A little bit of sun is always good for you and you do need sunlight for your body to process vitamin D, which is necessary for bone health. At the same time, the ultraviolet rays from the sun can be detrimental for your health. While being in the sun is not a bad thing, how long you stay in the sun and how well you are protecting yourself count. Prolonged and unprotected sun exposure harms your skin and can decrease the immunity function of the skin.

Some effects of sun exposure include:

Development of cancerous and non-cancerous skin lesions
Benign tumours
Coarse and fine wrinkles
Freckles
Mottled pigmentation (Skin discoloration in certain areas)
Sallowness (The colour of the skin turns yellow)
Telangiectasia (Expansion of blood vessels under your skin)
Elastosis (Destruction of the collagen and elastic tissue)

The most harmful effect of sun exposure is definitely skin cancer. It is the uncontrolled development of anomalous skin cells is skin cancer. This accelerated development leads to formation of tumours, which are either malignant (cancerous) or benign (noncancerous). Skin cancer is mainly of 3 types: basal cell carcinoma, melanoma and squamous cell carcinoma. Among these, squamous cell and basal cell carcinoma are less critical; while melanoma is very serious. When melanoma is left untreated, it can affect the other organs and get difficult to treat. UV rays are the major causes of skin cancer. Sun exposure over the years leads to squamous cell and basal cell carcinoma, while severe sun damage episodes before the age of 18 cause melanoma.

Here are some tips to prevent sun damage:

Always apply sunscreen 20 minutes before you go out, even if it is cloudy. A sunscreen with SPF of 30 or more, and zinc oxide is advisable if you want optimum sun protection. Also, you should reapply sunscreen every 2 hours, especially if you are swimming or sweating.
Select cosmetic products, contact lenses and clothing that offer protection from UV rays.
Choose sunglasses that offer total protection from UV rays. Also, wear a hat with a wide brim to shade your neck and face.
Avoid direct exposure during harsh hours like between 10.00 and 3.00PM.

Prolonged Sun Exposure - How It Can Damage Your Skin?

While injuries of any form can be painful, burn injuries are one of the worst to suffer from. While cuts and bruises can be temporarily assuaged with a proper dressing, burns are quite different in this regard. With burns, the damaged tissues will stay on the body and may cause continuous pain. Thus, burn injuries are difficult to treat and they require different strategies for pain management as well.

Treatment methods available for treating pain arising due to burn injuries

Apply an anesthetic cream or aloevera gel to soothe the burnt skin. Avoid exposing the skin to air as that will cause painful sensations.
Loose gauze or antibiotic ointment must be used to protect the influenced area.
Soak the burnt area wound in cold water for about five minutes or more.
If the burn escalates or affects a widespread area, seek medical attention immediately.
Pain management factors for burn injuries:

Relaxation: During the phase of recovery, burn injuries put immense stress on your body and continue for a long period. Muscle tension is caused by stress that increases pain. Some relaxation techniques are proven to be beneficial to reduce the stress on body.
Coping with your pain: Different people have different ways to cope with physical discomfort. Look out for situational aspects which are currently under your control and take it positively. The  what ifs  or wishing that the burn didn t occur in the first place will not help with your current situation. You should focus on things what you can control like self-rehabilitation, doing your daily exercises, physical therapy treatment or following a doctor s suggestion of pain management strategies. This will help you cope with your pain to a greater extent.
Sleep medications: If your normal sleep routine is hampered, consult your physician for safe sleep medications. Proper sleep is very important for the healing process and even more so in the case of burn related injuries.
Antidepressants: Some people may not be suffering from depression, but they might still need antidepressants for relief and sound sleep. A health care provider might prescribe antidepressants as a way to deal with acute pain from burn injuries.
Increase the pace of your activities: If you want to rebuild your health and stamina and get back in form soon, focus on the regular physical and mental activities. Exercise regularly, but don t push yourself too much. Increase your physical activities gradually over time. Unless and until you are fully comfortable, don t strain yourself too much. Occupational and physical therapists can help you with an appropriate activity program.

