The development of bumps and blisters on your skin surface accompanied by severe itching are the symptoms of a skin condition known as scabies. It is caused by a burrowing mite called sarcoptes scabiei. A patient experiences itching in the affected area and the urge for itching gets increased during the night. Scabies is a contagious disease and spreads rapidly among people via a physical contact.

Symptoms
Thin and irregular burrow tracks or blisters are common symptoms of scabies. These tracks generally appear in the folds of the skin. Commonly, scabies appears in the following areas:

Between the fingers
In the armpits
Around the waist and along the insides of the wrist
On the inner elbow, soles of the feet
Around the breasts, buttocks, knees and shoulder blades
In case you had scabies previously, the symptoms usually develop within a few days after exposure. For first-time occurrences, six weeks are required for the symptoms to appear.

Causes
The eight-legged female mite which causes scabies burrows beneath the skin, produces a tunnel and deposits egg in it. After being hatched, the mite travels to the skin surface. Here they become mature and spread to other areas. The body s allergic reaction to the mites, the eggs and their waste material causes the itching. Vigorous scratching of the scabies infected skin can break the skin, allowing a secondary bacterial infection to develop, like impetigo. A severe type of scabies known as crusted scabies can affect some people. 

Crusted scabies usually affects people suffering from chronic heart diseases due to which the body s immune system gets weakened. People who are very sick, hospitalised and aged people in nursing homes may develop crusted scabies. This type of scabies is scaly and crusty, covers large areas all over the body and is difficult to cure.

Treatment of scabies
The involves the elimination of the developments using medicines. There are several lotions and creams, which can be used on a doctor s prescription for treatment. These creams should be applied all over the body. After the application, the medication should be left for eight hours. In case of recurrence of rashes and burrows, a second treatment may be required.

It is important to consult a doctor for proper treatment of scabies. Usually, treatment is recommended for all family members and close friends of an affected person, even though no symptoms of scabies appear in these people.

Scabies - How Dermatological Treatment Can Help?

Problems are pancreas are common and are treated by gastroenterologists. There are two common pancreas problems -

1. Acute Pancreatitis: Sudden Inflammation of the pancreas is known as acute pancreatitis. It is usually due to Alcohol, gall stones, trauma, metabolic causes such as hypertriglyceridemia, and congenital causes such as Pancreas divisum. The patient presents with severe upper abdominal pain and vomiting. Patients require admission for IV fluids and analgesics. Nearly all patients recover from the pain and start eating within 3 to 4 days. Few patients with severe pancreatitis may develop kidney failure, respiratory failure or GI bleeding. Such patients require longer hospitalisation stay and critical care management. Recovery is usually uneventful but few patients develop peripancreatic fluid collection known as Pseudocyst or walled-off pancreatic necrosis(WOPN). In such cases, the patient requires additional treatment of fluid collection and requires internal drainage by Cystogastrostomy which is done by Endosonography (EUS) by a gastroenterologist. Some patients require ERCP (Endoscopic retrograde cholangiopancreatography) for evaluation of pancreatic ductal leak. EUS and ERCP are advanced endoscopic procedures done by a few gastroenterologists who are specially trained in such procedures.

2. Chronic pancreatitis: Long term irreversible damage to the pancreas is called chronic pancreatitis. It is usually due to Alcohol intake. It presents with upper abdominal pain, Diabetes mellitus and fat in stools (steatorrhea). The small duct in the pancreas called main pancreatic duct can have hard calcifications also known as stones, which obstruct the flow of pancreatic juice and cause severe abdominal pain. Treatment of chronic pancreatitis includes stopping alcohol intake to prevent further damage to the pancreas, medicines for pain, Pancreatic enzyme replacement therapy (PERT) and Endoscopy for those who do not respond to medical treatment. Endoscopy includes ERCP and plastic stenting to establish a flow of obstructed pancreatic duct and Endosonography (EUS) guided Celiac plexus block for decreasing pain. Patients who develop fluid collection such as Pseudocyst require internal drainage by Cystogastrostomy which is done by Endosonography (EUS)

In Brief About Types Of Pancreatic Disorders!

