One of the most important functions of the skin is protection. During this process, it comes in contact with various substances including chemicals, pollen, dust, and other pollutants. While it does protect the overall body from all these, there is some damage that is inevitably done to the skin through these exposures. Different skin and different bodies react differently to these, and while some may have no reaction, others develop allergies. This is also defined by how strong the person s immunity is.

Hives is one of the most common skin allergy responses. While it is not easy to pinpoint what causes the allergy or the hives, the causative agent can be nailed by observing patterns and excluding out some of the causative agents. There are a set of regular household and surrounding items that could lead to urticaria, and working around these can help pin down the source.

Origin: When the body encounters a foreign body, it produces what are known as histamines. When they are produced, the plasma in the cell leaks out, producing a red and swollen appearance. Hives are red, itchy, raised patches on the skin. They are seen in about 20% of the population. Hives are usually allergic in nature, implying that they occur when there is a foreign substance that induces an allergic reaction. Hives can appear either due to coming in touch with some substance or due to eating some allergy-inducing substance.

Hives can be acute or chronic. Acute is when the hives appear in response to an allergic reaction. These usually disappear in a matter of days to a week at the maximum. In some people, they could be chronic and can last for months together.

Treatment: Given that they are allergic in nature, managing hives includes a combination of immediate treatment as well as preventive measures. While most are topically managed, others might require systemic intervention also.

Once the hives have developed, the following can help in the relief of symptoms and prevent from spreading further. The redness and swelling will take some time to disappear.

Avoid tight-fitting clothes
Use cool compresses on the hives
Avoid warm or hot shower
Stay in a cooler room
Avoid itching the hives
Use topical moisturizer to prevent dryness
Use topical steroid cream to manage the inflammation
Take a systemic antihistamine or an injection of epinephrine if required.
While these help in managing the hives which have occurred, preventing is via the following.

Avoid the source once identified
If the source is not yet known, record when the hives are occurring
Manage stress and see hives appear much less
Increase moisturizer use
Keep an antihistamine handy so you can take it immediately in case of suspected hives. 

Urticaria (Hives) - The Best Way It Can Be Treated!

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 

Vitiligo or Leucoderma is an autoimmune disease. In this type of disease, cells (melanin) that are responsible for skin pigmentation are destroyed, attacked, hence stop functioning, which results in irregular white patches on skin. Vitiligo can affect any part of the body and skin type. Vitiligo is not at all life-threatening, but it can be visible by other people easily.

There are a number of treatment options available for Vitiligo. However, by changing dietary and lifestyle choices, one can prevent the worsening and recurrence of the condition.

Home Remedies That Will Help to Treat Vitiligo Effectively:

There are many treatment options available to treat Vitiligo including creams, oral medicines, skin grafting, ultraviolet treatment, etc. However, these treatments totally depend upon the condition and response of the skin cells. These treatments might have some sort of side effects or risks. This is why one of the most effective ways to treat Vitiligo or Leucoderma is by using home remedies. Here are some of the common and effective home remedies used to treat this skin disease without any side effects:

Paste of Mustard Oil and Turmeric:

Turmeric has a lot of medicinal benefits and is also used effectively for the treatment of Vitiligo. One can lower the effects of Vitiligo by using turmeric. Take one tablespoon of turmeric powder with 2 tablespoons of mustard oil and mix them well to make a thick paste. Apply this paste on the affected area, leave for at least 15 minutes, and then wash it off. For better results, apply this paste twice a day.

Honey and Margosa Leaves:

Another amazing home remedy that can do wonders in this skin disorder treatment is the use of honey and margosa leaves. Take one tablespoon of honey juice and mix it well with a few crushed margosa leaves. Have this concoction to get rid of Vitiligo.

Bakuchi Paste:

To prepare Bakuchi paste, one needs Bakuchi (Psoralea carylifolia) and vinegar. Mix them well to make a thick paste and apply it over the white blotches and patches. This is also one of the most popular remedies to treat Vitiligo.

Ginger Juice:

Since ancient times, ginger is used as a medicine for the treatment of many diseases. One such disease is Vitiligo. Ginger is very much effective for the treatment of white patches. To make this home remedy, take a piece of ginger and blend it with water to make a thin liquid. Pour this juice in a cup with the help of a strainer. Drink this juice twice a day to heal Vitiligo.

Ghee and Pepper:

This is another most effective home remedy used to treat Vitiligo. For this remedy, heat 10 pepper in 10 gm of ghee. Remove the pepper and mix this ghee with normal ghee. One can use this ghee while cooking daily food. Regular consumption of this ghee will purify the blood and improve immunity.  

Final Words:

There are other home remedies available to treat this skin disorder like neem paste, tamarind seed paste, pomegranate powder, goosefoot vegetable juice, black gram paste, etc. However, it is always advisable to consult a doctor before opting for any of these remedies. The condition may vary from patient to patient; this is why consulting a physician is always a great idea.

