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Acne

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Acne
  • Acne is the most common of all skin conditions.
  • It is almost universal during puberty.
  • Acne affects almost 90% of people at some stage during their life.
  • Comedones are the hallmark of acne vulgaris.
  • Acne vulgaris is more common among teenagers and more severe in males.
  • Acne Treatment should be commenced early to prevent scarring.
  • The patient should be counseled that the improvement may not be seen immediately for at least a few months.
  • Mild to moderate acne is treated with topical preparations.
  • Moderate to severe acne is treated with systemic antibacterial preparations.
  • Hormonal treatment with co-cyprindiol (cyproterone with ethinylestradiol) is only used in women.

What is Acne?

Acne vulgaris is a common, usually self-limiting, multifactorial disease that involving inflammation of the sebaceous follicles of the skin in the face and upper trunk.

Acne is a chronic, inflammatory skin condition that results in spots and pimples, especially on the face, shoulders, back, neck, chest, and upper arms.

What are the types of Acne?

The following are the most common types of acne;

  • Blackheads – These are small black or yellowish bumps that develop on the skin.
  • Whiteheads – These are Similar in appearance to blackheads, but more firm and they do not empty when squeezed
  • Pimples (pustules) – These are small red bumps that may feel tender or sore.
  • Papules – These are similar to papules, but they have a white tip in the center due to pus formation.
  • Cysts – These are large pus-filled lumps with the greatest risk of forming a scar.
  • Nodules – These are painfully hard and large lumps that build up beneath the skin

During puberty, the sebaceous gland is activated so there are more chances of developing acne in that stage, but it can occur at any age. It is not dangerous, but it can cause;

  • Skin scars
  • Spots
  • Oily skin
  • Sensitive skin that’s hot or painful to touch

How Acne occurs?

Acne usually occurs when hair follicles become plugged with oil and dead skin cells. Bacteria worsen the condition by causing infection and inflammation.

  • Small gland known as Sebaceous glands is present near the surface of the skin. The glands are attached to hair follicles.
  • Sebaceous glands secrete an oily substance called sebum which lubricated the hair and skin.
  • In acne, there is over secretion of sebum from sebaceous glands. This excess sebum along with dead skin cells, debris and bacteria forms a plug in the follicle, which results in acne.

 

During puberty increased androgen activity triggers the growth of sebaceous glands which results in enhanced sebum production.

What are the factors involved in Acne?

The four primary factors involved in the formation of acne are;

  • Increased sebum production
  • Sloughing of keratinocytes
  • Bacterial growth
  • Inflammation

 

What are the Risk Factors?

The most common Risk factors for acne are as follows;

  • Genetics – Family history
  • The menstrual cycle
  • Hormonal changes
  • Anxiety and stress
  • Hot and humid climates
  • Using oil-based makeup more frequently
  • Squeezing pimples will worsen the condition
  • Medications like steroids, lithium, androgens
  • Continues Friction against the skin

Acne in males

During puberty, there are more levels of testosterone in the body. Testosterone enhances the production of sebum from a sebaceous gland that results in acne.

Acne in females

Hormonal changes in female occur during;

  • Periods (menstrual cycle)
  • Pregnancy
  • Polycystic ovary syndrome (POS)

 

How Acne Can be Prevented?

  • Wash face with soap and water twice daily can help prevent acne. Particularly when you face more sweating and dirt.
  • Avoid picking, popping, and squeezing pimples, as it may lead to infection and scarring.
  • Avoid skin rubbing and scrubbing
  • Use sunscreen when going outdoors, as too much sunlight has damaging effects on the skin.
  • Avoid oily skincare products.
  • Avoid stressful conditions.

Diagnosis of Acne

Diagnose of acne can be done by careful examination of the skin. It involves examination of face, chest or back for the different types of spots, such as blackheads or sore, red nodules.

The doctor also looks for different signs and symptoms;

  • Mild soreness
  • Pain
  • Itching
  • Lesions over the;
    • Face
    • Neck
    • Upper chest
    • Back
    • Shoulders
  • Comedones, that are the hallmark of acne vulgaris
  • Inflammatory papules
  • Pustules
  • Ecstatic pores
  • Acne cysts
  • Scaring

What is the Treatment for Acne?

