Blisters can be a very major inconvenience. Though it seems to be a good idea to pop a blister yourself as it can otherwise cause distraction or may be uncomfortable and unsightly, puncturing it often does more harm than good. Here are a few ways mentioned about how to treat blisters. Read on more to find out all about it.

1. For a Blister which has not popped
a) Try not to pop the blister as the pus if spread can affect other areas
b) Leave the blister uncovered or cover it with a loose bandage
c) Avoid putting pressure on the area of the blister. If the blister has appeared in areas where applying pressure is unavoidable like for example at the bottom of the foot, put mole skin around the blister in a circular fashion such that the mole skin gets the shape of a donut.

2. For a blister which has been popped
a) Wash the area where the blister appeared gently with warm water. Apply gentle soap in the area as well to disinfect the region. Do not by any chance use alcohol, hydrogen peroxide or iodine in the area as it would cause complications.
b) Smooth down the skin flap which remains after the blister pops. 
c) Apply antibiotic ointment in the affected area to prevent infections
d) Cover the region loosely with help of a sterile bandage or gauge.

3. When to drain a blister
a) For blisters which are painful, large or in awkward spots, it is better to drain them. Be careful and cautious while draining the blister and follow the below mentioned tips.
b) Wash the area where the blister has appeared.
c) Take a needle and sterilize it with alcohol and water.
d) Make an incision at the edge of the blister and carefully squeeze out the pus.
e) Wash the blister again and pat dry. Do not remove the skin flap which remains there after draining.
f) Smoothen the skin flap and apply antibiotic ointment in the region.
g) Wrap it up with a loose sterile bandage or gauge.

4. Follow up
a) Change the bandage on a regular basis, whenever it is wet or dirty.
b) Consult a doctor immediately if signs of infections like red streaks around the affected region, fever, or accumulation of more pus occur.

However, for blisters which have formed due to spider bites, chicken pox or such consult a doctor first.

All About Blisters and their Treatment

HPV refers to Human Papillomavirus. This is a common virus, which has got more than 100 different types and over 40 of these types are transmitted sexually. This virus may cause cervical cancer and cases of genital warts. It is likely to occur in people who are sexually active to contract genital HPV, and it is not accompanied by any signs or symptoms. The virus is transmitted via skin to skin contact and is severely infectious in nature. Using condoms may reduce the risk of spreading of this virus, but is not always successful.

There are two major vaccines for HPV. 

Gardasil: This vaccine prevents the most common HPVs which are associated with genital and anal cancer, and also warts of both genital and anal type.
Cervarix: This type of vaccine prevents HPV associated with the occurrence of cervical cancer.
Reasons for vaccination against HPV

HPV vaccines are recommended to girls between 11 and 12 years. It is also given to girls and women between the age of 13 and 26 years, who have never been vaccinated against HPC before. These vaccines should be given to females before they start being active sexually and get exposed to the HPV virus. Sexually active females benefit from these vaccines as well, but the effect is less.

Here are three reasons why you should vaccinate against HPV:

All types of HPV vaccine help in the elimination of the viruses which cause cervical cancer. Viruses causing cancer in the vulva, vagina or anus are also targeted by these HPV vaccines. The HPV vaccines also protect against genital or anal warts. HPV vaccines work effectively in the prevention of cancers caused by HPC viruses and also curb the common health problems which are accompanied.
The effect of HPV vaccines is quite long lasting in an individual who is vaccinated against HPV. Usually it lasts for ten years or more without having any related disorders or cancers. The protection does not weaken over time and remains stable.
HPV vaccines are licensed by the FDA to be completely safe and efficient to use. Extensive studies have been carried out globally, and no safety concerns have ever arisen. The side effects of HPV vaccines are usually quite mild. However, a little amount of pain, dizziness and nausea are involved.
HPV vaccines are a series of effective vaccines, which prevent the occurrence of cervical cancer and other cancers which are sexually transmitted. They are generally given to women before getting sexually active to prevent transmission of HPV viruses. Some HPV vaccines are prescribed to males as well.

3 Reasons To Vaccinate Against HPV

Tummy tuck or abdominoplasty is a frequently performed cosmetic procedure which is meant to improve the looks or appearance of your abdominal region. The primary goal of this procedure is to remove excess skin or fat from the abdominal region and then reconnect the tissues with sutures to get a more toned and flat look.

The requirement for abdominoplasty
The tummy tuck surgery is for someone who has folds of fat or skin on their abdominal region that results in an unsightly appearance and causes body image issues. These problems may be caused by multiple factors, some of which are mentioned below:

1. Significant weight loss: Men or women who have lost a lot of weight tend to have excess loose skin on their bodies as a result of the skin being stretched over a long period of time.

2. Pregnancy: Many women who have gone through multiple pregnancies also have similar problems as the skin in their abdominal region tends to stretch over multiple times which may result in the skin becoming flabby.

