Eczema of the scalp, which results in itching, flaking, or crusting of the scalp, is called scalp peeling or is commonly referred to as  dandruff . This condition causes increased shedding of normal scalp skin cells. Dandruff may also be caused by a fungal infection, other than just dehydration of the scalp.

The causes of an extremely dry scalp, thereby causing dandruff or even bigger flakes falling from the head onto shoulders and clothes, may be due to scalp psoriasis, eczema, poor nutrition, generalized dehydration, exposure to too much direct heat, and using too much of shampoo.

The three types of dandruff that need to be treated are those resulting from fungal growth, dry scalp and the one resulting from product build-up.

Fungal growth: This kind of dandruff is a chronic condition, caused by increased oil content on the scalp or an off-balance pH of the scalp. It may also be due to poor cleansing habits, or even an allergic reaction to the hair products one uses. Try switching shampoos, conditioners, or styling products to sulfate-free formulas to cure this condition.
Dry scalp: Sometimes, the skin of the scalp is literally so parched and dry that it is flaky and falls away like snakeskin. People with this kind of dandruff usually have drier hair and notice a tightness in their scalp. To treat dry-scalp dandruff, it is wise to indulge one s hair with moisturizing and hydrating shampoos, cut down on or space out harsh chemical treatments like relaxers, permanents, or dyes, and take in more moisture from the inside - drink at least 8 eight-ounce glasses of water a day, and your skin (including your scalp) will show you results that you want. Eliminating sulfates from your shampoos or other hair care products will also help with dry scalp, since these ingredients help strip away natural oils. Brushing hair or massaging the scalp - either with bare fingertips or a few drops of oil - is another great treatment, since massage helps stimulate circulation and bring blood, nutrients, and oxygen to the scalp and hair.
Product buildup: The most common type of dandruff is due to product buildup. This is what happens when people with otherwise healthy manes and scalps use too many styling products, such as layering gels, hair serum, hairspray, wrap lotions, scalp oils, heat-protecting serum, and so on. Dandruff caused by product buildup usually looks more like small clumps or balls of dirt. It may have a brownish color, since all those products attract and trap plenty of dirt and sweat. Product-buildup dandruff also tends to appear sporadically, only when hair is in need of a wash, whereas other types of dandruff show up more quickly and regularly.
To treat this kind of dandruff, one should wash hair more often or simply aim for using minimum chemical-rich hair products. 

Scalp Peeling - It Can Be Of 3 Different Types?

Blemishes refer to the discolored patches on your skin left behind by skin disorders such as pimples, acne, pigmentation or due to skin pores clogged by excess oil secretion. Blemishes, pimples and acne are some of the skin problems, which keep on affecting your skin and are hard to keep at bay completely. If you are suffering from the distressing problem of blemishes and wondering whether it is possible for you to get rid of them forever, then the good news is that it is not absolutely impossible. But in order to do so, you have to persistently work hard on your skin care regime.

Following are some interesting ways to eliminate those blemishes forever:

1. Skin exfoliation: skin exfoliation is a very effective process for getting rid of blemishes permanently. Exfoliation helps to shed the upper layer of your skin or rather the affected layer of your skin. But after exfoliation, a strict skin care routine must be followed everyday, which should combine cleaning, toning and moisturizing, so that the pimples and acne do not get a chance of popping out again.

2. Avoid overexposure to sun: too much exposure to sun can worsen your blemishes and make them darker in color. It can also create difficulties to get rid of them. Sun exposure may lead to break out of more pimples and acne, which in turn will leave behind marks on your skin.

3. Cut down on sugar: research shows that consuming excess sugar can trigger the break out of acne on your skin. Therefore, cutting down on your sugar intake will prevent further acne breakouts, which, in turn, will help you to get rid of your blemishes forever.

4. Apply lemon juice: applying lemon juice to the affected areas on a regular basis is another great remedy.

5. Avoid oily and fried foods: excluding oily and fried foods from your diet can help reduce the excess oil secretion by the skin pores and also prevent clogging of the pores.

Can You Really Banish Those Blemishes From Your Face Forever?

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 is a skin condition that causes loss of pigmentation of the skin. Melanocytes, the pigment cells, within the skin are destroyed. This causes these parts of the skin to lose color and turn pale. It might affect different parts of the body including the arms, legs, face and even genitalia. It can affect a person of any age, ethnicity or gender.

Causes
The exact cause of vitiligo is not definitively known. However, there are a number of risk factors that might contribute towards the condition. These include-

Autoimmune disorders- Vitiligo might be a result of an autoimmune disorder where the overactive immune system destroys the pigment cells of the skin.
Exposure to Chemicals- Exposure to certain chemicals can increase the risk of vitiligo by causing depigmentation.
Hereditary factors- There might be a genetic pre-disposition towards vitiligo. Though a person can exhibit symptoms of the condition at any age, it is most commonly found to manifest itself around the age of 20 years.
Symptoms
Vitiligo may start with a simple spot of pale skin but over time, this spot expands and turns paler until it is white in color. Irregular in shape, the edges of these spots may inflame and cause itchiness.