Burn Injuries - 5 Ways to Manage Its Pain

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?

Depending on the way you look at it, a mole can be a beauty spot or a blemish. For most people, facial moles are undesired. Moles can be described as clusters of pigmented skin cells. They appear in the form of dark spots on the skin that vary in size, color and texture. Apart from the face, moles appear commonly on the arms and legs but can affect any part of the body. In most cases, moles are harmless but in some cases, they may turn precancerous and need to be removed. However, most moles are removed for only cosmetic reasons. Moles can be removed through home remedies, surgery or laser treatment.

Mole removal depends on the type, size and location of the mole. When treated with lasers, layers of the mole are removed one by one by evaporating the affected cells. This does not cause any sort of bleeding and does not disturb healthy tissues adjacent to the mole. It is also considered to be a largely pain-free procedure but you may feel a slight tingling sensation. After the laser procedure, a scab forms over the affected area which later falls off. You may also notice slight swelling and redness in the area for a few days after the procedure.

Laser treatment for mole removal has a number of advantages.

As it is a non-invasive procedure, there are minimal chances of infection
Multiple moles can be treated in a single session
Laser beams can reach parts of the face, nose and ears that may be difficult to reach through other procedures.
There are minimal disturbance and injury to the adjacent healthy tissues
Healing is much faster than with other procedures
There is a very low chance of scarring
However, one of the biggest disadvantages of laser therapy is that it can only be used to treat surface moles as the laser beam cannot penetrate deep into the skin. Also, laser treatment, if not recommended in cases where the mole may be considered precancerous as the laser beam will destroy the mole leaving nothing that can be used for a biopsy. Lasers are also seldom used to treat large moles or birthmarks. The cost of removing a mole with laser treatment depends on the size, location and number of moles. In some cases, more than one session may be required and this too could influence the cost of the procedure.

Moles - How Laser Treatment Can Help You Get Rid Of Them?

Pregnancy is a life-changing phase in a woman s life. In addition to a baby (or babies!), there are a lot of physical and emotional changes also that come with it. The more evident are the physical ones, and in addition to weight changes, the stretch marks are the most obvious.

The uterus or the womb grows to its full extent to accommodate the developing baby, and so there is stretching of the connective tissue in these areas. After delivery, the tension is lost, and these marks become evident.

What are stretch marks?

These marks appear as lines on the skin and are most commonly found in areas such as the buttocks, arms, breasts, thighs and stomach. They are different in appearance in comparison to the normal skin. It may appear pinkish or purplish initially and then it takes a shiny appearance later. When you feel the stretch marks, you may feel a certain indentation or ridge on the skin. It may feel sore or itchy as well sometimes.

They most commonly appear during adolescence when there is rapid growth and stretching of the skin. It is also seen in women pre and post pregnancy. Stretch marks can also appear when there is a sudden change in weight.

How To Treat Them?

Use Moisturisers: People who use moisturisers show an increased elasticity of the skin, which reduces the appearance of stretch marks on the skin. Keeping the skin hydrated stops the skin from tearing and creating stretch marks. Moisturising is not entirely effective on older marks, but it can help with newly formed stretch marks. You can also use it on areas that are prone to stretch marks.

Retin-A: Retin- A is known to boost collagen production that helps the skin to stretch out with ease and not cause tears. When Retin-A is used, it is recommended to limit the sun exposure as the skin becomes more susceptible to sun damage and burning.

Glycolic Acid: This chemical compound falls under the category of an alpha-hydroxy acid which is commonly found as a major ingredient in chemical peels. It is known to amplify the production of collagen and increase the tensile strength of the skin. Go to your dermatologist for a stronger dose for more effective results.

A Combination of Retin-A and Glycolic Acid: A combination of these two potentiates the action of each other and gives better results.

