If any grown-up skin faces it, it is a condition which is regarded as undiagnosed till date by dermatologists, it is none other than Keratosis Pilaris. The building of keratin on the skin and blockage of hair follicles is termed as Keratosis Pilaris. Arms, butt, and legs are the areas where the formation of these scaly plugs is likely to be found. Though not dangerous, this kind of skin texture can offer a feeling of irritation. Estimation shows that almost forty percent of adults have a tendency of having Keratosis Pilaris.

Dry weather and eczema are conditions with which Keratosis Pilaris can be closely associated. As a matter of fact, this condition also does come along with genetic conditions. Hence, the next time you have ingrown hairs, consult a doctor before you begin to scour your skin.

Areas of the skin that are affected

When feeling troubles due to some irritation on your skin, especially around your legs and arms, stop for a minute and think what it can be.
Allergy on your skin, white bumps similar to whiteheads, raised lumps are some the visuals that you can see on your skin if you detect that you might have Keratosis Pilaris.
Patches of rough or uneven skin are also few of the symptoms.
Self-diagnosing is never recommended for which you need to see a dermatologist straight away so that you do not have to think for solutions for a condition that you do not have.
Available treatments
To be honest, Keratosis Pilaris is that condition that will linger if you are an adult for life. But for a child, the effects are less harmful as the skin disease seems to fade away by the time they reach thirty. Effectual treatment options have now materialized in this modern era due to such encroachment in medical science for treating the condition of Keratosis Pilaris in the best possible way. Few medical treatments available are as follows:

Laser Treatment: Reduction of inflammation, scarring and redness, call for the implementation of laser treatment. If you have acute Keratosis Pilaris, then this is the option that you must opt for.
Creams: Chances are when you visit a reputed dermatologist; the expert will recommend you to apply creams that include salicylic and alpha-hydroxy acid that obstructs the building of keratin scaly plug. The amlactic body lotion is one of the products that are highly sought-after ones that also make your skin smooth and soft.
Topical Immunomodulators: Tacrolimus and pimecrolimus are few topical immunomodulators that can be utilised for treating Keratosis Pilaris.
Oral medication: Isotretinoin pills are considered as a very effective oral medication for this skin condition. Acne scarring can be reduced to large extents with this.
Every individual is known to have different kinds of skin. Hence, not every tip will help you to eradicate the disease but will do help in controlling the spreading of the skin condition. Listen to what your body is trying to say to you, agree with what your doctor recommends, and you will have beautiful skin in no time.

Keratosis Pilaris - Available Treatment For It!

Eczema is something which can really blight the quality of the life of a person. Sometimes, even the most mundane of things can cause our skin to have a reaction, resulting in allergic eczema. However, while it is annoying and painful, there are ways to go about treating it.

It is quite important, though, to understand what exactly eczema is. Simply put, it is a condition which occurs when the skin of the person suffering from it is inflamed.

Among the various groups of people who suffer from eczema, a lot of them are actually babies. However, they thankfully are able to grow out of the issue by the time they become adults. While it is true that eczema can strike any part of a person s body, among the places it strikes most often are the face, the neck and behind the sweat spots of the body i.e. the area behind the knees and around the ankles.

What causes allergic eczema?
Eczema is a lot of the time, a condition which is genetic. That being said, there are certain things which can go a long way into making it worse, which include stress and dry climates as well as external materials which irritate the skin touching it, like soaps which are just too strong.

What are the Treatment Options?
When it comes to things, which have the potential to make the situation a lot better, there is a group of medicines which are part of the antihistamine group which can work wonders. An interesting thing when it comes to the treatment of allergic eczema is the fact that a lot of the treatment for the issue involves a management of the inflammation that occurs along with an attempt to take better control and manage the immune system of the person who has eczema.

Depending on the severity of eczema a person has, a possible course of treatment involves making use of corticosteroids, which are strictly a prescription based way to go about treating eczema. Keeping this in mind, it is of the highest importance to make sure that whenever the steroids are being taken by mouth, there is a full adherence to what the doctor has recommended or directed.

