Nosebleed (Epistaxis) Treatment
Rotator Cuff Injury Treatment
Corn Removal Procedure
Treatment for Constipation Treatment
Scar Revision Surgery
Scar Revision Surgery
Treatment Of Deep Vein Thrombosis - Dvt
Deep Pigmentation Treatment
Treatment of Rheumatic Complaints
Cysts Removal Procedure
Treatment Of Learning Disorders
Treatment Of Childhood Diabetes
Diabetic Diet Counseling
Piles Treatment (Non Surgical)
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My age is 26. I am getting white sobi spots on my neck just little two spots from last week onwards there is no itching and rashes and its is not vitiligo its just sobi spots, Can you please suggest any solution.
Psoriasis is a common chronic auto immune inflammatory skin disease marked by circumscribed scaly macules affecting chiefly the extensor surfaces of the body characterized by Thickening of the epidermis, tortuous and dilated blood vessels, sharply demarcated erythematous plaque with silvery white scale.
Three Cardinal Signs of psoriasis are plaque elevation, Erythema, Scales.
Clinically psoriasis can be divided in to several types as follows Gutted, Chronic Plaque, Pustular, Erythroderma, Nail Psoriasis, Flexural, Arthropathy psoriasis.
Guttate psoriasis occurs in children, adolescents, and young adults It manifests as an erythematous, papular eruption with lesions less than 1 cm in diameter on the trunk and extremities.
Chronic plaque (psoriasis vulgaris) form comprising approximately 90 percent of cases. Sharply demarcated erythematous silvery scaling plaques occur most commonly on the extensor surface of the elbows, knees, scalp, sacral, and groin regions. Other involved areas include the ears, glans penis, perianal region, and sites of repeated trauma.
Pustular psoriasis is also an acute psoriatic eruption. The patient presents with fever and small monomorphic painful sterile pustules, often precipitated by secondary infection may leads to septicemia. It can be localized to the palms and soles (palmar-plantar psoriasis) or it can be generalized and potentially life-threatening.
Erythrodermic psoriasis, also life threatening, involves the entire body surface and can result in hypothermia, hypoalbuminemia, anemia, infection, and cardiac failure.
Psoriatic nail disease occurs in approximately 50 percent of psoriasis patients and most commonly manifests as pitting.
Anyone can develop psoriasis, but these factors can increase your risk of developing the disease:
Family history.Perhaps the most significant risk factor for psoriasis is having a family history of the disease. About 40 percent of people with psoriasis have a family member with the disease.
Stress.Because stress can impact your immune system, high stress levels may increase your risk of psoriasis.
Obesity.Excess weight increases your risk of inverse psoriasis. In addition, plaques associated with all types of psoriasis often develop in skin creases and folds.
Smoking.Smoking tobacco not only increases your risk of psoriasis but also may increase the severity of the disease. Smoking may also play a role in the initial development of the disease.
Viral and bacterial infections.People with HIV are more likely to develop psoriasis than people with healthy immune systems are. Children and young adults with recurring infections, particularly strep throat, also may be at increased risk.
In order to properly understand the immune dysfunction present in psoriasis, it is important to understand the normal immune response of skin. Skin is a primary lymphoid organ with an effective immunological surveillance system equipped with antigen presenting cells, cytokine synthesizing keratinocytes, epidermotropic T cells, dermal capillary endothelial cells, draining nodes, mast cells, tissue macrophages, granulocytes, fibroblasts, and non-Langerhans cells. Skin also has lymph nodes and circulating T lymphocytes. Together these cells communicate by means of cytokine secretion and respond accordingly via stimulation by bacteria, chemical, ultraviolet light, and other irritating factors. Generally, this is a controlled process unless there is some prolonged continues disturbance in physical or mental level which leads to imbalanced cytokine production leads to a pathological state such as psoriasis.
Psoriasis signs and symptoms vary according to the morphology, stage, type and anatomical site of involvement of the psoriasis rashes, which are scaly red plaques.
Psoriasis is characterized by the development of erythematous (reddish), well defined, dry, scaly, papules and plaques of sizes ranging from a pin head to palm sized or larger. Lesions have a full rich red color in the skin of Caucasians. Rarely, lesions on the legs or trunk may show a violaceous or bluish hue.
Pustular psoriasis can be life threatening were patient presents with fever and small monomorphic, painful, sterile pustules, often precipitated by secondary infection and may leads to septicemia.
