Corn Removal Procedure
Mole Removal Surgery
Treatment for Constipation Treatment
Mole Removal Procedure
Skin Polishing Treatment
Deep Pigmentation Treatment
Cysts Removal Procedure
Cutaneous Fillers Treatment
Small Dermatologic Surgery
Earlobe Repair Procedure
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Diagnosis of tuberculosis is based on a combination of clinical features, smear examination of sputum where available, tuberculin skin testing or Mantoux test, chest X-ray and Histopathologic / cytologic examination as appropriate. Common clinical features are weight loss, persistent fever and /or cough of more than 2 weeks duration and history of close contact with another Tuberculosis patient.
Mantoux test also known as Tuberculin skin test is used for the detection of infection by Mycobacterium Tuberculosis bacteria. The test consists of slowly injecting a liquid intradermally (superficially within the layers of the skin) on the forearm, leading to formation of a raised vesicle which should be easily visible to the naked eye. This liquid, used in India, is Tuberculin PPD RT 23 strain. Tuberculin is a glycerol extract of the Tuberculosis bacteria. This is one of the two WHO accepted standard tuberculins, apart from PPD-S. In India, where the prevalence of tuberculosis is high, the recommended dose of this liquid is 0.1 ml of 1 TU (TU stands for tuberculin units) .1 TU is the strength of the liquid mentioned on the vial. This liquid is usually administered by a very tiny syringe, usually of 26 gauge. (Needle diameter).
Please click on the link to watch a video demonstrating how this procedure is performed.
Test principle : The individual who has been infected with Tubercle bacilli responds with a hypersensitivity reaction at the test site in the form of induration. Induration is the palpable raised hardening of the skin, while erythema refers to redness of skin. Only induration is clinically significant and measured after 48 to 72hours following injection. Diameter of the Induration is measured by a scale in millimetres perpendicular to the long axis of the forearm.
Interpretation of the tuberculin test
- Size of induration 15 mm and above : - signifies infection with tubercle bacilli
- Size of induration 10-14 mm : - could be due to infection with tubercle bacilli, BCG induced sensitivity, or due to cross reaction with other environmental mycobacteria.
It is more likely to be attributable to infection with tubercle bacilli in case of history of contact with smear positive case of pulmonary TB, clinically confirmed TB OR X-ray consistent with active TB.
- Size of induration 5 -9 mm: usually non tuberculous in nature generally
- Size of induration <5 mm : indicates absence of any type of mycobacterial infection.
Precautions during this procedure :
- If a raised vesicle does not appear it means that the liquid has been injected too deeply, and the test should be repeated on the other arm. If the same arm is used the injection site should be should be separated at least 5 cm from the first injection site.
- Occasional patients may experience severe allergic reaction to the tuberculin PPD
- Larger the size of the induration, higher the probability of presence of infection with tubercle bacilli.
- Almost all reactions with induration more than 15 mm maybe considered attributable to infection with tubercle bacilli.
- Formation of necrosis (ulcer) at the test site, indicates high degree of tuberculin sensitivity and suggests presence of infection with tubercle bacteria.
- Tuberculin reaction may be suppressed (falsely low) in presence of immunosuppressive states. Like HIV, malnutrition, patient on steroid therapy etc.
- Mantoux test is generally not recommended for infants less than 12 weeks old. If the test turns out to be positive, then it is significant, but if the test is negative, then the test needs to be repeated again.
- The tuberculin test detects only the presence or absence of tuberculosis infection. The presence of infection is not synonymous with disease. It simply means, that even if you have tuberculosis infection in your body, as detected by positive Mantoux test, it does not mean you have active Tuberculosis in your body and require anti tuberculosis drugs in all cases. The clinician will correlate your mantoux test result with other tests ( as mentioned at the top of the blog) to give you a final picture.
