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Dr Ayesha Faizan

Dermatologist Clinic

Nagpur Nagpur
1 Doctor · ₹500
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Dr Ayesha Faizan Dermatologist Clinic Nagpur Nagpur
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Our goal is to offer our patients, and all our community the most affordable, trustworthy and professional service to ensure your best health....more
Our goal is to offer our patients, and all our community the most affordable, trustworthy and professional service to ensure your best health.
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Dr Ayesha Faizan is known for housing experienced Dermatologists. Dr. Ayesha Faizan, a well-reputed Dermatologist, practices in Nagpur. Visit this medical health centre for Dermatologists recommended by 68 patients.

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10:30 AM - 12:30 PM

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Nagpur, Maharashtra - 441107

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Dr. Ayesha Faizan

MD - Dermatology
Dermatologist
12 Years experience
500 at clinic
₹500 online
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Pruritus - Know More About It!

MD - Acupuncture, Diploma In Accupuncture, Advanced Diploma In Accupuncture
Acupuncturist, Delhi
Pruritus - Know More About It!

Pruritus
Itchy skin is a very uncomfortable condition and causes physical and mental irritation to those who have it. It is a very common problem especially among those who have dry skin.

Definition:
Pruritus is a skin condition where it gets very itchy. The level of itchiness differs among individuals and also varies according to the cause of the condition as well. Due to constant scratching of the affected area, this condition can become worse and can even cause infections.

Pruritus is most commonly caused because of dry skin and that is why it is more common in adults because the skin gets drier as the age of the person increases. When the skin is affected by pruritus, it might get red or it might appear just as normal. When it gets a bit severe, chances of developing bumps and blisters are also high. The mind reacts very quickly when it itches, that is why most of the people end up scratching the itchy area which proves to be harmful in the end. Repeated scratching causes the affected area to thicken, after which it can also start bleeding.

Symptoms:
Generally, itchiness is caused only in some small or specific areas of the body. If there is itching on the whole body, then probably it is because of an allergic reaction. It is important to note that pruritus can happen without any visible changes on the skin but there could be following symptoms as well:

-  Redness of the skin. The area will also feel warmer.

-  Blisters or bumps. There could be a presence of spots in different areas.

-  Dry skin which causes it to crack, giving it a leathery kind of texture.

Pruritus can also last for a long time with more severity. Itching and its severity are dependent on each other. When people feel itchy, they cannot resist scratching and when they scratch, itching and skin condition gets worse. Coming out of this loop is very hard but sometimes, trying to divert the attention somewhere else might help. In many situations, only medications are helpful.

When these conditions last for a period of weeks and do not show any signs of improving, it is best to visit the doctor. It is wise to seek medical attention in the following situations as well:

-  When the person is not able to concentrate on their routine activities and cannot help thinking about it.

-  When they abruptly feel itchy on any body part.

-  When pruritus happens in the whole body instead of a specific part.

-  In case there are other symptoms present in the body like drowsiness, weight-loss or weakness, digestion issues or fever.

Causes:
Skin is vital, as well as delicate. It acts as a shield to protect the inside parts of the body. It can save the body from harmful elements like bacteria, viruses etc. with the help of some cells which are part of the human body’s immune system. Those cells detect the occurrence of an unwanted condition or a presence of a substance which might harm the body. Those cells are very reactive and act when some harmful substance touches the body, or when the body is having some infection or a disease. When those cells detect such a thing, they cause the affected area to develop inflammation which is what is known by the popular term rash or dermatitis. This inflammation triggers the itching. The severity of the rash varies from one person to the other. Some people have very sensitive skin. They can have rashes which are very painful and red, but some can have just the visibility of rashes but no or very less itching.

Following are some of the popularly known reasons for pruritus:
-  The most common cause of pruritus is having a dry skin. This can be found out by checking the affected area carefully. If there are no blisters or bumps or no other change on that part, then probably the reason is dry skin. Dry skin which causes pruritus is also known as xerosis. Most people have dry skin by birth and it gets even drier when they grow up. Other reasons why the skin can become dry could be the exposure to an air-conditioned environment, staying in a heated room for a long time or washing the hands/body too often with soaps and chemical based washes.

-  Pruritus can also be a result of other skin conditions. Those can be psoriasischickenpoxhivesscabies or dermatitis. Dermatitis is also known as eczema. These kinds of conditions generally have an impact on certain specific areas of the body and also cause other issues like redness, bumps or blisters.

