THYROID DISORDERS -EVERYTHING YOU SHOULD KNOW - by Dr Sunil kumar Dear friends and Curofians here's an brief information about thyroid disorders. Thyroid gland is a butterfly shaped gland in the front of the neck. It encircles the windpipe or the trachea. It is about 4 cms in height and weighs about 18 gms. This gland is responsible for the secretion of thyroid hormones. Hormones are chemicals produced by special glands like thyroid, adrenals, ovaries etc. They act as messengers and are carried by the blood to the various target organs. Thyroid disorders are conditions that affect the thyroid glands. It plays an important role in regulating numerous metabolic processes throughout the body. The Thyroid gland is located below the adam’s apple wrapped around the trachea. Thyroid disease is a common problem that can cause symptoms because of over- or under-function of the thyroid gland. The thyroid gland is an essential organ for producing thyroid hormones, which maintain our body metabolism. The thyroid gland is located in the front of the neck below the Adam's apple. Thyroid disease can also sometimes lead to enlargement of the thyroid gland in the neck, which can cause symptoms that are directly related to the increase in the size of the organ (such as difficulty swallowing and discomfort in front of the neck). Thyroxine T4 is the primary hormone developed by the Thyroid gland. A small portion of the T4 released from the gland is converted to Triiodothyronine (T3) which is the most active hormone. Hyperthyroidism: Too much thyroid hormone results in a condition known as hyperthyroidism. Affects about 1 percent of women. It's less common in men. Grave’s disease is the most common cause of hyperthyroidism. Symptoms: RestlessnessNervousnessIrritabilityracing heartIncreased sweatingShakingRestlessnessTrouble sleepingThin skinBrittle hairNailsWeight lossMuscle weakness Causes: Toxic adenomas: Nodules develop in the thyroid glands and begin to secrete thyroid hormones upsetting the body's chemical balance.Subacute thyroiditis: Inflammation of the thyroid that causes the gland to leak excess hormones, resulting in temporary hyperthyroidism that lasts a few weeks but may persist for months.Pituitary gland: Malfunctions or cancerous growths in the thyroid gland. Although rare, hyperthyroidism can also develop from these causes. Treatments for hyperthyroidism: destroy the thyroid gland or block it from producing its hormones. Antithyroid drugs: such as methimazole (Tapazole) prevent the thyroid from producing its hormones.Radioactive iodine: a large dose of it damages the thyroid gland. A pill is given by mouth. As thyroid gland takes in iodine, it also pulls in the radioactive iodine, which damages the gland.Surgery: Surgery can be performed to remove your thyroid gland. Hypothyroidism: Inadequate production of hormones by the thyroid gland is termed as hypothyroidism. This is also called Underactive thyroid state. Hypothyroidism can make the body’s development to slow down and reduces metabolism rates. Since the body needs some amount of thyroid for energy production and drop in hormone production leads to lower energy levels. Symptoms: FatigueDry skinIncreased sensitivity to coldMemory problemsConstipationDepressionWeight gainSlow heart rateComa What are the causes of Hypothyroidism? Hypothyroidism can be caused by a number of factors: Hashimoto's thyroiditis: This is the commonest cause. This is an autoimmune disorder (normally body’s defence system fight against external infections. In autoimmune disorder the defence system attacks the healthy cells of the body by mistake). In Hashimoto’s thyroiditis the immune system/defence system produces antibodies that attack the thyroid gland and destroy it.Iodine deficiency in diet: For the production of thyroid hormones iodine is very important. The body does not produce iodine normally, so it needs to be supplemented from outside. Iodine is mainly present in the food we eat. It is mainly present in shellfish, salt-water fish, eggs, dairy products. If a person does not eat iodine rich foods, he may end up with iodine deficiency leading to hypothyroidism. Currently, this causative factor is on the decline due to government initiative of table salt with iodine.Surgery: Surgery to remove thyroid gland (for e.g. thyroid cancer treatment, overactive thyroid etc.)Radiation to the neck (to treat cancer in the neck area): The thyroid gland cells are damaged due to the radiation.Treatment with radioactive iodine: This treatment is used for managing hyperthyroidism/overactive thyroid, where the thyroid gland produces excessive thyroid hormones. One of the treatment modalities is by radioactive iodine. Sometimes this radiotherapy destroys normal functioning cells which lead to hypothyroidism.Certain medicines: Certain medicines used to treat heart conditions, cancer, psychiatric conditions etc. – for e.g. amiodarone, lithium, interleukin-2, interferon-alpha.Pregnancy: Pregnancy (the reason is unclear but it has been noticed that the thyroid may get inflamed after delivery – this is called Postpartum thyroiditis.Damage to the pituitary gland: Pituitary gland is a gland which is present in the brain. It produces a hormone called TSH (Thyroxine-Stimulating hormone).The TSH tells the thyroid gland how much thyroid hormone it should make. If the levels of thyroid hormone in the blood are low, then the TSH will stimulate the thyroid gland to produce more Thyroid hormone.Hypothalamus disorders: This is an organ in the brain. This produces a hormone called TRH (Thyrotropin Releasing Hormone) which acts on the Pituitary gland to secrete TSH. So any disorder of Pituitary gland will indirectly effect the production and secretion of Thyroid hormones. These are very rare disorders.Congenital thyroid defects: Some babies are born with thyroid problems. This is due to the thyroid not being developed normally during pregnancy. Sometimes the thyroid gland does not function normal. This can be identified by screening for thyroid disorders in the first week after delivery. This is usually by a blood test using a small drop of blood from the baby’s heel. Who are at risk of developing Hypothyroidism? Women have a higher risk of suffering from hypothyroidism than men.Older people are at increased risk.People suffering from other autoimmune diseases like Coeliac disease, Type-1 Diabetes Mellitus, Vitiligo, Pernicious anemia, Multiple sclerosis, Rheumatoid arthritis, Addison’s disease etc.People with psychiatric conditions such as bipolar disorderPeople with Chromosomal abnormalities like Down syndrome, Turners