* SCLEROTHERAPY.. * LASER TREATMENT.. * AMBULATORY PHLEBECTOMY..
Mild cases - Wear multilayered stockings In severe cases - Sclerotherapy/Radio frequency ablation/laser. Surgical removal of varicose segment
Treatment Fortunately, treatment usually doesn't mean a hospital stay or a long, uncomfortable recovery. Thanks to less invasive procedures, varicose veins can generally be treated on an outpatient basis. if insurance will cover any of the cost of your treatment. If done for purely cosmetic reasons, you'll likely have to pay for the treatment of varicose veins yourself. Self-care Self-care — such as exercising, losing weight, not wearing tight clothes, elevating your legs, and avoiding long periods of standing or sitting — can ease pain and prevent varicose veins from getting worse. Compression stockings Wearing compression stockings all day is often the first approach to try before moving on to other treatments. They steadily squeeze your legs, helping veins and leg muscles move blood more efficiently. The amount of compression varies by type and brand. You can buy compression stockings at most pharmacies and medical supply stores. Prescription-strength stockings also are available, and are likely covered by insurance if your varicose veins are causing symptoms. Additional treatments for more-severe varicose veins If you don't respond to self-care or compression stockings, or if your condition is more severe, your doctor may suggest one of these varicose vein treatments: Sclerotherapy. In this procedure, your doctor injects small- and medium-sized varicose veins with a solution or foam that scars and closes those veins. In a few weeks, treated varicose veins should fade. Although the same vein may need to be injected more than once, sclerotherapy is effective if done correctly. Sclerotherapy doesn't require anesthesia and can be done Foam sclerotherapy of large veins. Injection of a large vein with a foam solution is also a possible treatment to close a vein and seal it. Laser treatment. you are using new technology in laser treatments to close off smaller varicose veins and spider veins. Laser treatment works by sending strong bursts of light onto the vein, which makes the vein slowly fade and disappear. No incisions or needles are used. Catheter-assisted procedures using radiofrequency or laser energy. In one of these treatments, your doctor inserts a thin tube (catheter) into an enlarged vein and heats the tip of the catheter using either radiofrequency or laser energy. As the catheter is pulled out, the heat destroys the vein by causing it to collapse and seal shut. This procedure is the preferred treatment for larger varicose veins. High ligation and vein stripping. This procedure involves tying off a vein before it joins a deep vein and removing the vein through small incisions. This is an outpatient procedure for most people. Removing the vein won't keep blood from circulating in your leg because veins deeper in the leg take care of the larger volumes of blood. Ambulatory phlebectomy (fluh-BEK-tuh-me). You removes smaller varicose veins through a series of tiny skin punctures. Only the parts of your leg that are being pricked are numbed in this outpatient procedure. Scarring is generally minimal. Endoscopic vein surgery. You might need this operation only in an advanced case involving leg ulcers if other techniques fail. Your surgeon uses a thin video camera inserted in your leg to visualize and close varicose veins and then removes the veins through small incisions. This procedure is performed on an outpatient basis. Apply treatment:-Varico-Gel is a Natural Formulation prescribed in the management of Varicose Veins. Regular application reduces pain, swelling, heaviness, and itching due to its anti-inflammatory, antioxidant & antipruritic actions.
Varicose veins. Conservative treatment. Elastic stockings. Avoid heavy work. Surgical treatment. Sclrotherapy. Laser treatment.
Surgery Sclerotherapy medical management Diosmin +hespiridin tabs
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Friends today I am discusing about Varicose veins . Varicose veins The veins that are enlarged, twisted or engorged are known as varicose veins. Varicose veins can develop in any part of the body but most commonly appear in the legs and feet. Varicose veins in the legs develop as a result of pooling of blood due to improper functioning of valves in the veins of the legs. Varicose veins can be well-treated with natural medicines. The top homeopathic medicine for varicose veins includes natural medicines like Hamamelis Virginiana, Pulsatilla Nigricans, and Calcarea Flour. homeopathic medicines for varicose veins Homeopathy for Varicose Veins The conventional treatment for varicose veins usually involves techniques like sclerotherapy, laser surgery, micro sclerotherapy, endoscopic vein surgery and endovenous ablation therapy. Sclerotherapy involves injecting a liquid or foam through a chemical injection to redirect the blood to a healthier vein. Microsclerotherapy is a similar procedure. Laser Surgery employs the use of light energy to block off a vein. Endoscopic Vein Surgery uses a small scope with a light that is inserted into the vein through a small incision to block it off. Endovenous Ablation Therapy uses radiofrequency waves and heat to block off a vein. These treatments tend to have some very common side effects that include nerve damage, deep vein thrombosis, wound complications like skin infections, blood clots, vascular injuries, scarring and staining of the skin. Also, despite an invasive surgery, the chances of recurrence of the problem are common. Homeopathy has an excellent scope for treating varicose veins. The symptoms like pain, cramping, tiredness, a sensation of heaviness in the legs are well-managed with homeopathy medicines. Homeopathy for varicose veins works at strengthening the valves of veins in legs, reducing the blood engorgement and aid in the symptomatic management of the varicose veins. The benefits of using these remedies for varicose veins are as follows: 1. No Side-Effects Homeopathy for varicose veins cause no side effects, unlike conventional treatments. These medicines for varicose veins are