It is a slowly and gradually progressing disease in which healthy liver tissue is replaced with scar tissue, hence preventing the liver from proper functioning. The developed scar tissue blocks the flow of blood through the liver and slows the processing of nutrients, hormones, drugs, and naturally produced toxins. It also slows the production of proteins and other substances made by the liver. Cirrhosis is a complication of liver disease which involves loss of liver cells and irreversible scarring of the liver. In other words, Cirrhosis is a condition in which the liver does not function properly due to long-term damage. Typically, the disease comes over months or years.

Although there are many other causes for cirrhosis, the commonest is excessive use of alcohol, viral hepatitis B and C infections and non-alcoholic fatty liver disease. Thus the scarring is most often caused by long-term exposure to toxins such as alcohol or viral infections.

According to the National Institutes of Health, it is the 12th leading cause of death. Men are more prone to develop cirrhosis than women. Globally approximately 57% of cirrhosis is attributable to either hepatitis B (30%) or hepatitis C (27%).Alcohol consumption accounting for about 20% of cirrhosis.

Persons most commonly affected: Adults of both sexes.

Unani approach to Cirrhosis of Liver (Talayyuf-e- Kabid)-

In Unani literature Cirrhosis of the liver is known as  Talayyuf-e- kabid ,  Sighr-al- kabid  or  Jigarki laghari . It is of two types.

1. AcuteType of Cirrhosis of Liver (Talayyuf-e- Kabid Hadd)-

It is rare but very dangerous. It is also called Yarqaan-e- khabees or Huzaal-e- asfar. Mainly occurs due to inflammation in hepatic cells, in which hepatic cells squeeze in few days resulting in improper functioning of liver. It is a disease in which cells throughout the liver are destroyed. Although they are replaced by areas containing normal new cells but also by much scar tissue, which alters the structure of the liver.

Causes and risk factors: Excessive use of alcohol/ chronic alcoholism, poor nutrition, highly toxic condition of the body system, viral infections caused by chronic viral hepatitis (types A, B and C), metabolic diseases such as alpha-1-antitrypsin deficiency, galactosemia and glycogen storage disorders,inherited diseases such as Wilson's disease and hemochromatosis, biliary cirrhosis, toxic hepatitis due to severe reactions to prescription drugs or prolonged exposure to environmental toxins and repeated bouts of heart failure with liver congestion etc.

Signs and Symptoms: The main signs and symptoms of this type are jaundice, pain at the site of liver, vomiting, headache, dizziness, increased body temperature, increased pulse rate, brownish coloured and dry tongue, increased thirst, initially whitish coloured diarrhoea, later on, colour becomes blackish due to contamination of blood, urine passes in less quantity and reddish in colour due to contamination of yellow bile in it,  haemorrhage from nose, stomach, intestine and uterus even abortion in women are seen. The size of the liver feels small on palpation.

2. Chronic type of Cirrhosis of Liver (Talayyuf-e- KabidMuzmin)

This type of the disease occurs due to the improper blood supply to the hepatic cells resulting in the size of liver very small in appearance but liver cells stay normal.

Causes and risk factors: The main causes of this type are the application of permanent pressure at the site of the liver such as ascites, alcohol abuse, hepatitis C virus infection, cardiomegaly, poor nutrition, highly toxic condition of the body system, peritoneal inflammation, improper diet in old age and starvation etc. Other causes which develop this disease are, obstruction of the external bile duct by stone, scar, inborn defect or tumour, use of certain medications, syphilis and passive liver congestion. Obesity has recently been recognized as a risk factor in non-alcoholic hepatitis and cirrhosis.

Signs and Symptoms: It is a slowly progressing disease. In early-stage symptoms, of indigestion like flatulence, constipation and diarrhoea may be present. General weakness, the feeling of being unwell, loss of appetite, loss of weight, and a loss of interest in sex may also be there. There may be a dull abdominal ache, nausea and vomiting. Eventually, the patient dies due to anaemia or ascites. The feeling of dullness is the peculiar sign of the disease. Other symptoms and signs include low-grade fever, bad breath, jaundiced skin and bloated and swollen abdomen.