Depending on the type and location of the psoriasis and how widespread the disease is, psoriasis can cause complications. These include:
Thickened skin and bacterial skin infections caused by scratching in an attempt to relieve severe itching
Fluid and electrolyte imbalance in the case of severe Pustular psoriasis
Low self-esteem, Depression, Stress, Anxiety, Social isolation
If you have psoriasis, you're at greater risk of developing certain diseases, such as metabolic syndrome, a cluster of conditions that include high blood pressure and elevated insulin levels, inflammatory bowel disease, cardiovascular disease and cancers.
Psoriatic arthritis can be debilitating and painful, making it difficult to go about your daily routine. Despite medications, psoriatic arthritis can cause joint damage.
Physical examination Carefully examining skin, scalp, fingernails, and toenails for reddening or scaling skin that is characteristic of psoriasis. Small pits on the fingernails are also signs of psoriasis. Doctor will also examine joints for signs of psoriatic arthritis.
Treatment in Genetic Homoeopathy
Complete History of patient i.e. Family history, past history since his child hood till date, Personal history in order to assess the cause, and also to find out the constitution of the particular person. Based on this analysis Genetic constitutional medicine is given along with other genetic combination medicines, which work on genetic level and there for progress of disease and complications are nullified and leads to cure. Some of commonly used homoeopathic medicines in psoriasis are as follows but should be taken under strict medical supervision Kali ars, Baryta carb, Nit acid, Graphitis, Staph, Sepia, Lycopodium, Kali carb, Kali Phos, Bryonia, Merc sol etc.
Dr. Nitin Hundre
Vitiligo / Leucoderma is a pigmentation disorder in which melanocytes (the cells that make pigment) in the skin are destroyed. As a result, white patches appear on the skin in different parts of the body. Similar patches also appear on both the mucous membranes (tissues that line the inside of the mouth and nose) and the retina (inner layer of the eyeball). The hair that grows on areas affected by vitiligo sometimes turns white.
There is strong evidence that people with vitiligo inherit genes that make them susceptible to depigmentation. The most widely accepted view is that the depigmentation occurs because vitiligo is an autoimmune disease a disease in which a person's immune system reacts against the bodies own organs or tissues. People's bodies produce proteins called cytokines that, in vitiligo, alter their pigment-producing cells and cause these cells to die. Another theory is that melanocytes destroy themselves such as sunburn or emotional distress, triggered Vitiligo.
Who can be Affected by Vitiligo?
About 0.5 to 1 percent of the world's population have vitiligo. The average age of onset is in the mid-twenties, but it can appear at any age. The disorder affects both sexes and all races equally; however, it is more noticeable in people with dark skin. Vitiligo seems to be somewhat more common in people with certain autoimmune diseases, including hyperthyroidism (an overactive thyroid gland), adrenocortical insufficiency (the adrenal gland does not produce enough of the hormone called corticosteroid), alopecia areata (patches of baldness), and pernicious anemia (a low level of red blood cells caused by the failure of the body to absorb vitamin B12). Vitiligo runs in families. Children whose parents have the disorder are more likely to develop vitiligo. However, most children will not get vitiligo even if a parent has it, and most people with vitiligo do not have a family history of the disorder.
Symptoms of Vitiligo
People who develop vitiligo usually first notice white patches (depigmentation) on their skin. These patches are more commonly found on sun-exposed areas of the body, including the hands, feet, arms, face, and lips. Other common areas for white patches to appear are the armpits and groin and around the mouth, eyes, nostrils, navel, genitals, and rectum.
Vitiligo generally appears in one of three patterns:
Focal pattern depigmentation limited to one or only a few areas.
Segmental pattern depigmented patches that develop on one side of the body only.
Generalized pattern the most common pattern. Depigmentation occurs symmetrically on both sides of the body.
In addition to white patches on the skin, people with vitiligo may have premature graying of the scalp hair, eyelashes, eyebrows, and beard. People with dark skin may notice a loss of color inside their mouths.
Will the vitiligo Patches Spread?
Focal pattern vitiligo and segmental vitiligo remain localized to one part of the body and do not spread. There is no way to predict if generalized vitiligo will spread. For some people, the depigmented patches do not spread. The disorder is usually progressive, however, and over time the white patches will spread to other areas of the body. For some people, vitiligo spreads slowly, over many years. For other people, spreading occurs rapidly. Some people have reported additional depigmentation following periods of physical or emotional stress.
How Can People Cope With the Emotional and Psychological Aspects of Vitiligo?
