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Dr. Vikram Gidwani  - General Physician, Chittorgarh

Dr. Vikram Gidwani

91 (60 ratings)
MBBS

General Physician, Chittorgarh

5 Years Experience  ·  500 at clinic  ·  ₹300 online
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Dr. Vikram Gidwani 91% (60 ratings) MBBS General Physician, Chittorgarh
5 Years Experience  ·  500 at clinic  ·  ₹300 online
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Vikram Gidwani
He has been a practicing General Physician for 4 years. He is a qualified MBBS. Book an appointment online with Dr. Vikram Gidwani on Lybrate.com.

Lybrate.com has an excellent community of General Physicians in India. You will find General Physicians with more than 38 years of experience on Lybrate.com. Find the best General Physicians online in Nimbahera. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Dr. Vikram Gidwani Clinic

33, Uttam Vihar Nagarpalika Karmachari Colony, Adarsh Colony, Near Kalyan ChowkChittorgarh Get Directions
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"Very helpful" 13 reviews "knowledgeable" 8 reviews "Nurturing" 2 reviews "Caring" 3 reviews "Well-reasoned" 5 reviews "Professional" 2 reviews "Thorough" 1 review "Sensible" 1 review

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Antibacterial Hand Wash Or Regular Soap - Which One Is Better?

MBBS
General Physician, Chittorgarh
Antibacterial Hand Wash Or Regular Soap - Which One Is Better?

It has been observed that roughly 3 out of 4 antibacterial bars and soaps contain triclosan which is a certain type of drug previously used in hospital premises. The usage of triclosan in other products like hand wash and gels is yet to be verified and proven safe. Due to lack of proper evaluation there have been a number of instances where antibacterial soap has done more harm than good. Here are a few reasons why you must reconsider using antibacterial soap:

1.  It creates bacterial resistance
Triclosan is closely associated with a number of health issues, bacterial resistance being the chief among them. Repeated usage of antibacterial soap can promote the growth of antibiotic resistant bacteria. It might effectively terminate regular bacteria but it is basically useless against the resistant bacteria. The bacteria resistant formula present in these hand washes might cause complications in the long run.

2.  It can potentially disrupt endocrine functions
Triclosan has a close resemblance to the thyroid hormone and hence can tip off its receptor sites. This occurrence can lead to major complications like artificially induced early puberty, fertility issues, obesity and sometimes even cancer. Hence it can be said that antibacterial soaps should be avoided in order to prevent such far reaching side effects.

3.   It can cause serious health problems in children
Triclosan present in certain hand wash can adversely affect the development of the immune system in children. At a growing age, children develop natural resistance to certain diseases. Prolonged use of antibacterial hand wash and soap can diminish their exposure to bacteria and obstruct the proper development of their immune system. Therefore it is safer to use normal soaps instead which are as effective and do not contain triclosan.

4.  It is extremely harmful for the environment
Prolonged and regular usage of hand wash containing triclosan would in turn increase the amount of this drug that gets flushed through the drainage. Triclosan is generally left untreated in the sewage treatment plants which later enters the water bodies and disrupts the food chain since it primarily affects the growth of algae.
 

2 people found this helpful

I am 47 years old. I am getting irritation (like burning) while passing urine. Is there any prostate problem? Please give good suggestion.

MBBS
General Physician, Chittorgarh
I am 47 years old. I am getting irritation (like burning) while passing urine. Is there any prostate problem? Please ...
Hello, The symptoms suggest that you might be suffering from urinary tract infection. Increase your water intake. Further book an appointment for treatment.
1 person found this helpful
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Why You Feel Sleepy At Work And How To Fix It

MBBS
General Physician, Chittorgarh
Why You Feel Sleepy At Work And How To Fix It

It is not uncommon for us to feel sleepy at work every once in a while. You need to get an important assignment done, but all that you want to do is curl up and take a nap. We all have our days of drowsiness. But when it becomes a daily habit and begins to interfere with productivity, it is a cause for concern. Chronic fatigue and drowsiness can almost always be traced back to underlying medical conditions, such as low blood sugar levels or depression. There are many simple remedies for this issue that you can resort to, if you wish to kick off your work days with a bang.