Complications and Risks associated with Cirrhosis of Liver (Talayyuf-e-Kabid)-

Ascites (retention of fluid in the abdominal cavity) is the most common complication of cirrhosis and is associated with a poor quality of life, increased risk of infection and a poor long-term outcome. Other potentially life-threatening complications are hepatic encephalopathy (confusion and coma) and bleeding from oesophageal varices. Cirrhosis is generally irreversible, and treatment usually focuses on preventing progression and complications. In advanced stages of cirrhosis, the only option is a liver transplant.

Preventive measures for cirrhotic patients (Talayyuf-e- Kabid ke Mareezon ke liye Ehtiyaati Tadaabir):

Cirrhotic patients must completely avoid alcohol. Alcohol accelerates liver failure and hastens death in cirrhotic patients.
Avoid liver toxins. Acetaminophen (Tylenol), should be avoided because they can be toxic in cirrhotic patients.
Juice therapy helps the liver to detoxify toxins from the body. Cirrhotic patients should mix one part of pure juice with one part of water before drinking.
Cirrhotic patients are strongly advised to eat smaller meals. To avoid overworking the liver, five or six smaller, lighter meals per day are recommended.
Avoid fatty foods and processed foods, especially foods prepared with animal fats or hydrogenated oils. These types of foods put additional load on the liver.
Cirrhotic patients are also advised to eat only lean proteins (containing no fats) and in limited amounts.
Vegetable proteins are very beneficial in Cirrhotic patients. High protein intake causes increases of ammonia levels in the blood, possibly resulting in mental confusion, and in severe cases, coma. However, do not severely limit protein intake, as this may cause protein deficiency and impair the healing process.
Routinely increase consumption of fruits and steamed vegetables as fruits and vegetables are easy to digest, thus less work for the liver. In addition, they are good sources of vitamins, minerals, and antioxidants that help the liver detoxify and heal.
Cirrhotic patients are advised to practice intermittent fasting.
They are also advised to protect against hepatitis B, C and E.
Fundamentals of Management in Unani Medicine-

Identify the cause of the disease and treat it accordingly
Correct the digestive processes
Use hot dresses
Use mild and early digestible diet
In case of ascites treat it
Management/ Treatment-

In Unani medicine, very effective treatment is available for the Cirrhosis of Liver by strengthening the Liver cells and restoring normal size and functions of the Liver. In Unani medicine, there is a number of hepatoprotective drugs that protect the Liver either acute or chronic type.

SootshekharRas Swarna yukta 125 Mg twice a day
PittariAvleh 10 gm twice a Day
Duration of the treatment: 3 to 6 months or it depends upon the condition of the patients. If the patients with cirrhosis have diabetes, then the treatment may take long time for curing the disease. Diet plays a key role along with Unani Medicines. Hence, it is strictly advised to follow a proper diet plan.

Talayyuf - E - Kabid Or Cirrhosis Of The Liver - Know More About It!

Egg yolk and cholesterol - is there a link?

Although egg is considered one of the most nutritious foods, people with high cholesterol avoid its consumption as they believe that eggs may increase cholesterol and risk heart diseases.

Is there a link between egg yolk and cholesterol?

Egg yolk is rich in dietary cholesterol. One large egg contains 185 milligrams of cholesterol. People with normal cholesterol levels require about 300 milligrams of dietary cholesterol and people with high cholesterol need 200 milligrams of dietary cholesterol from food.

Dietary cholesterol has the minimum impact on blood cholesterol as compared to saturated and trans fats which contain bad cholesterol. Hence dietary cholesterol present in egg yolk has minimal or no effects on increasing your cholesterol levels.

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Egg Yolk and Cholesterol - Is There Really a Link?

Dandruff is not a major health concern but it can affect your self-confidence and self-image. This condition is most often the result of a dry scalp or type of dermatitis. It could also be caused by a yeast infection or eczema. Common forms of treatment for dandruff include medicated shampoos that fight the fungus or slow down the ageing of skin cells on the scalp. Some ways of treating excessive dandruff are:

Neem- Neem is renowned for its anti-fungal properties that help in the treatment of dandruff. It is also well known for its antibacterial and anti-inflammatory properties. Neem can be used on its own by applying a paste of boiled neem leaves on your scalp or used as a hair mask made of dried and crushed neem leaves and olive oil. Your scalp may itch a little on the application of this paste but this is temporary.