-  When the skin is itchy, it could be a signal that something is wrong in the body and there could be a presence of an illness. The illness could be related to the liver, kidney or any other organ. Diseases like kidney malfunction, deficiency of ironcancer, leukaemia, thyroid and lymphoma could be the reasons. In such cases, not a specific part but the whole body becomes itchy. It is advisable not to go by the physical appearance because the skin might appear to be normal but still, there could be repeated itching on some parts or the whole body.

-  It has been seen that diseases related to the nervous system also causes itching. Some examples of issues related to the nervous system are shingles, pinched nerves, diabetes mellitus, sclerosis etc.

-  Another major cause of pruritus is an allergic reaction to some object. The range of objects is quite wide. It could be hard chemical based soaps like body wash, hand wash or even dishwashers. Some people also find wool as allergic and causes itching to them. Other objects could be some cosmetics, metals like nickel, or plants like poison ivy. There are certain foods like peanuts which also causes pruritus.

-  There are certain medicinal drugs which can have their side effects like some antibiotics, narcotic pain related medicines, antifungal drugs. Reactions from these drugs mostly spread to the whole body and cause the rashes all over.

-  Other general causes of itching are fungal infections or things like bedbugs, lice or other worms. An example of a fungal infection is athlete’s foot in which the area between the toes or the area around it gets affects and starts to itch.

-  In females, during pregnancy, the skin can get itchy. Especially the abdominal area gets very itchy but even thighs can become like that. If a female who already has dermatitis becomes pregnant, the chances of dermatitis getting worse are very high.

 

How is it diagnosed?
To diagnose the presence of pruritus is straightforward because it simply means itching in the body. But to detect the cause of the itching can be a bit tricky. It can be a time-consuming process and requires a physical examination by the doctor or a skin specialist. The doctor would also ask about the medical history of the patient to check if the person is allergic to some specific substances or drugs. The doctor might also ask for one or few of the following tests:

-  Blood tests: Lot of information can be gathered from a blood sample. The blood count can point in the right direction to detect the underlying cause of pruritus. It could be deficiency or iron or some other internal issue.

-  Kidney function test: They are important to verify how well the kidneys are doing their work. Any disorders can immediately be detected with the help of kidney function. If there is a chronic kidney disease, it damages the kidneys very severely and disables them from filtering the toxins. This condition is also known as Uremia. When a person has Uremia, their itching increases in the night time and mostly affects the back, abdominal area and the arms.

-  Thyroid test: It is used to find out if the person has got hyperthyroidism or any other thyroid abnormalities.

-  Liver tests: They are helpful in checking the health of the liver.

-  Chest X-rays: This test is useful in recognising the presence of any lung related diseases or issues like enlarged lymph nodes.

Prevention:
To avoid getting pruritus, it is important to keep the skin healthy and keep it away from risky substances. Following suggestions will help in the prevention of pruritus:

-  Keeping the skin moisturized always is very crucial. Avoiding it from getting dry will improve its overall health as well. Use of moisturizing lotions and creams is highly advisable.

-  When there is sunshine, use of sunscreen is also highly worthwhile. It does not matter whether the person is inside or outside. The rays of the sun reach indoors as well which is why sunscreen is beneficial.

-  If the skin is sensitive or prone to pruritus, then soaps should be avoided. There are soap free options available in the market. If the soaps must be used, then using mild ones is advisable.

-  Showering with hot water should be avoided and using warm water instead is suggested. Hot water makes the skin drier.

-  Whenever possible, use cotton instead of synthetic clothes. Woolen clothes might not have many alternatives, but a cotton cloth can be worn inside them to avoid their direct contact with the skin.

-  When the person is spending much time in the heated or air-conditioned room, then using a dehumidifier or keeping a bowl of water might help a little bit.

-  When the skin is irritated, it might be very difficult to resist itching, but keeping a washcloth soaked in cold water can help in giving some relief. It will bring the inflammation down and prevent the person from scratching the already sensitive area.

-  When the person is going outside where the presence of insects or mosquitoes could be there, then keeping themselves covered is wise. Using a mosquito repellent indoors will also be very helpful.

-  If the person is allergic to substances like nickel, then use of artificial jewellery should be strictly avoided. Instead, they should use alternatives like pure gold or pure silver.

