Scabies is a type of a skin condition that is characterized by itching and rashes. This dermatological condition is caused by sarcoptes scabiei, a type of microscopic mite. A contagious condition, scabies spreads through physical contact. It usually transmits through clothes, towels, sexual contact and other such ways. An estimate shows that scabies infect over 300 million humans 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 the 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:
1. Scabies spreads through direct, prolonged skin-to-skin contact with a person who has mites.

2. An infected person can easily pass scabies to his/her household or sexual partners. Scabies in adults is usually sexually acquired.

3. The likelihood of scabies increases easily under crowded conditions which involves close body and skin contact. Nursing homes, prisons, and several types of care facilities are sites of scabies outbreaks.

4. Immunocompromised, elderly and disabled people also suffer from an increased likelihood of contracting such.

Complications of scabies include:
1. Persistent and vigorous scratching can break the surface of your skin which can lead to secondary bacterial infections. Impetigo, a superficial infection is quite a common occurrence in case of such.

2. Crusted scabies is the most severe form of scabies which is common among certain groups. People suffering from diseases such as HIV or leukemia and severely ill people who have weakened immune systems are at a higher risk of contracting this condition. This condition, also known as Norwegian scabies is very contagious and also hard to cure.

Depending on the symptoms and severity of the condition, appropriate medications and creams are prescribed by medical professionals.

All About Scabies

Bipolar disorder is one of the conditions which most people are aware of. However, not many can truly understand. Lets see some signs that inform a person of possible bipolar disorder in a child or a teenager:

While most kids go through a series of ups and downs on a regular basis, in the case of a child who has bipolar disorder, both the ups and downs can be characterised by relative extremes. Not only does the mood of the child change, but also there are other changes which take place. These changes affect the sleep cycle as well as the clarity of the affected child s intuition and the level of energy that is displayed. The set of people who are at the highest risk of developing bipolar disorder are those who have reached their late teen years and are entering adulthood.

There are ways to treat bipolar disorder, but the fact remains that it stays for life.
When a person has bipolar disorder, the manic phase may result in him or her acting happy or silly in an unusual manner, at least for a person who is around that age. In addition to this, a short temperedness may be displayed and there are problems in getting proper sleep. It is important to keep in mind the fact that in the manic phase, the person is quite likely to commit risky actions. As such, one must keep an eye on his/her affected child.

On the other hand, over the course of the depressive phase, the patient is likely to feel guilty and cut down on the amount of food that is eaten. There is a general loss of energy and even activities, which normally seemed engaging and fun may seem to have lost their allure during this phase. In some cases, thoughts of death and suicide may also be considered.

As a parent, it is important to be aware of the fact that bipolar disorder may not necessarily occur on its own. In fact, there are quite a few cases when it occurs with Attention Deficit Hyperactive Disorder (ADHD). It, in fact, has been seen that ADHD has spurred the success of a few sportsmen, like Michael Phelps. Having said that, it is important that we make efforts and ensure that such disorders do not affect the minds of people. Treatment is especially important as bipolar disorder can also lead to substance abuse and in extreme cases untimely death. 

Bipolar Disorder - Can It Be Detected?

Pneumonia is an inflammation and infection of the lungs. This is a condition where the alveoli or the air sacs located in the lungs fill up with fluid and pus. It is because of this that oxygen cannot reach the infected individual s bloodstream. People with pneumonia generally have cough, fever, and breathing problems. At times, it can also result in chest pain.

This is a condition that can affect one or both the lungs. There are different forms of this disease. Pulmonary infection is considered one of the most common causes of this disease. It is a kind of infection related to gram-negative or gram-positive bacteria and viruses. Certain infectious agents sharing the similarities of bacteria and viruses might also result in pneumonia.

Symptoms of pneumonia in adults
The symptoms of pneumonia in adults include:

Fatigue
Fever
Coughing up slightly bloody, brown or green mucus
Weakness
Vomiting
Nausea
Headaches
Loss of appetite
Diarrhoea
Wheezing
Chills
Rapid breathing
Shortness of breath
Chest pain
The milder forms of this disease do not disturb the regular functions of the affected individual and are called  walking  pneumonia.

Signs of pneumonia in children
Unlike adults, kids suffering from pneumonia might not experience a fever or a nagging cough. They might have more subtle signs of this infection. However, children have relatively higher chances of being infected because they do not have fully-developed immune systems. Overall, the signs of pneumonia vary according to the age of an individual.

Pneumonia caused by bacteria like Chlamydophila pneumoniae and Mycoplasma pneumoniae generally result in milder signs of the disease in kids. This kind of pneumonia is called walking or atypical pneumonia and is generally found among school-going children. Children suffering from mild pneumonia might not feel very sick, but they can have one or more of the following symptoms:

Low-grade fever
Dry cough
Tiredness
Headache
Irrespective of the age of an individual, it is always important to consult a specialist after determining the symptoms of pneumonia. Remember, it is a deadly disease and needs timely treatment.