As a last ditch resort, if the condition is really bad, there is a possibility of going for Ultra Violet Therapy in order to make it better. However, if one is looking for ways to reduce the intensity of their eczema sans higher doses of medication, stress management in something that can work well. In addition to this, a humidifier can do a lot to improve the situation.

Allergic Eczema - Ways You Can Contact It!

Hypothyroidism is a condition in which the thyroid gland is not producing the thyroid hormones adequately. This is a fairly common condition.

What is thyroid gland?

The thyroid gland is a small butterfly-shaped gland located just below Adam s apple. It encircles the windpipe or the trachea. It is about 4 cms in height and weighs about 18 gms. This gland is responsible for the secretion of thyroid hormones. Hormones are chemicals produced by special glands like thyroid, adrenals, ovaries etc. They act as messengers and are carried by the blood to the various target organs.

What are the hormones produced by thyroid gland and what do they do?

The thyroid hormones are of two types   T3 (Tri iodo thyronine) and T4 (Thyroxine). These hormones are mainly responsible for the body s metabolism - a process in which food is converted into energy in the cells. They influence growth and development and regulate various bodily functions which are mentioned below:

Heartbeat
Body temperature
Breathing
Body weight
Metabolism of fat
Menstrual cycles in females
Functioning of Nervous system
Digestion
Burning calories etc.
What is Hypothyroidism?

Inadequate production of hormones by the thyroid gland is termed as hypothyroidism. This is also called Underactive thyroid state. Hypothyroidism can make the body s development to slow down and reduces metabolism rates.

What are the causes of Hypothyroidism?

Hypothyroidism can be caused by a number of factors:

Hashimoto's thyroiditis: This is the commonest cause. This is an autoimmune disorder (normally body s defence system fight against external infections. In autoimmune disorder the defence system attacks the healthy cells of the body by mistake). In Hashimoto s thyroiditis the immune system/defence system produces antibodies that attack the thyroid gland and destroy it.
Iodine deficiency in diet. For the production of thyroid hormones iodine is very important. The body does not produce iodine normally, so it needs to be supplemented from outside. Iodine is mainly present in the food we eat. It is mainly present in shellfish, salt-water fish, eggs, dairy products. If a person does not eat iodine rich foods, he may end up with iodine deficiency leading to hypothyroidism. Currently, this causative factor is on the decline due to government initiative of table salt with iodine.
Surgery: Surgery to remove thyroid gland (for e.g. thyroid cancer treatment, overactive thyroid etc.)
Radiation to the neck (to treat cancer in the neck area): The thyroid gland cells are damaged due to the radiation.
Treatment with radioactive iodine: This treatment is used for managing hyperthyroidism/overactive thyroid, where the thyroid gland produces excessive thyroid hormones. One of the treatment modalities is by radioactive iodine. Sometimes this radiotherapy destroys normal functioning cells which lead to hypothyroidism.
Certain medicines: Certain medicines used to treat heart conditions, cancer, psychiatric conditions etc.   for e.g. amiodarone, lithium, interleukin-2, interferon-alpha.
Pregnancy: Pregnancy (the reason is unclear but it has been noticed that the thyroid may get inflamed after delivery   this is called Postpartum thyroiditis.
Damage to the pituitary gland: Pituitary gland is a gland which is present in the brain. It produces a hormone called TSH (Thyroxine-Stimulating hormone).The TSH tells the thyroid gland how much thyroid hormone it should make. If the levels of thyroid hormone in the blood are low, then the TSH will stimulate the thyroid gland to produce more Thyroid hormone.
Hypothalamus disorders: This is an organ in the brain. This produces a hormone called TRH (Thyrotropin Releasing Hormone) which acts on the Pituitary gland to secrete TSH. So any disorder of Pituitary gland will indirectly effect the production and secretion of Thyroid hormones. These are very rare disorders.
Congenital thyroid defects: Some babies are born with thyroid problems. This is due to the thyroid not being developed normally during pregnancy. Sometimes the thyroid gland does not function normal. This can be identified by screening for thyroid disorders in the first week after delivery. This is usually by a blood test using a small drop of blood from the baby s heel.
What are the different types of hypothyroidism?

