Scabies is an infection of the skin that is caused by an incredibly tiny mite  Sarcoptes scabiei . They thrive on the surface of the epidermis and can survive up to two months. The outward symptoms include itchy, blister-like hives on the surface of the skin.
It is tremendously infectious and can easily be passed from one individual to another via skin contact. Usage of bedding or clothing that is infested may easily cause the mites to infect one.

Characteristic symptoms comprise of rashes and extreme itching. Areas of the body that get infected are:

Face
Hands
Neck
Soles of the feet
Armpits
Elbow
Buttocks
Waist
Homeopathic treatment

Arsenic album: This medication is used when the eruptions emerge on the knees. Eruptions are the numerous dry small pustules which are accompanied by a very strong burning and itching sensation.
Carbo veg: This is administered when the condition has a parched appearance almost all over the body, particularly bad on the extremities. The itching sensation gets worse at night or after undressing.
Hepar Sulph and Sepia: It is used when the rashes develop near the folds of the skin. The flare-ups are usually hard and ooze pus. Another situation that warrants the usage of this medicine is when the patient becomes extremely uncomfortable in cold environments.
Sulphur: The use of sulphur comes as an ultimate resort to curing this problem. It is the absolute remedy for persistent, neglected, stubborn, underlying cases of scabies.

Scabies - Role of Homeopathy in Treating it!

The infection of the bone of the ear is Mastoiditis. This may be an acute infection needing hospitalisation and injectable drugs or may be in the form of slow bone eroding processes like cholesteatoma.

Let us learn more about this condition and its treatment

Understanding the mastoid bone: The mastoid bone is made up of air sacs and it looks a lot like a sponge. In this sense, it is different from the other bones that can be found in the human body. In order to function properly, this bone requires air from the other parts of the ear, including the Eustachain Tube which connects the middle part of the ear with the portion that lies at the back of the throat. If this tube gets infected due to any reason, the infection and bacteria can also travel to the Mastoid bone, leading to an infection in this area. Another form of the infection starts from the ear drum and a slowly progressive bone eroding process starts which spreads into the air sacs and can potentially spread to the brain.

Symptoms: Acute mastoiditis will present with earache, ear discharge and onset of fever and chills, as well as redness and inflammation behind the ear. Pain in the ear may be experienced along with headaches and swelling that may be experienced behind the eyes. At the very earliest sign, these symptoms must be reported to an ENT or ear throat nose specialist so that the treatment can happen at the earliest. Chronic mastoiditis may be due to repeated infections and bone eroding cholesteatoma which presents with repeated episodes of ear discharge which may be foul smelling and may even have blood.

Diagnosis: The diagnosis is mostly made on ear examination and may involve imaging tests like a CT scan as well as an MRI scan of the head and the ear. A simple X-ray of the mastoids can help in detecting the severity of the infection, and it spread.

Treatment: After diagnosing the problem with imaging tests as well as a detailed ear examination, the doctor will usually start the treatment by admitting the patient in the hospital. Antibiotic medication will be administered through intravenous methods, after which oral antibiotics will be prescribed for many days after the patient has been discharged from the hospital. Surgery may be required if the infection has not cleared up even after the use of antibiotics and is also done in cases of bone erosion. This surgery will be done to drain the infected fluid from the ear and remove a part of this Mastoid bone. Complications like facial paralysis and vertigo need to be discussed with the surgeon before the surgery.

Acute Mastoiditis - Symptoms, Diagonisis & Treatment

Smelly feet - the medical name is bromodosis - can affect anyone. It can be embarrassing and uncomfortable. The main cause is sweaty feet and there are simple steps you can take to help prevent this.

What causes sweaty and smelly feet?

The function of sweat glands is to keep the skin moist and therefore supple, and to regulate temperature when the weather is hot or while you are exercising. There are more sweat glands in our feet than anywhere else in the body. However, unlike sweat glands elsewhere in the body, the sweat glands in the feet secrete all the time, not just in response to heat or exercise.

Feet smell when bacteria on the skin break down sweat as it comes from the pores. A cheesy smell is released as the sweat decomposes.