Treatment:
The treatment of pruritus depends on the underlying cause of this problem. If the reason is simply dry skin, then moisturizing alone will solve the issue. For other causes, the treatments are as follows:

-  Skin conditions like eczema or hives can be treated with the help of corticosteroids, but these should be used only if the skin specialists approve of them. Sometimes, doctors also prescribe antihistamines.

-  If the itching is caused because of some allergy, then anti-allergy drugs like Benadryl, Allegra etc. can help as well.

-  Fungal infections are mostly treated with drugs that are available over-the-counter. There are a few anti-fungal creams available with the pharmacies that can be used. For that, the person should be sure that the infection is fungal which only the doctor can confirm. They might also prescribe oral drugs like Lamisil or Terbinafine.

-  A popular drug that doctors prescribe is hydrocortisone. Since it is a low potency steroid, it should only be used if it is prescribed by the doctor.

-  In case the cause of pruritus is an internal body condition, then treatment will be provided to heal that, and the treatments could vary.

-  Light or phototherapies are also used to control the itching.

Complications:
Apart from mental discomfort, pruritus can also cause infections in case people cannot help scratching their skin. If pruritus is left untreated, it might not get healed and remain there.

Myths:
People often believe that the presence of pruritus is only because of some allergy. It is not always the case. Allergies are just one reason for having this condition. There could be internal body condition as well which might lead to pruritus. Also, when the skin becomes red and hives are developed, many people relate those scenarios with superstitions which are scientifically and medically not valid.

Definition Of Molluscum Contagiosum!

MD - Acupuncture, Diploma In Accupuncture, Advanced Diploma In Accupuncture
Acupuncturist, Delhi
Definition Of Molluscum Contagiosum!

Definition of Molluscum contagiosum:
Molluscum contagiosum is the infection of the skin caused by the Molluscum contagiosum virus, which belongs to the same family as the pox. It is a common infection but is contagious. It causes raised nodules on the epidermal layer of the skin. This condition is also commonly known as the molluscipoxvirus. It is classified as a chronic infection and can be resolved in anywhere between six to nine months, generally.

Molluscum contagiosum is known to be more prevalent in the humid and warmer regions of the world, though it can occur anywhere. Being a contagious infection, it can spread from person to person by means of physical contact, sexual contact or sharing of contaminated articles of personal use. The mode of transfer is usually autoinoculation, meaning self-transfer by the virus from one area of the epidermal surface to another. More often than not, the incubation time for the virus in anywhere between two and seven weeks. For some people, the symptoms may show up even up to six months later.

After the healing process is complete, scars or marks are not left behind on the skin. They heal with time. In severe cases, the infection can take up to four years to be resolved completely. 

Symptoms of Molluscum contagiosum:

  • The most common areas of the body where Molluscum contagiosum generally appear are the epidermal surfaces of limbs, face, chest and trunk. In children, the symptoms of Molluscum contagiosum are often seen occurring on the limbs. In adults, the same symptoms can be found specifically on the inner thighs, abdomen and genital areas.
  • The lesions or raised nodes can be itchy but do not pain in general cases. The lesions or nodes are small in size, with a diameter of 2 – 5 millimetre each. The unique character of this infection is that the lesions and nodes have a dimple lie resemblance in the central area.
  • In the initial stages of the infection, the lesions or nodes have a dome-shaped structure and are the colour of flesh, but during the course of time, change in appearance to become more soft with a light or white shade at the centre, with the presence of a waxy, almost semi-solid material.
  • For people who have normal to healthy immune systems, this infection can disappear naturally in the span of a few months. People who have other chronic diseases may face problems in resolving the issue naturally and spontaneously. This infection also further deteriorates their immune systems. The lesions may spread slowly or rapidly and become extensive in nature.

Causes of Molluscum contagiosum:

  • Molluscum contagiosum is caused by a virus of the same name. This virus belongs to the pox family. The infection can spread by means of physical contact such as scratches, rubbing or touch. It can also spread by mode of sexual contact. Usage of personal articles or objects touched by an already infected individual can be a mode in which this auto inoculating virus spreads from person to person.
  • People with weakened immune systems are more prone to not only Molluscum contagiosum, but any other infection, communicable or non-communicable. The idea is that the virus can survive and thrive in surfaces that have been in contact with the human skin which is infected by the same virus. So articles of personal use and public articles and objects are literally a breeding ground for the virus.
  • The virus can survive only for a limited period of time on the epidermal surface of the human body, the skin. The presence of lesions or nodes on the skin surface indicates the activity of the virus. During the healing process, the lesions and nodes disappear, leaving no scars behind. This is an indication that the virus is no longer active and has left the body of the host.

