Among one of the most common skin conditions that affect many people all over the world is Acne. It is not a harmful or a dangerous condition, but is usually a cosmetic problem and may also sometimes be a symptom of underlying conditions.

What is acne and what are its causes?

Human skin has follicles or pores in them through which hair comes out. The accumulation of a substance known as sebum within the pores of the human skin can sometimes clog these pores. When this accumulates, dead skin cells also get stuck in it and results in a swelling, which takes the form of a pimple like a crest due to bacterial infections. This condition is most prevalent among adolescents due to rapid hormonal changes in the body, although many adults and pre-adolescents have also reported this problem. Here are some common issues and lifestyle factors which make you prone to acne.

1. Hormonal imbalances - This is probably the most common reason cited for acne as adolescents tend to be afflicted by this problem. In many cases, acne goes away on its own after sometimes although in other cases it does stay. In adults, especially women it has been noticed that certain hormonal changes in the body may act as acne triggers. Some of the examples of hormonal imbalances may be:

- PMS or period related triggers in adults and adolescent women
- High testosterone levels in women
- Excessive androgen in men and women
- Hormonal problems due to polycystic ovary syndrome and others
- Taking medicines or steroids that may cause hormonal changes

2. External factors such as using too much makeup - Excessive use of cosmetic products can cause issues within the skin by blocking the pores within the skin may induce acne, even if you  do not have sebum related problems.

3. Diet - Research has proved that excessive oil consumption as well as having foods rich in fat can cause acne problems. Moreover, if you consume iodine in large quantities or for a long time, it results in irritation of the skin pores giving rise to acne.

4. Certain medications and drugs - Consumption of specific over the counter medicines like the ones containing bromide and use of recreational drugs like marijuana and cocaine can lead to the occurrence of acne as side effects.

5. Genetics - Certain genetic factors may also be responsible for someone being more prone to acne than others.

I sincerely hope that you found this information and the underlying advice from me useful. If you did, do share it with your loved ones and others. You can also consult privately with me if you believe I can help you with your Acne or other skin related conditions.

Wishing you loads of good health and happiness.

What Makes Your Skin Prone To Acne? Top 5 Reasons Revealed!

What is endometriosis?

Endometriosis is a common condition where cells of the lining of the womb (the endometrium) are found elsewhere, usually in the pelvis and around the womb, ovaries and fallopian tubes. It mainly affects women during their reproductive years. Endometriosis is not an infection and it is not contagious.

What are the symptoms?

The main symptoms of endometriosis are pelvic pain, pain during or after sex and painful, sometimes heavy periods. It may cause problems with getting pregnant. It can affect many areas of a woman s life including her general physical health, emotional wellbeing and daily routine. Many women may have no symptoms. It is a long-term condition. Some women with endometriosis become pregnant easily while others have difficulty getting pregnant.

What causes endometriosis?

Endometriosis occurs when the cells of the lining of the womb are found in other parts of the body, usually the pelvis. Each month this tissue outside the womb thickens and breaks down and bleeds in the same way as the lining of the womb. This internal bleeding into the pelvis, unlike a period, has no way of leaving the body. This causes inflammation, pain and damage to the reproductive organs. Less commonly, endometriosis may occur on the bowel and bladder, or deep within the muscle wall of the uterus (adenomyosis). It can also rarely be found in other parts of the body.

The symptoms of endometriosis are common and could be caused by a number of other conditions such as irritable bowel syndrome (IBS) and pelvic inflammatory disease (PID).

There is no simple test for endometriosis.
Your gynaecologist may examine your pelvic area, this will include an internal examination.
You may be offered a scan. This can identify whether there is an endometriosis cyst in the ovaries. A normal scan does not rule out endometriosis.
For most women, having a laparoscopy is the only way to confirm endometriosis; because of this, it is often referred to as the  gold standard  test. This allows the gynaecologist to see the pelvic organs clearly and look for any endometriosis.
Several factors may influence your decision about treatment. These include:

How you feel about your situation
Your age
Whether your main symptom is pain or problems getting pregnant
What treatment can I get?

