Eczema is not a disease per se, but is a name given collectively to a group of medical conditions, which can cause the skin to become inflamed and irritated. Atopic dermatitis is one of the most common types of eczema.

Causes

While the exact cause of eczema is not known, the most commonly attributed reason is an increasingly sensitive immune system. The overactive immune system produces antibodies, which cause these skin reactions. It is also noted that people with allergies including hay fever and asthma are more likely to develop eczema.

Other conditions which can lead to eczema include allergic dermatitis, irritant dermatitis, stasis dermatitis, scabies, fungal infections, xerotic dermatitis, lichen planus and scalp infections.

There is also a genetic predisposition, and children whose parents have had eczema are likely to develop eczema.

Symptoms

In most people, eczema is present in the form of small blisters, which are filled with fluid and can ooze. Gradually, there could be dryness, crusting, scaling and thickening of the skin with plaque formation. The most common symptom would be itching. The different types of eczema as noted above would have diagnostic features. For instance, when testing for irritant or contact dermatitis, there would be an irritant that is causing this. Stasis dermatitis would have circulatory issues and often affects the lower legs.

In fair-skinned people, these lesions begin as red and then turn brown. There also could be lightening of the affected skin area in people with slightly darker skin.

Diagnosis

For a trained medical eye, diagnosis of eczema is not a tough task. A complete physical examination may be done to assess the extent of eczema spread. Blood tests may be done to test for allergies. In very rare cases, a biopsy may also be required.

Treatment

The goal of treatment is to reduce itching and improve moisturization. Eczema, unless associated with an infection, is not contagious.

Using copious amounts of creams and lotions help in improving hydration and moisturization, as they are allowed to soak into the skin.

Topical steroids may be required if allergy is suspected. In most cases, hydrocortisone and corticosteroid creams are very effective.

Associated infections like scalp infections and fungal infections should also be treated with suitable products.

Immunomodulator creams like Elidel are useful by suppressing the immune system and preventing flare up of the allergic reactions.

Cold compresses may be used to relieve itching.

Prevention

Since there is a strong genetic component related to eczema, prevention is helpful.

Constantly keep the skin moist and hydrated by using moisturizers, especially during winters.

Avoid clothes and metals which can cause allergy- like wool, nickel, harsh soaps, detergents, etc.

Avoid or be careful about food items which are known to cause allergies.

Eczema - Causes, Symptoms and Treatments 

Acne is a condition that affects many people including teenagers and women during their menstruation period. It is characterized by red eruptions that are usually filled with oil, secreted by overactive oil glands in the hair follicles. So what else should you know about acne? 

Here are six things you probably did not know about this condition:

1. Clogged Pores - Acne signifies clogged or blocked pores that are filled with oil and dead skin cells that have not been cleaned out completely. This mixture of oil and dead skin cells blocks the pores, and ends up creating an eruption of red sores called acne and pimples. There is a chance that bacteria may have joined these two substances as well.

2. Over Treating the Skin - The worst thing that you can do is to touch, pick or even apply too many harsh chemicals to your skin during an acne breakout. These things can actually make the problem worse, and even create scars in the long run. The constant use of cleansers and moisturizers can also have a harsh effect on the skin, due to perfume and chemicals present in such products. 

3. Exfoliation - Using a salicylic acid wash or cleanser first thing in the morning will help in exfoliation, which is a good way to clear those dead skin cells from your skin. This will speed up the process of acne treatment as well, by clearing the pores. Also at night, the use of a medicated cream that contains benzoyl peroxide will help in killing the bacteria, so that there is no infection.

4. Two Weeks Notice - Trying new products to treat acne is a great idea. But give every new product at least two weeks before you write it off. Usually, any good product will take at least that much time to affect the acne, and clear the pores in an effective way. So before you start changing cleansers and creams every other day, remember to use the two week thumb rule.

5. Menstrual Cycle - Acne, more often than not, happens about five days before and a few days after the monthly menstrual cycle. So watch out for hormonal imbalances, which can cause acne and pimples. Avoid stress around this time too.

6. Dermatologist - Visit a dermatologist if regular cleaning and over the counter creams are not working. Persistent acne may turn into infection. Remember to ask your dermatologist for an oil reducing formula too. 

Acne is a skin problem that should be treated the right way.

All About Acne

4 plastic surgery alternatives for burns and wounds

The branch of plastic surgery that is generally used for the treatment of burns and other wounds is known as reconstructive plastic surgery. There are numerous surgical methods that fall under this category, which is effectively used to treat these injuries and the related issues that they cause. 

What are medical issues caused by burns and wounds?

Some of the most frequently occurring issues that stem from burns and similar wounds are as follows:

- restriction of mobility

- aesthetic disfigurement and scarring

- loss of sensation in the affected area

The different issues are caused by varying kinds of burns and injuries and, hence, each case must be approached in a different manner for remedy.

Different kinds of plastic surgeries that are used for treatment

Depending on the nature of the injury, your plastic surgeon may opt for any of the following surgical methods for treating the problem.

