Introduction 

The common male problem in an Aesthetic clinic, Gyanecomastia, is truly Pseudogynaecomastia with only fatty tissue and minimal glandular tissue. The condition is a part of the co existing Obesity disorder and is rarely, a standalone entity. The treatment options shall include an approach to answer the issue of obesity as a whole, not rest contented with surgical removal of the enlarged breasts alone. What is seen and what is treated is just a tip of the iceberg. 

Gynaecomastia, an innocuous condition, that affects 35-70% of male population immediately after birth, during adolescence and old age is rarely brought to notice as the sufferer makes all attempts to hide it as the condition brings with it a sense of shame and pain in public places and mental suffering. Herein starts the search for the treatment. Medical and multifaceted surgical options evolved over centuries with the current opinion being fat removal by anyone form of liposuction and the gland removal by direct excision. Gynaecomastia, is increased breast tissue in males composed of glandular and fatty tissue. 

Physiological gynaecomastia of puberty that normally regresses with age tend to stay back being sustained by the modern lifestyle changes. Processed foods and environmental pollution of air and water, the cosmetics used on the body like deo odorants, perfumes and toiletries, synthetics and chemicals have contributed to explosions of generalised obesity. With this generalised obesity, the tendency to hold back excess fat in the breast developed. This clearly shows the reason for higher incidence of (pseudo) Gynaecomastia of late. Hormonal imbalance due to reasons stated above, aggravate the situation. Gynaecomastia is part of the generalised obesity and it is more fat and little gland. 
However, this condition does not have any harmful effect on the body, but it can cause distress emotionally. Men may lose their self-confidence and they can be psychologically affected by this.

What Causes Gynaecomastia?

It is a type of hormonal imbalance that results in the growth of the male breast tissues. The ratio of oestrogen v/s androgens gets altered and causes the enlargement of the breasts. For this condition to occur, the amount of oestrogen increase in the body, or the amount of testosterone drops. Sometimes it can be the combination of both.

There are certain diseases that may contribute to gynaecomastia and they are as follows:

Kidney diseases

Liver disease

Drop in testosterone levels

Certain medications such as methadone, medications for HIV or treating prostate cancer

Certain tumours caused in male sex organs such as cancer of the Leydig cells or the Sertoli cells resulting in deprivation of androgen levels

Conclusion: 
True Gynaecomastia that requires surgical treatment is not so uncommon. What is commonly believed to be gynaecomastia is truly Pseudo gynaecomastia with a co exiting clinical picture of obesity, high BMI, sedentary life and wrong lifestyle. Surgical treatment by laser liposuction under Tumescent Anaesthesia gives very good results with high patient satisfaction and negligible post operative complications. Gland fragmented with laser can be extricated thro  same entry point without sub areolar incision.

Gynaecomastia (Enlarged Breasts In Men): Causes and Treatments

A rash on your child s body or their regular cough bouts can sometimes be triggered by an allergy. We can excuse it by calling it a common flu or a heat rash, but the reason behind it might be something you are not aware of. Your child might be allergic, and it is imperative for you to find out that exact thing your child is allergic to, it can be dust, nuts that you may think is beneficial for your child s health or even the fabric of the clothes you put on them. Allergies are caused when children come in contact with allergens, which can he inhaled, injected or even eaten unknowingly. If you see any of the symptoms of allergies, consult your doctor at the earliest and do not treat it lightly.

Some common triggers for allergies

These are divided into four groups

Foods: Certain foods like peanuts, eggs, milk and it products which you feed your child might be triggering their allergy.
Outdoors: When kids play outside pollens from trees or flowers might causes allergies. Even insect bites and stings are a major trigger
Indoors: Animal fur or hair and even dust mites and mold that exist in your house can trigger an allergy
Irritants: Common irritants like cigarette smoke, perfumes or even car exhaust should be watched out for.
Symptoms of common allergies

Nasal Congestion: It is referred to as stuffy nose, which is very common in kids. Allergies are the most common cause of chronic nasal congestion (a stuffy nose) in children. Sometimes a child s nose is congested to the point that he or she breathes through the mouth, especially while sleeping.
Allergic rhinitis (hay fever): It is also common and its symptoms include a runny or itchy nose and constant sneezing. A child with allergies may also have itchy, watery, red eyes and chronic ear problems. Even though it s commonly known as  hay fever,  allergic rhinitis isn t triggered by hay and doesn t cause fever.
If you suspect your child has an allergy, make an appointment to see a specialist. Start a diary before the appointment and keep track of what symptoms your child experiences and what you think causes them.

