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!

Every person is familiar with the remark  Stop fidgeting  but does anybody ever wonder why do humans fidget? Is there any scientific reason for such an action? This article will throw light on the underlying causes for what is known as fidgeting.

Fidgeting and its underlying causes

Scientific research has revealed that fidgeting has many benefits still most people get annoyed when they see another person twitching and tapping. Most people do this seemingly without any control over their movement when they are ordered to be still. Research shows that there is at least one biological reason to back this action.
Since the same brain area is used for movement and speech, it is only natural that gestures are interlinked with thorough preparation for a speech. People tend to move their hands more when they are looking for a word to say, but are not being able to find it. In a recent study, it was found that school children between the age of 6-8 years who use their hands a lot can come up with the right answers during lessons.
While this is one theory, another neurological theory suggests that a portion of the mental load is off-loaded through the process of fidgeting when people have to tackle complex problems or thoughts. The theory is called cognitive load hypothesis. The offloading mechanism frees up the mental faculties thus, devoting them to the mental process. While this may not be a definitive explanation for fidgeting, it does go to show that there is a link between a person s hand movements and their thought and speech process.
Other reasons for fidgeting

Other than the cognitive advantages, some evidence has also been found linking fidgeting with metabolism. People who fidget are found to have a higher metabolism and lower BMI. This difference can be seen between thin and overweight people. Fidgeting amidst lollygagging during the day helps burn up to 350 calories a day. Also, fidgeting among other incidental physical activity helps keep an individual fit.
Among other reasons, fidgeting also serves as a coping mechanism for people with ADD. If a person is engaged in something that he/she is not interested in then the additional sensory-motor input that is even slightly stimulating or entertaining helps the brain to get completely engaged. This helps to maintain focus on the actual activity being performed by the individual.
So, fidgeting helps distract that part of the brain that is getting bored. This helps the other parts of the brain focus better on the actual activity. This is known as floating attention which perhaps is an evolutionary trait that dates back to prehistoric times. In those times, the ability to focus entirely on a task with undivided attention was not favorable to the human since doing so could make them unaware of the enormous ravenous beast hiding behind the bushes.
Thus, though there is some degree of understanding is there when it comes to fidgeting, more research studies are required to gain further insight. Consult an expert & get answers to your questions!

Fidgeting - Why Do We Do It?

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?

From a medical standpoint, sex during menstruation is completely fine. Most men have claimed that period sex seems messier when compared to intercourse on normal days, but, other than that, there aren t any risk regarding period sex. In fact, it is advisable to engage in vaginal intercourse during periods for a variety of reasons.

Here are a few things you should know about period sex:

Intercourse during periods isn t harmful: Contrary to the popular myth, period blood doesn t contain impurities which might affect the penis in any way. Instead, menstrual blood is normal blood mixed with disposed off tissues from the lining of the uterus and the penis isn t affected by menstrual blood in any way. The menstrual blood serves as excellent lubricant to make the process of intercourse smoother.
Chances of pregnancy still persist: It is not okay to completely ward off protective measures during periods because even though it is safer than other days, there might be a small chance that the sperm of a man lives on in the female body till early ovulation. Besides, the chance of getting a sexually transmitted disease is the same during period sex.
Can relieve cramps: Some women claim that having sex during their period helps ease their cramps as having an orgasm releases  pain- reducing endorphins  into the bloodstream. Also, some medical practitioners believe that sex provides relief by using up chemicals which are responsible for cramps. Thus, having period sex can prove to be relaxing and less painful than normal days.
Sexual arousal ups during menstruation: Most women feel hornier and more aroused during periods because of the increase in the hormonal levels. Some women feel heavier in the pelvic area which increases the sex drive; precisely the reason why having sex during this time is a good idea. So, for all you know, you might actually have a brilliant intercourse session when she s on her period.

Sex During Periods - What Should You Know About It!

Fever is not a disease! It's a known fact that normal human body temperature is 98.6 F (37 C). If temperature goes beyond that, then it's called fever. But one must not worry every time if there is a rise in the temperature. 

