Vitiligo is a condition wherein the affected person starts losing the color of the skin, resulting in white patches. It can affect people of any age, sex, class, race, and ethnicity. Though Vitiligo is a lifelong condition, it can be managed with proper care and treatment.

Understanding the problem 

Vitiligo is a skin disorder where certain areas of the skin start losing its normal pigment. The total area of the skin that can be affected by the disease may vary from one person to another. It may even affect the inner side of the mouth, eyes and in some cases, even the hair.

Vitiligo is a photosensitive skin disorder which means that the affected areas shall be more sensitive to the rays of the sun than the unaffected areas. It is very difficult to determine whether the patches will start spreading or not, and to what extent. It may take weeks to spread, or the patches may remain stable for months or even years together. The lighter patches become more visible in people with dark and sun-tanned skin.

Causes

The destruction of pigment-causing cells called the melanocytes cause Vitiligo. The exact cause of vitiligo remains unknown, some conditions that contribute to vitiligo are mentioned below:

Albinism: It is a rare genetic disorder that lead to loss of color of the skin, hair, and the eyes.
Alopecia Areata: It is an auto-immune disease that leads to hair loss in patches. It can also lead to vitiligo.
Hashimoto s thyroid: It is also an autoimmune disease that leads to discoloration of the skin. This also makes the skin more sensitive.
Symptoms

Patchy loss of skin color
Premature whitening or graying of the hair on your scalp, eyelashes, eyebrows or beard
Loss of color in the tissues that line the inside of your mouth and nose (mucous membranes)
Loss of or change in color of the inner layer of the eyeball (retina)
These white patches are more common in areas where the skin is exposed to the sun. The patches may be on the hands, feet, arms, face, and lips. Other common areas for white patches are:

The armpits and groin (where the leg meets the body)
Around the mouth
Eyes
Nostrils
Navel
Genitals
Rectal areas
Complications

If leaft untreated, patient can have an increased risk of:

Sunburn and skin cancer
Social or psychological distress
Hearing loss
Eye problems, such as inflammation of the iris (iritis)
Treating vitiligo
Vitiligo is described as more than a cosmetic problem; it is rather a health issue requiring clinical attention. Several remedies can aid in making the condition less visible, and some of them include:

Using sunscreen regularly: Using sunscreen protects the lighter areas of the skin which are more sensitive to sun rays. Since there are several types of sunscreen available, consulting with a dermatologist is safe before choosing a sunscreen.
Phototherapy using UVB light: Controlled exposure to UVB light is an effective treatment option for vitiligo. When this treatment is done at a clinic, you will need around 2 to 3 visits in a week, and the time required for the treatment will also be longer. UVB phototherapy can also be used when there are numerous white spots all over the body. Since this is a full-body treatment, it is performed in a hospital. This treatment, together with other treatments can have a substantial effect on vitiligo, but it is always necessary to have realistic expectations about the treatment.
Skin camouflage: Those who are suffering from mild instances of vitiligo can greatly benefit from the camouflage treatment done with cosmetic creams or white patches.
Laser therapy: People suffering from limited, stable patches of vitiligo can immensely benefit from vitiligo. Laser therapy is a safe and effective way to treat this condition. It may not be very cost effective, but the results are totally worth it, a patient may have to be treated twice a week and take 24-48 session to treat the localised lesions of vitiligo.
It is best to start the treatment of vitiligo as soon as possible to manage the condition to a substantial extent. So, visit a dermatologist today and understand which treatment option would work best for you.

Vitiligo - How Can The Condition Be Treated?

The sudden change in the looks, color or texture of the skin indicates the skin diseases. This can result in swelling, chapping, itching, blistering etc. that can or can t accompany with pain. The skin disorder may be localized on the specific part or may spread to the whole body; this disease is known as Atopic Dermatitis. The discomfort or pain of this disease also creates an awkward condition with looks. Many skin diseases like pimples, eczema, rashes, and fungal infections along with Atopic Dermatitis much more are commonly found in the people. Measles, rubella, roseola, chicken pox these are common skin diseases found in children. In some conditions, the blistered and inflamed skin can be very painful and the virus infection can continue to chickenpox.

Factors Affecting:

The factors causing Atopic Dermatitis are as wide ranging as the kinds of diseases it. The Atopic Dermatitis can be caused due to heat, immune system weakness, infections, medications, and allergy with chemicals like rubber, cosmetics, detergents, soaps, dyes, etc.

Even the skin type and the various alcohols based or infrequent shampooing is also responsible for the skin problems. Some uncontrolled factors like aging, fatigue, weather and fatigue can often develop skin diseases gradually.