Vitamin E Oil: You can find Vitamin E oil capsules in medical shops that are known as the miracle medication when it comes to curing stretch marks.

Essential Oils: Certain essential oils like rose oil, lavender oil, or geranium oil are known to reduce stretch marks.

Vascular Laser: Pulsed dye laser that is kept at the wavelength of 585 nm is used to remove the stretch marks that are red and newly formed. It may not be effective on the older ones that have turned silver. This process is highly expensive and needs about 6 sittings. The efficacy of this procedure also depends on the complexion of the skin. Much like laser hair removal, vascular laser does not work on darker skin. The colour difference between the marks and the actual skin tone should be prominent.

Fractional Laser Treatment or Laser Resurfacing: This is used to get rid of the older stretch marks that have turned light and are no longer red. This procedure is more expensive than the previous one and is prone to leave scars on the site of application.

Abdominoplasty or Tummy Tuck: The only permanent solution to get rid of stretch marks is to cut them out entirely. If you are tired of the stubborn tiger stripes, then this could be your only way out.

RF Micro-Needling Device: This is a more cost effective alternative to CO2 Laser Resurfacing that could be used on any stretch mark types  new and old . The micro needles are driven directly into the skin to a certain depth (0.2mm-3.0mm) and radiofrequency (RF) energy is then released inside the skin. Minimally invasive RF thermal energy creates fractional electrocoagulation in the dermis which facilitates a natural wound healing process promoting the remodelling of collagen.

10 Tips To Treat Stretch Marks Effectively

Psoriasis is a chronic dermatosis characterised by an unpredictable course of remissionn & relapse. It is an non-infectious skin disaease chracterised by scaly, silvery patches mainly on the scalp and extensior surface of the body. Its exact cause is unkown. In ayurveda, it is closely resembles with ekakushta. The features of ekakushta explains in ayurveda classics resembles with the symptoms of psoriasis. Psoriasis is the challenge for modern science. There is no definite treatment for psoriasis in modern science till today. The drug available in the market use to treat psoriasis are not very effective and have local and systemic effects.

In ayurveda, vata pitta and kapha dosha is the main contributory factor for the disease. Due to vitiation of three dosha, the disease manifest and main line of treatment for psoriasis is panchkarma and internal medicine. It is considering the best approach for skin disorder in ayurveda. A case report of 42-year old male, presented with well demarcated red scaly, silvery patches mainly on both legs, hands, scalp, chest and back with itching, and also nail and joint involvement has been presented in this article.

Etiology of Psoriasis: 

Unknown but many factors have been associated-

Genetic: may be autosomal dominant

Triggers: physical trauma ,infection and drugs.

Biochemical change: like increase level of arachidonic acid and Cgmp.

Immunological factors: helper T cells PLAY A KEY ROLE.

Epidemiology: 

Roughly, 1% of population is affected. Can occur at any age and affected both sex. Most patients as worse in winters.around 7 million people are affected in developed country.

Histopathogenesis:

Increased epidermal cell proliferation.

Retention of nuclei in stratum corneum.

Proliferation of fibroblast.

Dilated and tortous capillary loops.

Shortened epidermal turnover time from normal of 60 to 10 days.

Clinical features: Usually chronic indolent lesions which persist for month. Lesions are mildly papule or plaque.erthematous plaque lesions with characteristic slivery, large, loose scales. The patients of psoriasis may also suffer from depression and low self-esteem.

In a patients with psoriasis always check for nail and joint involvement.

Nail: 10 to 15% of the patients have nail involvement. Pitting, nail plate thickening, subungual debris, discolouration of nail plate and oil spot seen in the nails.

Joints: 10% patients have joint involvement.

Sites: Scalp, pressor points & extensor. Sometimes generalised.

