Pilonidal Sinus/ Cyst is Characterized By 
   Small nodular swelling in the lower spinal region with occasional discharges that may stain undergarments. Sometimes mild pain may also be noticed. 
   It is usually seen in adults of college/ school going age & with hairy skin. 

Pilonidal Sinus/ Cyst seldom heal with medicinal treatment. Any medication whether allopathic, Ayurvedic or homeopathic may show some temporary relief but do not eradicate the problem. In most of the patients having pilonidal sinus/ cyst, surgeons usually recommend surgical procedures like Z-plasty etc. Even after surgery the chances of recurrences are always there. Post operative pain, hospitalization and chances of recurrence are the factors which suggest that surgery is not the appropriate method of treating pilonidal sinus/ cyst. 

TREATMENT OF CHOICE (AYURVEDA) - 
In Ayurveda, a parasurgical treatment known as Ksharsutra therapy is an effective treatment for pilonidal sinus/ cyst. Treatment method includes proper identification of sinus tract wrt. to its depth, direction and branching pattern. This could be achieved via sinogram or skilled probing. Once the sinus tract has been properly identified, a super specialized medicated thread i.e. Graded ksharsutra  is placed in the tract. The medicine from the medicated thread is gradually released which leads to debridement of the sinus tract which means unhealthy tissue, pus, hairs are expelled out from the tract. The proper and complete debridement of the tract induces healing of the sinus which subsequently heals. The medicine coated thread remains effective for 7-10 days after which it has to be replaced by a new thread. 

Usually, in a sinus of approx. 5 cm length, 6-8 sittings of medicated thread replacement are required at a weekly interval. Ksharsutra therapy being a non surgical opd procedure doesn't involve any hospitalization or bed rest and patients can resume their routine work immediately after treatment. Graded ksharsutra  treatment is the treatment of choice for Pilonidal Sinus as chances of recurrence are seldom seen. The facility of Graded ksharasutra  is available only at Sushruta Anorectal Institute. 

Pilonidal Sinus/ Cyst Treatment FAQs 

Question 1 - What is Pilonidal Sinus/ Cyst Disease? 

Answer - Pilonidal Sinus disease is seen as a small nodular swelling in the lower spinal region with occasional discharges of pus & blood. It is most commonly found in people with hairy skin. Some times mild pain may also be noticed. The main problem is that it keeps on developing again and again after short period of remission. As the problem aggravates, the size of the swelling & pus discharges also increase. It is usually not noticeable in the beginning till it keeps recurring again and again. It is advisable not to get it operated as the chances of recurrence after surgery are pretty high, where as in Ayurveda with the help of Graded ksharsutra , this problem can be completely cured without surgery. *(There is no guarantee of specific results and the results can vary.) 

Question 2 - What are the Causes of Pilonidal Sinus Disease? 

Answer -Pilonidal sinus is also known as the jeep riders back problem. The problem was first recorded on a large scale during world war II in the soldiers who rode jeeps and motorbikes on a frequent basis. Though, the reason behind the occurrence of the issue is really not known it is believed that in growing hairs and hairs penetrating the skin are main cause. The problem is more common in people who have hairy skin. Home remedies for Pilonidal Sinus? Answer - Pilonidal Sinus is an infective condition usually seen in hairy skin individuals. As such there is no home remedy for Pilonidal Sinus. So instead of wasting time in searching for home remedies; you should plan for complete treatment i.e. Ksharsutra Treatment for Pilonidal Sinus as soon as possible. 

Question 3 - What are the ways of identifying a Pilonidal Sinus and Recognizing Signs of Infection? 

Answer -The main problem with identifying Pilonidal Sinus Infection is; it cannot be done till it grows to a certain extent. At first, it appears like a normal boil on the skin. When it does not go away with time; pus starts discharging out of it. We have demarcated a few of the signs that may help you in detecting the problem. 

Sensation of pain while sitting or standing in the low back region. 
The cyst appears swollen 
Pus and blood mixed watery discharge from the cyst 
eddened skin near the cyst 
Cyst forming again and again

Pilonidal Sinus - Say No to Surgery!

