Cyclic vomiting syndrome (cvs) is characterized by periodic bouts of nausea and vomiting that happens at cyclical intervals. It affects all ages, but is more common in children. The condition is quite stereotypical in that there are paroxysms or bouts of vomiting that is recurrent and follows days of normal health.

Causes: there is no definite reason identified, but it is said to have a strong hereditary correlation. Studies have shown mitochondrial heteroplasmic (abnormal growth of mitochondria, which is a cellular component) to be one of the factors that can lead to cvs. The genetic correlation, however, is very difficult to establish, specifically because vomiting and nausea are common symptoms that occur with most conditions in children. And cvs is most commonly noted with conditions like infections and emotional excitement. Infection could be either tooth decay or sinusitis or anything else. Lack of sleep, anxiety, holidays, allergies, overeating, certain foods, menstruation - a host of factors have been shown to induce cvs. There is also a strong association with migraine and conditions that lead to excessive production of stress hormones.

Symptoms: the syndrome (a group of symptoms) usually has 4 phases:

1. Symptom-free interval phase: the child is completely normal in this phase, which happens in between bouts.

2. Prodromal phase: prodrome is an indication that a disease or a condition is about to happen. In cvs, this is usually nausea and abdominal pain that can last from a few minutes to a few hours. Treatment in this phase can curb the disease. However, there could be some children in whom this may not manifest and the child may directly start with vomiting.

3. Vomiting phase: repeated bouts of paroxysmal vomiting happen associated with nausea, exertion, fatigue, and drowsiness.

4. Recovery phase: as the nausea and vomiting begin to subside, which may take a couple of days, the child returns back to normal slowly. However, the lethargy and energy levels will take a couple of days to return to normal.

Treatment: treatment again depends on the severity and the phase at which it is being recognized. If a child has repetitive bouts, then the parent and the doctor would have identified a pattern to it.

1. If the causative agent has been identified, for instance, infection or migraine, then managing that takes care of the cvs also.

2. If identified during the prodromal phase, again it can be managed with suitable anti-emetic medications.

3. If identified after full onset, rest and sleep and medications to control nausea and vomiting are required. Adequate hydration with electrolyte replenishment and sedatives can provide additional support.
However, in most cases of childhood csv, the pattern will be identified and that helps in better management, both the child/parent and the podiatrist.

Cyclic Vomiting Syndrome in Children - Causes, Symptoms, Treatment

Home remedies for skin allergies 

Skin allergies are often indicated by redness, scaly, itchy, chapped or bumpy skin. These may occur due to a variety of factors. Usually, when an allergen or a foreign element comes in contact with skin, it triggers an immune system response leading to an allergic skin condition. Other factors may include climatic changes like heat and cold, infections, cosmetics, specific foods or even medications resulting in skin allergies. Often, mild skin allergies do not sustain for long even if these are not treated. However, to get relief from the pain and added discomfort caused by these skin allergies, these home remedies are a lot easier and safe bet.

Cool down the itch

Use typical ice packs or cold running water over the infected part to treat itching. Using a cold water cloth over infected area relieves from suffering. Do not try using hot water as it relaxes in the beginning but makes the condition worse later.

Scare the scar

Aloe vera is the best bet in almost all skin ailments due to its remarkable anti-bacterial, anti-inflammatory and anti-fungal properties. Regular oral intake of 2-4 teaspoons of aloe vera gel or the application of its pulp on areas of dark spots or scars eradicates scars and rashes from the face and other skin areas.

Act on acne with apple cider

The best option to treat the most irritating yet much prevalent skin ailment is apple cider vinegar. Add one part of apple cider vinegar to three parts of water. Mix it well. Use cotton balls to apply this solution on acne directly and leave it for 10-15 minutes. Then rinse with water. Apply this three times a day to seek optimum results.

Coconut oil sways away eczema

First, wash your hands with utmost care. Then, pat them dry. Use your fingers to slowly rub coconut oil on the affected area. Leave it for some time to get it dry. Use it as many times as you want to get the benefits. Actually, application of this oil on the affected portion is recommended for a longer duration for best results.

