you simply need a layer to keep the dryness at bay, a lotion is a good choice for you.

Use both lotion and cream:
Morning, before bed, after baths or repeatedly throughout the day? The time you plan on using a moisturizing product will play a part in determining which type you choose. Creams are great to use right after a bath when the skin is soft after absorbing moisture. The cream then creates a protective layer of oil, which allows the skin to stay hydrated longer.

Creams are also great to use during bedtime when you don't have to worry about getting an oily look on your face or body. Lotions are best if you need to reapply during the day, for instance,  you wash your hands and face and need to dab on some quick moisture.

Should I Use A Lotion Or A Cream For Dry Skin?

HPV refers to Human Papillomavirus. This is a common virus, which has got more than 100 different types and over 40 of these types are transmitted sexually. This virus may cause cervical cancer and cases of genital warts. It is likely to occur in people who are sexually active to contract genital HPV, and it is not accompanied by any signs or symptoms. The virus is transmitted via skin to skin contact and is severely infectious in nature. Using condoms may reduce the risk of spreading of this virus, but is not always successful.

There are two major vaccines for HPV. 

Gardasil: This vaccine prevents the most common HPVs which are associated with genital and anal cancer, and also warts of both genital and anal type.
Cervarix: This type of vaccine prevents HPV associated with the occurrence of cervical cancer.
Reasons for vaccination against HPV

HPV vaccines are recommended to girls between 11 and 12 years. It is also given to girls and women between the age of 13 and 26 years, who have never been vaccinated against HPC before. These vaccines should be given to females before they start being active sexually and get exposed to the HPV virus. Sexually active females benefit from these vaccines as well, but the effect is less.

Here are three reasons why you should vaccinate against HPV:

All types of HPV vaccine help in the elimination of the viruses which cause cervical cancer. Viruses causing cancer in the vulva, vagina or anus are also targeted by these HPV vaccines. The HPV vaccines also protect against genital or anal warts. HPV vaccines work effectively in the prevention of cancers caused by HPC viruses and also curb the common health problems which are accompanied.
The effect of HPV vaccines is quite long lasting in an individual who is vaccinated against HPV. Usually it lasts for ten years or more without having any related disorders or cancers. The protection does not weaken over time and remains stable.
HPV vaccines are licensed by the FDA to be completely safe and efficient to use. Extensive studies have been carried out globally, and no safety concerns have ever arisen. The side effects of HPV vaccines are usually quite mild. However, a little amount of pain, dizziness and nausea are involved.
HPV vaccines are a series of effective vaccines, which prevent the occurrence of cervical cancer and other cancers which are sexually transmitted. They are generally given to women before getting sexually active to prevent transmission of HPV viruses. Some HPV vaccines are prescribed to males as well.

3 Reasons To Vaccinate Against HPV

Ayurveda believes health is managed by 3 components i.e. pitta, vata and kapha dosha. The type of skin that a person has also depends on which of these is predominant. Accordingly, in people where pitta is dominant, it is warm to the touch and more prone to breakouts and moles and freckles. In people where vata is dominant, the skin is thin and remains cool, gets dehydrated easily and is easily affected by dry weather. In people with kapha dominance, the skin is thick and greasy and is more tolerant to sun exposure.

Allergy is when the body responds adversely to a component which might have reached the system either through air, food or contact. Various substances cause allergies and with most allergies, skin rashes are common, can be of mainly 4 types:

Contact dermatitis: When the skin comes in touch with an allergy-causing agent, the skin breaks out into a rash. The inducing agent could be rubber, chemicals, metals, pets, etc.
Bites and stings: When insects such as bees or other insects sting or bite, the surrounding area develops a rash.
Warm weather: When the weather is too warm, there is prickly heat effect, which produces a rash.
Food induced: When certain food items like peanuts or eggs are consumed, some people develop a skin rash.
Whatever the reason, the mode of management would be to try to achieve a balance between the three components.

