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31yr Male cement worker presenting with swelling and pain of both feet and DIP joints in hands since 2yr,pedal edema subside during night and gradually appear during day time, also have decreased temp. sensation on both hands and tingling sensation after cold bath. He also complains of having mild itching skin lesions on multiple sides and loss of wt...D/d, investigations, treatment.Dr. Manoranjan Meher2 Likes25 Answers
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Friends today I am discusing about Piles (Hemorrhoids) . Homeopathic medicine for piles Piles or hemorrhoids refer to swollen, dilated, engorged veins in and around the anus. In this condition, the veins around the anus or lower rectum become swollen and inflamed. Hemorrhoids are a problem in both men and women. Homeopathy medicine for piles is prescribed according to individual symptoms to treat the condition on a long-term basis. The leading causes of piles include a sedentary lifestyle, prolonged sitting, chronic constipation, chronic diarrhea, low fiber content in the diet, excessive use of alcohol, obesity and increased straining during defecation. Pregnancy and genetics also play an essential role in the development of piles. The top homeopathic medicines for piles are Aloe Socotrina, Muriatic Acid, Ratanhia Peruviana, Hamamelis and Collinsonia Canadensis. Why Choose Homeopathy for Treatment of Piles? Conventional treatment for piles involves the use of medicines that make the condition more manageable but do not help treat it. These medicines offer temporary relief from the symptoms, and continuous use is often necessary. Over-the-counter (OTC) medications for piles include ointments, pads, creams and, painkillers. In case of grade 4 piles (or hemorrhoids) cases, surgery is the only option given to most people. Homeopathy offers comprehensive treatment options that help treat the condition and ease the symptoms of piles. Some significant benefits of homeopathy regarding piles/hemorrhoids treatment include: 1. No Side-Effects Homeopathy does not cause any side effects because of these are made of natural substances that are highly diluted. Over-the-counter remedies for piles only help relieve the symptoms, and certain side-effects come with their usage. For example, creams containing corticosteroids are recommended for reducing pain and inflammation for piles, but prolonged usage of these cause skin reactions, increased sweating and growth of body hair, inflammation of hair follicles and increased vulnerability to infections. 2. Natural Remedies to Treat Piles As an ancient 200-year-old medical science, homeopathy uses cures found in nature that help restore the natural healing processes of the body. Homeopathy treatment for piles involves a comprehensive treatment plan that works in harmony with the system. In conventional treatment, use of stimulant laxatives to relieve constipation as a result of piles may cause side effects like abdominal cramps, bloating, rectal irritation, weakness and, pain. 3. Holistic Approach to Treat Piles Homeopathy aims to treat the problem internally, by understanding the cause of different symptoms instead of suppressing them. OTC drugs, ointments and other symptom-relieving options only provide temporary relief. Out of ten people, at least one person is recommended for a piles-related surgery. This invasive treatment has a host of complications, like difficulty passing stools and urinary tract infections post-surgery. Surgeries like hemorrhoid stapling may cause complications like rectal prolapse (part of the rectum pushes out of the anus) and hemorrhoid recurrence. 4. 4. Individual Treatment Homeopathy works by analyzing the individual symptoms of the disease in a person. There is no blanket treatment provided for a particular illness since every individual is treated according to their specific symptoms. For example, for a person dealing with piles with painful defecation, the medicine Muriatic Acid is prescribed. In case a person suffering from piles complains of bleeding along with stools, the medicine Hamamelis Virginiana is prescribed. 5. Simple and Effective A single dose of the correct medicine can help relieve the symptoms and also treat piles to a large degree. By restoring the internal processes of the body, these medications help address the condition naturally and effectively. Invasive procedures like surgery can be held-off with the help of homeopathy. 6. These are Safe Medicines for piles treat the problem by reducing the engorgement of blood in the rectal veins as well as improving blood circulation. Unlike conventional drugs for piles that are usually not recommended to be taken for more than seven days in a row, these medicines are taken in small doses over a continuous period. This helps improve the efficacy of the natural substances in the medicines, which in turn thereby helping reduce the severity of the symptoms and treats the problem on a long-term basis. Homeopathic Medicines for Piles Depending on the grade, severity, and symptoms of piles, different medicines are recommended to decrease the severity of the symptoms and treat the condition on a long-term basis. 