Vitiligo is a condition in which white patches appear on the skin. It can affect any part of the body. It can affect the inside of the mouth and the hair as well. It happens when the skin cells (melanocytes) that make or produce pigment (colour) of the skin die or stop functioning. This disease is not contagious or life-threatening, it cannot be caught from another person having vitiligo. All types of skin can be affected by vitiligo but it may be more evident in people with darker skin. It develops between the ages 10 to 30 and it often appears before the age of 40.

Causes

The main cause of this disorder is still not clear, why the cells die or fail. For some reason, the colour or pigment-forming cells called melanocytes dies. However, these are the following reasons that can cause this problem:

An autoimmune disorder, where the defences of the body turn on their own cells instead of attacking the germs that destroyed the melanocytes

A trigger or stressful events such as exposure to industrial chemicals, stress, or sunburn

Family history (heredity)

A neural cause

A virus

A genetic oxidative stress imbalance

Symptoms

The one and only symptom of this condition is the appearance of white patches or flat white spots on the skin. Those white patches are irregular in shape. They may stay the same for a while but may get bigger with time on different parts of the body. It generally affects body folds such as armpits, around body openings, or around moles. It can also affect hair and eyelids. It does not cause any irritation, dryness, discomfort, or soreness in the skin.

Treatment

There is no known way to cure or prevent the condition but the appearance of the affected skin can be improved with corticosteroid creams and cosmetics. The doctor can recommend melanocyte transplant surgery which includes a new needling micro-grafting technique. The surgery includes a split-thickness skin graft that is taken from the normal area. Later, it is cut into very small pieces in diameter ranging from 0.1 mm-0.3 mm. The local anesthesia is given to the recipient area to implant the micro-grafts into the dermis by using the needling technique. This new method of treating this condition delivers satisfactory and rapid pigmentation.

Takeaway

Vitiligo is a disorder in which flat white spots or patches appear and can affect any area of the body. It happens when the melanocytes die or stop functioning. The condition can be managed by cosmetics, corticosteroid creams, therapies, and surgeries. Out of all these methods, melanocyte transplant surgery is a new and effective technique to manage this disease. However, it is always advisable to consult a doctor before opting for any of these methods. 

Vitiligo - Its Causes, Symptoms And Treatments!

Home remedies to treat burns

A lot of pain, burning and hurt can be relieved by knowing properties of a few things from your kitchen. While minor burns and injuries can scare the wits out of anyone, young or old, the cure to relieving the pain and ensuring speedy healing lies in your cabinet. 

Here are few things to do and to avoid:

1. No Ice on a Burn: ice is known to restrict the flow of blood to the skin. What you should do instead is put the burnt area immediately under running water. The idea is to cool the area. The water used should be cool and not ice cold. 

2. Soothe with Aloevera. Aloevera is known to be a good remedy for burns and while it stops the pain, it also reduces the swelling and repairs the skin. Aloevera gel can be applied in sometime, but the gel should not be contaminated and should be clean.

3. Use Mint for Relief: After running cold water on the burnt area, pat it dry gently and apply a layer of crushed mint leaves, do not apply mint toothpaste over it. As toothpaste can get dried or stuck there and cause further injury. If mint leaves are used they should be clean and be thoroughly washed with water.

4. Try Tea Bags: If you have black tea bags at home, they can be of help. Moist wet, cooled tea bags, depending upon the area of the burnt skin and place over the area. Wrap with clean gauze. This can be used on slightly raw skin as it is astringent.

5. Puncture the Blisters: If there are blisters, never peel them off completely, you may puncture them to drain the fluid but do not remove the top layer of skin, as that serves as a natural protective dressing.

6. Apply Honey: A natural antibiotic, honey is used to prevent the burnt area from getting infected.

7. Rub Coconut Oil: Coconut oil has vitamin e and anti-bacterial properties which also stop the burnt area from getting infected. However, this should be used in healing phase when there are no blisters or they have started healing.


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6 Quick and Handy Remedies To Treat Burns

A hernia occurs because of an internal weakening of the abdominal layer, resulting in tearing. The inner most layer of the abdomen forms a sac and pushes the weakening area. This results in the abdomen tissue being slipped into the sac, causing pain and other health problems. It can occur to both men and women. Apart from natural weakness of the abdomen, a hernia can get triggered from heavy weight lifting, constant coughing, gaining weight and from irregular bowel movement. 80percent of hernia cases originate near the groin.

