Hoarseness in the simplest sense means, 'hoarse voice'. It may be defined as an abnormal voice change. It is experienced in the form of strained, rough, thick, harsh and grating voice. Variations can be felt even in the loudness and pitch of the voice.

Hoarseness is a temporary infection associated with the larynx, which is also known as the voice box in animals as well as humans. Vocal cords are present inside the voice box. Depending on the vibration of the vocal cord, different sounds are produced.

What are the general causes of hoarseness?

Hoarseness may be caused by common cold, viral infection, cough, irritation due to screaming, smoking, allergy, thyroid problem, acute laryngitis and benign tumor. In adults, the stomach asset comes up to the throat causing hoarseness. Heartburn can also be one of the causes.

When hoarseness arises due to common cold and cough, it will last for 2 to 3 days and will subside using cough suppressant and home remedies like salt water gargling, drinking hot milk with turmeric and pepper powder. As cough or cold suppress, hoarseness will also reduce.

When to see an Otolaryngologist (ENT specialist)?

ENT stands for ear, nose, throat. Serious infections in these areas are treated by an otolaryngologist. It is very essential to consult this specialist if hoarseness lasts for more than 2 to 3 weeks; pain in ENT is not due to cold or flu, coughing up blood, lump in the neck.

Evaluation

The medical specialist starts his diagnosis by physically examining the vocal cord. Flexible light weight fiber optic tube scope is also used to visually examine the larynx area. Videotaping, acoustic analysis is also done to study voice irregularities, airflow to guide treatment.

How can hoarseness be treated?

The mode of treatments depends on underlying the cause of the problem. The patient may be advised:

In most cases, hoarseness can be treated just by resting your throat or modifying the use of your voice.
To avoid smoking or passive smoking
Referred to a speech therapist to improve sound of voice.
In case of benign tumor the nodule or polyp is removed by surgery.
How can you prevent hoarseness?

We've all heard the phrase, 'prevention is better than cure'. Alas, it is. Preventing hoarse voice and throat is a much better option than treating it. Here are some tips on how to prevent hoarseness:

Avoid smoking
Avoid overconsumption of caffeine and alcohol.
Consume plenty of water
Avoid eating spicy food.
Avoid speaking loudly for long intervals of time.

How Hoarseness Can be Treated

There are various neurodegenerative disorders and Huntington Disease is one of them. It is characterized by loss of thinking ability, chorea or uncontrolled writhing and jerking movements, and psychiatric difficulties. 

Nerve cells in the brain are impaired in this disease. This leads to loss of coordination and involuntary movements. As the disease progresses, patients slowly fail to control their throat and mouth muscles and simple tasks like eating, swallowing, and speaking becomes challenging.

Huntington's Disease may also affect the reasoning and thinking abilities of an individual and makes communication and conversations more challenging. The problem of swallowing food can lead to choking as food can go down the wrong way or a lung infection in more severe cases. 

Speech-Language Pathologist or Speech Therapist helps the patients with speaking and swallowing problems with the help of various therapies.

Visiting a Speech-Language Pathologist in the initial stage of Huntington's Disease is advised. This helps in planning in advance about the ways to handle changes as the disease progresses. The therapist can help the patients when they begin showing an inability to speak or understand and swallowing problems. The symptoms showing swallowing difficulties may include choking, coughing and altered eating habits of the patient and loss of weight.

Symptoms

Dysarthria, in which the ability to remember words, understanding and forming a sentence is not lost but clear speech becomes difficult.

Stammering.

Slow or imprecise speech.

Aphasia, inability to understand what is being said and inability to remember grammar and vocabulary, and the pattern of losing a word in between the sentences.

Weak voice or low volume because of respiration issues.

Scanned Speech or unusual lengthy pauses between words.

Problem with pitch control and resonance.

Treatment

The progression of Huntington s disease varies from patient to patient and the therapy also varies as per the needs and challenges of the patients. The therapy usually starts with the discussion of problems and symptoms faced by the patients. 

For swallowing difficulties, patients may be recommended to maintain a journal of swallowing problems and fixing a time for meal intake every day. He/she may be recommended to eat soft food items, and eat slowly and chew the food properly.

As for speech therapy, one may be recommended breathing exercises. The therapist may demonstrate the patients how to overemphasize certain mouth movements to make the words easier to understand. The family of the patient is advised to reduce distraction while communicating with the patient. 

Assistive devices can also help with communication such as computers, smartphones or tablets. Other low-tech objects from everyday life, such as calendars, picture boards with a depiction of daily life activities, and object images and notebooks can also be helpful.

