A fistula is an abnormal, tube-like connection, a passage or hole that forms between two organs or an organ in your body and your skin. There are various types of fistulas that can develop in different parts of your body but the most common types are-

1. Obstetric Fistulas: This is the name given to a hole between the vagina and rectum or bladder. A vaginal fistula that opens into the urinary tract is called a vesicovaginal fistula and one that opens into the rectum is called a rectovaginal fistula. 

A woman with obstructed labour or labour that is not attended by a doctor or a midwife, can suffer labour pain for up to six or seven days. And as the labour produces contractions that push the baby s head against the mother s pelvic, the soft tissues between the baby s head and the pelvic bone are compressed and do not receive adequate blood flow between the mother s bladder and vagina and/or between the rectum and vagina.
This means that a hole forms on the vaginal wall between the urinary tract and her rectum. The urine and faeces thus start to leak from the vaginal opening causing soiling and foul smell.

Apart from labour, hysterectomies that damage the vaginal wall can also cause such types of fistulas.

Enterovaginal   A woman may have gas and foul smelling fluids leaking out of her vagina due to an enterovaginal fistula which is a hole between the vagina and the digestive tract. It s usually caused due to inflammatory bowel disease or IBD and ulcerative colitis.

2. Anal fistula

These are fistulas that form between the end of the bowel and skin near the anus.

An anal fistula usually develops due to a previous or current anal abscess. An anal abscess is an infected cavity filled with pus found near the anus due to an acute infection in the internal glands of the anus.

Common symptoms are:

Pain in the anorectal area
Swelling
Redness
Fever
Rectal bleeding
Urinary symptoms, such as trouble initiating urination or painful urination
Causes:

Inflammatory bowel disease   a chronic condition of the GI track which causes inflammation
Diverticulitis   An infection in the large intestine
Tuberculosis, HIV
Surgery near the anus
Anal abscess and likewise anal fistula are treated by surgical drainage in which an incision is made in the skin near the anus to drain the infection causing an anal abscess. Hospitalization may be required for patients who have impaired immunity like diabetics.

Anal fistula though has no medical treatment and surgery is almost always necessary to cure it.

If the fistula is straightforward which means one that involves minimal sphincter muscle, a fistulotomy may be performed. This involves cutting open the whole length of the fistula so it heals.
Seton is another procedure in which a surgical thread called a seton is placed in the fistula and left there to help it heal.

Different Types of Fistula and Treatments!

Your skin is the largest and most sensitive organ of your body. Funguses that live in the human body especially armpits, groin area, nails, and feet, cause fungal skin infections. Weak immunity is the leading cause, with over 300 million people fighting fungal infections globally, every year.

Some of the common types of fungal skin infections are-

  Athlete s foot- Also known as Tenia pedis, Athlete s foot occurs when the tenia fungus begins to grow on your feet. It is most commonly associated with athletes because it grows in warm and moist climates such as in socks, near swimming pools and in locker rooms.

Symptoms of athlete s foot  

Infected area becomes soft and layers of skin begin to peel off
Redness, blisters, and cracking of skin
Treatment includes applying of topical antifungal ointments such as terbinafine while, severe cases may require oral medication.

  Ringworm   Ringworm is a highly contagious skin infection and is spread by person-to-person or pet to person contact. The fungus can also spread through infected towel, clothes, and mud.

Symptoms of Ringworm  

Red itchy patches on the skin which develop into raised ring like bumps
Formation of scales on the patches
Treatment of the infection includes medicines like miconazole.

  Jock  s itch- Also known as Tinea Cruris, these fungi thrive in moist and warm areas of the body such as the groin, inner thighs and buttocks.

Symptoms of Jock s itch  

Itchy red circular rashes over the body and burning
Chafing and peeling of the infected area
Treatment includes prescribed medication and maintaining personal hygiene.

Prevention is better than cure when it comes to fungal infections. Visit a doctor at the first signs of infection. A medical exam is the best way to detect the cause of a skin infection.

Fungal Infection Of Skin And Its Treatment!

Diabetes is a metabolic disorder characterized by Hyperglycemia (elevated blood glucose level) due to either reduced production of insulin or the inability of the body to utilize the insulin produced. Today management of diabetes has become a prime concern. Over the winter months, diabetic patients are likely to suffer from higher blood glucose levels than during the warmer months. As the temperature drops and the sugar levels up, thus, diabetic patients should be extra careful about the temperature fluctuations or seasonal changes.The cold weather makes diabetics experience many health problems, besides creating a major change in their sugar levels.