Treatment
The treatment of vitiligo will be determined by a number of factors such as the number and the extent of the white patches and where they are located. Vitiligo treatment includes cosmetic, medical and surgical methods.

Cosmetic Treatment- Cosmetic and skincare products such as sunscreens, dye or makeup can help relieve and hide signs of the condition.
Medical Treatment- Oral medication or medicated ointments may be prescribed to treat Vitiligo. Photochemotherapy which involves the use of PUVA rays to induce re-pigmentation may also be prescribed. If the condition has spread to a considerable extent then the physician might advise that the color from the remaining areas of the skin also be removed in order to match the affected areas.
Surgical Treatment- Surgical treatments are at times prescribed which involve skin grafting or tattooing. This is usually prescribed for those with small patches of affected areas.
With ongoing and extensive research being conducted on this skin condition, we will in the near future be able to both understand and treat it better.

Vitiligo - What Causes It and How Can It Be Treated?

Burn surgery is very common these days. Burn surgery is usually done on people who suffer from major burns. Reconstructive burn surgery is usually required in the last stages when the initial burns have healed to a certain extent. Usually reconstructive burn surgeries are done on patients who have suffered from huge accidents and have burnt their face, neck and hands to a great extent. Patients requiring this surgery usually become unrecognizable after an accident.

When is reconstructive burn surgery recommended?

If you have been involved in a household accident and the scars have not healed completely. Surgery might not totally heal the face, but it can improve your basic functions like breathing, smelling, seeing or tasting (if most of your senses are burnt and disfigured).
Reconstructive burn surgery is also very useful for acid attack victims. Sometimes, burns are not only caused by fire, but it is also caused by chemicals and acidic substances which are worse and can completely burn and disfigure your face. When hydrochloric acid, nitric acid and sulfuric acid come in contact with your skin it seeps into the skin and burns off your nose, cartilage and sometimes even causes blindness. It disfigures your face completely, reconstructive burn surgery can do miracles, though it cannot bring back your previous features and skin texture, but it does make you look more recognizable.
After a burn, facial scarring occurs which leads to the loss of eyelids, hair, nose and lips. In this case burn surgery is required.
How to take care of yourself after a burn surgery?

Regular stretching should be done, especially if the areas of your burn include your hands, legs, joints, etc. Do as much as activities as possible like getting dressed and grooming yourself. It will also make you more self-reliant and give you confidence.
Depression is very common after a burn surgery. A reconstructive burn surgery will not magically make you look the way you used to. A lot of sittings is required and remember, appearance and looks do not matter much. The wounds will fade away with time.
Itching is also very common after a burn surgery. If this problem persists, you should consult your doctor for a moisturizer.
Avoid sun exposure. Don t go out in the sun, because the U.V rays are extremely harmful and can singe your already sensitive skin; you can also get skin cancer.
Custom pressure garments should be worn to protect your skin.

Reconstructive Burn Surgery - How Can You Take Care Of It?

Pregnancy and the resultant hormonal whirlpool change a woman s body in more ways than one. This is true especially when a woman starts to breastfeed her baby. Before pregnancy, a woman s breasts are taut and firm. During pregnancy and breastfeeding, her breasts enlarge, are stretched out, and tend to sag. All this is very much the natural course of your breasts changing in tune to your bodily changes. However, if you feel that they are hanging lower than what can be expected after pregnancy, you can take the help of a cosmetic gynaecologist.  

Non-surgical Breast Lift Techniques - 

You don t have to resort to surgery to get back firm breasts. There are several non-invasive ways of going about it-

Carboxy Therapy -

This therapy consists of injections of carbon dioxide. Carbon dioxide is administered through a fine needle just beneath the skin. It reaches the adjacent blood vessels and causes them to dilate.  Engorged blood vessels mean more robust circulation of blood. This makes the skin of the breasts more elastic because this therapy triggers the production of collagen.

Hyaluronic  Acid Treatment -

Another effective way to non-surgically gives your breasts a lift is through Hyaluronic acid therapy. In the gel form, this can be a substitute for breast implant surgery. Not only do they make breasts firmer but fuller also.

Hyaluronic acid provides hydration to the cells and tissues of the breasts and makes them supple. They remove wrinkles and stretch marks.

The Vampire Breast Lift (VBL) -

Another way to get firmer breasts without having to undergo the trauma of surgery is the very popular Vampire Breast Lift. There will be no incisions and sutures. The surgeon will simply inject Platelet Rich Plasma into your breasts. The proteins present in the PRP promote growth and repair of cells. The advantages of VBL are-

Gives you firmer and shapely  breasts

Makes the skin taut and smooth

Enhances blood circulation

Minimizes scars and wrinkles

The change in the shape of your breasts in the aftermath of pregnancy should not be a cause for insecurities and anxiety because you do not have to conform to society s ideals of feminine beauty.  But, if you think your body image is driving you towards depression then you may consider opting for the above-mentioned non-surgical treatments of a breast lift.

Non-Surgical Breast Lift - Know More About It!

Don't wait any longer, manage your Facial Plastic Surgery online with a Lybrate doctor today

Consult for Facial Plastic Surgery - Online and Easy!

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