Anal Fistula is a tunnel like communication structure between anal canal and outer skin. There are certain glands in anus whose secretions keep the anal passage lubricated. If due to any reason infectious agent invades these glands abscess formation occurs which subsequently spreads towards the skin and bursts outside forming an external opening.

So Anal Fistula presents itself as a nodular swelling in area surrounding anal opening. Intermittent pus discharge is seen from this swelling. When pus has accumulated there will be swelling and pain which subsides once the pus has been discharged and this cycle goes on.

Anal Fistula Treatment:

Anal Fistula cannot be treated by oral medicines only - Homeopathic/ Allopathic or Ayurvedic whatever it may be. Continuing oral medicines in hope for fistula treatment only worsens the problem. Different surgical options have been tried to treat Anal Fistula like Fistulectomy/ VAAFT/ Laser/ LIFT etc. but not satisfactory results have been found. A high incidence of recurrence around 20-25 % has been observed with these procedures. 

Besides this other complications like stool incontinence etc. are also seen if there is some damage to sphincter muscles. However Anal Fistula can be completely treated by Graded KsharsutraTM Treatment. Clinical trials conducted by Indian Council of Medical Research (ICMR) at AIIMS new Delhi; PGI Chandigarh and other premier institutes of medical sciences; have proved that Ksharsutra treatment is more convenient and more effective than Surgery in patients suffering from Anal Fistula.

In this treatment; first of all Fistula tract is defined with respect to depth, direction and branching pattern by careful manual probing and MRI Fistulogram. Once the Fistula tract has been defined properly; Graded KsharsutraTM - a specialized medicated thread is placed in Fistula tract. Medicine released from KsharsutraTM debrides the Fistula tract and induces healing. This medicine works for 5-7 days so old Ksharsutra needs to be replaced by a new thread at week or 10 days interval.

No. of Ksharsutra changes required for complete healing of Fistula depends on length of Fistulous tract. It has been observed that a Fistula tract of 3 cm length usually requires 4-5 Graded KsharsutraTM sittings at weekly intervals for complete healing. Thus with this recent concept of Graded Ksharsutra treatment of Anal Fistula has become more easy and more effective.

Anal Fistula - How Non Surgical Treatment Is Better Than VAAFT/Surgery?

The tonsils are soft tissue masses which are located at the back of your throat, usually at the pharynx. The tonsils are masses which are part of the lymphatic system that helps fight infections. However, tonsils can themselves become inflamed and cause a lot of pain. Tonsillectomy is a procedure to remove the tonsils and relieve pain.

Why is tonsillectomy performed?
A few decades back, tonsillectomy was a routine surgery performed to relieve any pain within the tonsils. This method of treatment however has changed over the past few decades as pain medications for inflammation have improved vastly. However, tonsillitis is still performed in many cases wherein it tends to cause acute problems. Some of the cases it is applicable in are:

Chronic bad breath problems caused by recurrent inflammation of the tonsils
Recurrent sore throats caused by tonsillitis
It is also done along with dental surgery for correcting teeth with imperfect positioning
Abscess formation in the mouth
Upper airway being obstructed due to inflammation, thus causing difficulty with sleeping, snoring, or causing sleep apnea (irregular breathing during sleep)
Ear infections being regularly caused by inflammation of the tonsils
Other reasons why it may be recommended
Tonsillectomy may be also be recommended when there are no indications of problems but tonsillitis and other infections keep cropping up too regularly. This affects children and can make them sick or keep them in pain regularly. Some of these other indications are mentioned below:

Tonsil infections and inflammations happening too frequently within a year
Tonsillitis is caused by bacterial infection wherein the antibiotics aren t effective
Formation of pus in the form of an abscess within or around the tonsils which keep forming even after repeated drainage or administering antibiotics
Possible complications and risks
Like any other form of surgery, tonsillectomy has certain risks associated with it as well. However, these are very rare. Some of these risks and complications are mentioned as follows  

Swelling of the mouth: The tongue and the soft palate or the roof of the mouth may swell, resulting in breathing difficulties an few hours after the surgery.
Infection: As is the case with any surgery, infections may occur in rare cases, which may require further treatment.
Adverse reactions to anesthetics: Many patients exhibit an adverse reaction to anesthetics and may develop symptoms such as a headache, nausea, muscle soreness and frequent vomiting.
Bleeding during surgery or healing: Although it is rare, bleeding during and after surgery has been reported after all sorts of procedures and it may occur with tonsillectomy as well.