Treatment of acne involves the use of Topical and Oral preparations. The goal of treatment is to prevent the formation of new acne lesions, heal existing lesions, and prevent or minimize scarring.

Topical Preparations

Topical preparations for acne include;

  • Benzoyl peroxide
  • Azelaic acid
  • Topical Antibacterial like
    • Erythromycin
    • Clindamycin
  • Topical Retinoid
    • Retinoid
    • Adapalene

 

These preparations are used for Mild to moderate acne, comedones, and inflamed lesions.

Benzoyl peroxide

Benzoyl peroxide (Benzac AC, Acnestar ) is effective against;

  • Mild to moderate acne
  • Comedones
  • Inflamed lesions

Treatment is usually started with low strength; if acne does not respond to the treatment after 2 months then topical antibacterial is recommended.

Azelaic Acid

Azelaic Acid (Aziderm)  is effective against;

  • Mild to moderate acne
  • Comedonal acne of the face

It has antimicrobial and anticomedonal properties. It causes less local skin irritation as compared to benzoyl peroxide.

Topical Antibacterial

Topical erythromycin and clindamycin are used against;

  • Inflammatory acne

These are usually recommended to avoid the oral use of antibacterial.

To avoid antibacterial resistance;

  • Use non-antibiotic antimicrobials (benzoyl peroxide, azelaic acid)
  • If one antibiotic is effective then do not change it without any reason
  • Do not continue treatment for more than recommended

 

Topical Retinoid

Topical retinoid is effective against;

  • Inflammatory lesions
  • Comedones
  • Mild to moderate acne

Retinoid (TRETINOIN) and Adapalene (ADACLENE) are used as a topical retinoid.

Treatment with topical retinoid should be continued for several months until no new lesions are formed.

Oral Preparations

Oral preparations for acne include;

  • Systemic Antibacterial
    • Oxytetracycline
    • Tetracyclin
    • Doxycyclin
    • Minocycline
    • Clindamycin
    • Erythromycin
  • Oral Hormone
    • Co-Cuprinol
  • Oral Retinoid
    • Isotretinoin

Systemic antibacterial treatment

Systemic antibacterial used for the treatment of acne are as follows;

  • Oxytetracycline
  • Tetracyclin
  • Doxycyclin
  • Minocycline
  • Clindamycin
  • Erythromycin

 

  • Systemic antibacterial treatment is useful for inflammatory acne when topical treatment is not useful or it may be used with topical treatment.
  • If there is no result after 3 months then another oral antibiotic should be used.
  • Maximum improvement occurs after 4 to 6 months if treatment
  • In severe cases, the treatment can be continued for 2 years.

 

Oral Hormone Treatment

Co-cyprindiol (an Oral Hormone), is used for the treatment of moderate to severe acne. It has anti-androgen properties. Sebum secretion and hair growth depend on androgen. Co-cyprindiol decreases sebum secretion and it is also used for hirsutism.

Oral hormone treatment is recommended to treat moderate to severe acne in the female.

It is recommended when topical and oral antibacterial therapy does not produce the desired outcome.

Co-cyprindiol also has contraceptive properties.

Oral Retinoid

Oral Retinoid used for the treatment of acne is isotretinoin.  It reduces sebum secretion. Isotretinoin is used for the systemic treatment of;

  • Scarring
  • Severe acne
  • Nodulo-cystic and conglobate acne
  • Acne which has not responded to a systemic antibacterial
  • Acne which is associated with psychological problems

Isotretinoin is useful in women who develop acne in the third or fourth decades of life. Since acne in this age is usually not responsive to antibacterial. Isotretinoin is given for at least 4 months (16 weeks).

Side-effects of isotretinoin include;

  • Severe dryness of the skin and mucous membranes
  • Nose bleeding
  • Joint pains

Isotretinoin is teratogenic and must not be given to pregnant women. Treatment with Isotretinoin should be stopped if psychiatric changes occur during treatment.