Intrauterine insemination is a comparatively simpler treatment used for fertility purpose. It is performed without the use of any fertility drugs. In this procedure, the semen is transferred to the uterus by using a thin catheter after a special washing treatment. There are various reasons which can contribute to the IUI treatment which are mentioned below:

Infertility of males: One of the most prominent reasons for undergoing this procedure is when a male produces low sperm count or have very low motility of sperms.

Presence of hostile cervical mucus

This type of mucus is inappropriate for becoming pregnant. It can occur due to the substance abuse where the adverse effects of drug consumption are prevalent such as infertility producing drugs, imbalance of hormones and other infections. Hostile mucus can be acidic, contain inflammatory cells or antibodies that can cause harm to sperms and may be excessively thick, dry or sticky in physical appearance.

When the sexual intercourse is painful
The complications such as the dryness of vagina, cysts in ovaries and endometriosis (where a female experiences severe pain and cramps during menstruation or ovulation), unusually tight hymen, any cancerous tissue, etc. can be the reasons that make it nearly impossible for her to get pregnant.

Risk factor
A woman is consuming any medications for fertility, and then there is a risk associated with respect to getting pregnant with multiples. The success rate of IUI is affected by several factors which are as following:

The success rate of IUI becomes 20% higher after performing this procedure each month regularly. But it is further affected by variables such as the cause of infertility, medications used for the same, etc.
IUI procedure is an invasive and cost-effective choice which makes it less successful than In vitro fertilization.
The pregnancy is 8 to 17 % successful when a combination of fertility drugs and IUI is used.
The success of this procedure also depends on the age and of the couple.

Hence you can always have a discussion with your medical health provider before opting for this procedure by keeping in mind the various factors, risk factors and cost involved.

Intra Uterine Insemination (IUI) - Cases Where It Is Beneficial!

Migraine is a severe form of headache wherein, the excruciating pain is accompanied by an extreme sensitivity to sound and light; you also experience nausea. The headaches usually affect either side of the head and are throbbing in nature. Hot flashes, numbness of limbs and blind spots in the eye; these are often considered as warnings. In certain cases, migraines can cause blackouts that can range from a few seconds to a few minutes.

Migraine occurs in four stages:

Pro-drome (symptom indicative of an onset of an illness)
Aura (visual auras including blurred vision)
Headache
Post-drome (the residual effects of migraine characterized by fatigue and lethargy)
But the occurrence of these stages varies across individuals. The causes of migraines aren t specifically understood. It may be due to the interaction of the brain stem with the trigeminal nerve, which is an important pain pathway of the brain. Imbalances in hormonal levels or in the levels of neurotransmitters such as serotonin may also prove to be a causal factor.

Symptoms

Migraine may be triggered due to stress, physical exertion, and excess intake of alcohol or food additives such as MSG (Monosodium Glutamate). Changes in the environment and sleeping patterns may also be probable culprits.

Migraine can be easily distinguished from regular headaches, given the fact that migraines last longer and are rather severe in nature with pain felt in one part of the head. Most people experience the  Aura stage where they have visual flashes right before headache. Nausea, eye pain or sensitivity to light and sound are other factors helpful in distinguishing migraine from other headaches.

Symptoms can occur a while before headache, immediately before headache, during headache and after headache. Although not all migraines are the same.

Typical symptoms include:

Moderate to severe pain, usually confined to one side of the head during an attack, but can occur on either side of the head
The pain is usually a severe, throbbing, pulsing pain
Increasing pain during physical activity
Inability to perform regular activities due to pain
Feeling sick and physically being sick
Increased sensitivity to light and sound, relieved by lying quietly in a darkened room
Some people experience other symptoms such as sweating, temperature changes, tummy ache and diarrhea.
Complications in migraine may include:

Chronic migraine which last up to 15 days or more
Status Migrainosus where the attacks last for over 3 days
Migrainous infarction where the aura lasts longer than it should, cutting blood supply to the brain. 
If you wish to discuss about any specific problem, you can consult a neurologist.

Migraine - Know The Causes and Symptoms!

Fluoride products for the teeth have immense importance in dentistry. Fluoride is one such chemical, the balance of which is highly required for strong and healthy teeth. However, there is an optimum amount of fluoride needed for teeth. Anything lesser than that or greater than that can cause harm and serious teeth and gum problems and tooth decay. The best option, therefore, is to get a fluoride based toothpaste or mouthwash, which will keep on providing the teeth with the optimum quantity of its daily dose of fluoride.

