Grief is a complex emotion that may give you side effects like guilt and make you struggle as you try to get through your everyday life. It is usually caused by some loss in life which may have to do with relationships, work or any other reason like a chronic physical ailment or disability. Complicated grief disorder is a condition where the extreme level of grief impairs a person and how he or she behaves in his or her daily life. It can have a debilitating effect and make a person helpless when it comes to dealing with everyday functions. It may continue for more than six months after the loss, and may even lead to depression and anxiety, among other complications.

Let us cast a glance of how this may be dealt with.

Psychotherapy: Cognitive-behavioral therapy and other forms of therapy can often help people who are suffering from this form of prolonged grief. With this kind of therapy, a patient can actually find an outlet to discuss the various emotions that the bereavement has brought on, and how he or she is not able to cope. The therapist, in this case, is usually a psychiatrist or a psychologist, who can then help in reprogramming the attitude of the patient so as to curb the grief and move on with life by embracing daily functions.
Group Therapy: In many cases, group therapy may also work. It is a natural human tendency to be grateful for what we have when we get to hear of higher and greater adversities. And when we see people suffering from those adversities actually taking steps to get over it, we can also get hugely motivated to do the same with our own lives. This is why group therapy is a powerful mechanism that many doctors and psychiatrists recommend for dealing with complicated grief therapy. This does not even need to be a formal therapy session. It can even be a club or a get together of people who have been through a similar problem.
Medication: In some extreme cases, the patients may be prescribed some antidepressants as well as beta blockers that can put their emotions right until they can deal with them in a better manner. Such medicines also help in numbing that part of the brain so that the patient may function in a more normal manner. Yet, care must be taken that the patient does not get addicted to such kind of medication.
Change of Focus: Travelling or picking up a new hobby can also have a positive effect on the person suffering from this condition. It can help in triggering the production of dormant hormones in a more normal way so that the patient may function in a more normal way, without the debilitating grief.


How To Deal With Complicated Grief Disorder?

A head louse is an insect that lives on the human scalp and feeds on human blood. The female louse lays eggs in the head and makes sure the eggs are attached to the hair shaft. It takes around eight days for the egg to hatch. The louse takes another 11 days to mature into an adult louse.

Causes:
The primary cause of head louse is poor personal hygiene. Other causes due to which a person can be infected by lice are:
1. Using combs and towels that are infested.
2. Coming in contact with another person who has this condition.
3. Sharing the bed with a person who is affected by lice.

Symptoms:
When a person is affected by this condition then the following symptoms are observed:
1. The saliva of the lice causes an allergic reaction in the scalp which leads to constant itching. It can occur in various places such as ears, scalp and the neck. It may not occur initially, but it tends to occur after a few weeks.
2. Constant scratching can lead to formation of small red bumps on the skin. A bacterial infection usually occurs from constant itching.
3. It may lead to symptoms of dandruff in the scalp.
4. Presence of various insects in the scalp.

Prevention of Lice:
Lice can be prevented by using medicated shampoos and conditioners to wash the hair. The shampoos are usually based on a chemical called pyrethrin. This compound is toxic for lice and helps in getting rid of it.

You can also opt for the following lifestyle changes to prevent lice:
1. You should avoid sharing your hairbrush with others.
2. In case you have long hair, tie it in buns or ponytails.
3. Add tea tree oil to your shampoo before using it.
4. Keep the scalp clean to prevent infestations.
5. Avoid sharing pillows and clothes.

Causes, Symptoms and Prevention of Lice

Imbalance in the hormones is the primary cause of the polycystic ovarian syndrome. The polycystic ovarian syndrome may result in an enlarged ovary with accumulated fluids. This disorder may lead to various changes in your appearance.

The various symptoms of this disorder are:

1. Acne: This disorder may cause or aggravate acne on your skin.

2. Abnormal periods: You may face irregularities in your periods as the intervals between periods may extend for more than 35 days or heavy periods.

3. Excess androgen: The male hormone known as androgen may increase in the female body which results in facial hair and excessive body hair. It may also cause acne.

4. Hair loss: This syndrome may lead to thinning of hair on the scalp and thus, resulting in hair loss.

5. Enlarged ovaries: The ovaries may be enlarged with various fluid filled sacs.

The various causes of polycystic ovarian syndrome are:

1. Low-grade inflammation: The body's immune system produces various substances that fight foreign infections in the body. If you are affected by the polycystic ovarian syndrome, then you are more likely to be affected by inflammation which causes androgen production in the body.

