The development of bumps and blisters on your skin surface accompanied by severe itching are the symptoms of a skin condition known as scabies. It is caused by a burrowing mite called sarcoptes scabiei. A patient experiences itching in the affected area and the urge for itching gets increased during the night. Scabies is a contagious disease and spreads rapidly among people via a physical contact.

Symptoms
Thin and irregular burrow tracks or blisters are common symptoms of scabies. These tracks generally appear in the folds of the skin. Commonly, scabies appears in the following areas:

Between the fingers
In the armpits
Around the waist and along the insides of the wrist
On the inner elbow, soles of the feet
Around the breasts, buttocks, knees and shoulder blades
In case you had scabies previously, the symptoms usually develop within a few days after exposure. For first-time occurrences, six weeks are required for the symptoms to appear.

Causes
The eight-legged female mite which causes scabies burrows beneath the skin, produces a tunnel and deposits egg in it. After being hatched, the mite travels to the skin surface. Here they become mature and spread to other areas. The body s allergic reaction to the mites, the eggs and their waste material causes the itching. Vigorous scratching of the scabies infected skin can break the skin, allowing a secondary bacterial infection to develop, like impetigo. A severe type of scabies known as crusted scabies can affect some people. 

Crusted scabies usually affects people suffering from chronic heart diseases due to which the body s immune system gets weakened. People who are very sick, hospitalised and aged people in nursing homes may develop crusted scabies. This type of scabies is scaly and crusty, covers large areas all over the body and is difficult to cure.

Treatment of scabies
The involves the elimination of the developments using medicines. There are several lotions and creams, which can be used on a doctor s prescription for treatment. These creams should be applied all over the body. After the application, the medication should be left for eight hours. In case of recurrence of rashes and burrows, a second treatment may be required.

It is important to consult a doctor for proper treatment of scabies. Usually, treatment is recommended for all family members and close friends of an affected person, even though no symptoms of scabies appear in these people.

Scabies - How Dermatological Treatment Can Help?

Psychogenic breathlessness or pseudo-dyspnea is a condition where the patient suffers from shortness of breath time to time. This disease is often confused with a similar breathing disorder called Chronic Dyspnea. While there are a lot of factors involved in chronic dyspnea, like allergens and pulmonary diseases, psychogenic breathlessness has more to do with the current state of mind.

One of the most challenging factors is the diagnosis and differentiation between both conditions. Sometimes, the psychogenic breathlessness is so concentrated that there is no way to differentiate between the two.

Procedure of Diagnosis of Psychogenic Breathlessness:

Here are the steps that doctors typically follow to diagnose Psychogenic Breathlessness

To differentiate between the two diseases (Chronic Dyspnea and Psychogenic Breathlessness), the doctor will ask the patient to try breathing harder. A patient with chronic dyspnea will find it even harder to take a breath when he or she tries to. However, a person with psychogenic dyspnea will show improved conditions when they try to breathe harder

A thorough examination of the chest will be done

Blood tests and lung function test (spirometry) will also be conducted to rule out pulmonary diseases

Causes of Chronic dyspnea:

Allergens causing allergic bronchitis (also known as asthma) is the main reason behind Chronic Dyspnea. Other common causes of the true or chronic dyspnea are heart diseases, COPD which occurs because of smoking. Then there are rare disorders like ILD (sarcoidosis), neuromuscular diseases, infections, anemia, obesity/deconditioning.



Causes of Psychogenic dyspnea or psychogenic breathlessness:

Acid reflux: Acid reflux can cause certain sensation on the inner lining of the esophagus (esophagitis). The esophagus has several nerve endings on the inner linings, when the acidic reflux touches these nerve endings, a temporary breathlessness occurs.

Anxiety: People with anxiety can also develop breathlessness. Though exercises help for a short period of time, a patient needs to see a psychiatrist for this condition.

Panic Attacks: These are also a cause for breathlessness. The temporary feeling of choking is common in people who experience panic attacks.

Treatment:

Medication: Medicine for acidity is prescribed to patients having Pseudo-Dyspnea, due to acid reflux.

Anxiety pills and Talking therapy: People suffering from anxiety are recommended to see a psychiatrist for better evaluation of their problem. Medications (anxiety pills) prescribed by the psychaitrist may help in controlling the breathing pattern in a person. Psychological therapies (Talking therapy) have been effective for people suffering from breathlessness due to anxiety.

Placebo: If the problem remains unsolved and unknown, sometimes doctor prescribes placebo medication, for example sweetened aerosol. Doctors believe that if the patient thinks he/she is taking a real medication, his/her condition can be controlled by eluding the mind.

It is important to remember that Psychogenic Breathlessness is as real as chronic breathlessness and patient doesn t pretend to have this condition. When the first symptoms of it start appearing, a specialist doctor (pulmonologist) should be consulted who after confirming the diagnosis of psychogenic breathlessness, may refer you to a psychiatrist or psychologist for further treatment.