syndrome also have a high risk of suffering from hypothyroidism. How to diagnose hypothyroidism? Blood tests: TSH: This hormone is made in the pituitary gland and it stimulates the thyroid gland to produce thyroxine. If the thyroxine levels are low in the blood, the pituitary gland produces and secretes more TSH into the blood to act on the thyroid gland to produce more thyroxine. A raised TSH level indicates hypothyroidism. Other tests are not usually necessary unless a rare cause of hypothyroidism.T4: A low level of thyroxine indicates hypothyroidism.T3: these levels are generally not needed to diagnose hypothyroidismAnti-Thyroid peroxidase antibodies (anti-TPO antibodies) or Anti- thyroglobulin antibodies are present in 90-95% of patient with autoimmune thyroiditis.Other blood tests include Creatinine Kinase, Serum Lipids, Complete blood picture etc.Ultrasound of the neck is done if the patient presents with a thyroid swelling. What is the treatment of hypothyroidism? Overt hypothyroidism is treated by synthetic Thyroxin hormone which should be taken every day on an empty stomach at least 30 – 45 minutes before breakfast. The treatment is continued for the rest of the patient’s life. Regular thyroid function tests are done once every 8 weeks-12 weeks to adjust the dose of the thyroxine in the initial period of diagnosis. Once the thyroxine dose is stabilised, the tests can be done even once a year. This treatment is quite effective. Sub-clinical hypothyroidism is only treated if the patient is a woman and is contemplating pregnancy, in patients with symptoms or if the TSH is quite high. What are the side-effects of thyroxine medication? There are few side effects if any. Most people tolerate these medications quite well. An important consideration before starting medication is to check if the patient has chest pain/angina. These people are started on the least available dose. If these patients are started on a higher dose they notice a worsening of their angina pains. Side effects mainly occur if the thyroxine dose is high which leads to hyperthyroidism. The symptoms of this could be palpitations 9increased heart beat), weight loss, profuse sweating, anxiety, irritability etc. There are some tablets which increase with thyroxine tablets. These include carbamazepine, iron supplements, calcium supplements, rifampicin, phenytoin, warfarin etc. What are the complications of hypothyroidism? If untreated hypothyroidism can lead to: heart problems like heart attack due to increased levels of bad cholesterol like LDL, or heart failure due to fluid retentionobesityinfertilityjoint painsdepressionA pregnant woman with hypothyroidism is at increased risk of giving birth to a baby with congenital hypothyroidism, also known as cretinism. Further, the woman may have pregnancy related complications like pre-eclampsia, premature delivery, low birth weight baby, anemia, post-partum haemorrhage (bleeding after delivery) etc.Myxoedema is another complication where the patient has extremely low levels of thyroid hormone. The body temperature drops drastically making the person lose consciousness or go into a coma. If you wish to discuss about any specific problem, you can consult an Endocrinologist. Regards Dr Sunil kumar

31 Top Benefits Of Prickly Pear (Nagfani) For Skin, Hair & Health stylecraze.com Oct 18, 2017 12:00 PM  A fruit belonging to the cactus family that possesses a wide range of benefits. That’s what the prickly pear is. Do not be intimidated by its look as the fruit pulp is delicious, more than you’d expect it to be. It is often regarded as an excellent cure for a hangover. Let us look at this fruit in detail to know more about benefits of prickly pear, its nutrition profile and also simple ways to include it in your diet. Let’s get started! Table Of Contents What Is Prickly Pear? Prickly pear is a fruit that grows on the leaves of the Nopales cacti, belong to the genus Opuntia, it’s scientific name is Opuntia ficus-indica. It is also referred to as Nagfani in Hindi, Nagajemudu in Telugu, Kallimullpazham in Malayalam, and Dindla in Gujarati. The younger plants are edible and often part of the Mexican diet. The other edible parts of the prickly pear cactus are the flowers, stems, and the leaves. Widely known as “cactus pear”, prickly pear by different names in different countries and regions like Tuna, Nopal, Nopales, Barberry figs, Indian figs. Prickly pear is a cylindrical fruit that has a firm outer skin with barbs and softer inner flesh, which is edible. It is green initially and turns reddish-pink as it matures in most plants (1). It can be eaten raw, boiled, or grilled. It is also used to make juice and jams. These tasty, oval fruits sprout from the tops of prickly cactus leaves and range in various colors from deep red-green to yellow or purple. It’s taste is similar to watermelon/raspberries and it has cucumber-like fragrance. What Is The History Of Prickly Pear? Being a cactus, the prickly pear plant can survive in dry weather conditions. It is said to have originated in Mexico and the northern countries of South America, which fall under the arid to semi-arid climate categories. In these regions, it has been a diet staple for thousands of years. It was later found to be used in the Middle East and Indian subcontinent as well. With increasing popularity, prickly pear cacti are now cultivated in Europe and Australia too. The fruit is relished not just for its flavor but also for its health benefits. Its anti-inflammatory, antioxidant, and anti-aging properties have made this thorny fruit popular. So, why are these fruits food for you? Why Are Prickly Pears Good For You? Prickly pear is rich in many nutrients, vitamins, minerals, and dietary fiber. These make it a wonderful and healthy addition to your diet for both culinary and medicinal purposes. Their low cholesterol and saturated fat content make them a suitable option for many people across the globe who are suffering from obesity and heart disease. These versatile fruits are not a hassle to cut or prepare. If you have access to them, go ahead and purchase a few. Let us look at this fruit’s nutrition facts now. Prickly Pears Nutrition Facts When we talk about the nutritional value of prickly pear, it contains magnesium, amino acids, antioxidants, vitamins C and B, beta-carotene, iron, calcium, potassium, and many other nutrients. Having one cup of this fruit can be a good source of a considerable part of the daily intake value of many vitamins and minerals. Bear in mind that the calcium found in this traditional desert plant may not be