Dandruff is a non-contagious condition that is characterized by the appearance of skin flakes on your scalp. The disorder is not a serious one, but can be embarrassing for the person concerned. Mild symptoms of this disorder can be taken care of by shampooing with a mild cleanser on a regular basis. In case of severe dandruff symptoms, treatment may be required.

Symptoms
The symptoms of dandruff are easily spotted; white flakes of dead skin appear on the hair and shoulders. You may experience itchiness on the scalp due to the accumulation of the dead skin cells. The condition tends to aggravate in dry and cold weather conditions.

Causes
Dandruff can be caused by a variety of factors such as:

Not shampooing regularly: Irregular shampooing can cause dead skin cells to accumulate, leading to dandruff.
Oily and irritated skin: This condition is characterized by the appearance of greasy skin covered by flaky white scales. It occurs in areas, which are rich in oil glands such as the eyebrows and the nose.
Fungus: Yeast like fungus, known as  malassezia , lives on the scalp and may lead to the buildup of excess skin cells, thereby, causing irritated skin.
Dry skin: Dry skin is the perfect spot for the accumulation of dead cells, a condition that results in dandruff.
Ayurvedic View
Ayurveda places the problem of dandruff in the category of Shudra Roga, which appears due to an imbalance of all three doshas. The primary doshas involved are Pitta and Vata. Pitta is an Ayurvedic humor which symbolizes heat or fire and Vata is dry and rough in nature. In an aggravated state, both doshas cause production of specific impurities, called ama, which are dry and heating in nature. These impurities accumulate in the deep tissues of the scalp and contaminate them. Contamination of the deep tissues and aggravated Vata-Pitta Dosha cause itching and patches on scalp. Due to these factors, the scalp sheds larger than normal amounts of dead epidermal cells, which leads to the problem of dandruff.

The Ayurvedic line of treatment is to generally pacify Pitta and Vata through herbal medicines, as well as a tailor-made diet and lifestyle plan. Also, special herbs are administered to cleanse the body of accumulated digestive impurities.

Ayurvedic treatment options:

If the cause lies on the scalp such as dry skin, then just hair oil application or local treatment will be sufficient to cure dandruff.
If the cause lies in underlying skin disease such as psoriasis, treatment for the causative disease will be required.
Ayurvedic treatments such as shirodhara, shirobasti helps not only to relieve dandruff and improve hair quality. They also help you to relieve stress and lack of sleep (which also cause for dandruff).

Ayurvedic herbal hair oils for dandruff: 

Bhringaraja taila
Triphaladya taila
Durdurapatradi taila
Chemparutyadi taila
Nalpamaradi taila etc
Internal medicines helpful in this complaint are-

Saptamrita loha   Contains Indian licorice and Triphala, useful in skin diseases
Bhringarajasava   an alcoholic Ayurvedic medicine. Improves immunity, skin complexion
Chandanasava   improves immunity, relieves excessive oiliness
Narasimha Rasayana   Improves hair quality and scalp skin health. Especially useful when dandruff is caused due to dryness in the scalp.
Diet & Lifestyle Advice

Wash hair regularly 2-3 times a week with a mild shampoo.
Massage your hair with oil every time before washing the head and hair.
Avoid spicy, greasy, hot and penetrating foods, junk food, and aerated drinks.
Have food with good nutritive value; include fiber-rich foods, salads, fruits, and lentils.
Do regular yoga and exercises to minimize stress levels.
Avoid scratching the scalp with hands or any other objects.

Dandruff - Can Ayurvedic Remedies Help Treat it?

Tinea or ringworm is basically a skin infection caused by fungus. Tinea can affect any part of the body. When the skin is affected it is tinea corporis, scalp (tinea capitis), feet (tinea pedis, this is also called as athlete's foot) and groin area (tinea curis, also known as the jock itch). This presents as several white patches on the skin.

Causes of Tinea
Tinea or the ringworm infection is not due to worms but caused by fungi dermatophytes. The fungus remains alive in the dead tissues of nails, hair and skin. Symptoms of Tinea are red circular patches on the skin along with itching.