Here are a few tips for those days when you just can’t seem to make it through work:

  1. Meditate: A few minutes of meditation before work in the morning can effectively make you more alert and engaged for the rest of the day. The point of meditation is not only to bring calmness and relaxation into your life but also to make you more mindful and active. Be sure to be sitting upright and breathing properly while you meditate.
  2. Eat right: Having poor eating habits could be making you drowsy at work. It is important that you eat just the right quantity of food for every meal because overeating will surely make you sleepy and lethargic. Avoid oily and rich foods and eat just as much as you need.
  3. Sleep well: Your night time sleeping habits are probably at the root of your day time drowsiness. Staying up late or not getting undisturbed sleep can leave you feeling agonizingly exhausted at work. It is of utmost importance that you get enough sleep every night.
  4. Peppermint it: Peppermint is a natural stimulant and will surely leave you feeling fresh in the morning. Brush your teeth with peppermint toothpaste and sip on a cup of peppermint tea in the morning to knock the drowsiness right out of yourself.
  5. Move around: When you feel sleepy, your first impulse is to take a nap. But often the solution to that problem is to engage in physical activity. Pace around and do some stretching exercises in the morning to get your blood circulating and you will be amazed at how refreshed you feel.

Follow these simple methods and in no time, your productivity levels at work will shoot right up. In case you have a concern or query you can always consult an expert & get answers to your questions!

5488 people found this helpful

Diabetes - 10 Steps To Prevent It!

MBBS
General Physician, Chittorgarh
Diabetes - 10 Steps To Prevent It!

With sedentary lifestyle, refined and processed food habits, obesity and diabetes is the new age epidemic. India, in fact, is being termed as the diabetes capital of the world given the huge rise in the number of cases over the last couple of decades.

There are well established risk factors for diabetes and if these can be managed, then the chance of delaying onset, controlling progress and containing complications are highly possible. Read on to know how simple things can be effective in preventing and managing diabetes.

  1. Weight control: Obesity is the most important risk factor for developing diabetes. A person with normal BMI is 20 to 40 times less likely to develop diabetes than an overweight person. Losing about 10% of the excess weight can help prevent diabetes by more than 50%. Check with your doctor what should be the ideal recommended weight for you and draw up a routine (diet, exercise, etc.) that will help you achieve and stay around that weight range.

  2. Exercise: All methods of exercise help in moving the muscles, which is drastically reduced given our sedentary lifestyle. Moving the muscle (as much and as often as possible) ensures they absorb more glucose and reduce the stress on insulin production. Something as simple as brisk walking for 30 minutes is good enough to reduce the chances of developing diabetes by 50%.

  3. Don’t be a couch potato: If watching television is your favourite pastime, it is time to change it. This puts people at risk of developing obesity, heart disease and diabetes. Also, watching television is usually associated with overeating, further adding to the risk of diabetes.

  4. Fibrous foods: Eating fibrous fruits and vegetables as compared to refined and fried foods helps prevent diabetes.

  5. Whole grains vs processed foods: When you have to choose between a pizza and a bowl of brown rice, go for the latter.

  6. Good fats vs bad fats: Polyunsaturated fatty acids are found in vegetable oils, nuts, and seeds and help control diabetes. Trans fats present in margarine and baked foods are best avoided.

  7. Non-vegetarian foods: If you have a choice, pick fish and poultry versus red meat (processed or otherwise). The fish is rich in Omega-3 fatty acids and helps control inflammation.

  8. Leave the whites: Get off white rice, white refined sugar and white flours. Include brown rice, brown or demerara sugar and wheat flour instead.

  9. Smoking: Quit smoking and you will note how beneficial it is in preventing diabetes.

  10. Alcohol: Moderate amount helps in effective functioning of the insulin.

If you have a family history or have risk factors, follow the above to prevent diabetes. In case you have a concern or query you can always consult an expert & get answers to your questions!

5318 people found this helpful

5 Signs And Symptoms Of Vitamin D Deficiency!

MBBS
General Physician, Chittorgarh
5 Signs And Symptoms Of Vitamin D Deficiency!

Vitamins are extremely important for proper functioning of various body systems. Vitamin D3 plays a very crucial role in the proper functioning of bones and joints.  Deficiency of this vitamin is quite common, but can be identified and managed easily.  Read on to know more about its functions, causes of deficiency, symptoms, and management.

Function: Vitamin D3 is essential for the absorption of calcium from the food that is consumed. A decrease in the amount of vitamin D3 leads to poor calcium absorption, resulting in thin, soft, brittle bones.

