Burning your skin is a very traumatic experience and can leave behind scars that remind one of the traumatic incident. Scarring caused by burns may fade a little with time but are usually permanent. Apart from affecting your appearance severe burns can also affect the functioning of the body. Burns can make a person withdraw socially by making him or her afraid of how people will accept them with their scars as well as make them depressed about their appearance.

Burn repair surgery can be categorised under two headings: Acute and Reconstructive

Acute repair surgery happens immediately after the burn and deals with large burns and burns that affect critical areas. The focus here is to close the skin in case of open burns and help the skin heal.
Reconstructive burn surgery addresses the skin after the initial burn wounds have healed. The goal here is to improve the appearance of the scars and ensure no lasting loss of functioning. Reconstructive burn surgery has a high success rate.
There are many types of reconstructive surgeries for burns and the type of surgery best suited to a patient is based on the location of the scar, the extent of scarring and the patient s personal goals.

Skin grafts: This involves the removal of healthy skin tissues from one part of the body and transplanting it to the burn site. This skin graft may include only a few outer layers of skin or may involve the entire dermis. This is used in cases of severe burns where a large section of the dermis is affected.
Microsurgery: This is a procedure where the surgeon reattaches or reconstructs severed fingers, toes, ears etc by sewing together blood vessels and nerves. This is often used alongside other surgical procedures.
Free flap procedure: In this procedure, muscle, bone or skin is transferred from one part of the body to another to reconstruct the area. This type of surgery is often accompanied by microsurgery.
Tissue expansion: This involves the insertion of a balloon expander under the skin near the burn site. As the balloon is filled with saline, the skin stretches and grows. Once the skin has stretched enough, the expander is removed and the skin can then be used to repair burn scars.
This procedure has many advantages as the skin colour and texture are a near perfect match thus reducing scarring to a large extent. However, it is a very slow procedure and can take a few months.

Burn Repair Surgery - How Effective It Is?

Psoriasis, in general, is a persistent autoimmune condition that causes the speedy development of skin cell. This increase in the number of cells causes unhealthy scales on the surface of the skin.

Symptoms of nail psoriasis
Symptoms to watch out for are the nails cracking right from the nail bed. This, in medicinal term, is known as onycholysis and it creates space that can get contaminated by germs. Soreness or a sponge like feeling beneath the nails, pitting, warping and hardening of the nails, discoloration, painful chalk like build up beneath the cuticles which causes the nail to move upwards, are common symptoms as well. This is known as subungual hyperkeratosis. As a rule, almost everybody who is affected by general psoriasis, suffer from nail psoriasis.

Sometimes nail psoriasis may be accompanied by fungal infections. A parting amid the nail and nail bed is the perfect environment for the fungi to grow. If the symptoms you are experiencing are extremely moderate, treatment may not be required. If the discoloration, nail hardening or chipping of the nails is severe, it is probably a good time to make an appointment with a dermatologist.

Causes
A diet deficient in Calcium, Vitamin C or B12 can lead to this condition. Unhygienic habits can aggravate the condition. Psoriasis, in most cases, is acquired genetically. A weak immune system can also be a marker. Certain steps can be taken to keep the nails healthy. Keeping the nails clipped short and clean helps. Wearing gloves while working in the kitchen, during gardening or washing is another preventive measure you can always take.

Treatment
It may be hard to treat nail psoriasis; while topical medicines are prescribed, they usually don t work that well. Oral D3 supplements can be taken. D3 ointments, light or photo therapy and finally corticosteroid injections directly aimed to the nail bed may ease the situation. In very severe cases, nails may need to be removed with the help of surgery, so as to help new nails to grow back. Patience is the key word.

Nail Psoriasis - How To Know If You Are Suffering From It?

Anal herpes and anal warts are sexually transmitted diseases. These both diseases affect the genitals. As these are sexually transmitted diseases, these are transmitted through sexual contact.