present in its biologically active form. It is present in the form of a non-absorbable complex (calcium oxalate). Nutrition Facts Serving Size        149g Amount Per ServingCalories 61Calories from Fat 6% Daily Value*Total Fat1g1%Saturated Fat 0g0%Trans FatCholesterol 0mg0%Sodium 7mg0mgTotal Carbohydrate 14g5%Dietary Fiber 5g21%SugarsProtien 1gVitamin A1%Vitamin C35%Calcium8%Iron2% Vitamins Amounts Per Selected Serving %DV Vitamin A64.1IU1%Vitamin C20.9mg35%Vitamin D––Vitamin E (Alpha Tocopherol)––Vitamin K––Thiamin0.0mg1%Riboflavin0.1mg5%Niacin0.7mg3%Vitamin B60.1mg4%Folate8.9mcg2%Vitamin B120.0mcg0%Pantothenic Acid––Choline–Betaine–Vitamin C35%MineralsAmounts Per Selected Serving%DVCalcium83.4mg8%Iron0.4mg2%Magnesium127mg32%Phosphorus35.8mg4%Potassium328mg9%Sodium7.5mg0%Zinc0.2mg1%Copper0.1mg6%Manganese––Selenium0.9mcg1%Fluoride––Fats & Fatty AcidsAmounts Per Selected Serving%DVTotal Fat0.8g1%Saturated Fat0.1g0%Monounsaturated Fat0.1gPolyunsaturated Fat0.3gTotal trans fatty acids–Total trans-monoenoic fatty acids–Total trans-polyenoic fatty acids–Total Omega-3 fatty acids34.3mgTotal Omega-6 fatty acids277mg The amount of vitamin C present in one cup of prickly pear constitutes 35% of our daily value intake, whereas magnesium constitutes 32% of the DV. It is also rich in omega-3 and omega-6 fatty acids, which are the healthy forms of fats that possess anti-inflammatory properties. Now that we have a brief understanding of the nutrients found in prickly pear cactus fruit, let us look what the presence of these nutrients implies. The many health benefits of this fruit are discussed below. What Are The Health Benefits Of Prickly Pear Cactus? Some of prickly pear health benefits include its ability to lower cholesterol levels, aid in weight loss, improve the digestive process, fight cancer cells, decrease the risk of diabetes, boost the immune system and reduces the risk of Alzheimer’s. Read on to know more. 1. Potential Role In Weight Control  Image: Shutterstock Obesity is a global epidemic and needs to be managed at the earliest. Instead of resorting to extreme measures like harmful medications or surgery, a simple solution to this problem could be consuming plenty of dietary fiber. Prickly pear fruit contains fiber that will make you feel full for longer and reduce hunger pangs. It also helps in the elimination of dietary fat by binding it and excreting it from the system. As the intestines do not get a chance to absorb the dietary fat, this fruit effectively helps in weight control and even weight loss (2). 2. Helps Lower Cholesterol Continuing on the weight loss tangent, prickly pear can also help reduce the cholesterol levels in the blood. Its fiber (pectin) content can be held responsible for this as it helps eliminate LDL cholesterol from the body. Experiments have shown that prickly pear can reduce both plasma levels and hepatic levels of cholesterol (3, 4). Also, certain phytosterols found in cactus seed oil can alter cholesterol metabolism in a positive way (5). Hyperlipidemia, the condition of high cholesterol levels, can also be brought under control. 3. Source Of Essential Micronutrients The essential micronutrients found in prickly pear are vitamin C, folate, vitamin B6, riboflavin, niacin, iron, magnesium, calcium, and potassium. Of these, the highest % DV is held by vitamin C and magnesium (6). Consumption of one cup of this fruit on a regular basis can provide your body with these micronutrients that are required for various physiological and metabolic processes. 4. Fights Cancer Cells The flavonoid compounds in prickly pear lower the risk of breast, prostate, stomach, pancreatic, ovarian, cervical, and lung cancers. They were shown to inhibit the growth of cancer cells in the lab and mice models. They also caused the death of these cancerous cells at higher concentrations (7). These compounds also have the ability to remove free radicals and improve the activities of pro-oxidant enzymes. 5. Prevents Ulcers Both physical and mental stress can cause changes in the gastrointestinal mucosa and result in gastric ulcers. Inflammation occurs as there is an increase in the pro-inflammatory compounds that damage the gastric wall. Prickly pear exerts a positive effect on the gastric mucosa, and this activity is mainly facilitated by a compound called betanin found in this fruit. The gastric mucus production is regulated, and there is also a reduction in the pro-inflammatory chemicals. As a result of this, the chances of developing ulcers are highly reduced by the consumption of prickly pear (8). 6. Blood Sugar Regulation  Image: Shutterstock Cactus pear is often touted for its hypoglycemic activity. This means that the ingestion of this fruit or its extract can lower high blood glucose levels as well as maintain normal levels. Different experiments on both diabetic and antidiabetic rats have shown a decrease in blood glucose levels. The main mechanism of this reduction is a decrease in the intestinal absorption of glucose (9, 10). Prickly pear cactus fruit’s fiber and pectin content are considered responsible for this activity. Once the blood sugar levels are brought under control, type II diabetes can be managed easily. 7. Nopal Cactus Cleans The Colon The high fiber content of prickly pear not only helps in lowering blood sugar/glucose and cholesterol levels but also helps in regulating the general functioning of the colon. Enough glucose is absorbed, and unhealthy fats and excess bile are eliminated from the body. This keeps the colon in optimum health. The inflammation and oxidative stress that the colon is being subjected to are also alleviated. The antioxidants present in prickly pear eliminate the free radicals and inflammation-inducing compounds, thus cleansing and protecting the colon (11). 8. Soothes The Stomach In Mexico, prickly pear is commonly used as a dietary supplement. People consume prickly pear daily to regularize their bowel movements. This helps to maintain a healthy digestive system and prevents constipation. The anti-inflammatory and antioxidant properties of compounds found in cactus pear are also responsible for aiding stomach health and soothing it (12). 9. Protects The Liver We often consume carcinogens and other compounds that can damage the liver without realizing the damage they can cause. Here’s a solution. Consume prickly pear as a juice or in the form of jams or jellies to prevent liver damage. It contains plenty of antioxidants that can reduce the oxidative stress caused by such compounds on the liver. It exerts hepatoprotective activity that mainly involves eliminating free radicals and increasing the body’s antioxidant activity against these compounds (13). 