Causes: Some of the possible causes of vitamin D3 deficiency (and ways to manage them) are listed below:

  1. Reduced intake: People with a strict vegan diet may be consuming reduced amounts of this important chemical.  Most natural food sources are animal based including fish, fish oils, fortified milk, egg yolks and beef liver.

  2. Limited sun exposure: People who spend a lot of time indoors are likely to have this deficiency.  People who wear sunscreen constantly, wear long robes for religious reasons, live in the polar areas, upper/lower hemispheres are all prone to vitamin D3 deficiency.

  3. Darker complexion: The body’s ability to make vitamin D3 when exposed to the sun is reduced if there is more melanin in the skin.

  4. Obesity:  Vitamin D is extracted from the blood by fat cells and people with BMI of more than 30 have a vitamin deficiency.

Symptoms:  While some people may go completely asymptomatic with this condition, others could develop significant symptoms.

  1. Bone pain and aches: When there is less calcium getting incorporated into the bones, pains and aches leading to fatigue are common.

  2. Depression: The areas of the brain that regulate mood contain vitamin D receptors, and low levels of this vitamin can lead to depression.  They are also at higher risk of developing cognitive conditions like schizophrenia, Alzheimer’s, and dementia.

  3. Gut problems: Vitamin D is fat soluble and in people with stomach conditions like Crohn’s or IBD, the gut functioning is altered and so vitamin D absorption is reduced.

  4. Increased risk of heart disease:  Both the risk of developing heart disease and the severity of the disease went up considerably when there is vitamin D deficiency. This is given their role in controlling inflammation and improving immune function.

  5. Lesser chances of surviving cancer:  In patients with colorectal cancer, lymphoma, and breast cancer, increasing vitamin D levels improved cancer prognosis by 4%.  The chances of developing prostate cancer are also increased in patients with vitamin D3 deficiency.

Management: Providing the required amounts of vitamin D3 through diet and supplements is the best way to manage this.  Check with your doctor to know the optimal levels and plan for replacement accordingly.

9 people found this helpful

Hypothyroidism - 8 Things That Can Help You Manage!

MBBS
General Physician, Chittorgarh
Hypothyroidism - 8 Things That Can Help You Manage!

If you are suffering from hypothyroidism, it is important for you to deal with the condition so that your daily life and activities do not get affected. Hypothyroidism occurs when your thyroid gland becomes under active and does not produces sufficient amount of hormones. This affects the metabolism rate of your body. Hypothyroidism has several symptoms which include fatigue, constipation, dry skin, muscle cramping, hoarse voice, depression, sudden gain of weight and brittle hair and fingernails.

Here are some important tips which you should follow in order to deal with hypothyroidism and for its treatment:

  1. Go Gluten and A1 Casein free: Common allergies and food intolerance, which occur today are because of wheat and dairy products because of the hybridized proteins of A1 casein and gluten. These may lead to a leaky gut, as a result of which inflammation of the thyroid gland takes place. This affects the thyroid’s functioning. You should avoid grain and gluten in your diet. Try to consume dairy products coming from A2 cow’s milk.
  2. Avoid BPA: Bisphenol A or BPA is present in plastic bottles. These are capable of disrupting the endocrine system and also affect the thyroid gland. You should avoid drinking from plastic bottles and drink water from glass, stainless steel and plastic bottles which are BPA free.
  3. Check your iodine levels: In case your iodine levels are low, you should use an organic liquid supplement. Kelp is ideal for this purpose.
  4. Heavy metal detox: You need to detoxify your body and eliminate traces of harmful metals from your organs and cells. For this, you may use a combination of milk, turmeric, chlorella, cilantro and thistle, which are ideal for a metal detox.
  5. Increase your selenium intake: It is important for you to consume sufficient amounts of selenium in your everyday diet, but you should not consume them in excess. You should eat food items containing selenium in good amount such as salmon, sunflower seeds, Brazil nuts, mushrooms, onions and beef.
  6. Take adaptogen supplements: You should lower your cortisol levels and improve thyroid functioning by taking supplements such as tulsi and ashwaganda.
  7. Remove silver fillingsIf you have amalgam fillings, you should consult a dentist and get the fillings removed.
  8. Lower your carbohydrate intake: You also need to reduce the amount of sugar and grains in your regular diet. Instead, take healthy fats. Consuming too much carbohydrates leads to increased estrogen, which affects thyroid negatively. Choose healthy fats like coconut oils, avocado, wild salmon, hemp seeds and flax seeds. These will help in balancing your hormone levels.

