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 deep burns that affect critical areas. The focus here is to aim for saving of life of burn patient with earliest wound healing with various surgical means.
Reconstructive burn surgery addresses the deformities & scars after the initial burn wounds have healed. The goal here is to improve the appearance of the scars and ensure improvement of functioning. 
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 from one part of the body and transplanting it to the burn site. This split thickness skin graft include only a few outer layers of skin & full thickness graft involve the entire dermis. This is used in cases of deep burns where full thickness of dermis is affected. Also skin grafts are used for defects following release of burn contracture . 
Flaps: These are thick skin tissues with its own blood supply, used to cover exposed vital structures like vessels , tendons, nerves, bones, etc especially in deep electrical burns of extremities. 
Free flap procedure: In this Microvascular Surgery , muscle, bone or skin is transferred from one part of the body to another to reconstruct huge defects after contracture release or for cosmetic improvement of ugly burn scars. 
Tissue expansion: This involves the insertion of a balloon expander under the skin near the burn scars & deformities. 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 replace the burn scars & deformities.
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 Can It Help To Reduce Deformities & Scars?

Tinea or ringworm is basically a skin infection caused by fungus. Tinea can affect any part of the body. When the skin is affected it is tinea corporis, scalp (tinea capitis), feet (tinea pedis, this is also called as athlete's foot) and groin area (tinea curis, also known as the jock itch). This presents as several white patches on the skin.

Causes of Tinea
Tinea or the ringworm infection is not due to worms but caused by fungi dermatophytes. The fungus remains alive in the dead tissues of nails, hair and skin. Symptoms of Tinea are red circular patches on the skin along with itching.

As per the Ayurvedic philosophy, tinea is often diagnosed as dadru. The body type or the dosha involved is kapha and vata. Kapha, which is an Ayurvedic humor symbolizes mucus. It is usually dense, sticky and cold in nature. Vata, also an ayurvedic humor represents the wind. It is dry, mobile, subtle and cold. Both kapha and vata when present in the skin lead to accumulation of toxins. These toxins further collect in the deep tissues of the skin like rakta (Blood), rasa (nutrient plasma), lasika (lymphatic) and mansa (muscles).

The toxins lead to contamination of the deeper tissues thereby leading to the aggravation of the kapha-vata dosha, thus leading to ringworm. A third dosha which is involved is pitta. Pitta symbolizes heat or fire. It is often referred to as the tridosha disease, and the prime involved doshas are kapha and vata.

Diet and Lifestyle Modification
1. Spicy and hot food, excessive sweet and sour foods should be avoided. Pickled foods, chutneys, citrus fruits like lemon and oranges, vinegar and mustard should also be avoided.
2. Avoid foods made up of white flour such as bread, pastries, cakes, pizza
3. Artificial and processed foods, fast foods and aerated drinks should be avoided. Excessive salt and tomatoes should be restricted.
4. Since tea, coffee smoking and alcohol aggravate the pitta, these should be avoided
5. Milk and milk products like yogurt and cottage cheese should be given a miss
6. Foods which are sweet, blend and alkaline in nature should be added into the diet
6. Fresh vegetables and fruit should be taken
7. Foods like grains, rice, pasta, beans, breads, dairy products, sweet drinks and juices can be had

Home Remedies
1. In 3 cups of water boil 10 to 15 neem leaves, until half the water evaporates. Washing the tinea lesions with this water helps.
2. Rubbing papaya over the lesions is very effective
3. Make a paste of turmeric and milk and apply on the lesions. Wash this within half an hour of the application and repeat it 3 to 4 times a day.

Ayurvedic Treatment for Tinea ( Ringworm) Fungal Infection

The uterine cavity has a tissue base that is known as the endometrium. When this endometrium spills over or spreads to the other parts of the reproductive organ, it begins to punch through the uterine lining. Such a condition creates complications and even infertility, and is known as endometriosis.

Read on to know more about endometriosis and how it can cause infertility.

Endometriosis

When the endometrium tissue spreads to areas like the ovaries, and the abdominal cavity, it can lead to numerous complications. Apart from pain, this may also cause infertility. 5 to 10% of the women worldwide suffer from this condition and have trouble conceiving. Additionally, about 30 to 40% of the infertility cases are due to endometriosis, not all cases. These figures are all confirmed by various medical studies.

How does it cause infertility?

Endometriosis can prevent ovulation, which is the process that occurs every month. During the ovulation process, the ovaries release eggs that may be fertilised in order for the woman to conceive. In this condition, the fimbria of the fallopian tubes also has trouble in capturing the egg, which prevents conception from taking place. This leads to infertility in the long run. Endometriosis also interferes with the proper production of the hormones that are required for normal ovulation and fertilisation of the egg.