The main causes of sweaty and smelly feet are:

Wearing the same shoes every day. Feet become smelly if sweat soaks into the shoes and you wear them again before they are dry.
Poor personal hygiene.
Hormonal changes can cause feet to sweat more, so teenagers and pregnant women are especially prone.
If you are stressed.
A condition called hyperhidrosis, which causes you to sweat more than usual.
Not letting sweat accumulate inside your shoes is the most logical way of preventing smelly feet.

Preventing smelly feet

The best way to prevent smelly feet is good personal hygiene and not wearing the same shoes 2 days in a row. It's important to wash your feet every day and dry them thoroughly, especially between the toes. Teenagers especially should be discouraged from wearing the same pair of trainers all the time. You should also wear clean socks every day. Cotton or wool socks are much better than nylon.

If you're particularly prone to sweaty feet, you could:

Use a spray deodorant or antiperspirant on your feet. A normal underarm one will work just as well as a specialist foot product.
When you have dried your feet with a towel after a shower or bath, dab between your toes with cotton wool dipped in surgical spirit.
Put detachable medicated insoles in your shoes. These have a deodorizing effect.
Try foot-fresh socks. These are impregnated with chemicals to discourage the bacteria that break down the sweat and cause a smell. Some sports socks have ventilating panels to help keep feet dry.
Wear leather or canvas shoes. In the summer, wear open-toed sandals. Go barefoot at home if you can safely.
Sweaty feet can be treated with an antibacterial foot scrub, but avoid using these scrubs if you have broken skin or eczema.
These steps to prevent sweaty and smelly feet will usually help. If they don't, or you are worried about how much you sweat, seek medical advice.

Athlete's foot can also cause your feet to smell. You can treat this yourself with antifungal treatment available from a pharmacy. Seek medical advice if you're concerned or if the problem is not clearing up.

Causes and Prevention of Smelly Feet

Tuberculosis is absolutely curable and can be cured with anti-TB medication. As treatment for TB takes much longer than other types of bacterial infections, a patient is often required to take a combination of drugs for six to nine months.

Here is how you can safeguard yourself against Tuberculosis:

1) Maintain strong immunity by adopting healthy eating habits, exercising regularly and getting sufficient sleep.

2) Diet supplemented by turnips, beet root, spinach and other green vegetables and seasonal fruits along with dairy products and eggs can be helpful is fighting against the TB bacteria.

3) Go for a check-up if you suspect that you could be suffering from TB. Typical symptoms include a persistent cough (more than 3 weeks) and  low grade fever.

4) If someone you know has contracted TB, encourage him or her to adhere faithfully to the treatment.

However if you have been diagnosed with active TB, please ensure the following:

1) Complete the entirefull course of your TB medications.
2) Stay at home especially during the first two weeks of treatment.
3) Cover your mouth with a tissue when you cough or sneeze, and wear a mask when around people during the first few weeks of treatment.

Click on consult privately to ask me any follow-up questions on this.

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World TB Day Special - How to Prevent Tuberculosis

Study of the brain has fascinated specialists all over the globe since time immemorial. The brain being the most vital organ for survival and coordination is perhaps the most complex of them all too. This has led to a limited understanding of its working in spite of the available advanced technology. However, with the advent of techniques for diagnosis and treatment, therapeutic strategies are evolving. This is a major step towards rendering Neurosurgery safer than ever in the history of mankind.

Neurosurgery through the 20th Century-

During the beginning of the 20th century, Neurosurgery was considered as a specialty. The clinical-neurologist would draw conclusions related to lesions in the brain through neurological examination and clinical history. It enabled diagnosis of vascular lesions, spinal disorders, and brain tumors. During the second and third decades of the 20th century, vascular pathologies and brain tumors could be diagnosed indirectly through techniques like angiography, ventriculography, and pneumoencephalography. But since the operative techniques were too crude and the lack of skilled professionals were rampant, there were high rates of morbidity and mortality due to neurological conditions. Generally, after diagnosing the nature of brain lesion and its site, surgery was performed with inadequate maintenance and control of intracranial pressure and through not too sophisticated surgical instruments.

During the fifth and sixth decades of the 20th century, chemotherapy and radiation treatment came into the picture for treating malignant brain tumors, thereby reducing mortality to a good extent.

During the seventh decade of the 20th century, Computed Tomography (CT) scan provided a better understanding of the location of lesions in the brain which slightly substantiated the earlier techniques. Then, the procedures for cerebrospinal fluid diversion significantly improved management of intracranial pressure during surgery.