Hypothyroidism usually occurs from common causes such as toxicity due to radiation and metal exposure, deficiency of iodine and selenium, food intolerance and hormonal imbalance due to stress and excess carbohydrates.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3194 people found this helpful

Calcium Supplements: Why You Should Think Twice

MBBS
General Physician, Chittorgarh
Calcium Supplements: Why You Should Think Twice

For many people, popping a calcium tablet is something which has benefits, but at the same time does no harm. After all, who does not want to have strong bones and healthy teeth? The unfortunate part is that things are not so simple and a lot of research has debunked this.

Take, for example, the findings that when an old woman has calcium, the fracture rates are not all that different as compared to one who has not had calcium supplements. In addition to this, it was also found as part of a study that there is no positive impact on the mineral density of the hip.

As a matter of fact, calcium tablets and supplements can pose a significant risk, as well. While it is true that calcium does help in the effort of getting heart disease, an amount which is greater than the dietary limit does not. Actually, the excess calcium may increase the risk. This is true when it comes to calcium from supplements and not calcium which is absorbed by the way of food. So, what sort of additional risk is there? A study found that people who receive calcium from a tablet or another similar source have about a 140% greater chance of a heart attack!

How much is too much?

A thousand milligrammes of calcium in excess of the requirement on a daily basis is said to increase the risk of death from CVD or cardiovascular disease by about a fifth. Not a trivial amount, by any measure.

But why does this happen?

The key to answering this question comes from how the calcium is absorbed by the body. When calcium from food is eaten, the rate of it being released is a lot slower as compared to calcium from tablets. Also, when there is excess calcium, it is not absorbed and kept in reserve by the body but is excreted in the form of urine. So, this calcium going through the kidneys can cause some trouble there, as well!

Yes or No?

So, what is to be done in order to make sure one is having a sufficient amount of calcium? Well, there are a lot of sources and consuming things such as dairy products and fish, along with dark leafy vegetables are some great ways to get natural calcium. Only if a person has very low calcium levels should calcium tablets be consumed? It is well worth remembering that too much of a good thing is a bad thing!

In case you have a concern or query you can always consult an expert & get answers to your questions!

5293 people found this helpful

Smoking - The Process Of Slow Poisoning!

MBBS
General Physician, Chittorgarh
Smoking - The Process Of Slow Poisoning!

The consumption of tobacco by humans began many years ago and has taken many forms ranging from rolled tobacco leaves and pipes to cigarettes. Smoking is a habit that is easy to start, but is difficult to quit. Smoking has both short term effects such as bad breath, tooth and gum loss, premature ageing and weakened immune system and long term effects that impair the respiratory system and cardiovascular system.

Smoking can cause and worsen diseases like cancer of lungs, throat, mouth, kidneys and blood and other chronic obstructive pulmonary diseases. Smokers also have a higher risk of conditions such as dementia, cataract, pulmonary fibrosis, psoriasis, osteoporosis and optic neuropathy. Smoking can also affect fertility, cause erectile disorders and speed up the onset of menopause.

It is said that a smoker’s life expectancy is 10 years less than that of a non-smoker. There are three main components of cigarette smoke that can harm the body.

  1. Nicotine: Nicotine is what makes cigarettes addictive and make smoking a habit. In the beginning, it may stimulate the brain but in the long run, your body can begin to crave for nicotine. If this craving is not fulfilled, it can cause irritability, restlessness, headaches and shortened attention span.
  2. Tar: Tar in cigarettes contains many harmful chemicals and is deposited in the lungs. From here it enters the blood vessels and is carried to other parts of the body. In many ways, tar is akin to a poison.
  3. Carbon monoxide: Carbon monoxide affects the blood’s capacity to transport oxygen from the heart to the rest of the body. In the case of pregnant women, carbon monoxide can also reduce the amount of oxygen available to the growing foetus and hence cause complications in pregnancy. Children born to smokers are also said to have an increased risk of suffering from congenital defects and conditions like asthma.