2. Heredity: If someone in your family has this disorder then you are more likely to be affected by this disease.

3. Insulin: Insulin is a hormone that allows the cells the body to produce energy in the body. You may experience insulin resistance which means energy production in the body may be hampered. It may also lead to increased androgen production which may impair the ovaries&#x2019; ovulation ability.

Polycystic ovarian syndrome may lead to various complications in the body:

1. Sleep apnea

2. Irregular blood pressure

3. Type 2 diabetes

4. It may increase chances of cardiovascular diseases as it may lead to metabolic syndrome

5. It may lead to symptoms of anxiety and depression

6. You may experience heavy bleeding in the uterine region

7. It may lead to complications in the cholesterol levels in the body

Polycystic Ovarian Syndrome

Pilonidal Sinus is the small channel in your skin near the tailbone that may sometimes be filled with pus or fluid. This accumulated pus leads to the formation of abscess or cyst. Pilonidal cysts occur near the coccyx or tailbone, right at the top of the buttock crease. Pilonidal sinus consists of dirt, hair and debris that penetrates your skin, becomes embedded and thereby causes infection. Once the cyst gets infected, you may see blood or pus oozing out of the channel, which causes severe pain.
Pilonidal sinus usually affects men and young adults (after puberty). This type of skin disease is mostly observed in people who sit for a prolonged period, such as desk-job workers, truck drivers etc.

What are the causes and symptoms? 
Doctors suggest pilonidal sinus or cysts is caused due to factors such as - hormonal changes during puberty, friction resulting from wearing tight clothes, prolonged sitting, hair growth etc. The hair growing in the region is forced to burrow back beneath your skin. In certain cases, the patient may develop multiple sinuses which connect under the skin.

The signs and symptoms of pilonidal sinus include-

  Pain when standing or sitting for long
  Swelling of the cyst
  Redness and soreness around the affected skin
  Formation of multiple holes (sinus tracts) in the skin
  Foul odor
  Blood or pus oozing out of the abscess
  Hair sticking out of the lesion
Pilonidal sinus can be embarrassing and painful if left untreated for long.

What is the treatment for this condition?
Pilonidal sinus usually goes away on its own, without medical intervention. However, if the cyst becomes infected, it may have to be operated or drained. The commonly used treatment procedures are-

  Conservative treatment - if the condition is diagnosed at an early stage, your doctor will prescribe a broad-spectrum antibiotic to treat a broad range of bacterial infection. This will relieve you from the pain and discomfort resulting from infection.

  Lancing - this procedure involves using a scalpel to open the abscess. Your doctor will give you an anaesthetic prior to the operation. The channel is then cleaned properly to drain out blood, pus or hair. The wound is packed with a sterile dressing and left to heal. It usually takes about a month for the wound to heal, after which no further treatment is required.

  Phenol injections - for this procedure, first and foremost, your doctor will give you anaesthetic so that you don t feel any pain. A chemical compound known as Phenol is injected into the cyst. Phenol acts as an antiseptic and is used to harden and eventually close the lesion. This procedure needs to be repeated multiple times to achieve the desired result.

  Surgery - if the pilonidal sinus tends to recur, or if you develop multiple sinus tracts, the most preferred choice of treatment is surgery. The surgeon will open the lesion, remove the debris and pus, and then suture the wound. You will be given an anaesthetic prior to the surgery, and once the treatment is done, you will need to change the dressing more often.
If you suffer from pilonidal sinus, you will also need to maintain good hygiene. Make sure you clean and wash the area with a mild soap, and rinse properly. If your job requires you to sit for a prolonged period, take a break in between your work. Avoid wearing skin tight clothes. Adopting these measures will help prevent the occurrence of pilonidal sinus.

Treatment For Pilonidal Sinus!

Migraine headache is characterized by a severe headache usually affecting one side of the head. There are other symptoms along with headache like nausea/vomiting, sensitivity to light and sound. Some patients experience neurological phenomena like changes in vision, temporary loss of sensation and altered sensation, a phenomenon known as an aura (flashes of light, zigzag patterns, bright spots, tingling in the arms and the legs). Migraine headache can last for 2 to 3 days. 