The benefits of fluoride products
Before delving into the types of fluoride products available, let's have a look at the benefits of fluoride on teeth. Fluorides actually save the teeth from dental caries. It happens such that fluoride makes a certain mineral bonding on the teeth which is called fluorapatite. This is not normally found in human teeth, but when teeth damage is done, then to heal it fast this compound is needed to repair the damages. This adds to the mineral bonding in the teeth and strengthens the teeth.  

The fluoride products
The various fluoride based products, which you may use are as follows:

1. Fluoridated water: Fluoridating water is a simple process where the optimum amount of fluoride is mixed with drinking water so that drinking the water automatically keeps on adding fluoride to the body and keeps in contact with teeth. This therapy alone is enough and needs no more therapies generally. But not all water reserves contain this, and it's not possible to add fluorides to all water reserves. That is why the other fluoride treatments are needed.

2. Fluoride toothpaste: This is one of the most common forms for fluoride treatments. Every common daily use toothpaste contains a 0.22 to 0.312 percent of fluoride, and this is highly beneficial to the teeth for healing of decay and fast repairs. It lets the teeth get stronger. 

3. Mouth Rinses: Fluoride mouth rinses are an option. The sodium fluorides commonly used in the rinses are used in small amounts in the product which is used just like toothpaste and washed off.

4. Fluoride foams and gels: The foam and gel are used when the teeth of the child or adult are under high risk of cavities. The foam or gel is rubbed on the teeth, and kept for a while and then washed off. The typical application time is 30 minutes. 

5. Varnishes: The fluoride varnishes are just like gels, and they are also used on the tooth surface similarly. It's the choice of the dentist or patient as to which one they want to go with. Besides, these slow fluoride releasing devices, medical supplements and lozenges are also there, which slowly release the optimum amount of fluorides to keep the teeth strong and healing.

Use of Fluoride Products for Teeth

If you have noticed your child to be restless and anxious all the time, it might look cute as the child is highly energetic, but it could be a cause for concern at the same time. It is not normal and the child could be having ADHD that is attention deficit hyperactivity disorder. As the name suggests, it is a disorder with deficiency of attention and in which the child is always hyperactive.

ADHD is a disorder in which the symptoms usually show up before the age of seven. It is characterized by a group of behavioral symptoms that include inattentiveness, hyperactivity and impulsiveness. The impact of these symptoms is felt extensively where his overall self-esteem is affected, be it at home, preschool or school, academics or extracurricular activities and in interpersonal relationships.

The most common symptoms, which are almost diagnostic of ADHD are:
1. Inability to hold attention: The child's attention span is very short and it is very difficult to keep them engaged on one particular thing.
2. Increased restlessness: The child would be extremely restless and gets distracted easily.
3. Fidgeting: The child would be seen constantly fidgeting with his fingers.

The following are the less common ones:
1. Learning disability is rare, but can happen. However, the good news is that it does not affect the child's intelligence.
2. Sleep disorders
3. Difficulty in following directions
4. Poor executive functioning skills
5. Disorganization, which can lead to poor motor coordination and impaired movements
6. ADHD kids tend to forget things very easily and need help with coordinating movements
7. The child suffering from ADHD could easily tire and/or feel lethargic with very low energy levels. This can lead to the child procrastinating things and not wanting to do things on priority basis
8. These children also have difficulties with fine motor and cognitive skills and so there is delay in their overall participation in games.

While these are the pressing symptoms of ADHD, occupational therapy can play a significant role in managing the child in the following ways. As a first step, the caregiver should have a detailed discussion with the school staff and any other people with whom the child interacts significantly. This will help identify areas that need support from an Occupational Therapy, which are the following:

1. Support with gross and/or fine motor skills
2. Support with improving handwriting
3. Support with engaging in playing sports and games
4. Support in engaging in social activities
5. Improving sensory processing difficulties
6. Improving visual perception
7. Support in adapting to the environment
8. Teaching strategies to participate in various social and academic activities

So, while an ADHD child is definitely a cause for concern, proper support from family can help manage the condition.

Symptoms of ADHD

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