1. For External Piles Aloe Socotrina is a medicine used to treat for external piles that are sore and tender. Sharp or burning pain in the rectum and a constant feeling of bearing down in the rectum may be felt. Application of a cold compress may help relieve the pain or burning sensation. This medicine is also used to treat anal fistulas. 2. For Painful/Protruding Piles Muriatic Acid is a medicine used to treat conditions of piles that are intensely painful, sore and protrude outside the anus. The hemorrhoids are very swollen and look bluish. The pain may get worse while passing stools. Stitching pain that gets worse on touch is present, and it gets better from warm-washing. This medicine is also used to treat cases where the soreness in the hemorrhoids worsens during menses in females. 3. For Piles with Burning Sensation Ratanhia Peruviana is a medicine used to treat piles where a burning sensation after defecation is present in the rectum. The person may have to strain to pass stool. Knife-like stitching pains in the anus or the feeling of a sharp splinter of glass in the rectum may be present. 4. For Piles with Bleeding Hamamelis Virginiana is a medicine used to treat piles with profuse bleeding. Weakness due to bleeding, soreness at the anus, hard stool and anal-itching are other symptoms that indicate the need for this medicine. 5. For Piles with Constipation Collinsonia Canadensis is a medicine used to treat piles accompanied by constipation. The stool in such cases is lumpy, dry and is passed with a lot of strain. Other symptoms include aching and burning at the anus, a sensation of sharp sticks in the rectum, anal-itching and a constricted sensation in the anus. 6. For Piles with Shooting Pain Aesculus Hippocastanum is a medicine used to treat piles with sharp, shooting pains where the stools are knotty, dry and hard. This medicine is used to treat external, blind and bleeding piles. 7. For Blind Piles Nux Vomica is a medicine used to treat blind piles where there is pronounced burning and itching around the anus. A constant desire to pass stools may be there, but constipation and passing of scanty stool is the main symptom. Pulsatilla Nigricans is a medicine used to treat blind piles with a cutting, sticking or burning pain. The pain gets worse during lying down. Itching in piles and constipation with a backache and pressure in the rectum is another symptom. 8. For Piles caused by Childbirth Sepia Succus is the medicine used to treat piles that develop after the delivery of a child. It is also used in cases of constipation where the stools are very hard. Kali Carb is a medicine used to treat piles in females that develop post childbirth. The piles are extremely tender to touch. There may be stitching, smarting, pricking and tingling sensation at the anus along with sharp pain. Constipation lasting for days along with hard stool, and white mucus after bleeding from piles may also be present. 9. For Piles and Anal Fistula Silicea is a medicine used to treat piles and anal fistula. The piles tend to protrude during the passage of stool. The stool is hard and tends to recede into rectum several times during defecation. Burning in anus after passing hard stools, and a foul-smelling discharge of pus or serum from the anal fistula may also be present. 10. For piles with Chronic Diarrhea Merc Sol is a medicine used to treat piles in people suffering from diarrhea. There is an urge to pass stool, more frequently during the night. The stools in most cases smell sour and are undigested bits of food. Burning at the anus while passing stools, protrusion of piles during defecation, exhaustion, and chilliness with shivering and a feeling of nausea is also present. 11. For Piles Protruding during Urination Baryta Carb is a medicine used to treat piles which protrude during urination. Other symptoms that indicate the need for this medicine include an urgent need to pass stools, and an itching, burning, soreness and shooting pain in piles. 12. For Piles Protruding during Cough/Sneeze Lachesis Muta is a medicine used to treat piles that protrude during a cough or sneeze. In most cases, a stitching pain and a throbbing sensation in the piles is present. Piles in females during menopause are also treated with this medicine. 13. For Piles during Pregnancy Sepia Succus is a medicine used to treat piles that develop during pregnancy in females. The piles may be bleeding or non-bleeding, and a protrusion of piles during stool occurs. Itching at the anus and rectum, constipation and the presence of hard and large stools also indicate the need for this medicine. 