How To Recognize The Symptoms Of Pneumonia?

Chronic obstructive pulmonary disease is a long-term condition of the lungs where the flow of air to the lungs is restricted (obstructed). Symptoms include cough and breathlessness. The condition is most often caused by smoking and the most important treatment is to stop smoking. Inhalers are commonly used to ease symptoms. Other treatments such as steroids, antibiotics, oxygen, and mucus-thinning (mucolytic) medicines are sometimes prescribed in more severe cases, or during a flare-up (exacerbation) of symptoms.

What causes COPD?
Smoking is by far the biggest risk factor for COPD. The lining of the airways becomes inflamed and damaged by smoking. Cigarette smoking is the biggest risk factor.

Air pollution may cause some cases of COPD, or make the disease worse. Air pollution can be indoor air pollution or outdoor air pollution. Indoor air pollution seems to be involved in more cases of COPD than outdoor air pollution. Indoor air pollution includes fumes from indoor fires or stoves, and dust, fumes or chemicals present in some workplaces. The combined effect of exposure at work to air pollutants and smoking increases the chances of developing COPD.

A small number of people have a hereditary (genetic) risk of COPD due to very rare protein deficiencies that can lead to lung, liver and blood disorders. (The condition is called alpha 1 antitrypsin deficiency. Less than 1 in 100 cases of COPD are due to this.


COPD symptoms-


Cough is usually the first symptom to develop. It is produced with phlegm (sputum). It tends to come and go at first, and then gradually becomes more persistent (chronic). You may think of your cough as a 'smokers cough' in the early stages of the disease. It is when the breathlessness begins that people often become concerned.
Breathlessness (shortness of breath) and wheeze may occur only when you exert yourself at first. For example, when you climb the stairs. These symptoms tend to become gradually worse over the years if you continue to smoke. Difficulty with breathing may eventually become quite distressing.

Sputum - the damaged airways make a lot more mucus than normal. This forms sputum. You tend to cough up a lot of sputum each day.

Chest infections are more common if you have COPD. A sudden worsening of symptoms (such as when you have an infection) is called an exacerbation. Wheezing with cough and breathlessness may become worse than usual if you have a chest infection and you may cough more sputum. Sputum usually turns yellow or green during a chest infection. Chest infections can be caused by germs called bacteria or viruses. 
Other symptoms of COPD can be vaguer. Examples are weight loss, tiredness and ankle swelling.

What is the difference between COPD and asthma?


COPD and asthma cause similar symptoms - in particular difficulty breathing (breathlessness). However, they are completely different diseases. Briefly:

In COPD there is permanent damage to the airways. The narrowed airways are fixed, and so symptoms are persistent (chronic). Treatment to open up the airways is therefore limited.

In asthma, there is inflammation in the airways which makes the muscles in the airways narrow (constrict). This is temporary so the narrowing comes and goes. So, the symptoms tend to come and go, and vary in severity from time to time. Treatment to reduce inflammation and to open up the airways usually works well.

COPD is more likely than asthma to cause an ongoing cough with phlegm (sputum).

Waking at night with breathlessness or wheeze is common in asthma and uncommon in COPD.

COPD is rare before the age of 35, whilst asthma is common in under-35s.

There is more likely to be a history of asthma, allergies, eczema and hay fever (so-called atopy) in people with asthma.

Do I need any tests?

The most common test used in helping to diagnose the condition is called spirometry. This is a breathing test. You will be asked to breathe or blow into a small machine called a spirometer which will measure how well your lungs are working. This test can help make a diagnosis of COPD.


A chest X-Ray show signs of COPD and can be used to help exclude other serious conditions (including lung cancer). Occasionally, a special CT scan of the chest - high-resolution CT - is needed. A blood test to make sure you are not anemic is often helpful.

A pulse oximeter is a device which can be clipped on to your finger. It measures your heart rate (pulse) and the amount of oxygen in your circulation (oxygen saturation). Lower levels than normal tend to be found in people who have COPD, especially if you have a flare-up (exacerbation) of your symptoms.

COPD treatment-

Smoking cessation is the most important step towards treatment.
Inhalers

The main treatments are medications given in devices called inhalers. The medicine within the inhaler is in a powdered form which you breathe in (inhale). The medicines in standard inhalers reach the lungs better if used with a spacer device. Inhalers include one, two or even three types of medicines. They may include:


A bronchodilator agent - this is a medicine which opens up (dilates) the airways. Some work quickly but don't last very long; others are longer-acting.
A steroid - these reduce the inflammation in the airway, thereby reducing the swelling. This, in turn, adds to the space available for air to pass.
A medicine which helps to dry up the secretions produced by the airways.
Home oxygen
This may help some people with severe symptoms or end-stage COPD. It does not help in all cases. Unfortunately, just because you feel breathless with COPD it does not mean that oxygen will help you. Great care has to be taken with oxygen therapy. Too much oxygen can actually be harmful if you have COPD.
Regular follow up in OPD is an essential part of treatment success.