Swimmer's ear is an infection of the ear canal, the passage that carries sounds from the outside of the body to the eardrum. It can be caused by many different types of bacteria or fungi.

Swimmer s ear is a kind of infection which occurs in the outer ear canal and it results in an infected ear canal, long-term pain and irritation. Swimmer s ear, as you can understand by the name, is referred in such a way because it is caused by water which is left inside the ear after swimming. The stuck water inside the canal gets damp where bacteria and fungus grows and results in an infection. Now we will discuss what are the causes that can bring such a condition.

Causes of Swimmer s Ear - There are many reasons because of which people suffer from a swimmer s ear: The entry of too much water inside the ear canal, leaves a part of it inside the ear which eventually allows bacteria to infest. The overcleaning of the ear canal with cotton buds causes the ear wax to come out which allows water to enter. When cosmetic chemicals like hair spray, enter the ears, it causes a sensitive chemical reaction which can lead to infection. Careless scratching inside the ear can result in small cuts inside the sensitive canal, where bacteria can infest. Swimming in water without covering your ears can also cause this.

So next time when you are swimming or scratching your ear without safety, remember that it can cause a swimmer s ear. But you may have a question in mind, how will I know if I am suffering from this? We have thus listed the symptoms as well.

Symptoms of Swimmer s Ear-

Constant itching and irritation inside the ear. The pain or itching increases when you pull your year or chew something. There is an acute sensation of blockage inside the ear which is caused because of this condition and results in reduced levels of hearing. Someone suffering from swimmer's ear will have pus or ear fluids draining out from their ears.

Swimmer s ear condition can be easily prevented if you follow some simple but very effective steps like blocking your ear with buds while swimming, cleaning the ear softly so that no water remains stuck etc. If you neglect any of the symptoms, they can result in a very chronic disease which can even result in hearing loss. So read through our article and understand what Swimmer s ear is. 

Swimmer's Ear - What Causes It?

The inflammatory condition of your sinuses (marked by inflammation of your nasal cavities) caused due to viral, bacterial or fungal infection; any autoimmune disorders or allergic reaction is known as sinusitis. This condition is also referred to as 'rhinosinusitis' as nose inflammation occurs. Sinusitis can be either acute, sub-acute or chronic in nature. Acute sinusitis is generally caused due to the common cold and lasts not more than four weeks. Sub-acute sinusitis is more prolonged in nature and lasts for about eight weeks. Chronic sinusitis is more severe in nature and can last for up to twelve weeks or even more.

The most common symptoms of sinusitis are as follows: 

Severe headache
Nose blockage
Release of yellowish green fluids from your nose.
Fever
Difficulty in breathing
Painful sensation in your eyes, ears and forehead.
Post nasal discharge
Frequent cough
A sore throat
Nausea
Body fatigue
Neck stiffness
Tastelessness and anosmia (loss of smell)
The treatment methods available for sinusitis are as follows:

Intake of painkillers like paracetamol can give you temporary relief from your aches. But consuming too much of these can cause side effects such as loss of appetite and drowsiness.
Keep yourself hydrated by drinking about 2 to 3 liters of water every day and take proper rest.
Steam inhalation can give you relief from nasal congestion.
Using nasal sprays like Oxymetazoline can also give you temporary relief.
Your doctor may advise you antibiotics like Amoxicillin in your sinusitis is chronic in nature.
Immunotherapy helps to treat sinusitis if your sinusitis is caused due to allergic reactions.
Your doctor may also recommend an endoscopic surgery of the sinus if your condition is found to be very severe.

Symptoms and Treatment of Sinusitis

What is allergic rhinitis?
Allergic rhinitis is defined as allergic symptoms in the nasal passage. Allergic rhinitis can be seasonal (occurring during specific seasons) or perennial (occurring year round). The allergens that most commonly cause seasonal allergic rhinitis include pollens from trees, grasses and weeds, as well as spores from fungi and moulds. The allergens that most commonly cause perennial allergic rhinitis are house dust mites, cockroaches, animal dander and fungi or moulds. Perennial allergic rhinitis tends to be more difficult to treat.