made of natural substances and are highly diluted, yet potent, and they work to prevent the backflow of blood in the vein. 2. Simple and Effective Homeopathy works to restore the internal healing mechanism of the body. This helps address the condition naturally and effectively, and invasive procedures like surgery can be held off. 3. Natural Medicines are Safe Made from natural substances, homeopathy helps treat the condition on a long-term basis. Once a treatment for varicose veins has been successfully administered, the chances of the condition recurring are slim to none. Unlike conventional treatment, homeopathy offers long-term relief from the symptoms of varicose veins. Top Homeopathic Medicines for Varicose Veins 1. Hamamelis Virginiana – For Tiredness/Aching in Legs Hamamelis is prepared from a plant commonly named witch – hazel. This plant belongs to family Hamamelidaceae. Hamamelis Virginiana is a highly effective remedy for varicose veins. Its most prominent symptom indication is tiredness or aching in the legs. Along with this, a tense feeling in the legs may be present. The varicosities may look like hard and knotty swellings in the legs. A dragging sensation in the legs may be present. Pain in varicose veins from the slightest motion is another feature. Soreness of varicose veins may also arise. Hamamelis Virginiana can help to reduce the engorgement of blood in veins and its related symptoms. Deep-rooted, circular ulcers with stinging, pricking pain and high sensitivity are another prominent features for using the homeopathic medicine Hamamelis Virginiana. Key Indications for using Hamamelis Virginiana for Varicose Veins: – Tiredness or aching in the legs. – A tense feeling in the legs. – Varicose ulcers with stinging and pricking pain. 2. Pulsatilla Nigricans – For Varicose Veins that are Painful Pulsatilla Nigricans is a natural medicine prepared from plant “windflower”. The natural order of this plant is Ranunculaceae. Pulsatilla Nigricans is an excellent remedy for varicose veins that are painful. Heaviness or weariness in the legs along with pain, a tensed and drawing sensation in the legs, cramping in the legs (mostly in the evening) are the symptoms highly indicative of Pulsatilla Nigricans. Hanging down the lower limbs worsens the complaints. Along with these symptoms, restlessness in the lower limbs may also appear. Pulsatilla Nigricans is indicated for varicose veins in women when the symptoms worsen during menses and for varicose veins on lower limbs, forearms, and hands. Key Indications for using Pulsatilla for Varicose Veins: – Presence of painful varicose veins. – A tensed and drawing sensation in the legs. – A cramping sensation in the legs. 3. Calcarea Fluor – For Hard, Knotty Varicose Veins Calcarea Fluor is a highly recommended remedy for varicose veins. It is a biochemic medicine for varicose veins that work wonderfully in reducing the engorgement of blood in veins and improving blood circulation. Few indications for using Calcarea Fluor are enlarged veins, hardened veins, knotty veins on lower limbs. The attending features are dry, cracked skin on the legs. Key Indications for using Calcarea Fluor for Varicose Veins: – Presence of hard varicose veins. – Presence of knotty varicose veins. – Dry, cracked skin on the legs. Other Important Medicines for Varicose Veins 1. Calcarea Carb – For Painless Varicose Veins Calcarea Carb is an excellent remedy for varicose veins. It is useful for varicose veins that are painless and appear only as prominent veins on the legs. Burning sensation in veins may be present in a few cases. A marked coldness in feet, excessive sweat on feet (sour smelling) and varicose veins on the legs and thighs are well-treated with Calcarea Carb. 2. Fluoric Acid – For Varicose Veins worsened by Warmth Fluoric Acid is a valuable remedy for varicose veins treatment. The most characteristic feature to use Fluoric Acid is painful varicose veins in the legs that are made worse by warmth. Fluoric Acid is used to treat long-standing, obstinate cases of varicose veins. Apart from the above symptoms, Fluoric Acid is useful for varicose ulcers with red margins. Pain in ulcers is intense, and warmth worsens the pain while cold application relieves the pain. 3. Apis Mellifica – For Stinging Pains Apis Mellifica is a remedy for varicose veins where there is a stinging pain present in the affected area. Burning sensation and sensitiveness on the leg may be present. In a few cases, lower limbs feel tired, bruised and heavy as lead. Swelling in the legs may also be present with inflamed veins. 4. Graphites Naturalis – For Varicose Veins with Itching Graphites Naturalis is a highly recommended remedy for varicose veins attended with itching. Itching in most cases gets worse at night time. Little pimples may be present on the surrounding skin surface (affected by varicose veins). Skin dryness may also be there to a high degree. Other attending features are restlessness, heaviness, and tensed feeling in legs. The tensed feeling gets worse upon extending the legs. A congested feeling in legs and feet on standing may also be present. Graphites Naturalis is also a helpful remedy for swelling in the legs with peculiar shooting pain as well as for varicose eczema. 5. Vipera Berus – For Bursting Sensation in Legs Vipera Berus is a well-indicated remedy for varicose veins with a marked ‘bursting’ feeling in the legs. A pain of unbearable nature that gets worse on hanging down the legs is present. Elevating the legs brings relief. Severe cramping pain in the legs is also present. Swollen, tender veins and blueness of overlying skin are highly indicative of using medicine Vipera Berus. 6. Millefolium Achillea – For Varicose Veins during Pregnancy Millefolium Achillea is prepared from a plant named yarrow of the family Composite. Millefolium Achillea is an effective remedy for varicose veins arising during pregnancy. It works well in cases of both painful and painless varicose veins. A drawing pain is most prominently present in the legs. Millefolium Achillea is also suitable for varicose veins that break and bleed easily. 