Although vitiligo emotional and psychological effects can be devastating.
White patches of vitiligo can affect emotional and psychological well-being and self-esteem. People with vitiligo can experience emotional stress, particularly if the condition develops on visible areas of the body (such as the face, hands, arms, and feet) or on the genitals. Adolescents, who are often particularly concerned about their appearance, can be devastated by widespread vitiligo. Some people who have vitiligo feel embarrassed, ashamed, depressed, or worried about how others will react.
Fortunately, there are several strategies to help people cope with vitiligo. Also, various treatments discussed in the next section can minimize, camouflage, or, in some cases, even eliminate white patches. First, it is important to find a doctor who is knowledgeable about the disorder and takes it seriously. You must let your doctor know if you are feeling depressed, because doctors and other mental health professionals can help people deal with depression.
Complications of Vitiligo
Vitiligo is a skin disorder which produces milky white patches on skin. The treatments that are currently available just help in re-pigmentation of the milky white patches that are produced by vitiligo. Vitiligo has several different complications; in this post I will discuss these complications so that people with vitiligo can have a better understanding of vitiligo.
As vitiligo is thought to be related with other autoimmune diseases so you may be at increased risk to other autoimmune diseases such as thyroid conditions, such as hyperthyroidism (overactive thyroid gland), pernicious anemia (an autoimmune disease which affects your stomach), and diabetes mellitus (a chronic condition that is caused by too much sugar in the blood).
Other complications that vitiligo can have are related to the eyes and ears. You may also experience lack of pigment in parts of your eye especially in the layers of tissue that surround the outer surface of your retina, choroids or uveitis. Another problem which vitiligo can cause is the partial loss of hearing.
The major complication that vitiligo causes are not related to physical health, infact these complications are linked with the mental health. As most of the people are concerned about their appearance so this sudden change in appearance caused by vitiligo effects the mental health. Vitiligo may affect your self confidence. For dealing with these mental health problems you must consult a psychologist as he/she can help you in overcoming the psychosocial problems you are facing.
If the change in appearance caused by vitiligo has become a big problem for you then you must opt a re-pigmentation treatment so that your skin becomes uniform in color.
How effective is homoeopathy?
Homoeopathy cures Vitiligo that is due to the fact that homoeopathic treatment enhances the natural production of pigments. According to homoeopathic philosophy Vitiligo not a disease in itself but an expression of an inner disturbed state of the body. Thus, the cure should occur at a level where things have gone wrong. In order to archive this, the patient is analyzed on various aspects of mental and physical and familial attributes and also a complete study is done on the psychological-environment that the patient has gone through in his life. The prescription is then based at the deepest level of understanding of the patient?s disturbed inner force. Although many homoeopathic medicines Arsenic Sulph Falvus, Arsenic Album , Baryta Mur and Baryta Carb are known to give good results in Vitiligo; I would again reiterate the fact that real cure of Vitiligo occurs when the prescription is made according to the true principles of homoeopathic philosophy i.e. treating that ?deep causative factor ? which caused this inner disturbance. Also remember that Vitiligo is a chronic disorder and can take considerable time even with the best of the homoeopathic treatment, for it to be completely cured
Dr Nitin Hundre
Hii I am 23 years old how I can improve my digestive system. And take isabgol regularly 10gram a day is safe or not . Pls hep me out.
When it comes to erectile dysfunction, it may feel like you're in a deep, dark hole with no way out. After all, even with a steady diet of ed drugs, it can feel like you'll never be able to shake your erectile woes off. But when it comes to treating ed, it pays to look after your body. By exercising, getting active, and eating well, you'll put your body back on track and save your sex life.
But while anyone can cut out fatty foods and sweets, what foods should a man incorporate into his diet to overcome erectile dysfunction? unfortunately, there isn't anyone 'miracle food' that will put a pep in a man's step and return his erection to its former glory. But there are plenty of foods that have been found to facilitate a healthy erection. By investing in these foods, and eating them regularly, you'll be giving your body a fighting chance to overcome your erectile problems.
If you're looking for foods to help you beat ed, keep your eyes peeled for these tasty treats the next time you're at the grocery store:
Dark chocolate (really! dark chocolate has flavonoids that help to improve blood circulation. But enjoy it in moderation.)
Leafy greens and beets (these veggies are chock full of nitrates, which help the body to open up blood vessels and improve blood flow.)
Watermelon (filled with phytonutrients, which relax the blood vessels.)