14. For Piles during Menses Ammonium Carb is a medicine used to treat piles that get worse during the menses in a female. The piles tend to bleed during menses, and the affected person feels better upon lying down. 15. For Piles with Rectal Prolapse Lycopodium Clavatum is a medicine used to treat piles in cases where there is a rectal prolapse. The piles may be swollen and painful, and the pain gets worse upon touching and sitting. Chronic constipation with a scanty stool, painful constriction at the anus and excessive flatulence and bloating in the abdomen may also be present. 16. For Internal Piles Phosphorus is a medicine used to treat internal piles where there is bleeding during stool. Excessive exhaustion, an urgent need to empty bowels and rectal tenesmus (desire to evacuate the bowels) are some other symptoms. 17. For Large, Swollen Piles Causticum is a medicine used to treat large, swollen piles that hinder the passage of stool from the anus. The person needs to pass stool by straining hard in a standing position. The piles are hard, painful and constant and get worse upon sitting, standing and walking. There may be a pressing and sticking pain in the anus along with a burning, stinging sensation. 18. For Piles and Anal Fissure Nitricum Acidum is a medicine used to treat piles and anal fissure when there are tearing pains in the anus while passing stools. The stool can be hard or soft but is passed with difficulty and may also bleed. There may be splinter-like pains in the anus. 19. For Itching Piles Sulphur is a medicine used to treat piles when there is a soreness and tenderness at the anus along with a hard, knotty stool. Weakness after passing stool, excessive rectal pain, and a biting sensation at the anus that gets better upon lying down are some other symptoms that indicate the need for this medicine. 20. For Piles with Pain after Stool Sedum Acre is a medicine used to treat painful piles that feel worse after a few hours of passing stool. In a majority of cases, the pain is constricting. Sedum Acre is also useful for treatment of anal fissure with pain that worsens a few hours after passing stool. For Piles that get Worse during Sitting Graphites Naturalis is a medicine used to treat painful piles that get worse during sitting. Cutting pains and swelling with cracks at the anus are present. The stool tends to be hard, knotty and scanty. The Different Types of Piles Piles are of different types, classified according to their location and whether they bleed or not. External piles, internal piles, protruding/prolapsed piles and blind piles are the most common types. External piles are present on the skin around the anus and can be seen or felt from the outside. The main symptoms of external piles include painful swelling and hard lumps around the anus. If these hemorrhoids get irritated, they may cause itching or bleeding. Internal piles lie deep inside the rectum and cannot be felt or seen from the outside. They are mostly painless since there are no pain receptors in the region where they tend to appear. The only symptom of internal piles is bleeding through the anus while straining during a motion of the stools. Protruding or prolapsed piles are hemorrhoids that get pushed out towards the anus when a strain is applied to pass stools. They look like pink, moist pads of skin. Prolapsed or protruding hemorrhoids tend to hurt since the anus area is dense with pain-sensitive nerves. The typical symptoms of hemorrhoids are mucus discharge, itching, and pain. Blind Piles are those hemorrhoids that do not bleed. They feel like protruding masses, usually detectable after passing stools, at the opening of the anus. The Different Grades of Piles according to Severity Piles can also be classified into grades, according to their severity. Grade 1 piles are small inflammations that are usually found inside the lining of the anus and are not visible. Grade 2 piles are larger than the grade 1 piles, but they too remain inside the anus. These protrude outside the anus while passing stools and go back into the rectum after defecation. Grade 3 piles protrude during defecation and need to be manually pushed back inside the anus. Grade 4 piles are a severe case. These cannot be pushed back inside and need immediate medical attention. Causes and Risk Factors of Piles Primarily, the swollen veins that are seen in piles develop due to increased pressure in the rectum. This pressure may cause disintegration of the tissues supporting the anal walls, leading to hemorrhoids. Various factors contribute to causing this kind of pressure: Irregular Bowel Movements Factors like constipation, straining to pass stools, overuse of edemas or laxatives, chronic diarrhea, spending too much time on the toilet add to the strain on the rectum and anus, leading to the development of piles. Diet Lack of a fiber-rich diet, low water intake, excessive intake of alcohol, consumption of over-spicy food and junk food also contribute towards this condition. Pregnancy There is increased pressure on the abdomen and pelvic area during pregnancy, which is a leading cause of piles during pregnancy. In some cases, hemorrhoids develop as a result of childbirth due to the excessive pressure on the rectum and anus. Age and Heredity Other factors