Bye-bye to rashes with baking soda

Baking soda is to be applied on the rashes directly. Then, to get better results, press the skin softly and see the rashes disappear soon.

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Quickie Home Remedies for Skin Allergies

Also known as contact dermatitis or contact eczema, allergic eczema is a condition wherein one experience symptoms of skin rash on coming in contact with an allergen. Other symptoms include a burning sensation in the eyes, coughing and a runny nose.

Causes-

This condition is caused when you come in contact with an allergen. Some common triggers that cause your immune system to react in this manner are:

Perfumes in cosmetics

Hair dyes

Metals such as nickel found in jewelry

Latex based products

Chemicals present in soaps and other cleansing agents

Certain antibiotic creams and lotions

Adhesives

Symptoms-

With allergic eczema, the most common symptoms include itching and pain around the affected area, and tender skin. Inflammation and dry skin are some other common symptoms that one may experience. Pus-filled red bumps are common occurrences along with this disorder. The skin may start to thicken and turn scaly. The symptoms may show up when one is exposed to sunlight.

Treatments-

The treatment for this disorder begins after a thorough diagnosis of the symptoms. Based on how severe the symptoms are, the treatment is prescribed accordingly. The first step is usually to wash the affected area with warm water to wash away the allergens. In case of mild symptoms, you may not need any treatment. It is also advised to use apply moisturizing cream to maintain hydration of the skin. To reduce inflammation and itching, use of corticosteroid creams is recommended.

In case of severe symptoms, strong corticosteroid pills may be prescribed.

If the treatments are carried out properly, the symptoms tend to clear up within 15-20 days. However, it is important to remember that the condition may erupt again if you come in contact with the allergen once more. Thus identification of the allergen is very important for long-term treatment and preventive measures. By seeing an allergist contact dermatitis can be ruled out by doing an Allergy Patch Testing.

Allergic Eczema: Causes, Symptoms and Treatments

Dandruff isn't just a social embarrassment, but may also give you certain pointers about your general hair health as well. Let's look at some facts regarding dandruff and how it may affect the health of your hair.
Causes of dandruff

The cause for dandruff is usually stated to be a dry scalp, which is not entirely true. Dandruff could be caused by a host of reasons and rather than being a problem, it could be a symptom of other problems with hair health. Let's look at some of the causes:

1. Yeast problems on your scalp: If you suffer from extreme dandruff problems during the winter months, it is likely that it is due to the buildup of yeast on your head. Yeast may build up during the winter months and it usually gets resolved when temperatures rise during the summer months.

2. Not maintaining your hair regularly: This may come as a surprising element as brushing helps in removing dandruff from your scalp. If you have short hair and don't brush your hair regularly, chances of getting dandruff increase more so. Shampooing also has a similar effect and thus if you don't keep your hair clean, it might end up causing more dandruff.

3. Conditions such as Seborrheic dermatitis or other diseases: Dandruff may well be a manifestation of symptoms for other health problems within your body. For example, Seborrheic dermatitis is a condition which may cause your scalp to be irritated and oily and in turn, cause more dandruff. It could also mean you have a Malassezia problem. Malassezia is a fungus that naturally lives in our hair and feeds on the oil, but an overgrowth of these might result in dandruff as well.

4. Lifestyle issues such as diet and stress: If you follow a poor diet, mostly consisting of junk and fried foods, and also have a lot of stress, then it may lead to dandruff. In such cases, topical medications or treatments might not work. You will need to correct it by making changes in your lifestyle, one of them following a healthy diet

In all of these cases, it is not just a specific problem, but a symptom of a larger problem that needs to be resolved. Treating the underlying problems will ensure that dandruff goes away too.

Common Factors that Cause Dandruff

Yauvan pidika or acne vulgaris is an inflammatory skin disorder which is prevalent in both males and females. When the sebaceous glands present on skin produce excessive sebum, the hair follicles present on skin get clogged leading to the formation of acne. According to ayurveda, kapha, pitta &amp; rakta and meda or fat dhathu are responsible for producing acne.