10. Reduces Hangovers  Image: Shutterstock This fruit has the ability to reduce the effects of a hangover. Prickly pear juice reduces the production of inflammatory mediators that induce the uncomfortable feeling during alcohol hangovers. It also reduces other symptoms like nausea and dry mouth (14). 11. Immune System Booster The vitamin C content of prickly pear is responsible for this particular health benefit. Vitamin C boosts the body’s immune response against various infections. It increases the production of white blood cells that undertake the process of killing and eliminating infectious microorganisms from the body. Vitamin C also acts as an antioxidant and reduces the free radical damage throughout the body. This also gives the immune system a boost (15, 16). 12. Reduces Risk Of Colon Cancer Prickly pear contains various types of antioxidants like flavonoids, quercetins, gallic acid, phenolic compounds, betacyanins, etc. The antioxidant activity of these was tested against colon cancer cell lines, and the viability of these cells was greatly affected by them (17). Quercetin, especially, plays a key role in the disruption of a certain pathway involved in the development of cancer cells (18). 13. Protects Against Heart Disease The fiber content of prickly pear helps reduce cholesterol levels in the body and maintain blood pressure. Hence, hypertension and bad cholesterol are brought under control. These factors are associated with atherosclerosis, coronary heart disease, and other heart diseases. Cactus fruit’s antioxidants also help to enhance cardiovascular health (19, 20). The biologically active flavonoids in prickly pears normalize the blood platelet stickiness, which helps to maintain good cardiovascular health (21). Hence, herbal doctors often recommend consuming prickly pear for alleviating cardiovascular disease. 14. Alleviates Hypertension (High Blood Pressure) Prickly pear is rich in the mineral potassium. When ingested, this mineral can reduce the pressure on the blood vessels and lower the elevated blood pressure levels. Regular intake of prickly pear can maintain normal blood pressure levels and give relief from hypertension. The betalain found in this fruit also strengthens the inner walls of the blood vessels, further aiding in the promotion of cardiovascular health (22). 15. Osteoporosis Protection  Image: Shutterstock This fruit is anti-inflammatory, antiviral, and antihistamine in nature. It also contains flavonoids that prevent the release of the compounds that help in inflammation of the joints and muscles caused due to gout, arthritis, exercise, fibromyalgia, and allergies. Osteoporosis, which is essentially an inflammatory disease, can be prevented and treated with prickly pear supplementation (23). 16. Stroke Prevention A decrease in total body fat and elevated cholesterol, glucose, and blood pressure levels can all impact cardiovascular health in a very positive way. As these levels are reduced in the body, the risk of stroke or heart attack goes down (24, 25). 17. Reduces Frequency Of Migraine Headaches Migraine is a chronic inflammatory condition that is characterized by the presence of a severe headache (usually on one side of the head) with disturbances in digestion and vision. And to alleviate this inflammation, anti-inflammatory compounds are needed. These are found in abundance in the prickly pear fruit, especially the compound indicaxanthin. This is technically a dietary pigment that can reduce various pro-inflammatory factors in the body (26). If consumed frequently, this fruit can help people deal with migraines. It also reduces their intensity and frequency. 18. Alleviates Premenstrual Syndrome (PMS) Cramps, back pain, headaches, and breast tenderness are common symptoms that woman experience during PMS. Most of these symptoms are associated with an increase in the levels of prostaglandins (hormone-like chemicals) in the body. Prickly pear is known to inhibit the synthesis of prostaglandins, thus alleviating PMS symptoms (27). 19. Strengthens Bones And Teeth Our teeth and bones are composed of calcium, and our diet is the only source of this mineral. The body obviously cannot synthesize calcium by itself. One cup of fresh prickly pear fruit contains 83 milligrams of calcium, which constitutes about 8% of the daily intake recommended by the FDA. This calcium intake will strengthen our bones and teeth (28). 20. Promotes Digestive Health  Image: Shutterstock Fiber is an important part of our diet when it comes to digestive health. And prickly pear is loaded with fiber. This aids smooth digestion of various components of the food we eat and enhances the activity of the digestive enzymes. Additionally, the fiber from the fruit can help in the smooth elimination of wastes from the body (29). 21. Makes Your Nails Healthy Prickly pear seed oil can be used to moisturize dry and damaged nails and restore the health of the nails and cuticles. It contains moisturizing fatty acids like linoleic acid, oleic acid, and palmitic acid. Small concentrations of other fatty acids are also found (30). What Are The Benefits Of Prickly Pear For The Skin? The seeds of this fruit are cold pressed to prepare a beauty oil. It possesses many properties that give it the following benefits: 22. Anti-Aging Properties It contains skin-softening vitamins E and K. It also contains a good amount of skin hydrating and nourishing fatty acids. These prevent the formation of wrinkles and fine lines, thus making prickly pear oil a good anti-aging agent (30). 23. Anti-Inflammatory Agent This xerophytic plant’s oil has great inflammation-fighting capabilities because of the presence of anti-inflammatory compounds. The betalains and phenolic compounds exert this effect when the oil is applied topically on the skin. Swelling and irritation due to insect bites, scrapes, or inflammatory skin conditions like psoriasis and dermatitis can be reduced by the application of this oil. 24. Brightens The Skin Tone This oil is also often used for its skin brightening properties. Linoleic acid, which is a fatty acid, not only nourishes the skin but also eliminates dullness. It also protects the skin from UV radiation (31). 25. Helps Achieve Smoother Skin It is super hydrating for dull and dry skin. Linoleic, oleic, and palmitic fatty acids, which are found in major proportions in prickly pear seed oil, supply the skin with the oils it lacks. 