7. Lachesis Muta – For Varicose Ulcers Lachesis Muta is an important medicine for treating varicose ulcers. People needing Lachesis Muta have ulcers with bluish-purplish surroundings. There is a thin, offensive discharge from the ulcers. Pus discharges may also be there in a few cases. Bleeding may arise from the ulcers, and an intense burning sensation may be present. There is extreme pain and high sensitivity to touch on the ulcer. Applying warmth to the ulcers helps relieve the pain. Itching that gets noticeably gets worse after sleeping is another characteristic feature. 8. Zincum Met – For Varicose Veins that are Very Large Zincum Met is an effective medicine for large varicose veins on the legs. A tight, full, congested feeling in the legs is prominent. Tearing pain in the legs and formication (sensation like insects crawling over the skin) are also present in a few cases. The person requiring Zincum Met also complains of uneasiness and heaviness in the legs with constant motion of the legs. Burning sensation and sweat on lower limbs are also common. Apart from varicose of legs, Zincum Met is also indicated for varicose veins in the genital organs. 9. Arsenic Album – For Varicose Veins that are Inflamed Arsenic Album is a remedy for varicose veins that are inflamed. The symptoms indicating the use of Arsenic Album are swollen legs, burning sensation, and uneasiness in the legs. The uneasy feeling in the legs makes the person change the position of the legs frequently. A burning sensation in most cases is worse during the night. Warm applications over the legs may offer relief. Fever, extreme weakness, and stabbing pains on the legs are other symptoms. Arsenic Album is useful for varicose ulcers with a gray crust and inflamed borders. 10. Carbo Veg – For Spider Veins Carbo Veg is a prominently indicated remedy for spider veins. The veins appear reddish bluish. The skin feels cold and sweaty, and the person may experience itching that gets worse during the evening. Varicose ulcers that bleed easily also indicate the need for Carbo Veg. 11. Arnica Montana – For Varicose Veins with Soreness Arnica Montana is prepared from the plant ‘Leopard’s Bane’ which belongs to the natural order Composite. Arnica Montana is a valuable remedy for varicose veins accompanied by extreme soreness. Fear of touching the legs is present as a result of the soreness. Exertion worsens the complaint. An aching, bruised sensation in the legs is also there in few cases. Bruised feeling in the legs as if beaten may also accompany in some instances .may also be present. The skin of the legs may also be swollen, red and hot. What are the Symptoms of Varicose Veins? Varicose veins may not cause any symptoms in most of the cases and only appear as dark/purple-colored prominent veins in the leg. General symptoms include aching, tired or heavy feeling in the legs, throbbing and cramping in legs, and worsening of pain from sitting or standing for extended periods. Color changes, swelling/inflammation, and ulcers on the legs may be indicative of severe changes like phlebitis (inflammation in a vein) and venous ulcers and should be addressed promptly. Varicose Veins – How Do They Develop? The veins in our legs contain one-way valves. These valves of the veins in the legs allow only one-way blood flow (from the legs to the heart) when the muscles squeeze the veins in the leg. When the muscles contract, the valves open and blood from the legs pushes upwards to reach the heart. When these muscles relax, the valves close to prevent reverse flowing of blood back in legs. In case these valves don’t function properly, it results in a reverse flow of blood and stagnation of blood in the leg. This causes the veins to become enlarged, twisted, engorged, and they are known as varicose veins. Diagnosing Varicose Veins A physician can usually diagnose the varicose veins by looking at them and asking questions. An ultrasound of the lower limbs is recommended to check and locate any damaged valves. It also helps rule out the presence of any blood clot. Other investigations include Color Duplex Ultrasound scan and Venograms (X-rays of the area taken after injecting a special dye). Factors that Contribute to Varicose Veins Obesity: Obese people often develop varicose veins without any knowledge, as the veins are not visible beneath the layers of the skin (due to accumulated fat). With time, the pressure from the leaking veins causes damage on the surface of the skin, and the problem becomes visible. This also puts many overweight people at a higher risk of developing leg ulceration. Standing/Sitting for a Long Time: Sitting or standing for long durations causes leads to poor blood circulation in the legs. When we sit, it becomes harder for the veins to move the blood to the heart. Over time, this can cause swelling in the ankles, blood clots, and varicose veins. Sitting with the legs crossed or bent for long durations can make the problem worse. Old Age: With age, the veins lose elasticity and cause them to stretch. This causes the valves in the veins to become weak. As a result, the blood that should be moving towards the heart starts flowing backward. Pregnancy: During pregnancy, it is very common for a woman to develop varicose veins since the volume of blood in the body increases, but overall, the flow of blood from the legs to the pelvis decreases. Varicose veins often develop or become worse during the later stages of pregnancy since the uterus starts to exert increased pressure on the veins in the legs. This condition often improves post pregnancy within three to twelve months. Age: The chances of developing varicose veins increase with age. Aging causes the wear and tear of the valves in the veins, allowing blood to flow back into the veins where it gets collected. Gender: Females are more likely to develop varicose veins due to hormonal changes they experience throughout their lifetime. Pregnancy, pre-menstruation, menopause, hormone replacement therapy and the use of birth control pills all cause hormonal changes in a woman’s body. Female hormones are known to relax the walls of the veins. Family History: A family history of varicose veins makes a person susceptible to developing the condition. Complications Related to Varicose Veins The