The options for treatment may be:

Pain relief

Hormone treatments: There is a range of hormone treatments to stop or reduce ovulation (the release of an egg) to allow the endometriosis to shrink or disappear. The hormonal methods below are contraceptives and will prevent you from becoming pregnant:

The combined oral contraceptive (COC) pill or patch. These contain the hormones estrogen and progestogen and work by preventing ovulation and can make your periods lighter, shorter and less painful.
The intrauterine system (IUS): this is a small T-shaped device which releases the hormone progestogen. This helps to reduce the pain and makes periods lighter. Some women get no periods at all.
The hormonal methods below are non-contraceptive, so contraception will be needed if you do not want to become pregnant:
Use of hormonal progestogens or testosterone derivatives
GnRH agonists are drugs that prevent estrogen being produced by the ovaries and cause a temporary and reversible menopause.
Some women find that recreational exercise improves their wellbeing, which may help to improve some symptoms of endometriosis.

Surgery: Surgery can be used to remove areas of endometriosis. There are different types of surgery, depending on where the endometriosis is and how extensive it is. How successful the surgery is can vary and you may need further surgery.

Laparoscopic surgery: The gynaecologist removes patches of endometriosis by destroying them or cutting them out.
Laparotomy: If the endometriosis is severe and extensive, you may be offered a laparotomy. This is major surgery which involves a cut in the abdomen, usually in the bikini line.
Hysterectomy: Some women have surgery to remove their womb (a hysterectomy) with or without the ovaries. Depending upon your own situation, your doctor should discuss hormone replacement therapy (HRT) with you if you have your ovaries removed.
What if I am having difficulty getting pregnant?

Getting pregnant can be a problem for some women with endometriosis. Your doctor should provide you with full information about your options such as assisted conception. If you become pregnant, endometriosis is unlikely to put your pregnancy at risk.

Endometriosis - Signs & Symptoms That Indicate It!

5 Unexpected Triggers of Hair Fall

Your genes may be the most common triggers of hair fall, but in certain cases hair fall can be triggered by a host of other reasons you wouldn t have thought about. Sometimes these reasons can range from being simple and temporary (lack of essential nutrients in your diet for example) to something more complex and indicative of an underlying health problem. Read on...

1. Brushing wet hair

Detangling wet hair (easy at it may seem) is probably one of the most common triggers of hair fall. Wet hair is extremely delicate, and brushing wet hair causes the strands to break, leading to excessive hair fall. Repeatedly doing so can cause your hair to become thinner over time, which may result in visibly less hair on your scalp.

2. Food poisoning

Food poisoning can cause an abnormality in your blood circulation, which, as a result, can lead your hair to prematurely enter into a shedding phase. The hair loss that takes place due to this reason is known as  diffuse hair loss.  This type of hair loss usually lasts for a period of 3 months, after which, the hair follicles are replaced by new ones. Hair fall caused by food poisoning is only temporary, and is corrected on its own with time.

3. Car crashes or any other traumatic events

When you go through a car crash or any other traumatic incidence for that matter (divorce, death in the family etc), you may experience an extreme form of shock. This can lead to the development of small bald patches on your head, which is known as Telogen Effluvium. Usually, trauma triggers an autoimmune reaction, because of which the white blood cells attack the hair bulb. This causes the hair bulb to enter into the resting phase, which leads to mildly painful hair loss in particular patches. This type of hair fall is reversible.

4. Food allergies

Different foods (such as dairy, wheat, soy etc) can cause allergies in different people. Such an allergic reaction can cause your immune system to react violently, consequently making your immune system send signals throughout your body to ward off attacks. This, in very rare cases, can give rise to the condition of Alopecia Areata, as your immune system detects the growth of your hair as foreign attack and sends off signals to destroy hair follicles. This type of hair fall ceases once you stop consuming food(s) you re allergic to.

5. General Anaesthesia and Surgery

Hair fall triggered by general anaesthesia and a major surgery usually shows up 3 months after the surgery has taken place. The combination of general anaesthesia and a major surgery can put your body under heavy physical stress, which can cause alterations in the life cycles of the hairs on your scalp, consequently leading to excessive hair fall. Hair fall caused by this reason is temporary too, and usually your hair will grow back over time.
Now that you know about the possible triggers of hair fall, you may be in a better position to control your condition and prevent your hair from falling out. 