One classification is based on whether the defect is with the thyroid gland or not:

Primary hypothyroidism: The problem is in the thyroid gland itself and thus there is reduced production /secretion of thyroid hormones.
Secondary hypothyroidism: Here the problem is with the Pituitary gland or the Hypothalamus. This results in abnormal production of TSH or TRH, which indirectly leads to less production and secretion of thyroid hormones.
Another classification is based on the symptoms and levels of the thyroid hormones and TSH:

Overt hypothyroidism: Here the patient is having the symptoms. Further the T3/T4 are low and TSH is high
Subclinical hypothyroidism: Here patient may or may not have symptoms. The T3/T4 levels are normal but TSH is high. In this situation the patient is at an increased risk of developing overt hypothyroidism in the future especially if he has Thyroid peroxidase antibodies on testing.
Who are at risk of developing Hypothyroidism?

Women have a higher risk of suffering from hypothyroidism than men.
Older people are at increased risk.
People suffering from other autoimmune diseases like Coeliac disease, Type-1 Diabetes Mellitus, Vitiligo, Pernicious anemia, Multiple sclerosis, Rheumatoid arthritis, Addison s disease etc.
People with psychiatric conditions such as bipolar disorder
People with Chromosomal abnormalities like Down syndrome, Turners syndrome also have a high risk of suffering from hypothyroidism.
What are the symptoms of hypothyroidism?

Symptoms vary from person to person. They may also mimic other conditions and hence be difficult to diagnose. Symptoms may also develop very slowly over a span of moths-years. Some of the characteristic symptoms of this disease are:

Depression
Constipation
Hair loss
Dry hair
Dryness of the skin
Tiredness
Body pains
Fluid retention in the body
Irregular menstrual cycle
Increased sensitivity to cold
Reduced heart rate
Increase in size of the thyroid gland   called Goitre. This is due to constant stimulation of the thyroid gland by TSH.
Weight gain
Carpal tunnel syndrome
Hoarse voice
Infertility
Loss of libido/sex drive
Confusion or memory problems especially in the elderly
What are the symptoms to look for in a baby if you suspect hypothyroidism?

Infants suffering from congenital hypothyroidism may show no symptoms or exhibit signs of excessive drowsiness, cold hands, cold feet, constipation, hoarse cry, poor growth or absent growth, poor appetite, bloating of abdomen, puffiness of face, swollen tongue, persistent jaundice.

How to diagnose hypothyroidism?

Blood tests:

TSH: This hormone is made in the pituitary gland and it stimulates the thyroid gland to produce thyroxine. If the thyroxine levels are low in the blood, the pituitary gland produces and secretes more TSH into the blood to act on the thyroid gland to produce more thyroxine. A raised TSH level indicates hypothyroidism. Other tests are not usually necessary unless a rare cause of hypothyroidism.
T4: A low level of thyroxine indicates hypothyroidism.
T3: these levels are generally not needed to diagnose hypothyroidism
Anti-Thyroid peroxidase antibodies (anti-TPO antibodies) or Anti- thyroglobulin antibodies are present in 90-95% of patient with autoimmune thyroiditis.
Other blood tests include Creatinine Kinase, Serum Lipids, Complete blood picture etc.
Ultrasound of the neck is done if the patient presents with a thyroid swelling.
What is the treatment of hypothyroidism?

Overt hypothyroidism is treated by synthetic Thyroxin hormone which should be taken every day on an empty stomach at least 30   45 minutes before breakfast. The treatment is continued for the rest of the patient s life. Regular thyroid function tests are done once every 8 weeks-12 weeks to adjust the dose of the thyroxine in the initial period of diagnosis. Once the thyroxine dose is stabilised, the tests can be done even once a year. This treatment is quite effective.