Homeopathy Heals:

Many healthcare systems are available and assure the treatment for Atopic Dermatitis but they can only reduce the symptoms of the problem, whereas homeopathy treatment provides complete cure from the all the symptoms. Homeopathy remedies directly target the deep root cause of Atopic Dermatitis and remove them with the constant use of prescribed medicines. Homoeopathy treatment for Atopic Dermatitis is safer and successful as compared to other healthcare systems. The naturally extracted homeopathy remedies are side effect less and help people to escape from the crucial symptoms of this disease. Homoeopathy treatment and medicine for Atopic Dermatitis initiate the process from taking the case studies to know the hidden root cause of the diseases. The expert physician suggests the Best homeopathy medicine for Atopic Dermatitis to recover permanently. This is a cost effective system and assures the prevention of recurrence as well.

Can Homeopathy Treat Atopic Dermatitis?

How your baldness is completely reversible (non-surgically): part-2

I explained in part-1 about prp treatment. Dermaroller treatment follows the prp treatment.

Let's understand how does it work.

What is derma roller

Dermaroller is an instrument with multiple small needles attached to a handle, which is rolled over the treatment area, to stimulate hair follicles.

How does derma roller work?

It activates stem cells in hair bulge region and releases growth factors to stimulate re-growth. It is again a painless procedure and is usually done without anesthesia.

Any risk or side effect of derma roller?

There is no risk for using derma roller as it is used is a completely aseptic and clean environment.

Total number of treatment sessions required?

For most patients 3prp + 9 derma roller (total 12 sessions done every week over 12 weeks) are sufficient.

Are results achieved with prp + derma roller permanent?

This treatment reverses the 'hair loss stage' to 'hair growth stage' and once the bald scalp is covered with hair, the results can be maintained with just a solution. However, some patients may need prp for maintenance every 6 months to 1 year.

Advantages of i-prp


	
	Simple, effective and non-surgical procedure
	
	
	Completely safe, as your own blood is used.
	
	
	Hair regrowth with i-prp gives best cosmetic appearances.
	
	
	It gives a natural density. Number of hair strands is in lakhs as compared to a maximum of 6000 hair follicles that can be grafted when a hair transplant treatment is done.
	
	
	The hair growth direction remains same (giving a completely natural look), which is not the case with hair transplant treatment where the hair growth direction changes (giving an odd look).
	
	
	Cost of i-prp is much less compared to hair transplant
	


If you would like to consult with me privately, please click on 'consult'.


How Your HAIR LOSS or BALDNESS is Completely Reversible (Without Surgery):  PART-2

Vitiligo is a disorder in which the skin starts losing its original color in the form of unequal shapes and sizes. This problem of skin pigmentation means that the melanocytes in the skin get damaged. This leads to the development of the white patches on the skin.

The hairs which grow on the affected area start losing their color and become gray. This problem also causes psychological disorders which related to appearance and many times, the adolescent's high dose of medications if this disorder develops in the visible areas like face, hands, arms or the feet. The adolescents start feeling embarrassed, depressed and worried about what the others might think of them and how they would react to seeing them.

Causes

Though the exact causes of vitiligo are not clear, the researchers assume that this disorder is just like an autoimmune disorder. This means that the pigmentation or the element which gives color to the skin get destroyed by the antibodies of the person s own body.

In some cases, it has also been observed that the initial stage of this disorder relates to an event which causes psychological stress to the person. People whose parents or other family members suffer from this disease are also likely to suffer from the same. This can be said that this disorder passes down the genes from generation to generation.

If people have suffered sunburns, rashes and other disorders related to the skin where the hair turns gray before the person turns thirty-five, are also some of the causes of this disease.

Role of homeopathy in treating Vitiligo

Homeopathy aims at treating the problem from the root, over a period of time yet in an effective manner. This field of medicine works at building the immunity of the patients and restore their health. As per homeopathy, it is important to understand the constitution of the patient before prescribing any type of medicine. Also, homeopathic medicines prescribed to an individual are related more to the constitution of the individual, the symptoms it is indicating and the overall psyche of the patient. 

Further, it is required that the formation of the melanin in the body is improved, in order to treat the problem. Since all patients are different, thus they respond differently to the treatment provided. And, the course of the treatment can only be decided once the underlying root cause is determined. Homeopathy treatment goes beyond the general and medicinal aspects of the vitiligo treatment. 

All these medicines listed above are only suggestive in nature and can change with the change in symptoms. Therefore one should only take homeopathic medicines as prescribed by the doctor. 

Vitiligo - Know Why Homeopathy Is The Best Choice Of Treatment!

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

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