Diagnosis: The diagnosis of the condition can be done with the help of lab tests and ultrasounds as well as imaging tests that can create the image of the womb and the endometrium lining. This will help in showing the severity and damage caused by the tissue. A surgical procedure called a laparoscopy may be carried out by the doctor to ascertain whether the patient is suffering from this condition. In this procedure, a small incision will be made and a camera will be inserted to view the insides on a screen, to learn more about the tissue s spread and the kind of treatment that will be required. The doctor will also diagnose the condition on the basis of various symptoms like irregular and heavy bleeding.

Treatment:

Treatment for endometriosis associated with infertility needs to be individualized for each woman. There are no easy answers, and treatment decisions depend on factors such as the age of the woman, the severity of the disease and its location in the pelvis, the length of infertility, and the presence of pain or other symptoms. Some general issues regarding treatment are discussed below.

Treatment for Mild Endometriosis

Medical (drug) treatment can suppress endometriosis and relieve the associated pain in many women. Surgical removal of lesions by laparoscopy might also reduce the pain temporarily.

However, several well-controlled studies have shown that neither medical or surgical treatment for mild endometriosis improve the pregnancy rates for infertile women as compared to expectant management (no treatment).

For treatment of infertility associated with mild to moderate endometriosis, controlled ovarian hyperstimulation with intrauterine insemination - IUI is often attempted and has a reasonable chance to result in pregnancy if other infertility factors are not present.

Details about IUI success rates with endometriosis

IUI and endometriosis

Success rates with IUI for endometriosis have been variable in studies, showing:

A pregnancy rate of 6.5% for women with endometriosis vs. 15.3% per cycle for unexplained infertility
A pregnancy rate of 5.6% for women with advanced endometriosis vs. 22.7% per cycle for mild endometriosis vs. 25.7% for no endometriosis
Pregnancy chances with insemination for natural cycle IUIs (no drugs) with endometriosis are about 2% per cycle vs. 11% with injectables plus IUI for endometriosis
Treatment for severe endometriosis

Several studies have shown that medical treatment for severe endometriosis does not improve pregnancy rates for infertile women.

Unfortunately, the infertility in women with severe endometriosis is usually resistant to treatment with ovarian stimulation plus intrauterine insemination. If the pelvic anatomy is very distorted, artificial insemination is unlikely to be successful. These women often require in vitro fertilization in order to conceive.

Although the studies of in vitro fertilization for women with severe endometriosis do not all show similar results, pregnancy success rates are usually good if the woman is relatively young (under 40) and if she produces enough eggs during the ovarian stimulation.

Endometriosis - How It Results in Infertility?

5 natural remedies for eczema
 
Eczema is a medical condition of the skin which usually happens to infants and children but can happen to grown-ups as well. It can be identified by dryness, small red bumps, scaling of the skin, inflammation, flaking, blistering or thickening of the skin. 

Some natural ways you can treat eczema at home are:

1. Magnesium supplements: magnesium is an important mineral for our skin. Usually if there is a deficiency, one gets eczema. Magnesium bath does wonder to eczema and can be done by mixing a cup of epsom salt of magnesium flake, 10 to 15 drops of essential oils, half teaspoon of natural vanilla extract and half a cup of sea or himalayan salt.

2. Rub coconut oil: coconut oil has antioxidant, antifungal, antibacterial and antimicrobial properties which makes it a good option to use on the affected areas. Rub the oil on the affected areas in gentle strokes and massage lightly. You can do this up to 3-4 times in a day.

3. Apply aloe vera: aloe vera is probably the best natural product to use on your sin. Applying a bit of aloe vera on the affected area and letting it absorb into the skin, for a few hours every day is a good idea.

4. Use almond leaves: almond leaves, if crushed and made into a thick paste with water, can be applied on the affected areas of the skin.

5. Have green tea: drinking green tea is also said to be helpful in curing eczema. The anti-oxidants green tea is famous for assists the body in fighting against skin inflammation.

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Skin Sense: 5 Home Remedies For Eczema Relief

Eczema is a skin condition which is characterized by rough, cracked, red, itchy and inflamed skin. Sometimes it can also cause blisters. Eczema is also known as atopic dermatitis. It is a severe condition which starts during infancy and can go on throughout childhood. While some people may outgrow this condition, the rest might have it till adulthood.

Causes of Eczema:
1. Irritants- Certain irritants found in vegetables, meats, juices extracted from fresh fruits, disinfectants, shampoos, detergents and soaps can cause eczema.
2. Allergens- Dandruff, mold, pollens, pets and dust mites can also contribute to Eczema.
3. Microbes- Certain bacteria such as Staphylococcus Aureus, fungi and viruses can also cause eczema
4. Food products- Many people are allergic to food products such as wheat, soy products, seeds, nuts, eggs and dairy products. This might contribute to Eczema.
5. Stress- This doesn t cause eczema but can aggravate the symptoms of it.
6. Hormones- Women usually experience worsening of Eczema during certain stages of their menstrual cycle or during pregnancy.