Diagnosis of Molluscum contagiosum:

  • Usually, the diagnosis of this viral infection is relatively easy because of its unique appearance of a dome-shaped node or lesion, which is between 2 and 5 millimetres in diameter. With due course, the appearance of the lesion changes from flesh coloured and dome-shaped to flattened and pale or white appearance with the presence of a semi-solid like waxy material.
  • At the beginning of the infection, the eruptions are small and almost flat. In the next stage, the lesions become dome-shaped and are filled with a whitish, cheesy, wax-like substance that when punctured, can spread the virus. The semi-solid filled dome has a small navel-like depression in the centre. Towards the later stages, the nodules dry out or break on their own and the liquid is washed off. The skin takes time to heal the aberrations. In most cases, scars are not left behind. As new skin grows, there may be white patches of skin in the area affected by the viral infection. This eventually disappears and the lesions go away completely, leaving the skin fresh and without scars.
  • Scars are left behind in very rare cases due to complicated infection or treatment of the viral infection by means of a surgical method. 
  • However, the doctor can confirm the presence of Molluscum contagiosum with a simple skin biopsy. In this method of diagnosis, the skin surface is scraped for a sample for testing. A pathologist can then easily determine the presence of the viral infection. This diagnosis is definitive and helps the doctor to distinguish from other conditions such as rashes, herpes, dermatitis, folliculitis or other common infections of the skin.

Treatment of Molluscum contagiosum:
In most cases of a Molluscum contagiosum infection, the infection will take a few months to heal on its own. The lesions or nodules completely disappear from the epidermal surface. People with a healthy immune system do not require a medical intervention unless it is a complicated or very advanced stage of the infection.

The cases where medical assistance and treatment is required is when the lesions are large, i.e. more than 15 millimetres in diameter and if the nodes have affected the face or neck region.

Patients who are already suffering from any other skin related issue of any kind do need the medical intervention of a doctor to prevent complications of the infection.

There are various treatment options to choose from:
-  Curettage:
In this method, a local anaesthetic is administered and the lesions filled with the cheese like waxy substance are scooped out with a sterilized spoon like an instrument. The anaesthetic is administered because the instrument has a sharp edge and the process might be a little painful.

-  Cryotherapy: Used as a treatment option for many skin infections, skin tags, warts, etc., this is a process used to treat Molluscum contagiosum as well. In this treatment, a frozen liquid under high pressure is sprayed over the affected area to freeze the nodule. The nodules take around 10 seconds to get frozen completely. This is indicated by a layer of ice that forms over the raised lesion and its immediate surroundings. If it is a large lesion, more than one session is required.

-  Diathermy: The exact opposite of cryotherapy, this method uses high heat from an electrical device to burn off the extra growth or raised nodule. A local anaesthetic is used to reduce the pain.

-  Laser therapy: An intense beam of the laser is used to kill the infected cells and the immediate cells around it. This prevents the infection from spreading to other areas around the infected skin.

-  Chemical Treatment: Though it is one of the methods of treatment, it is generally not recommended because of the pain and scarring that it causes. In this method, the doctor dips a sharp, sterilized instrument into a phenol or podophyllin compound and then pricks each of the lesions, releasing the cheese like waxy liquid in them. They burst and their contents are emptied and cleaned and sterilized. In some cases, a secondary infection may develop around the punctured lesion, leading to complications. Usually, for such cases, a hydrocortisone based cream is recommended. It helps to relieve the discomfort and itches. This is strictly not applied on the lesion, but only on the area of secondary infection or eczema.

Other than these, the doctor may prescribe medication to hasten the healing process and to prevent the occurrence of secondary infections. This includes trichloroacetic acid compounds, imiquimod, cantharidin based medicine or podophyllotoxin creams.

Whether the patient is pregnant, planning to get pregnant or breastfeeding is an important factor that the doctor considers before the treatment. In case the patient is affected by HIV, then antiretroviral therapy is used exclusively. Rather than directly treating the Molluscum contagiosum, it strengthens the immune system of the body to help it fight the virus naturally. This is considered safe because it prevents the occurrence of secondary infections along with the pre-existing condition.