like age and heredity can contribute towards the development of piles due to the weakening of the tissues supporting the rectum and anus. Portal Hypertension Portal hypertension refers to a condition where there is an increase in the blood pressure within the veins of the portal venous system. The veins coming from the spleen, stomach, pancreas, and intestines merge into the portal vein, which travels through the liver. In case of any complication due to which blood cannot flow properly through the liver, a high pressure develops in the portal system. This pressure can cause the development of large, swollen veins in the stomach, esophagus, and rectum. As a result, hemorrhoids may develop in the anal area. Symptoms of Piles Pain in the rectal region is one of the first signs of piles. Pain experienced while passing stools, painful lumps in or around the anal area, swelling and blood in the stools are the most common symptoms of piles. A small mass of skin may protrude out of the anus upon defecation. The area around the anus may feel sore, red and itchy. In some cases, a feeling of fullness may remain, despite having passed stools. Larger piles can cause discomfort in the form of pain, itching, and mucus discharge. All these symptoms need a clinical diagnosis to rule out the presence of any other rectal problems. A visual rectal examination, anoscopy, and colonoscopy may be required. Piles or hemorrhoids can sometimes lead to further complication escalate into a more severe condition. These include excessive anal bleeding that may lead to anemia, incontinence, anal fistulas, and infections or clots within the hemorrhoids. Q. I am passing blood with stools, is it indicative of piles? Bleeding with stool is one of the primary symptoms of piles. However, blood in the stool may appear from many other conditions like anal fissures and severe conditions like ulcerative colitis or any malignancy of the GIT. Further investigation by a physician may be required to determine the exact cause of bleeding. Q. Is anal itching indicative of piles? While anal itching is one of the symptoms of piles, it may also be present due to other conditions like worm infestation, anal fissures, anal fistula or a skin complaint around the anal area. Other symptoms like painful defecation, bleeding with stools, burning/soreness at the anus or swelling are also indicative of piles. A physical examination of the anal region may be required to pinpoint the exact problem. Q. If I feel a mass protruding out of the rectum while passing stools, is it piles? A mass protruding from rectum while passing stools can be indicative of two conditions – piles and rectal prolapse. A rectal examination is required to know the exact cause. Q. I have piles with excessive swelling around the anus and painful defecation. Will applying ointments solve my problem? Ointments may help in temporarily reducing the discomfort and soothe the symptoms of piles. To cure piles, a proper treatment that helps reduce the engorgement of the rectal veins and ensures adequate blood circulation in the veins is required. Q. I am suffering from piles with constipation; can I take a laxative? A laxative is a short-term solution for the management of constipation, but proper treatment is required for long-term treatment to improve the bowel motility and reduce engorgement of blood in the rectal veins. Q. Can I avoid piles surgery with the help of medicines? Yes, natural medicines work to stimulate the internal healing processes of the body, and with long-term use, they can help manage piles without surgery. It should be noted that the results vary from case to case, depending upon the severity of the problem. Q. For how long do I need to take medicines to treat piles? The length of treatment for piles depends upon the duration of the symptoms, their intensity, and how quickly a person responds to personalized medicines. The treatment period can range from a few weeks to a few months. Q. Is surgery a permanent solution for piles or do piles recur after surgery? Surgery for piles is not a permanent solution since in most cases, chances of recurrence are high. It does not treat the cause behind piles. For a permanent solution, the cause of increased rectal pressure and poor blood circulation in the rectal veins needs to be identified and treated. Managing Piles in Everyday Life Foods that Help Treat Piles High-fiber foods like figs, flaxseeds, quinoa, beans, lentils and fresh fruits and vegetables help keep the system healthy and aid in maintaining proper bowel movements. Fresh plant-based food eaten with the skin intact provides a decent amount of fiber. Some also contain a lot of water; watermelons, celery, and cucumbers are made up of almost 90% water. The aim is to ensure that the stools do not become hard and constipation is avoided. Clinical research shows that in case of non-prolapsing hemorrhoids, taking a fiber supplement helped reduce the risk of persisting symptoms and bleeding by almost 50%. Foods to Avoid During Piles Foods with