Coconut and Honey Scrub- Coconut helps preserve proteins in the hair and lessens dandruff. Honey is also used to treat dandruff as it has well known anti-microbial properties. To benefit from this, apply and massage a mixture of 2 teaspoons of honey or coconut oil and 3 teaspoons of yogurt to your scalp for about 10 minutes before washing your hair. Wait for about half an hour before rinsing it out. Dry with a towel and massage a few drops of coconut oil into the scalp. However, do not rinse your hair more than twice with shampoo while washing off the paste as it can strip your hair of its moisture.

Banana and Apple Cider Vinegar- Bananas are a good source of vitamin B that helps improve circulation and keeps skin healthy. Apple cider is also a known fungicide that helps treat dandruff. If you suffer from acute dandruff, massage a paste of 1 whole banana and 2 cups of apple cider vinegar into your scalp and leave for 20 minutes on a daily basis for a week. Once dandruff reduces, you can apply the paste once a week.

Yogurt- Yogurt is rich in healthy bacteria that helps reduce yeast in the body and prevents the scaling of dead skin cells. To use yogurt as a form of treatment for dandruff, apply a cup of fresh yogurt to the scalp and leave for 15 minutes before rinsing off. You could also add two spoons of freshly ground pepper to the yogurt as pepper also has antifungal properties.  

How To Deal With Excessive Dandruff?

4 natural laxatives to cure constipation

Constipation is a very common, but irritating problem that mostly occurs due to the absence of adequate amount of fibre or water in your diet. Also, a side effect of certain medications or less exercise can lead to constipation. Whatever may be the cause behind it, you can easily relieve yourself from this stomach ailment without consuming any drugs. Here are some natural laxatives, which are easily available in your kitchen and prove to be very effective in eliminating constipation.

1. Lemon

Lemon contains citric acid, which has the ability to stimulate the function of digestion in your body. The action of lemon on your digestive system enables it to get rid of the toxins and undigested material that generally accumulates on the colon's (the last part of your small intestine) walls, giving rise to constipation as a result.

Directions: collect the juice of 1 lemon in a cup by squeezing it. Fill the rest of the cup with warm water. Drink it every morning.

2. Castor oil

Castor oil is often referred to as a stimulant laxative and is a very useful remedy for constipation. Castor oil enables smooth movement and functioning of the intestines, making it easier for stool to pass.

Directions: drink 1 to 2 teaspoons of castor oil on an empty stomach. It takes about 8 hours to show its effect, so decide which time of the day will be suitable for you to consume it.

3. Aloe vera

Besides acting as a remedy for minor burns and cuts, aloe vera gel also helps soothe your stomach. It functions as a natural laxative by making your stool softer. Moreover, it aids in protein digestion and makes the muscular structure of your intestines stronger, consequently providing relief from constipation.

Directions: have 2 tablespoons of aloe gel every morning by mixing it with your glass of fruit juice, or consume 1 cup of aloe vera juice whenever you feel constipated.

4. Baking soda

Baking soda is an effective cure for gas, pressure and pain in the digestive tract, and stomach ache as excessive air is released from the body by its action. It also functions as a laxative by making the passage of accumulated waste products through the intestines a smooth process. Moreover, stools are loosened and passed without pain on its consumption.

Directions: take a quarter cup of warm water and stir a teaspoon of baking soda into it. Consume the mixture as quickly as you can.

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Related Tip: 4 Major Causes of Constipation in Children (+ 2 Ways to Handle it)