Tomatoes (this fruit is filled with lycopene, which is good for opening up the blood vessels and improving blood flow.)
You'll notice all these foods focus on improving blood flow, which is a surefire way to get blood quicker to the penis, ensuring that the body has an easier time achieving an erection.
A combination lifestyle changes and homeopathic treatment can be a great relief to a person suffering from sexual problems. Moreover, a thorough homeopathic treatment can remove the tendency and thereby prevent its recurrence.
FOODS THAT REV UP YOUR LIBIDO AND WHY
Chocolate: You guessed it right! Chocolate is the most enjoyable of foods and needs no cooking! Chocolates contain methylxanthines that increase your sensitivity to touch and phenylethlamine increases the level of excitement that a person perceives. Dark chocolate is the best as it has high levels of cocoa. The dopamine levels get elevated in the body which gives a rush similar to the one after
Watermelon: This humble fruit has citruline that makes the blood vessels expand thus increasing the blood flow to the pelvic organs. Whip it into a juice or smoothie or enjoy it cut up. Other fruits to add to your diet when sex is on your mind are pomegranates, figs, tomatoes and apples. Another fruit which deserves mention is the banana. Not only is it phallic shaped, it is loaded with potassium and other minerals. Enriched with potassium and folic acid which kick start your stamina and energy levels, avocados are a must-try.
Spices: Garlic when cooked has aphrodisiac properties. Some studies also give a thumbs-up to cinnamon and nutmeg. Ginseng is popular in the Far East as a sex drive enhancer.
Olives: In ancient Greek civilizations, olives were used liberally as an aphrodisiac. Research corroborates that green olives are helpful to men while women get a sexual boost with the black variety.
Oysters: Apart from their distinctive shape resembling the female genitalia, oysters are choc-o-block with zinc that induces release of sex hormones. Clams and mussels also have a similar effect.
Honey: Apart from its medicinal properties in curing coughs, honey can also boost your sex drive. Have a spoonful daily and feel the difference.
Alcohol: Red wine and champagne are your best bets on date nights. But beware, indulging in too much alcohol may increase desire, but dampen performance.
Peppers and chillies: Want to spice up your sex life? Spice up your food first, suggests research conducted by various organizations. Green, yellow and red peppers can be added to your salad, pasta or vegetable dish while green chillies can be incorporated into soups and curries.
Almonds: Almonds are great for snacking as they are full of good fats, fibre and vitamin E and also work on your sagging libido in more than one way. Almond oil used as a part of aromatherapy is said to fire the female libido.
Caffeine: Caffeine in small amounts gives you a kick, extra energy or that zing which can definitely put you into the mood for foreplay and intercourse.
Omega 3 fatty acids: Salmon and other fish rich in omega 3 fatty acids increase the levels of serotonin which is the feel good hormone produced by the body that explains why it acts as an aphrodisiac.
FOODS THAT DAMPEN YOUR LIBIDO
These are also termed as anti-aphrodisiacs because they decrease your sex drive and performance considerably. Foods that come under this category are steaks with potatoes, a big helping of pasta with a creamy sauce and the like. If you have too many carbs, you feel sleepy after your dinner and snooze will take precedence over sex. Same applies for red meats like rich cuts of lamb, beef and organ meats. Your body spends so much energy digesting the heavy food that there is no energy for pleasure after such a meal.
I am 25 years old, I've undergone with Appendicitis & Gall Stone Laproscopic operations in 2012 back by back months. Right now i'm suffering with Pancreatitis, is there any permanent solution for this.
If you have Polycystic Ovary Syndrome (PCOS), eating well can help manage some of the long term complications of this condition. Read on to learn about the best nutrition choices you can make if you have PCOS.
What is PCOS?
PCOS is a condition that affects women. It is caused by an imbalance of a woman’s sex hormones which may lead to:
Menstrual cycle changes
Skin problems such as acne
Increased hair growth on the face and body
Cysts in the ovaries and
Trouble getting pregnant
PCOS affects up to 10 percent of women. It may be genetic since women with PCOS are likely to have a mother or sister with PCOS. Women are usually diagnosed in their 20s or 30s, or sometimes when they are teenagers.