As per the Ayurvedic philosophy, tinea is often diagnosed as dadru. The body type or the dosha involved is kapha and vata. Kapha, which is an Ayurvedic humor symbolizes mucus. It is usually dense, sticky and cold in nature. Vata, also an ayurvedic humor represents the wind. It is dry, mobile, subtle and cold. Both kapha and vata when present in the skin lead to accumulation of toxins. These toxins further collect in the deep tissues of the skin like rakta (Blood), rasa (nutrient plasma), lasika (lymphatic) and mansa (muscles).

The toxins lead to contamination of the deeper tissues thereby leading to the aggravation of the kapha-vata dosha, thus leading to ringworm. A third dosha which is involved is pitta. Pitta symbolizes heat or fire. It is often referred to as the tridosha disease, and the prime involved doshas are kapha and vata.

Diet and Lifestyle Modification
1. Spicy and hot food, excessive sweet and sour foods should be avoided. Pickled foods, chutneys, citrus fruits like lemon and oranges, vinegar and mustard should also be avoided.
2. Avoid foods made up of white flour such as bread, pastries, cakes, pizza
3. Artificial and processed foods, fast foods and aerated drinks should be avoided. Excessive salt and tomatoes should be restricted.
4. Since tea, coffee smoking and alcohol aggravate the pitta, these should be avoided
5. Milk and milk products like yogurt and cottage cheese should be given a miss
6. Foods which are sweet, blend and alkaline in nature should be added into the diet
6. Fresh vegetables and fruit should be taken
7. Foods like grains, rice, pasta, beans, breads, dairy products, sweet drinks and juices can be had

Home Remedies
1. In 3 cups of water boil 10 to 15 neem leaves, until half the water evaporates. Washing the tinea lesions with this water helps.
2. Rubbing papaya over the lesions is very effective
3. Make a paste of turmeric and milk and apply on the lesions. Wash this within half an hour of the application and repeat it 3 to 4 times a day.

Ayurvedic Treatment for Tinea ( Ringworm) Fungal Infection

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

The skin is the largest external organ as well as the largest organ in general in the human body. There are many types of skin diseases that can afflict your body and they may appear anywhere. Ayurveda is a potent weapon which can be used to treat many skin diseases effectively. The natural remedies of Ayurveda are being increasingly adopted throughout the world. Let's take a look at a few of the skin diseases that can be easily cured by Ayurveda.

Eczema - one of the most common types of skin diseases, eczema is characterized by the reactions that the skin has. These reactions can manifest themselves in many forms. The most common reaction is swelling of the skin with redness. Other forms may also develop blisters, cracking of the skin, scaling or papules.

Scaly rashes - scientifically known as papulosquamous eruptions, scaly rashes are usually the result of itching which in itself is a reaction to some internal or external factors. These rashes can be mild to severely painful depending on what had caused them. Some factors behind these may be eczema, reaction to drugs, psoriasis and others.

Urticaria - these rashes differ from other ones as they persist for a short period of time and usually result in swellings on the skin. These swellings may be very sensitive and itchy. Some common examples of urticaria are nettle rashes and hives that may develop due to an external factor such as bug bites.

Psoriasis - Ayurveda has great treatments for this disease as its incidence within the population is quite high. This is a non-infectious skin condition where inflammation occurs in the affected parts of the skin and reddish scales form on the body. This problem is usually attributed to excessive cells within the body.

Pruritus or itching - another very common skin affliction which can be caused by a variety of factors, it can be a reaction to something external or be caused by internal issues that may be developing. Mostly caused by the reaction of external nerve endings they may become very painful if over stimulated.

Ayurveda has many remedies for all of the ailments mentioned above along with many other skin disorders and has gained popularity as it completely natural and devoid of side effects encountered with conventional medicine.

Common Skin Diseases That Ayurveda Can Easily Cure

Many people bite nails when they are anxious or stressed. However, knowing its harmful effects will only increase their anxiety and stress. About 30% of children, 45% of teenagers and 25% of young adults have the habit of biting their nails. Nail biting is one habit which sets in due to various reasons and just continues due to nervousness, boredom, frustration or stress. People tend to unconsciously bite their nails and over a period of time, it becomes very difficult to get rid of the habit.