Following are the most harmful effects that diabetic patients may suffer from during the cold weather

Change in hemoglobin level: There is a great change in their glycated hemoglobin levels. Whatever the type of diabetes an individual has, the freezing temperature can increase the level of HbA1c or glycated hemoglobin. This is most likely because of decreased physical activity. Cold weather makes it difficult for some people to go out. A little activity each day can help with insulin sensitivity (in all types of diabetes) which can help the body to regulate sugar level in a better way.
Prone to diseases: Since the immune system is also not at its best strength in winters, there are increased incidences of microbial infections like cold and flu or in some cases pneumonia. As a result, the body produces counterregulatory hormones (Cortisol, Adrenaline, and Glucagon) to counteract the situation. These hormones affect the utilization of insulin by the body thereby elevating the blood glucose level. Also, conditions like flu and cold tend to make them feel lethargic and stress and can prevent them from taking the diet, which is required, which eventually can lead to an increase in the blood sugar level.
Winter blues: It is often seen that people feel low during winters, as they tend to go out less and prefer to stay indoors. Less outdoor activity during winters can sometimes trigger mood swings or in some cases depression, which in turn can shoot up the level of blood sugar in their body. Thus it is advisable that one should spend more time with friends and family, in order to keep these blues at bay. 
Other problems: Most diabetic people are unaware of their nerve functions, and are unable to feel the difference between the cold and hot water, which can lead to burn injury. Also, during the winter season, most diabetic patients tend to lose feeling in their toes and feet due to vascular changes. Therefore, it is advisable that people should check their feet frequently, so as to ensure that there is no open wound or pressure area in their feet. One must take very good care of their feet, keep them moisturized, inner fingers clean and dry, prevent any type of fungal growth in toes, etc. By taking required preventive measures before the onset of winters diabetic patients can control their blood sugar level, which enables them to stay away from associated problems. 
In case the blood sugar level goes beyond 130, one should not take the medicine on their own but should get in touch with their endocrinologist (diabetologist).

Cold Weather - How It Can Affect Diabetic Patients?

Autism in children is a condition that is characterized by limiting social intelligence, unequal skill development across sectors, and repetitive behavioural patterns. These children may show awkwardness when dealing or speaking with people, as they seem to fail to understand what other people feel. Hence, they are unable to deal out emotional responses in kind. They themselves are very troubled, sometimes, by stimuli that are considered normal by other people, including certain visions, touches, smells and sounds.

The skill set of an autistic child forms and develops unequally. While they are not very social, they sometimes gain intense intellectual abilities in the field of math, music, chess, art and related matters which require the brain to visualize and function.

There are further ways to diagnose underlying autism in a child, and diagnosis is extremely necessary for early treatment and cure. These warning signs are-

  An autistic child will shy away from both tactile and non-tactile contact. Some children may naturally be scared of being touched by a stranger, but autistic children will not even look or smile at you when you are feeding them. They cannot maintain eye contact, and neither will they show signs of affection like small smiles or cuddles, or loving glances.

  Lack of auditory communication - This is another area of communication where an autistic child will be found lacking. Even above and beyond not responding to visual and tactile stimuli, she/he will completely forego aural communication as well. They will not respond to familiar sounds around and go even to the extent of not recognizing or being able to respond to their own name.

  If you point at things in the distance, there is a lack of communication with your child as well. These children do not have the ability to maintain a connection long enough to follow your hand and record what it is gesturing at. Either the child does not feel enough of a connection to you to actually feel your stimulus worth pursuing, or she/he does not have the power or attention span to keep following with eyes the trail your fingers have created.

  The child does not use a lot of aural communication her/himself as well too. She/he does not call out often or call you by acronyms like mother and does not make small whimpering noises like most infants do, in search for some warmth and affection.

She/he does not seem to have a natural affinity for physical touch and love and does not seem to be able to show very much love her/himself through cuddles or disappointment expressed if you get sick.

Autism is a disease that has now spread to a whole range of behavioural peculiarities, termed collectively as the Autism Spectrum Disorder. If diagnosed sufficiently early, this condition can be helped to a great extent. Make sure to monitor your child for the above signs, and contact a doctor immediately if you see cause for concern.

The Ways You Can Identify An Autistic Child!

Migraine is a type of headache which can occur in varied intensities; the pain resulting from a migraine is pulsating and throbbing. This sort of a headache is usually accompanied by extreme sensitivity to sounds and light as well as severe nausea. One feature that significantly differentiates between migraine and any other type of headache is that the headache resulting from migraines usually develops on any one side of the head.

Causes of Migraine

The exact cause behind migraine is yet to be fully understood. Migraines are thought to be a result of combination of genetic and environmental factors.In majority of cases, migraines tend to run in families . There are few well known trigger factors for migraine. These are   stress, exertion, gastric disturbances, eating heavy food stuff, taking alcoholic drinks, coffee intake, hormone changes in females.

