Unlike other teeth which erupt at specific period of time, the wisdom teeth, in normal adults, erupt anytime from late teenage years to adulthood. The refined food habits in the recent times have reduced the need for a third molar. Also, our jaw sizes have reduced with evolution, and oftentimes, there is less space for these to erupt completely, causing their impaction. The chances of infection developing within the tooth and in the surrounding tissues is very high, requiring removal. Before you go ahead with removal, know the following four things.

Get a buddy: In addition to the effects of anesthesia, there also would be moderate pain and discomfort, depending on how traumatic the extraction was. It is always best to have someone accompany you for the visit. This also helps you reach home safely without having to drive.
Numb tongue and lips: The wisdom tooth removal is done under a local anesthesia where the entire quadrant is numbed before the procedure. Therefore, the chances of chewing on the tongue and the lip are quite high. Be careful to consciously avoid this as there are a lot of people who do not feel pain, but continue to chew on the tongue or lip and end up with injuries.
Pain Management: Once the effect of anesthesia wears off, the pain will slowly set in, and will depend on how traumatic the extraction was. It is always advisable to take a pain killer before the anesthetic effect wears off, usually 30 to 40 minutes after the extraction process is over.
Diet: For the first couple of days, stay on a completely soft diet with nothing spicy, hard, or hot to eat. One of the best things to have after an extraction is an ice cream, which can be continued for a couple of days after the extraction. Yogurt, smoothies, milkshakes, mashed vegetables and well-cooked rice are all good food choices.
Smoking: If you have had an extraction, avoid smoking for at least a week. The negative pressure created during smoking can dislodge the clot that is formed in the tooth socket. This can lead to a complication called dry socket, which can be very painful. Avoid smoking at all costs, especially with wisdom tooth extractions.
Postoperative follow-up: Based on the complexity of the extraction, a postoperative follow-up would be required. Be prompt in following up with your dentist for suture removal, check on socket healing and postoperative irrigation of the surgical site. Resume routine oral hygiene practices as recommended by the doctor.
Wisdom tooth removal requires a little extra caution as compared to a normal extraction, the ideal thing to do is to follow your dentist s advice.

Extraction of Wisdom Tooth - Things To Remember!

Hives, or  Urticaria  in medical parlance, is a skin condition characterized by the appearance of itchy swellings on the skin surface. Hives may break out on any part of your body and can be of different sizes. It is not a prolonged condition and generally lasts for a few hours. Urticaria or hives usually occur due to the secretion of certain chemical substances such as  histamine  from underneath the skin surface.

Some of the possible causes of hives are mentioned below:

Overexposure to sunlight
As a side effect of medicines such as aspirin, painkillers or antibiotics.
Insect bites
Any food related allergy may also trigger hives
People allergic to certain chemicals or latex can also develop hives
Sensitivity to temperature or water can cause hives
Infections such as Hepatitis or chronic diseases such as thyroid may result in the occurrence of hives.
Alcohol or caffeine intake can cause chronic urticaria
The most common symptoms of Hives include:

Skin becomes swollen
Frequent itching sensation
Skin inflammation is also common
You may feel a burning sensation
Within a short span of time, it may disappear and then again reappear on different parts of the body
Red and white patches appear all over the skin surface known as  wheals 
Hives generally go untreated as the condition subsides within a few hours. But sometimes, hives can be chronic or acute in nature. If so, it would require treatment as it can give rise to further complications. Some of the treatment methods are given below:

Corticosteroids may be prescribed by the doctor to control the formation of hives and give relief from inflammation.
Antihistamines (drugs which hinder the impacts of histamines; mainly used for curing allergies) are advised to patients with chronic urticaria. It controls the effects caused due to the discharge of histamines.
Knowing and avoiding the trigger conditions may prove to be helpful.
Applying menthol creams can give comfort due to its cooling properties.