26. Heals Cuts, Wounds, And Blemishes Phenolic compounds are also found in good concentrations in prickly pear oil, which exert antioxidant effects on the skin and help repair damaged skin (32). Cut wounds, scars, and other blemishes that may have formed due to various reasons will start healing and fading over time. Apply this oil regularly to reap its healing benefits. 27. Reduces Dark Circles Dark circles under the eyes are formed due to many reasons. Lack of sleep, dehydration, and oxidative stress are the major factors that can cause your under eye area to become dull and get a bluish-purplish tinge. Prickly pear seed oil contains skin nourishing fatty acids that also possess skin brightening properties. In conjunction, these properties can help to lighten your dark circles. All of these properties make prickly pear seed oil an excellent choice for mature, aging, and/or damaged skin. Let us now look at the benefits of prickly pear for your hair. How Does Prickly Pear Benefit Your Hair? Both the fruit and the oil from its seeds can be used to smoothen hair texture, reduce hair fall, increase hair growth, and improve hair health overall. 28. Nourishes Hair We already know that the oil from the seeds of this cactus fruit contains plenty of fatty acids, minerals, and vitamins that can benefit the skin. Similarly, these can also nourish the scalp and hair by providing the healthy oils they may be lacking. A special mention is required for prickly pear’s vitamin E content that can deeply condition the hair. 29. Makes Your Hair Shiny  Image: Shutterstock You can use prickly pear oil to make your hair glossy. This oil can give you double the amount of fatty acids and protein than argan oil, which is a popular oil used for restoring the natural hair shine. 30. Reduces Hair Loss The pulp of this fruit is often added to hair care products as its antioxidants and anti-inflammatory compounds can give relief from many scalp conditions and, in turn, reduce hair loss and stimulate hair growth (33, 34). 31. Natural Hair Conditioner Here’s a simple recipe to concoct your own hair conditioner at home using prickly pear cactus: You Will Need 1-2 large nopal cactus pads1/2 cucumber2-3 tablespoons extra virgin coconut oil1-2 tablespoons coconut milk (optional) What You Have To Do 1. Wash the cactus carefully and peel it to remove all the thorns and barbs. 2. Dice this into small squares and add chopped cucumber to it. 3. Add the olive oil and coconut milk and blend everything. 4. Apply this on the scalp and hair. 5. Let it sit for 20-30 minutes and then rinse it off thoroughly. Make sure no residue remains in your hair. This cactus pear hair mask will make your hair healthy, silky, and soft. It is also useful to protect your hair from the scorching sun and rejuvenate heat-damaged hair. Those were the benefits of the fruit. Now, let’s see where you can buy these delectable fruits. Where To Buy Prickly Pear Cactus Fruit? Prickly pears can be easily found in regular grocery stores. If you cannot find them there, try the Mexican or Middle Eastern vegetable markets. See the next section to know how to make prickly pear a wonderful addition to your diet. How To Incorporate Prickly Pear Into Your Diet?  Image: Shutterstock The prickly pear cactus plant has different parts that are edible. The pad of the cactus, which is often referred to as the nopal, is used as a vegetable in Mexican dishes. Its texture is similar to that of okra when cooked. It is boiled or grilled and is added to soups and salads mostly. Apart from the cactus pad, the fruit or the pear itself can be eaten. Like any other fruit, you can simply rinse it, peel it, and eat it fresh. The flowers of this plant are often used as garnishing or added to salads for extra flavor. Eating the prickly pear fruit is not a difficult process. All you need to do is peel the skin and eat the fleshy pulp present inside. Be careful of the spines when you are handling the fruit initially and the seeds when you are eating it. Many people also prepare jams and jellies from prickly pear fruit. If you do not have access to a store where you can purchase this fruit from, there are extracts available in the market. The dosage of these extracts would depend on the concentration, and it is best if the manufacturer’s recommendation is followed. Prickly pear water is also available in the market these days. This is prepared from the juice of the fruit and filtered water, along with some additional ingredients like lemon juice. Prickly pear is used in various forms to serve various purposes. These uses are given below. Uses Of Prickly Pear Cactus As A Supplement Due to its benefits for lowering blood sugar levels, supplements for type 2 diabetes patients have been designed. The extract is also used to lower cholesterol, target obesity, and lower the risk of heart disease. This supplement is available usually in a powder or a pill form. People also use the supplement before drinking alcohol to reduce the symptoms of an alcoholic hangover. Juice And Pulp The juice or the pulp (without seeds) of the prickly pear fruit is extracted to make jams and jellies. The juice, by itself, can be very tart. It is often added to lemonade or margaritas for that extra zing. To reduce the tartness and still benefit from this amazing xerophyte, jams and jellies are prepared. Medicinal Uses When it comes to usage in medicine, prickly pear is used in medications for: Type 2 diabetesHigh cholesterolObesityAlcohol hangoverHeart diseaseColitisDiarrheaViral infectionsBenign prostatic hypertrophy (BPH) (35) Now that we covered the many uses of this fruit, it is also important to know how to select the best fruit and store it so that you can derive the maximum benefits. Read on to know how. How To Select And Store Cactus Pear Mid-August is considered the best time to harvest prickly pear cactus fruit. Once you have located a plant, follow these steps: Using a pair of tongs, gently pluck the fruit from the cactus pad. It should come off easily. Beware of the spines on the nopales and also the glochids (microscopic spines) on the fruit. Using gardening or leathergloves can help prevent any spines from piercing your skin.Transfer the fruits to a large, clean bowl or bucket. Make sure to leave at least one fruit per cactus pad so that your harvesting does not interfere with the plants’ reproduction process.Pick fruits that are ruby colored (or other colors seen in prickly pear). Do not pick the ones that are still green at the ends.Rinse the fruits with water thoroughly. Swirl them around gently while doing this to get rid of the spines. Cactus pear fruits remain ripe for about a week. They can also be refrigerated for 3-4 days in a plastic bag. Here is how you can cut and prepare prickly pear fruit. How To Eat Prickly Pear Cactus Rinse the fruit thoroughly in a colander using cold water. Keep swirling it around gently while doing this to get rid of the all the spines.Once all the spines have been removed, gently pat the fruit dry using a soft napkin.Take a sharp knife and cut the top and bottom parts of the fruit and discard them.Cut lengthwise to peel off the skin, similar to how you would peel an orange with a knife.Chop or slice the fruit, as per your preference, and eat it. Though the seeds are safe to ingest, many people prefer not to as they are too hard. If you are still confused about how to consume this exotic fruit, we have some simple but delicious recipes for you below. Any Prickly Pear Recipes? 