Chronic Obstructive Pulmonary Disease - Know More About It!

4 plastic surgery alternatives for burns and wounds

The branch of plastic surgery that is generally used for the treatment of burns and other wounds is known as reconstructive plastic surgery. There are numerous surgical methods that fall under this category, which is effectively used to treat these injuries and the related issues that they cause. 

What are medical issues caused by burns and wounds?

Some of the most frequently occurring issues that stem from burns and similar wounds are as follows:

- restriction of mobility

- aesthetic disfigurement and scarring

- loss of sensation in the affected area

The different issues are caused by varying kinds of burns and injuries and, hence, each case must be approached in a different manner for remedy.

Different kinds of plastic surgeries that are used for treatment

Depending on the nature of the injury, your plastic surgeon may opt for any of the following surgical methods for treating the problem.

1. Skin grafting

In this procedure, skin is removed from one part of the body and transplanted to the affected area. This method is used for the treatment of burns. There are two types of this surgical procedure - one removes a few layers from the dermis of the donor area (split-thickness graft) while the other removes the entire dermis (full-thickness graft). Recovery time depends on the kind of procedure used. Skin grafting is occasionally used for breast and nose reconstruction as well.

2. Microsurgery

This type of surgery makes the use of a microscope in reconstructive procedures for working on minuscule veins, arteries, and nerves for repairing damaged areas. Microsurgery is often used alongside other surgical procedures for re-attaching body parts, relieving paralysis of the face and in the reconstruction of breasts.

3. Tissue expansion

This method is used to induce the growth of extra skin on the body that can be used for reconstructive purposes. This is done by inserting a balloon expander underneath the skin that slowly gets filled with saline solution and makes the skin swell. This excess skin is then used for correction or reconstruction of the affected area.

4. Free flap procedure

This procedure involves the transfer of skin, bone, muscle and blood supply from the donor area to the damaged area for repairing purposes. Microsurgery is often performed alongside this treatment method, which is used most frequently for breast reconstruction or after the removal of cancer from the neck or head.

If you would like to consult with me privately, please click on 'consult'.
Related Tip: 6 Quick and Handy Remedies To Treat Burns

4 Surgical Alternatives for Burns and Wounds

If you are suffering from arthritis, it is important for you to know about how it affects your knee and other joints. Arthritis is a chronic, systematic inflammatory disease which damages your joints and connective tissues. Your knee is commonly affected by arthritis and there are three primary types of arthritis that occur in the knees. They include osteoarthritis, rheumatoid arthritis and post-traumatic arthritis.

Types of arthritis 
The different types of arthritis affecting the knees occur due to different reasons. Osteoarthritis is a progressive condition, which wears away the joint cartilage over time. Rheumatoid arthritis is an inflammatory condition, which may occur at any age. Post-traumatic arthritis occurs after an injury is inflicted to the knee and may occur several years after a ligament injury or knee fracture.

Major symptoms

Arthritis pain may occur all of a sudden, but commonly develops slowly. In the early stages, the pain is observed in the morning after you have been inactive over the night. Pain is likely when you want to move around. Pain may be experienced even when immobile.
Periodic inflammation is a common symptom of arthritis of the knee. This happens because of the formation of bone spurs or excess fluids in your knee. The swelling gets pronounced after being inactive for a long period. The skin on your knee may look red and feel warm while you touch it. This may lead to chronic inflammation, which is very difficult to manage.
Treatment
There are several ways of treating knee arthritis. The mode of treatment depends on the severity and cause of knee arthritis. NSAIDS or nonsteroidal anti-inflammatory drugs are commonly prescribed for dealing with arthritis pain temporarily. Other medicines used for knee arthritis treatment are as follows:

Analgesics, which help in pain reduction act as good alternatives to NSAIDS.
Corticosteroids are used for reducing inflammation.
Certain DMARDs or disease-modifying antirheumatic drugs are used.
Certain injections that are used for helping with knee arthritis. They include:

Hyaluronic acid supplements, which ease the pain and inflammation by lubricating your knee joints.
Corticosteroid injections also soothe inflammation and pain.
You may also require a surgery for dealing with knee arthritis when other modes of treatment fail. The most common surgeries are as follows:

Total joint replacement, where your knee is replaced with a prosthetic made of metal, plastic or ceramic.
Osteotomy, where the knee bones are modified for controlling pressure and damage in the knees.
Arthroscopy, where an incision is made in the knee for removing damaged parts.
It is recommended for you to consult a doctor, if you experience any symptom of knee arthritis. Early treatment will prevent the condition from worsening.

Knee Pain - It May be a Sign of Arthritis?

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