There are home remedies for Molluscum contagiosum that have been tried by patients, but there is no documented evidence of the same. Some of the effective home remedies as claimed by patients are iodine, alcohol, tea tree oil, apple cider vinegar, elderberry extract, hydrogen peroxide, etc.

It is known that once the Molluscum contagiosum is cured, it does not recur. Even after a long time, the virus is unlikely to appear again unless there is a new, complicated infection.

Some common treatment options involve the prescription of medicines such as salicylic acid, Valtrex, tretinoin, Tagamet, cimetidine, Aldara, Retin A, Avita, Atralin, Altinac, Renova, Corticosteroid creams, etc.

Prevention of Molluscum contagiosum:
Some of the best ways to prevent the infection of Molluscum contagiosum are:

-  Wash hands frequently with soap and water.

-  Children who are more prone to this infection must be instructed to wash hands with antiseptic soap especially before eating.

-  Avoid sharing articles of personal use such as towels, comb, soap bars, clothes, etc.

-  If you are using public objects such as gym equipment or objects in the parks, you are at a higher risk of contracting this contagious infection. Make sure to wash up after use.

-  Do not indulge in physical or sexual contact with an individual who is likely to be suffering from this viral infection.

-  Avoid shared sports gear or contact sports if you are not taking proper preventive measures.

-  Keep the nodules clean and do not scratch or pick at them. Do not shave the affected area until the infection is completely gone.

-  If your abdomen or genitals are affected, avoid sexual contact until the healing process is complete.

 

Complications due to Molluscum contagiosum:
Though this viral infection is not fatal or painful, sometimes there are chances of secondary infection. Eczema might develop in and around the lesions on the affected epidermal layer. This can cause discomfort, swelling, itching and more often than not, leads to the spread of infection due to scratching of the affected area. This breaks the papules on the skin due to viral infection and the issue could amplify.

Puncturing or scratching the nodules or lesions may leave the wound open and this could lead to multiple other infections. If the site of the viral infection is in the area surrounding the eyes, there is a high chance of contracting conjunctivitis through contact with the waxy substance in the nodule.   

 

Myths relating to Molluscum contagiosum:
Myth #1:
Molluscum contagiosum is fatal.

No, Molluscum contagiosum is not fatal. More often than not, it doesn’t require treatment if the affected individual has a normal to the healthy immune system.

Myth #2: Once the infection is gone, it may recur.

No, once healed completely, the infection does not recur in the individual. The immune system of the body will have the required antibodies to fight the infection after the occurrence of the first bout.

Myth #3: Even after the lesions are gone, the person can transmit the viral disease to others.

No, once the infection has healed completely, the virus is no longer present in the body and the person cannot transmit the viral infection to other people.

 

Lyme Disease - Symptoms, Causes And Treatment!

MD - Acupuncture, Diploma In Accupuncture, Advanced Diploma In Accupuncture
Acupuncturist, Delhi
Lyme Disease - Symptoms, Causes And Treatment!

Lyme Disease-
In some cases, you can get an infection due to bites from deer ticks and this is known as Lyme disease. This typically happens when you are moving around in open forest areas and the ticks can be stuck to the grass in that area. They are very small and you can almost miss them when you see them with the naked eye. The Borrelia Burgdorferi bacterium infects the ticks and they can pass on the infection to your body when they bite you during your outdoor activities. Some of the symptoms are rashes, etc. in the joints combined with flu-like symptoms. In many cases, the symptoms may not show up immediately and you may notice them after a few weeks. Timely treatment can effectively cure the problem and you will not get severe complications out of this infection.

Symptoms of Lyme Disease
- The symptoms of Lyme disease can occur even at a later stage after the initial bite and you have to carefully watch for rashes and other common symptoms.

- The rash slowly starts spreading from the affected area and it can grow a few inches around the affected area. Even though it is not painful and does not itch in usual cases, it is obviously visible with a red patch in the affected area.

- Some people also experience fever like symptoms that include chills and body ache when they are affected with Lyme disease.

- Arthritis and joint pain are common when you are suffering from this problem and it can also lead to shooting pains in some cases.

- It is also common to get tired and fatigue is easily the most visible symptom of this disease.

- When timely treatment is not provided, the disease can spread to other regions and you will notice similar rashes in other regions of the body.

- Some people also complain about pain in the joints and there can be swelling in the area for no reason. This can also shift from one particular region to another within a few days.