1. Prickly Pear Lemonade  Image: Shutterstock You Will Need 1 prickly pear2 tablespoons lemon juice1 cup water1/2 tablespoon sugar5-6 ice cubesMint leaves for garnishing Recipe Add the sugar and lemon juice to water and mix well.Cut the prickly pear in half and remove the pulp present inside. Add this to the lemonade.Blend all of these for 15-30 seconds.Strain the mixture to remove the seeds.Add ice cubes and drink this refreshing lemonade with a twist. 2. Prickly Pear Puree You Will Need Prickly pear Recipe Rinse and peel the fruit. De-seed it.Squash the flesh thoroughly for a couple of minutes until you get a smooth puree.Store this in an airtight container in the refrigerator. 3. Prickly Pear Ice Cream You Will Need 1 cup prickly pear juice1/8 cup lemon juice1 quart half and half1 teaspoon sea salt2 cups sugar1 teaspoon tangerine zestA pinch of lemon zest Recipe Combine all the ingredients and pour into an ice cream maker.Let it run for about 20 minutes.Freeze the ice cream overnight or for at least six hours. 4. Prickly Pear Cactus Jelly You Will Need 2 1/2 lbs prickly pear fruit3-4 tablespoons lemon juice2 cups sugarPeel of half a lemonWater Recipe Singe off the spines on the fruit and carefully peel them.Cut into inch-long chunks and transfer to a pot. Add enough water to cover the entire fruit.Bring this to a boil and then let it simmer for 10 minutes.Strain this using a cheesecloth to remove all the seeds. Use a wooden spoon to mash the pulp and get all the juice from it.To this prickly pear juice, add the lemon juice, sugar, and lemon peel.Cook this at high heat and keep stirring regularly until you get a jelly consistency.Store in airtight jars in the refrigerator for up to six months. Let me now summarize some key facts about prickly pear for you. What Are The Facts About Prickly Pear I Need To Know? Prickly pear is also known as the nopal cactus and has flat, oval green leaves called pads, which are covered in spines.The fruits arise from the top of the cactus pads and are edible.This fruit, which is also called as the cactus pear, cactus fig or tuna, is usually red.Prickly pear is rich in vitamin C, magnesium, and omega fatty acids. It contains zero cholesterol.Even the pads of this plant are edible. They are commonly used in soups and salads.The fruits can be ingested by themselves or in the form of juice, jams, jellies, and even candy.Cactus fig is beneficial for the treatment of many ailments like high cholesterol, obesity, hypertension, heart disease, and stomach issues. Even though this fruit has plenty of benefits, it can, at times, cause reactions in a few people. Here are the side effects experienced. Side Effects Of Prickly Pear Cactus Upset stomach, diarrhea, bloating, and headache are the most common side effects noticed (36).Nasal inflammation or asthma can be caused due to an allergy to it.Eating broiled nopal stem can have an extreme hypoglycemic effect. This is not seen when raw stems or ripe fruit are eaten.It can interfere with the body’s ability to absorb certain medications due to its diuretic properties.Pregnant or women who are breastfeeding should not intake prickly pear in any form as it can interfere with the fetus’ or child’s development. Let us now look at some of the commonly asked questions by our readers about prickly pear. Expert’s Answers For Readers’ Questions What can reduce the skin irritation caused by prickly pear contact? The spines (glochids) present on prickly pear can come in contact with the skin and at times, cause allergic reactions such as hives. These usually subside within an hour or so. If the spines have pierced the skin, carefully pluck them using tweezers or cellophane tape. To reduce the itching and irritation, you can use over-the-counter steroids or antihistamines. Does prickly pear/tuna increase hemoglobin? Is it safe to consume? Prickly pear has been known to increase hemoglobin. However, there is no clinical proof for this. However, it is absolutely safe to consume. So, go ahead and try it. Does prickly pear cause constipation? Prickly pear is often used to relieve constipation because of its fiber content. Irrespective of this, excessive intake can actually cause constipation because of the high amount of fiber blocking the intestines. Hence, it is best to consume it in moderate amounts. How to prune prickly pear cactus? Pruning is best done in spring or late summer to remove damaged, poorly formed, or excessive cactus pads. Using protective hand gear and clothing, carefully trim the pads at their bases. It might be best to cut off some of the top parts of the pads first to get better access to the base. If you are unsure about pruning the plant yourself or the cactus has grown out too much, get professional help. Are all prickly pear cactus edible? What kind of cactus is edible? The genus Opuntia consists of different species of cacti that are edible. You can identify these plants by their oval, flattened, green, and spine covered pads. The prickly pear cactus (O. Ficus-indica) is the most commonly eaten species. How many calories are in cactus pears? One cup of cactus pear contains around 61 calories. Is a cactus a fruit or a vegetable? The prickly pear cactus is one of those plants that is a vegetable and a fruit. The green pads are the vegetable whereas the red pear is the fruit. Have you ever tried prickly pear fruit? Or have you had a chance to have one of those delicious Mexican dishes with the cactus pads in it? Share your experience with us in the comments section. Stay healthy! Recommended Articles:

43yrs/F pt. is having this kind of structure on nails. longitudinal ridging is present on few nails. No H/O of HTN or DM complaint of irregular constipation. appetite- Normal sleep - sound kindly provide your valuable comments.