Psychogenic Breathlessness - Causes, Symptoms and Treatment of It!

There are 27 bones in the human hand. An injury to any one of them or a disease that affects the bones, tendons, muscles or blood vessels in the hand, are the most likely causes for pain in the hand and tenderness.

Some of the most common conditions that cause hand pain are:

De Quervain's Tendinitis: Pain on and around the thumb is the characteristic sign of this condition. This pain may develop gradually or come on suddenly and can travel the length of the thumb and forearm. De Quervain's tendinitis is caused by the swelling of wrist tendons at the base of the thumb. Repetitive actions and overuse are the most common triggers for this condition.

Carpal Tunnel Syndrome: The symptoms of carpal tunnel syndrome are felt mainly in the thumb, index finger and middle finger. This pain is often worse at night and is caused by the swelling of inflamed tendons at the base of the hand that puts pressure on the median nerve. This syndrome can make it very difficult for a person to grip objects.

Fractures: The fracture can cause extreme pain along with stiffness, swelling and loss of movement. A fracture refers to the breaking of a bone and can be of many types including simple fractures, complex fractures, comminuted fractures and compound fractures. The type of fracture dictates the type of treatment required. Spraining a muscle in the hand is another leading cause of pain in the hands.

Arthritis: This is one of the most common causes of pain in the hand that is related to ageing. Arthritis causes loss of cartilage that makes the movement of one bone against the other extremely painful. It may or may not also be accompanied by swelling. When it comes to the hand, arthritis affects the base of the thumb and middle or top joints of the fingers. Osteoarthritis may also cause bony nodules to be formed on the fingers.

Trigger Finger: This condition is also known as stenosing tenosynovitis. This condition locks the fingers or thumb in a bent position. This condition is triggered by the flexor tendons getting irritated. These tendons control the movements of the thumb and fingers. As the tendon is inflamed, the sheath that surrounds the tendons may also thicken and nodules may form of the affected tendons. People suffering from rheumatoid arthritis, gout and diabetes are at a high risk of suffering from this condition.

Pain And Tenderness In Bones Of The Hand - Factors That May Cause it!

The human body allows for movement through the complex system of bones, muscles and joints. A break in the bone is medically known as a fracture and can be caused by constant stress, pressure or impact. It is common knowledge that with age, the bone strength decreases and incidence of fractures (osteoporotic fracture) increases. Based on the affected bone and impact, different types of fractures are commonly identified as:

Complete: When the breakage of the bone is complete, producing two or more pieces, it is referred to as a complete fracture.
Incomplete: When the breakage is incomplete, where the bone has cracked, but does not break into pieces, it is known as an incomplete fracture.
Another type would be the open or closed fracture:
Open fracture: When the skin is exposed and the bone breaks through this exposed skin, it is known as compound or open fracture.
Simple or closed fracture: The bone breaks, but the skin continuity is maintained. Again, here are different types including hairline, greenstick, oblique, etc.
What is the reason behind a fracture?
A bone will fracture when force is applied to it that is stronger than the bone itself. A key factor in a bone s susceptibility to fracturing is age. Both children and older people are prone to bone fractures. Children s bones are constantly growing and have not reached their full strength. Elderly people have brittle bones with old age and are prone to develop bone diseases, making them susceptible to fractures.

How they are treated?
Splint and pain medications are commonly used. Closed reduction where the fracture is reduced without opening up the tissues and open reduction, where the tissues are opened up are common approaches to managing fractures.

Can they be prevented?
Especially with children and in the elderly, extra precaution should be taken to avoid any kind of injury and fracture.

Develop an exercise routine to strengthen the muscles
Manage weight
Use the right footwear and exercise gear
Watch your medications (avoid sleep inducing ones)
Increase lighting in the room/home to improve clarity of vision for elderly
Make the home/living area fall-proof by reducing clutter, using railing in the bathroom and bedroom, using rubber mat, etc.
While a fall may seem inevitable, taking the above steps can help reduce the incidence and severity of a fall, thereby minimizing damage.

Bone Fracture - Common Types and How They Can be Prevented?

When you suffer from dry, chronic cough along with shortness of breath, it is normal to get worried and annoyed. You will want to know the cause and the cure. Note that it might be due to a condition called the interstitial lung disease.

Including almost more than 200 different lung conditions, interstitial lung disease refers to the inflammation and scarring caused in the lungs, which leads to less oxygen entering the blood. Mainly affecting the interstitial part of the anatomic structure of the lungs, which is responsible for the oxygen flow into the blood, interstitial lung disease can damage other parts of the lungs too, such as the lung lining, the airways or the blood vessels. The following is a brief account of the types, causes, symptoms, and treatment of ILD.

Types
Interstitial lung disease can be of various kinds, though all of them leads to the thickening of the lung s interstitial part. Some of the types of ILD are 

Nonspecific interstitial pneumonitis
Idiopathic pulmonary fibrosis
Acute interstitial pneumonitis
 Hypersensitivity pneumonitis
Asbestosis
Sarcoidosis
Cryptogenic organizing pneumonia or COP, etc. 
While some of the ILD types are short lived, some are irreversible and chronic.