Tonsillectomy - When Should You Go For It?

The immune system within your body is what protects you from all the attacks of various microbes from the world outside. However, the immune system itself can face problems and can defend the body only so much. Thus it is wise to add some homeopathic medicines and help the immune system fight the possible intruders better. Let's have a look at some of them:

Gelsemium: this medication is extracted from the vine gelsemium sempervirens, and is known as a very effective remedy when you have flu like symptoms with the cold such as, exhaustion, body ache and fever.
Arsenicum album: a very well known remedy for food poisoning as well as other digestive disorders, arsenicum album can be very effective in treating a wide variety of stomach related illnesses caused by the reaction to foreign microbes.
Oscillococcinum: this medication contains trace amounts of duck liver and heart and is known to be a good immune booster. Effective in the cases of cold and flu like symptoms, oscillococcinum can effectively treat fever with flu and other symptoms, although it may take a bit of time for it start acting. It is thus best to consult with your homeopathic doctor before starting a course.
Allium cepa: if you have flu like symptoms with teary eyes and nasal congestion, allium cepa is a very good remedy. You have to take a few doses before the symptoms start subsiding. One dose contains three to five pellets and you might have to take about two to three doses daily for a couple of days for the symptoms to subside.
Combination medications: there are multiple medical combinations, which can help you boost your immunity as well. Consult your homeopathic doctor to get the best combination for your specific condition. Some of these combinations are:
Calcarea carbonica 30-1 dose, phosphorus - 1 dose, lycopodium 30-1 dose: this combination is very effective in treating sensitive colds where fever may or may not exist but causes extreme nasal blockages.
Lycopodium 30, sabadilla 30: this combination is very effective when the cold and nasal blockages are due to pollen sensitivity and occur during the pollinating season. This can be used in a regular dosage to not only stop the symptoms but to also stop the allergy from happening in the first place.

5 Homeopathic Medicines to Increase Immunity

Interstitial lung disease includes a large group of disorders like idiopathic pulmonary fibrosis, hypersensitivity pneumonitis, sarcoidosis and asbestosis. These cause progressive fibrosis or scarring of the tissues surrounding the air sacs in your lungs. The scarring causes your lungs to stiffen which makes it difficult for you to breath.

What are the symptoms to look out for?

  Dry cough
  Shortness of breath at rest or due to exertion
  Loss of weight
  Loss of appetite
  Weakness
  Chest discomfort

What are the causes?

Normally, your lungs will regenerate tissue to repair any damage. But in interstitial lung disease, the normal repair process does not occur due to injury to the lungs. The tissue around the air sacs gets scarred and thickened, causing difficulty in breathing.

Your lungs may get injured due to long-term exposure to airborne toxins and pollutants like  

  Asbestos
  Silica dust
  Coal dust
  Grain dust from framing
  Radiation
  Indoor hot tubs
  Bird and animal droppings
  Bird proteins from chicken or pigeon

Sometimes, certain drugs can cause chronic damage to your lungs, like-

  Chemotherapy drugs
  Heart medications
  Antibiotics
  Anti-inflammatory drugs

Lung disease can also be caused by autoimmune disorders like-

  Rheumatoid arthritis
  Sjogren s syndrome
  Scleroderma
  Dermatomyositis
  Polymyositis
  Mixed connective tissue disease

Why homeopathy?

Homeopathic remedies are customized according to the effects that the disease has on your body. It will relieve symptoms like sharp pain in the lungs, hemorrhaging in the capillaries and coughing with mucus. It will also slow down the progression of the disease. Homeopathy induces your immunity system to restore the damaged tissues and heal itself. There are no associated side effects of homeopathic remedies to your body. 

Homeopathic medication and therapy also help you to treat the damage from the side effects caused by conventional treatment.

If you visit a pulmonary specialist, he/she will prescribe medications like corticosteroids, medications that will slow down fibrosis and that reduce stomach acid or you might be given artificial oxygen to make breathing easier. The last option is surgery. All of these treatment options will not reverse the scarring in the lungs. In most cases, they do not stop the progression of the disease.

The life expectancy for someone with any of the types of interstitial lung diseases is 3 to 5 years. Homeopathy has proven to be a safe and effective treatment option with no side effects that can slow down the progression of your disease. It is important that you treat it early if you want to prevent severe health complications.

Interstitial Lung Disease - Why Should You Choose Homeopathy For Treating It?

Acute sinusitis (acute rhinosinusitis) causes your nasal passages (sinuses) to become inflamed and swollen. This interferes with drainage and causes mucus to build up. It is difficult to breathe, area around your eyes and face may be swollen. Acute sinusitis is most often caused by the common cold. Other triggers are allergies, bacterial and fungal infections.

These self-help steps can help relieve sinusitis symptoms:
1. Get good rest. This will help your body fight infection and speed recovery.
2. Drink plenty of fluids: Like, water or juice. This will help dilute mucous secretions and promote drainage. Avoid beverages that contain caffeine or alcohol, as they can be dehydrating. 
3. Sleep with your head elevated. This will help your sinuses drain, reducing congestion.
4. Moisten your sinus cavities: Drape a towel over your head as you breathe in the vapour from a bowl of hot water. Or take a hot shower. This will help ease pain and help mucus drain.
5. Apply warm compresses to your face. Place warm, damp towels around your nose, cheeks and eyes to ease facial pain.

Click on consult privately to ask me any questions regarding Sinus or other ENT-related issues.

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Top 5 Sinus-Relief Home Remedies 

Influenza is more commonly known as the flu. It is an infection that affects the respiratory system and is caused by the influenza virus. This injection is recommended for kids who are under the age of 6 months. It ensures that the baby is safeguarded from the virus during an influenza outbreak. Since the nature of virus changes year on year, the immunity doesn t last for more than 1 year. This vaccination is ideally taken during the month of October and November. The effect of the vaccination typically lasts for 6-8 months.

Ideally, kids who have never had a flu vaccination should take 2 vaccinations within 4 weeks. Kids who have received a shot of flu should undertake this vaccination once in a year. This arrangement is ideal up to 9 years of age. Flu shot is extremely important for a kid due to the following reasons:

It saves a kid from chronic lung and heart disorders such as asthma and cystic fibrosis
Kids suffering from immune deficiency, cancer, and HIV should take this vaccination to avoid further complication of the existing disease
Kids suffering from diabetes, kidney diseases, and metabolic disorders should go for this vaccination without a second thought
Kids suffering from a neurological disorder, haemoglobin deficiency, and anaemia should take this vaccination to refrain from the risk of aggravation of the present disease
Pregnant women should ideally take it for the safeguarding the fetus
Flu shot should not be taken be taken if:
1. A baby is under the age of 6 months.
2. The baby has thimerosal allergy.

Is flu shot safe?
The flu shot is considered to be very safe. It does not result in flu. Few side effects include:
a. Soreness of the place where the needle is injected. This doesn t last for more than a couple of day.
b. Body ache and mild fever for the first couple of days after the vaccination is done.
c. There is little to no pain in the place where the injection is injected by the doctor.

What is nasal flu vaccine?
This is an influenza dose that is not injected into the body but given in the form of nasal spray. Healthy kids above the age of 2 years are fit to get this injection. For those kids who have a history of chronic illness should check with their doctor to go ahead with nasal spray. Each dose is given in each nostril. Like the influenza vaccine, nasal flu vaccine should be undertaken once for those who have already taken this dose once. Kids who have not undergone this vaccination are eligible for 2 dosages each 4 weeks apart from each other.

Influenza Vaccine - Why is it Important for Kids?

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