Psoriasis : Symptoms, Causes, and Treatment | 2019

Psoriasis : Symptoms, Causes, and Treatment | 2019

Psoriasis is an autoimmune inflammatory condition of the skin that causes rapid accelerate of skin cell. The skin of psoriasis is looked like scales, red and patchy which are extremally itchy, painful and some time discharge may come out.

Psoriasis is an autoimmune disease that reoccurs many time, so because of this reason, our main aim is to control the growth of the skin.

Psoriasis is an autoimmune condition so, there is no complete cure is possible but you may control your symptoms by some lifestyle changes and medication.

According to the appearance of scales and their location psoriasis is dived in different types.

Prevalence

The number of cases of psoriasis is increasing day by day. That mainly due to our diet habit. In the USA 8 million people have psoriasis.

According to the world psoriasis day consortium, 2 to 3% (125 million) of the total population worldwide have psoriasis.

Age:- Psoriasis can be developed at the age of 15 to 45 but can develop at any age.

Psoriasis Causes

There is still research are ongoing for particular causes of psoriasis. Some scientist indicates that the main cause of psoriasis is autoimmune but some say that there is a combination of autoimmune with trigger factor or lifestyle. The main problem is with T-cell of our body.

Main Function of T-cell in our body is to fight again foreign cell or substance to protect our body.

In psoriasis, because of Autoimmune disease T-cell mistakenly attack our healthy skin cell. So, this overreaction of T-cell causes more production of skin cell to that particular part of the body that leads to more T-cell, WBC and RBC are conjoint together at affected part of the body. More cell of skin needs more blood supply and so because of more blood supply that affected part becomes red, swollen and sometimes pus may come out.

Triggers of psoriasis

Triggers of psoriases also play an important role. The symptoms of psoriasis become worsen due to some triggers.

• Another autoimmune disease ( HIV)
• Strep Infection Know more
• Smocking
• Alcohol consumption
• Stress
• Beta-blocker medication, Anti-malarial Drug
• Incised wound, cut, surgery
• Vit. D Deficiency 

Risk Factor of Psoriasis

1.Stress
2.Family History
3.Obesity
4.Smocking
5.Infection

Types of psoriasis

➤ Plaque Psoriasis is the commonest form of psoriasis. Plaque psoriasis can occur anywhere in the body with the lesion of one or few. Characteristics of plaque psoriasis are dry, redness, and silvery scales which are painful.

➤ Guttate Psoriasis affects mainly to young adult and children. Guttate Psoriasis is always followed by some bacterial infection like strep throat. Peculiarities of Guttate Psoriasis is a small, scaling lesion on the trunk, arm, and legs.

➤ Inverse Psoriasis affects mainly on the covered area like armpit, under breast, groin, genital. Because of friction and sweating. Inverse psoriasis characteristics are smooth, redness, inflamed skin. Inverse psoriasis is followed by any fungal infection.

➤ Pustular psoriasis is common among in adult. which localized a smaller part of the body like hand and feet. Pustular psoriasis looks like pus-filled blister, inflamed and redness of the skin.

➤ Erythrodermic Psoriasis is due to stopping of existing psoriasis treatment. Erythrodermic psoriasis is very rare but life-threatening diseases because of its complication such as heart failure and pneumonia. Characteristic of erythrodermic is undefined edges, peeling of the skin, severe itching and pain.

Psoriasis Symptoms

Psoriasis symptoms are very characteristic different from person to person. Symptoms of psoriasis mainly depend on the type of psoriasis. some common symptoms are as follow

➜ Redness around the skin
➜ Severe itching
➜ Painful lesion
➜ Plaques on the affected area
➜ Burning sensation
➜ Dryness and cracked skin
➜ Discoloration and pitting of nails
➜ Inflammation and stiffness of joints

Diagnosis of Psoriasis

The physician can make some physical examination to detect any redness, plaque, and dead skin to identify psoriasis.

The physician may advise for biopsy test to rule out bacterial infection and confirmation of diagnosis.

Complication Of Psoriasis

There are a number of complications of psoriasis are as follow:-

• Psoriatic arthritis
• Stress
• Diabetes know more here
• High Blood Pressure
• Obesity
• Cardiovascular disease
• Metabolic syndrome
• Parkinson's disease
• Kidney disease

Treatment of Psoriasis

There is the number of treatment method are available for psoriasis. Treatment of psoriasis mainly depends on the type of psoriasis. For better understanding, I will divide into 3 part which is as follow.

1.Topical Treatment

Your physician prescribes some topical ointments for relieving burning sensation, inflammation, and slow down of growth of skin cell. There is a wide range of topical ointment are freely available.