little or no fiber can cause constipation, or worsen the condition, indirectly leading to hemorrhoids. Foods like milk, cheese, and other dairy products should be avoided, as should meat, processed and frozen food. Alcohol, caffeine, excessive salt and spicy food can also worsen the condition. Certain supplements like Iron can lead to digestive problems and should only be taken on the recommendation of a doctor. Staying Hydrated to Prevent Dehydration Dehydration leads to constipation because water is required for the fiber to be able to travel smoothly through the digestive tract. Dehydration and constipation can worsen the symptoms of hemorrhoids. Eating water-based fruits and ensuring an adequate amount of water intake are simple measures to prevent dehydration. homeopathic piles exercisePracticing Healthy Toilet Habits It is essential to understand that the toilet habits practiced on an everyday basis are directly linked to piles. Over-straining during defecation can increase the pressure on the hemorrhoids and worsen the condition. An urge to pass stool should not be ignored, since delaying it can cause the stool to harden. Regular physical activity, consumption of adequate amounts of water and fiber and healthy toilet habits can help prevent constipation naturally, and stop the hemorrhoids from getting worse. For those who like to sit and browse their phone on the toilet – prolonged sitting on the toilet causes unnecessary strain on the body and can make the condition worse. It is important to clean up properly after defecation to prevent infections and worsening of the condition. Cleaning should be done gently, not roughly. A warm bath where the person sits in warm water for 10-15 minutes can help relieve itching, burning and aching, while also cleaning the area. Apart from these, factors like obesity and chronic digestive issues also play an important role. Simple lifestyle modifications can help a lot, and regular exercise is key in weight management and maintaining a healthy bowel movement. A holistic approach towards piles can help manage and treat the condition naturally. A physician can identify the underlying causes of the symptoms of piles and help a person transition into natural, safe treatment options with adequate lifestyle changes to treat the problem.Dr. Rajesh Gupta17 Likes15 Answers
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Rheumatoid Arthritis it's an auto-immune disease that causes inflammation of the joints. This inflammation is chronic in nature and does not subside on its own. It causes destruction of the joint tissues Rheumatoid Arthritis or RA tends to occur more commonly after 40 years of age. This does not mean that it cannot occur in younger patients but it is more commonly seen in patients who are above 40. Similarly, more women are affected than men though the reason for the same is also not known. Symptoms of Rheumatoid Arthritis . CAUSES . Rheumatoid Arthritis is caused when the immune system of the body starts giving an abnormal response. The immunity of the body is meant to defend the body from external harmful agents. Such agentsmay be infectious like bacteria or virus or any microbe. In some cases, the immune system of the body starts attacking one’s own body instead of defending it. The immunity of the body attacks the joints and the synovial membranes lining the joints. Over a period of time, the cartilage of the joint is destroyed. Even the bone is damaged. The ligaments and tendons become weak and are unable to bear the weight of the body or undertake normal daily activities. Although the exact reason is still unknown, the following factors have been noted-Women are more prone to have Rheumatoid Arthritis. Family history of having RA increases your chances of having RA Smoking also increases your chances of having RA Obesity can be another factor when it comes to the chances of having Rheumatoid Arthritis . SOME OF FOLLOWING HOMOEOPATHIC REMEDIES WHICH HAS BEST RESULTS ARE. 1. Causticum- Causticum is one of the best Homeopathic remedies for Rheumatoid Arthritis where there are deformities in the joints. The patient tends to get weak over a period of time, with muscles losing their strength gradually but surely. The patient tends to be restless at night with the restlesness being centred more on the legs than any other part of the body. There may be contractions in the tendons causing severe pain and deformities. The pains are usually tearing and drawing in nature. In some cases, burning pains are also found. There is numbness and loss of sensation in the hands and other parts of the body. The muscles of the forearm and hands become weak and make it difficult to grip anything firmly. The ankles seem to be weak and cannot bear the weight of the body causingpain while walking. The gait may be unsteady and one even tends to fall while walking. The pains are better by warmth and more so from the warmth of bed. 2. Caulophyllum. another very good Homeopathic medicine for Rheumatoid Arthritis, is primarily a woman’s