Ayurvedic treatment aims to eliminate the problem from its root. Herbs like lodhra (symplocos racemosa), manjishtha (rubia cordifolia) and kushta (saussurea lappa) are known for their properties to reduce acne. Turmeric (curcuma longa) and chandana (santalum album) are also effective in treating acne. The application of jaiphal (myristica fragrans) and khas-khas (vetiveria zizanioides) is believed to provide satisfactory results. Neem (azadirachta indica), guduchi (tinospora cordifolia) are known for their blood purifying properties, which can lessen the occurrence of acne and pimple in the long run.

The following are some of the ayurvedic remedies for treating acne:

1. To reduce the growth of pimple, rub water on jamun (syzygium cumini) seed and apply it on the pimple.

2. The peel of orange has medicinal properties that can be used effectively in the treatment of pimple. Make a paste of orange peel powder and rose water; apply it on your face on a regular basis. It is an effective remedy that cures acne and improves the skin tone.

3. To achieve an immediate result, apply a paste of lodhra (symplocos crateigodies), vach (acorus calamus) and dhania (coriander). Improvement will be noticed within 7 days.

4. A paste of red chandan (red sandalwood) and jaiphal (nutmeg) are also effective in reducing the appearance of acne and pimples.

5. Apply a paste of masoor dal (red lentils) with milk, ghee and camphor on your face. It reduces the appearance of acne and clears the scars which are left behind.

6. Prepare a paste of lemon, kalaunji (seeds of fennel flower) and milk. Apply it on your face on a regular basis before going to bed. Wash your face with lukewarm water in the morning. This remedy ensures speedy disappearance of acne.

7. Make a mixture of nimbu (lemon), extracts of tulsi (basil) and black kasundi (coffee pods), dry it in sun and apply the mixture on face. It is a powerful remedy that is known to cure the problem of acne.
Besides these home remedies, a balanced diet and healthy lifestyle will also enable you to reduce the risk of recurrent acne.

Ayurvedic Treatment for Acne

Dry skin is a condition caused by the lack of moisture in skin. Fine lines and wrinkles are just some of the conditions, which may be caused due to dry skin. Dry skin can also be very uncomfortable. The condition is mostly caused by environmental factors such as exposure to harsh weather conditions or getting soaked in hot water.

People at risk:
1. Age: People who are older than 40 years of age tend to be more at risk of dry skin than people who are younger than 40 years.
2. Climate: As mentioned earlier, weather conditions play a pivotal role in causing dry skin. Therefore, people who live in areas where the climate is either very hot or very cold tend to get dry skin more often than people who live in temperate climates. Low humidity is another factor which causes dry skin.
3. Profession: Some professions, such as nursing or hairstyling requires frequent usage of hot water all through the day, which can also lead to dry skin.
4. Swimming: Swimming is one of the major causes of dry skin. This is especially true in pools, which have chlorine. This is because chlorine increases the itchiness on your skin.

Treatments:
1. Lifestyle changes: Usually, lifestyle changes such as avoiding long, hot showers and putting moisturizers are good enough to make sure that dry skin goes away.
2. Lactic acid: Creams with lactic acid and urea can be prescribed by your doctor, if the dryness of your skin does not go away with moisturizers. These creams are usually over-the-counter medications.
3. Prescription creams: Prescription creams are given, only when conditions such as dermatitis, psoriasis or ichthyosis are present.
4. Wet dressing: Wet dressing is given only when dermatitis has set in, as it mostly help in preventing the infection.
4. Oiling: Oiling your body, especially with fish or flaxseed oil, ensures that your body does not succumb to dry skin.
5. Hand sanitizer: Normal hand sanitizers tend to make your hands dry. Thus, dermatologists recommend hydrating hand sanitizers that allow your hands to maintain their moisture. Therefore, whenever you are using a hand sanitizer, use a hydrating one.

Risks and Treatment of Dry Skin

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