• Corticosteroids:- This is commonest and frequently used corticosteroids for the treatment of psoriasis. They treat mild to moderate psoriasis. Topical corticosteroids are short term therapy because if you use for a longer time than your skin become resistant to that particular steroids and on later stage they not respond properly.

• Retinoids:- This is derivatives of Vitamin A. This is useful for the slow down growth of skin cell. They also reduce inflammation and itching

• Vitamin D:- Most of the Physician prescribes Vit.D with corticosteroids. Vitamin D helps in slowing down of growth skin cell, remove scales, and plaques of psoriasis.

• Salicylic Acid is widely used in the tropical treatment of any skin disease. Salicylic acid is freely available on medical store with or without combination. The physician may prescribe salicylic acid with corticosteroids. Salicylic acid removes the skin cell and decreases the scaling of the skin.

• Moisturizer is add on therapy in psoriasis. However, moisturizer alone can not treat psoriasis but they can help in reducing itching and dryness.

2. Systemic Medication

In severe psoriasis or if a large area is infected than a physician can advise taking orally or injectable medication.

• Methotrexate is used to decrease the production of new skin cell and heal inflammation. The physician starts methotrexate with a low dose and gradually increase the dose. There is some side effect of methotrexate is liver damage and damage to bone marrow, because of this side effect the production of RBC and WBC also decrease.

• Retinoids are derivatives of Vitamin A which is used for severe psoriasis but you should also know the side effect of retinoids i.e, hair loss and inflammation of lips. Retinoids should not use in pregnant women or planning to be pregnant because retinoids can cause the birth defect.  If women are on treatment on retinoids than she should avoid pregnancy for at least 3 years.

• Cyclosporine is similar to methotrexate both work on to suppress the immune system. Long therapy of cyclosporine should be avoided because of its side effect. Cyclosporine suppresses the immune system and that's why our body becomes more prone to infection, cancer, and high blood pressure.

• Biologics:- These are a group of biologics medicine to treat severe psoriasis. Some are as follow 1. Infliximab 2. adalimumab 3. etanercept 4. apremilast 6.golimumab etc. Most are injectable and has a high risk of side effect.

3. Light therapy:- In this therapy, can use natural as well as artificial ultraviolet light therapy. Natural light therapy includes sunlight and in artificial include ultraviolet A and B., we can use both combinations or singly.

4. Home remedies and lifestyle changes for psoriasis:- Lifestyle changes may help in to improve damaged skin and you feel better. There is some point to improve in life for psoriasis.

• Use moisturizer
• Bath daily
• Expose to some part of the skin to sunlight
• Avoid Triggers of Psoriasis
• Avoid Alcohol drinking Addiction killer herbal

Home remedies for psoriasis 

Natural remedies for psoriasis can be used along with traditional treatment. Here are some natural home remedies that help along with traditional treatment.

1)Apple Cider vinegar Buy Best Vinegar

2)Aloe Vera Best buy here

3)Capsaicin

4)Ots

5)Tea tree oil Buy here

6)Turmeric

7)Dead sea salt  Best sea salt

8)Mahonia aquifolium 

List of homeopathic remedies for psoriasis

1. Arsenic alb

2. Graphites 

3. Psorinum

4. Arsenic Iodatum

5. Sulphur

6. Petroleum

7. Sepia succus

8. Merc sol

Dr. Amin Bayad

(BHMS)

Hemorrhoids | causes, symptoms & treatment | home remedies | 2019

HEMORRHOIDS

Hemorrhoids is defining as enlarged/inflamed/swollen veins of the anus and lower rectum. Hemorrhoids are also called as Piles. Hemorrhoids are of the two types 1. Internal Hemorrhoids 2. External Hemorrhoids.

Hemorrhoids condition is very similar to the varicose vein. Hemorrhoids are extremally painful but easily treated and also hemorrhoids are preventable if follow proper diet and advice of physician to change lifestyle.

If hemorrhoids are untreated than pain become severe and get worse over time that's why many physicians suggest that they should treat (ASAP)as soon as possible.

Women are more prone to get hemorrhoids when they are pregnant. Some pt may feel better while taking home remedies of hemorrhoids but when the pain becomes worse physician always advice for surgery.

According to research conduct by The Rajiv Gandhi University Of  Health, Science India has 40,723,288 cases of hemorrhoids. Every year a minimum of one million cases is reported.

In India there are lots of cases are reported of hemorrhoids so, in the next section, we will discuss what are the causes of hemorrhoids.