What are the symptoms?
Some of the common symptoms of a hernia include:

Constipation
Nausea
Feeling of fullness even without eating a thing
Sharp pain while lifting weight
Burning sensation
Dull ache near the groin area
Bulge near the groin area
How is a laparoscopic hernia performed?
This mode of surgery uses a telescope-like instrument known as the laparoscope. With the help of a small incision, the laparoscope is inserted at the belly button. Since the procedure is performed withanaesthesia, it isessential for a doctor to do a routine medical check-up that evaluates the general health of the patient, past medical history, EKG, blood work etc.

Usually, the patient doesn t feel a thing while the surgery is performed. A video camera is connected to the instrument to get a detailed inside view of a hernia and the area that needs to be repaired. Before this, the abdomen is inflated with the help of carbon monoxide. A mesh is placed inside the abdomen to fix the defects of the abdominal wall and strengthen the weakened tissue of the abdomen. Once the procedure is done, the incisions that are made in the abdomen is closed with the help of surgical tapes. The mark of incision disappears within a month.

Benefits of Laparoscopic Hernia Surgery
The benefits of laparoscopic surgery are quite evident.

A lot of tiny incisions are made rather than making a large incision in the abdominal area. This ensures speedy recovery and a short stay at the hospital.
The pain is significantly less compared to the conventional surgery.
The cost of a laparoscopic surgery is lesser
Lastly, a speedy recovery can ensure that a person can return to work within a few days after the surgery is performed.
What to expect after the surgery
Doctors often suggest a week of complete rest after the surgery. The healing time can vary from person to person. A surgeon typically prescribes antibiotics and pain medications to cope up with the wound and pain. It must be ensured that these medicines are taken on time. A revisit to the surgeon might be required after a couple of weeks to assess the recovery.

An Overview Of Laparoscopic Hernia Surgery!

Come winter or even a slight change of season, and it is easy to catch a cold. With cold, it is quite normal and natural to develop a deep chest cough. However, it is to be noted that chest cough develops due to different reasons. Some are due to chest infections, while others are dry cough. Thus, for these different variations of cough, different homeopathic treatments are administered. Here is a list of some of the common types of treatments for curing deep chest cough-

Pulsatilla: Pulsatilla is administered to those who have a sore throat, constant irritation in the eyes and fever. When fever is accompanied with cough and cold, it is important to treat all three symptoms, lest it might usher in a more serious disease. Homeopathy is often described as a holistic form of treatment. Through the medicines, the personality of the patient can be determined. For instance, Pulsatilla is administered on those who are soft, gentle, mild and timid and who have a fear of being abandoned and thus cling on to people.

Nux Vomica: Those experiencing high levels of stress and falling prey to cough and cold with a sore throat and sharp pain while swallowing should try a dose of Nux Vomica. This is used to cure cough and cold, which block the nose, especially at night, making it troublesome for the individual to breathe. This might also cause blockage in the ear and sharp pains while trying to swallow food.

Phosphorus: At times, one experiences an extreme bout of cough that is triggered through dry throat and coarse fever. This violent cough can be nerve wrecking at times and a relaxing remedy is preferred by the patient as soon as possible to soothe the irritation.

Bryonia: This is the best medicine to treat dry cough that can be a symptom of a slowly approaching influenza. Such coughs occurs when an individual takes a high intake of cold drinks or due to sudden weather changes. The cough is followed by fever and dryness of the throat. It might also itch to a certain extent.

Natrum Mur: It is the best treatment for a dry cough, which often causes a tingling sensation in the throat. This sensation creates irritation and often leads to sleepless nights for the patient. There is also presence of whitish mucus in such types of cough.

These are some of the most common types of homeopathic treatments for treating deep chest cough. Each cough is different in nature and origin, and hence should be treated differently as per the individual symptoms.  

How To Treat Deep Chest Cough With Homeopathy?

Hepatitis A is an infectious disease caused by the Hepatitis A Virus (HAV), which affects the liver. It leads to inflammation of the liver. Even though it does not cause any severe harm in the initial stages, it can become acute or chronic later if not treated or managed on time. If it becomes chronic, it can lead to cirrhosis of the liver and permanent liver failure too. 

Hepatitis A is caused by ingestion of contaminated food or water and it can also result due to anal or oral contact during sex. This infectious disease results in specific signs and symptoms, including fatigue, nausea, vomiting, fever, jaundice, anorexia, and rashes on the body. There are many allopathic medicines to cure Hepatitis A but they can be harsh on the body. If one wants to avoid the possible side effects of these medications, then Ayurvedic remedies offer to be a better choice as they do not have any side effects and also cure the infection completely, giving permanent and full relief. 

So, here are some Ayurvedic remedies for Hepatitis A.