- In extreme cases, it can even lead to inflammation in the brain region and even lead to facial paralysis. However, this can be temporary and it often affects the muscular movements.

- Some people also develop irregular heartbeat and other problems related to the heart a few days after the infection. Others may even develop hepatitis and inflammation of the eyes in this period.

Causes of Lyme Disease
Getting a bite from an infected deer tick is the major cause of Lyme disease. In many areas, animals can carry such ticks on their bodies and this can move to different places and even reach your home through your pets or due to your exposure to such an environment. The Borrelia burgdorferi and the borrelia mayonii bacteria cause the most number of such cases in the United States. It can easily get into the bloodstream after the bite and you can get infected within a couple of days. Always watch out for the signs of Lyme disease so that you can easily get treatment at the right time.

Diagnosis of Lyme Disease
-Physical examination:
This is done immediately after a suspected bite or when some symptoms like rashes are observed in the body. If this coincides with exposure to outdoor areas, you will need to tell them specifically to your doctor so that it does not lead to confusion about being symptoms of other diseases. Once the rashes are identified, you may be given some antibiotics to treat them in the initial stages. At this stage, it may still not be confirmed that it is Lyme disease and general antibiotics are given to control the symptoms. When symptoms persist, further diagnosis with blood tests may be required to determine the infection.

- Blood Tests: Blood tests are usually done immediately after the bite or when symptoms begin to appear within one week after the infection. Apart from this, a blood test may again be conducted after a few weeks as the infection may show up after many weeks and the development of antibodies in the body will indicate the presence of Lyme infection. In many cases, the first blood test may show negative results and the second one may show positive for this infection.

- ELISA Test: This is the standard test adopted in the early stages and it helps determine the antibodies for burgdorferi. When antibodies are present in the body, it confirms the infection. In many cases, this test is repeated again after a few weeks when the first one shows negative results.

- Western Blot Test: This test further confirms the presence of antibodies for the burgdorferi and doctors are able to begin the treatment process after this step. It is usually done twice in many cases to confirm the results within a few weeks gap as the infection may show up later in such cases.

Prevention of Lyme Disease
It is important to prevent Lyme disease as it can create various complications with your health. You need to understand that by avoiding exposure to areas affected with deer ticks, you will be able to drastically reduce the chances of getting this infection.

- When you are moving in such areas, it makes sense to cover yourself completely and avoid exposing any part of your body to the open air. Remember that these ticks cannot fly and they usually stay attached to some bushes or grass and hop onto your dress or exposed body parts when you get in touch with them. If you are carrying animals like dogs or cats for outdoor activities, be extra cautious about them as they can easily catch such infection in quick time.

- The biggest problem with Lyme infection is that the ticks that cause the infection are very tiny and you will find it very difficult to identify them with the naked eye. For this reason, you should always use insect repellants as per the advice of your doctor and keep yourself safe during outdoor activities. You can even use some repellants on your clothing to completely avoid the ticks from getting close to you during outdoor camping events.

- If you have an open space in your backyard, you should take measures to tick-proof them so that they cannot get inside your home. When you clear the bushes and leaves in the backyard, you will be removing the ticks in a major way and they will not find a convenient place to stay in your backyard.

- After coming back from an outing in the forest area, you should immediately change your dress and wash them thoroughly so that any ticks that might have got attached to your dress will not survive in your home. In the same way, even you should have a good shower and clean yourself completely and this will kill any ticks that are attached to your body without your notice.

- If you notice any ticks attached to your body, be very careful about it and remove it carefully. If you are not able to do it yourself, you must approach a doctor who will do it for you and they will even apply some antiseptic on the affected area. Remember that when you are able to remove them within a few hours after the bite, you will be safe from infection. Following these guidelines will help in the prevention of Lyme disease in the future.

 

Treatment for Lyme Disease
- Oral antibiotics:
when the disease is still in the early stages, oral antibiotics are given to reduce the symptoms and this gives effective results in most of the cases. This should be taken for a couple of weeks to notice any significant results and many people get cured in this stage.

- Intravenous antibiotics: When the oral antibiotics are not effective, your doctor may suggest you use such methods and this will help you to overcome the infection in quick time. It can, however, cause some side effects in some people and this will go away after the treatment is completed.