PCOS and weight gain
If you have PCOS, your body makes too much androgen. Androgen is often called the "male hormone," but small amounts are made in women’s bodies too. If your body makes too much androgen, it can lead to weight gain, especially around the belly area. This type of weight gain can increase the risk of:
High blood pressure
High blood sugar
Heart disease and
Tips for maintaining a healthy weight with PCOS
There is no specific diet that can prevent or treat PCOS. However, eating well and being active can help manage some of long term complications of PCOS. The good news is that losing anywhere from 5 to 10 percent of your body weight can help with weight-related health problems.
The best eating plan if you have PCOS is one that helps you manage your weight and also lower the long term risks of diabetes and heart disease. This plan should be low in saturated fat and high in fibre.
Choose better fats:
Too much saturated and trans fat in the diet can lead to weight gain, high blood pressure and high cholesterol. Limit foods that contain saturated and trans fats. Instead of these bad fats, choose smaller amounts of healthy unsaturated fats, which are found in vegetable oils like canola and olive oil, avocado and nuts. Aim for a total of 30 to 45mL (2 to 3 Tbsp) of healthy fats each day. You can learn more about choosing healthy fats here.
Eating more fibre can help maintain blood sugar levels and lower your cholesterol. Plus, fibre helps make you feel full, so you tend to eat less. This can help with weight control. Aim for 21 to 25 grams per day. Here are some high fibre foods to try:
Fruit – especially berries, pears, oranges, figs, kiwi
Vegetables – especially peas, spinach, squash and broccoli
Whole grains – such as oats, brown rice, whole wheat, quinoa, barley and buckwheat
Legumes – such as lentils, chickpeas, soybeans and kidney beans
Cereals made with wheat bran, psyllium or whole grain oats
Nuts and seeds – such as almonds, flax, sunflower seeds
Similar to fibre, protein also helps you feel full for longer, so you will eat less. This is a great way to help control your weight. Make sure that you have some protein at every meal and snack like chicken, turkey, beef or fish. Or, try vegetarian options such as legumes, soy or a quarter cup of nuts or seeds. Milk and low fat yogurt are also good sources of protein.
Foods to limit:
Some foods cause weight gain if you eat them often. Choose fewer foods that are high in sugar, salt, refined flour and fat such as:
White rice, pasta or bread
Candy and chocolate and
Try to get at least 2 ½ hours of exercise each week. Start with 10 minutes of activity and work up to longer times as your body adjusts. Review the Canadian Physical Activity Guidelines for activity ideas. Even if you don’t lose weight, exercise can help control your blood sugar and cholesterol levels and lower your risk for heart disease and diabetes.
\“Diet and exercise” – that’s the mantra that most people swear by, when it comes to losing weight the healthy way. But the word “diet” is more than just the food put on a plate. A very important component of a healthy diet is the amount of water a person drinks in a day.
While drinking water is not a magic pill to shed those pounds faster, not being adequately hydrated could make weight loss a little harder.
Why do you need to drink water?
Water helps your body to function correctly. Water is required for a number of chemical reactions and metabolic processes that take place in individual cells, tissues and organs. But if you don’t drink sufficient water, these reactions and processes will not function the way they’re supposed to. And this could affect your overall metabolism.
Let’s look at some of the ways water can help you in your weight loss program.
You’re not hungry… you’re just thirsty!
Sometimes, the body is not able to differentiate between hunger and thirst. So if you feel hungry and tempted to snack on high-calorie food, have a glass of water first. It could be that you are, in fact, just thirsty and the glass of water would make you feel full and prevent you from consuming the extra calories.
Water can help you eat less
Drinking water some time before a meal has its benefits in overall weight loss, possibly because you feel full and therefore tend to eat smaller portions of food at mealtime.
In one study, people who drank water before a meal ate about 75 calories fewer during the meal. That, in itself, may not seem like much. But 75 x 365 (days in a year) means 27375 calories less in a year, which corresponds to an approximately 4 kilo weight loss, without much effort on your part.
Water can help you digest your food better
Drinking sufficient quantities of water is also important for your kidneys to function correctly and reduce the risk of kidney stones. Water also helps to prevent constipation.
Research seems to confirm the benefits of water during weight loss
There is no place here to discuss all the studies that talk about weight loss and water. But let us look at two studies:
In one study, there were 48 overweight and obese middle-aged adults who were put on a low-calorie diet. Some of them were asked to drink about 500 ml of water before each of their three meals a day. At the end of three months, those who drank the extra water lost about 2 kgs more than those who didn’t drink water.
Another study looked at how people tend to gain weight as they get older. This study was carried out over 4 years. Those who had a higher intake of water and those who substituted their sugar-sweetened beverage consumption with water were less likely to put on weight over the years.