The primary causes of interstitial lung disease are viruses, fungi, and bacteria. Regular exposure to inhalable irritants such as talc, silica dust, asbestos, coal dust or any other kind of metal dust, bird proteins of pigeons, chickens or any exotic birds, grain dust, etc. can also cause interstitial lung disease. Though rare, sometimes it is the intake of particular drugs that may cause ILD. For the majority of interstitial lung diseases, the exact cause is not always known.

Both men and women of any age can develop this disease, and it is more common in people with rheumatoid arthritis, lupus, scleroderma, and autoimmune disease. Some of the primary symptoms and signs of interstitial lung disease are nonproductive dry cough, shortness of breath, and considerable weight loss. While for some types of ILDs the symptoms develop slowly and gradually over months, for others, such as the acute interstitial pneumonitis or interstitial pneumonia, the symptoms develop more rapidly, within days or a few hours.

For identifying the presence of ILD, doctors usually rely upon chest X-ray, CT scan or computed tomography, pulmonary function testing, high-resolution CT scan, and lung biopsy. In case no apparent cause behind the disease is found from the tests, a patient's history of being exposed to certain chemical environments is then taken into consideration.

Depending on the type and severity of the disease the treatment options vary from one to another. While for some taking prescribed drugs can offer a solution to prevent the lungs from deteriorating further, for some a complete lung transplant may become the only solution. Treatments like pulmonary rehabilitation and oxygen therapy can also be ideal, based on the condition of the lungs.

Thus, if one is constantly exposed to lung irritants and experiences the symptoms of interstitial lung disease for more than eight weeks, he/she must seek the advice of a pulmonologist without delay as the condition may lead to severe complications when left untreated.

Interstitial Lung Disease - Understanding Its Types!

Uncontrolled alcohol consumption over a prolonged time can severely affect the liver, giving rise to Alcohol-Induced Liver Disease. The liver plays a significant role in digestion as well as filtering the toxins out of the body. Normally, the liver is capable of regenerating its damaged cells and tissues. However, unlimited alcohol consumption interferes with the functioning of the liver. With time, the ability of the liver to regenerate itself also gets affected (reduces) due to excessive drinking resulting in liver problems and disorders.

The stages of alcohol induced liver disease
Alcohol induced liver disease progresses through three stages, alcoholic fatty liver disease, alcoholic hepatitis, and finally cirrhosis.

Alcoholic fatty liver disease: The fatty liver is an early stage of Alcohol induced liver disease, characterized by excess deposition of fats (~ between 5-10% of the total liver weight) in the liver cells and tissues. People with fatty liver should give up drinking for good (or at least till the condition is improved and reversed). Fatty liver seldom exhibits any characteristic symptoms.
Alcoholic hepatitis: Alcoholic hepatitis mostly affects people who are heavily into drinking. More than often, the condition triggers damage and destruction of the liver. Further, there may be swelling and inflammation of the liver. A person with alcoholic hepatitis may experience
Abdominal pain
Fever
Nausea and vomiting
In some patients, the condition may trigger jaundice (excess build up of blood bilirubin resulting for improper functioning of the liver)
In extreme cases, alcoholic hepatitis may result in fatal consequences
Liver cirrhosis: This is the most severe form of alcohol induced liver disease that can give rise to serious and life threatening health complications. Cirrhosis is often an irreversible condition where there is maximum scarring of the liver cells and tissues. In addition to the symptoms associated with alcoholic hepatitis, a person with cirrhosis may also exhibit the following symptoms.
Esophageal varices: It is a condition characterized by bleeding of the esophageal veins
Ascites: In people with cirrhosis, there may be an excessive fluid accumulation in the stomach.
Portal hypertension: It is a condition when the blood pressure in the liver shoots up.
Cirrhosis may also affect the spleen, resulting in its enlargement. There may be mood swings and behavioral problems. A person with cirrhosis should waste no time and immediately consult a specialist to avoid further aggravation.

Factors contributing to alcohol induced liver disease
The following factors in combination with alcohol can wreak havoc, worsening the condition further:

Malnutrition: In some people, excessive drinking can result in malnutrition (alcohol often results in malabsorption of the essential nutrients). Malnutrition, in turn, can adversely affect the liver.
Obesity: Obesity, one of the common consequences of alcohol consumption, can spell doom for the liver and its normal functioning.
Alcohol: It acts as a poison for people suffering from Acute Hepatitis C (viral hepatitis), further damaging the liver. Some research suggests that women who are into heavy drinking are more likely to suffer from liver problems than their male counterparts.
Genetics: It may be responsible for the inability of the body to processes alcohol effectively, resulting in liver problems.

Alcohol Induced Liver Disease - Understanding It In Detail!

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