Chronic recurrent psoriasis is difficult to treat. Modern science treat with PUVA and corticosteroids but these drugs having local and systemic side effects like liver and kidney failure etc. So, it is the time to find out the effective and safe treatment for Psoriasis. Medicines which are used in ayurveda are safe and practised since many years. A huge numbers of drugs are prescribed in ayurveda for the treatment of kushta.

Case details: A 42-year old male patient, hindu brahman by religion, presented on 10 april 2016 with well demarcated raised red scaly, silvery patches on chest, back and both legs and hands. He complained of itching all over the body and on scraping, white powder like substances fall down and leaves a bleedy surface. On history, patients had complaints since 20 years and diagnosis of psoriasis by allopathic physician. Since 20 years he has been taking allopathy and homoepathy patients from various practioners of U.P and delhi. He is brahman and lives in well known temple of delhi and visit homes of peoples for religious ceremony. He is afraid that if the disease is spreading continously, then he is unable to work as priest because people neglect him due to disease. The disease is spreading all over his body and also involves nail and joint. Destruction of nail plates of hand and legs was also developed. For this, patients took allopathic treatment for such a long time but do not get relief.

The patients visit our clinic for the first time. He told use that his problem not solves since 20 years and spreading continuously. So, he is unable to trust us. So, we first give him counselling because reassurance and emotional support are invaluable. Physical and mental rest enhance the effects of the treatment. It is also important to tell him that the disease is not contagious and is benign.

SYMPTOMS OF THE PATIENTS :

Itching all over body

Silvery patches, especially, on legs ,chest ,back but now spreading in his hand and scalp.

Destruction on nail plates

Swelling and pain in left middle fingers and flexor deformity in proximal interphalangeal joint

Swelling in right middle metatarso phangeal joint and pain

Some blood test of the patients were done like CBC, LFT, KFT, SR, URIC ACID to assess outcome.

His general health was good and both physical and all blood test were within the normal limts.we advise patients for panchkarma and oral medication but patients refuse for panchkarma so we start his oral or internal medication. 

Investigation Done :

CBC(Complete Blood Count)

LFT(Liver Function Test)

KFT(Kidney function Test)

Sr. Uric Acid

Investigation was done to rule out any other pathology. Investigation were within normal limit.

Internal Medication :

Medication are given into two phase. In First Phase, we are given panchsakara churna - one spoon two times daily for anulomana and pachan, Panchnimba churna- one spoon two times daily with luke water, panchtikta ghrita gugulu - two tab two times daily, and one oil for local application containing jyotishmati,bakuchi, and chakramad for five days. We told patient to apply the oil firstly only on legs for 5 days. Patient taking the same for 5 days and come on 5th day, we see the fabulous result, the rashes which are developed within 4 to 5 months just disappear and other rashes are also subsiding.

After 5 days, in second phase, we continue the same treatment and also added haridra khand - one spoon two times daily, gugulu tiktam kashaya - three spoon two times daily (one hour before food for 15 days). The patient came back on 20th day, with great result, the rashes were almost 60 % subsiding and pain and swelling in finger and ankle also reduce to great extent. Now, patient is not taking any pain killer for pain. Patient also get improvement in nails of legs.

We prescribe the same medicine for one month that time and ask him to do some physiotherapy additional for finger deformity. After that patient came with 70 to 75 % relief in symptoms and patients also tell that during the treatment, he will not develop any additional rashes.

During the treatment, we also told the patients to follow some dietary changes and live according to the rules of Ayurveda.

Result: Psoriasis is a disease with unkown etiology and triggered by many factors. In modern science, treatment of psoriasis is a challenge. They do not have any safe and proper medicine for psoriasis. But, ayurveda treatment gives satisfactory results as well as the quality life to the patients. Ayurveda removes toxin out of the body and corrects the formation of aama. Ayurveda gives the prevention as well as the treatment. So, by following the dietary and lifestyle change we prevent the reoccurrence of the disease.

Ayurveda For Psoriasis 

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