Fungal infections in nails are caused by an overgrowth of the fungi in your nails. When the growth of fungus happens on the fingernails or toenails, it is known as onychomycosis or tineaunguium. Here are the probable causes of why you might get a fungal nail infection:

Causes -

1. Diabetes
2. Problems in your circulatory system
3. Age
4. Artificial nails
5. Swim in public pools
6. Nail injuries
7. Skin injuries surrounding the nail
8. Fingers or toes which have been moist for an extended period of time
9. Immune system problems
10. Wearing shoes which have toes enclosed

It is also worth note that fungal infections happen much more frequently in your toenail as compared to your fingernail. This is because of two main reasons. The first reason is that fungi can grow very easily on your toenails because of the position. Your shoes are dark, warm and moist and therefore, perfect for the growth of fungi. The second reason for more fungal infections on your toenails as compared to your fingernails is because toes have less blood flow than fingers, thus making it harder for the immune system to fight off the infection.

Symptoms

Fungal infections in your nails are one of the easier infections to diagnose. This is because there are several symptoms which indicate you have this condition. Here are those symptoms.

1. Scaling underneath your skin
2. White or yellow streaks on your nails
3. Corners of the nail may crumble
4. Flaky surface of the nail
5. Yellow spots at the bottom of the nails
6. Loss of nail
7. A nail breaking off from the rest of the nails
8. An odour from the nail
9. Brittle or thick nails

Fungal Nail Infection - Know Symptoms Of It!

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

Skin is the first and foremost organ exposed to the onslaught of a variety of germs and bacteria. Your skin fights against these germs to keep you safe and healthy. Thus, skincare should not be treated as an element of vanity. A skincare regimen is something essential for your overall wellness.

Ways you should adopt to take care of your skin on a daily basis:

1. Dry skin should be kept safe from harsh face washes: Face washes have a milder effect as compared to soaps, but they surely aren't good for the health of your skin. Skin, especially that on your face, is delicate. To retain its natural glow and nourishment, care should be taken to maintain its natural oils and nutrients. Washing your face repeatedly with harsh face washes can make your skin dull and rough. If you have a dry skin, you should be extra careful to retain the natural oils of your skin and hence should stay away from soaps or face washes.

2. A skin with large pores should be exfoliated frequently: Skin with large, open pores is usually oily. Excess oil can lead to several other problems like acne, pimples or skin pigmentation. Such kind of skin should therefore be exfoliated and toned as part of a person's daily routine. Exfoliation rids your skin of dead cells, which on continued accumulation, can lead to infections. However, toning helps in tightening your skin.

3. Sunscreens should be used irrespective of the prevailing weather: Whether it is sunny or cloudy outside, sunscreens are a must. You should never venture outdoors without applying sunscreen on the bare parts of your body. Sunscreen lotions are known to prevent you from the harmful UV rays of the sun that can subject you to the threat of skin cancer. It is absolutely necessary to apply these lotions generously and at least twenty minutes before a person goes outside.

4. Hydration is the best suited way to have a healthy skin: When it comes to the look and well-being of your skin, hydration is indeed important. Drinking plenty of water and fruit juices can keep your skin moisturized naturally. Make sure you include fresh fruits and vegetables in your daily diet.

5. Settle for herbal or natural face packs: Herbal or natural face packs run from a lower propensity to react with your original skin type. This helps you to avoid chances of contracting acne or any other kind of fungal or bacterial infection. You should make efforts to grind turmeric at home to apply it on your face instead of buying a readymade pack. This way, you steer clear of chemical substances and their disadvantages.

5 Skincare Tips You Should Follow Regularly

Spending a day out at the beach or going up on a hike is something most people love to do. What they, however, do not want is the after effects of being out in the sun the sunburn. While sunscreen lotions do help to a large extent, being in the sea can wash off the sunscreen, leaving the skin exposed to the imminent damage. Also, the effect of most sunscreens wears off with time, thereby, invariably producing some damage to the skin. However, there are simple ways to reduce the damage and in some cases even reverse the damage done by the sunburn.

Listed below simple ways with which you can treat a sunburn:

The minute you realize sunburn has set in, reduce further damage by getting out of the sun.
If you were out in the beach, rinse off with regular water as early as possible to clear the chlorine and sand and salt water. The salt water irritates the skin and aggravate the damage further.
Take a pain-killer which will reduce the inflammation and control the overall effect of swelling and pain. This can also help the mild headache that can develop because of being out in the sun.
The sun dries the skin and therefore, make sure you make an extra effort and moisturize your skin. Use creams that contain aloe vera, glycerin or hyaluronic acid. Keeping them in the fridge for a while produces an extra-refreshing effect.
Make a compress containing egg white or green tea and skimmed milk. The green tea will reduce inflammation and the egg white will supply the necessary proteins for the skin to recover.
Not just the skin, the sunburn also leaves you dehydrated overall. Ensure the water intake is increased and consume water rich food like watermelon, grapes, and cucumber.
If there are sun blisters as a result of the sunburn, do not touch them. Peeling them can produce scars, which can be permanent.
On spots that are painful after the sunburn, slices of potatoes or cucumber can be used to rub the area. This will produce a cooling effect and also reduce swelling.
Vinegar contains acetic acid and reduces pain, swelling, and inflammation that happens subsequent to a sunburn. Towel soaked in vinegar can be used to wipe the area or vinegar can be added to the water for a bath.
Mint is another wonderful agent to manage sunburn. Include it in tea or add peppermint oil to lukewarm water for that healing drink.
These are some tips to treat a sunburn and reduce the damage (sometimes permanent) that can happen as a result.