Why?
The reason is that immune system is designed to raise temperature as a defence mechanism, if there is any attack by a foreign body (such as bacteria). So body temperature may fluctuate between 97 and 100.4. But there is no need to worry.

When to Consider Checking?
Routine check up is unnecessary. You may consider to check when:
- You feel the warmth while you touch
- You feel very tired, dizzy and lose appetite
- You feel nauseated, see rashes on the body, experience loose motion, sore throat, muscle pain, headache, etc.

Is it Time to Worry?
Normally, fever is not dangerous. However, if you see the following conditions, then it's time to worry and call a doctor. 
- If the body temperature is more than 103 degree F 
-,If fever lasts for more than five days
- If you feel difficulty in breathing
- If there is severe vomiting or diarrhoea
- If you feel stiffness in the neck and have headache
- If you feel excessively sleepy and lethargic
- If you see redness in skin, rashes or blood in stool.

If the condition worsens, it is time to rush to a hospital. There could be following:

- Meningitis is life threatening and highly transmissible in case of bacterial infection. A combination of a fever, extreme headache and stiffness in the neck is an indication that you must rush to the emergency department of a hospital near you.

- Difficulty in breathing or chest pain along with fever should prompt you to call for emergency medical assistance.

- If someone has fever along with blood in stool, urine or mucus, it's one of the reasons to seek for emergency medical help.

- If one has fever and is quite disturbed or puzzled unnecessarily, then the person should be taken to the emergency department.

- A person with low immune responses (such as one who is suffering from cancer or AIDS) needs doctor's help in case of fever development.

- Hyperthermia: it's a condition of very high fever, i.e., more than 104 degree F. The person seems to be confused and may not respond to verbal stimuli or commands. It's time for medical emergency.

What should You Do?
For mild fever, even home remedies can help. Aspirin shouldn't be the first choice and an absolute no for individuals less than 18 years. Other drugs that people usually tend to consume are ibuprofen or acetaminophen. One should also drink plenty of water. In case of a heat stroke, body needs to be cooled.
Other severe causes such as viral infection should lead you to a doctor.

Fever - When To Check, When To Worry, What To Do

Cold sores are also known as fever blisters. They are surely not something a person would want to have. These sores occur on the face of the person or even inside his or her mouth. They are lesions which appear like blisters. There is a lot of pain which is caused by cold sores. Eventually, they end by bursting and then crusting over. But, what really causes cold sores to form?

The condition of cold sores is something that is attributable to the HSV, or the Herpes Simplex Virus. The type 1 variety of this virus is said to cause cold sores in the region around the mouth. The cause of contracting this form of the virus is that a person may have shared utensils with a person who has this strain or even shared towels.

Learning about the HSV
That being said, there is a possibility that cold sores could also be caused by the HSV Type 2 virus. This would be the case if the person with cold sores has had oral sex with a person who has been infected with genital herpes.

When it comes to the Herpes Simplex Virus, it can be said that managing the consequent issue that cold sores present is something which is quite challenging. This is because of the fact that a person may not even be aware that he or she has been infected by the virus on account of it lying dormant. 

In some people, an outbreak may occur once a year while in others it may occur with a much greater frequency. The point is that the occurrence of the outbreak may vary from person to person and a generalisation cannot be made. 

One of the things that have been noticed is that the likelihood of an outbreak is increased if a person is under sustained stress.
Sadness or an injury to the area can also worsen the prospects of a person who is hoping to go for as long a period without being plagued by cold sores.
In order to manage the outbreak of cold sores, advice from a person who is a qualified medical professional is something that is required. On their own, cold sores usually do not take more than 10 days to clear out. In order to reduce the likelihood of another attack, it is important to minimise an excessive exposure to sunlight and to be very careful at the times of seasonal changes. When it comes to the contagiousness of cold sores, the threat is the most when the cold sores are oozing.

Cold Sores - What Causes Them?

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