Chronic parnochya. Needs proper antiseptic dressing and antifungal cream apply locally. Sy. Septilin 10ml BDPC X 3 month. Sy. Liv52 10ml BDAC X 3 month. Intake fresh fruit and vegetables.
Seems to be a case of chronic paronychia by fungal ( candida ) infection due to too much contact with water or soap water. There may be an added bacterial infection with the complaint.Blackish discoloration may be either due to fungal infection or from blockge of peripheral circulation ( gangrene ? ). Please check the reason for surgery
Shelcal Calcitriol Tab Evion Massage nails with Flaxseed oil or Jojoba oil Mother tincture Aspidosperma 10 drops qds. NSAIDs for Rheumatoid Arthritis
Difficult to consider her back history but at this stage think about "Galit Kushth " sympotems.@Dr. Roshni S .ji.
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please guide me in this case 50yr old Female housemaker who is non DM/HTN , known case of Rheumatoid arthritis ( 9yrs) , Bronchial asthma ( more than 10 yrs- not using inhaler) C/O nail bed pain and itching finger nails and toe nails for 10yrs . First noted as skin drying and later nail bed pain on 2010 . One yr later nails get brittiled. