Hepatic Steatosis, better known as Fatty liver is a term which describes the condition where fat gets built up in the liver. The liver is the second largest organ in the body and it plays an important function of processing everything we eat or drink and then filter out harmful elements from the blood. This process gets interrupted if there is too much in the liver. We generally call the liver as fatty, when fat accounts for more than 5 to 10 percent of the weight of your liver.

The problem of fatty liver is quite common, affecting around 10 to 20 percent of people living in America without cirrhosis or inflammation. According to the American Liver Foundation, the majority of the cases of fatty liver are detected between ages 40 and 60.

Symptoms of fatty liver
Basically one cannot associate any symptom with fatty liver, though once this situation arises, people might experience fatigue or unusual discomfort in the abdomen.
Excess fat in the liver can lead to its inflammation and in that case, you might come across symptoms such as:

You don t feel like having any food due to poor appetite
One starts to lose weight
You might experience pain in the abdomen, which tends to interfere in your passing of urine.
As there is a loss of appetite, resulting in weight loss, muscles would start feeling weak.
Due to weakness in your muscles, you would easily get tired even when you have not any work that required a lot of exertion.
Causes of fatty liver
The most common reason behind fatty liver is alcohol. On the other hand, fatty liver can also occur among people, who are non-alcoholic.
In those circumstances, the fatty liver gets developed when the body creates too much fat or is unable to metabolize fat fast enough. The excess fat gets stored in the cells of the liver where it gets accumulated to form fatty liver disease.

The common causes for fatty liver, other than alcoholism are:

Obesity: Obesity is a condition when you gained too much bodyweight through accumulation of excess body fat. This becomes a major problem which leads to other problems like fatty liver.
Diabetes: Excess amount of blood sugar in your system, which results in diabetes, raises the risk of developing fatty liver disease.
Genetic Inheritance: If you have someone in your family, father, mother or anyone else, who has suffered from this problem of fatty liver, then it s quite certain that you might also catch up with this disease.
Treatment for fatty liver
You are always at risk if you get diagnosed with the problem of the fatty liver through blood tests, MRI scan and liver biopsy. Though there is no medication or surgery possible for treating this problem a doctor would provide certain recommendations to reduce the risk factors. These include:

Limiting or complete avoidance of alcohol
Keep a check on cholesterol and reduce the intake of sugar and other saturated fatty acids
Make a genuine attempt to lose weight
Control your blood sugar by walking daily and having a restricted diet

Fatty Liver Disease - Ways It Can Be Treated!

The human body with its multiple organs is a highly complicated structure and one or more organs often malfunction for various reasons. However, for some, no reasons are identified for this problem. One such is irritable bowel syndrome or IBS as it is commonly referred to.

It is a common disorder affecting the large intestine leading to alternate bouts of diarrhea and constipation, abdominal cramps and a feeling of fullness. It is common in people younger than 45 years of age, affects women more than men, and though the exact reason is not known, the following are attributed.

Physical/Physiologic reasons:

1. Signal issues between the brain and intestines: For various or even unknown reasons, the brain may not be able to send the right signal to the stomach to process food, making the stomach to be hyperactive and have an increased sense of pain or sensitivity or discomfort. Neurotransmitters, which are chemicals responsible for sending signals to various organs also could be involved.

2. Hormonal connection: Menstrual periods tend to aggravate symptoms of IBS, while postmenopausal women are largely free of IBS symptoms.

3. Genetics: People with a family history of IBS are more likely to develop IBS too.

4. Aggravating foods: Foods rich in carbohydrates, spicy foods, fatty foods, caffeine and alcohol aggravate IBS symptoms. Ability to absorb sugar could be a cause too.

5. Infections: Some people with IBS have certain bacteria identified in their gut which produces excessive gas and this could lead to altered bowel movements.

6. GI Motility Issues: Alterations in the way the food passes through the stomach can lead to either constipation (slow movement) or diarrhea (quicker movement). There could also be spasms and contractions after eating, especially if the stress levels are high.

7. Psychological issues: Panic disorder, anxiety, depression, and posttraumatic stress disorder are common in IBS patients. It is possible that they are not able to express their psychological stress, it manifests as physical symptoms. Stress increases symptoms of IBS and vice versa.

Management:

1. Manage stress: Meditation, yoga, support groups, medication and even hypnosis in severely stressed people helps control stress, providing great relief in IBS symptoms.

2. Lifestyle changes: Reduce alcohol and smoking

3. Dietary changes: Avoid aggravating foods, increase the amount of fiber if you have diarrhea and space out meals to avoid intestinal overload

4. Herbal remedies: Probiotics, peppermint oil and a variety of herbal medicines are available.

5. Symptomatic medications: Based on presenting symptoms, different medications including antibiotics for infections and motility drugs can be used. Anti anxiety and antidepressants are also prescribed to manage the psychological issues.

In terms of causes, symptoms, or treatment, IBS requires a very individualized approach and your doctor is the right person to discuss this with and decide.

Irritable Bowel Syndrome - Symptoms and Management

Did you know that milk can cause acne?

Including cheese, milk, and ice-cream etc into your daily meals maybe the reason behind the painful acne on your face. Processed milk and other dairy products negatively affect your skin and trigger the formation of whiteheads, blackheads and pimples. 

Here s how milk causes acne and what you can do to get clearer skin.

How does milk cause acne?

1. Milk contains a growth hormone IGF-1 (responsible for the growth and strength of calves) in large amounts. This has an adverse effect on your skin, and is responsible for its inflammation, which results in acne. In fact, this hormone can even increase the size of the acne.
2. Consumption of milk and other dairy products also result in a sharp rise in the amount of insulin present in your body, which initiates more IGF-1 production by the liver, thereby increasing acne.
3. Excessive sebum (oil) is secreted by your skin due to the consumption of milk, which results in more number of clogged pores, causing an acne breakout. Additionally, an increase in sebum helps the acne bacteria to grow and breed, which further causes skin inflammation.
4. Consumption of milk can render your skin unable to get rid of dead skin cells, causing more acne due to clogged pores. This happens as milk sticks dead cells together inside your pores, interfering with their natural process of falling off.

What can you do to get acne-free skin?

The best way to get acne-free skin is by trying to limit your consumption of milk and dairy products. You can do so in two ways:

1. Discontinue Milk Intake: Stop consuming milk and its products completely for at least 30 days and observe the changes. If your skin improves after 30 days, you can add small amounts of high-quality dairy, like organic yoghurt, to your diet. If eliminating milk does not show any positive effects, try observing other triggers of acne and look for appropriate methods of removing them. 

2. Switch to Organic Milk Products Only - If you find it difficult to totally cut off milk from your diet, try reducing the amount of milk intake and totally avoid processed milk products. Switching to raw, grass-fed dairy products will also be beneficial.

What are the alternatives to milk which can be consumed without harming your skin?

You can also replace milk with the following products in your diet chart to prevent the occurrence of acne.

1. Organic almond milk without added sugar
2. Organic coconut milk containing no artificial sweeteners
3. Natural coconut cream

Warning: Do not consume soy milk as a milk substitute as it contains omega-6 fats, which cause skin inflammation and swelling of acne.

If you would like to consult with me privately, please click on 'Consult'.

Did you know that milk can cause acne?

What is Psoriasis? 

Psoriasis is a common skin disease characterized by thickened patches of inflamed, red skin covered with thick, silvery scales. The elbows and knees are the most common areas affected by psoriasis. It will often appear in the same place on both sides of the body. The patches can range in size from smaller than a dime to larger than a hand. 

Description of Psoriasis-

Normally, skin cells mature and shed after about a month. In psoriasis, the cell maturation speeds up, taking only three to four days. Because the lower layer of skin cells divide more rapidly than normal, dead cells accumulate in thicker patches on the skin's outermost layer called the 'Epidermis'. 

Forms & Classifications-

Psoriasis occurs in a variety of forms that differ in their intensity, duration, location, shape and pattern of scales. The most common forms are: 

Plaque Psoriasis: Plaque psoriasis is the most common form of psoriasis. It is characterized by raised, inflamed, red lesions covered with a silvery-white buildup of dead skin cells (scales). This is found primarily on the Body, elbows, knees, scalp and finger or toe nails. 
Guttate Psoriasis: Guttate psoriasis occurs most frequently in children and is characterized by numerous small, red, drop-like scaly macules that develop rapidly over a wide area of skin. This may appear following an infection, most frequently strep throat. 
Inverse Psoriasis: Inverse psoriasis occurs in the armpit, under the breast, in skin folds, around the groin, in the cleft between the buttocks and around the genitals. It is usually pink and irritated but lacks the thick scale seen in other forms of psoriasis. 
Pustular Psoriasis: Pustular psoriasis is a rare form characterized by small pustules (whitehead-like lesions) found all over the body or confined all over the body or confined to the palms, soles and other isolated areas of the body. 
Palmoplantar Psoriasis: This type of Psoriasis are most likely to show up on the palms and soles. It can also appear on the tops of your feet, backs of your hands, and on knuckles and nails. It may be triggered by an injury to the skin, an infection, or another skin condition such as hand dermatitis. It may first occur during a period of psychosocial stress. Lesions are like cuts which bleed.
 Psoriasis - Homeopathic Treatment

The patient should be encouraged to expose maximum to sunlight and avoid trauma during the active phase.

Homeopathic treatment of psoriasis   Homeopathy is one of the most popular holistic systems of medicine. The selection of remedy is based upon the theory of individualization and symptoms similarity by using holistic approach.

This is the only way through which a state of complete health can be regained by removing all the signs and symptoms from which the patient is suffering. The aim of homeopathy is not only to treat psoriasis but to address its underlying cause and individual susceptibility. As far as therapeutic medication is concerned; several well-proved remedies are available for psoriasis treatment that can be selected on the basis of cause, location, sensation, modalities and extension of psoriasis. For individualized remedy selection and treatment, the patient should consult a qualified homeopathic doctor in person.

Homeopathy For Psoriasis!

Most of us suffer from lower back pain at some point in our lives; be it from a sedentary lifestyle, spending hours at the office desk or from strenuous physical exercises. In most cases, a little bit of rest does the trick. However, if the lower back pain persists for 3-6 weeks, physiotherapy is recommended.

How does physiotherapy help?

The main purpose behind physiotherapy is reducing lower back pain and increasing muscle and bone function, so that such instances are avoided in the future. Physiotherapy is the first line of defence against lower back pain. More drastic measures such as surgery are undertaken once physiotherapy fails to do is job.

Physiotherapy is often recommended when the back pain is caused due to lifestyle factors, a minor injury like a fall or other moderate factors. For more severe back injuries, doctors recommend surgery straight away when there is no scope of performing physiotherapy.

Low-intensity back pain can be cured using a combination of heat packs, ultrasound wave therapy and Iontophoresis (using a localized current source to introduce medical ionic compounds to the body).

A physical therapy program for back pain usually has two components:

Passive physical therapy to help reduce the patient's pain to a more manageable level

Active exercises

Passive Physical Therapy - Modalities

The physical therapist may focus on decreasing pain with passive physical therapy (modalities). These therapies are considered passive because they are done to the patient. Examples include:

Heat/ice packs

TENS units

Iontophoresis

Ultrasound

Active Physical Therapy - Back Pain Exercises

In addition to passive therapies, active physical therapy (exercise) is also necessary to rehabilitate the spine. Here are some of the common exercises for back pain:

Back Stretch: Put your hands underneath your head while lying back. Bend your knees but put your feet on the ground. Roll your legs to one side and hold them there for 10 seconds. Repeat three times for each side.

Deep Lunge: For this, you need to kneel on one knee with the other foot pointed towards the front. Lift the back knee up and hold it there for five seconds and then bring it down. Repeat this exercise three times for each side.

One Leg Stand: This is the simplest of exercises. Hold on to a wall for support while standing and face towards it. Then slowly hold one leg and bend it behind you. Hold in the same position for five seconds before bringing it down. Repeat the process three times for each leg in five second gaps.

Physiotherapy for Back Pain

What is depression?

It is a state of mind when a person feels very low, loses interest in routine daily activities, feels hopeless and helpless. Many times the person starts thinking about suicide. It is a very dangerous state and needs immediate intervention from mental health professionals.

Assessment of depression:

Anyone feeling very sad cannot be called as a" depressed" person. To confirm the depression, the person needs to undergo assessment tests by either a psychologist or a psychiatrist. A" depression test" is carried out to see the exact intensity of depression.

Symptoms of depression:

Feeling very sad all the time, continuously for more than 15 days: feeling very sad continuously for a period of 15 days or more confirms depression. But just feeling sad sometimes is not depression.

 Crying for no specific reason: a depressed person may cry without any specific reason or provocation. The internal feeling of sadness is so intense, that the person cries without a good reason.
 Feeling worthless and hopeless: a depressed person has very low self esteem. The person thinks that he/she is useless, has no value and respect in the society. A depressed person feels hopeless. He/she thinks that'this is the end of the world' and things cannot improve. The person does not have any hopes about future and may start thinking about committing suicide or may attempt suicide.
 Loss of interest in life: the person loses interest in life. Does not feel like taking part in any activities which she/he were interested in doing earlier. There is nothing to look forward to, in their life.
 Ignoring personal hygiene: the person is so disinterested in life that she/he becomes careless about personal hygiene. They may not take bath for days together, may not even change their clothes or comb their hair or brush their teeth and are least bothered about the general cleanliness.
 Sleep disorders: the depressed person may sleep all the time or may not be able to sleep at all, which affects their overall health.
 Eating disorders: the person with depressive symptoms may stop eating or eat very little or in some cases eat a lot.
 Lack of sexual desire: the person may lose interest in sex and stop interacting with the sexual partner or start avoiding them.
 Feeling like a loser all the time, not wanting to fight back: the person has no self confidence and hence loses all the faith in his/her own abilities. Does not believe that he/she can face difficult situations and also can fight back.
 Becoming antisocial: the person avoids meeting other people and does not interact with people at home.

Causes of depression:

There are various factors, which may cause depression:

Family history: a person who has a family history of depression is more likely to have depression. If any of the parents or grandparents were diagnosed with depression then the person is more susceptible to depression.

Trauma: if a person has gone through a'life changing' experience, it can cause depression. Situations, such as a sudden death of a loved one or in case of witnessing devastating natural disasters like earthquake or tsunami or a war survivor, someone who has experienced terrorist attack or when someone has suffered sexual or physical abuse etc. May cause depression.

Health issues: if a person is having terminal illness, that can cause depression as the person has to endure lot of pain and has no hopes about recovery.

Relationship problems: if a person is dissatisfied with his/her close relationships like relation with the spouse, parents, siblings or offsprings, then the person may feel like a failure and feels worthless, unwanted or betrayed.

Financial issues: a person having any financial issue like not able to get a job or loss of job, incurring heavy losses in business or unable to earn enough money to satisfy the basic needs etc. Might get depressed.

Failures in life: failure to pass an examination, failure to achieve targets/goals, failure in love affair etc. May result in depression.

Treatment for depression:

Depression may fall in the category of mild, moderate and severe. But it is very important that the person gets assessed for the severity of depression.

Assessment by a psychiatrist/psychologist/counsellor: a person needs to be assessed by either a psychiatrist or a psychologist or a counsellor, to understand the intensity of depression. These mental health professionals may assess a person by talking to him/her and if required by applying certain'depression assessment' tests.

Medication and counselling: in case of moderate to severe depression, a psychiatrist will prescribe certain medication. Along with the medicines, counselling sessions work very well. In case of mild depression, only counselling also can be helpful.

Depression is treatable: if you come across someone with depressive symptoms, kindly advise them to seek help from a counsellor, psychologist or a psychiatrist.

Depression What You Need to Know About It

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