- For more such interesting articles please visit my blogsite www.doctors4patients.com
एक समय था जब झुर्रियों को बुढ़ापे की निशानी माना जाता था। लेकिन, आजकल, यह आश्चर्यजनक नहीं होगा कि आप केवल 25 वर्ष के हों, तो भी यह दिखना शुरू कर दें। व्यस्त जीवनशैली, तनाव, नींद की कमी और अनुचित आहार अक्सर त्वचा का नुकसान होने के कारण होता है।
झुर्रियां पतली, सगनी त्वचा के कारण होती हैं। वे विशेष रूप से चेहरे, गर्दन, हाथों की पीछे, और अग्र-भुजाओं के शीर्ष पर दिखाई देते हैं। झुर्रियां तब होती हैं जब त्वचा के संयोजी ऊतक में कोलेजन और इलास्टिन कमजोर हो जाते हैं और टूट जाते हैं। समय से पहले या अधिक झुर्रियां अन्य कारकों जैसे सूरज की रोशनी या कठोर वातावरण, धूम्रपान, कुछ दवाओं के उपयोग, अत्यधिक तनाव, अचानक वजन घटाने, विटामिन ई की हानि, गतिहीन जीवन शैली और आनुवंशिक पूर्ववृत्ति के कारण भी हो सकती हैं।
झुर्रियों से बचाव के घरेलू उपाय
यदि आपने हाल ही में अपने चेहरे पर महीन रेखाओं पर गौर किया है या लंबे समय से उन्हें छुटकारा पाने के लिए संघर्ष कर रहे हैं, तो यहां कुछ अद्भुत घरेलू उपाय हैं जो झुर्रियों को बहुत प्रभावी ढंग से हटा सकते हैं।
1. जैतून का तेल:
जैतून का तेल आपकी त्वचा के लिए एक अद्भुत मालिश तेल है। यह एंटीऑक्सिडेंट जैसे विटामिन ए और ई, का एक अच्छा स्रोत है, जो त्वचा के लिए हानिकारक मुक्त कणों से लड़ते हैं। नियमित रूप से प्रभावित त्वचा क्षेत्र पर जैतून का तेल मालिश करना त्वचा की कोशिकाओं को मॉइस्चराइज, मरम्मत और पुनर्जीवित करेगा।
आप 1 बड़े चमच जैतून के तेल में 1/2 चम्मच कालनजी तेल को भी जोड़ सकते हैं, इसे अधिक शक्तिशाली बनाने के लिए।
मेथी के पत्ते विटामिन और खनिजों में बहुत समृद्ध हैं जो आसानी से शरीर द्वारा अवशोषित होते हैं और झुर्रियाँ और अन्य त्वचा की समस्याओं का इलाज करते हैं। ताजी मेथी के पत्तों को पीस लें, एक पेस्ट बनाने के लिए। अपने चेहरे पर पेस्ट को लागू करें और इसे रात भर छोड़ दें। सुबह इसे गुनगुने पानी से धो लें।
आप मेथी के बीज के साथ उबला हुए पानी से भी अपना चेहरा धो सकते हैं या अपनी झुर्रियों और महीन रेखाओं पर मेथी तेल लगा सकते हैं।
यह इलास्टिन के टूटने को रोकने में मदद करता है, झुर्रियां और महीन रेखाओं के मुख्य कारणों में से एक है। अदरक एंटीऑक्सिडेंट्स में समृद्ध है, इस प्रकार भी झुर्रियों को रोकने में मदद करता है। शहद की एक चम्मच के साथ कसा हुआ अदरक मिलाएं और हर सुबह इस मिश्रण को खाएं। आप अदरक और शहद वाली चाय भी पी सकते हैं।
एलोवेरा विटामिन ई का एक समृद्ध स्रोत है, जो त्वचा के लिए एक बूस्टर है। एलोवेरा एंटीऑक्सिडेंट और शोथ रोधक यौगिकों के साथ सुस्त त्वचा को भी स्वस्थ कर देता है। 1 बड़ा चमचा एलोवेरा जेल और 1 अंडे के सफेद हिस्से का उपयोग करके पेस्ट बनाएँ और इससे अपने चेहरे पर मालिश करें। इसे आधे घंटे के लिए छोड़ दें और फिर धो लें।
केले विटामिन, खनिज और एंटीऑक्सिडेंट्स में समृद्ध हैं जो झुर्रियों और महीन रेखाओं के कारणों से मुकाबला करते हैं। एक गाढ़ा पेस्ट बनाने के लिए दो केलों को कुचल दें। झुर्रीदार क्षेत्रों पर पेस्ट को लागू करें। इसे कम से कम आधे घंटे के लिए छोड़ दें और फिर इसे गुनगुने पानी से धो लें।
बादाम में विटामिन ई होता है जो त्वचा की प्राकृतिक लोच को लौटाता है। बादाम फाइबर, लोहा, जस्ता, कैल्शियम, फोलिक एसिड, और ओलिक एसिड का भी एक उत्कृष्ट स्रोत है, जो संयुक्त रूप से बुढ़ापे की प्रक्रिया में देरी कर सकते हैं और झुर्रियों का इलाज कर सकते हैं।
रात भर के लिये कच्चे दूध में कुछ बादाम सोखें। सुबह, उन्हें छील लें और पीसकर गाढ़ा पेस्ट बनायें। इसे चेहरे पर लागू करें, 15 मिनट तक सूखा दें और फिर पानी से धो लें।