Sub-clinical hypothyroidism is only treated if the patient is a woman and is contemplating pregnancy, in patients with symptoms or if the TSH is quite high.

What are the side-effects of thyroxine medication?

There are few side effects if any. Most people tolerate these medications quite well. An important consideration before starting medication is to check if the patient has chest pain/angina. These people are started on the least available dose. If these patients are started on a higher dose they notice a worsening of their angina pains.

Side effects mainly occur if the thyroxine dose is high which leads to hyperthyroidism. The symptoms of this could be palpitations 9increased heart beat), weight loss, profuse sweating, anxiety, irritability etc.

There are some tablets which increase with thyroxine tablets. These include carbamazepine, iron supplements, calcium supplements, rifampicin, phenytoin, warfarin etc.

What are the complications of hypothyroidism?

If untreated hypothyroidism can lead to:

heart problems like heart attack due to increased levels of bad cholesterol like LDL, or heart failure due to fluid retention
obesity
infertility
joint pains
depression
A pregnant woman with hypothyroidism is at increased risk of giving birth to a baby with congenital hypothyroidism, also known as cretinism. Further, the woman may have pregnancy related complications like pre-eclampsia, premature delivery, low birth weight baby, anemia, post-partum haemorrhage (bleeding after delivery) etc.
Myxoedema is another complication where the patient has extremely low levels of thyroid hormone. The body temperature drops drastically making the person lose consciousness or go into a coma.
References:

2013 ETA Guideline: Management of Subclinical Hypothyroidism; European Thyroid Association (Nov 2013)
Management of primary hypothyroidism: statement by the British Thyroid Association Executive Committee; British Thyroid Association (2015)
The diagnosis and management of primary hypothyroidism; Royal College of Physicians and others (June 2011)
Suh S, Kim DK; Subclinical Hypothyroidism and Cardiovascular Disease. Endocrinology Metabolism (Seoul). 2015 Aug 4.
UK Guidelines for the Use of Thyroid Function Tests; British Thyroid Association (2006)
Gaitonde DY, Rowley KD, Sweeney LB; Hypothyroidism: an update. American Family Physician. 2012 Aug 1 86(3):244-51.
Bindra A, Braunstein GD; Thyroiditis. American Family Physician. 2006 May 15 73(10):1769-76.
Wilson GR, Curry RW Jr; Subclinical thyroid disease. American Family Physician. 2005 Oct 15 72(8):1517-24.
British National Formulary; NICE Evidence Services (UK access only)
Baumgartner C, Blum MR, Rodondi N; Subclinical hypothyroidism: summary of evidence in 2014. Swiss Medical Weekly. 2014 Dec 23 144:w14058. doi: 10.4414/smw.2014.14058. eCollection 2014.

Know Everything About Hypothyroidism

Cellulitis is a serious bacterial infection that is characterized by red and swollen areas on the skin. The condition may spread quickly to other areas of the body. The most commonly affected areas of the body are the lower legs, although it affects other areas of the body as well. 

The disease may affect either the outer layer of the skin or the tissues underneath your skin, from where it may spread to your bloodstream and the lymph nodes. If the condition is not treated on time, it may turn into a life threatening one.

Symptoms:

    You may experience inflammation and redness on your skin
    The affected area may become tender and painful
    The area may feel warm
    Presence of skin rashes around the area
    Pus filled formations on the skin
    The skin may have a tight and swollen appearance
    You may run a fever
    Feeling dizzy and fatigued if the condition turns serious

Causes:
This condition occurs when bacteria such as Streptococcus and Staphylococcus enter the body through cuts or cracks on the skin. Surgical incisions, cuts and insect bites are usually the causes of the infection. Some other risk factors include a weak immune system, diabetes and skin conditions such as eczema and athlete's foot.
The condition is treated by antibiotics. If oral medications do not work, then the medicine may be administered intravenously.  