The good news is that quitting it is possible and its benefits can be experienced right away. Within the first 72 hours of quitting, the bronchial tubes begin to open up and breathing becomes easier. If you stop smoking before the age of 50, you can reduce your risk of dying from smoking related complications by 50%. The most important part of quitting nicotine is your own determination and willpower. Nicotine replacement therapy in the form of gums, patches, lozenges and inhalers can also help deal with nicotine withdrawal symptoms and make the process easier.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4707 people found this helpful

Is Milk A Veg Or Non-Veg Dish? Judge For Yourself.

MBBS
General Physician, Chittorgarh
Is Milk A Veg Or Non-Veg Dish? Judge For Yourself.

Loaded with nutrients and vitamins, it is certainly one of the most important foods in our daily diet. No matter what one’s religion is, the vast majority of the world drinks it, and most people relish every sip too. But have you ever wondered about the ‘religion’ (if one can call it so) of milk itself? Is it vegetarian or non-vegetarian by ‘personality’ or DNA?

Find out what the vegetarians have to say, first.

4 powerful reasons that, hardcore vegetarians will insist, make milk a pure veg dish.

  • Milk is a mere secretion of an animal, not its flesh. Since you are not consuming any body part when you drink it, milk has to be vegetarian both by origin and nature.
  • Milk doesn’t carry life giving powers (bio cells) like say, an egg does. In that sense milk is ‘non-living’, and by logical extension, a vegetarian dish.
  • In certain religions like Hinduism, milk is considered sacred (sattvik) – a label only a 100% vegetarian dish can aspire for.
  • Technically speaking, the well accepted terminology for milk is ‘Lacto Vegetarian’. The term itself contains ‘vegetarian’, so how can milk be a non-veg item?

Now, take a look at the non-vegetarian side of the fence. There is plenty of logic flying here, too.

4 incontrovertible reasons that, non-vegetarians are convinced, make milk a pure non-veg food.

  • Milk has a molecular structure and DNA that is found only in animals. This makes it non-vegetarian by origin.
  • Just like eggs, milk contains ‘Animal Fat’. So when you consume milk, you are, in effect, consuming an animal (or a part of it).
  • Milk contains 9 essential Amino Acids, Vitamin B12 and Cholesterol : These are all quintessentially non-vegetarian personalities.
  • According to science, it is blood that – via various biochemical reactions – gets converted to milk. Indeed, the presence of blood (and pus cells) has been detected in milk samples under specific laboratory conditions. Something that comes from blood cannot be vegetarian from any angle of reason, non-vegetarians will say.

So is milk veg or non-veg? Frankly, it remains a bit of a riddle, doesn’t it?

Whichever side you choose to go with, just remember that milk continues to be a great nourisher for all ages.

That’s true. Whether it is to build stronger bones and teeth, shore up your muscles, burn fat (faster than it helps put it on, that is), or generate a feeling of cooling and calmness (which, in turn, balances Vata and Pitta in the body), milk is quite a heaven-sent.

All you’ll have to ensure is that it has been sourced hygienically, stored in a sterilized place, and that the animal (cow or buffalo, for instance) hasn’t been injected with anti-biotics and hormones the FDA frowns upon.

In case you have a concern or query you can always consult an expert & get answers to your questions!

6818 people found this helpful

Skin and Hair: How stress affects their conditioning?

MBBS
General Physician, Chittorgarh
Skin and Hair: How stress affects their conditioning?

Stress is an inevitable occurrence in the life of all individuals. It takes many forms, such as social, mental and physical to name a few. Anything from work deadlines, commuting burdens, financial obstacles to raising a kid stress doesn't stop. Whilst some personalities take it with ease and find means of dealing with it, others crumble to states of depression and even resort to suicide the obvious winner here being stress itself. 

I would like to cite a metaphor for the stress-the elastic rubber band. When one holds an elastic rubber band between the thumbs and when the band is left slack, it is symbolic of people being in a restful state such as sleep. When the band is pulled out to a comfortable stretch, it is comparable to people having a regular working/functioning day before returning to a relaxed state. However, when the elastic band is pulled out to an over-stretched position then it is a warning to the individual to take note and get back to a comfortable position. The overstretched position has two places to go. It can deplete completely and crumble or break if it continues to overstretch itself. Like the elastic rubber band, every individual is equipped with getting back to the comfortable state provided the effort and will exist.