Common Allergies in Children - That You Need to Know!

A runny nose, Itchy rash, red eyes and shortness in breath are the most common allergic phenomenon which annoys you in frequent intervals, generally driven by several conditions due to hypersensitivity of the immune system towards something usual prevailing in the environment which may not cause any threat to others. It is why you may find different person allergic to different foods or different conditions. 

Diseases such as asthma, anaphylaxis, atopic dermatitis and so on are commonly considered as predominant allergic diseases. But most of the marketed drugs you take are as exasperating as the allergy itself, firstly due to its expensiveness and secondly, it droops you out. Though you may not be able to diminish the pollen in the air, but you can restrict the number of drugs you take by choosing natural remedies as it has been propounded by the medical editor of WebMD Dr Brunilda Nazario. He has also stated that the biggest trend we observe in allergies in these days is not found in any technological innovation or development rather it is the tendency of the common people to go for natural treatment to cure allergy.

 Prevention is better than cure - Cleanse your nose daily before the allergy strikes
According to most of the doctors, nowadays you are commonly encountered by seasonal allergies. It is mainly due to the fact that allergy season seems to appear earlier every year than the previous one. So as Nathanael Horne, MD of New York Medical College advises that you should begin treating allergies before it starts to pose threat. One such step is to spritz a saline cleanse into your nose on a daily basis in order to wash away pollen. Obviously, this particular method would not replace your need for medication but it would certainly minimise your dependence on drugs. In one survey, those who clean their nose twice a day with saline water are reported less nasal congestion than others.

About some of the seful natural herbs which fight allergy
Famous allergist from New York, Dr Tim Mainardi is of opinion that natural herbs are comparatively more effective than any other drugs and among them, one of the scientifically proven fighters of allergy you have, is Green tea because it is a natural antihistamine. According to his suggestion, if anybody starts to take two cups of green tea a day about two weeks before the arrival of the allergy season, it is likely to resist allergic infection. Mainardi also says that there is an another natural herb called butterbur, which effectively fights allergy as well as antihistamines. Apart from this Liquorice root is also a good choice because it helps to helps to raise the level of naturally produced steroid in your body and ameliorate immunity system.

Cook with turmeric to get rid of allergy:
If you taste every Indian dishe, you would get one spice common in all of them and that is Turmeric. Bharat Aggarwal, an Indian allergist expert from Houston considers Turmeric more efficacious than any other drugs in certain conditions as it contains Curcumin. It is why Turmeric may act as a decongestant. Though in the end, it should be mention that before you go with the natural treatment you should consult your doctor because these natural treatments would incorporate various alterations in your diet and medication.

Allergy - Top Natural Cures You Can Opt For!

Food allergy is actually an abnormal response triggered by the immune system to food as if it is threatening. Food intolerance looks similar to food allergies. However, the difference lies in how each one of them affects an individual. Food allergy is extremely intrinsic and to an extent, affects the internal organs. 

On the other hand, food intolerance is less severe, mostly just affects the digestive system due to the inability to digest that particular food properly, leading to an upset stomach. Most of the people suffer from food intolerance only, but they confuse it with food allergy.

About ninety percent of all cases of food allergy are related to only eight types of food as per research statistics. These are milk, tree nuts, egg, peanut, soy, wheat, shellfish, and fish.

The Reaction:\

In order to understand how symptoms manifest, it is of utmost importance, in this case, to understand how an allergic reaction to food occurs. An allergic reaction is a bi-step process as discussed further.

Step1: On exposure to the food allergen for the first time, the body reacts abnormally and produces IgE antibodies against the perceived allergen. These circulate throughout the entire body with blood and attach themselves to basophils (found in blood) and mast cells (found in sites like the nose, lungs, throat, gastrointestinal tract, skin, etc.).

Step 2: The next time the body is exposed to a particular food allergen, it gets alert and alarms the tissue that releases histamine in large quantity. Depending on the site of release, allergy symptoms are caused, ranging from mild to severe to potentially life-threatening (for example, in anaphylaxis).

The time span for an allergic reaction manifesting into symptoms can vary between a few minutes to several hours post exposure to the food allergen. The site of mast cells for release of histamine greatly affects the location and timing of the reaction.

Who is at Higher Risk?

If a person has a family history of developing a food allergy, it creates even greater chances for him/ her to have the same or similar reactions. If both the parents have some kind of allergic reaction to food, it is very likely that the child would have that too.