4 Natural laxatives to cure constipation

Constipation is the most widely found problem of mankind. Almost the largest number of drugs, are available for the problem and largest sums of money are spent by people to get rid of it. Even then the medical science does not recognise it as a serious disease. 
To some extent they are correct.  Constipation is not a disease as such. It is merely a condition but it can be responsible for attacks of almost all diseases which are effecting the humans. Unfortunately it is also spreading wildly as the civilization is spreading and eating refined foods is becoming fashionable. Many drugs also cause constipation. If so the prescribing doctor should be immediately contacted for change of the prescription.
The present treatment of the condition is drugs of three different types. A) Lubricating, B) Bulk forming and C) Agitating.
Lubricating drugs include various oils, milk of magnesia etc. These drugs lubricate the elementary canal and/or lubricate the faeces and thus facilitate the movement. These are the least damaging type of drugs. Yet they can make even undigested foods to pass through the system or cause           diarrhoea.   
Bulk forming drugs include isabgol, rice bran etc. When the bulk is increased the faeces move and are expelled faster. It should be remembered that these are just substitutes for the fibre which is lost during various processes adopted in kitchens. It is clearly foolishness to first throw away the natural fibre and replace it by purchasing substitutes from the market. Further rejected natural fibre carries away several essential nutrients with them, which are not replaced by the additives.
The agitating type drugs include several herbs and chemicals which are not acceptable to the system and therefore the system works extra harder to get rid of them. These ultimately tire out the system and weaken it. The weakened system requires more powerful drugs and the endless race starts. Thus this category causes maximum harm to the digestive system. 
It is now obvious that all the above drugs are not the cure for constipation. These have only a onetime effect and can harm the system.  
In fact the cure for constipation lies in life style itself. To get rid of it one should follow the following advice:
1) Avoid refined foods.
2) Eat maximum foods in raw form.
3) Eat lots of salads and fruits so that there is enough fibre in the food.
4) Avoid refined flour (Maida), polished rice etc.
5) Do some regular exercise so that the body, including gut is in good health.
6) Eat sprouted boiled pulses instead of pulses available in the market.
7) Do not peel all those vegetables which can be used without peeling. Even if peeling is absolutely necessary do by minimum possible.
8) Drink sufficient water. (Humans need about 3 litres of water every day).
9) Try discharge faeces twice a day-Morning and Evening.
10) Never ignore an urge. Attend to it as early as possible.
Even then sometimes the faeces become dry and hard. In all such cases instead of applying pressure it is better to take a plain water enema (Douche). It is totally harmless, does not form habit, and convenient to take.
It is very important to get rid of constipation. Since constipation is the main cause of several diseases. 

Constipation - Know Its Naturopathic Treatment!! 

Irritable bowel syndrome is a disorder that is diagnosed on the basis of its symptoms. It is characterised by intense abdominal pain, discomfort, bloating and change in bowel habits. One of the primary symptoms of IBS is abdominal pain. It may also be accompanied with frequent diarrhoea or constipation. There might also be a feeling of partial or incomplete evacuation. The symptoms are sometimes relieved by the proper bowel movement. Other symptoms, in this case, include depression and anxiety. In rare cases, there is also a possibility of sexual dysfunction and a reduced libido.

Causes of Irritable Bowel Syndrome 

The exact reason behind the occurrence of IBS is not known. It is a disruption of the brain-gut axis that is known to cause the problem. It is also caused due to small intestinal bacterial overgrowth.

Triggering factors 

IBS is intensified or triggered by the following factors:

Foods: Edibles like chocolate, milk and alcohol might lead to constipation or diarrhoea. One must also avoid carbonated beverages and some fruits and vegetables. These might lead to bloating and discomfort.

Stress: The condition gets worse with any type of stress.

Hormones: In women, the symptoms occur as a result of the hormones during menstrual periods.

Complications: It is not associated with any fatal condition. But it can lead to diarrhoea and constipation and aggravate hemorrhoids.

Adverse Impacts of the Disease-

IBS has an adverse impact on your lifestyle. It will limit your ability to get social or carry out your daily professional activities. You will find it difficult to cope up with the symptoms while living away from your comfort zone or home. You will not have a good sex life. You will get depressed and may even feel suicidal in extreme cases.

Treatment of Irritable Bowel Syndrome-

IBS is treated broadly by bringing in certain changes in the lifestyle. To begin with, you are advised to check your diet. Include fibre in your diet, if you are suffering from constipation. Also, avoid oily, spicy and hot food items. Besides, you are prescribed medicines such as stool softeners and laxatives and antispasmodic drugs and proton pump inhibitors.

Homeopathic medicines-IBS requires prolonged treatment. Homoeopathy works best to get you relief from the symptoms and cures it, from the roots. Here are certain homeopathic remedies that are helpful in treating the disorder.

Argentum nitricum

Asafoetida

Colocynthis

Lilium tigrinum

Lycopodium

Natrum carbonicum

Nux vomica

Podophyllum

Sulphur

Aloe

It has to be kept in mind that these are just basic remedies. There are over 150 Homeopathic medicines that can be used for treating IBS. Thus, consult your doctor for the best remedy for you as per the symptoms.  

Treating Irritable Bowel Syndrome With Homeopathy

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