5 Best Home Remedies To Treat Vitiligo Diseases

Cancer can be very devastating, it can tear families apart. The cancer virus generally kills all the healthy cells in your body and starts to destroy your organs one by one. When a person is affected by breast cancer, their breasts have to be removed so that the cancer virus doesn t affect the rest of the body. In the society which we live in we are fed with the notion that breasts are an integral part of a woman s body and only voluptuous breasts make a woman look more attractive. Survivors who have won the fight against breast cancer have had to surgically remove their breasts for survival. 

They are left with an empty spot in their body as well as their lives. So, in such cases breast reconstructive surgery becomes extremely important. Breast reconstruction surgery implants a mound in place of the actual breast. So that it looks like an actual breast with the nipples and the areola.

How to get ready for a breast reconstruction surgery?
1. You should quit smoking if you are a regular smoker.
2. Avoid certain vitamins or supplements as prescribed by your doctor before the surgery.
3. Take someone with you to stay back during and after the procedure for moral support and to assist you with your stay in a hospital.

Possible complications:
1. Infection can occur after the surgery.
2. Hematoma or pooling of blood.
3. The implants can also break through the skin.
4. The implants can rupture and the silicon or saline can leak from the breast tissues.
5. Hard scar tissues can form around the implant.
6. It might not be enough for a woman who has had larger breasts.
7. Implants don t last life-long. It needs to be replaced after a point of time.
8. Radiation therapy might damage the implants.
9. It can leave a scar from the region where the extra tissue was taken for constructing the breast.

Methods of breast reconstruction surgery:
1. Tissue expander
2. Flap reconstruction
3. Abdominal flaps
4. Mold-assisted reconstruction
5. Direct to implant procedure

Breast Reconstruction - How You Can Prepare Yourself?

What Causes Eczema? Ways to Prevent Eczema Outbreaks

A skin inflammation, eczema, also known as atopic eczema, refers to the changes that occur in the upper skin layer. These skin changes can be thickened and cracked skin, skin redness, crusting of the affected area and swollen raw skin, among others. The exact cause of this skin condition is not yet known but a mix of factors have been found to be behind this health problem.

CAUSES :

The factors that play a role in causing eczema are:

- Dry skin brings down your skin's ability to fend off irritants as well as allergy causing substances from entering your skin, resulting in an inflammatory condition.

- Genetics is also one of the factors that may affect the proper functioning of your skin as a barrier against harmful substances. Therefore, if either one of the parent or both suffers from the condition, it is very likely that their children too will suffer from it.

- Abnormal functioning of your body's immune system can also lead to this skin condition. This is because it's your body's immune system that fights off infections as well as harmful intruders.

- The presence of the bacteria called Staphylococcus aureus, which brings about sweat buildup, inflames the skin considerably, leading to this condition.

- Even environmental factors like pollen, cigarette smoke lead to the flaring of eczema.

How can you prevent an eczema outbreak?

It is very common for this skin condition to flare-up from time to time. But you can avoid such outbreaks or reduce their severity by following these very simple ways:

- Keep your skin well-moisturized so that it doesn't dry out causing further irritation.

- Sudden changes in temperature can cause the skin condition to break out. So, when the weather is hot, keep yourself cool but during cold weather, use a humidifier to prevent the skin from drying out.

- Keep sweating in check as it can cause an outbreak very easily

- Avoid the use of harsh detergents and soaps, woolen materials as well as the consumption of foods that may lead to flare-ups



What Causes Eczema? Ways to Prevent Eczema Outbreaks

Genital warts refer to small (sometimes invisible), cauliflower shaped bumps, which form around the genital region and severely affect the moist tissues around the concerned region. Genital warts are more common in sexually active people and are one of the most commonly transmitted sexual diseases. The virus responsible for the disease, Human Papillomavirus can also cause other serious disorders such as genital cancers.

Genital warts can occur in both the genders. The virus generally spreads through sexual intercourse. In men, warts appear around the scrotum, the tip of the penis or the anus. In women, warts might form around the vaginal walls, the cervix or around the anal canal. If you had any form of oral contact with the genitals of an already infected person, genital warts can form around your throat or mouth.

The symptoms of genital warts are as follows:
1. Severe itchy sensation and discomfort around the genital areas.
2. Bleeding during sexual intercourse
3. Formation of numerous small, grey bumps around the genital region
Genital warts are caused by genital HPV s, which are transmitted, primarily through sexual contact. In most of the cases, the immune system is able to combat the virus and makes you less susceptible to this disorder.

However, you might be at an increased risk of developing genital warts because of the following reasons:
1. Engaging in unprotected sex, that too with different partners.
2. Past history of other sexually transmitted infection
3. Being sexually active from an early age
4. Having unprotected sexual intercourse without being aware of one s medical history

The treatment for genital warts depends on the severity of the condition. If the warts are causing significant pain and discomfort for you, your doctor might opt for one of the following procedures to get rid of the same:
1. Application of Imiquimod creams around the affected area might help treat the condition.
2. A regulated application of  Trichloroacetic  acid on the affected areas might help to burn off the genital warts.
3. Application of a solution of  Podophyllin  on the affected areas might help destroying the soft tissues around the genital areas.
4. If your warts are significantly large in size or do not respond well to medications, you can also opt for surgical excision or laser therapies to get rid of them

What Can be the Possible Reasons of Gential Warts

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