Complications of Lyme Disease
- When treatment is not provided at the right time, you may face a lot of complications related to the functioning of the brain. This can be dangerous and you need to get proper treatment for the infection. Never neglect the symptoms and be careful about them as they may show up very late after getting a bite. For this reason, you should always use protective gear when venturing outside in the forest areas.

- In most cases, the neurological complications of this infection include impaired memory and this is common among elderly patients. Apart from that, some patients may also notice cognitive defects and this will be obvious when the infection has reached the advanced stage.

- In extreme cases, it can even lead to facial palsy and this condition can paralyze a part of the face and it usually gets tilted towards one side. However, the effect may be temporary in most cases and many patients eventually recover from this condition after a few months.

- Some patients also experience an irregular heartbeat and this can affect the functioning of other vital organs of the body. You should consult your doctor when you are suffering from such symptoms and get timely treatment to avoid further complications.

- The most common complication of Lyme disease is the joint inflammation and this affects the knees of the patients. It can cause extreme pain and this will last for a few weeks without any other reason. When you are facing this issue, your doctors will provide suitable medication to handle the symptoms and try to reduce the infection using antibiotics.

Myths about Lyme Disease
Myth #1.
Lyme disease always produces rashes: 

This is completely false and it may not produce a rash in every situation. However, other symptoms may persist and you need to visit your doctor to get a thorough examination before you can rule out the chances of infection.

Myth #2. Negative tests mean no disease:

 Just because you have got negative results in the first test does not mean that you are safe from infection. In most cases, the symptoms can show up very late a few weeks after the initial bite and you need to take a second blood test to confirm the results.

Myth# 3.No risk of Lyme disease in our area: 

Many people have the misconception that only certain areas are prone to Lyme infection and you may be safe when such infections are not found in your area. While this is true to a certain extent, you cannot be always sure about this and always go for proper treatment whenever you notice symptoms in your body. Remember that the ticks causing Lyme infection can travel through animals and other means and reach an area to cause infection.

Myth# 4.Lyme disease will not reappear: 

This is not entirely true and you can get Lyme disease again when you are infected with the bacteria. For this reason, you should always be careful when you venture into places that are prone to such attacks. Make sure that you wear proper gear and protect yourself from such exposure. You should also understand that every bite from a deer tick will not cause Lyme disease and only a bite from the infected tick will cause such problems. However, you should leave nothing to chance and always follow the precautionary measures to avoid the infection in the future.

Conclusion
If you are diagnosed with Lyme disease, you need not worry as treatment is readily available and most people get cured within a couple of months. Even the symptoms are usually not severe and it is usually not fatal even in advanced stages of infection. However, the best thing you can do is to prevent the infection by covering yourself completely when you are out in open areas which are prone to Lyme infection. In this way, you can easily avoid the infection in your family. You should also be careful about your pets as they can catch the infection easily and bring the ticks to your home. When you notice any symptoms, approach your doctor and get timely treatment to cure the infection. In most cases, they do not cause severe complications and you need not worry about fatal complications due to this infection.

Acne Tip!

Dermatologist, Delhi
Acne Tip!

Dryness of skin can lead to excessive oil production.

Sebaceous Cyst!

MBBS, MS-General Surgery , FMAS, FIAGES
General Surgeon, Gurgaon
Sebaceous Cyst!

Sebaceous cyst - superficail skin lumps

Sebaceous cysts are noncancerous small bumps beneath the skin. They can appear anywhere on the skin, but are most common on the face, neck and trunk.

Epidermoid cysts are slow growing and often painless, so they rarely cause problems or need treatment. 

True sebaceous cysts are less common. They arise from the glands that secrete oily matter that lubricates hair and skin (sebaceous glands).

Symptoms

Epidermoid cyst signs and symptoms include:

  • A small, round bump under the skin, usually on the face, neck or trunk
  • A tiny blackhead plugging the central opening of the cyst
  • A thick, yellow, smelly material that sometimes drains from the cyst
  • Redness, swelling and tenderness in the area, if inflamed or infected

Complications

Potential complications of epidermoid cysts include:

  • Inflammation. An epidermoid cyst can become tender and swollen, even if it's not infected. An inflamed cyst is difficult to remove. Your doctor is likely to postpone removing it until the inflammation subsides.
  • Rupture. A ruptured cyst often leads to a boil-like infection that requires prompt treatment.
  • Infection. Cysts can become infected and painful (abscessed).
  • Skin cancer. In very rare cases, epidermoid cysts can lead to skin cancer.