complications of varicose veins include bleeding, venous ulcers, varicose eczema, superficial thrombophlebitis and DVT (deep vein thrombosis). Bleeding: Veins that are close to the skin may rupture and bleed. The bleeding may occur spontaneously or be the result of a minor injury. Spontaneous rupture occurs with the weakening of walls of the veins. This happens when the veins stretch due to enlargement over time. In addition to this, the pressure inside the veins is already high due to the pooling of blood. The weak vein walls and high pressure inside the veins can lead to a spontaneous rupture of veins. Venous Ulcers: A venous ulcer is a painful sore that develops on the leg near the ankles in case of varicose veins. Venous ulcers heal slowly. The pooling of blood in the veins builds up pressure. If not treated in time, the increase in pressure can cause the skin around the ankle to break and form an ulcer. The varicose ulcer usually develops on the skin of the inner side of the leg, immediately above the ankle. The base of such an ulcer is generally red and has uneven borders. The skin around the ulcer is discolored, dark, and hard. Swelling of the leg, ankle, and heaviness in the leg, foul-smelling discharge from the ulcers, itching, burning, and pain of varying intensity may be present. A high fever may also be present in cases of infection. Varicose Eczema: Varicose eczema (also known as stasis / gravitational eczema) is another complication of varicose veins. It affects the lower legs, where the skin gets dry, red, itchy, scaly, and flaky. The affected skin looks shiny and may be painful and tender. In some people, a brown discoloration of the skin may be present. Superficial Thrombophlebitis: Superficial thrombophlebitis refers to an inflammation of the vein near the surface of the skin caused by a blood clot. The symptoms include intense swelling, redness, warmth, pain, and tenderness on the legs. Hardening of vein and darkening of the skin on the vein is a common characteristic. It is usually a short-term condition that resolves itself in about 2 – 3 weeks without any complications in a majority of cases. Rare complications if arise in minority of cases includes cellulitis and DVT. DVT (Deep Vein Thrombosis): Deep vein thrombosis (DVT) refers to the development of a blood clot within vein deep inside the body (usually in the leg). It causes swelling and warmth in the affected leg. Other features are a pain in the leg, redness/discoloration of skin on the leg. DVT may lead to severe complications like pulmonary embolism (when blood clots in vein break and travel via the bloodstream to lodge in the lungs). Common symptoms of pulmonary embolism include sudden shortness of breath, chest pain, dizziness, rapid pulse, and spitting of blood. Spider Veins are Not Varicose Veins Spider veins are dilated clusters of tiny (<1mm diameter) superficial blood vessels developing close to the surface of the skin. They are also called telangiectasias. Spider veins appear as thin, red, blue, purple lines or as weblike networks of blood vessels on the surface of the skin. These look like a spider’s web. They mostly appear on the face, legs, and feet. They don’t usually cause any problems and are mainly considered to be a cosmetic issue. These are generally common in older adults. Managing Varicose Veins There are certain diet and lifestyle measures one can follow to prevent and manage varicose veins: Get the Blood Flowing with Exercise Regular exercise offers a host of benefits. Exercise can help increase the blood flow throughout the body and also reduce inflammation. Staying in one position for too long makes it harder for the veins to pump blood back to the heart. Also, poor posture, like sitting with the legs crossed, increases the pressure on the veins. Exercise also helps lose or maintain an ideal weight, balance the hormones and lower the blood pressure. All these factors are known to contribute to the development of varicose veins but can be effectively managed with exercise. Certain exercises, like calf-raises, side lunges, and leg lifts help stretch and strengthen the veins around the legs. Other low-impact activities like bicycling, walking and swimming also help alleviate pressure from the veins in the legs. Maintaining a Healthy Weight People who are overweight are more likely to develop varicose veins, especially overweight women and older adults. Carrying excess body weight puts higher amounts of pressure on your veins and can contribute to inflammation or reflux, especially in the largest superficial veins, such as the saphenous vein in the legs. Habits to Change It is common for people to remain seated for long hours in today’s time. Sitting and standing for long hours should be avoided, and gentle stretches and exercises should be incorporated in everyday life to keep the circulation up. Additionally, sitting or lying down with the legs elevated is an important preventive measure. One should avoid wearing high heels for long durations. There are various compression stockings available that are recommended for use. These stockings squeeze the leg muscles and help them move the blood efficiently. Foods to Eat to Manage Varicose Veins An Anti-Inflammatory Diet Foods that help improve blood flow and reverse inflammation can be consumed to speed up the process of healing varicose veins. These foods also help prevent future episodes of varicose veins. Some anti-inflammatory foods that help reduce varicose veins include: Foods with Antioxidants Flavonoids, vitamin E, and vitamin C are important oxidants found in berries, green vegetables, and citrus fruits. These foods help fight inflammation, improve the health of the arteries and strengthen the veins. Vitamin E acts as a natural blood thinner and prevents blood clots, while vitamin C works on the health of the skin and serves as a potent anti-inflammatory. Foods Rich in Magnesium Some of the most common signs of electrolyte deficiencies like magnesium and potassium are issues with blood pressure, leg cramps and pooling of blood. Foods like sweet potatoes, avocados, cruciferous vegetables, bananas and leafy vegetables contain these essential electrolytes and should be