How does allergic rhinitis occur ?
This condition occurs when allergens (allergy- causing substances) come into contact with the nose, and usually also the ears, sinuses, and the throat. When allergens come in contact with the lining of the nose and sinuses, they trigger the cells to release the chemical histamine, which causes the allergy symptoms described below.

What are the symptoms?
Nasal congestion 
Sneezing 
Watery " runny nose" 
Itchy eyes,nose,or throat 
Puffy eyes or 'allergic shiners'
Post nasal drip 
Tears 
These symptoms may occur during a certain season or year long. They can occur at any age. 

Risk factors for allergic rhinitis?
Allergies can affect anyone, but you re more likely to develop allergic rhinitis if your family has a history of allergies. Some external factors can trigger or worsen this condition, including:

cigarette smoke
chemicals
cold temperatures
humidity
wind
air pollution
hairspray
perfumes
colognes
wood smoke
fumes
Ayurvedic concept of rhinitis
As per Ayurveda, Allergic rhinitis is compared with Vata- Kaphaja pratishaya. The concept of Ama, Asatmya and virudh aahara also predict the allergic conditions.

Ama is the product of impaired digestion and metabolism. It affects Rasa and Rakta Dhatu leading to manifestation of Pratishyaya. Wrong food combinations (Virudh aahar) having antagonist properties like fish with milk, fruit juice with milk, clarified butter with honey, ice cream after night meals, etc. leads to allergy.

Ayurveda believes in balancing the three doshas present in the human body, thus treating the disease on the whole. Treatment involves clearing the sinuses and expelling phlegm, alleviating the relevant dosha and detoxification. To permanently resolve this disorder, dietary and lifestyle adjustments may be necessary in addition to the strengthening of the immune system. Panchakarma is an effective means of treating Allergic Rhinitis.



Ayurvedic treatment for allergic rhinitis:
If the symptoms are severe and in chronic conditions, Vamana Panchakarma treatment, followed by Virechana is administered. This helps to relieve Ama and balance Tridosha.
In some cases, where the patient has normal digestion strength, Nasya treatment (nasal drops therapy) is administered with herbal oils such as Anu taila or Shadbindu Taila. 
After the above Panchakarma treatments, Ayurvedic medicines are administered to improve respiratory immunity and strength of upper respiratory tract.
Useful Ayurvedic medicines in treating allergic rhinitis:

Nimbarajanyadi tablet   Contains neem and turmeric as main ingredients.
Chavikasavam   Fermented Ayurvedic liquid, also used in urinary tract disorders.
Mahalaxmi Vilas Ras   Also useful in the treatment of skin diseases, diabetes, Sinus, non healing wounds, etc.
Other medicines: Narada lakshmi vilas rasa, Anand bhairava rasa, tribhuvan kirti rasa, shringarabharaka rasa, Mayur shringa bhasma, Abhraka bhasma, Lavangadi pills, Sitopaladi choorna, Marichayadi yoga, vyoshadi pills, Khadiradi pills are suggested.

Diet management:

Take  Light food, lukewarm water, Kapha nashaka foods like little spicy food, saindhav salt, legumes, soups etc.
Avoid heavy food, fermented food, congestive food, too hot or too cold food, soar food, non vegetarian food, sweets, banana, curd, yogurt, ice creams, deserts, cakes, yellow grams, etc.
Avoid Alcohol and cold beverages. 
If you wish to discuss about any specific problem, you can consult an ayurveda.

Allergic Rhinitis - Signs That You are Suffering from it

Dizziness, vertigo and balance issues are common symptoms and most of us may have experienced momentary symptoms. It is a sensation of feeling a movement even after the movement has stopped. For example the sensation we feel when we get off a merry-go-round or feeling butterflies in the stomach when we are on a roller coaster ride. Imagine if these symptoms are constant and start affecting our day to day activities. Even a simple task of walking can be bothersome as we may feel like our body is drifted and we cannot balance properly. We may feel a severe spinning sensation when we change position from lying down to sitting or rolling over in bed. It can also cause fear, anxiety and make us limit our movements and activities. These may cause more complications such as neck pain, headaches, body pains and depression. It is therefore very important to find out the root cause of vertigo and treat it immediately.