Visit https://www.drugscaps.com/product-category/face-care/ to find products online.

Home Remedies

Below mentioned are some home remedies for acne;

Tea tree oil – Tea tree extract has natural antibacterial and anti-inflammatory properties. Teat tree oil can be added in creams, gels, or essential oil.

Jojoba oil – Waxy substances in jojoba oil helps to repair skin. Jojoba oil can be added in creams, gels, essential oils, and clay face masks. It can also be applied directly to acne sore with the help of a cotton pad.

Aloe Vera – Aloe Vera has antibacterial and anti-inflammatory properties. Aloe Vera can be added to creams or gels.

Honey – Honey has anti-oxidant properties that help to clear clogged pores from debris. Honey can be directly applied to pimples using a cotton pad or a clean finger.

Green Tea – Green tea contains antioxidants. Green tea extract can be applied to the skin or it can be used as a drink.

 

 

Visit https://www.drugscaps.com/product-category/face-care/ to find products online.

References

  • Rosacea and Acne. (2016). In British national formulary 70. London: BMJ Publishing and the Royal Pharmaceutical Society.
  • Maxine A. Papadakis

Dermatological Disorders In Current Medical and Diagnosis Treatment. Mc Graw-Hill Education, 55th Edition, 2016. (page: 127-129)

  • Joseph T. Dipiro

Acne Vulgaris In Pharmacotherapy Handbook. The McGraw-Hill companies, 7th edition, 2009. (page: 179-185)

 

 

  • Revol O, et al. Psychological impact of acne on 21st-century adolescents: Decoding for better care. British Journal of Dermatology. 2015;172(suppl.1):52.

 

 

  • Acne: Tips for managing. American Academy of Dermatology website. aad.org/public/diseases/acne-and-rosacea/acne#tips. Accessed March 11, 2018.

Melnik, B. C. (2015, July 15). Linking diet to acne metabolomics, inflammation, and cosmogenesis: An update. Clinical, Cosmetic, and Investigational Dermatology, 8, 371–388
ncbi.nlm.nih.gov/pmc/articles/PMC4507494/

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People getting smarter with their healthy food choice-2020

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People getting smarter with their healthy food choice-2020

Just like there are advancements in the other field, people now are getting with their healthy Food choice of eating and maintaining a healthy diet. This is followed by the selection of hygienic and environment-friendly health and sanitary products. People prefer to ignore the usage of plastic and use real wood and other things. They are getting wiser about the products they consume and this is also accompanied by efficient packaging. All of this has an impact on the environment of us.

Today we luckily had a chance of taking an interview with the director of one of such a website that promotes the usage and selling of eco-friendly products for daily use. Yes, we are talking about Jan Fridich. Let us go through the conversation we had with him in the below section:

So people have been hearing a lot about your website, tell us something more about it and yourself”-

“Ummm…. Yeah, you’re right. My website known as “Jxnfrd.shop” is in Austria. I am from Austria. I was born here in Sep 1997. As long as it is about the website, it is meant to be a digital platform where we aim to provide customer support to English people 24/7.  We incorporated it on October 3rd, 2019. Our true aim is to promote the use of eco-friendly products to save our mother earth from being destroyed by its residents. The choice is ours. It is only us who can take the initiative of using products other than plastic”.

“So what material do you prefer to be used instead”?

Upon this question, Jan was quite curious to tell us that: “we prefer using Bamboo and real wood for use. This will lead to less utilization of plastic and other material manufacturing which will eventually lead to a healthier environment and healthy people “.

Healthy people? How?

“Yeah, “healthy people”. This is because we deal online in all the top-selling products from 2019 and 2020. You can find healthier food products at our online store that are eco-friendly and promote eco-friendly food for healthier mother earth. Products of daily use for hygiene just like toothbrushes, are also eco-friendly so that you don’t get your gums hurt or bleed them inconsequently. You find well managed and quality products at our store, try it once and you will be falling in love with our service and customer support. ”

So how do people approach your website and avail its service?

