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My skin has been badly tanned during past 3 month. The glow of my face has disappeared totally what should I do.
I am getting pain at rectum and penis at tip of penis. I have done CT scan, Urine culture, testicles sonography and complete blood test but all are normal. Urologist told me I have prostate problem and urine infection but in all the report it was normal. I have taken sildoo, Alfoo and some antibiotics tablets but this issue is never been resolved. I will be getting marry in a month. Can any one please help me in this issue. Now I am taking ayurvedic tablets chandrapraha sati 2 tab twice a day with some antibiotics tablets which was given by GP. I am getting more stress due to the pain and I do not want my marry should be affected by this. please help.
I Used Acnetoin paste for clear the dark spots on my face. Now Its almost cleared. But my face colour is too decreased. How can I get my old skin colour? I want A Handsome look please help me through natural ways or other medicines (without any side effect) I expecting your help.
Hi, My husband 36M has skin darkening problem, especially on forehead and back of neck. What could cause it? Could it be a symptom? Do you recommend any tests? Any home remedies possible?
Hi, I am 28 years old. I am facing uneven skin tones. Patchy skin, darkening of skin. Even though I am eating healthy things. Is it possible because I am overweight.
I am getting white heads on the nose and also it was spreading all over the nose, please give me the helpful suggestion.
Hi sir, my age is 25, 20 years back I got one accident. On my face one mark is came total of one cheek. Can I remove this. What should I do. Please suggest me.
I am a 25years old male and I have some dark brown patches on my legs and some pink spots on my face. The patch on legs look like a dead skin I try to remove it but it again came.
Hi sir/mam, I have large pores in my face, how to remove these pores, can you suggest? Pls help me. Tell is there any home remedies.
My face is suffering from sun shine. So please say that what we use to protect from sunshine and any cream is their?
GERD is a digestive disorder that affects the lower esophageal sphincter, which is the ring of muscle between the esophagus and stomach. Gastroesophageal reflux is the backward flow of acids from the stomach into the esophagus. Doctors believe that some people usually suffer due to a condition called hiatal hernia. Pregnant women usually suffer from heartburn or acid indigestion caused by Gastroesophageal Reflux Disease.
The primary goals in the treatment of this disease are relief from symptoms, healing of erosive esophagitis and prevention of complications of esophagitis. The symptoms include heartburn and regurgitation. The setting includes a proton pump inhibitor (PPI). Patients suspected due to GERD with non-cardiac chest pain are recommended to have diagnostic evaluation before institution of therapy. For diagnosing GERD, barium radiographs should not be used.
The other points that must be remembered to diagnose GERD are
1. Endoscopy is recommended only in case of alarming symptoms. Even in typical symptoms, the upper endoscopy is not recommended.
2. For preoperative evaluation, esophageal manometry is recommended, but it has no role in diagnosing GERD.
3. Ambulatory reflux monitoring is a test that can assess association of reflux symptoms.
The suggested lifestyle modifications for the patients with GERD are
- Weight loss is recommended for patients who are overweight. So, avoid large meals and decrease dietary fat intake.
- Avoid alcohol, chocolate, onions, garlic, acidic foods and peppermint.
- Do not lie down within 3 to 4 hours after meal (recommended for nocturnal GERD patients).
- For symptom relief and to heal erosive esophagitis, a 8-week course of PPIs is the therapy of choice.
- Medications that help in potentiating GERD symptoms, including alpha-adrenergic agonists, nitrates, calcium channel blockers and theophylline should be avoided.
- For patients without diagnostic evaluation, therapy for GERD other than acid suppression, including prokinetic therapy should not be used.
- For patients with partial response to PPI therapy, additional symptom relief can be achieved by increasing the dose twice daily or switching to a different PPI.
- It is recommended to elevate the head of the bed 10 to 20 cm.
- Avoid wearing clothes which are tight around the waist.
- If patients experience heartburn relief, Histamine-receptor antagonists (H2RA) therapy can be used as a maintenance option in patients without erosive disease.
Some surgical options
1. For long-term therapy for patients suffering with GERD, surgical therapy is the best treatment option.
2. In patients who have no evidence of erosive esophagitis, preoperative ambulatory pH monitoring in mandatory.
3. Gastric bypass is the preferred operation for patients who are suffering with obesity and are contemplating surgical therapy for GERD.
Apart from these, there are potential risks that are associated with PPIs such as switching them can be considered in setting of side effects and the therapy can be a risk factor for Clostridium difficile infection.
I have black spots as well as pimples on my chest. I used scar removal cream for 6 months but didn't see any changes. What should I do?
There are four types of protein contact dermatitis: animal, proteolytic enzymes, plant, and flour. The risk factors for this include protein allergens, atopy, and chronic dermatitis. There have been several theories proposed for protein contact dermatitis. Many Scientists are of the view that this occurs due to type 1 hypersensitivity.
Some are of the view that this results from type 1 and type 4 hypersensitivity reactions. Many also believe that this results due to a mediated immunoglobulin E hypersensitivity reaction. All the above three theories have been backed by enough proofs to support the model. No particular sexual or racial predilection is known for this infection. People can get affected with protein contact dermatitis at any age.
Proteins responsible for protein contact dermatitis:
There are four segments of proteins that can result in protein contact dermatitis.
- The first segment involves spices, fruits, plants, and vegetables. This is most commonly found in food vendors, gardeners, caterers etc. The source of protein comes from mugwort, asparagus, carrot, soy, peach, bean, apple and peanut.
- The second segment belongs to animal proteins and the possible victims are butchers, farmers, cooks and veterinarians. People who come in contact with the intestine of animals are more likely to get this disease. The source of protein comes from cow dander, blood, squid, worms, egg yolk, maggots, worms and meats.
- The third segment of protein contact dermatitis is very common among bakers. A form of dermatitis is observed. This being flour-associated proteins, the common culprits are rye and wheat. It is necessary to stay from the latter in order to avoid it.
- The fourth segment results from protein associated with a proteolytic enzyme. This form of protein contact dermatitis is mostly visible among workers of an enzyme factory, bakers, workers of a pharmaceutical company, soap factory workers etc. Patients mostly suffer from respiratory symptoms in this segment. Certain enzymes that are responsible for this segment of protein contact dermatitis include lactase, amylase, and glucoamylase.
Symptoms and diagnosis:
Protein contact dermatitis shows symptoms such as lichenification, erythematous papules, and dermatitis affecting the forearms. At times the fingertips get affected too. A doctor might prescribe a patch test followed by prick and scratch test. Other tests involve a fungal test, open application testing, radioallergosorbent testing, image studies, and biopsy.
The key to avoiding protein contact dermatitis is to stay away from the protein causing the disease. For short-term reliefs, a doctor can prescribe corticosteroids and antihistamines. A patient might have to get admitted to a hospital if the severity level of the disease is so much that the patient is suffering from gastrointestinal distress and angioedema. Medication involves oral dosage of antihistamines and clobetasol propionate.