added to the diet. Foods High in Fiber Fiber found in food helps improve the heart function as well as the functioning of the digestive system. Lack of fiber can cause constipation, which leads to increased pressure on the veins near the abdomen and legs. High fiber foods like flaxseeds, fresh fruits, chia seeds, sprouted legumes, vegetables and ancient grains. Foods that are Spicy Spicy foods like curries and cayenne peppers heat up the body and increase blood circulation. They also help control the appetite and weight. Diuretics to Reduce Water Retention Foods with diuretic properties help increase urination to reduce water retention in the body. Cucumber, fresh herbs like parsley and basil, asparagus, fennel, and celery are natural diuretics. Foods to Avoid incase of Varicose Veins A poor diet leads to weight gain, low circulation, hormonal imbalances, blood pressure issues, and in some cases, arterial damage. Some foods to avoid include sugar, alcohol, trans fats, caffeine and processed foods. Such foods also tend to contain large amounts of sodium, which (when taken in excess) dehydrates the body. These foods may also contain toxins that can make the swelling in the varicose veins much worse.Dr. Rajesh Gupta5 Likes1 Answer
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Friends today I am discussing about the very common problem faced by young is Acne. Acne is a chronic, inflammatory skin condition that causes spots and pimples, especially on the face, shoulders, back, neck, chest, and upper arms. Whiteheads, blackheads, pimples, cysts, and nodules are all types of acne. It is the most common skin condition in the United States, affecting up to 50 million Americans yearly. It commonly occurs during puberty, when the sebaceous glands activate, but it can occur at any age. It is not dangerous, but it can leave skin scars. The glands produce oil and are stimulated by male hormones produced by the adrenal glands in both males and females. At least 85 percent of people in the U.S. experience acne between the ages of 12 and 24 years. Fast facts on acne Here are some facts about acne. More detail is in the main article. Acne is a skin disease involving the oil glands at the base of hair follicles. It affects 3 in every 4 people aged 11 to 30 years. It is not dangerous, but it can leave skin scars. Treatment depends on how severe and persistent it is. Risk factors include genetics, the menstrual cycle, anxiety and stress, hot and humid climates, using oil-based makeup, and squeezing pimples. Home remedies Acne Acne is a common skin problem. There are many suggested home remedies for acne, but not all of them are supported by research. Diet: It is unclear what role diet plays in worsening acne. Scientists have found that people who consume a diet that offers a good supply of vitamins A and E and of zinc may have a lower risk of severe acne. One review describes the link between acne and diet as "controversial," but suggests that a diet with a low glycemic load may help. Tea-tree oil: Results of a study of 60 patients published in the Indian Journal of Dermatology, Venereology, and Leprology suggested that 5-percent tea-tree oil may help treat mild to moderate acne. If you want to buy tea-tree oil, then there is an excellent selection online with thousands of customer reviews. Tea: There is some evidence that polyphenols from tea, including green tea, applied in a topical preparation, may be beneficial in reducing sebum production and treating acne. However, the compounds in this case were extracted from tea, rather than using tea directly. Moisturizers: These can soothe the skin, especially in people who are using acne treatment such as isotretinoin, say researchers. Moisturizers containing aloe vera at a concentration of at least 10 percent or witch hazel can have a soothing and possibly anti-inflammatory effect. Causes Human skin has pores that connect to oil glands under the skin. Follicles connect the glands to the pores. Follicles are small sacs that produce and secrete liquid. The glands produce an oily liquid called sebum. Sebum carries dead skin cells through the follicles to the surface of the skin. A small hair grows through the follicle out of the skin. Pimples grow when these follicles get blocked, and oil builds up under the skin. Skin cells, sebum, and hair can clump together into a plug. This plug gets infected with bacteria, and swelling results. A pimple starts to develop when the plug begins to break down. Propionibacterium acnes (P. acnes) is the name of the bacteria that live on the skin and contributes to the infection of pimples. Research suggests that the severity and frequency of acne depend on the strain of bacteria. Not all acne bacteria trigger pimples. One strain helps to keep the skin pimple-free. Hormonal factors A range of factors triggers acne, but the main cause is thought to be a rise in androgen levels. Androgen is a type of hormone, the levels of which rise when adolescence begins. In women, it gets converted into estrogen. Rising androgen levels cause the oil glands under the skin to grow. The enlarged gland produces more sebum. Excessive sebum can break down cellular walls in the pores, causing bacteria to grow. Other possible triggers Some studies suggest that genetic factors may increase the risk. Other causes include: some medications that contain androgen and lithium greasy cosmetics hormonal changes emotional stress menstruation Treatment Treatment depends on how severe and persistent the acne is. Mild acne Acne gel A variety of steroidal and non-steroidal creams and gels are available to treat acne, and many are effective. Mild acne can be treated with over-the-counter (OTC) medications, such as gels, soaps, pads, creams, and lotions, that are applied to the skin. Creams and lotions are best for sensitive skin. Alcohol-based gels dry the skin and are better for oily skin. OTC acne remedies may contain the following active ingredients: Resorcinol: helps break down blackheads and whiteheads Benzoyl peroxide: kills bacteria, accelerates the replacement of skin, and slows the production of sebum Salicylic acid: assists the breakdown of blackheads and whiteheads and helps reduce