To drink or not to drink
If you are on a diet to lose weight, you will definitely be keeping an eye on your calories on your plate. But remember to watch your fluid intake as well!
Here’s a quick list of what you should drink and what you should stay a mile away from, when losing weight.
Keep these at reach:
Water: If you’ve read this article, then you are already aware of how important and healthy it is to drink water and stay hydrated, when trying to lose weight
100% fruit juice: make sure you check the label first. Fruit juice often comes with added sugars and those can be high in calorie, though high in nutritive value
Vegetable juice: While vegetable juice is often as nutritious as fruit juices, they often come with fewer calories and a lot of fibre
Skimmed or low-fat milk: by giving you the goodness of calcium with far less calories, the low fat milk option is much better than whole milk, when on a diet.
Black coffee: coffee is a good source of anti-oxidants and largely calorie-free, just as long as it’s black.
Green tea: another great source of antioxidants, green tea may also aid weight loss
Stay away from
Carbonated drinks: high in calories and low in nutrition, it’s best to avoid these – whether you’re on a diet or not
Fruit juices with sugar: some fruit juices have as much sugar added as carbonated drinks. Make sure you check the labels before buying these
Energy drinks: once again, check the label on these products first. While energy drinks provide a boost of much-needed energy, they are often high calorie drinks
Alcohol: alcohol is high in calories, and that is without counting the fried snacks or nuts that usually accompany a glass of alcohol
According to a study, drinking 500 ml of water before every meal could help weight loss
HI, sir my penis is so small, thin and sudden falling sperm in 30 second. please tell me some medicine which is help for my better sex life after 5 months I will marry.
Psoriasis being a constitutional trouble, it requires deep acting genetic constitutional remedy along with other combination medicines. This by acting at genetic level stops the progress of complications of psoriasis and nullifies them completely. Further the medicines work towards impeding the proliferation of skin cells which inevitably alleviates excessive scaling and stimulate the body’s own healing potential by restoring balance of the immune system and countering the genetic predisposition some of commonly used homoeopathic medicines in psoriasis are Graphitis, Natrum Mur, Lycopodium, Sulphar, Sepia, staphysagria, Baryta carb, prosperous, pulsatilla but should be taken under strict medical supervision.
Psoriasis is an obstinate and chronic disease. There is no shortcut to its cure.The length of treatment varies form case to case, depending of the following factors:
Duration of Psoriasis
Areas affected. Affection of scalp and nails takes longer.
Extent of spread Psoriasis only on skin is easier to treat. Joint affection (Psoriatic Arthritis) require longer duration.
Previous medication (Extensive use o oral cortisone may delay the course of treatment)
General health and associated diseases
There's no strong scientific evidence that specific foods can impact psoriasis, but there is evidence that losing extra weight can ease symptoms. Nutritionists and physicians recommend a healthy, balanced diet to control your weight and your psoriasis, as well as lower your risk of heart disease, diabetes, and stroke (which are elevated in people with psoriasis).
Best Food For Psoriasis
Carrots and squash
"A diet that's high in fruits and vegetables can have an anti-inflammatory effect,". And although there are no studies connecting fruits and vegetables specifically with a reduction in psoriasis symptoms, psoriasis is an inflammatory condition. Specific vegetables that might have inflammation fighting properties include carrots, squash, sweet potatoes, spinach, kale, and broccoli.
Fish and seafood
Omega-3 fatty acids abundant in fatty fish such as salmon, mackerel, sardines, and albacore tuna are the foundation of a heart healthy diet. Fish oils are thought to reduce inflammation and help the immune system, which is overactive in people with psoriasis. Given that psoriasis is also linked to a higher risk of heart attack and stroke, it's a good idea to eat fish at least twice a week.
Grains such as whole grain bread, cereal, and pasta; oatmeal; and brown rice are another component of an overall healthy diet. Like fruits and vegetables, grains also contain a variety of anti inflammation antioxidants and are high in fiber, which has been linked with lower inflammation levels and better regulation of blood sugar. Legumes such as beans and lentils also have antioxidants and fiber, so include them in your diet as well.
Nuts and avocados
Fats in general get a bad rap, but there are such things as "good fats." These include the polyunsaturated fats found in nuts, vegetable oils, and avocados, and monounsaturated fats found in soybean oil, walnuts, flaxseed, and certain fish. They're good for you in general (when taken in moderation, of course they still can pack in the calories). Stay away from saturated fats and trans fats, which may increase inflammation in the body.