Hives - Causes, Symptoms & Treatments

Hives or urticaria is an outbreak of reddish swollen bumps around the skin surface, formed mainly due to the body s response to particular allergens. Generally, the infectious bumps are of varied shapes and sizes and last for about 5-6 weeks. Although not a serious medical condition, hives can cause tremendous discomfort to the concerned person and affect his/her daily activities. Hives can be cured with a prescribed dosage of antihistamines or oral corticosteroids.

Causes of hives

Although the exact reason behind their formation is still unknown, researchers suggest that this disorder occurs as a response to involuntary histamine release by the skin blood vessels (that in turn, causes a leakage of blood plasma). Some other factors that can be responsible are:

Hives can occur due to insect or parasite bites.
Hives can also result as a side effect of painkillers such as codeine and other anti- inflammatory drugs such as ibuprofen or ACE inhibitors.
Excessive exposure to sunlight or high levels of stress (leading to high cortisol levels in the body) can also result in hives.
Intense scratching around the same spot can also result to hive formation.
Excessive alcohol intake can render you even more vulnerable to this disease.
Excessive intake of foods such as eggs, fish, nuts, chocolate and berries might also cause hives. Additionally, excessive consumption of certain food preservatives can also trigger the release of histamine.
Suffering from serious underlying medical conditions such as cancer, hepatitis or thyroid disorders can make you prone to chronic cases of hives (which might last for more than 6 weeks).
Symptoms of hives 
The symptoms of hives include, but are not limited to:

Appearances of several reddish welts around the face or arms which might cause a severe itchy sensation.
Painful and abnormal swelling around the mouth
You might also feel tightness in your chest along with recurring bouts of dizziness.
If not treated promptly after diagnosis, hives might result in life-threatening allergic reactions, such as Anaphylaxis (narrowing down of the bronchial tubes, thus causing significant breathing trouble) and auto-immune disorders such as rheumatoid arthritis.

7 Things that Can Cause Hives

 Hives , also known as urticaria, is the outbreak of pale red, swollen bumps on the body. It can occur on any part of the body including the face, back, arms or legs. It is a type of hypersensitivity reaction in which the cause for the reaction is idiopathic (unknown). Also, it can come in various shapes and sizes. Hives can be associated with redness, itching, and a burning and stinging sensation. These can last for more than a minute or even more than that; up to days.

What causes hives?
Most of the times, hives are idiopathic, i.e. the reason that causes this type of hypersensitivity reaction is unknown. The bumps are caused by the action of histamine that makes the plasma in the blood leak out of the small blood vessels. Histamine is a substance that is released from a specialized cell and is what causes allergic responses in general. There are three types of hives- namely, acute, chronic urticaria and physical urticaria. Acute urticaria is when the hives last for less than six weeks. Chronic urticaria occurs when the hives last for more than six weeks. 

Physical urticaria refers to the condition when the hives are triggered due to causes such as heat, cold, sun exposure, sweating, pressure and exercise. Although, this condition is mainly idiopathic, there are common causes that may trigger this condition such as:

Foods such as nuts, fish, chocolates, milk and milk products
Environmental triggers such as pollen grains, dust etc
Medications such as ibuprofen or paracetamol
Insect bites
Latex
Blood transfusion
Bacterial infections including strep throat and urinary tract infection
Pet dander
Plants such as poison oak or poison ivy
What are the symptoms of urticaria?
Hives are usually self-diagnosable. The various symptoms of urticaria are:

Swollen red bumps known as weals
The red bumps can occur suddenly and subside all of a sudden as well
 Blanching which is characterized by the whitening of the swollen red part.
They occur on any part of the body and can change shapes, and sizes. It can become larger or it can reduce in size; it can also move around in the body.

Hives - Most Common 9 Reasons Behind It!