अनानास में एंजाइम होते हैं जो त्वचा लोच को बढ़ावा देते हैं, त्वचा को मॉइस्चराइज करते हैं और साथ ही मृत त्वचा कोशिकाओं को खत्म करने में मदद करते हैं। यह एंटीऑक्सिडेंट, फाइबर और विटामिन में भी समृद्ध है जो त्वचा के स्वास्थ्य को बढ़ावा देते हैं।
प्रभावित त्वचा क्षेत्र पर अनानस मांस रगड़ें। आपकी त्वचा पर अनानस का पल्प लागू करें। इसे लगभग 20 मिनट तक सूखने के लिए छोड़ दें और फिर इसे धो लें।
An often persistent and long-lasting condition, psoriasis interferes with the life cycle of skin cells and causes them to increase rapidly on the surface of the skin. These generally appear as dry, itchy and red patches of skin having thick, silvery scales.
Psoriasis can be subdivided into the following:
- Plaque psoriasis: The most common form, characterized by dry, red skin lesions covered with silvery scales and can be seen anywhere on the body.
- Scalp psoriasis: These appear on the scalp and may extend beyond the hairline.
- Nail psoriasis: These affect the toenails and fingernails.
- Guttate psoriasis: Characterized by blister-like appearances and are stimulated by bacterial infections.
- Inverse psoriasis: Caused by fungal infections.
- Erythrodermic psoriasis: Can cover the entire body with a reddish rash that may peel.
- Pustular psoriasis: Capable of causing chills, fever and diarrhea.
The usual signs and symptoms of psoriasis include:
- Red, sensitive patches of skin
- A silvery, scaly cover
- Dry and cracked skin that may bleed when scratched or agitated
- Tiny scaling spots (witnessed in children)
- Persistent itching, soreness or burning sensation
- Ridged, thickened or pitted nails
- Stiff and swollen joints
Possible causes of psoriasis may include:
- Skin infections or strep throat infections
- Skin injuries, like cuts, bites or sunburns
- Cold weather
- Chronic alcoholism
- Certain medications such as high blood pressure medications
The following factors may further increase the risk of developing the disease:
- Fungal and bacterial infections
- Family history
A few health tips for psoriasis patients:
- Maintain safer distance from the possible variables that cause or aggravate psoriasis
- Practice yoga regularly. Yoga can lessen the intensity of psoriasis.
- Avoid pricking, peeling or scratching your skin.
- Make sure to pat your skin dry after washing, and avoid rubbing vigorously with towel or any rough cloth.
- Avoid artificial cleansers and use gram flour (besan flour) instead.
- Use cotton clothes
- Avoid cold water bath or immediate cleaning up right after heavy work-out, long walks, or travel.
- Avoid food stuffs that can cause indigestion.
- Avoid excessive salty and acidic food stuffs, radish, urad dal, sesame, jaggery (gur), curds, fish and other sour food stuffs that can trigger psoriasis.
Shingles is a type of skin infection that results in rashes on certain parts of the body. It is characterized by a single stripe of blisters that may occur on either side of the body. The varicella-zoster virus that causes chickenpox is also responsible for causing shingles. Once you have had chickenpox, the virus remains in a dormant state in the body. If the virus gets reactivated, it might cause shingles.