Not only do blueberries have anti-inflammatory properties, but also lots of vitamin C, manganese (good for bone health), and fiber. All this while low in fat. Other fruits that may have anti-inflammatory properties include mangoes, strawberries, and figs. But you really can’t go wrong with any fruits, which are right up there with vegetables on the “good-for-you” list. Scientists are only just beginning to uncover other healthful properties of fruits. Blueberries, for instance, may also boost memory and fight heart disease.
Many people who have psoriasis also experience changes in their fingernails or toenails. There are several treatments that can help.
Nail psoriasis is the term for the changes in your fingernails and toenails that occur as a result of having psoriasis. According to the National Psoriasis Foundation, up to half of all people who have psoriasis will have nail psoriasis as well. While it's not a life-threatening condition, nail psoriasis can affect your quality of life, since it may cause you discomfort and affect your self-esteem, and it may also put you at greater risk of developing psoriatic arthritis. nail psoriasis can be helped with treatment.
How Psoriasis Affects the Nails
Nail psoriasis occurs because psoriasis affects the process of nail formation. People who have nail psoriasis usually have psoriasis on other parts of their body, such as the skin and joints. Rarely does someone have only psoriasis of the nails.
Symptoms of nail psoriasis vary but may include:
Discoloration of the nail to yellow brown
Pitting (holes) in the surface of the nails
Horizontal lines across the nails
White patches on the nails
Thickening of the nails
Nails that separate from the nail bed
Nail Psoriasis Treatment Options
Your treatment will depend on the type of nail psoriasis you have and how severe it is. If you have psoriasis that affects other parts of your body, the treatments your doctor recommends to alleviate those symptoms may also help your nail psoriasis.
In addition to following your doctor's recommendations involving treatment for nail psoriasis, there are other ways to take care of your nails:
Keep your nails trimmed as short as possible.
Wear gloves when you're working with your hands.
Wear shoes with plenty of room in them.
Avoid scrubbing or scraping underneath your nails.
Use gentle nail cleaning tools.
Soak your nails in tar bath oil mixed with water, then apply nail moisturizer.
If your nails are intact, consider using a nail hardener to improve their appearance.
Taking good care of your nails can minimize the effects of psoriasis associated nail changes.
• Avoid exposure to cold.
• Moderate, warm climate is beneficial.
• Avoid undue stress.
• Diet: – Avoid fats, highly seasoned and salty dishes. High protein diet (cut down animal protein). coffee, soft Drinks.
• Maintain good hygiene.
• Hot bath in winter, drying and oiling.
• Avoid all factors which trigger psoriasis.
• Reduce stress levels through meditation and Yoga.
• Do not prick, peel or scratch skin. This may trigger psoriasis.
• After bath or wash pat dry the skin. Do not rub the towel vigorously on skin.
• After washing, pat the skin dry, don’t irritate it by rubbing vigorously.
• Opt for cotton clothes over synthetic ones.
• Take a well balanced diet including fruits, vegetables, nuts, seeds, and grains.
• Take a daily bath in warm water to soak off the scales.
• Try deep breathing and relaxation exercise to reduce stress.
• Do not take coffee, all animal fats, and processed foods.
• Don’t scratch or rub patches of thickened skin.
• Avoid harsh skin products and lotions that contain alcohol. They may dry the skin and make psoriasis worse.
• Keep your towel, clothes separate and clean.
Psoriasis is a chronic skin condition that occurs in children and adults. The typical appearance is of red, thickened, scaly patches on the skin (plaques). These plaques can vary in size and distribution from person to person. In some people it may affect small areas of skin while others may have large areas covering their body.
What kinds of psoriasis occur in children?
1.Each of the patterns of psoriasis described in adults can be seen in children. These include:
Flexural psoriasis (red areas between skin folds)
Scalp psoriasis (thick scales found on areas of the scalp)
Nail psoriasis (nail dystrophy related to psoriasis)
Acute guttate psoriasis (small red plaques occurring after an infection)
Chronic plaque psoriasis (red plaques with scaling occurring anywhere on the body)
Erythrodermic psoriasis (severe reddening covering most or all of the body)
Pustular psoriasis (severe pustules that arise acutely)
Photosensitive psoriasis (affecting areas of sun exposure)
Guttate, facial and flexural psoriasis are particularly common in children.
What causes psoriasis?
Psoriasis has a strong genetic component and is due to abnormal processes involved in regulation of the immune system.
