What is endometriosis?

Endometriosis is a common condition where cells of the lining of the womb (the endometrium) are found elsewhere, usually in the pelvis and around the womb, ovaries and fallopian tubes. It mainly affects women during their reproductive years. Endometriosis is not an infection and it is not contagious.

What are the symptoms?

The main symptoms of endometriosis are pelvic pain, pain during or after sex and painful, sometimes heavy periods. It may cause problems with getting pregnant. It can affect many areas of a woman s life including her general physical health, emotional wellbeing and daily routine. Many women may have no symptoms. It is a long-term condition. Some women with endometriosis become pregnant easily while others have difficulty getting pregnant.

What causes endometriosis?

Endometriosis occurs when the cells of the lining of the womb are found in other parts of the body, usually the pelvis. Each month this tissue outside the womb thickens and breaks down and bleeds in the same way as the lining of the womb. This internal bleeding into the pelvis, unlike a period, has no way of leaving the body. This causes inflammation, pain and damage to the reproductive organs. Less commonly, endometriosis may occur on the bowel and bladder, or deep within the muscle wall of the uterus (adenomyosis). It can also rarely be found in other parts of the body.

The symptoms of endometriosis are common and could be caused by a number of other conditions such as irritable bowel syndrome (IBS) and pelvic inflammatory disease (PID).

There is no simple test for endometriosis.
Your gynaecologist may examine your pelvic area, this will include an internal examination.
You may be offered a scan. This can identify whether there is an endometriosis cyst in the ovaries. A normal scan does not rule out endometriosis.
For most women, having a laparoscopy is the only way to confirm endometriosis; because of this, it is often referred to as the  gold standard  test. This allows the gynaecologist to see the pelvic organs clearly and look for any endometriosis.
Several factors may influence your decision about treatment. These include:

How you feel about your situation
Your age
Whether your main symptom is pain or problems getting pregnant
What treatment can I get?

The options for treatment may be:

Pain relief

Hormone treatments: There is a range of hormone treatments to stop or reduce ovulation (the release of an egg) to allow the endometriosis to shrink or disappear. The hormonal methods below are contraceptives and will prevent you from becoming pregnant:

The combined oral contraceptive (COC) pill or patch. These contain the hormones estrogen and progestogen and work by preventing ovulation and can make your periods lighter, shorter and less painful.
The intrauterine system (IUS): this is a small T-shaped device which releases the hormone progestogen. This helps to reduce the pain and makes periods lighter. Some women get no periods at all.
The hormonal methods below are non-contraceptive, so contraception will be needed if you do not want to become pregnant:
Use of hormonal progestogens or testosterone derivatives
GnRH agonists are drugs that prevent estrogen being produced by the ovaries and cause a temporary and reversible menopause.
Some women find that recreational exercise improves their wellbeing, which may help to improve some symptoms of endometriosis.

Surgery: Surgery can be used to remove areas of endometriosis. There are different types of surgery, depending on where the endometriosis is and how extensive it is. How successful the surgery is can vary and you may need further surgery.

Laparoscopic surgery: The gynaecologist removes patches of endometriosis by destroying them or cutting them out.
Laparotomy: If the endometriosis is severe and extensive, you may be offered a laparotomy. This is major surgery which involves a cut in the abdomen, usually in the bikini line.
Hysterectomy: Some women have surgery to remove their womb (a hysterectomy) with or without the ovaries. Depending upon your own situation, your doctor should discuss hormone replacement therapy (HRT) with you if you have your ovaries removed.
What if I am having difficulty getting pregnant?

Getting pregnant can be a problem for some women with endometriosis. Your doctor should provide you with full information about your options such as assisted conception. If you become pregnant, endometriosis is unlikely to put your pregnancy at risk.

Endometriosis - Signs & Symptoms That Indicate It!