Anal Herpes:

It is an infection caused by herpes virus, which is caused by the sore or blisters formed around the anus. This infection is caused by the herpes simplex virus (HSV) type 1 or 2 viruses.
The symptoms of anal herpes include red bumps or white blisters, itching and pain around the anal area, development of ulcer at the site of blisters, a coating that covers the ulcers ruptures or is bleeding, any change in the bowel habit.
Treatment

Antiviral therapy is one of the primary treatment for anal herpes. The virus responsible mainly for herpes is herpes simplex virus type II. Antiviral medications are given to patients, these medicines fight the virus. The symptoms of herpes are reduced with this therapy.
Regular use of antiviral medication is referred to as suppressive therapy. As the name suggests, people on suppressive therapy, reduce the risk of passing the infection to their sexual partner.
In severe anal herpes, the doctor might give intravenous antiviral therapy to control the infection.However, the herpes virus cannot be cured as it is considered a lifelong infection. The virus stays in the nerve cells for lifelong and is inactive for long periods of time. It only outbreaks when it is triggered by an externalfactor such as illness, stress, or sun exposure.
Prevention
As anal herpes is transmitted through sexual contact, one can lower the risk of this disease. Safety measures can be used are:

Wear a condom or use barrier protection during every sexual intercourse, including anal or oral sex.
Reduce the number of sexual partners.
If one maintains monogamy, the risk is minimal for transmitting anal herpes.
One should abstain from sex altogether, if possible.
Anal Warts:
Anal warts are small warts that occur around the anus. Another name for anal wart is condyloma acuminate. In many cases, anal warts don t cause any pain or discomfort. But, they cause irritation when they grow in size and might be itchy and/or bleed. However, if there are no symptoms seen, people suffering from anal wart might not even know that they have warts. Anal warts might occur only at a spot or even spread to different parts of the genitals such as buttocks, anus, and inner thighs over a period of time.

Symptoms
The anal warts are small bumps initially, a size of the head of a pin, which is not even noticed. However, as they grow, they can develop to a size of a cauliflower-likean appearance, when several warts are clustered together to form a huge lump. These warts are peach colored and the color may vary from yellow, light brown, or pink and it might even blend with the skin color. Usually the anal warts are without any pain or discomfort, however, other rare occurring symptoms are itching, discharge from the anus, or bleeding. Anal warts in women might appear on vagina, vulva, or at the cervix, whereas in men it can develop on penis, scrotum, groin area, or thighs.

Treatment
Topical medication can be used to treat anal warts, such as imiquimod, podofilox, podophyllum, etc. Another treatment of anal wart that depends upon the location and severity of the condition:

Cryotherapy
Electrocautery
Laser treatments
Surgery can be recommended for larger warts that do not respond to medications.

Anal Herpes & Warts - Possible Ways They Can Be Treated!

Jock itch can be defined as a fungal infection affecting the skin, especially around the inner thighs, genitals, buttocks or the groin region. Also called  tinea cruris , this condition triggers irritation that results from the ring-shaped red rashes that primarily affect the warm and moist regions of one s body. This condition majorly affects people who sweat excessively, such as athletes or even people who are over-weight. Although it is often bothersome and uncomfortable, jock itch doesn t bring about severe complications for the affected individual. Jock itch can easily be cured by keeping the groin region dry and applying topical anti-fungal medications.

Symptoms:

The main symptoms of Jym itch include itchy and painful rashes in the buttock, inner thigh or the groin region. The rash is usually tan, red or brown in color, slightly scaly and often formed at the edges.

Causes:

Putting on damp, wet or unlaundered clothing, such as athletic supporter and very tight underwear or wearing them frequently.

Sharing towels that were used by a person suffering from the same condition.

Taking showers irregularly, especially after excessive sweating or exercising.

Living in hot and humid conditions.

Obesity.

Wearing tight clothing.

Immune system disorders.

Treatment:

Anti-fungal creams or lotions can help treat ringworm of the groin. Few examples are Miconazole, Econazole, Clotrimazole and Ketoconazole. These medications should be applied twice a day for about two to four weeks.

In case the eruptions start to ooze fluids or pus, antibiotics may be administered by the doctor.

General Measures:

Measures to prevent recurrence of tinea cruris include weight reduction (if obese), wearing less occlusive clothing, drying thoroughly after bathing, using topical antifungal powders, laundering contaminated clothing, and treating concomitant fungal infection of nail of feet, if present.

Jock Itch: Causes, Symptoms and Treatments

As per the American Osteopathic College of Dermatology, an estimated 10 percent of individuals encounter keloid scarring every year. While women and men are equally prone to have keloid scars, people with darker skin tone are more likely to experience keloids.