Individuals may have flares in psoriasis in response to stress, injury, medications and infections (particularly streptococcal tonsillitis).
Psoriasis is not contagious, therefore, affected children do not need to be isolated from other children.
How is the diagnosis made?
The diagnosis of psoriasis is usually made clinically. This involves a doctor examining the skin and making the diagnosis based on the appearance of the affected areas.
The plaques tend to be distributed symmetrically.
They favour certain sites such as scalp, elbows and knees; or; skin folds such as behind ears, armpits and groin.
They are well circumscribed, red and scaly.
There is often a family history of psoriasis.
Occasionally, a skin biopsy may be necessary to distinguish psoriasis from other skin conditions that may appear similar.
How is the severity of psoriasis assessed?
Assessing severity of psoriasis can assist in deciding upon the most appropriate course of treatment. Severity of psoriasis can be determined in the following ways:
calculate the body surface area involved
estimate a PASI score (psoriasis area and severity index)
use a questionnaire to assess a person’s quality of life.
A PASI score is a tool used to measure the severity and extent of psoriasis (Psoriasis Area and Severity Index). It takes a few minutes and experience to calculate it accurately.
A representative area of psoriasis is selected for each body region. The intensity of redness, thickness and scaling of the psoriasis is assessed as none (0), mild (1), moderate (2), severe (3) or very severe (4).
Folate deficiency - patients with severe psoriasis have a risk of developing folate deficiency. Folate is a B vitamin that is vital for proper nerve function; it also prevents birth defects. Folate also prevents high levels of homocysteine, which increase the risk of heart disease.
Heart problems, obesity and diabetes - a higher percentage of individuals with psoriasis develop heart problems, diabetes and/or obesity. Experts do not know whether there is a genetic link between these conditions and psoriasis. People with moderate-severe psoriasis, ideally should be tested for these conditions. Experts from UC Davis explained in Archives of Dermatology that fat cells in patients with psoriasis secrete cytokines that raise insulin resistance in the liver and muscle, which initiates the destruction of the insulin-producing beta cells in the pancreas.
Bad body temperature regulation - patients with erythrodermic psoriasis may have abnormalities in the body’s ability to control temperature.
Zumbusch psoriasis - this is a combination of erythrodermic and pustular psoriasis. The condition may develop suddenly. The patient may experience fever, chills, muscle weakness and weight loss. Sometimes there may be an over-accumulation of fluids, protein loss, and electrolyte imbalances; in such cases the patient may need to be hospitalized until fluid, chemical balances and body temperature are normalized. Zumbusch psoriasis is especially dangerous if the patient is elderly.
Psoriatic arthritis - in the majority of cases, psoriatic arthritis symptoms are mild. However, the following complications are possible:
Arthritis mutilans - an extremely severe form of chronic rheumatoid arthritis, in which the bones are reabsorbed, resulting in the collapse of soft tissue. When the hands are affected it can cause a phenomenon called telescoping fingers; the feet may also be affected. Patients with other arthritic conditions, such as osteoarthritis or rheumatoid arthritis in the joints of the fingers have a higher risk.
Risk of developing psoriatic arthritis - it is estimated that between 10% and 20% of all patients with psoriasis develop psoriatic arthritis; in about 20% of these people the arthritis symptoms occur before the psoriasis ones.
Cancers - patients with severe psoriasis who received systemic medications (those that affect the whole body) have a higher risk of developing skin cancers and lymphomas.
Psychological and emotional consequences - living with psoriasis often has emotional and social consequences.
Patients may feel embarrassed by having visible plaques and that can lead to depression. In some cases the individual may withdraw from society.
Symptoms may become so severe that patients have to leave their jobs, further increasing the risk of psychological and emotional problems.
Several surveys have shown that a significant number of patients with psoriasis report a negative mental and physical impact that is similar to several chronic conditions, including cancer, hypertension, heart disease, depression and diabetes.
According to a national survey (USA) Psoriasis Uncovered of people with the most severe form of psoriasis:
20% say that their psoriasis contributed towards the loss of a job or resignation.
25% believe that their psoriasis has caused an intimate relationship to end.
43% said psoriasis had prevented them from making new friends.
83% expressed dissatisfaction with their current treatment.
The majority of GPs (general practitioners, primary care physicians), specialists and other health care professionals know and understand that psoriasis has an emotional and psychological impact. It is important that the patient discusses any concerns and anxiety they may have.