1. Skin grafting

In this procedure, skin is removed from one part of the body and transplanted to the affected area. This method is used for the treatment of burns. There are two types of this surgical procedure - one removes a few layers from the dermis of the donor area (split-thickness graft) while the other removes the entire dermis (full-thickness graft). Recovery time depends on the kind of procedure used. Skin grafting is occasionally used for breast and nose reconstruction as well.

2. Microsurgery

This type of surgery makes the use of a microscope in reconstructive procedures for working on minuscule veins, arteries, and nerves for repairing damaged areas. Microsurgery is often used alongside other surgical procedures for re-attaching body parts, relieving paralysis of the face and in the reconstruction of breasts.

3. Tissue expansion

This method is used to induce the growth of extra skin on the body that can be used for reconstructive purposes. This is done by inserting a balloon expander underneath the skin that slowly gets filled with saline solution and makes the skin swell. This excess skin is then used for correction or reconstruction of the affected area.

4. Free flap procedure

This procedure involves the transfer of skin, bone, muscle and blood supply from the donor area to the damaged area for repairing purposes. Microsurgery is often performed alongside this treatment method, which is used most frequently for breast reconstruction or after the removal of cancer from the neck or head.

If you would like to consult with me privately, please click on 'consult'.
Related Tip: 6 Quick and Handy Remedies To Treat Burns

4 Surgical Alternatives for Burns and Wounds

Darunak or commonly known as dandruff, is a disorder that affects the scalp. Dandruff causes white, dry flakes of dead skin cells to shed from the scalp. Although dandruff rarely causes baldness and hair loss, the itchiness of this condition may most certainly be a cause of concern. If white flakes persist for a long time, the person may experience symptoms of seborrhea, psoriasis, or eczema. According to Ayurveda, Darunak is a Vatakapha predominant tridoshaj disease. According to Acharya  Sushrut , Madhav  and Yogratnakar , Darunak have symptoms like Itching, White scales like structures, Dryness in the scalp. Along with aforesaid symptoms of Acharya Vagbhatta also considered Hair loss and Numbness of scalp. The Adhisthan (place of origin) of this disease is the keshbhumi (Scalp). 

Over time, proponents of Ayurveda have conducted various researches on this disease, trying to find out an effective solution when it comes to dandruff related problems. 

Prolonged Treatment for Wet or Oily dandruff: 

The scalp skin produces sebum (Kapha), which is an oily substance. This sebum helps in keeping your scalp and hair hydrated. It is a natural process, without which your hair may turn dry and frizzy. However, when this sebum (kapha) is over produced due to certain reasons, you may suffer from problems of the scalp. Over production of sebum (kapha) causes oily scales to appear on the scalp, which may cause severe itching and may also result in infection. Therefore, wet dandruff requires prolonged treatment, whereas it is easier to treat dry dandruff. 

Impurity in the blood: 

According to Ayurvedic system of medicine, dry dandruff is caused because of  Vata Pradhan Kapha dosha . On the other hand, wet dandruff is caused because of  Kapha Pradhan Vata dosha . As per Acharya Videha Pitta and Kapha are involved in causing darunak i.e. Dandruff. The vitiation of Vata and Pitta in the body leads to vitiation of Raktadhatu(blood) thus giving rise to impurities in the blood. This in turn leads to poor nourishment of the scalp. In such cases, detoxification of blood is also required to get rid of dandruff. 

Ayurvedic View

Ayurveda places the problem of dandruff in the category of Shudra Roga, which appears due to an imbalance of all three doshas (Ayurvedic humor). The primary doshas involved are Kapha and Vata.Kapha is an Ayurvedic humor which symbolizes Softness, Stickiness, provides nourishment & lubrication. Vata is dry and rough in nature. In an aggravated state, both doshas as per their predominance cause the production of specific impurities in scalp, which are dry and sticky in nature. These impurities accumulate in the deep tissues of the scalp and contaminate them. Contamination of the deep tissues and aggravated Vata-Kapha Dosha causes itching and flaky patches on the scalp. Due to these factors, the scalp sheds larger than normal amounts of dead epidermal cells, which leads to the problem of dandruff. 

The Ayurvedic line of treatment is to generally pacify Kapha and Vata through herbal medicines, as well as a tailor-made diet and lifestyle plan. Also, special herbs are administered to cleanse the body of accumulated digestive impurities. 

The Ayurvedic system of treatment for wet or oily dandruff, in particular, is briefly mentioned here: 

