Dr.Ingole, what are the symptoms related to RHD per se? However in this case first you can prescribe Streptococcin 30, 1 dose then the medicine which seems indicated. In my practice first I prescribe one medicine out of Galanthus nivalis, Iberis, Strophanthus, Cactus,Arsenic alb, Naja. & after the subside of acuteness prescribe the CONSTITUTIONAL medicine. Here I think you can think Nux or Sulphar as a constitutional medicine. Thanks.
Sir she has dry skin,so need snehan karm,internaly via ghrita,externaly sarwanga snehan and swedan for7- 10 days atleast, Kumkumadi tail for daily application, Avipattikar churna 1/2 tsp bd after food For hair u can advice takra dhara,and leach therepy is also vry effective in this type of case.
Syphilinum 1M single dose every 15 days mezerium 30 daily single dose
Sir it may be case of telogen effluvium also related to d diifuse alopecia and also wd d premature graying hair. Telogen effluvium generally cause by- Child birth Abortion Surgical operations Mental stress Antihypertensive drugs Antithyroid drugs Nutritional deficiency Anemia Severe general illness Oral contraceptives drugs Hypothyroidism , hyperthyrodism Hormone therepy And Premature gray hair cause by herridatory factor. Tt. Suggest d supplement diet wd protein, iron and bcomplex also. Also Suggest d Avoid unusual stress, Take healthy food , busy in daily activity, yoga... If pt will not ok after d treatment. So sir ji u can refer d psychiatrist.
Sulphur -1M single doge and wait.
Sulphur 1M one dose . LYCOPODIUM 30 twice daily .
How abt her thyroid profile?? Hypothyroidism chances..
Sir I think Lachesis is the best remady
firstly graying of hairs is normal after 30 yrs of age so now she need treatment to stop further graying becz treatmnt for graying hair is preventive rather than curative. 2ndy loss of hair on vertex looks like Alopecia patch so treatment first to chek patch is active or nt then accordingly then prescrib ....
Sir ,Takradhara with nalparadi kashaya can give results for skin and to an extent phsychological level. Add supportive internal medicines
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20 yr old male, h/o itching scalp and hairfall. No itching now. Acute hair fall of about 50per day since a week on changing shampoo. What advice to be given?Dr. Kavya Chikkanna7 Likes18 Answers
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2and half year girl has complaints of hair loss over scalp and eyelashes since one month. she is also having complaints of weight loss. kindly guide in this caseDr. Minesh Bhikadiya6 Likes30 Answers
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#HolisticMedicine #CCAUpdates All you need to know about Alopecia (hairloss) Most people normally shed 50 to 100 hairs a day. This usually doesn't cause noticeable thinning of scalp hair because new hair is growing in at the same time. Hair loss, baldness or alopecia occurs when this cycle of hair growth and shedding is disrupted or when the hair follicle is destroyed and replaced with scar tissue. The exact cause of hair loss may not be fully understood, but it's usually related to one or more of the following factors: Family history (heredity), especially for male-pattern baldness Hormonal changes (e.g. pregnancy, childbirth or the onset of menopause) Certain medical conditions (e.g. thyroid disorders, diabetes, anemia, Systemic Lupus Erythematosus (SLE), sarcoidosis with skin involvement, and some local conditions such as tinea infection of scalp, lichen planus, and Trichotillomania (a disorder causes people to repeatedly pull out their own hair)) Certain treatment (e.g. cancer treatment (chemotherapy and radiation therapy), blood thinners, high dose vitamin A, drug for arthritis, depression, heart problems and high blood pressure, birth control pills and anabolic steroids (steroids taken to build muscle and improve athletic performance)) Severe emotional and physical stress Nutritional deficiencies (not enough protein or iron, eating disorder such as anorexia and bulimia, and weigh lost) Androgenetic alopecia: Androgenetic alopecia is the most common type of progressive hair loss. It is also known as male-pattern baldness, female-pattern baldness, or just common baldness. Androgenetic alopecia is caused by a combination of genetic and hormonal factors. Dihydrotestosterone (DHT) is the main hormone responsible for androgenetic alopecia in genetically susceptible individuals. DHT causes scalp hair loss by inducing a change in the hair follicles on the scalp. The hairs produced by the affected follicles become progressively smaller in diameter, shorter in length and lighter in colour until eventually the follicles shrink completely and stop producing hair. Male-pattern baldness can begin as early as puberty, and affects around half of all men by 50 years of age. It generally follows a pattern of a receding hairline, followed by thinning of the hair on the crown and temples, resulting in partial or complete baldness. In female-pattern baldness, hair usually only thins on top of the head. It tends to be more noticeable in women who have been through the menopause. Besides Androgenetic alopecia, there are other forms of hair loss such as Alopecia Areata (AA), Telogen Effluvium (TE). Alopecia areata: Alopecia areata most frequently presents as a single round patch (about the size of a large coin) or multiple patches of hair loss that may coalesce into larger areas of alopecia. They usually appear on the scalp but can occur anywhere on the body. It can occur at any age, but mostly affects teenagers and young adults. In alopecia areata, hair is lost because it is affected by inflammation. The cause of this inflammation is unknown but it is thought that the immune system, the natural defence which normally protects the body from infections and other diseases, may attack the growing hair. Why this might happen is not fully understood, nor is it known why only localised areas are affected and why the hair usually regrows again. Telogen effluvium In telogen effluvium (TE), hair density decreases resulting in reduced volume of hair. The decrease of hair density is due to marked increase in hairs shed each day, an increased proportion of hairs