5 Unexpected Reasons Why You Might Be Losing Your Hair!

Corns are small circular patches of thick, hardened skin that generally develop on the toes or soles of feet. They may occur anywhere else on the body. They might be caused due to friction and pressure which may occur, if you wear poorly fitted shoes or as a symptom of some other conditions such as bunions (big toe bent towards other toes) or hammer toe (toe bent at the middle joint).

Corns, especially on feet will not get cured unless its root cause is treated. If left untreated, the skin becomes thicker and more painful. Cures for corns will depend on the cause or nature of the corn. Here are some effective ways to treat most types of corns.

1. Removal of hard skin: A dermatologist can help remove the thickened skin with a scalpel, which will relieve the pressure on the affected tissue.

2. Products that treat corns: Some foot care products are specially designed to allow your skin heal and to redistribute the excess pressure that is causing the corn. These may be prescribed by your dermatologist for quick healing of your corns. Some of these products include:
a. Rehydration creams that soften thickened skin
b. Soft padding or foam insoles that can be inserted into shoes
c. Corn plasters that provide protection
d. Small foam wedges which can be placed between toes to cure soft corns
e. Special silicone wedges that change the position of your toes and help in redistribution of pressure.

3. Salicylic acid: Salicyclic acid, contained in several over-the-counter products is helpful in softening the first layer of dead skin, thereby facilitating its removal. Products containing salicylic acid should not be used if you suffer from conditions that cause circulation problems, such as diabetes, peripheral neuropathy or arterial disease. If you have cracked or broken skin in the area of the corn or sensitive skin, salicyclic acid is not suitable for you either.

You can prevent corns by practising proper foot care, as your feet carry the weight of the entire body and are very susceptible to problems. Using a pumice stone regularly to rub away hard, dead skin is a good way to prevent corns and bacteria. Wearing properly fitted shoes is a must to prevent corns. If you wear heels very often, they may put excessive pressure on your feet. If you suffer from diabetes or other diseases causing circulation problems, do consult a doctor as corns and infections in the feet can lead to more severe infections.

How to Treat Corns on the Skin

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?

When endometrial tissue that usually grows inside the uterus, starts growing outside uterus, it is called Endometriosis. Pain during or before periods, pain during intercourse, pain while urinating or bowel movements, heavy bleeding, infertility are some of the symptoms of endometriosis.

Treatment of endometriosis usually depends on the following factors:

Age of female
Severity of symptoms
Duration of the symptoms
Future plans for children/ fertility
Associated pathologies
Accordingly the doctor might choose any of the treatment options like:

Medication for Pain: If the symptoms are mild, then the doctor will prescribe some pain  relieving medications like Nonsteroidal anti-inflammatory drugs (e.g. Diclofenac) or anti-spasmodics(e.g.drotaverine)
Hormone Therapy: Hormone therapy is effective, but once you stop them, your symptoms may recur. Some of the hormone therapies include: 
Hormonal Contraceptive pills: Useful in controlling the hormones that are responsible for endometrial tissue growing outside the uterine cavity.
Medroxyprogesterone: This helps to counter effect estrogen hormone which is responsible for endometrial tissue growth.
Gonadotropin-releasing hormone (GnRH) agonists: Gonadotropin hormones that stimulate ovaries are blocked by these. They bring down oestrogen levels and hence symptoms. It can cause absence of menstruation in some females which is reversible.
Danazol: It is synthetic androgen, suppresses growth of endometrial tissue temporarily.  However, Danazol may not be a favourable option because of its side effects. Females should avoid pregnancy while on this drug.
Dienogest: This newer progesterone molecule, which does not have major side effects and is apporved for use in endometriosis.
Other medications like selective progesterone receptor modulators, immunomodulators, anti angiogenic factors are being evaluated.
Conservative surgery: If you are trying to conceive, then surgical excision or ablation of endometrial tissue is one treatment option.Suboptimal surgery with conservation of maximum ovarian tissue is considered suitable in such cases.
Hysterectomy: In severe endometriosis cases where female has completed her family, hysterectomy is offered wherein the uterus, cervix & if required ovaries can be removed.

Endometriosis - Ways To Manage It Well!

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