3. You have a weak lower abdominal wall: Some patients tend to generally have a weak lower abdominal wall which over the years tends to protrude and hang. This results in a misshapen body which they want to correct for body image issues. 

4. To correct scarring from C section: Many women who give birth via C-section tend to have a scar on their body and some abdominal contouring can change the shape and size of the scar, which in turn not only tightens the tummy but also hides the scars.

Considerations before abdominoplasty
Abdominoplasty isn't recommended if you fall under any of the following categories:
1. Still have to lose weight: If you have to lose a lot of weight, then it is advised that you wait till your goal weight is reached and only then consider this procedure. Abdominoplasty isn't meant to reduce weight, but to take out excess skin and flab that remains after weight loss

2. Plan on becoming pregnant again: If you are planning to become pregnant again, then the muscles and tissues in your abdomen might loosen and cause a flabby belly again.

3. If you have heart disease or other conditions: If you have heart related conditions or are diabetic, then abdominoplasty won't be considered as it might put you at high risk of complications after surgery.

Abdominoplasty - An Overview

The process of breast augmentation, popularly known as breast enlargement or implants, effectively increases the size of the breasts through insertion of silicone gel implants or saline implants. It is known to be popular among women and is frequently done and shows quite satisfying results.

Why do women opt for breast augmentation?

Some women opt for implants to enhance their figure
Others opt for implants, when they experience some sort of sagging or alteration to their breast after a pregnancy or after losing some weight and even due to old age.
Some women also choose enhancement surgery, if they feel that one breast is smaller than the other.
What does a breast augmentation procedure involve?

Breast augmentation surgery is generally performed, while the patient is under the influence of general anaesthesia. In case of enhancement with the help of implants, an incision is made in the breast tissue and a pocket is created to place the implants. Once these implants are successfully placed the incision is closed and is allowed to heal.

What sort of implants is available?
There are basically 4 types of implants that are recommended on the basis of the body type:

Saline filled breast implants: These implants contain sterile water and are either pre-filled or filled during the surgery.
Silicone filled breast implants: These implants contain soft elastic gel and come prefilled. These types of implants also require an incision which is longer in size.
Cohesive gel silicone implants: Commonly known as 'form stable'implants, they contain cohesive gel that is more firm and thicker than normal silicone implants.
Autologous fat transfer: It consists of fat that has been removed through liposuction from a part of the body, like the abdomen or thighs. The fat is then refined and injected into the breasts. However, implants done through this method is not very common and is currently under research.
Breast implants are generally supposed to last for life, but on occasions they may need replacement. Thus regular check ups are essential, so as to monitor the condition of the implants.

All About Breast Augmentation

Psoriasis is a chronic dermatosis characterised by an unpredictable course of remissionn & relapse. It is an non-infectious skin disaease chracterised by scaly, silvery patches mainly on the scalp and extensior surface of the body. Its exact cause is unkown. In ayurveda, it is closely resembles with ekakushta. The features of ekakushta explains in ayurveda classics resembles with the symptoms of psoriasis. Psoriasis is the challenge for modern science. There is no definite treatment for psoriasis in modern science till today. The drug available in the market use to treat psoriasis are not very effective and have local and systemic effects.

In ayurveda, vata pitta and kapha dosha is the main contributory factor for the disease. Due to vitiation of three dosha, the disease manifest and main line of treatment for psoriasis is panchkarma and internal medicine. It is considering the best approach for skin disorder in ayurveda. A case report of 42-year old male, presented with well demarcated red scaly, silvery patches mainly on both legs, hands, scalp, chest and back with itching, and also nail and joint involvement has been presented in this article.

Etiology of Psoriasis: 

Unknown but many factors have been associated-

Genetic: may be autosomal dominant

Triggers: physical trauma ,infection and drugs.

Biochemical change: like increase level of arachidonic acid and Cgmp.

Immunological factors: helper T cells PLAY A KEY ROLE.

Epidemiology: 

Roughly, 1% of population is affected. Can occur at any age and affected both sex. Most patients as worse in winters.around 7 million people are affected in developed country.

Histopathogenesis:

Increased epidermal cell proliferation.

Retention of nuclei in stratum corneum.

Proliferation of fibroblast.

Dilated and tortous capillary loops.

Shortened epidermal turnover time from normal of 60 to 10 days.

Clinical features: Usually chronic indolent lesions which persist for month. Lesions are mildly papule or plaque.erthematous plaque lesions with characteristic slivery, large, loose scales. The patients of psoriasis may also suffer from depression and low self-esteem.

In a patients with psoriasis always check for nail and joint involvement.

Nail: 10 to 15% of the patients have nail involvement. Pitting, nail plate thickening, subungual debris, discolouration of nail plate and oil spot seen in the nails.

Joints: 10% patients have joint involvement.

Sites: Scalp, pressor points & extensor. Sometimes generalised.