It was only during the last decade of the 20th century that the Neurology saw a giant progressive leap through the introduction of Magnetic Resonance Imaging (MRI) and powerful high magnification microscopes. Combined with Neuroanesthesia and Intracranial Pressure Management, this aided surgeons to work on a relaxed brain. This promoted safe removal of the brain tumor and better management of vascular lesions. Moreover, the understanding of micro-surgical anatomy improved drastically, leading to a boost in confidence levels of the micro-neurosurgeons performing the operation.

Neurosurgery in the 21st Century-

The 21st century is actually a revolutionary era that uses powerful computers in almost all the fields possible. Computer-based applications such as Neuro-imaging, Neuronavigation, Intra-operative Neuro-monitoring, and Neuro-modulation are now used in standard neurosurgical practice as a part of the routine. Extremely powerful CT scans and MRIs are used for diagnosis before surgery. The advent of nanotechnology and its application in Neurosurgery is doing great and has a promising future ahead based on the current study of scenarios. Moreover, there is a possibility of most of the Neurosurgical procedures becoming minimally invasive. Frameless Stereotaxy is another technique that helps in locating the exact position of the tumor, which further helps the neurosurgeon in navigating with great precision the very sensitive, high-risk areas of the brain. Such techniques, to a great extent, have lowered mortality and morbidity, lessened the rate of recovery, and chances of infection related to Neurosurgery.

Take Away-

A number of techniques for diagnosis and precise location of the tumor in the brain have made Neurosurgery much safer today, due to advancement in science and technology, than it ever had been in the history of mankind.

Advancements In Neurosurgery - Know How Safe It Is!

An anal fissure or fissure-in-ano is a small, cut in the skin in anal passage which results because of trauma to skin by passing hard stool in this region. Sometimes pain is so severe that patient tends to avoid passing stool in an attempt to stay away from pain.

Symptoms of Anal Fissure: 

  Pain in anal region while passing stool; it may be burning/pricking/Itching in nature.

  Bleeding may or may not be there.

  If untreated for long time; a skin tag known as Sentinel tag or Sentinel Piles develops from the lower end of fissure.

Causes 

The causes related to the emergence of an anal fissure include:

  Passing hard stool which causes frictional injury to inner lining of anal passage.

  Repeated bowel movement or diarrhea

  Trauma to anal canal like by enema nozzle 

Why non surgical treatment is better than Surgery:

Usually surgery (Lateral sphincterotomy) is advised in a view to relieve spasm in anal region so that Fissure starts healing but there are certain complications like stool incontinence etc. associated with this procedure which makes non surgical approach better than surgical intervention. Some of the reasons which make non surgical approach better than surgery for anal fissure are as follows: 

  Acute anal fissure can be conveniently treated by Graded Kshar Karma Treatment. In this treatment a specialized Ayurvedic medicine is applied in fissure region which debrides the fissure and promotes healing. In this way fissure heals completely. So, no need for any surgery at this stage and thus no complication like bleeding, pain, stool incontinence, etc.

  When Fissure is not treated at this stage; a skin tag known as sentinel piles develops from the lower end of fissure. This condition also can be managed by Graded Ksharsutra TM Treatment. In this treatment, Graded Ksharsutra TM - a specialized medicated thread is ligated at the root of sentinel piles and sentinel tag gets detached in 3-5 days. No hospitalization or bed rest is required in this treatment. So, at this stage also fissure can be managed without surgery.

  Delayed healing and Recurrence of Anal fissure are other complications seen after Anal Fissure surgery. Such complications are not seen in Graded Kshar Karma and Ksharsutra Treatment.

  In some case stool incontinence (inability to hold stool; which is far worse than Anal fissure itself) is also seen after Anal Fissure surgery. However, there is no harm to stool control in Graded Kshar Karma and Ksharsutra Treatment.

  No hospitalization or bed rest is required in Graded Kshar Karma and Ksharsutra treatment. Hospitalization and bed rest for a considerable time period is necessary in surgery.

  Graded Kshar Karma and Ksharsutra are more economical than surgery. With this discussion; it is for sure that non surgical treatment for Anal Fissure is far better than Surgery.

Anal Fissure - Non Surgical Treatment Is Better Than Surgery!

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