You guys can find everything on the internet online. All you have to do is a chat request at our website interface and it will lead you to -70% on our products. Our support team aims to provide their customers with the best quality products followed by the cheapest rates for their customers’ from Austria. Also, shipping across Austria is free. For services, you will create an account and sign up for a newsletter. You get a 1$ / month membership at our store JXNFRD LTD. We will provide you customer support through live chat. You also see the products we sell from Instagram and Facebook ads.”

Where did you get the inspiration from?

“Well, the inspiration comes from my exceptional love for food. I have always been a food lover and it makes me realize the importance of eating healthier and maintaining a good diet. You can see my food blog on Instagram where I share a lot about the food I make and like. You can also follow the following link to explore more. Also, you can check my store out here. The product details are given here where you can check them out.”

Must check out my website and share it with your family and friends, you will surely love the services.

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HEALTH

Why Choose 3D Mesh Hernia Treatment Hospital in Gurgaon

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3D Mesh Hernia Treatment Hospital in Gurgaon

3D Mesh Hernia

Are you suffering from a hernia? Did you know that owing to the complex lifestyle can make you suffer from a hernia? Yes! Obesity, consuming junk food, stress, smoking, dietary choices with lack of fibers, are just some of the lifestyle choices that put people at the risk of having a hernia. So, if you are a corporate worker, working with an MNC in Gurgaon or any other major city, you are more likely to suffer from one.

A hernia is a bulge or protrusion of body tissue or organ through the structure that normally contains it. It results due to weak spots present in the abdominal muscle walls,  groin, upper thigh, chest, or hips. Hernias are found to affect both men and women equally, increasing the chances of advanced age.

What are the causes and symptoms of a hernia?

Hernias are classified into different types based on their origin and severity. Some common causes of hernia include:

  • Weak abdominal muscles or tissues
  • Bowel obstruction and constipation
  • The strain on lifting heavy objects
  • Complications during or after pregnancy
  • Severe coughing
  • Lack of nutrition

The symptoms to identify hernia are:

  • A bulge in the groin or abdominal area
  • Pain or burning sensation near the bulge
  • Darkening of the bulge
  • Chest pain
  • Acid reflux
  • Nausea and vomiting
  • Difficulty swallowing
  • Pain when coughing or lifting heavy objects

What is a 3D mesh Hernia?

Hernia mesh, also known as surgical mesh, is a medical device that is used to cover up the hernia to reduce the chances of recurrence. The 3D mesh repair technique involves the usage of a polypropylene mesh which ensures that the hernia is covered from above, centre, and below. 3D mesh repair supports the damaged tissue around the hernias as it heals.

During the procedure, surgeons place the mesh surrounding the hernia and attach them at the site with the help of stitches, staples or glue. This way, the pores in the mesh allow the tissue to grow into the device, securing the hernia and strengthening the hernia repair.  Hospitals in Gurgaon use hernia mesh for repairing in almost nine out of 10 surgeries.

Why choose a 3D Mesh Hernia treatment hospital in Gurgaon?

Gurgaon is considered to be a corporate hub, Its people are usually rich, or well-educated urban professionals who work for some of the biggest firms in the world. Corporate life makes the life of people more complex where they tend to choose unhealthy food and lifestyle habits increasing their likelihood to develop a hernia.

But, on one side where Gurgaon is considered to be a corporate hub, it also has numerous hospitals that can cater to all types of hernia by providing the most advanced treatment care for a hernia. One can choose from different types of treatment to a varied range of expenses to get the best hernia treatment. Not only the hospitals but the team of doctors in the Gurgaon hospitals are well experienced and can provide treatment best suited for you based on your exact needs.

Hospitals in Gurgaon are updated with the latest technology that offers advanced treatment options to the patients,   such as laser surgery, 3D mesh surgery, and reconstructive surgeries for a hernia.

3D mesh surgery for inguinal hernia repair

The 3D mesh surgery is preferred for the repair of an inguinal hernia. The procedure uses Polypropylene mesh to cover and repair the from above, below, and centre. It is an easy and quick method that repair hernia, providing relief and recovery faster.