Chronic recurrent psoriasis is difficult to treat. Modern science treat with PUVA and corticosteroids but these drugs having local and systemic side effects like liver and kidney failure etc. So, it is the time to find out the effective and safe treatment for Psoriasis. Medicines which are used in ayurveda are safe and practised since many years. A huge numbers of drugs are prescribed in ayurveda for the treatment of kushta.

Case details: A 42-year old male patient, hindu brahman by religion, presented on 10 april 2016 with well demarcated raised red scaly, silvery patches on chest, back and both legs and hands. He complained of itching all over the body and on scraping, white powder like substances fall down and leaves a bleedy surface. On history, patients had complaints since 20 years and diagnosis of psoriasis by allopathic physician. Since 20 years he has been taking allopathy and homoepathy patients from various practioners of U.P and delhi. He is brahman and lives in well known temple of delhi and visit homes of peoples for religious ceremony. He is afraid that if the disease is spreading continously, then he is unable to work as priest because people neglect him due to disease. The disease is spreading all over his body and also involves nail and joint. Destruction of nail plates of hand and legs was also developed. For this, patients took allopathic treatment for such a long time but do not get relief.

The patients visit our clinic for the first time. He told use that his problem not solves since 20 years and spreading continuously. So, he is unable to trust us. So, we first give him counselling because reassurance and emotional support are invaluable. Physical and mental rest enhance the effects of the treatment. It is also important to tell him that the disease is not contagious and is benign.

SYMPTOMS OF THE PATIENTS :

Itching all over body

Silvery patches, especially, on legs ,chest ,back but now spreading in his hand and scalp.

Destruction on nail plates

Swelling and pain in left middle fingers and flexor deformity in proximal interphalangeal joint

Swelling in right middle metatarso phangeal joint and pain

Some blood test of the patients were done like CBC, LFT, KFT, SR, URIC ACID to assess outcome.

His general health was good and both physical and all blood test were within the normal limts.we advise patients for panchkarma and oral medication but patients refuse for panchkarma so we start his oral or internal medication. 

Investigation Done :

CBC(Complete Blood Count)

LFT(Liver Function Test)

KFT(Kidney function Test)

Sr. Uric Acid

Investigation was done to rule out any other pathology. Investigation were within normal limit.

Internal Medication :

Medication are given into two phase. In First Phase, we are given panchsakara churna - one spoon two times daily for anulomana and pachan, Panchnimba churna- one spoon two times daily with luke water, panchtikta ghrita gugulu - two tab two times daily, and one oil for local application containing jyotishmati,bakuchi, and chakramad for five days. We told patient to apply the oil firstly only on legs for 5 days. Patient taking the same for 5 days and come on 5th day, we see the fabulous result, the rashes which are developed within 4 to 5 months just disappear and other rashes are also subsiding.

After 5 days, in second phase, we continue the same treatment and also added haridra khand - one spoon two times daily, gugulu tiktam kashaya - three spoon two times daily (one hour before food for 15 days). The patient came back on 20th day, with great result, the rashes were almost 60 % subsiding and pain and swelling in finger and ankle also reduce to great extent. Now, patient is not taking any pain killer for pain. Patient also get improvement in nails of legs.

We prescribe the same medicine for one month that time and ask him to do some physiotherapy additional for finger deformity. After that patient came with 70 to 75 % relief in symptoms and patients also tell that during the treatment, he will not develop any additional rashes.

During the treatment, we also told the patients to follow some dietary changes and live according to the rules of Ayurveda.

Result: Psoriasis is a disease with unkown etiology and triggered by many factors. In modern science, treatment of psoriasis is a challenge. They do not have any safe and proper medicine for psoriasis. But, ayurveda treatment gives satisfactory results as well as the quality life to the patients. Ayurveda removes toxin out of the body and corrects the formation of aama. Ayurveda gives the prevention as well as the treatment. So, by following the dietary and lifestyle change we prevent the reoccurrence of the disease.

Ayurveda For Psoriasis 

Bedtime skin care to prevent acne

Skin repairs and rebuilds at night time while you rest, so it makes sense to follow good skin care routine before going to bed every night.

3 most effective bedtime skin care tips that rejuvenate your skin.

1. Cleanse and moisturize your skin: Your skin is exposed to kinds of pollutants, allergens, makeup during daytime. So cleanse your skin properly. Then apply vitamin E based moisturizer to keep your skin hydrated.

2. Use clean pillowcase: Many pathogens and oil may reintroduce to your skin if you use unwashed pillowcase. Thus make it a habit to use a clean pillowcase, preferably made of silk fiber, which keeps you away from the risks of pimples and other skin infections.

3. Don’t sleep with your phone: Your phone collects many bacteria and other microbes during daytime. Thus it is better to keep your phone away while sleeping to avoid any counter infections.



3 Highly Effective Bedtime Skin Regimen to Prevent Acne and Wrinkles

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