Urticaria, also known as Hives and Nettle Rash. It is an allergic disorder. It is similar to the rashes that are caused due to touching a nettle plant. This allergic reaction can be caused due to a variety of reasons, thus increasing the difficulty in identifying the exact cause of the allergy. Homeopathic medication has proved to be very efficient in treating urticaria. Some of the best homeopathic remedies include:

1. Apis Mellifica: Described as one of the best solutions to urticaria, this medication is commonly prescribed with regard to treatment. The characterising symptoms of this medication is eruptions accompanied by inflammation and sting. It is similar to the sting of a bee where there is redness and swelling. Exposure to heat in any form is intolerable as the eruption are aggravated. The slightest of touch can cause burning or itching and the patient usually remains thirsty.

2. Dulcamara: This is a medication that is usually prescribed for Urticaria, caused due to cold air or wet weather or dampness. Consumption of sour food or indefinite diet can cause the eruptions. Even though the skin is often dry, there is redness and itching.

3. Natrum Mur: One of the frequently used medicines for urticaria, this medicine is prepared from common salt. It is used in cases where the eruptions are triggered by exposure to the sun, thereby resulting in intense itching. The skin has an oily or greasy feel. Most likely locations of occurrence include margins of hair or bends of joints.

4. Ledum Pal: This medication focuses on the eruptions that occur on the legs and feet. There is a possibility of the infection spreading from the lower to the upper regions at a later stage. Increase in itching can result from the warmth of bed or on scratching. Colder conditions provide a soothing sensation

5. Astacus Fluviatilis: This is an effective medication that be used to treat, both acute and chronic urticarial forms. Rashes are visible on the entire body and are at an increased sensitiveness to air. It is recommended for liver diseases and liver-related symptoms that are accompanied by urticaria.

Best Homeopathic Remedies for Urticaria

If stressed, consuming certain food and medications can trigger skin rashes. This kind of rash is called hives. It is also known as urticaria. Anyone can be affected by hives, at least 20% of people are affected by hives at some time or the other in their lives. The itching could be severe or mild. It starts as a patch of scaly white skin that develops into red welts over time. To make sure the itching does not worsen, scratching, emotional stress, alcoholic drinks and exercise should be avoided.

Symptoms
1. Itchy bumps that are raised and are either red or flesh coloured
2. If the hive is pressed in the middle, the skin whitens this symptom is called blanching.
3. The hive formation can appear anywhere, disappear and then reappear somewhere else.

Common Triggers
1. Certain food like shellfish, eggs, peanuts and other nuts
2. Certain medicines like antibiotics, ibuprofen and aspirin
3. Insect bites or stings
4. Physical causes like pressure, sun exposure, cold, exercise and heat
5. Latex
6. Blood transfusions
7. Bacterial infections
8. Pet allergens
9. Viral infections like the common cold, hepatitis and infectious mononucleosis
10. Certain plants like poison ivy and poison oak
11. Pollen

Treatment
There is no distinct cure for hives. But you can control its symptoms in the following ways:
1. Antihistamines help in blocking histamines, which cause the allergy symptoms. Non sedating or low sedating Antihistamines will be mostly recommended by your doctor.
2. If episodes of hives are several, it may require limited treatment with prednisone. Prednisone will be able to lessen the symptoms.
3. If the symptoms get severe enough so much so that it swells up your tongue and you have problem breathing, then the doctor might prescribe an epinephrine. However, these symptoms can mean another thing, an anaphylaxis shock. Epinephrine is the only treatment for an anaphylaxis shock.

Prevention
If what caused hives to break out is figured out, then measures should be taken to avoid or eliminate the triggers.
1. Avoid eating food items that triggered the symptoms in the first place
2. If harsh soaps, frequent bathing cause hives, they should be avoided
3. Tight clothing should be avoided
4. If cold triggers hives, then wear warm clothing, wrap a scarf and do not swim in cold water.
5. Avoid sun exposure and wear sunblock
6. If a specific medication is causing the hives, inform your doctor.

All About Hives

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