inflammation and swelling Sulfur: exactly how this works is unknown Retin-A: helps unblock pores through cell turnover Azelaic acid: strengthens cells that line the follicles, stops sebum eruptions, and reduces bacterial growth. There is cream for acne, but other forms are used for rosacea. It is advisable to start with the lowest strengths, as some preparations can cause skin irritation, redness, or burning on first use. These side effects normally subside after continued use. If not, see a doctor. Treating moderate to severe acne A skin specialist, or dermatologist, can treat more severe cases. They may prescribe a gel or cream similar to OTC medications but stronger, or an oral or topical antibiotic. Corticosteroid injection If an acne cyst becomes severely inflamed, it may rupture. This can lead to scarring. A specialist may treat an inflamed cyst by injecting a diluted corticosteroid. This can help prevent scarring, reduce inflammation, and speed up healing. The cyst will break down within a few days. Oral antibiotics Oral antibiotics may be prescribed for up to 6 months for patients with moderate to severe acne. These aim to lower the population of P. Acnes. The dosage will start high and reduce as the acne clears. P. acnes can become resistant to the antibiotic in time, and another antibiotic is needed. Acne is more likely to become resistant to topical rather than oral antibiotics. Antibiotics can combat the growth of bacteria and reduce inflammation. Erythromycin and tetracycline are commonly prescribed for acne. Oral contraceptives Oral contraceptives can help control acne in women by suppressing the overactive gland. They are commonly used as long-term acne treatments. These may not be suitable for women who: have a blood-clotting disorder smoke have a history of migraines are over 35 years old It is important to check with a gynecologist first. Topical antimicrobials Topical antimicrobials also aim to reduce P. acnes in patients with moderate to severe acne. Examples are clindamycin and sodium sulfacetamide. The dermatologist may prescribe a topical retinoid. Topical retinoids are a derivative of vitamin A. They unclog the pores and prevent whiteheads and blackheads from developing. Examples of topical retinoids prescribed in the U.S. are adapalene, tazarotene, and tretinoin. Isotretinoin This is a strong, oral retinoid, used for the treatment of severe cystic acne and severe acne that has not responded to other medications and treatments. It is a strictly controlled medication with potentially serious side effects. The patient must sign a consent form to say that they understand the risks. Adverse effects include dry skin, dry lips, nosebleeds, fetal abnormalities if used during pregnancy, and mood swings. Patients who take isotretinoin must avoid vitamin A supplements, as these could lead to vitamin A toxicity. Types Acne stress Stress can be a key trigger of acne in some cases. Acne pimples vary in size, color, and level of pain. The following types are possible: Whiteheads: These remain under the skin and are small Blackheads: Clearly visible, they are black and appear on the surface of the skin Papules: Small, usually pink bumps, these are visible on the surface of the skin Pustules: Clearly visible on the surface of the skin. They are red at their base and have pus at the top Nobules: Clearly visible on the surface of the skin. They are large, solid, painful pimples that are embedded deep in the skin Cysts: Clearly visible on the surface of the skin. They are painful and filled with pus. Cysts can cause scars. Prevention and management tips Here are some tips for looking after skin that has acne or is prone to it. Wash your face no more than twice each day with warm water and mild soap made especially for acne. Do not scrub the skin or burst the pimples, as this may push the infection further down, causing more blocking, swelling, and redness. Avoid popping pimples, as this makes scarring likelier. A specialist can treat a pimple that requires rapid removal for cosmetic reasons. Refrain from touching the face. Hold the telephone away from the face when talking, as it is likely to contain sebum and skin residue. Wash hands frequently, especially before applying lotions, creams, or makeup. Clean spectacles regularly as they collect sebum and skin residue. If acne is on the back, shoulders, or chest, try wearing loose clothing to let the skin breathe. Avoid tight garments, such as headbands, caps, and scarves, or wash them regularly if used. Choose makeup for sensitive skin and avoid oil-based products. Remove makeup before sleeping. Use an electric shaver or sharp safety razors when shaving. Soften the skin and beard with warm soapy water before applying shaving cream. Keep hair clean, as it collects sebum and skin residue. Avoid greasy hair products, such as those containing cocoa butter. Avoid excessive sun exposure, as it can cause the skin to produce more sebum. Several acne medications increase the risk of sunburn. Avoid anxiety and stress, as it can increase production of cortisol and adrenaline, which exacerbate acne. Try to keep cool and dry in hot and humid climates, to prevent sweating. Acne is a common problem. It can cause severe embarrassment, but treatment is available, and it is effective in many cases. Few of the many possible remedies that homoeopaths consider for treating acne: Hepar sulph: pimples that are very painful; they may feel like a splinter in the skin. Lesions are very sensitive to touch and possibly cold. They may cluster in crops on the forehead and tend to form pustules and whiteheads easily. Discharge may smell like old cheese. In general, the person may be very chilly and oversensitive to pain, touch, cold, and slight causes. Calcarea sulph: severe cystic acne. Lesions persist in one place for weeks and do not heal quickly. Yellow, creamy pus drains for a long time. Unhealthy-looking skin with yellowish scabs. Pimples on the face and near ears and hairline. The tendency to infections of the sinuses, ears, and tonsils that persist a long time. Person may be warm-blooded and feel worse in warm rooms. Kali bromatum: acne begins in the teen years and continues relentlessly into