remedy, which means that the symptoms pointing to its use are found more commonly in women. It affects the small joints much more as compared to the larger joints of the limbs. Therefore, it is more useful for the Rheumatoid Arthritis of the fingers of the hand and toes of the foot. The pains are erratic or flying in nature ie they change their position every now and then, in a matter of minutes. The patient feels pain in the right hand for some time and afterwards the pain gets better on its own but the pain starts to affect the left hand;then the pain in the left hand stops and shifts to a foot. The pain is severe and drawing in nature. The wrist joints ache andthere is cutting pain on closing the hand. 3. Colchicum. Colchicum has been the mainstay of the treatment, when it comes to Homeopathic remedies for Rheumatoid Arthritis and rightly so. It is more suited to the chronic rheumatic states. It tends to affect all tissues like periosteum, synovial membranesand muscular tissues too. The parts tend to be inflamed as is evident from the redness,heat and swelling of the concerned parts. The pains are tearing in character and get worse in the evening and at night. The patient cannot afford to get the joints touched, so much is the sensitivity. There may be a feeling of pins and needles in the hands and fingers. The tips of the fingers may be numb. There is stiffness in the joints and feel warm or feverish. The patient feels a sense of tingling in the finger nails. The problems tend to get aggravated in the warm weather. 4. Ledum Pal. The defining characteristic of Ledum in thetreatment of Rheumatic Arthritis is that the rheumatism begins in the feet and later on spreads upwards to other joints of the body. The other important distinguishing characteristic of this remedy is that the patient feels cold and chilly but still cannot tolerate warmth of his bed. The small joints of the foot are more commonly affected with shooting pains. The ankle may be swollen and so may be the great toe. The pains are worse at night and better from cold or putting the feet in cold water. 5. Bryonia- another wonderful homeopathic remedy for rheumatoid arthritis, affects almost all joints and the serous membranes of the joints causing swelling and pain. The defining characteristic of this medicine happens to be the pains that it causes. The pains are stitching in nature and are aggravated by motin of any and every kind while the patient feels better when at rest.The joints are red and swollen with tearing and stitching pains. The patient feels worsein warmth and in warm weather and is better by lying on the painful side or by pressure and by cold. THANK YOU.Dr. Akshay Ingole6 Likes16 Answers
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Herpes Herpes is an infection caused by HSV (herpes simplex virus). This virus affects the external genitalia, anal region, mucosal surfaces, and skin in other parts of the body. Herpes is a long-term condition. However, many people never have symptoms even though they are carrying the virus. The herpes simplex virus, also known as HSV, is an infection that causes herpes. ￼ Structure of Herpes simplex virus Types of Herpes There are two types of the herpes simplex virus. HSV-1: Also known as oral herpes, this type can cause cold sores and fever blisters around the mouth and on the face. ￼ HSV-2: This type is generally responsible for genital herpes outbreaks. ￼ Stages of Herpes infection Primary stage This stage usually starts 2 to 8 days after you’re infected, but it can take much longer to begin. Usually, the infection causes groups of small, painful blisters. The fluid in the blisters may be clear or cloudy. The area under the blisters will be red. The blisters break open so easily that they quickly become open sores. You may not ever notice the blisters. Besides having tender blisters or sores in your genital area, it may hurt to urinate. You may run a fever, feel achy and have other flu-like symptoms. While most people have a painful primary stage of infection, some don’t have any symptoms at all, and may not even know they’re infected. ￼ Latent stage During this stage, there are no blisters, sores or other symptoms. At this time, the virus is traveling from your skin into the nerves near your spine. Shedding stage In the shedding stage, the virus starts multiplying in the nerve endings. If the affected nerve endings are in areas of the body that make or are in contact with body fluids, the virus can get into those body fluids (such as saliva, semen or vaginal fluids). There are no symptoms during this stage, but the virus can be spread during this time. Historical Information The origin of herpes in human history is unknown but the Herpes Simplex was first documented by ancient Greeks as sores that seem to “creep” over the surfaces of skin. Vidal, 1873, first demonstrated the Herpes Simplex Virus to be infections caused by human inoculation. There is also evident speculation around two thousand years ago the Roman Emperor Tiberius attempted to curb