Dizziness is a sensation of light-headedness or unsteadiness. It can be caused heart disease, brain related causes like stroke, prolong illness, psychological issues, side effect of certain medications, blood pressure fluctuations and many other conditions. Neck stiffness, pain and weakness can also cause dizziness called Cervicogenic dizziness or Cervical Vertigo.
Vertigo is a spinning sensation or a feeling of motion when we are not moving. Its a common symptom in inner ear disorders. Some of the conditions that cause vertigo are: BPPV or Positional Vertigo, Meniere's, Labrynthitis, Vestibular Migraines, Vestibular neuritis, mal de barquement syndrome, perilymph fistula, toxicity of ears due to certain antibiotics, acoustic neuroma etc.
Balance problems or Disequilibrium means unsteadiness, imbalance or loss of equilibrium. It can occur as a primary symptom or with vertigo and dizziness.
You need to consult a Vestibular Therapist or Vertigo specialist who can diagnose your problem correctly. If you have Positional Vertigo known as BPPV then specific tests and manevers can help cure it completely. If there is inner ear disease such as Menieres disease, ear infections, labrynthitis or vestibular neuritis then proper medications prescribed by ENT specilialist and Vestibular Therapy can help you get rid of vertigo. In case the symptoms are related to Central nervous system (Brain) then promt treatment from Neurologist and Vestibular Therapist can help decrease vertigo and improve daily activities. If the symptoms are related to the neck called Cervical Vertigo or Cervicogenic Dizzienss then proper treatment of neck by a Vestibular Physiotherapist can help. Also making sure the posture is good when working on computer/laptops for prolong periods can prevent strain and reduce dizziness related to neck and back muscle tightness.

Vertigo & Dizziness - How You Can Get Rid Of It With Physiotherapy?

Laryngitis is basically referred to the inflammation of the voice box or the larynx. It is mainly caused due to infections, which are either viral or bacterial or even fungal. If it is caused due to viral infections, laryngitis may be contagious. Some of the other causes of this disease include the following:

Overuse of voice
Allergies
Acid reflux disease
Smoking
Alcohol intake
Larynx is said to be acute or even chronic. Acute laryngitis is referred to a period of a less than three weeks. It is for a short term. Laryngitis which lasts for more than 3 weeks is usually regarded as chronic laryngitis.

Symptoms Of Laryngitis-
One of the major symptoms of laryngitis is considered the hoarseness of the voice. Other symptoms include dry throat, sore throat or even raw throat. Sometimes there is cough, and difficulty in swallowing. Some people also feel the need to repeatedly clear their throat. Nasal congestion and runny nose are some other probable symptoms of laryngitis.

Homeopathic Medicines For Laryngitis

Argentum Met and Arum Triphyllum   These are usually regarded as the most useful medicines for singers and public speakers. This is because these professionals often suffer from laryngitis due to overuse of their voice. The key symptoms are hoarseness of voice or having a sore feeling in the larynx.
Phosphorus   The violet tickling caused due to laryngitis may be most effectively treated by Phosphorus, which is regarded as the best suitable medicine among other homeopathic medications.
Drosera   This medicine is used for treating laryngitis with a highly nagging cough. This is the best and the most reliable medicine for a dry and irritating cough. There is usually a rough scraping sensation in the throat. In some of the cases, the voice of the affected person may be cracked. There are also incidents where people have difficulty in swallowing food.
Causticum - Laryngitis caused due to exposure to cold air is wonderfully cured by Causticum. It is considered to be one of the top-graded homeopathic medicines for the treatment of laryngitis.
Belladonna and Iodum   Belladonna and lodum are two of the most reliable medicines in homeopathy for treating laryngitis, which is caused due to hoarseness. These have a miraculous power to cure the pain in the larynx. Belladonna is prescribed when voice is hoarse and it is highly painful.
In order to know the best medicine for you, it is advised that you consult a homeopathic practitioner.

Best Homeopathic Medicines For Laryngitis!

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