Take Away
Huntington Disease is a brain disorder where it becomes difficult for a person to control mouth muscles. In this, speaking, swallowing, and eating becomes a task for them. There are speech therapies that can help the patients to gather control over their words and communication problems.

 Huntington's Disease - How Effective Is Speech Therapy In It?

Pilonidal Sinus is the small channel in your skin near the tailbone that may sometimes be filled with pus or fluid. This accumulated pus leads to the formation of abscess or cyst. Pilonidal cysts occur near the coccyx or tailbone, right at the top of the buttock crease. Pilonidal sinus consists of dirt, hair and debris that penetrates your skin, becomes embedded and thereby causes infection. Once the cyst gets infected, you may see blood or pus oozing out of the channel, which causes severe pain.
Pilonidal sinus usually affects men and young adults (after puberty). This type of skin disease is mostly observed in people who sit for a prolonged period, such as desk-job workers, truck drivers etc.

What are the causes and symptoms? 
Doctors suggest pilonidal sinus or cysts is caused due to factors such as - hormonal changes during puberty, friction resulting from wearing tight clothes, prolonged sitting, hair growth etc. The hair growing in the region is forced to burrow back beneath your skin. In certain cases, the patient may develop multiple sinuses which connect under the skin.

The signs and symptoms of pilonidal sinus include-

  Pain when standing or sitting for long
  Swelling of the cyst
  Redness and soreness around the affected skin
  Formation of multiple holes (sinus tracts) in the skin
  Foul odor
  Blood or pus oozing out of the abscess
  Hair sticking out of the lesion
Pilonidal sinus can be embarrassing and painful if left untreated for long.

What is the treatment for this condition?
Pilonidal sinus usually goes away on its own, without medical intervention. However, if the cyst becomes infected, it may have to be operated or drained. The commonly used treatment procedures are-

  Conservative treatment - if the condition is diagnosed at an early stage, your doctor will prescribe a broad-spectrum antibiotic to treat a broad range of bacterial infection. This will relieve you from the pain and discomfort resulting from infection.

  Lancing - this procedure involves using a scalpel to open the abscess. Your doctor will give you an anaesthetic prior to the operation. The channel is then cleaned properly to drain out blood, pus or hair. The wound is packed with a sterile dressing and left to heal. It usually takes about a month for the wound to heal, after which no further treatment is required.

  Phenol injections - for this procedure, first and foremost, your doctor will give you anaesthetic so that you don t feel any pain. A chemical compound known as Phenol is injected into the cyst. Phenol acts as an antiseptic and is used to harden and eventually close the lesion. This procedure needs to be repeated multiple times to achieve the desired result.

  Surgery - if the pilonidal sinus tends to recur, or if you develop multiple sinus tracts, the most preferred choice of treatment is surgery. The surgeon will open the lesion, remove the debris and pus, and then suture the wound. You will be given an anaesthetic prior to the surgery, and once the treatment is done, you will need to change the dressing more often.
If you suffer from pilonidal sinus, you will also need to maintain good hygiene. Make sure you clean and wash the area with a mild soap, and rinse properly. If your job requires you to sit for a prolonged period, take a break in between your work. Avoid wearing skin tight clothes. Adopting these measures will help prevent the occurrence of pilonidal sinus.

Treatment For Pilonidal Sinus!

Skin rashes are a regular problem in both men and women. These can be caused by a variety of factors, both internal and external to the body. However, rashes on the genitals and the groin area can be very problematic, painful and embarrassing. Some could be caused due to problems within the body while some could be contracted externally such as rashes caused by sexually transmitted diseases.

Types of groin rashes in women
Women tend to be affected by rashes as the genital area along with the innerwear tends to be a fertile breeding ground for microorganisms. Infections can also grow uninhibited if medications or appropriate precautions aren t taken. Some of the common types of groin rashes in women along with their causes are mentioned below.