Virechana: A part of the Panchakarma process, it is a detoxification therapy that flushes out the toxins from the body. In Ayurveda, it is believed that any disorder of the liver is caused by pitta imbalance and this imbalance is rectified by a purgation technique. In the first step, the patient is made to vomit and then is kept on a light diet for a few days and watched over. In the last step, the patient is administered virechana drugs such as sweet herbs to cleanse the toxins and purify the blood. After cleansing, the patient is given a warm bath to calm the senses.
Echinacea: This herb is a natural immunizing agent that helps fight the infection caused by HAV. It is an antibiotic and anti-inflammatory in nature and thus, provides relief to the liver. It also stimulates the secretion of enzymes in the body and improves blood circulation as well. Lastly, it prevents auto-immune diseases.
Phyllanthus niruri: Also known as Bhumi Amla, it is very effective in fighting infections of the liver and can cure all forms of liver diseases. It possesses analgesic, antibacterial, and anti-spasmodic properties. It cures the liver inflammation and corrects the pitta imbalance.
Triphala: A mixture of bibhataki, haritaki and amlaki, triphala is a very effective cleansing herb. It carries laxative properties and thus, helps remove toxins from the intestines.
Katuki: This Ayurvedic herb is very effective in the treatment of different liver diseases and is known as a strong laxative. It helps in the detoxification of the intestines and also kills the intestinal worms.
These Ayurvedic remedies are known to provide lasting relief in Hepatitis A, no matter what the stage of the infection is. The herbal medicines can be consumed in the form of tablets, capsules, mixture (churna), or even taken as a tea. Nevertheless, it is advised to consult an Ayurvedic doctor before resorting to any of these remedies. Proper diagnosis and accurate dosage is a must in the treatment of Hepatitis A.

Ayurvedic Remedies For Hepatitis A!

What is Palpitation?
Palpitation is a feeling of awareness of your own heart beat. It is usually described as heart rate being either too fast (racing), too slow or a sensation of missing a beat.

Types of palpitations?
Normal (Benign)
- These palpitations occur as a response to physical or mental stress like exercise, fever, pain, fear, anxiety etc. 
- They are harmless and settle on their own once the precipitating factors disappear. They do not require any medical treatment.

Abnormal
- These palpitations occur due to some underlying abnormality in either the structure of heart or the beating of heart. 
- These can be dangerous and at times life threatening. They may or may not settle on their own and require some medical treatment.

Warning signs that suggest palpitations are abnormal?
Palpitations are abnormal, if they are associated with chest heaviness, chest pain, uneasiness, sweating, weakness, giddiness, feeling of black out, fainting, nausea, vomiting, seizures. Palpitations are more likely to be abnormal in people who have some existing heart disease and these patients should report to their doctor at the earliest.

What to do during palpitations?
1. Stay calm. 
2. Call for help. If u are alone avoid driving, use a taxi or auto, go to your nearest hospital/doctor and try to get an ECG during the palpitations. If you are helping someone having palpitations, if they faint, call for help, start CPR if they remain unresponsive and take them to the nearest hospital. 

Which doctor can treat palpitations?
Doctors who specialise in the treatment of palpitations are called Electrophysiologists. They specialise in heart rhythm and are capable of performing a variety of complex tests to identify and treat different types of palpitations.

Which investigations are used to diagnose palpitations?
ECG: Taken during palpitations and when the patient is normal is a very helpful tool. 
Holter: Externally applied recorder, which continuously records heart rhythm for 24 hrs. 
ELR: Extended loop recorder, is like holter, but it records rhythm for longer durations. 
ILR:  Internal loop recorder is attached within the body for recording rhythm for long duration. 
EPS: Electrophysiology study, is the most sure shot test to diagnose, identify and treat 
Palpitations.

What is EPS?
EPS stands for Electrophysiology study. By this test a trained Electrophysiologist studies the conduction and formation system of heart beat, to understand the source, cause and type of palpitation. It is a simple and safe procedure of 2 to 3 hours and can be done as a day care procedure (by admitting the patient for a few hours in hospital, with discharge on same day).

It requires fasting for 4 hrs, some standard blood investigations and is done with local anaesthesia and if required it can be combined with treatment like ablation in the same sitting.In the procedure Electrophysiologist take catheters into your heart to study and stimulate the palpitations and understand them. Once found they can use various techniques to stop the palpitations, the techniques are called Ablation.

What are the treatment options available for palpitations?
There are many options depending upon the nature of palpitations and condition of the patient: 
- Drug therapy 
- Cardioversion where either a drug or electric shock is given to stop palpitations immediately. 

Ablations using many sophisticated computer softwares 
Device Therapy like ICD (Internal cardiac defibrillator) 
Combination of all the above therapies.

Your Electrophysiologist and you as a team can make a choice about the options that will be best for you.

Palpitations - Everything You Need to Know

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