This contagious and highly itchy skin condition comes with symptoms like thin and irregular burrow like tracks containing blisters. These may be found on the affected areas of the skin. Mostly, these growths are found in the folds of one's skin and can occur for children and adults alike. The most common areas where these blisters, sores and bumps may be found include the genital areas, buttocks, the inner side of the elbows, soles of the feet, around the breasts, the waistline, the insides of the wrists and other areas. Let us have a look at the various causes of this condition.

1. Mite: an eight legged mite is the most common cause of this skin disease. The female mites are known to burrow deep in the folds of the skin, where they leave their eggs to hatch and spread. These mites usually make a tunnel like burrow in which the eggs get deposited. The mite larvae then reach the surface the skin and cause a lot of itching once they begin to mature. This itching is mainly an allergic reaction to the larvae as well as the eggs and waste.

2. Physical contact with infected parties: this condition is mostly caused when there is contact with an infected person or animal. This happens due to the fact that contact with an infected party can lead to a deposit of the mites on to the skin, leading to the process of burrowing, egg laying and maturing of the larvae. There has to be close and prolonged contact with an infected person or animal for this to happen. Yet, it has been observed that the mites prefer to live on the host. They do not live for too long on someone inherits the disease with contact.

3. Scratching: there are lots of complications that can lead to the breakout or worsening of the situation. Scratching the skin can often break the same which can lead to secondary bacterial skin infections. Superficial infections like impetigo can also lead to an accumulation of these mites, which can further spread the condition.

4. High risk groups: there are many people who are more at risk of contracting this skin disease. Patients with chronic health conditions like hiv and leukaemia can contract a severe form of scabies known as crusted scabies or norwegian scabies. Also, people who have spent long periods in hospitals and nursing facilities due to prolonged illness and treatment can contract this contagious ailment. Further, it has been found that older people living in nursing homes also often come down with this condition. The crusty and scaly patches caused by this disease can cover the entire body and may be very difficult to treat.

Different Causes of Scabies

Shingles is a sort of viral disease that makes a very painful rash on the entire body. This sort of rashes can occur on any part of the human body, but is mainly found on the torso. Shingles is a kind of varicella-zoster virus, the similar pattern of the virus that causes the deadly chicken pox. Once you have the chicken pox, the infectious virus leave leftovers in the dormant position of your body.

But during the later part of your life, if there are the stress or illness then it can again reactivate the virus, as well as you might be develop the shingles. In other words Shingles is a minor type of eruption of the germ of the chicken pox. It can occur any time after the first type of an infection.

Also an antiviral type of medications are the most often prescribed to care for this type of painful rash. These kind of medicines help out to abbreviate the length of the shingles as well as it can also reduce the symptoms. A number of natural treatments might be effectual in easing the pain as well as the discomfort of shingles.

There are 5 ways you can control these and these are discussed below:

Cool bath is the best option: Cool type water can also assist to ease the throbbing, and the sore skin of shingles. You can soak in the water for more than a few minutes, and then you require drying of your skin completely.
Wet compress is an another option: Cold, as well as the wet compresses work much the parallel way of a cool bath does. This type of compress helps to alleviate the pain as well as an irritation.
Take a healing bath: Also the Colloidal oatmeal baths as well as the starch baths can help out to heal an aggravated as well as the painful skin. A lot of these are obtainable in the medicine store.
Calming lotions: You can also use the soothing kind of the lotions, like calamine lotion, on the affected area.
You can apply normal pain relievers: A number of the creams that contains the capsaicin might be helpful in dropping the pain which is caused by the shingles. Capsaicin is a sort of pepper extract, as well as it has been utilized for centuries as the natural type of pain reliever.
Natural treatments may be the best way to heal shingles?
Conventional type of shingles treatments, like antiviral medications, are the most effectual treatment. It is true that the natural type of remedies will assist you to make simpler the discomfort of the shingles, as well as it cures the process of healing. Shingles will eventually clear up in its own way in three weeks.