adulthood. Bluish, red pustules on the face, chest, and shoulders that leave scars, purple spots, or a depression in the skin. Pimples may have a depressed center or be painful, large red cysts with a white or yellow center. In females, the acne may be worse near the menstrual period. The person may have fidgety hands and feed, unpleasant dreams, restless sleep, and teeth grinding. They may be worse from warmth. Pulsatilla: acne in young girls that is associated with the onset of puberty. Acne that is associated with the menstrual period (especially when the period is irregular or absent) or with pregnancy. The person tends to have little thirst; to be weepy and like comfort and consolation; and to be chilly but like open, cool air and gentle motion. Silica: deep, hard cystic acne, like boils on the face, especially the cheeks; pimples often to do not come to a head or show pus. Pimples are very slow to heal and leave pitting scars. The person tends to get infections easily and frequently. They may be chilly with sweaty hands and feet. They may be fatigued and lacking in strength and confidence, while also being obstinate with fixed ideas. Sulphur: acne with very oily skin. Blackheads are plentiful. Pimples and whiteheads are very large but not that deep. The face, especially the nose, is generally affected and tends to become reddened. Pimples may be painless but itchy. The skin may be rough and worse from washing. The acne may also be worse from heat, before the menstrual period, and from eating fatty foods. (This remedy is especially indicated for rosacea, a reddening of the face that causes acne-like eruptions. Acne in puberty:- puls, kali brom, bacillinum. Acne rosasea:- carbo veg , calc silicata, psorinum,lachesis ,kreosote,mezerium,petrolium,sepia.radium brom. Other Medicines: LACHESIS:- Bluish purplish boils carbuncles- Black edges, blue-black swellings- Senile erysipelas- Cellulitis, varicose veins BACILLINUM:- Ringworm, pityriasis, eczema of eyelids- Glands of neck enlarged- Skin complaints about asthma. CARBO VEG:- Gangrene boils carbuncles, putrid ulcers- Blueness, ecchymoses- Burning pain, putrid discharges PSORINUM:- Dirty greasy breaks in folds- Scaly eruptions over the scalp.- Unhealthy skin- Intolerable itching during the night.- Offensive discharges from eruptions, eruptions around nails. SEPIA:- Ringworms , tinea, warts. herpes circinatus.- Rough, cracked skin in flexures- Ulcers on small joints- Itching not relieved by scratching. NAT MUR:- Crusty eruption margins of hair, behind ears, the eruption in bends of limbs.- Eczema raw red inflamed eruption in hair margins.- Herpes about lips.Dr. Rajesh Gupta10 Likes17 Answers
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varicose veins Varicose veins are rope-like veins that typically form on the legs. These veins are usually the result of a weak vein valve that is allowing blood to collect in the vein. Varicose veins can very noticeable due to their blue or purple color and their bulging from the skin. There are several factors that can contribute to one’s risk of developing spider veins. Genetics can play a factor in whether or not you will develop varicose veins in your lifetime. Being pregnant can sometimes cause varicose veins because of the hormonal changes and the pressure put on the veins. Varicose veins are increasingly common as you age and being overweight also increases the risk of developing them. In order to prevent varicose veins, it is also important not to sit or stand for long periods at a time. Epidemiology Prevalence estimates vary based on population, selection criteria, disease definition, and imaging techniques. Generally, prevalence rates are higher in industrialized countries and in more developed regions. Prevalence of visible varicose veins in the Western population over 15 years of age is 10% to 15% for men and 20% to 25% in women. Prevalence rates in the US are 15% (range from 7% to 40%) in men and 27.7% (25% to 32%) in women. Visible varicose veins are more prevalent in Hispanic people (26.3%) and less prevalent in Asian people (18.7%). The prevalence of varicose veins increases with age. In one study, 40-year-olds had a prevalence of 22%, 50-year-olds a prevalence of 35%, and 60-year-olds a prevalence of 41%. A genetic link has been suggested. The risk of varicose veins developing if both parents are affected is 90%; 62% risk if 1 parent is affected and female offspring; 25% risk if 1 parent is affected and male offspring; and if no parent is affected, the risk is 20%. Types Greater saphenous varicose veins Lower extremities veins consist of deep veins and superficial veins and most of the blood flow in legs goes back to the heart through deep veins. The varicose vein is formed in superficial veins that cover about 10% of the blood flow in legs. Among the superficial veins in legs, the one that forms varicose veins most frequently is greater saphenous veins. The greater saphenous vein is the superficial vein that goes up from inside of the ankle and is connected to the femoral vein at the inguinal region. The varicose vein which is formed on the main duct and the main branches of the greater saphenous vein is greater saphenous varicose veins. The area of the outset of varicose vein is lower legs, inside of the thigh, outside of lower extremities and the back of the thigh. Lesser saphenous varicose veins The lesser saphenous varicose vein is often seen next to the greater saphenous varicose vein. Lesser saphenous vein runs up from the outside of Achilles tendon and is connected to the deep vein at the back of the knees. The area of the outset of the lesser saphenous varicose vein is at the back of ankle or knees. Branch type varicose vein It is an enlarged segmental vein that is ramified from the main saphenous vein. Mainly it is seen below knees and sometimes solitary. Its feature is slightly narrower than a saphenous varicose vein. Genital area varicose vein It is a varicose vein that occurs due to the blood that backflows from the vein around the ovary and womb. Accordingly, the condition worsens when the flow of the blood into the ovary and womb increases during the menstrual period. When bumpy blood vessel meanders