Chaffing or intertrigo: This is one of the most common forms of rashes, which are both painful and can be unsightly as well; these look like inflamed spots. This is primarily caused by the rubbing of the inner thighs against each other.
Jock itch: Although more commonly associated with men, Jock itch can affect women as well. Medically known as  tinea cruris , jock itch occurs when the moisture from your sweat gets trapped within the folds or creases of skin in the groin area thus, encouraging fungi (dermatophyte fungi) to grow there. It is more common among obese people or if you happen to wear tight clothing during exercise. The rash will look like raised papules, which are red in color and quite itchy.
Infections caused by the imbalance or proliferation of fungi such as yeast: Yeast infections caused by fungi candida usually occur when the pH (the alkaline to acidity) balance of the vagina is disrupted. This will not only result in vaginal discharge, itching pain and discomfort, but will also result in rashes around the vagina along with swelling.
Contact rashes: Dermatitis may be transferred either through skin to skin contact or by using shared utensils and clothing items such as towels. Contact dermatitis or skin infections look like red rashes and can happen anywhere within the body, including the genitals and groin.
Friction rashes: Some rashes occur as a result of adverse reactions to items of clothing rubbing against the skin such as jeans or using razors or the use of nylon thongs. These rashes occur due to the body reacting to these and look more like inflammation of the skin.
Rashes caused by STIs and STDs: Certain rashes may develop on a woman s groin as a manifestation of sexually transmitted diseases and infections. Some examples of these are Chlamydia, gonorrhea or syphilis and herpes; just to mention a few. These are usually accompanied by mild to severe pain and can only be cured after a proper consultation with the doctor.
Get to the doctor: Heat rashes, intertrigo and friction rashes usually go away by themselves. Vaginal yeast infections may require topical creams while other forms of bacterial infections can be treated by creams or oral antibiotics after proper consultation with a physician. If the pain is unusual and the rashes tend to persist along with other symptoms, you should immediately visit your doctor for further analysis and treatment.

6 Types of Groin Rashes in Women

Seborrhea or dandruff can be a very distressing as well as an embarrassing problem. Dandruff, primarily caused due to dryness, refers to the white flakes that fall off your scalp. The problem of dandruff is common for both men and women, irrespective of age. Dandruff is such a problem that cannot be cured easily but can only be controlled. There are many remedies for controlling dandruff.

Eight such remedies are mentioned below:

1. Use anti- dandruff hair care products: using anti-dandruff shampoos and conditioners can help you to control your problem of dandruff.
2. Avoid oiling your hair on a regular basis: dandruff, at times, tends to increase if your scalp is excessively oily. So, to avoid it, try not to oil your hair regularly. Also, if you have an oily scalp, make sure to use the correct hair care products to control the problem.
3. Apply lemon juice: lemon juice is known to be a very effective remedy for treating dandruff naturally. Apply lemon juice all over your scalp to combat the problem of dandruff.
4. Baking soda: baking soda is an effective remedy. Baking soda helps to reduce the excess oil on your scalp
5. Use virgin olive oil: massage warm virgin olive oil on your scalp, this can help you to reduce your problem of dandruff to some extent.
6. Include more vitamins in your diet: a healthy diet can help you to deal with your problem of dandruff more efficiently.
7. Mental stress: reducing your mental stress can help you to control dandruff, since most hair problems occur due to stress or stress related problems.
8. Use the right comb: try using an appropriate comb for your hair. If the comb hurts your scalp, then the skin of your scalp may turn flakier resulting in more dandruff.
Following the above mentioned tips can help you to deal with your problem of dandruff efficiently. If you are unable to control dandruff, you should not ignore it and consider visiting a dermatologist for further advice.

8 Remedies to Treat Dandruff

Dengue fever is a disease caused by mosquitoes which mostly occurs in tropical climates. Dengue hemorrhagic fever is a type of dengue fever that may lead to decrease in blood pressure and severe bleeding. Dengue may lead to death if the symptoms of this disease are not treated at the right time. The symptoms of this disease are high fever, muscle ache, pain in the eyes, pain in the abdomen and nausea. It may also lead to respiratory problems such as breathing difficulties. Presence of blood in the stool and blood spots around the skin are some other symptoms of dengue.

The symptoms of this disease start after 5 - 9 days after being bitten by the mosquito. The disease usually lasts about 7-8 days. In case the symptoms worsen, the disease may become life threatening. The various methods you can employ to protect yourself from dengue are:

Maintain cleanliness around your surroundings: Make sure you keep your surroundings clean so that mosquito infestations do not occur. Keep your surroundings clean and dry as mosquitoes thrive in moist and humid surroundings.
Mosquito repellants: Spray mosquito repellants to keep your home free from mosquitoes. Spray them keeping the room locked to make it more effective. There are multiple types of repellents available such as liquid or gas repellents.
Clothes: You should preferably wear full sleeved clothes so that your skin is not exposed. It provides additional protection from mosquito bites.
Mosquito nets: Use mosquito nets to protect yourself from mosquitoes when you go to sleep at night. They also provide protection from other insects that may cause infections. 
Don't store waste: Don't store your waste products for long durations as they may turn into a breeding ground for mosquitoes. Clean it regularly and make sure to keep the area dry.
Using natural remedies: You may use natural remedies such as burning camphor as it repels mosquitoes. Take camphor and burn it for 20 minutes in a closed room to get rid of the mosquitoes.

Dengue Fever - 6 Ways You Can Protect Yourself Against it

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