Ringworm is a skin condition that is caused by certain kinds of fungi. It causes severe itching and is mainly found around the scalp and feet. This contagious skin condition can also occur as athlete's foot. The symptoms include red, itchy and scaly patches on the affected areas. These patches may also develop blisters and develop crusted red edges, giving it the appearance of a ring. These patches are usually raised or defined. There are many myths and facts surrounding ringworm. Let us find out more about them.

Causes: it is a common myth that this skin condition is caused by a worm. This is not true. This fungal skin infection is caused by fungi known as dermatophytes, which can cause a crusty and red patch on the skin. Ringworm is actually the name given to a class of skin ailments and infections caused on the scalp, feet and other parts of the body.

Treatment: another common myth is that this skin infection will clear up on its own. This is not true either. One will have to start treatment of the condition with the help of proper diagnosis, which can be done by a skin specialist or dermatologist. Not treating this condition on time with topical ointments can lead to a spread of the condition where it can affect other parts of the body. This condition can also lead to other symptoms like hair loss. It can also become a permanent issue if not treated on time and with proper medical intervention.

Over the counter medication: many people think that using over the counter antifungal creams can help in treating this condition effectively. This is part myth and part fact. One will have to visit the doctor in case the condition does not clear up on time with the use of such topical ointments. The creams should typically be prescribed by a skin specialist after due diagnosis of the problem so that it suits your individual symptoms and condition. Further, these creams should usually be prescribed for a period of at least four to six weeks so that the treatment is effective.

Contagious: it is a myth that ringworm is not a contagious skin disease. The fact is that this skin ailment is a highly contagious one, that can happen even when there is contact with an infected animal. There are 50% chances of contracting this condition with mere touch that can happen with an infected animal or person.

Barber's itch: this is not a form of lice, as many people believe. This is a form of ringworm that can be found in the beard with symptoms like itching as well as swelling.

Myths and Facts About Ringworm

Eczema is an autoimmune disorder wherein the skin overreacts to certain triggers in or outside the body resulting in inflammation and lesions. Eczema is also known as atopic dermatitis. The skin becomes dry, patchy and rough, and it tends to form itchy and red blisters. Eczema is usually caused due to inflammation; in most cases, allergy triggers eczema. It has been observed that quite often, patients who suffer from eczema have a family history of allergy. In some cases, patients having other allergies, may also develop eczema. Apart from this, low immunity triggers this disease.

Symptoms

Red patches over skin
Dry rough skin with blisters
Intense itching on skin, with occasional bleeding
Formation of a thick leather-like layer over the affected areas of the skin
Discharge of an oozing watery and sticky liquid from the affected area, in case of wet eczema (In case of dry eczema, there is no watery discharge; the skin stays rough and dry.)
Treating eczema with homeopathy
Treating eczema might be possible by taking several medications. But treating doesn't mean curing. People who suffer from eczema know how irritating the disorder is. So they want a cure for eczema, which is possible with homeopathic medicines. Homeopathy is known for curing eczema, from the root. Basically, homeopathy helps to improve the immune system, as low immunity is responsible for causing allergies. When immunity is built, and low immunity quits from overreacting to several reactions, eczema is cured.

Here are five homeopathic medicines suitable for treating eczema:

Graphites: Graphites is one of the finest homeopathic medicines for treating wet eczema, when there is thick, oozing watery and sticky discharge. In most cases, the patient with this type of eczema suffers from constipation and obesity. He or she might be sensitive towards cold. Their usual skin becomes hard and cold, but the affected area remains dry and rough. The remedy is prescribed mostly to women with menstrual disorders.
Mezereum: This is the suitable for patients with eczema, which tends to form a leathery crust on the head. The patient might feel intense itching especially at night.
Hepar sulphur: This is suitable for eczema with formation of pus. The patient is usually too sensitive to cold. Intense itching, sneezing and sensitivity towards cold are the symptoms, which indicate the need for this medicine.
Dulcamara: This is one of the finest homeopathic medicines for eczema, which aggravates in damp or cold weather. Thick formation of yellowish crust and intense itching are the symptoms, which clearly indicate the need for this remedy.
Sulphur: This one is suitable for eczema with burning sensation along with intense itching. Symptoms usually worsen in summer and the skin feels rough and dry.

Eczema - 5 Best Homeopathic Remedies to Treat 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

Risk factors and complication of scabies

Scabies is a type of skin conditions that causes itching and rashes. This dermatological condition is caused by Sarcoptes scabiei, a microscopic mite. It is a contagious condition, which can spread through physical contact. An estimate shows that scabies infects over 300 million people worldwide per year.

This eight-legged microscopic mite creates a tunnel in the human skin and lays eggs in it. These larvae move under the surface of the skin and spread across the whole body, once hatched. Dogs, cats, and mice can also be affected by this disease. It usually takes 2-6 weeks for the symptoms to develop. Signs and symptoms of scabies involve itching, rashes, sores and thick crusts on the surface of the skin.

