Sweating is a normal function of the body, but some people sweat so much that their clothes are often drenched in sweat. Hyperhidrosis is a condition where the amount of sweat produced by the sweat glands cannot be regulated. It is characterized by excessive sweating commonly seen in the underarms, palms and soles. This disorder can affect a person at any age and if left untreated, can become a lifelong condition. Though this condition is not a serious threat to your health, it can be quite embarrassing and can hamper your lifestyle.

In many cases, there is no obvious trigger for Hyperhidrosis, and it is caused by the malfunctioning of the nervous system. This is known as primary Hyperhidrosis. Sweat is a function which helps the body cool itself. In cases of primary Hyperhidrosis, the brain sends a message to the sweat glands to produce sweat even though the body does not need to be cooled. A genetic mutation may also be the cause for some cases of Hyperhidrosis.

Hyperhidrosis with obvious trigger factors is known as secondary Hyperhidrosis. While primary Hyperhidrosis mostly affects the underarms, groin, palms and soles, secondary Hyperhidrosis can affect all parts of the body. Some of the common triggers for this condition are:

Pregnancy
Menopause
Anxiety
Low blood sugar
Hyperthyroidism
Medication side effects
Alcohol or drug withdrawal
Parkinson's disease
Hyperhidrosis can be challenging to diagnose and treat. Lifestyle changes are the easiest way to address this disorder. Some changes that can help you fight Hyperhidrosis are:

Avoid spicy food and alcohol
Replace deodorants with antiperspirants
Choose cotton fabrics over synthetic fabrics
Wear loose fitting clothes.
Try using armpit shields and wearing absorbent socks.
Anticholinergic or antimuscarinic medicines can also help treat Hyperhidrosis. This keeps the nervous system from activating the sweat glands. Dry mouth, blurred vision, constipation, abdominal cramps and difficulty in passing urine are some of the side effects associated with this medication. Iontophoresis is a more aggressive form of Hyperhidrosis treatment. This involves passing a weak electric current through a wet pad to the affected area to block the sweat glands. It is usually used to treat excessive sweating in the palms and soles. 

Botox injections can also help treat Hyperhidrosis by blocking the brain signals to the sweat glands. However this is not a permanent cure and may need to be repeated after a year or so. Endoscopic thoracic sympathectomy or a surgery to remove the sweat glands may also be recommended in extreme cases of Hyperhidrosis. This is usually seen as a permanent solution for excessive sweating, but are relatively new procedures and hence not very common.

Hyperhidrosis - Making Summer Miserable

Scoliosis is the abnormal twisting and curvature of the spine. It is usually first noticed by a change in appearance of the back. There are several types of scoliosis based on the cause and age when the curve develops; the majority of patients have no known cause.

Typical signs include:
1. Visibly curved spine
2. One shoulder being higher than the other
3. One shoulder or hip being more prominent than the other
4. Clothes not hanging properly
5. A prominent ribcage
6. A difference in leg lengths

Back pain is common in adults with scoliosis. Young people with scoliosis may also experience some discomfort, but it's less likely to be severe. Seeking medical advice If you or your child has signs of scoliosis, make an appointment to see your spine specialist. They can examine your back and can refer you for an X-ray for confirmation. If you or your child are diagnosed with scoliosis, it is important to see a scoliosis specialist to talk about treatment options.

What causes scoliosis?
In around eight out of every 10 cases, a cause for scoliosis is not found. This is known as idiopathic scoliosis. A small number of cases are caused by other medical conditions, including:
1. Congenital scoliosis: Caused by birth defects.
2. Neuromuscular scoliosis: Common conditions are
- cerebral palsy
- a condition associated with brain damage
- muscular dystrophy
- a genetic condition that causes muscle weakness
- marfan syndrome
- a disorder of the connective tissues
3. Idiopathic Scoliosis: What causes idiopathic scoliosis is still unknown.
4. Adult scoliosis: In adults, age related changes in the discs and joints of the spine and a reduction in bone density may cause scoliosis. Adults can also experience worsening over time of previously undiagnosed or untreated scoliosis.