3D mesh surgery for umbilical hernia repair

The 3D mesh surgery aims to repair the umbilicus, instead of removing it as other methods of treatment propose to do. This repair occurs from the anterior and posterior aspects. The procedure involves bringing the umbilicus to its original position and then repairing it, with a negligible recurrence rate. The 3D mesh surgery takes a short time and you can even go home on the same day.

Advantages of 3D Mesh Repair:

  • Minimal incision, a lesser number of stitches
  • Negligent chances of recurrence
  • Performed under local anesthesia
  • Faster discharge from hospital
  • Minimal recovery time
  • No risk of groin pain as stitches do not fix the mesh

Why opt for 3D mesh repair treatment in Gurgaon?

There are numerous hospitals or proctology clinics in Gurgaon which offer USFDA approved laser devices that are carefully handled and used by experts.

Gurgaon has various hernia removal surgery options, including the 3D mesh hernia removal technique. The advantages of this technique are more than other surgical procedures. Moreover, one should get treated from the hospitals in Gurgaon as they offer:

  • Cost-effective surgery
  • Post-operative care
  • Higher success rates
  • Painless surgery
  • Experienced doctors
  • Updated infrastructure
  • Proper instruments available
  • Detailed consultation with doctors
  • Pre and post-diet consultations

Summary

Talk to your doctor and know if, with your medical history, the 3D mesh repair surgery can be recommended. If yes, hospitals in Gurgaon can offer you the best treatment in this technique.

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HEALTH

The Best Bread for an Alkaline Diet

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The Best Bread for an Alkaline Diet

If you plan to try a vegan diet or already take such a menu, you should have heard about the alkaline diet. Simply, the diet is designed with high-alkalized stuff.

A very common misconception goes that you have to cut many substances from your menu if you follow alkaline foodstuffs. Though the alkaline menu is restricted, you can still enjoy your favorite foods in a tricky way.

Bread is a regular meal we take in the breakfast that has plenty of high pH ingredients. We are going to share the best bread for an alkaline diet you can prepare at home. For a more alkaline diet, you can check this out as well.

What is Alkaline Diet?

Honduran herbalist Alfredo Bowman, also called Dr. Sebi, introduced some high pH recipes. These diets are also called acid-alkaline meals.

In this diet, you are restricted to avoid a number of listed foods like wheat, coffee, beef, sugary foods, pasta etc.

Alkaline ash menus claimed to have natural protection against several maladies. Our bodies burn foods to generate calories to provide us with strength. After burning the consumed foods, our body keeps the acidic wastes inside.

The goal of alkaline food is to maintain a balanced acidic degree in the human body.

Making the Alkaline Electric Spelt Bread

This alkaline bread recipe is the best alternative to the regular bread. You can prepare this feast following these steps.

Ingredients:

Spelt flour, grape seed oil, agave, sparkling spring water, sea salt and sesame seeds.

For mixing and preparing, you need a dough hook mixer and a loaf pan.

Process:

  • Take four cups of spelt flour and 2 tablespoons of sea salt. Put them into the mixer machine and mix for about ten seconds.
  • Add ¼ cup of agave and continue the blending.
  • Make a light layer of grapeseed oil on the dough hook and continue the mixing. You need to add one cup of sparkling spring water at a time to mix the ingredient well.
  • If the flour spread around the edge of the bowl, abrade them to the mixer and blend again with a moderate speed for around five minutes.
  • If the dough seems sticky, add about a half cup of spelt flour again or as required.
  • Now cover a loaf pan lightly with oil and put the dough into it. Place the lid and wait for an hour.
  • Heat your oven before baking to 350 degrees Fahrenheit (176°C). Now, bake it for fifty minutes to one hour.
  • Now make it cool properly before eating.

Alkaline electric Spelt bread is a quite healthy and low acidic meal. You can replace your regular bread with this dish completely. Each ingredient used to prepare this acid-alkaline food is rich in the required minerals and antioxidants for our bodies.

If you have a chronic disease like diabetes or high blood pressure, this can be a suggested physical wellness recipe. However, if you want to regularly consider this diet, consult with an experienced physician for a better outcome.

 

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