Symptoms of Migraine

The most characteristic symptom of migraine is one sided headache mostly of violent, throbbing and pulsating in nature. The accompanying symptoms include nausea, vomiting, blurring of vision, flashes of light before eyes, double vision, light/sound sensitivity, confusion and weakness.

Homeopathy is not in the favour of using temporary treatments like popping a painkiller to alleviate the throbbing, pulsating and often intolerable pain caused from migraine. Homeopathy aims at going deep down into the root of the problem and entirely removes the tendency of any patient to be shot with migraine headaches every now and then. That is why homeopathic medications may take some time in showing results. They do not offer any temporary relief like most allopathic treatments do. On the other hand, homeopathic medicines offer a long term relief and can cure the migraine problem permanently.

Though homeopathic treatments vary from person to person, there are a few homeopathic medicines, which are very effective in relieving migraine headaches.

Belladona for throbbing migraine attack: Belladonna is one of the most effective homeopathic medicines for treating migraine headache that is throbbing and violent in the temporal region of the head. If pain gets triggered without any prior prodromal symptoms and worsens by noise, touching and light, then Belladona is potent in removing the pain. This medicine is also good if you are unable to lie down because of pain and if your face turns red and hot when you are struck with excruciating pain. Have a few drops of Belladona and apply a mild pressure to feel better.
Glonoine for migraine with congestive headache: When you are struck with congestive headache, a rush of blood reaches the head region causing redness in face and head area with intolerable throbbing pain. You may even feel shocks around the head which get aggravated when exposed to heat or sunlight. It becomes impossible to tolerate any kind of warmth, and you may feel a bit relieved when you uncover the head. If you are affected with congestive headache, then consuming Glonoine can be of immense help.
Natrum Mur for migraine from grief and stress: This medicine is widely used for alleviating migraine caused from stress and grief. Natrum Mur is also effective in alleviating anaemic headaches, which mostly affect young women. It often leads to temporary sightlessness, and the pain feels as if thousands of small hammers are being throbbed within the brain. The pain tends to rise up after through the day, and the patient may feel better after sunset. If the pain gets triggered when the eye is strained, then Natrum Mur is the medication for you.
As you see, homeopathic treatments are great for reducing migraine attacks and your doctor will be able to guide you better on this matter. Homoeopathy treats each patient of Migraine by individualization and thus treats the root cause of migraine which could be Sun, stress, exertion etc.

How Homeopathy Helps In Handling Migraine!

Cranial nerve palsy is one of the common culprits of causing double vision. This is all the more true for people above the age of 60. A person is more prone to cranial nerve palsy if he is suffering from high blood pressure and diabetes. This is the reason why this disease is more commonly known as diabetes palsy. Eventually, though they get better and the problem of double vision disappears.

Symptoms:

One weak cranial nerve leads to the weakness of other cranial nerves as well. In case the eyes fail to move together, chances are that the patient will have double or blurred vision. In case the sixth nerve gets affected, side to side double vision is encountered. For the 3rd and 4th nerve disturbance, there could be a vertical double vision. The lack of blood flow causes pain to the eye.

Possible Causes of Cranial Nerve Palsy?

Cranial nerve palsy can result from traumatic or congenital factors. They can also result from vascular diseases such as strokes, hypertension, diabetes, and aneurysms. It can also arise out of infections, increased intracranial pressure, migraines, and tumours. A patient's age and clinical findings help a doctor decide the right course of treatment.

Treatment:

There are no particular treatments which can speed up the recovery of cranial nerve palsy. In a case of pupil pain, doctors may prescribe anti-inflammatory drugs such as Motrin and Advil. They key to natural recovery is to ensure that the blood sugar and the blood pressure is diligently controlled. By patching the eyes, the problem of double vision can be resolved. They are typically worn over both the eyes. They are however known to slow down the process of recovery and strain the eye. There is no known exercise to fix this condition. Botulinum injections are sometimes used by doctors to straighten the eyes but the result of such a treatment greatly varies from person to person. Doctors mostly rely on watchful waiting until the phase passes within 6-8 weeks. Pain medications are recommended on a case to case basis.

Lifestyle Changes:

Managing cranial nerve palsy can be difficult for a working person. It involves many lifestyle changes till the condition fully cares. Some of the suggestions given by an ophthalmologist include resting the eye as long as one can. Reading or working on a computer should be eschewed since it puts great pressure on the eyes. The eye should not be contacted with forehands in case there is too much pain. Other basic hygiene issues include taking the medicine time to time, cleaning the eye with fresh water two to three times a day, putting the eye drops on time as prescribed by the doctor.

How To Treat And Manage Cranial Nerve Palsy?

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