10 Easy Ways to Treat a Sunburn

Exposure to the sun for a long period of time can result in several skin problems. They occur on the basis of heat, humidity and the rays of the sun. Here are the most common skin problems caused due to sun exposure:

Sunburn: Sunburns occur as a result of overexposure of the skin to the harmful ultraviolet rays of the sun. Melanin in the skin protects it from the sun s rays, but in case of overexposure, melanin fails to work and sunburn is caused. The symptoms of sunburn include the skin turning red, burning in the affected areas, skin tightness and a sensation of itching. Severe symptoms are blisters, chills, fever and fatigue.
Age spots: Age spots are caused due to overexposure to the sun. They are brown marks, which appear on the surface of the skin, especially in the arms, hands and other body parts. Age spots get more prevalent with ageing. Symptoms of this condition include brown and gray pigmentation on the skin surface. The pigmentation occurs in a circular shape and is flat on the skin.
Photosensitivity: This condition is also known as sun allergy. People with photosensitivity are likely to get burned from sun exposure very easily, and symptoms of sunburn are observed. Symptoms include red and pink skin rashes accompanied by itching and burning. The area gets scaly and blistered.
Moles: Moles occur commonly due to sun exposure. They may appear on any part of the body. Moles may vary from being harmless to cancerous. Common symptoms include raised skin and the skin tone changing into reddish brown or black. Moles are round in shape, and some moles are painful.
Solar elastosis: This condition is commonly known wrinkles and occurs when the elastic tissues of the skin get deteriorated due to sun exposure. The skin turns limp on account of no strength of the tissues and collagen. Wrinkles appear, and the skin seems loose and sagging. Deep lines are formed on the skin.
Skin cancer: Skin cancer accounts for being the most severe and fatal result of prolonged exposure to the sun without any kind of protection. There are many forms of skin cancer. The most primary skin cancers include Melanoma, basal cell carcinoma and squamous cell carcinoma.
Polymorphous light eruption: This condition, known as PMLE in short, affects women between the age group of twenty to forty. It also occurs in light sensitive people who spend more time under the sun. Symptoms include a red or pink, bumpy rash and raised areas on the skin surface. Itchiness and dry patches are indicated.
A large number of skin problems occur due to long hours of sun exposure. Some of these are chronic problems, which require proper treatment.

Skin Problems Caused due to Sun Exposure

For most us tattoos are a form of expressing their personalities. However, the things you identify with, in your teens may not be something you want to be associated with as you grow older. In some cases, a tattoo may not come out as you imagined it to be and this may leave you with a permanent adornment that you don t like. Thankfully, though tattoos are permanent, it is possible to remove them. As with getting a tattoo in the first place, removing it is not as simple as it sounds and can be quite painful. 

Here are a few things to keep in mind before opting to remove a tattoo.

Complete removal is not guaranteed: Not all tattoos are the same, the deeper tattoo ink is injected into the skin, the harder it is to remove. In many cases, tattoo removal may leave behind a faint shadow of the tattoo or cause permanent scarring.
How you got your tattoo made affects its removal: Professional tattoo artists have a steady hand and inject ink at the same depth, unlike amateurs who inject ink at varying depths. Thus removing a professional tattoo is easier than removing one made by an amateur.
It is painful: As when getting a tattoo made, removing it is also painful. The amount of pain felt depends largely on the location of the tattoo. In the case of laser treatment, this can be described as the feeling of having an elastic band repeatedly strike the skin. You could ask for local anesthesia or a numbing cream to be applied before starting the procedure to reduce the pain.
Multiple sessions are required: On an average 6-10 sessions are required to remove a tattoo. However, the actual number of sessions depends on a number of factors including the location of your tattoo, the number of colors in it etc. you will also need to wait at least 6 weeks between sessions to reduce the risk of side effects.
There are side effects: Some of the side effects you may notice after a tattoo removal session are blistering of the skin, bleeding, redness or darkening of the skin and inflammation of the tattooed area. These are temporary and should subside in a few weeks. However, darkening or lightening of the skin can last for up to a year. Scarring, burns and textural changes to the skin are other potential side effects. These can often be permanent.

Tattoo Removal - 5 Things You Need To Know Before You Go For It!

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