Symptoms:

Symptoms of food allergies largely depend on the sites of mast cells that release histamines. It is possible that these sites are located in nose, ears, or throat leading to itching in mouth, having a trouble in swallowing and breathing, and swelling of lips and tongue. If the location is in the gastrointestinal tract, it may lead to vomiting, diarrhoea, and abdominal pain. If it is in the skin, it might lead to hives, itching, decolourization, pigmentation, worsened eczema, etc.

Cross Reactivity:

If a person has an allergy to a particular food, it is advisable to abstain from similar types of food. For example, if somebody is allergic to crab, he/ she should abstain from shrimp, crayfish, lobster, etc. too as they might also trigger the reaction. This is called cross reactivity.

Treatment:

It is always advisable to abstain from foods which cause an allergic reaction in an individual. However, in case it has already occurred, there are two major types of medication which help in relieving the symptoms. Antihistamines are used for treating mild to chronic reaction, whereas adrenalines are used for severe reaction like in anaphylaxis.

Take Away:

Food allergy is usually a condition for life and cannot be permanently treated. However, symptoms can be relieved. Therefore, it is advisable to avoid the allergy, causing group of food.

Food Allergy - Everything About It!

Most men, about 60%, see some development of breast tissue in their lifetime. This growth could be round, symmetrical and occurs bilaterally. This growth of breast tissue in males is medically known as gynecomastia.

Causes:

The most common cause is an imbalance between the oestrogen and androgens, with excessive oestrogens leading to the growth of breast tissue.
Excessive use of anabolic steroids
Obesity
Unknown reasons
It can affect men of all ages, and if this presents as a serious problem, then surgery is the most definitive form of treatment.

Surgical options: There are two major options available for correcting gynecomastia   liposuction and excisive surgery.

Liposuction:

Done either under local sedation or under general anaesthesia depending on the extent of the tissue proliferation
A small incision is made either in the armpit or around the areola
Excessive fat tissue and breast gland tissue are suctioned out
The chest contour also is altered at the same time, if desirable
Post-surgery, the person is made to wear a compression garment for the first few days
This helps in keeping the tissue in place and also helps reduce swelling
Healing takes about a couple of weeks  time, depending on the person s overall health status and the extent of surgery.
Excisive surgery:

This is done when the extent of gynecomastia is more severe
These people would have sagging, stretched skin around the breast area
More amount of fat and glandular tissue can be removed through excision
This is more often done under general anaesthesia
The incision is often done around the areala (dark portion around the nipple) so it is concealed or along the natural creases which are formed due to excessive breast tissue
Excessive breast tissue is removed and the incisions are closed
There could be swelling, pain, bruising, and higher chances of post-surgical infections
Recovery will take about ten days to two weeks
Refraining from exercise is often advised for up to 2 weeks
Benefits:

Restore a masculine appearance
Shorter surgery
Faster recovery
Minimal or invisible scars
Almost immediate results that can be dramatic
Improved confidence and self-image
After the surgery:

Surgery is definitely a sure way to remove the male breast tissue, it is almost a permanent treatment for this condition.
It is very important to get a trained, experienced surgeon for the procedure
It is important to follow post-op instructions including pain management, infection control, and recovery
If it was caused by use of steroids or obesity, lifestyle modification is essential to prevent recurrence

Enlarged Breasts In Men - Surgery At Your Rescue!

It is said that the mind controls the body. If the mind is healthy so will the body be. The condition of the mind is often reflected in bodily symptoms and conditions including illnesses.

The temptation in mostly to treat with heavy drugs that might offer temporary relief but have dangerous side effects and do long term harm.

Homeopathy tackles this issue considering safety and cure in a balanced manner to ensure recovery but without harmful side effects.

The concept of psychosomatic disorders has been in existence since the time of Sigmund Freud. The belief is that with the varied emotions that a person experiences, each disease manifests with a different set of symptoms in each person, implying that each person needs to be treated differently and not given the same disease-specific medication. This is where homeopathy plays a very strong role in psychosomatic disorders as it also believes in treating the person as a whole and not just the symptoms.

In homoeopathy, we base our prescription on what we call constitutional symptoms where we give lot of importance to the mental symptom as well as to the characteristic physical symptom. Hence every prescription from a Homoeopathic physician will surely include an element of psychosomatic angle. It is beyond the scope of this editorial to mention all the remedies of Materia Medica which has the scope for the treatment of psychosomatic disorders.

The homeopath always undertakes a thorough discussion with the patient to understand the accompanying symptoms in detail and then arrive at a customized treatment plan.