The symptoms of shingles are:
- You may experience sensations of numbness and burning on the affected area
- The affected area may be sensitive to touch
- Symptoms of red rashes on the body
- Blisters that are filled with fluid
- Bursting of blisters and crusting
- You may experience fever and headaches
- You may have difficulties in vision
The first symptom of shingles is the pain that results from the rash. In some cases, rashes may occur around the eyes.
Shingles is caused by the virus that is responsible for chickenpox. After lying dormant for certain period of time, the virus may get reactivated and travel through the nerve pathways on the skin. This is more likely to happen if your immunity level is somehow affected, which makes it easier for the body to get infected.
The disease is contagious in nature, so it is advised to stay away from people who have shingles. Remember that if you are not immune to chickenpox, then coming in contact with a person who has shingles, might result in you developing chickenpox.
Shingles may result in certain complications in the body such as:
- Vision loss: Shingles, if present around the eyes, may lead to infections in the eye causing vision problems.
- Post herpetic neuralgia: In some cases, the pain that occurs from shingles may continue well after the infection has subsided.
- Neurological complications: Shingles may cause inflammation in various nerves, resulting in neurological disorders such as facial paralysis and balance problems.
- Infections in the skin: Shingles may also cause infections on the skin.
Mai 38 years old hu. Par 4 mahinose muze eka hi din blooding Hoti hai. Badame bus spot dikhate hai. Aur mere chehare me bahot sare pimals AA Gaye hai. Skin bhi dry ho gai hai. Aur pigmentation ho Gaya hai.
My Mother 40 have a black small patches on her hand in other words black circle mark on her hand please suggested her some home remedy or treatment and tell us how it come please it's your most kindness. thanks.
I am 22 years female .I'm having a severe hair loss. I'm not taking any medications. Pls suggest me some treatments.
Which supplements to take for thick, shiny and healthy hair? I'm a male and My hair are very thin from the day 1. Thanks.
My hair graying is increasing very fastly. 1 am 22 year old. Have taken allopathic treatment but they are not getting stop. Should I now use Ayurveda?
HI My 13 years old daughter having hair fall due to swimming clor8ne water and her d3 is just 5.95 and normal range is 30 and more before she is having nice strong hairs. Kindly suggest me foods supplement and medicine to increase vitamin d3.
Has your skin become dry or itchy? Has it darkened or reddened after contact with a foreign material or substance? These symptoms may indicate allergic contact dermatitis (ACD), a skin condition which is caused by an allergic reaction of the skin after coming in contact with an external material. The condition usually arises after some time of the skin coming in contact with the material.
ACD is commonly caused due to skin contact with nickel or gold jewellery, latex gloves, several chemicals present in cosmetics, perfumes and poison oak. After being exposed to a foreign substance, the body releases inflammatory chemicals, which lead to irritation and itching on the skin. The skin may become scaly, flaky, appear leathery and dry blisters may develop.
There are several ways to treat ACD. They are as follows:
- Avoiding the cause: Identification and avoidance of the allergens and irritants which cause ACD is the first step of treatment. By avoiding these allergens or reducing your exposure to them, the symptoms can be reduced.
- Emollients: Emollients offer a form of moisturizing treatment and are directly applied to the skin for reduction of water loss. A protective film covers the skin. They are efficient in treating conditions such as dry and scaly skin. There are different types of emollients.It is recommended that you apply a mix of emollients, which include an ointment for dry skin and a cream or lotion for dry skin. You should use emollients in place of soaps and should add them to your bath water as well. Make sure you use different emollients on your face, hands and body.
- Topical corticosteroids: In case your skin is severely red, inflamed or sore, a topical corticosteroid can be applied to your skin directly. This helps in reducing the inflammation quickly. Corticosteroids are different from anabolic steroids and are quite safe for the treatment of ACD. There are topical corticosteroids of different strengths and the dosage to be used depends upon the severity and location of ACD.
You may be instructed to use a strong topical corticosteroid in case of intense ACD. When the condition is mild, a weaker dosage of corticosteroid should be used. For treating contact dermatitis on the face, genitals or in the crease of the joints, a weaker dosage is used, whereas for treating it on the soles of your feet and the palms, a stronger dosage is required. Major cases of ACD go away on their own. However, when the condition is severe and the rashes are developed near the eyes or mouth, you should consult a doctor right away for proper and timely treatment.