Friends today I am discussing about Nail Abnormalities. What are nail abnormalities? Healthy nails appear smooth and have consistent coloring. As you age, you may develop vertical ridges, or your nails may be a bit more brittle. This is harmless. Spots due to injury should grow out with the nail. Abnormalities — such as spots, discoloration, and nail separation — can result from injuries to the fingers and hands, viral warts (periungual warts), infections (onychomycosis), and some medications, such as those used for chemotherapy. Certain medical conditions can also change the appearance of your fingernails. However, these changes can be difficult to interpret. Your fingernails’ appearance alone isn’t enough to diagnose a specific illness. A doctor will use this information, along with your other symptoms and a physical exam, to make a diagnosis. Abnormalities of the fingernail Some changes in your nails are due to medical conditions that need attention. See your doctor if you have any of these symptoms: discoloration (dark streaks, white streaks, or changes in nail color) changes in nail shape (curling or clubbing) changes in nail thickness (thickening or thinning) nails that become brittle nails that are pitted bleeding around nails swelling or redness around nails pain around nails a nail separating from the skin These nail changes can be caused by a variety of different conditions, including ones we describe below. Beau’s lines Depressions that run across your fingernail are called Beau’s lines. These can be a sign of malnourishment. Other conditions that cause Beau’s lines are: diseases that cause a high fever such as measles, mumps, and scarlet fever peripheral vascular disease pneumonia uncontrolled diabetes zinc deficiency Clubbing Clubbing is when your nails thicken and curve around your fingertips, a process that generally takes years. This can be the result of low oxygen in the blood and is associated with: cardiovascular diseases inflammatory bowel disease liver diseases pulmonary diseases AIDS Koilonychia (spooning) Koilonychia is when your fingernails have raised ridges and scoop outward, like spoons. It’s also called “spooning.” Sometimes the nail is curved enough to hold a drop of liquid. Spooning can be a sign that you have: iron deficiency anemia heart disease hemochromatosis, a liver disorder that causes too much iron to be absorbed from food lupus erythematosus, an autoimmune disorder that causes inflammation hypothyroidism Raynaud’s disease, a condition that limits your blood circulation Leukonychia (white spots) Nonuniform white spots or lines on the nail are called leukonychia. They’re usually the result of a minor trauma and are harmless in healthy individuals. Sometimes leukonychia is associated with poor health or nutritional deficiencies. Factors can include infectious, metabolic, or systemic diseases as well as certain drugs. Mees’ lines Mees’ lines are transverse white lines. This can be a sign of arsenic poisoning. If you have this symptom, your doctor will take hair or tissue samples to check for arsenic in your body. Onycholysis When the nail plate separates from the nail bed, it causes a white discoloration. This is called onycholysis. This can be due to infection, trauma, or products used on the nails. Other causes for onycholysis include: psoriasis thyroid disease Pitting Pitting refers to small depressions, or little pits, in the nail. It’s common in people who have psoriasis, a skin condition that causes the skin to be dry, red, and irritated. Some systemic diseases can also cause pitting. Terry’s nails When the tip of each nail has a dark band, it’s called Terry’s nails. This is often due to aging, but it can also be caused by: congestive heart failure diabetes liver disease Yellow nail syndrome Yellow nail syndrome is when the nails get thicker and don’t grow as fast as normal. Sometimes the nail lacks a cuticle and may even pull away from the nail bed. This can be the result of: internal malignancies lymphedema, swelling of the hands pleural effusions, fluid buildup between the lungs and chest cavity respiratory illnesses such as chronic bronchitis or sinusitis rheumatoid arthritis These are just some of the signs of abnormal fingernails. Having any of these signs isn’t proof of any medical condition. You’ll need to visit your doctor to determine if your condition is serious. In many cases, proper care of your nails is enough to correct their appearance. How to care for your nails You can prevent many nail abnormalities by taking good care of your nails. Follow these general guidelines to keep your nails healthy: Tips Don’t bite or tear at your nails, or pull on hangnails. Always use nails clippers and trim them after you bathe, when nails are still soft. Keep your nails dry and clean. Using sharp manicure scissors, trim your nails straight across, rounding the tips gently. If you have a problem with brittle or weak nails, keep them short to avoid breakage. Use lotion on your nails and cuticles to keep the nail and nail beds moisturized. Homoeopathic medicines for nail abnormalities Medicines according to Cause1 Cause Medicines From a hurt Ledum pal. Prick with a needle under the nail Allium cepa, Bovista, Sulphur; Hard work Rhus tox, Sepia; Prick near the nail Iodum; Splinters Baryta carb., Hepar sulph., Iodum, Lachesis, Nitricum acidum, Petroleum, Silicea, Sulphur; Splits of the skin adhering to the nails Allium cepa, Natrum mur. TABLE 2 Medicines according to the Sensation Sensations Medicines Irritable feeling under finger nails, relieved by biting them Ammonium brom. Itching-about roof of Upas tiente Pains-Burning under Sarsarparilla Pains, gnawing, beneath finger nails Alumina; Sarsaparilla.; Sepia Pains, neuralgic, beneath finger nails Berberis vulgaris Pains, neuralgic Alumina; Allium cepa; Colchicum Pains, smarting at roots Sulphur Pains, splinter-like, beneath toe nails Fluoric acidum Pains, ulcerative, beneath toe nails Antimonium crudum; Graphites; Teucrium Medicines according to Location1 Fig. Medicines according to location pastedGraphic.png TABLE 3 Medicines according to Pathology Pathology Medicines Atrophy Silicea Blueness Digitalis; Oxalicum Acidum Deformed-brittle, thickened (onchogryposis) Alumina; Anatherium; Antimonium crudum; Arsenicum album; Causticum; Dioscorea; Fluoricum acidum; Graphites; Merc. Sol.; Natrum muriaticum; Sabadilla; Secal cor..; Senecio aureus; Sepia; Silicea; Thuja.; X-ray. Falling off Brassica napus; Butyric acid; Helleborus faetidus; Helleborus Hangnails Lycopodium; Natrum muriaticum; Sulphur; Upas tiente Hypertrophy (onychauxis) Graphites Inflammation of pulp (onychia) Arnica; Calendula; Fluoricum acidum.; Graphites; Phosphorus; Psorinum; Sarsaparilla; Silicea; Upas tiente Inflammation, under toe nails Sabadilla Ingrowing toe nails Causticum; Magnetis polus austral.; Nitricum acidum; Silicea; Staphysagria; Teucrium; Tetrodymite Softening Plumbum met; Thuja Spots, white on Alumina; Nitricum acidum Trophic changes Radium brom Ulceration Alumina; Garphites; Merc. Sol.; Phosphorus; Sanguinaria; Sarsaparilla; Silicea; Teucrium; Tetrodymite Yellow color Conium maculatum