There are certain preventive measures which you can employ to minimize the risks of cellulitis:

    If you have a wound or cut in the body, make sure to apply ointments that help in killing the germs.
    Always wash your wounds with warm water and soap.
    Apply bandage to the area to prevent exposure to dust and bacteria. Make sure that you replace the bandages on a regular basis.
    On any sign of infection such as redness and pus drainage, consult a doctor.
    Apply moisturizer on your skin to prevent cracks on the skin.
    Take care while trimming your finger and toe nails so as to not injure the skin around the nail.


Cellulitis - Causes, Signs & Symptoms and Treatment 

Drug rashes are generally defined as the reaction of the body to certain kinds of diseases. Different drugs result in different kinds of diseases which sometimes are as dangerous as being life-threatening. There are different types of drug rashes. They can manifest in different forms. Common ones are:

1. Blisters and swelling
 
Many drugs result in acute blisters and swelling in different parts of the body. This condition, if unchecked, may aggravate, leading to dangerous consequences.

2. Prolonged high fever
Continuous rise in fever is often diagnosed as a serious consequence of certain drugs.

3. Abnormal redness of the skin
Few medicines often result in sudden reddening of the skin. This condition continues till the drug is discontinued.

4. Rash and itching
This is considered as one of the most common side-effects of medicines. Often medicines result in continuous itching and rashes on the skin that also causes swelling, if unchecked.

5. Swelling of tissues
Tissues often swell up as a result of consumption of certain medicines. Consequently, the concerned person experiences problems in breathing and often a drastic fall in blood pressure.

However, there are ways that one can adopt in order to combat drug rashes.

1. Identify and discontinue the drug
One of the most essential ways of combating drug rashes is to identify the drug and immediately discontinue its consumption.

2. Avoid using chemicals
One way of easy recuperation is to avoid using chemicals, soaps on the affected areas. If continued to use, they aggravate the already caused damage. On the other hand, Calamine can be used for treating drugs.

3. Wear loose-fitting clothes
Wearing tight clothes that sticks to the body further damages the skin. Instead, one should try to wear loose-fitted clothes that allow the skin to heal.

4. Apply cool compresses.
Taking cool showers or applying cool compresses over the affected areas significantly help to recuperate fast.

Drug Rashes and How To Combat Them

Bathing soap vs. Body wash: what's better when you take a shower?

The most important part of skincare is keeping your skin cleansed and fresh. But before that, it is imperative to find the right product for the same. Skin type varies from person to person, and hence finding skincare goods most suited to your skin makes all the difference.

Bathing habits directly affect the quality of your skin, which involves picking the appropriate cleanse; i. E. Choosing between a body soap and body wash. Each has a different set of characteristics and comes with its own set of advantages and disadvantages. Let's find out which one is better for your skin.

Why you should choose bathing soap bar:

 it is more effective in removing dirt through deep cleansing

 it is suited to skin that is excessively oily in nature as it contains ingredients that are highly effective in stripping off excess oil from the skin

Why you should not choose bathing soap bar:

 it tends to strip the skin of its natural oils and moisture, making it dry and flaky

 it is unhygienic in case of sharing between individuals as soaps tend to accumulate the dirt from your skin due to direct body contact

Reasons to pick a body wash:

 it has a very mild and gentle effect on the skin in comparison to soaps

 it keeps the skin moisturized by preserving natural oils

 it is more hygienic than bar soaps in case of interpersonal sharing

 it is the most suitable option for dry skin

Reasons to ditch a body wash:

 it contains a large amount of artificial additives and preservatives that can do more harm to your skin than good, giving rise to allergic reactions in some cases

So, who's the winner of the two?

You must certainly base the choice on what's best for your skin type. Body soap is more compatible with oily skin while dry skin is better suited for body wash. A body wash, however, is much more gentle on your skin. 

If you would like to consult with me privately, please click on 'consult'.
Related Tip: Soap Vs Hand Wash - What Should You Wash Your Hands with?

Bathing Soap vs. Body Wash: What's Better When You Take a Shower?

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