I am facing hairloss after isotretinoin capsule treatment and done almost for 8 months hair fall treatment serum, hair lotion finasteride and all biotin supplements but nothing work but not yet solved facing daily 200-300 hair fall please prescribe me effective treatment tablets .plizz sir.
I am getting my hairs White day by day. Please help me. And my height is stopped increasing please help.
What are the recommended ways of preventing dandruff formation on scalp? Does everyday application of shampoo lead to an increase in probability of dandruff formation? Kindly suggest solutions other than application of hair oil.
Hpyer-pigmentation can be removed by laser permanently? If yes what will be the charge for treating both the cheeks?
My age is 20. Many stretch marks at shoulder, tummy and knee sides. What can I do for remove stretch marks permanently.
How to protect yourself from the sun without chemicals?
With the weather getting warmer by the day and the sun feeling so good to soak up, it’s time to think about the effects it can have on our skin. While many moms and dads, beach goers, and just people in general instinctively reach out for sunscreens, this might be one time when it’s much better not to listen to your instincts. Sunscreens have come under fire of late because, too often, they are laced with chemical that do more harm damage than good – to you and the environment.
Luckily, that doesn’t mean that we have to give up the sun and stay inside all summer. There are some very basic, common sense ways to protect ourselves from the sun without the chemicals, and there are some simple, natural solutions for those moments when sunscreen is a must. Not only are we going to be healthier for this, but we are going to get to enjoy the sunshine and avoid the price we sometimes have to pay.
Food: It should come as no shock that diet can play a huge role in keeping our bodies healthy, including the largest organ: skin. There are certain foods we can be eating that will help protect the skin from within. Carrots and other foods rich in vitamins a and c, tomatoes and other foods rich in lycopene, and many, many other foods go into to providing the skin with all it needs to stay safe and cancer free. First and foremost, we need to provide a good diet.
Clothing: Sensible clothing choices just make … well, sense. While bikinis (and mankinis) are wonderfully fun in the sun, they can be used at select times, and the rest of the time we can use protective clothing. Light, long-sleeved shirts, wide-brimmed hats, and sarongs all make for great skin protection when the time for flaunting and frolicking barely frocked isn’t ideal. Cover the skin up, and the sun won’t damage it.
Shade: Whether it is umbrellas on the beach, finding a patio roof somewhere, or stretching out beneath a tree, it seems fairly sensible to seek the shelter of some shade. Not only does it keep us from overheating in the sizzling summer sun, but it keeps our skin from roasting in it. Most beaches, parks, and picnic areas have plenty of shady spots available, so settle in those and take the sun in healthy increments.
Diy sunscreen: Sunscreens can be pretty nasty for the environment, as well as our bodies. When we get all lathered up and dive into oceans, lakes, and rivers, much of it washes off and straight into the eco-system, where it then poisons plant and animal life. Sunscreens often have chemicals that are damaging to our bodies as well, so it is important to go with all-natural (vegan) products or to make our own diy versions, a much cheaper option.
After-sun treatments: Of course, no method is infallible or completely unforgettable, so accidents do happen from time to time. In these moments, it’s important to help our skin get back up to snuff as quickly and painlessly as possible. Natural after-sun skin products are generally filled with vitamins and minerals and lovely things that enable the skin to heal itself, or there are easy-to-do diy versions that are equally all-natural and effective, as well as affordable.
Timing: The sun is usually at its most wickedly brutal in the middle of the day, between about 10: 00 and 3: 00, so it is probably best to exercise more caution during these hours. This can turn out to be advantageous because beaches and parks tend to be a little less crowded outside these peak hours, so there will likely be more space to get out and enjoy the sunshine fully. Plus, it isn’t nearly as hot, and shade is usually much easier to find when the sun is at an angle rather than right overhead.
In the end, the right way to protect ourselves from the sun is to enjoy it — like with anything — sensibly. That means taking it in moderation, providing our bodies with the right nutrition for healthy skin, and protecting that skin from the excessive sun when necessary. Then, by all means, get outside and get some vitamin d.