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!

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

5 simple ways to prevent dandruff in winter

Dandruff is becoming increasingly common. This scalp condition can exacerbate in winter since the humidity of the air around you decreases, which results in dry skin and an itchy scalp. But there are certain ways in which you can prevent the onset of dandruff during winters. Read on to find out.

1. Wash your hair with lukewarm water
You may find a shower with hot water a great way to start your day, but unfortunately, it has a negative effect on your scalp. Hot water baths are responsible for scalp irritation and effectively increase inflammation, which ultimately leads to the occurrence of dandruff. So, always opt for lukewarm water to wash your hair in order to maintain the natural moisture level of your scalp.

2. Give your scalp a coconut oil massage
Make it a habit to massage your scalp with 3-5 tablespoons of coconut oil before sleeping at night. Rinse away the oil the following morning using a gentle shampoo. Regularly following this remedy proves to be beneficial in keeping dandruff away from your scalp.

3. Watch your diet
You can ensure that your scalp remains healthy during winters by including moderate amounts of vitamin b, omega 3 fatty acids and zinc in your diet. To get these nutrients eat foods like walnuts, leafy vegetable, and eggs etc. These foods can help in keeping your scalp hydrated, thus preventing the occurrence of dandruff.

4. Stay away from hair styling products
Winter robs away the moisture from your scalp, which makes it highly vulnerable to damage on exposure to harsh chemicals. Most hair styling products (such as hair colours) contain strong chemicals, and if you use them frequently during the winters, you may end up having an itchy scalp resulting in dandruff later.

5. Use conditioners and shampoos containing tea tree oil
Hair care products like shampoos and conditioners made of tea tree oil help in restoring moisture to your scalp, which in turn stops dandruff from occurring. Alternatively, giving your scalp a tea tree oil massage two times every week works wonders for your hair and keeps dandruff at bay.

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

Seeing a Sudden Rise in DANDRUFF? Here?s What You Need To Do!

Dermatology is a very vast subject and many times it crosses the medical field to the cosmetology sector, where beautiful skin maintenance is concerned. The case of mole removal, for example, is handled by dermatologists. However, while examining the moles they first confirm that they do not, in any way, pose the risk of melanoma, a type of skin cancer. In fact, it has been reported that a dermatologist in Christchurch, New Zealand is offering free checkups during weekends for melanoma. Her plight is that she lost her brother to melanoma and many people make the mistake of ignoring moles on their skin and pay the heavy price.

A Professional Way Better than Trying at Home
For exactly the reason mentioned above, if you find moles on your skin, you should have the area examined by a dermatologist. The doctor would have the right instruments to identify and check whether they are only moles and then advise the appropriate removal. If the advice from the doctor itself indicates a simple procedure at home, then you can do this. There are over the counter products, such as peels available which can be used and then the moles can be removed. For other cases, you will need to subject yourself to a proper mole removal procedure.

Simple Methods For Surgeries
Chemical peels and burning away the extra growth using Cantharidin are some of the options available to dermatologists to remove moles from your skin. They may either have their own proprietary peels made or use the ones available in the market. Either way, the dermatologist will know how to prepare the skin before applying the remedy and also after treatment care. Skin is a very sensitive part of the body and no risk can be taken. If the mole removal has to be carried out only through a surgical procedure, the dermatologist will make that decision and do it as soon as you are ready.

Again, within the surgical method of removing moles, the doctor may use very simple procedures such as a scalpel to cut and remove the mole as well as a small amount of skin and dress it up. In the next level, the doctor may have to make a proper incision and then stitch up the area around the cut portion. Care will be taken regarding the scar on the skin.

Take Care of Your Skin
Depending on which part of the world you live in, there are steps you must take to protect your skin from getting damaged. In particular, the areas, like the face, neck, shoulders and hands which are exposed to the sun or cold winds or other vagaries that pose risks to the surface of the skin. The moment you observe signs of any abnormality in the skin, consult a good dermatologist to get healthy skin.

Mole Removal - What To Know?

How to avoid dehydration in any season. 

We assume that dehydration to the body happens only in the summer. And it’s not without a reason - Summers in India are so hot; every ounce of water in the body gets used up in the heat. A body gets dehydrated when it doesn't get enough water intake. In summer there is an added factor of more sweating i.e. losing water. Dehydration happens in all seasons and you need to hydrate yourself adequately according to the loss of water.

In winters our skin is dry, we sweat but it doesn't stay on the skin. The body feels dehydrated even if there is a marginal drop in percentage of water in body weight. We need to stay hydrated to digest food properly and for smooth functioning of all organs. When a body is dehydrated, the blood flowing through its veins become thicker and the heart needs to put a lot of effort to pump it. Irrespective of the weather or season, our body loses a minimum of eight cups of water which must be replenished.

2 ways to keep yourself hydrated:

1. Have lots of fruits: Consume more fruits and vegetables which are rich in water content. Even in winters when it is cold and we avoid drinking water instinctively; eating foods with high content of water will help.

2. Take Your Water With You: The most important thing which should be actually a year-round habit - carry your own water bottle around. Refill when needed, but if you have water available to drink, chances are that you will drink more than otherwise.





Did you know you can be dehydrated in any season?

Asthma is a condition that can flare up anytime; be it at your child's soccer practice or during the middle of the night. Whenever the condition sets in, it leads to your child struggling for breath. For a parent to witness this situation can be hard; but you should know the techniques to keep the situation under control.

Here are a few tips on how to manage the situation:

1. Find out the triggers in your home: Asthma is triggered due to substances that your child may be allergic to. Examples are cigarette smoke, fur of pets and dust. If possible, keep your child away from the known triggers so that the condition does not flare up again.

2. Keep records of the following: It is good to have an action plan ready for your child when the bouts of asthma strike. When you visit the doctor to discuss about your child's condition then make sure that you have these records at hand.

The triggers that caused the bout of asthma
How many times did your child have wheezing episodes?
The number of times your child has been admitted for the same reason
The medications that your child is currently taking, dosage and/or whether they have been changed
How often does he/she need medications if he/she has acute symptoms?
3. Knowledge of the test your child may require: Asthma control test is a type of test that allows parents and children to grade asthma symptoms without a doctor. A pulmonary function test is used to detect the capacity of the lungs and flow of air.

4. See how your child responds to the treatments: You should consider changing the treatments for your child if he/she has recurrent symptoms of asthma attack and require frequent visits to the Emergency Room even after taking medications for an extended duration.

5. Long term treatment plans require patience: Any asthma treatment plan requires patience as they might not immediately cure symptoms.

How to Manage if Your Child Is Suffering From Asthma

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