Some of the risk factors of scabies are:

- Scabies spreads through direct, prolonged skin-to-skin contact with a person who has mites.
- An infected person can easily pass scabies to his/her household or sexual partners. Scabies in adults is usually sexually acquired.
- The likelihood of scabies increases easily under crowded conditions, which involve close body and skin contact. Nursing homes, prisons, and several types of care facilities are sites of scabies outbreaks.
- Immunocompromised, elderly and disabled people also suffer from an increased likelihood of contracting this skin condition.

Complications of scabies include:

- Persistent and vigorous scratching can break the surface of your skin, which can lead to secondary bacterial infections. Impetigo, a superficial infection, is a quite common occurrence in such cases.
- Crusted scabies, the most severe form of scabies, can be common in certain groups. People suffering from diseases such as HIV or leukemia who have weakened immune systems as well as severely ill people have high risks of contracting this condition. This condition, also known as Norwegian scabies, is very contagious and also hard to cure.



Must Know Risk Factors and Complication of Scabies

We grow up thinking of our nails as dead cells and pay attention to them only to trim them once a week. If you re a woman, this might extend to painting them in different hues. However, the shape, texture and natural colour of your nails along with the rate at which they grow says a lot about your overall health.

Homeopathy is an effective way of treating nail disorders as it addresses the root cause of the problem. This form of treatment has negligible side effects and hence, can be used over a long period of time. However, homeopathy should never be used to self medicate. This is because a homeopathic prescription depends on the symptoms presented and the personality of the patient.

Here are a few changes in your nails that could be signs of health disturbances.

Horizontal ridges: White horizontal ridges across your nails are developed when there is a pause in the growth of the nail. They could be an indication of an injury or a symptom of a serious illness. These are also known as Beau s lines or Mee s lines. Beau s lines are developed due to psoriasis, diabetes, circulatory disease or a severe deficiency of zinc. Mee s lines can be a result of arsenic poisoning, malaria, leprosy, Hodgkin s disease or carbon monoxide poisoning.
Vertical ridges: This is a common sign of aging and is usually nothing to worry about. However, in some cases, it could be a sign of vitamin B12 or magnesium deficiencies.
Spoon nails: If the edges of your nails curve upwards and take on a spoon-like look, it could be a sign of anemia, excessive iron absorption, heart disease or hypothyroidism.
Pitted Nails: Dents or pits in your nails are usually a sign of psoriasis. It could also be a symptom of tissue disorders such as Reiter s syndrome or autoimmune diseases like alopecia areata.
Dark nails: If you notice dark,discoloured patches on your nails, consult a doctor immediately. This could be due to melanoma which is the most dangerous form of skin cancer.
Yellow Nails: Smoking and excessive use of acrylic nail polish are the two most common causes of yellow nails. However, if your nails are thinand crumbly along with being yellow, it could be a sign of a fungal infection. In rare cases, yellow nails could also be a sign of thyroid disorders, diabetes or psoriasis.
Clubbing: Nails that are enlarged and curved downwards are said to be clubbed. This is typically a sign of low levels of oxygen in the blood. It could also be symptom of lung disease, liver and kidney disorders, AIDS and inflammatory bowel disease.

Nails - Can They Indicate Any Illness?

This contagious and highly itchy skin condition comes with symptoms like thin and irregular burrow like tracks containing blisters. These may be found on the affected areas of the skin. Mostly, these growths are found in the folds of one's skin and can occur for children and adults alike. The most common areas where these blisters, sores and bumps may be found include the genital areas, buttocks, the inner side of the elbows, soles of the feet, around the breasts, the waistline, the insides of the wrists and other areas. Let us have a look at the various causes of this condition.

1. Mite: an eight legged mite is the most common cause of this skin disease. The female mites are known to burrow deep in the folds of the skin, where they leave their eggs to hatch and spread. These mites usually make a tunnel like burrow in which the eggs get deposited. The mite larvae then reach the surface the skin and cause a lot of itching once they begin to mature. This itching is mainly an allergic reaction to the larvae as well as the eggs and waste.

2. Physical contact with infected parties: this condition is mostly caused when there is contact with an infected person or animal. This happens due to the fact that contact with an infected party can lead to a deposit of the mites on to the skin, leading to the process of burrowing, egg laying and maturing of the larvae. There has to be close and prolonged contact with an infected person or animal for this to happen. Yet, it has been observed that the mites prefer to live on the host. They do not live for too long on someone inherits the disease with contact.

3. Scratching: there are lots of complications that can lead to the breakout or worsening of the situation. Scratching the skin can often break the same which can lead to secondary bacterial skin infections. Superficial infections like impetigo can also lead to an accumulation of these mites, which can further spread the condition.

4. High risk groups: there are many people who are more at risk of contracting this skin disease. Patients with chronic health conditions like hiv and leukaemia can contract a severe form of scabies known as crusted scabies or norwegian scabies. Also, people who have spent long periods in hospitals and nursing facilities due to prolonged illness and treatment can contract this contagious ailment. Further, it has been found that older people living in nursing homes also often come down with this condition. The crusty and scaly patches caused by this disease can cover the entire body and may be very difficult to treat.

Different Causes of Scabies

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