an epidemic of herpes from the mouth by outlawing kissing during public ceremonies and rituals Prevalence of HSV- 1 and HSV- 2 HSV-1 Prevalence HSV-1 infection is very common. The World Health Organization estimates that 67 percent of all people in the world younger than 50 have HSV-1.In the United States, an estimated 54 percent of people between the ages of 14 and 49 have HSV-1.Most people with HSV-1 become infected during childhood or adolescence.Not everyone with HSV-1 gets cold sores or has symptoms. Many people with the virus don’t even know they’re infected. HSV-2 Prevalence HSV-2 is one of the most prevalent infections in the world. It is estimated that, in the United States, 40-60 million people are infected, with an incidence of 1-2 million infections and 600,000-800,000 new cases per year. The latest HSV-2 data published by the Centers for Disease Control and Prevention (CDC) at the National Sexually Transmitted Diseases Conference in 2010 in Atlanta indicated that the prevalence of HSV-2 is still high (16.2%), especially among black women, where rates may be as high as 48%. Global prevalence is higher in women compared to men, especially among young people8. There is a six times greater chance of herpes transmission from men to women compared with transmission from women to men. In developed countries, where the acquisition of HSV-1 in childhood has been reduced, HSV-2 seroprevalence has increased, suggesting a possible protective effect of HSV-1 against acquisition of HSV-2. Causes of herpes When HSV is present on the surface of the skin of an infected person, it can easily be passed on to someone else through the moist skin that lines the mouth, anus, and genitals. The virus may also spread to another individual through other areas of skin, as well as the eyes. A human cannot become infected with HSV by touching an object, work surface, washbasin, or towel that has been touched by an infected person. Infection can occur in the following ways: Having unprotected vaginal or anal sexHaving oral sex with a person who gets cold soresSharing sex toysHaving genital contact with an infected person The virus is most likely to be passed on just before the blister appears, when it is visible, and until the blister is completely healed. HSV can still be transmitted to another person when there are no signs of an outbreak, although it is less likely. If a mother with genital herpes has sores while giving birth, it is possible that the infection will be passed on to the baby. Who is at risk of developing herpes simplex infections? Anyone can be infected with HSV, regardless of age. Your risk is based almost entirely on exposure to the infection. In cases of sexually transmitted HSV, people are more at risk when they participate in risky sexual behavior without the use of protection, such as condoms. Other risk factors for HSV-2 include: Having multiple sex partnersHaving sex at a younger ageBeing femaleHaving another sexually transmitted infection (STI)Having a weakened immune system If a pregnant woman is having an outbreak of genital herpes at the time of childbirth, it can expose the baby to both types of HSV, and may put them at risk for serious complications. Signs and Symptoms of herpes simplex It is important to understand that someone may not have visible sores or symptoms and still be infected by the virus. And they may transmit the virus to others. Some of the symptoms associated with this virus include: Blistering sores (in the mouth or on the genitals)Pain during urination (genital herpes)Itching You may also experience symptoms that are similar to the flu. These symptoms can include: FeverSwollen lymph nodesHeadachesTirednessLack of appetite HSV can also spread to the eyes, causing a condition called herpes keratitis. This can cause symptoms such as eye pain, discharge, and a gritty feeling in the eye. Complications Herpes simplex in any patient with a seriously compromised immune system can cause serious and even life-threatening complications, including: PneumoniaInflammation of the esophagusEncephalitis (inflammation of the brain)Destruction of the adrenal glandsDisseminated herpes (spread of infection throughout the body)Liver damage, including hepatitisUrinary retention in women, especially with the first outbreak, is not uncommon. Some women need to use an indwelling catheter for a few days to a week. Potential effects of herpes in the newborn Herpes infection in a newborn can cause a range of symptoms, including skin rash, fevers, mouth sores, and eye infections. ￼ If left untreated, neonatal herpes is a very serious and even life-threatening condition. Neonatal herpes can spread to the brain and central nervous system causing encephalitis and meningitis and leading to mental retardation, cerebral palsy, and death. Herpes can also spread to internal organs, such as the liver and lungs. Infants infected with herpes are treated with acyclovir. It is important to treat babies quickly, before the infection spreads to the brain and other organs. Diagnosis