What are keloids and why do they occur?
Keloid is widely recognized as keloid scar or keloid disorder. It is caused when the fibrous tissues also known as scar tissues are injured. In specific instances, the scar tissues grow in excess, and they form a hard and smooth growth, which is known as keloid, which could be bigger than the actual wound. They are customarily found in areas like the chest, cheeks, shoulder, and earlobes. Nonetheless, any part of the body could be affected by keloids. Though they do not pose a threat to health, they can be a cause of significant cosmetic concerns. Another factor why they occur is in the case of overgrowth of the scar tissue that develops over the period of weeks.

Are keloids a cause for concern?
Keloids are often itchy and discomforting. Keloids often cause a major cosmetic concern as they are large and easily spotted. Due to this, several patients encounter stress as they become conscious. Exposure to sun must be avoided in case of keloids as the tanning of the affected area may darken the keloid scar and become more prominent. The response of the treatment for keloids depends majorly upon the anatomical location of the scar. An extremely itchy keloid can be quite distracting. Many patients are skeptical of getting treatment as it may leave a permanent scar.

Common Treatment options for Keloids

Laser: The pulsed-dye laser can be helpful in flattening keloids and making them appear less red and intense. The treatment is considered as safe and is almost painless, but many treatment sessions may be required. These may be expensive, as insurance plans do not usually cover laser treatments.
Cryotherapy: This is a method in which the keloid is frozen with the help of liquid nitrogen to flatten the keloid. However, it may result in lightening or darkening of the affected area.
Radiation: Radiation is considered as a safe and effective option by several doctors for the treatment of keloids.
Silicone gel or sheeting: In this method, a sheet of silicone gel has to be worn continuously for months in order to treat the affected area. The outcomes of this treatment may vary. Some doctors claim relative success with compression dressings composed of materials that are not silicone.
Surgery: Treating keloids by surgery may prove to be risky as it may activate the development of a more prominent keloid. Some operations have been successful by applying compression or injecting steroids to the wound after the keloid has been treated. Superficial radiation treatment post-surgical procedure has also been considered to be helpful.
A condition that poses no threat to your health, and is purely of cosmetic concern, Keloids do have several treatment options providing the expected results.

Keloid - 5 Ways It Can Be Treated!

When tissues that usually grow inside the uterus, start growing outside the organ, it is called endometriosis. Painful periods, pain during sex, pain while urinating or bowel movements, extreme bleeding, fatigue, infertility, diarrhea, bloating and nausea are some of the symptoms of endometriosis.

Treating endometriosis usually depends on the following factors

Age
Severity of symptoms
Severity of the disease
Future plans for children
Depending on these the doctor might opt for any of the following treatments

Medication for Pain: If the symptoms are mild, then the doctor will prescribe some pain killers like Nonsteroidal anti-inflammatory drugs. 
Hormone Therapy: Hormone therapy is effective, but once you stop them, your symptoms may come back. Some of the hormone therapies include: 
Hormonal Contraceptives: Birth control pills, vaginal rings and patches are useful in controlling the hormones that are responsible for tissue build-up outside the uterine cavity. 
Medroxyprogesterone: This drug stops menstruation, which in turn stops the tissue build-up and put an end to all the symptoms. But on the other hand, gaining weight, low bone production and depression are some of the common effects of this drug. 
Gonadotropin-releasing hormone (Gn-RH) antagonists and agonists: Hormones that stimulate ovaries are blocked by these. They bring down oestrogen levels and hence prevent menstruation. 
Danazol: This drug prevents menstruation and symptoms of endometriosis by blocking the hormones that stimulate the ovaries. However, Danazol may not be a favourable option because of its side effects. The drug should be avoided during pregnancy.
Conservative Surgery: If you are trying to get pregnant, but you already suffer from endometriosis, then removing endometriosis surgically is a viable solution. Your uterus and ovaries will be preserved, which might increase your chances of becoming pregnant. Even suffering from severe pain might find relief from conservative surgery. 
Hysterectomy: In extreme cases, the only way to deal with the symptoms is to completely remove the uterus, ovaries and cervix. Since a hysterectomy means you cannot have children, it is kept as the last option for women in their reproductive age.

Management of Endometriosis

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