Causes of Hemorrhoids 

Pressure on the veins(around the anus) can causes hemorrhoids. so hemorrhoids develop due to following reasons

1. Pregnant:- In pregnancy, the uterus becomes enlarge and make pressure on the vein of the anus and lower rectum.

2. Chronic diarrhea

3. Chronic Constipation:-  Constipated person force more to move stool that puts more pressure on blood vessels of anus and rectum.

4. Age:- More common in between 30 to 60 years

5. Heavy lifting

6. Obesity:- Person who take low fiber diet and obese

7. Sedentary life

Types of Hemorrhoids

There are two types of Hemorrhoids

1. Internal Hemorrhoids:- Internal Hemorrhoids are at inside the rectum that you can not see or feel them. The pain of Internal piles is very mild or minimal because there are only a few sensory nerves. Bleeding is only one sing for Internal hemorrhoids.

2. External Hemorrhoids:- External Hemorrhoids are at under the skin of anus you can generally feel external hemorrhoids because there is more sensory nerve at that point.

If Inflammation is increased than hemorrhoids may prolapse and bulge come outside the anal canal you can easily see them they are very painful and you can not seat prolapse.

Usually, Prolapsed Hemorrhoids go back by its own way but sometimes you may need to push them gently to back in place.

Symptoms of Hemorrhoids

• Itching and irritation in the anus
• Pain
• Swelling around the anus
• Bleeding, Some time painless bleeding
• A hard lump like sensation 

Complication of Hemorrhoids

• Blood clots:- Painfull Condition due to blood clots 
• Strangulated Hemorrhoids:- If Blood supply is Cease than strangulated hemorrhoids are formed and strangulated hemorrhoids are very painful.
• Anemia:- Chronic Blood loss due to bleeding piles can cause anemia

Diagnosis of Hemorrhoids 

• Physical examination:-  the doctor  insert lubricated gloved finger in anus to detect size and position of hemorrhoids 

• The physician may insert Anoscope for better viewing of anus and rectum for internal bulge or piles.

• Sigmoidoscopy:- Sigmoidoscopy is useful for to look lower colon or sigmoid. Sigmoidoscope is a flexible viewing tube with a camera.

• Colonoscopy

Prevention of Hemorrhoids

For the prevention of hemorrhoids, our main aim is to soften stool so that can easily pass without any discomfort to anus and colon.

Diet:- Eat high fiber diet/foods, High fiber have come from fruits, vegetable, and whole grains. Increase fiber to your diet gradually to avoid the gas problem. Normally 20 to 30 grams per day of fiber in the diet is necessary.

Drink plenty of six to eight glass of water a day 

Strain:- Don't Strain or hold breath during defecation because that creates pressure on veins of the anus and leads form hemorrhoids.

Use the toilet when needed. don't hold your pressure too much.

Don't sit or stand too long.

Treatment of Hemorrhoids

Treatment of hemorrhoids depends on the severity of symptoms. There are some home remedies are very useful to treat hemorrhoids naturally. 

Home remedies for hemorrhoids 

Before we start the discussion of home remedies of hemorrhoids I will suggest to those ladies who are pregnant please consult your physician before trying this home remedies of hemorrhoids.

1. High Fiber Diet:- I already mention this in this blog under the section of prevention of hemorrhoids. You should increase fiber in the diet. Fruits, vegetables, and whole grains are the main source of fiber. Fiber helps to soften the stool.

2. Warm water soak or sitz bath:- warm water will relieve the pain and burning sensation and can ease in passing the stool. Sitz bath is available in some pharmacy that fits over the toilet. Buy Sitz Bath here

3. Pain Reliever:-  Use household painkillers for temporary relief of the discomfort of symptoms.

4. Topical Ointments are also available with ayurvedic preparation that help to relieve symptoms of hemorrhoids.

Homeopathic Medicine for hemorrhoids

1. AESCULUS:- This remedy is especially suitable to the form of hemorrhoids arising from portal congestion, abdominal plethora. They may or may not bleed, but there is feeling in the rectum as of a splinter or stick. Dryness, burning, and itching is a good indication.

2. Pulsatilla:- It is one of the best remedies in hemorrhoids after aesculus. Passive congestion and dyspeptic troubles are the keynotes. Hemorrhoids that bleed easily. Painfull protruding piles with smarting and soreness.

3. Collinsonia:- In fact no remedy can equal Collinsonia in obstinate case of hemorrhoids, which bleed almost incessantly. it is of special use in females with the inertia of rectum and congestive tendency to the pelvic organ. Its suites pregnant women who suffer from piles. Sansation of the stick in the rectum. 

4. Hamamelis:- It has bleeding hemorrhoids, and the flow of blood is quite copious, and the great characterizing indication is excessive soreness with burning, fullness, and weight. Back feels like as if it will break. 