A good understanding of the harmful effects of biting nails, to the overall health and oral health, can be a good starting point to quitting the habit. The harmful effects of nail biting on oral health effects are listed below:

Source of infection: The fingernails are more difficult to clean than the fingers and the rest of the hand. Therefore, there is a good amount of bacteria residing there, which get into your mouth and your stomach when you bite nails. The next time you wonder why your stomach is upset, take a good look at your nails.
Tooth chipping: The enamel is thinnest at the tip of the front teeth. When biting nails, there is a constant pressure on this thin enamel which can chip after a certain point of time. Another way that a tooth chips is because of the pressure when biting a nail. The tooth can hit hard on the opposing tooth, leading to a fracture or chipping.
Altered shape of the teeth: In many cases, the front teeth appear worn off or are squared. This is because there is always pressure on the teeth from the nails.
Induce gap between the front teeth: When nail biting continues for years at a stretch, the two front teeth can develop a gap between them.
Tooth sensitivity: With the enamel wearing off, the dentin is exposed and this can cause tooth sensitivity in many people.
Joint problems: The temporomandibular joint (TMJ) near the ears helps in opening and closing the mouth. Constant pressure on the joint due to nail biting leads to inflammation of the joint which can cause ear ache, headaches, improper closing of the jaw and clicking sounds.
Delay treatment with braces: A person with braces with a nail biting habit will have very bad consequences. There is pressure from both the braces and the biting. This could also lead to the failure to correct the misaligned teeth.
How to manage this habit?

Identify the root cause of the habit
Identify alternate ways to manage stress (exercise, yoga, hobby, etc.)
A nail polish that has a bitter or offensive taste or smell
Well manicured and painted nails, which you won t feel like biting
Get family and friends to remind or chide you, whichever works.

Nailbiting - 7 Harmful Effects of it!

If you are experiencing symptoms such as swelling, inflammation, thickening, yellowing and crumbling of your nails, toenail fungus or onychomycosis is indicated. This is a very common problem, which is usually painless, unless the infection gets spread. The fungus thrives under certain conditions like abnormal levels of pH in the skin, a weak immune system, poor hygiene, diabetes and a continuous exposure to moist or damp environment. If not treated properly, toenail fungus can lead to cracking, splitting or total loss of your toenail. There are various ways of treating fungal infections in the nails. Some of them are as follows:

Tea Tree Oil: Tea tree oil contains antiseptic and antifungal properties, which help in treating toenail fungus. You need to mix some drops of tea tree oil with coconut oil and olive oil. Using a piece of cotton, apply the mixture on your affected nail, keep it for 10 minutes and scrub off the nail with a toothbrush. For ideal results, you must repeat this process more than twice regularly.

Baking Soda: Baking soda is a commonly used remedy for fungal infections in your nails. It also helps in neutralizing foot odor. Add baking soda, hydrogen peroxide and Epsom salt in hot water, add vinegar to the mixture and soak your affected nail in the solution. After this, wash your feet with water. Repeat the procedure twice a day for several weeks.

White Vinegar: This is an ideal ingredient for the treatment of toenail fungus. It helps in restoring the pH balance of the skin and fights against infections. Add one part of white vinegar to warm water and soak your affected toenail in it for about 10 minutes. After this, you must wash it off. Carry out the process twice a day for effective results.

Oil of Pregano: Oil of oregano is considered effective because of its antibacterial, antiviral, analgesic and antiseptic properties. It is an ideal way for treating fungal infections in your nails. Mix oregano oil with olive oil, apply the solution on your nails and leave it for over 30 minutes. Repeat the process thrice a day for good results.

Listerine Mouthwash: Listerine mouthwash is another important home remedy for treating fungal infections in the nails. This mouthwash contains certain compounds along with alcohol, which have very strong antiseptic properties and help in eliminating harmful fungi and bacteria from your nails.

Best Ways To Treat Fungal Infections In Nails

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