Diagnosing scoliosis
Scoliosis can usually be diagnosed after a physical examination of the spine, ribs, hips and shoulders. You may be asked to bend forward to see if any areas are particularly prominent. For example, one of your shoulders may be higher than the other or there may be a bulge in your back. Scans The specialist will take an X-ray to confirm the diagnosis of scoliosis.The X-ray images will also help determine the shape, direction, location and angle of the curve. The medical name for the angle the spine curves is known as the Cobb angle.In some cases, scans such as a magnetic resonance imaging (MRI) scan or a computerised tomography (CT) scan may also be recommended. Treating scoliosis in children If your child has scoliosis, their treatment will depend on their age and how severe it is. The main treatment options are:
- observation
- casting
- bracing
- surgery

Observation treatment is not always necessary for very young children because their condition often corrects itself as they grow. However, if the curve does not correct itself, it can reduce the space for the internal organs to develop in, so careful monitoring by a specialist is important. Casting in some cases affecting young children, the spine may need to be guided during growth in an attempt to correct the curve.

In a child aged under two years of age, this can sometimes be achieved by using a cast. A cast is an external brace to the trunk made out of a lightweight combination of plaster and modern casting materials. The cast is worn constantly and cannot be removed, but is changed regularly to allow for growth and remodelling. Bracing If the curve of your child's spine is getting worse, your specialist may recommend they wear a back brace while they are growing.

A brace cannot cure scoliosis or correct the curve, but it may stop the curve from getting worse. If a brace is used, it will need to be carefully fitted to your child's spine. Braces are often made of rigid plastic, although flexible braces are sometimes available. In general, modern back braces are designed so they are difficult to see under loose fitting clothing. It's usually recommended that the brace is worn for 23 hours a day, and is only removed for baths and showers.

However, it should be removed during contact sports and swimming. Regular exercise is important for children wearing a brace.The brace will usually have to be worn for as long as your child's body is still growing. For most children, this will mean they can stop wearing it when they are around 16 or 17 years old. Surgery is recommended, if your child scoliosis is severe and in case, other treatments have been unsuccessful, corrective surgery may be recommended. They type of surgery will depend on your child's age.

Surgery in children for younger children, generally those under the age of 8 to 9, an operation may be carried out to insert growing rods. These rods aim to allow for continued controlled growth of the spine while partially correcting the scoliosis. After surgery to insert the rods, your child will need to return to their specialist every 4 to 6 months to have the rods lengthened to keep up with the child's growth. In some cases, rods that can be lengthened using external magnets during an outpatient appointment may be used.

Surgery in teenagers and young adults operation where the spine is straightened using metal rods attached with screws, hooks, and/or wires, and bone grafts are used to fuse the spine in place. This metalwork will usually be left in place permanently, unless they cause any problems. After the operation, most children can return to school after a few weeks and can play sports after a few months. Possible complications of scoliosis Physical complications of scoliosis are rare, although serious problems can develop if it's left untreated.

Emotional issues having a visibly curved spine or wearing a back brace may cause problems related to body image Lung and heart problems In particularly severe cases of scoliosis the rib cage can be pushed against the heart and lungs, causing breathing problems and making it difficult for the heart to pump blood around the body. Nerve compression In some cases of scoliosis, particularly those affecting adults, the bones in the spine compress nearby.

All About Scoliosis

Improvements in medical technology and surgery techniques have made so much possible. With organ transplants becoming relatively simpler and less risky, many critical health conditions can now be resolved. Liver transplants are one of the most common and patients going through the agony of life-threatening liver diseases now have hope.

What is a Liver Transplant?

When the patient s liver is damaged to the extent that functioning is severely impaired and regeneration is not possible, a liver transplant is advised. In the transplant surgery, the diseased liver is removed and replaced by whole or part of healthy liver from the donor.

Types of Liver Transplants

Based on the type of donor, liver transplant can be classified as deceased donor and live donor transplantation.

Deceased Donor Transplants (DDLT): A "brain dead" person can be a liver donor if they had pledged their organs previously or if their relatives consent for organ donation. The healthy liver can give a new lease of life for an ailing patient.
Live Donor Liver Transplants (LDLT): A blood relative or spouse may donate a part of their liver to the patient (subject to compatibility). As the liver is a regenerative organ, the donor's liver will function normally and the recipient will have a completely new liver. At Kauvery Hospital, a detailed evaluation of the prospective donor is done to ensure that the health risks are minimized and complete recovery is achieved.
Donor Safety

Donor can lead a normal and physically active life with no restrictions. Lifelong medications are not required and women can enjoy pregnancy and motherhood.

Who Needs A Liver Transplant?