5. Aloe;- This is also the most useful hemorrhoids remedy. It is indicated where the piles protrude like a bunch of grapes, bleeding often and profusely, and are greatly relieved by the application of cold water. there is marked burning ion anus the bowel feel as if scraped.

Medication and surgical procedure of hemorrhoids

Your doctor may prescribe some ointments with medicine. Ointments mainly contain is hydrocortisone with pain-relieving substance.

Buy Ayurveda Trusted Medicine for hemorrhoids

Medication for constipation to ease in defication.

Minimal invasive surgery:-Physician may advice of minimal invasive surgery for hemorrhoids if your hemorrhoids are painful and frequent bleeding.

1. Rubber band ligation:- Main aim of rubber ligation is to cut off circulation. The physician put a rubber band around the hemorrhoids with a speacial tool. So because of blood circulation stop than hemorrhoids will dry, shrink and finally fall off.

      2. Cauterization:- In this technique surgeon use a laser or infrared light to burn hemorrhoids.

      3. Injection;- Physician can also inject a chemical solution for shrunken off hemorrhoids.

Surgical procedure 

If hemorrhoids worsen or severe pain then the doctor may advise for surgical removal of hemorrhoids. There is two types of the surgical procedure are available for removal of hemorrhoids.

1.Hemorrhoidectomy and 2. Hemorrhoid stapling.

Dr. Amin Bayaad

(BHMS)

What is appendicitis ? | causes, symptoms, and treatment | 2019

APPENDICITIS

Hello everyone 

Today's blog is all about appendicitis. The appendix is a small pouch(finger shaped) situated at the lower right side of the abdomen( Right iliac region). The exact location of the appendix is at the junction of the small intestine and large intestine.

The function of the appendix is still in doubt that some scientists believe that appendix is the storehouse of good bacteria that release after the attack of diarrhea but some scientists say that there is no any function of the appendix and its useless part of our body.

Definition of Appendicitis 

Appendicitis is defined as inflammation of the appendix. One should always know that appendicitis is a medical emergency if untreated than it will burst or rupture and spread infection in the abdomen. This can lead to inflammation of the peritoneum(peritonitis)and that can be fatal and need emergency treatment with higher antibiotics.

CAUSES OF APPENDICITIS 

Thre exact define cause of appendicitis is unknown some scientists believe that there is an obstruction of appendix lead to form infection inside and become swollen and painful.

Obstruction of appendix leads to multiplying of bacteria and the formation of pus and swelling occur. So because of the formation of pus sever pain starts at the lower right abdomen.

SYMPTOMS OF APPENDICITIS 

Classical symptoms of appendicitis 

1. Initially pain at the upper abdomen later pain shift to the lower abdomen and become severe.
2. loss of appetite
3. vomiting/nausea
4. fever
5. cramps
6. constipation or diarrhea 

DIAGNOSIS OF APPENDICITIS 

The abdomen has lots of organ in it and all are important for body function so, on the basis of abdominal pain, there is lots of reason or etiology are suspected there for diagnosis of appendicitis is tricky. Your doctor may advise below investigation to rule out the exact cause of abdominal pain.

• Abdominal examination for tenderness and inflammation
• Urine test
• Rectal examination
• Complete blood count
• USG of abdomen 
• CT-scan

DIFFERENTIAL DIAGNOSIS OF ABDOMEN

1. Urinary tract infection
2. Gastroenteritis
3. Urolithiasis
4. Ectopic pregnancy
5. crohn's disease 

TREATMENT OF APPENDICITIS

Line of treatment is varying according to the severity of appendicitis. The physician may recommend the following line of treatment. 

• Liquid diet
• Analgesic
• Antibiotics
• IV- fluids
• Needle drainage of abscess
• Surgical removal of the appendix (Appendectomy) 

In most of the case of appendicitis, the physician advises for surgical removal of the appendix for safe side.

Appendectomy is the best option for appendicitis rather than antibiotics therapy. There are two types of the surgical procedure are available for an appendectomy.

1. Open surgery:- In this type of surgery surgeon can incise abdomen about 2 to 4 inch at McBurney's point to remove the appendix. 

2. Laparoscopic surgery:- In laparoscopic surgery surgeon can incise a few small opening in the abdomen and insert a very small robotic line with a camera and remove the appendix. This minimum invasive surgery can fasten the recovery so nowadays all the surgeon recommended laparoscopic surgery.

COMPLICATION OF APPENDICITIS

1. Peritonitis:- If untreated than appendix may rupture and releases the pus in the abdominal cavity, that leads to infection of peritoneum( peritonitis)

2. Perforation

3. Appendicular Abcsess

4. Surgical wound infection

DR. AMIN BAYAD

(BHMS)