When to see a doctor

Most epidermoid cysts don't cause problems or need treatment. See your doctor if you have one or more that:

  • Grows rapidly
  • Ruptures or becomes painful or infected
  • Occurs in a spot that's constantly irritated
  • Bothers you for cosmetic reasons
  • Is in an unusual location, such as a finger and toe

 

Anti-Aging Treatments!

MBBS, DHMS-Harvard, Masters in Clinical Dermatology
Dermatologist, Chandigarh
Anti-Aging Treatments!

Photo and natural aging occur through many mechanisms. Skin tone, color and texture are compromised by exposure to sun and tanning beds. Time induced volume and bone loss occurs, resulting in sunken in cheeks, eyes, mouth corners, etc with sagging skin and deep wrinkles as a result. Overactive muscle activity leads to upper face wrinkles.

Natural Aging Changes

  • Loss of Elasticity
  • Loss of Muscle Tone
  • Laxity
  • Roughness
  • Wrinkles
  • Furrows

Photo Aging Changes

  • Pigment changes
  • Keratoses (rough growths)
  • Loss of elastic fibers and collagen
  • Accentuation of natural aging
  • Fine wrinkles
  • Laxity
  • Skin texture change (roughness)
  • Thinning skin
  • Dehydration
  • Visible vessels

Consider non-invasive treatments to slow down the aging process.

You will look and feel great!

Treatment Options for Anti-Aging 

Procedures

  • Botox
  • Chemical Peel
  • Dermasweep Crystal Free Microdermabrasion
  • Dermaplaning
  • Halo
  • Juvederm
  • Laser Skin Peels
  • Latisse
  • BBL Photo Rejuvenation
  • Profractional
  • SkinTyte
  • ND:Yag Laser
  • Rejuvapen Collagen Induction Therapy
  • Sculptra
  • Xeomin
  • Anti-Aging Products

 

Hello sir/mam I am 18 years old and I am suffering from excessive hair fall from about last 3 to 4 years I have showed this to a skin specialist doctor they have recommended me minutes 10 but that is not working I am still suffering from hair fall please suggest something better to stop this hair fall and to increase Hair density.

BHMS, Diploma in Dermatology
Sexologist, Hyderabad
Hello sir/mam I am 18 years old and I am suffering from excessive hair fall from about last 3 to 4 years I have showe...
A deficiency of vitamin A may lead to dry and itchy scalp. Eggs and Dairy Products: Milk, yogurt, cheese, eggs etc. Are loaded with essential nutrients such as proteins, Vitamin B12, iron, zinc and Omega 6 fatty acids. Dairy products are also a great source of biotin (Vitamin B7) that is known to fight hair loss.
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Hi, I have unwanted facial hair. My skin is fair and hair on skin are black. Plzz suggest which kind of gel or cream or tablet I choose.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), Yog Ayurved Padvika, M.A.(Sanskrit)
Sexologist, Pune
Hi, I have unwanted facial hair. My skin is fair and hair on skin are black. Plzz suggest which kind of gel or cream ...
Miss. lybrate-user hairs are because of hormonal disturbance. Neither any kind of gel or cream effective for unwanted hairs. You have to take proper medicinal treatmen along with proper execise. You may do Surya namaskar, skiping, runing, swimming, such kind of exercise.
1 person found this helpful
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Hi Doctor! I moved to New Delhi city 1 year ago and I have been facing serious dandruff problems from past 8 months. I clean my hair on every alternate day but I am not able to get rid of it. Please suggest a solution to terminally get rid of this dandruff problem. Also please suggest what else can be done?

MBBS, DPH
General Physician, Bangalore
Hi Doctor!
I moved to New Delhi city 1 year ago and I have been facing serious dandruff problems from past 8 months. ...
You can apply menthi, first you powder it, then soak over night. Then apply. 100 percent you get results. And also once you use your shampoo, use kz shampoo n wash. Done.
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I have one pimple from 9 days ago and it is much big it is not getting small and I have leg paining from 4 days ago.

BHMS, Diploma in Dermatology
Sexologist, Hyderabad
I have one pimple from 9 days ago and it is much big it is not getting small and I have leg paining from 4 days ago.
Use Tea Tree Oil for pimple Combine one part tea tree oil with nine parts water. Dip a cotton swab into the mixture and apply it directly to pimples. Apply moisturizer, if desired. Repeat this process one to two times per day, as needed.
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