A person with end-stage liver disease is a candidate for a liver transplant. The failure can happen over a period of time or be a sudden occurrence, due medical conditions or reactions to drugs (ALF). Following are some of the common reasons for liver failure.
Alcoholism: Long term drinking can lead to end stage liver disease.
Biliary Atresia: Absence of bile ducts since birth.
Chronic viral Hepatitis: (Hepatitis B & C)
Haemochromatosis: An inherited disorder that overwhelms the body with abnormal levels of iron deposits including liver.
Liver Cancer: (Hepatocellular carcinoma) Cirrhosis increases risk of liver cancer. Transplantation early would offer potential cure.
Primary Biliary Cirrhosis: (PBC) An unusual condition with immune mediated destruction of the bile ducts resulting in failure of the liver.
Non Alcoholic SteatoHepatitis (NASH): It is a common cause of liver disease seen in those with metabolic syndrome (Obesity, Diabetes Mellitus, Hypothyroidism and Dyslipidemia with or without Hypertension). Unlike alcoholic or viral hepatitis, it occurs in people with no inherent liver problem.Primary Sclerosing Cholangitis: (PSC) The bile duct gets scarred and narrowed, which blocks bile drainage, ultimately leading to failure of the liver.
Wilson's disease: A very rare inherited disease that causes abnormal levels of copper deposition throughout the body including liver, ultimately causing liver failure.
What does a Liver Transplant Involve?

First stage: Evaluation: A team of specialists will evaluate the patient to determine if transplant is the best option or if any other course of action will be better. This includes review of the patient's medical history and a number of investigations.

If a patient is found to be a suitable candidate to undergo transplant, we proceed to the second stage where his or her name is placed on the waiting list if he or she opts for cadaveric liver transplant.

A scoring system based on medical criteria determines the priority. In general, sicker the patient, greater is the necessity for transplant.

Third stage: Donor becomes available. When a suitable donor has been identified, the patient is contacted and informed about donor's medical condition. If the patient consents, he or she will have to come to the hospital. Some basic tests will be repeated to ensure that the current condition is safe for surgery. Surgeons and anesthetists involved in the transplant will meet the patient and brief him or her about what to expect. Once all the test results are found to be satisfactory, we proceed for surgery.

 The Procedure

While aspects of the surgery vary from patient to patient, the procedure typically takes between 8 to 12 hours to complete. Once the surgery is over, the patient is shifted to the ICU where he or she will stay for 3 to 7 days. At this stage, various tubes are connected to the body to enable it to carry out its natural functions. These are gradually removed as and when deemed appropriate. From the ICU the patient is shifted to a room for 2-3 weeks. In total, patient spends about 3-4 weeks in the hospital while undergoing transplant.

Discharge & Recovery

Once the doctors deem that the patient can return home, he or she is discharged from the hospital.
A follow up schedule is given to the patient so that complete recovery is monitored. Before discharge, patient and family will be trained on how to take medicines and what precautions to take. The number of medications will reduce over time as the recovery progresses.
The pace of recovery depends upon several factors. In general, a patient may be able to resume daily activities by 1 month and resume work by about 3 months after the surgery.

The Liver Transplant Process!

A continued feeling of tiredness, both physically and mentally, can be termed as chronic fatigue symptoms. In this condition, most of the vital systems are working at a lower capacity. Restless sleep, joint and muscle pain, headaches are some of the typical symptoms. Homeopathic medications to this condition have negligible side effects. By increasing body stamina and the threshold for fatigue, the homeopathic medicines assist the affected patients to energise their body's immune system to relieve themselves of extreme mental or physical weakness and brings about a feeling of rejuvenation. Some of the remedies include:

1. Arsenic album: this medication is suited for patients of chronic fatigue syndrome who exhibit a tendency to lie down. Any kind of physical activity like running, walking or even the slightest of exertions can result in fatigue. People begin to hesitate and fear exerting any kind of pressure, which leads to a lack of interest. A growing sense of anxiety can also be noticeable.

2. Gelsemium: applicable for patients showing signs of drowsiness in addition to fatigue. The patient would feel the need to sleep for the entire day. Headaches, muscle weakness, dizziness and vertigo can also be exhibited by the patients who require gelsemium.

3. Sarcolacticum acidum: this medicine is applicable for people who exhibit a feeling of high fatigue early in the morning. The feeling is felt upon awaking early in the morning, which leads to the fatigue continuing throughout the day thereby resulting in a feeling of powerlessness.

4. Selenium and conium: this is prescribed for patients of chronic fatigue syndrome who feel exhausted after sexual intercourse. Selenium is recommended for the patients who show weakness in both mental and physical aspects with seminal losses and sexual excesses. Prescription of conium requires symptoms, such as growth in fatigue and weakness. An aversion to work along with a depressed mental condition and introvert behaviour are some of the common symptoms.

5. Picric acid: disabilities ranging from weak memory to complete memory loss are a form of chronic fatigue syndrome whose prescribed medicine is picric acid. Mental exertion by the person is not possible. It is accompanied by headaches, mental fatigue and muscular weakness.