Symptoms: The symptoms depend on the stage of a migraine attack. The stages of a migraine attack can be: 

Prodrome, Aura, Headache or attack, and Postdrome. 
Prodorme: One to two days prior to the migraine attack, patient may experience; 
Mood swings. 
Cravings for food. 
Increased yawning. 
Stiff neck. 
Constipation and frequent thirst and urination. 
In case of an aura (during or before a migraine), there may be visual, motor, speech, and sensory illusions and disturbances such as, 

Loss of vision. 
A strange sensation of needles pricking an arm or a leg. 
One side of the body becomes weak and numb. 
There are visual illusions such as the appearance of flashes of light, zigzag patterns, bright spots. 
There is a problem in hearing and speaking. 
In some cases, there may be a hemiplegic migraine (the limb becomes weak). 
During a Migraine Attack (lasts for 4 to 72 hours), there may be 

A throbbing pain on either one or both sides of the head 
Blurred vision, light-headedness. 
Nausea and vomiting 
Sensitivity to light and sound 
Sensitivity to touch and smell (though rare) 
In Postdrome (after a migraine), there can be 

Mood swings. 
A person may be sensitive to light and sound. 
Dizziness and weakness 
Confusion 
Extreme fatigue 
An amalgamation of environmental and genetic factors may be responsible for a migraine. Trigger varies for each patient: 

Stress and extreme physical exertion 
Obesity 
Alcohol and caffeinated drinks and beverages 
Salty and processed foods 
Altered sleeping habits 
Hormonal alterations in women (Constant fluctuation in the level of oestrogen) 
Oral contraceptives and certain vasodilators (nitroglycerin) 
Preservatives like MSG (monosodium glutamate) and Aspartame (sweetener) 
Sunshine, certain odours, travel, etc can trigger migraine. 
Treatment and Prevention: 

Medicines under supervision to abort an attack of migraine and special drugs to stop attacks. 
Lifestyle changes are helpful to decrease attacks: 
Avoid your trigger for migraine. 
Follow regular sleep -wake cycle. 
Regular exercise, meditation. 
Avoidance of alcohol, caffeine containing beverages. 
Other treatment options that can be availed from pain specialist: 
Transcutaneous supraorbital nerve stimulation 
Intramuscular stimulation. 
Botulinum toxin injection. 
Occipital nerve block.

Migraine Pain - Facts About It!

Fibroadenomas are benign non carcinogenic tumors that occur in the breasts of women. Although the condition may affect females of any age; spanning from pubescent girls to middle aged ladies, yet it is most commonly diagnosed in young women below 30 years of age. Fibroadenomas can be described as a stiff, smooth, supple marble under the skin of your breasts, which move when touched. These tumors which occur in varied sizes, may shrink or expand with time. Diagnosing through biopsies and treatment by surgeries are commonly employed for such a condition.

Types of fibroadenomas
Fibroadenomas are of two types: simple fibroadenomas and complex fibroadenomas. The simple tumors are usually harmless and almost look the same under the lens of a microscope. On the other hand, the complex tumors are comprised of macro cysts (large fluid-filled sacs) and calcifications (deposits of calcium) which can slightly increase the chance of breast cancer.

What is the primary cause of fibroadenomas?
Doctors aren't able to pinpoint the chief cause of fibroadenomas, but they have reasons to believe that the condition may pertain to the reproductive hormones. The condition may occur during pregnancy or during the use of hormone therapy, owing to which, the tumors may increase in size. The tumors are usually seen to shrink postmenopause, when the hormone levels start to dwindle.

Fibroadenomas are apparent and you may be able to detect them even without a doctor. The marble like tumor within your breasts are usually:
1) painless
2) firm
3) rubbery and elastic
4) easily movable

These tumors can range from being too small to as big as 3 inches or more in diameter. These lumps, which are usually harmless may be a cause of concern if they start to grow or change. Consulting a doctor is duly advised in such cases.

Risks
Fibroadenomas, only in the rarest cases, increase the likelihood of breast cancer. A complex fibroadenoma comprising of cysts or thick tissues called calcifications may aggravate your condition. Causes of concern could be if the tumor pains, a family history of cancer or an event of a questionable biopsy report.

Causes and Symptoms of Fibroadenomas

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