Shingles Pain - 5 Ways You Can Manage It!

Hair health is not isolated from your overall health. If you are not very healthy overall, it will show on your hair as well. However, there are many lifestyle mistakes that also result in the damage of hair. If you are losing hair very fast and don t know why it is happening, watch out for the following mistakes you might be unknowingly doing-

1) Hot Water Shower:  Hot water damages your hair. It strips your scalp of the natural oils and dehydrates your hair, making them brittle. Use mildly warm or regular water for head showers.

2) Combing Wet Hair: Your hair is highly prone to breakage when it is wet. Combing or brushing wet hair weakens the roots and causes hair fall. To maintain healthy texture, it is safe to leave the hair to dry naturally. Also, don't brush your hair harshly.

3) Tight Tie-ups: Tightly fastened hair braids or ponytails cause tension to the roots and follicles. Pulling the hair too tight causes damage and must  be avoided, esp. at night.

4) Heat Treatment: Every time you blow dry your hair or use other heated styling tools, the scalp is subjected to undue heat. Such intense heat weakens the roots instantly. Switch to cool drying or stick to natural drying.

5) Using Styling Products: Hair styling gels and sprays make your hair stiff and sticky. A prolonged use of such products may cause major damage to the hair because the moisture has been drained out and there is friction every time you comb or brush the hair.

6) Not Oiling: Oiling your hair might be very unglamorous to look at but oils of coconut, mustard, olive, amla or sesame deeply nourish the hair follicles. Massaging your scalp with oil twice a week helps improve circulation thus contributing to overall hair health.

7) Bad Eating Habits: Skipping meals or taking improper nutrition has a direct impact on hair health. Healthy hair demand good consumption of proteins and other vitamins. Make salads, fish, lentils, beans, eggs, etc. a part of your daily diet.

Have any further questions on hair loss or hair care? Click on consult privately to ask me.

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Stop Making These 7 Mistakes To Prevent Hair Loss

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 is a skin condition that causes loss of pigmentation of the skin. Melanocytes, the pigment cells, within the skin are destroyed. This causes these parts of the skin to lose color and turn pale. It might affect different parts of the body including the arms, legs, face and even genitalia. It can affect a person of any age, ethnicity or gender.

Causes
The exact cause of vitiligo is not definitively known. However, there are a number of risk factors that might contribute towards the condition. These include-

Autoimmune disorders- Vitiligo might be a result of an autoimmune disorder where the overactive immune system destroys the pigment cells of the skin.
Exposure to Chemicals- Exposure to certain chemicals can increase the risk of vitiligo by causing depigmentation.
Hereditary factors- There might be a genetic pre-disposition towards vitiligo. Though a person can exhibit symptoms of the condition at any age, it is most commonly found to manifest itself around the age of 20 years.
Symptoms
Vitiligo may start with a simple spot of pale skin but over time, this spot expands and turns paler until it is white in color. Irregular in shape, the edges of these spots may inflame and cause itchiness.

Treatment
The treatment of vitiligo will be determined by a number of factors such as the number and the extent of the white patches and where they are located. Vitiligo treatment includes cosmetic, medical and surgical methods.

Cosmetic Treatment- Cosmetic and skincare products such as sunscreens, dye or makeup can help relieve and hide signs of the condition.
Medical Treatment- Oral medication or medicated ointments may be prescribed to treat Vitiligo. Photochemotherapy which involves the use of PUVA rays to induce re-pigmentation may also be prescribed. If the condition has spread to a considerable extent then the physician might advise that the color from the remaining areas of the skin also be removed in order to match the affected areas.
Surgical Treatment- Surgical treatments are at times prescribed which involve skin grafting or tattooing. This is usually prescribed for those with small patches of affected areas.
With ongoing and extensive research being conducted on this skin condition, we will in the near future be able to both understand and treat it better.

Vitiligo - What Causes It and How Can It Be Treated?

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