Homeopathic Remedies for Chronic Fatigue Syndrome Treatment

Ringworm is a skin condition that is caused by certain kinds of fungi. It causes severe itching and is mainly found around the scalp and feet. This contagious skin condition can also occur as athlete's foot. The symptoms include red, itchy and scaly patches on the affected areas. These patches may also develop blisters and develop crusted red edges, giving it the appearance of a ring. These patches are usually raised or defined. There are many myths and facts surrounding ringworm. Let us find out more about them.

Causes: it is a common myth that this skin condition is caused by a worm. This is not true. This fungal skin infection is caused by fungi known as dermatophytes, which can cause a crusty and red patch on the skin. Ringworm is actually the name given to a class of skin ailments and infections caused on the scalp, feet and other parts of the body.

Treatment: another common myth is that this skin infection will clear up on its own. This is not true either. One will have to start treatment of the condition with the help of proper diagnosis, which can be done by a skin specialist or dermatologist. Not treating this condition on time with topical ointments can lead to a spread of the condition where it can affect other parts of the body. This condition can also lead to other symptoms like hair loss. It can also become a permanent issue if not treated on time and with proper medical intervention.

Over the counter medication: many people think that using over the counter antifungal creams can help in treating this condition effectively. This is part myth and part fact. One will have to visit the doctor in case the condition does not clear up on time with the use of such topical ointments. The creams should typically be prescribed by a skin specialist after due diagnosis of the problem so that it suits your individual symptoms and condition. Further, these creams should usually be prescribed for a period of at least four to six weeks so that the treatment is effective.

Contagious: it is a myth that ringworm is not a contagious skin disease. The fact is that this skin ailment is a highly contagious one, that can happen even when there is contact with an infected animal. There are 50% chances of contracting this condition with mere touch that can happen with an infected animal or person.

Barber's itch: this is not a form of lice, as many people believe. This is a form of ringworm that can be found in the beard with symptoms like itching as well as swelling.

Myths and Facts About Ringworm

A highly contagious skin condition that is caused by the infestations of tiny burrowing mites but is treatable with medication is Scabies. When the skin comes in direct contact with infested bedding or clothing, microscopic human mites, known as Sarcoptes Scabiei, are transmitted into the skin, burrowing into the epidermis. Once the mites reach the epidermis, it lays eggs there and continues to live, causing scabies which results in skin rashes and itchy bumps.

Causes:
Scabies is caused by the microscopic human itch mite when it burrows inside the epidermis. And there are two ways that a person can be infected with scabies, which are:

Contact with objects infested: Sometimes, when the mite is present on an object, such as the bed sheet or the upholstered furniture, the towel or the bedding, and the skin comes in contact with these objects, scabies may spread. However, one must know that without human skin contact, the mite can survive only for 48 to 72 hours and this makes the risk of causing scabies through contact with infected objects less common.
Direct skin to skin contact: Scabies is contagious but not highly contagious. Skin contact for a small period of time can not infect a person. Close physical with the infected person can lead to the spread of mites.
It is to be noted here that getting scabies from animals is not possible even if the animal has mites as this kind of scabies infest the human skin only.

Treatment
Scabies is often confused with other skin issues like eczema and psoriasis. Therefore, every person with severe itching should be tested for scabies. Once diagnosed, the treatment is relatively simple. Listed below are some of the treatment options:

Antibiotics: Patients who are suffering from excessive skin rash, itching and infections are usually treated with antibiotics to ease the itchy sensation.
Decontamination: The decontamination involves washing the clothes of the infected person in hot water and keeping the objects that cannot be washed in a bag for around 2 to 3 days to kill mites and their eggs.
Scabicides: Depending on the severity, overall health and age, the patient may be prescribed oral medication and creams.
Antihistamine: Antihistamine refers to over-the-counter anti-allergy drugs that can also be of help in managing the itching and rashes.
Things to remember:

In case of infected adults, scabicide cream or lotion needs to be applied all over infected person s body, starting from the neck down to the toes.
If a child is infected with scabies, the scabicide cream or lotion needs to be applied from head to toe.
In case of an infant, it is advised that only sulfur ointment or permethrin may be used. It is essential that the medication is applied only over a clean body.
All the people living with the infected person should also be treated simultaneously to avoid reinfestation.
As scabies spread moderately contagious, early diagnosis and treatment can prevent it from spreading further and causing any more trouble.

A Brief Insight Into Scabies, Its Causes, And Treatment!

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