The amount of stress we wish to take in is in our hands as is the amount we wish to neglect. Apart from the various sizes and shapes, stress comes in as mentioned above, stress can be an important external indicator of internal health. One such indicator is the largest organ of our body, the skin. The skin & hair are generally referred to as mirror images of internal body system functioning and are often the first indicator/sign of disease activity originating from within. We dedicate this write-up to our skin& hair, for, they are our shining armour in the fight against a merciless opponent- stress. 

Effects of stress on the skin: 

When we are stressed, our body releases a hormone known as cortisol. The long-term activation of the stress-response system and the subsequent overexposure to cortisol and other stress hormones can disrupt almost all body processes. This puts an individual at increased risk of numerous health problems, including anxiety, depression, digestive problems, headaches, heart disease, sleep problems, weight gain, memory and concentration impairment. The mind and skin are connected at many intricate levels. One theory is the target organ theory: some people get ulcers, some people get migraines and other people get skin rashes as the skin is their target organ to channelize stress. As the skin is exposed to view, skin conditions elicit reactions from the patients' environment and the easy accessibility of the skin allows patients to interact directly with their rashes, adding further to emotional and mechanical stress. So, a skin disorder in itself can be a cause of concern and thus lead to stress, while on the other hand, stress can be considered as a triggering/perpetuating/aggravating factor in the causation of various skin diseases. 

1. General conditions:

Dryness: periods of chronic stress will release the hormone cortisol that in turn damages the skin's ability to retain water leading to dryness. One must drink plenty of water throughout the day. Application of a non-allergenic, fragrance-free moisturizer while the skin is slightly damp traps moisture, thereby protecting the skin from dryness. 

Sleep: poor quality sleepers have increased signs 
Of intrinsic skin aging including fine lines, uneven pigmentation and reduced elasticity and hollowness in the under-eye region. On an average 6-8 hours of sleep is warranted along with plenty of fluid intake. There are a multitude of under-eye creams in the market with moderate benefits. Dermal fillers can be injected into the tear trough, a hollow groove in the under-eye region, which thereby replenishes the sparse hyaluronic acid there. early to bed, early to rise makes the skin healthy, worthy and nice- is the mantra here for sure. 

Fine lines: Constant use of the muscles of facial expression, like frowning and pursuing one's lips when one is stressed or angry can lead to deeper wrinkles in these areas over time. Topical retinoid creams, botox injections and platelet-rich plasma therapy are some of the useful modalities to target fine lines and wrinkles. 
Immune system: chronic stress usually suppresses the immune system, increases susceptibility to infections and exacerbates some allergic and inflammatory diseases. A balanced and healthy diet rich in fruits and vegetables, oral antioxidants along with a proper exercise regime will definitely give a boost to one's immune sytem. 

Others: Smoking and air pollution have been confirmed as critical chronic stressors that impact skin aging significantly. Air born particle exposure from traffic is associated with significant increase in pigment spots and facial wrinkles. Avoiding smoking and using sunscreens on a regular basis along with physical sun protection can go a long way. 


2. Skin conditions: 

Acne: The exact cause by which stress worsens acne is not known but a possible explanation is that during periods of stress, stress hormones are activated. The cells that produce sebum have receptors for stress hormones. Sebum is the oily substance that mixes with dead skin cells and bacteria to clog the hair follicles, leading to a pimple or acne cyst

Acne excorie: It is a skin condition seen particularly in adolescent girls under emotional stress, who pick and squeeze pimples leaving behind an unsightly dark, pigmented scabbed wounds. Such patients are the ones who usually spend hours in front of the mirror trying to correct any self-perceived body dysmorphisms. Treatment of the wounded areas is essential with topical antibiotics and wound healing agents. Similarly, anti-acne therapy may be initiated. For areas where dark flat stains are left behind, topical skin lightening creams (preferably azelaic acid) or chemical peels may be initiated provided there are no wounded areas in the vicinity. 