shift from the growing phase (anagen) to the shedding phase (telogen). Normally only 10% of the scalp hair is in the telogen phase, but in telogen effluvium this increases to 30% or more. The cause of TE is due to a disturbance of the normal hair cycle. Common triggers of telogen effluvium include childbirth, severe trauma or illness, a stressful or major life event (such as losing a loved one), marked weight loss and extreme dieting, a severe skin problem affecting the scalp, a new medication or withdrawal of a hormone treatment Many cases of hair loss are temporary; while some hair loss is permanent. Some are natural part of ageing and do not need treatment; some are part of the process of medical conditions which will resolve as the medical conditions are treated; whereas for some conditions, treatment are available. Hair loss can have an emotional impact, so you may want to look at treatment if you're uncomfortable with your appearance. The goals of treatment are to promote hair growth, slow hair loss or hide hair loss. Drug treatments for some types of hair loss are available. For telogen effluvium it usually resolves completely without any intervention, as the normal length of telogen is approximately 100 days (3 to 6 months) after which period the hair starts growing again (anagen phase). For alopecia areata hair may regrow without treatment within a year. There is drug for treating alopecia areata e.g. corticosteroid, it is used for reducing inflammation and suppress immune system. For androgenic alopecia, drugs treatments are available. In addition to drug treatment there are other available treatments such as surgery, laser therapy, and wigs. Your doctor may suggest a combination of these approaches in order to get the best results. *Drugs for Androgenetic Alopecia: Two medicines, namely finasteride and minoxidil, are used in the treatment of male-pattern baldness. Minoxidil is currently the only medicine available to treat female-pattern baldness. Finasteride is available as oral tablets which are only used for men. It works by preventing the hormone testosterone being converted to the hormone dihydrotestosterone (DHT). DHT causes the hair follicles to shrink, so blocking its production allows the hair follicles to regain their normal size. It usually takes three to six months of continuously using finasteride before any effect is seen. The balding process usually resumes within six to twelve months if treatment is stopped. Minoxidil is available as topical preparations (e.g. topical solution/lotion, and foam) which may be used for men and women. It is applied directly to the scalp. It's not clear how minoxidil works. It usually needs to be used for several months before any effect is seen. The balding process will usually resume if treatment with minoxidil is stopped. The re-grown hair may fall out three to four months after treatment is stopped. Finasteride tablets are prescription only medicines, whereas topical preparations containing not more than 5% of minoxidil are pharmacy only medicines. It is important to seek dermatologist's opinion or medical advice to identify any underlying causes before starting any treatment. *Drugs for Alopecia Areata: Although there is neither a cure for alopecia areata nor drugs approved for its treatment, some people find that medications approved for other purposes can help hair grow back, at least temporarily. Intralesional corticosteroids stimulate hair regrowth at the site of injection and may be of benefit for limited patchy hair loss. Side effect of intralesional corticosteroid injection includes increased risk of infection, headache, joint pain and injection site reaction. Oral pulsed or continuous corticosteroids may be used in severe progressive cases. Both intralesional and oral corticosteroid are prescription only medicines. *Drugs for Alopecia, common side effects and precautions 1. Finasteride (oral) side effects: impotence decreased libido ejaculation disorders breast tenderness and enlargement testicular pain Precautions: Use with caution in hepatic impairment. Patients should be evaluated for prostatic carcinoma before and during therapy. Contra-indicated in women who are or may become pregnant. Women who are or may become pregnant should avoid handling crushed or broken tablets of finasteride. Use of a condom is recommended if sexual partner is pregnant or likely to become pregnant. Cases of male breast cancer have been reported. May increase the risk of high-grade prostate cancer. 2. Minoxidil (topical) side effects: contact dermatitis itching local burning flushing changes in hair colour or texture headache Precautions: Should be restricted to the scalp. Do not apply on other parts of the body. Avoid contact with eyes, mouth and mucous membranes, broken, infected, shaved, or inflamed skin. Avoid inhalation of spray mist when spray applicator is used. Avoid occlusive dressings and topical drugs which enhance absorption. Discontinue if increased hair loss persists for more than 2 weeks. Users should discontinue treatment if there is no improvement after one year. Avoid in pregnancy and lactation. Contraindicated in user with treated or untreated hypertension. General advice: * Eat a nutritionally balanced diet. If you are otherwise well-nourished, taking nutritional supplements has not been shown to be helpful. * Avoid tight hairstyles, such as braids, buns or ponytails. * Avoid compulsively twisting, rubbing or pulling your hair. * Treat your hair gently when washing and brushing. A wide-toothed comb may help prevent pulling out hair. * Avoid harsh treatments such as hot rollers, curling irons, hot oil treatments and permanents.Sushmita Haodijam7 Likes7 Answers
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a 11 years girl complaint of loss of hair from eye brow without any other symptoms please suggest investigation, diagnosis, and treatment...Dr. Satyesh Solanki0 Like18 Answers
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Patient developed this lesion on the scalp over 2 months, itchy scalp with loss of hair. 1. Give the diagnosis and give your supporting reasons. 2. Differential diagnosis 3. Treatment.Dr. Avitus John Raakesh Prasad3 Likes31 Answers