According to Ayurveda, dandruff could be caused due to prolonged intake of cold water, Excessive usage of foods that taste salty, Chronic Rhinitis,  Irregular Sleeping Habits, Excessive Exposure to UV of sun, Suppressing Natural Urges, Excessive consumption of alcohol, Excessive sweating , Improper maintenance of Hair and using very less or no hair oil for massaging Head and Scalp.
Ayurveda suggests both topical and internal medicines for the treatment of wet or oily dandruff. The topical medicines are intended to manage dandruff and also provide relief from itching and infection, if any. The internal medicines are intended to detox the blood and also improve immunity, nourish the skin and thereby help in improving the quality of hair.
If dandruff is caused due to psoriasis and eczema, then there are exclusive medicines to combat the infection, detox the body and nourish the skin and hair.
Ayurveda suggests that foods like coconut, Indian gooseberry ( Amla), Raisins etc. help in preventing dandruff.
In addition to these, Ayurveda also suggests various home remedies for effective management of both wet and dry dandruff, like washing your hair with decoction prepared with Neem Leaves or Take powder of Mustard seeds and licorice, make them into paste by adding milk to it and leave it on head for 20min and wash later with water.
Taking Panchkarama detoxification procedures like Nasyam, Raktamokshnam, Shirobasti, Abhyanga Swedanam under the guidance of expert can also play very important role in the management of both the types of dandruff. 
Accumulated hair and dandruff scales can be made returned to the healthy scalp from unclean combs and brushes. This may irritate the scalp and causes flare of dandruff again. Combs and brushes are the tools for the care of your hair; they should be properly made and well cared to accomplish this purpose. Neem wood combs can work wonder but they should also be regularly cleaned and changed every six months. It can be easily deduced that wet dandruff can be effectively managed and treated by undergoing treatment under Ayurvedic system of medicines. 
However, you should avail such treatment under the supervision of an experienced doctor specialised in Ayurvedic medical science.

Dandruff (Oily & Wet) and its Management With Ayurveda 

Oily skin and summers: what is the ideal way to handle it?

Oily skin is a condition that can be characterized by shine on the skin and a large number of pores. The oil in question is a result of overactive sebaceous glands that produce excessive sebum. This can result in acne and blackheads. Summer is a time of the year where skin problems due to oily skin are worsened by factors such as sweat and dust. So proper skin care is necessary in order to negate the effects of oily skin.

There are multiple ways to handle this condition in summers:

1. Using cleansers - Proper cleaning of skin is a very important step in lessening the effects of oily skin. Harsh cleansers have an opposing effect as they facilitate secretion of oil, so a mild cleanser is usually the best option. Some cleansers may contain ingredients that irritate the skin, so care is advised in selecting a proper one.

2. Hydration and food - Keeping the body well hydrated in summers combined with a diet free of greasy, oily food and less fats can help in reducing the effects of oily skin.

3. Using masks to clear the face - Masks such as clay masks, yogurt, and baking soda can help in cleansing the skin by clearing the oil. It should be noted that these treatments should not be overdone as they can cause the skin to dry up too much and over secrete oil.

4. Skin moisturizers - People often have this notion that oily skin does not require moisturizer application. Selecting a moisturizer that is fit for oily skin and using it will help moisturize the skin and keep it healthy.

5. Sunscreen - Sunscreen is a necessity during summers, and the sunscreen you choose should be specifically for oily skin in order for it to work effectively. Application of sunscreen can help prevent the UV rays of the sun from penetrating the skin and cause complications.

6. Dermatological treatment - In case of severe oiliness, treatments such as chemical peels and creams laced with tretinoin can help.



Oily skin and summers: what is the ideal way to handle it?

If you see continual and long-term white patches of depigmentation on your skin, it could be vitiligo. Vitiligo is a condition that appears when melanocytes in your skin are no more alive. This bunch of cells is responsible for producing the melanin pigment that endows the skin with its colour as well as protects it from the harmful UV rays. The area which may be affected by this dermatological disease varies from person to person, and it can also affect the hair, mouth and eyes as well. In most cases, the vitiligo affected area stays discoloured for the rest of the patient s life.

Various types of vitiligo and their symptoms
Scientists have classified vitiligo into two types: segmental and non-segmental. The non-segmental vitiligo is the most common variant and 90 percent of vitiligo affected patients suffer from this kind of disorder. In this disease, the patches take place with little symmetry on both sides of the body. It can be further broken down into 5 sub-divisions.

Generalised vitiligo: It can occur at any part of the body without any rules, and this is by far the most common type.
Acrofacial vitiligo: It is mostly seen on the toes and fingers.
Mucosal vitiligo: In this condition, the discolouration normally takes place around the lips and mucous membranes.
Universal vitiligo: This is the rarest type of vitiligo where the whole body is covered in white patches.
Focal vitiligo: This is most commonly found in children. The children have white and scattered patches across the body.
Possible treatments for vitiligo

Though there are no treatments possible that will re-pigment your skin to its original colour, there are several remedies that aid in decreasing the visibility of white patches on the affected areas of the skin. Some of them include:

Phototherapy with UVB radiation: This is a common form of treatment where the affected area is exposed to UVB radiation and can be performed at home too. If you have large white spots across the body, it is important to have the treatment performed by an expert at any healthcare centre.
Phototherapy with UVA radiation: In this treatment, a drug is first administered for increasing skin s sensitivity to this radiation. Then the affected area of the skin is exposed to high doses of UVA radiation.
Skin camouflage: In mild cases of vitiligo, cosmetic creams and make-up can be used to camouflage the affected area. It can last for about 12- 18 hours when applied in proper techniques.
In case you are suffering from vitiligo, it is crucial to speak with an expert and opt for the best means to curb down the impact of vitiligo.

Vitiligo - Signs You Are Suffering From It!

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