Testing of a sample taken from the soreIf doctors suspect a brain infection, magnetic resonance imaging and a spinal tapHSV infection is usually easy for doctors to recognize. If unsure, doctors may use a swab to take a sample of material from the sore and send the swab to a laboratory to grow (culture) and identify the virus.Sometimes doctors examine material scraped from the blisters under a microscope. Although the virus itself cannot be seen, scrapings sometimes contain enlarged infected cells (giant cells) that are characteristic of infection by a herpes-type virus.Blood tests to identify antibodies to HSV can also be helpful. Certain blood tests can distinguish between HSV-1 infection and HSV-2 infection.If a brain infection is suspected, magnetic resonance imaging (MRI) of the brain and a spinal tap (lumbar puncture) to obtain a sample of cerebrospinal fluid may be done. What are the treatments for herpes? There are a variety of treatment options. These include: Home remedies Lightly salted baths can help alleviate the symptoms of herpes.Lightly salted baths can help alleviate the symptoms of herpes.Several home remedies can help, including:Taking painkillers, such as acetaminophen or ibuprofenBathing in lightly salted water helps relieve symptomsSoaking in a warm sitz bathApplying petroleum jelly to the affected areaAvoiding tight clothing around the affected areaWashing hands thoroughly, especially after touching the affected areaRefraining from sexual activity until symptoms have goneIf urinating is painful, apply some cream or lotion to the urethra, for example, lidocaineSome people find that using ice packs can help. Never apply ice directly to the skin, always wrap it in a cloth or towel first. Medication No drug can get rid of the herpes virus. Doctors may prescribe an antiviral, such as acyclovir, which prevents the virus from multiplying. Antiviral medications will help the outbreak clear up faster and will also help reduce the severity of symptoms.Doctors usually prescribe antivirals the first time a person has symptoms. As recurrent outbreaks are usually mild, treatment is not usually necessary. Episodic treatment and suppressive treatment Episodic treatment is generally for people who have less than six recurrences in 1 year. Doctors may prescribe a 5-day course of antivirals each time symptoms appear. Doctors prescribe suppressive treatment if a person experiences more than six recurrences in a year. In some cases, a doctor my recommend that the individual takes daily antiviral treatment indefinitely. The aim here is to prevent further recurrences. Although suppressive treatment significantly reduces the risk of passing HSV to a partner, there is still a risk. Other treatments For people who have minimal discomfort, the only treatment needed for recurring herpes of the lips or genitals is to keep the infected area clean by gentle washing with soap and water.Applying ice may be soothing and reduce swelling.Applying prescription or nonprescription topical anesthetics, such as tetracaine cream or benzocaine ointment, may help relieve pain.If the mouth contains many sores, the mouth can be rinsed with lidocaine, which should not be swallowed.Topical anesthetics should be used only about once every few hours. If used more often, these drugs can have harmful side effects.Pain relievers may be taken for pain. Prevention People should avoid activities and foods known to trigger recurrences. For example, they people with oral HSV infection should avoid exposure to sunlight as much as possible.Because HSV infection is contagious, people with infection of the lips should avoid kissing as soon as they feel the first tingling (or, if no tingling is felt, when a blister appears) until the sore has completely healed. They should not share a drinking glass and, if possible, should not touch their lips. They should also avoid oral sex.People with genital herpes should use condoms at all times. Even when there are no visible blisters and no symptoms, the virus may be present on the genitals and can be spread to sex partners.Vaccines for the prevention of HSV infections are being developedTalk with your doctor about taking herpes medication every day, which can lower your chances of spreading herpes.Don’t have sex during a herpes outbreak, even with a condom. There may be sores on places the condom doesn’t cover.Talk with your doctor about taking herpes medication every day, which can lower your chances of spreading herpes.Don’t have sex during a herpes outbreak, even with a condom. There may be sores on places the condom doesn’t coverDr. Shailendra Kawtikwar5 Likes27 Answers
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32year old man got calcaneal # on the same date he had treatment by a local prac. after that his ankle swollen and after one more days there was blisters without pain , tenderness GII, no finger movement, tingling sensation +. please u all give urs valuable suggestions regarding diagnosis and treatment.Dr. Rahul Pandey1 Like12 Answers