Poppy seeds: A paste of poppy seeds powder mixed with lemon juice and water can help get rid of rashes.
Buttermilk and baking soda: Use a cotton swab to apply a mixture of buttermilk and baking soda on the affected skin area and see the rashes disappear. The soothing effect and relief will be felt immediately.
Basil leaves, garlic and olive oil: Crush some basil leaves and add some garlic, salt, pepper, and olive oil to form a smooth paste. Apply over the skin rash for 1 to 2 days until the rashes disappear.
Oatmeal bath: Adding a cup of uncooked oatmeal into the bath water and using this water for a bath after 5 minutes is a great way to get rid of rashes and their redness and itching.
Essential oils: Almond oil, chamomile oil, and tea tree oil can be mixed in equal proportions to get relief from rashes of almost all causes.
Cold tea bags: Using cold tea bags on the skin helps relief of the rashes through tannin contained in the tea, which has great healing properties.
Just as skin rash is very common, so is the treatment. These substances are readily available in the kitchen and so treating a skin rash is very easy.

Rashes on Skin - Ayurvedic Remedies for Treating it!

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, often known as leukoderma, is a specific kind of skin whitening disease resulting in white patches all over the skin. A gradual loss of pigment layers on the skin surface results in the patches. This type of skin disorder becomes socially challenging for the sufferers. As the discolouration of skin and the patches all over the body start getting noticed by people, the patients get depressed. But they should stay positive as the treatment of vitiligo with Ayurveda has proven to be one of the safest cure methodologies.

Symptoms

Vitiligo generally starts with small spots on exposed areas; especially the bone joints, which are the first areas to be affected by vitiligo. Due to the lack of blood circulation, the bone joints are inclined to get affected by vitiligo. Gradually the spots on the skin turn into white patches. This disease has nothing to do with germs or bad blood. Rather it is caused by de-pigmentation issues on skin layers.

Factors responsible for vitiligo

Women are more prone to vitiligo than men. The factors that cause vitiligo are:

Jaundice
Liver problems
Mental worry
Typhoid
Burn injuries
Parasites in alimentary canal
Apart from these above mentioned factors, hereditary factors also trigger this type of skin disorder.

Ayurvedic Treatment For Vitiligo

Decades of research and practices have established Ayurveda as one of the most ancient and holistic ways of treatment. Ayurveda means the goodness of all the natural elements and herbs. So treating vitiligo with Ayurveda doesn't only mean curing the disorder, but also the Ayurvedic medicines are known to enhance skin tones.

According to Ayurveda, Leucoderma is caused due to the aggravation of Pitta Dosha. Pitta is an Ayurvedic humor which symbolizes heat or fire, and is manifested in the skin. Aggravated Pitta leads to accumulation of ama (toxins) in deep layers of the skin, leading to the condition of Leucoderma.

Pitta is of five types; one of them is Bhrajak Pitta that gives coloration to skin. In the case of Leucoderma, Bhrajak Pitta is in an imbalanced state, and therefore, the skin starts losing its color and white patches appear. Along with Pitta Dosha, deeper body tissues like Rasa Dhatu (nutrient plasma), Rakta (blood), Mansa (muscles), Lasika (lymph) are also involved in the disease.

Treatment consists of pacifying imbalanced body energies, cleansing the blood and administrating herbs that restore skin color. Poor digestion is the root cause of this disease, as it causes the build-up of toxins in the tissues. An essential part of treatment, therefore, is restoring digestion. The patient will also be advised on the correct diet and lifestyle adjustments to prevent recurrence of the disorder.

One of the most effective Ayurvedic medicine for vitiligo is Agnijith. Its capability of producing pigmentation on needed areas is scientifically proven. It is capable of blocking the de-pigmentation issue on skin layers. This cream-based medicine is also known for contacting rich microbial properties, which get easily absorbed in skin and increase the level of blood circulation. Vitiligo is almost an autoimmune disorder, thus the Ayurvedic anti-vitiligo medicines are the best way to cure it.

There are a few Ayurvedic home remedies that are effective enough in removing the white patches. Turmeric is a common herb in everyone's kitchen. Applying a mixture of turmeric and mustard oil on the affected areas can help you cure vitiligo.

Bakuchi and coconut oil s mixture is another effective remedy for vitiligo. Apply the mixture, keep it for 15 minutes and then wash it off.

Vitiligo is a special case of skin disorder, which is triggered by a low immune system or pitta dosha. So leading a good lifestyle and eating healthy food are equally important in order to get cured.  

Vitiligo - Symptoms and Ayurvedic Treatments

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