Symptoms of eczema in infants and children:
1. Rashes appearing on the cheeks and scalp
2. Rashes which bubble up before fluid discharge
3. Rashes which cause itchiness and lead to disturbed sleeping; continuous scratching and rubbing can result in skin infections
4. Rashes which can appear behind the creases of the knees and the elbows; these rashes are also common on the legs, creases of the buttocks, ankles, wrists and neck.

Symptoms of Eczema in adults:
1. Rashes on the nape of the neck
2. Rashes on the eyes, face and neck
3. Rashes that can cause extremely dry skin
4. Extreme discomfort caused due to itching
5. Scaly skin caused due to rashes
6. Rashes which can result in skin infections
7. Lichenification, a condition wherein the rashes thicken and develop knots, is also a possibility.

How is Eczema treated?
1. Topical ointments and corticosteroid creams- These are anti-inflammatory medications which relieve symptoms of eczema such as itchiness and skin inflammation.
2. Antibiotics- These are usually prescribed if there is any underlying bacterial skin infection.
3. Antihistamines- These mainly reduce scratching at night. In some cases, it can also cause drowsiness.
4. Topical calcineurin inhibitors- This is a drug that suppresses activities of the immune system. It helps to prevent flare-ups and decrease inflammation.
5. Barrier repair moisturizers- These types of moisturizers repair the skin and reduce water loss from the skin.

Eczema - 5 Ways It Can Be Treated!

Dandruff is a non-contagious condition that is characterized by the appearance of skin flakes on your scalp. The disorder is not a serious one, but can be embarrassing for the person concerned. Mild symptoms of this disorder can be taken care of by shampooing with a mild cleanser on a regular basis. In case of severe dandruff symptoms, treatment may be required.

Symptoms
The symptoms of dandruff are easily spotted; white flakes of dead skin appear on the hair and shoulders. You may experience itchiness on the scalp due to the accumulation of the dead skin cells. The condition tends to aggravate in dry and cold weather conditions.

Causes
Dandruff can be caused by a variety of factors such as:

Not shampooing regularly: Irregular shampooing can cause dead skin cells to accumulate, leading to dandruff.
Oily and irritated skin: This condition is characterized by the appearance of greasy skin covered by flaky white scales. It occurs in areas, which are rich in oil glands such as the eyebrows and the nose.
Fungus: Yeast like fungus, known as  malassezia , lives on the scalp and may lead to the buildup of excess skin cells, thereby, causing irritated skin.
Dry skin: Dry skin is the perfect spot for the accumulation of dead cells, a condition that results in 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. The primary doshas involved are Pitta and Vata. Pitta is an Ayurvedic humor which symbolizes heat or fire and Vata is dry and rough in nature. In an aggravated state, both doshas cause production of specific impurities, called ama, which are dry and heating in nature. These impurities accumulate in the deep tissues of the scalp and contaminate them. Contamination of the deep tissues and aggravated Vata-Pitta Dosha cause itching and patches on 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 Pitta 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.

Ayurvedic treatment options:

If the cause lies on the scalp such as dry skin, then just hair oil application or local treatment will be sufficient to cure dandruff.
If the cause lies in underlying skin disease such as psoriasis, treatment for the causative disease will be required.
Ayurvedic treatments such as shirodhara, shirobasti helps not only to relieve dandruff and improve hair quality. They also help you to relieve stress and lack of sleep (which also cause for dandruff).

Ayurvedic herbal hair oils for dandruff: 

Bhringaraja taila
Triphaladya taila
Durdurapatradi taila
Chemparutyadi taila
Nalpamaradi taila etc
Internal medicines helpful in this complaint are-

Saptamrita loha   Contains Indian licorice and Triphala, useful in skin diseases
Bhringarajasava   an alcoholic Ayurvedic medicine. Improves immunity, skin complexion
Chandanasava   improves immunity, relieves excessive oiliness
Narasimha Rasayana   Improves hair quality and scalp skin health. Especially useful when dandruff is caused due to dryness in the scalp.
Diet & Lifestyle Advice

Wash hair regularly 2-3 times a week with a mild shampoo.
Massage your hair with oil every time before washing the head and hair.
Avoid spicy, greasy, hot and penetrating foods, junk food, and aerated drinks.
Have food with good nutritive value; include fiber-rich foods, salads, fruits, and lentils.
Do regular yoga and exercises to minimize stress levels.
Avoid scratching the scalp with hands or any other objects.

Dandruff - Can Ayurvedic Remedies Help Treat it?

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