the rare case i mentioned ... n needed help ... is suffering from sjogren syndrme .... i was mislead by the reporting of alcohol n chronic alcoholism ... thanks to Curofy f riends for promptly reponsidn g pl find here with the details from Sjogren India website .............. Sjögren's syndrome What is Sjögren's syndrome? Sjögren's (pronounced SHOW-grins) syndrome (SS) is a chronic, autoimmune disease in which white blood cells attack and destroy the moisture-producing glands, causing decreased production of saliva and tears. It was first identified by a Swedish physician, Dr. Henrik Sjögren in 1933. Although the hallmark symptoms are dry eyes and dry mouth, Sjögren's syndrome also may cause dryness of other organs. It may also involve the kidneys , GI system, blood vessels, lung, liver, pancreas and the Central Nervous System. Many patients experience debilitating fatigue and joint pains. Nine out of ten patients are women. Symptoms wax and wane. Some people experience mild discomfort, other suffer debilitating symptoms that greatly impair their quality of life. When it occurs along with other primary diseases like Rheumatoid Arthritis, Lupus (SLE), or Scleroderma, it is known as secondary Sjögren's syndrome. Early diagnosis and proper treatment can prevent serious complications and greatly improve the quality of life for those with Sjögren's Syndrome. Symptoms You may have Sjögren's syndrome (SS) if you continuously experience: Dry, gritty, sore, red or burning eyes Eyes sensitive to sunlight, smoke and winds Difficulty in speaking, swallowing dry food Increased Dental decay, difficulty in wearing dentures Sore, cracked tongue, increased yeast infections Altered sense of taste and smell Swollen salivary glands Debilitating Fatigue Joint and muscles pains Dry nose Dry cough Dry skin and rashes Vaginal dryness How Sjögren's syndrome may affect you file:///C:\Users\MYPC\AppData\Local\Temp\msohtmlclip1\01\clip_image001.jpg FAQs Who is most likely to develop Sjögren's syndrome (SS)? Nine of ten (SS) patients are women. The average age of diagnosis is late 40's although it can occur in all age groups in both sexes. What are the symptoms of Sjögren's syndrome? Symptoms may include a dry, gritty or burning sensation in the eyes; difficulty in talking, chewing or swallowing; a sore or cracked tongue; dry or burning throat; a change in the sense of taste or smell; increased dental decay; joint pains; digestive problems; dry nose; dry skin & fatigue. No two people have the exact same set of symptoms. Is it easy to diagnose Sjögren's syndrome? Sjögren's syndrome is often undiagnosed or misdiagnosed. The symptoms of SS may overlap or “mimic” those of other diseases including Lupus, Rheumatoid Arthritis, Fibromyalgia, Chronic Fatigue Syndrome, and Multiple Sclerosis. Because all symptoms are not always present at the same time and Sjögren's can involve several body systems, physicians and dentists sometimes treat each symptom individually and do not recognize that a systemic disease is present. The average time from onset of symptoms to diagnosis is over five years in the USA. What kind of doctor treats Sjögren's? Rheumatologists have primary responsibility for managing Sjögren's syndrome. Ophthalmologists, dentists and other specialists are also involved in treating symptoms related to SS. How is Sjögren's syndrome diagnosed? Once Sjögren's syndrome is suspected, you may have to undergo a series of blood tests, including: ANA (Anti-Nuclear Antibody): About 70% of Sjögren's syndrome patients have elevated antibodies that react against normal components of a cell's nucleus. SS-A (or Ro) and SS-B (or La): 70% of patients are positive for SS-A and 40% positive for SS-B. RF (Rheumatoid Factor): 60-70% of patients have a positive RF. ESR (Erythrocyte Sedimentation Rate): Measures inflammation. IGs (Immunoglobulins): Normal blood proteins, usually elevated in Sjögren's syndrome. Dry Eye tests include: Schirmer's Test: Measures tears production. Rose Bengal and Lissamine Green: Dyes to observe abnormal cells on the surface of the eye. Slit-Lamp Exam for assessing the health of the cornea. Dry Mouth tests include: Parotid Gland Flow: Measures the amount of saliva produced over a certain period of time. Salivary Scintigraphy: Measures salivary gland function. Sialography: An x-ray of the salivary-duct system. Lip Biopsy: Confirms lymphocytic infiltration of the minor salivary glands. This test is often needed for a confirmed diagnosis of Sjögren's syndrome. What treatments are available? Over the counter products for relieving dry eyes and dry mouth are available. Prescription drugs are available for systemic symptoms, depending on the nature and severity of the condition. What else can be done? High quality professional dental and eye care are extremely important. Lifestyle changes and use of protective gear such as wrap around goggles help in relieving symptoms. Often, patients learn useful tips from one another in support group meetings. Will I die from Sjögren's syndrome? Although Sjögren's syndrome is a serious disease, it is generally not fatal if complications are diagnosed and treated early on. The incidence of lymphoma (cancer of the lymph glands) is believed to be higher in people with Sjögren's syndrome than in the general population.