diagonally from the groin at the back of femur and spreads through lower extremity, genital area varicose vein is suspected. Reticular type and Web type (spider veins) varicose vein The reticular type varicose vein is the swollen fine subcutaneous veins in the size of 2-3mm in diameter that spread like a mesh. The web type varicose vein is dilated capillary veins that are finer than reticular type in the size of less than 1mm in diameter that exist just below the skin. Web type varicose veins are not bumpy like saphenous varicose veins. Risk factors These factors increase your risk of developing varicose veins: Hormonal Changes: Women are more likely to develop the condition. Hormonal changes during pregnancy, pre-menstruation or menopause may be a factor because female hormones tend to relax vein walls. Taking hormone replacement therapy or birth control pills may increase your risk of varicose veins. Family history: If other family members had varicose veins, there’s a greater chance you will too. Being overweight puts added pressure on your veins. Standing or sitting for long periods of time: Your blood doesn’t flow as well if you’re in the same position for long periods. Causes In normal veins, valves in the vein keep blood moving forward toward the heart. With varicose veins, the valves do not function properly, allowing blood to remain in the vein. Pooling of blood in a vein causes it to enlarge. This process usually occurs in the veins of the legs, although it may occur elsewhere. Varicose veins are common, affecting mostly women. Causes include: Defective valves from birth (congenitally defective valves) Superficial Venous Thrombophlebitis Trauma Standing for a long time Having increased pressure in the abdomen may make you more likely to develop varicose veins, or may make the condition worse. This may be caused by: Pregnancy Obesity Primary varicose veins occur because of congenitally defective valves, or without a known cause. Secondary varicose veins occur because of another condition, such as when a pregnant woman develops varicose veins. Symptoms Varicose Veins occur close to the surface of the skin and anywhere throughout the leg. Symptoms typically include: A feeling of fullness, heaviness, aching, and tiredness in the legs, especially at the end of the day or after periods of prolonged standing. Visible, enlarged veins. Swelling of the feet and ankles (due to stagnant blood leaking through the walls of the veins into surrounding tissues). Changes in skin color. Frequent itching of the skin. In more severe cases, the development of non-healing skin ulcers. Symptoms of varicose vein Complications Complications of varicose veins, although rare, can include: Ulcers: Extremely painful ulcers may form on the skin near varicose veins, particularly near the ankles. Ulcers are caused by long-term fluid buildup in these tissues, caused by increased pressure of blood within affected veins. A discolored spot on the skin usually begins before an ulcer forms. See your doctor immediately if you suspect you’ve developed an ulcer. Blood clots: Occasionally, veins deep within the legs become enlarged. In such cases, the affected leg may swell considerably. Any sudden leg swelling warrants urgent medical attention because it may indicate a blood clot — a condition known medically as thrombophlebitis. Bleeding: Occasionally, veins very close to the skin may burst. This usually causes only minor bleeding. But, any bleeding warrants medical attention because there’s a high risk it can happen again. Diagnosis and test A physical examination, mainly visual, by a doctor will decide whether or not a patient has varicose veins. The patient will be asked to stand while the doctor checks for signs of swelling. The following diagnostic tests are sometimes ordered: Doppler test: An ultrasound scan to check the direction of blood flow in the veins. This test also checks for blood clots or obstructions in the veins. Color duplex ultrasound scan: This provides color images of the structure of veins, which helps the doctor identify any abnormalities. It can also measure the speed of blood flow. The patient may also be asked questions about the symptoms. In some cases, a doctor might refer the patient to a vascular specialist. Treatment If treatment is necessary, your doctor may first recommend up to 6 months of using compression stockings, taking regular exercise and elevating the affected area when resting. If your varicose veins are still causing you pain or discomfort, or they cause complications, they can be treated in several ways. The most common treatment options include: Endothermal ablation – where heat is used to seal affected veins Sclerotherapy – this uses a special foam to close the veins Ligation and stripping – the affected veins are surgically removed If you do feel you require treatment, it might help if you print out treatment options for varicose veins to discuss with your GP. Prevention There’s no way to completely prevent varicose veins. But improving your circulation and muscle tone can reduce your risk of developing varicose veins or getting additional ones. The same measures you can take to treat the discomfort from varicose veins at home can help prevent varicose veins, including: Exercising Watching your weight Eating a high-fiber, low-salt diet Avoiding high heels and tight hosiery Elevating your legs Changing your sitting or standing position regularly.Dr. Shailendra Kawtikwar14 Likes29 Answers
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67/m c/o wound/ulcer right leg lower 1/3 lateral aspect x 1 month. Not a known DM/HTN. Patient has a h/o varicose veins for which he underwent surgery 3 years back. lesion is on the the lateral aspect of the leg. What are your views about the ulcerDr. Rahul Khubchandani0 Like17 Answers
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20 years old boy has come with complain of swelling on the back of his calf muscle since 4-5 months It is sometimes associated with itching. There is no history of pain. No other systemic or skin complain. Prakriti- kapha pitta Appetite- normal Agni- madhyam Deha bala- madhyam Jihva- sama What can be diagnosis ?Vinod Mahajan7 Likes25 Answers