Rosacea: stress increases blood flow to the skin that causes capillaries to expand. Stress also triggers flushing, a condition known as rosacea wherein the skin of the cheeks, chin, nose and forehead becomes persistently red and with possible development of red bumps similar to acne. Sometime small blood vessels can also become visible in such patients. It may be affiliated with a weakened immune system and temperature changes. Topical and oral antibiotics, sunscreens of spf 30 or above, topical retinoids, topical azelaic acid cream etc. Are all helpful in the treatment of rosacea. 
Psoriasis is a chronic recurrent autoimmune skin disorder, the cause of which is unknown wherein the skin cells multiply very rapidly leading to red, rough hard plaques surmounted with silvery scales, commonly seen on elbows, knees, palms, soles, nails and/or scalp. Stress is a very well known trigger factor for psoriasis. Chronic psoriasis in itself also leads to psychological difficulties, including poor self-esteem, sexual dysfunction, anxiety, depression and suicidal ideation. It is of utmost importance to moisturize the skin as frequently as possible along with the prescribed medication given by the dermatologist (which may consist of omega-3 fatty acid capsules, antihistamines, topical corticosteroid / topical vitamin d analogues or oral medicines, etc.). 

Atopic eczema/dermatitis: A condition is commonly seen in childhood, appears as oozing red rashes on cheeks (usually in infants), elbows or elbow folds and behind the knees to name a few. The condition is severely itchy at times. Children with atopic dermatitis have higher levels of emotional distress and more behavioral problems than healthy children. Teasing and bullying by children at school along with the social stigma of visible skin rashes can cause social isolation adding to further stress. The onset or exacerbation of atopic dermatitis often follows stressful life events. A treatment plan often includes medicines (topical corticosteroids / topical tacrolimus, topical antibiotics oral antihistamines, etc.), skin care (regular and frequent moisturizer use), and lifestyle changes. Skin care and lifestyle changes can help prevent flare-ups. 
Severe emotional stress may exacerbate preexisting urticaria, a condition more commonly referred to as hives. Hives are red itchy swellings that can occur anywhere on the body. Due to the severity of itching and visibility of the rashes, patients feel embarrassed when the rashes crop up during important meetings and this can further lead to a state of depression. The dermatologist usually prescribes oral antihistamines and topical calamine-based lotions. 

Vitiligo: It is an autoimmune condition wherein in white patches develop on the skin. Stress and pre-existing thyroid disorder are common triggering events. Social stigma is very highly connected with vitiligo as patients get marriage proposal rejections and social isolation from friends and family alike. Such individuals are very depressed and have very low self-esteem. There are a host of treatment modalities available to stop further progression of the disease and also to get normal color back (topical and oral medicines, phototherapy, surgical skin grafting, etc.)


Effects of stress on the hair: 

Graying of hair is very common due to the stressful lifestyle and nutrient-poor foods individuals consume these days, yet the exact cause remains unknown. Usually topical solutions and b-complex vitamins / biotin based tablets may be prescribed for the same. 

Telogen effluvium is a condition wherein a person sheds more than 100 hair per day (shedding 50-100 telogen hairs per day is considered normal). It occurs when an increased number of hair (i.e, more than one in ten) are in the telogen stage (shedding stage) of the hair growth cycle. This abrupt shift of anagen (growth phase) hair into telogen results in increased shedding several (approximately three) months later since that is the length of time hair stay in the telogen stage prior to falling out. Stress, childbirth or the cessation of oral contraceptives, surgery with general anaesthesia, severe systemic illness including fever, thyroid disease and inadequate nutrition (especially lack protein intake), ferritin and vitamin d3 deficiency, any and all of which may trigger the onset of hair fall. Along with hair fall, the hair starts getting thinned in such states. Treatment is dictated by its cause whenever known. Generally, a healthy protein powder, topical hair growth serums and minoxidil solution, oral multivitamin tablets (containing biotin and other supplements) and platelet-rich plasma therapy all play a vital role in hair fall reduction. 
Trichotillomania is a condition wherein a person pulls out his or her own hair with an obsessive-compulsion, which occurs as a result of stress, anxiety, depression, behavioural disorder, mental retardation and delusions. Children who engage in such hair pulling usually are ones that are neglected by parents or friends at school, those who undergo child abuse, have broken relationships etc. Behavior modification therapy along with medications may be prescribed by the treating dermatologist or psychiatrist
Stress is a very well known aggravating factor in a condition known as alopecia areata. In this condition, there are circular circumscribed patches of hair loss commonly on the scalp or beard areas. Sometimes hair regrowth may occur without any medicinal intervention. 

Dermatologists recommend medical therapy in the form of topical minoxidil solution, topical corticosteroids, hair growth serums, zinc based tablets and injectable corticosteroids all aid in hair regrowth.

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