Some of the most common psychosomatic disorders include irritable bowel syndrome, migraine, GERD, ulcerative colitis, and allergy disorders.
Specific substances are given to manage anxiety, depression, irritability, insecurity, paranoia, etc. These feelings are considered inducers for the above disorders, and managing them can help bring about a harmony in the patient's overall health.


GERD: Gastro esophageal reflux disease is a disorder that results from stomach acid moving backward from the stomach into the esophagus. GERD usually happens because the lower esophageal sphincter (LES), the muscular valve where the esophagus joins the stomach, opens at the wrong time or does not close properly.

Homeopathy For GERD:
Homeopathic medicine relies not only on identifying the symptoms of the disease, but on a variety of personality traits, the person's mental state and other characteristic symptoms a patient exhibits which correlate to any particular remedy. When choosing a correct remedy for the treatment of heartburn, all aspects of the patient are taken into account.
These are some of the Homoeopathic medicines that may prove beneficial:- Argentum nit, Cal.carb., China, Carbo veg, Lycopodium, Nat. phos, Nux vomica, Phosphorus, Pulsatilla, Robinia, sulphuric acid etc.


Migraine: Migraine is a form of headache. The pain is usually throbbing, pulsating and bursting in character. At times, the pain is one sided or may involve the whole head. Such pain may last for hours or even days. It is often accompanied by other symptoms like nausea or vomiting. At the same time, there is increased sensitivity to light and sound. In some cases, the pain is preceded by some warning symptoms like flashes of light, temporary blindness or tingling sensation in the limbs.

Homeopathy for Migraine:
Belladonna is widely used homeopathy remedy for migraines, where headache is throbbing and violent, occurs suddenly, worsens on touching, and relieves with pressure. Glonoine is useful in congestive headaches with a reddened face that is worsened by sun or heat. Natrum Mur is useful in cases where headache is brought on by grief or stress.

Ulcerative colitis: Ulcerative colitis is a serious chronic inflammatory disease of the large intestine accompanied by ulcerated lesions of the intestinal tissues. It is characterized by episodes of abdominal pain with profuse diarrhea in which large quantities of blood, pus, and mucus are present in the feces. There is an urgency to move the bowels, as many as, three to ten times per day. It may be accompanied with pain, nausea, and vomit. Because of the loss of blood, the patient may become dehydrated and anemic.
Complications of ulcerative colitis includes liver and kidney disease, peritonitis, toxic mega colon, and risk of developing colon cancer.

Homeopathy for Ulcerative Colitis:
To identify the actual inducing agent, some foods are removed to see if they are inducing attacks. Once identified, that is removed from the patient's diet. In addition, aloe, arsenicum album, carbo vegetabilis, colocynthis, are commonly used remedies for ulcerative colitis. The patient is asked for associated symptoms like bleeding diarrhea, color of the feces, involuntary defecation, abdominal pain, anxiety, cramps, and stress before deciding on a treatment mode.

Irritable Bowel Syndrome: Irritable bowel syndrome, also known as spastic colon is a functional disorder characterized by recurrent abdominal pain, cramping, and bloating. Some people suffer from constipation, which means hard, dry stools, difficult to eliminate, leading to straining without success. Some people experience diarrhea, with frequent loose watery stools.

Homeopathy for Irritable Bowel Syndrome:
Sulphur, Pulsatilla, Phosphorus, Nux Vomica, Lycopodium clavatum, Argentum Nitricum, and Silicea are commonly used homeopathic remedies. Associated symptoms that need to be considered before deciding on a therapy include frequency of stooling, nature of stools, abdominal bloating, restlessness, irritability and nervousness.

Homeopathy is a preferred mode of treatment for psychosomatic disorders as they aim at a holistic treatment of the individual and not just at symptom management.

Allergy: Allergy is an abnormal reaction or increased sensitivity to certain substances. The allergic individual produces symptoms when exposed to these substances, which are harmless to non-allergic people. The main reason for this is that allergic people make a special type of antibody called immunoglobin E (IgE), which can react with environmental substances in harmful way. These substances which lead to secretion of IgE antibodies are called allergens.

Homeopathy for Allergy:
Few important remedies for the homeopathic treatment of allergy are- Histamine, Natrum Mur, Kali Bich, Sepia, Hepar Sulph, , Carbo Veg , Sulphur, Bryonia, Nux Vom, Apis Mel, Ailanthus, and Justicia adhatoda.

Psychosomatic Disorder - Only Homeopathy Cures

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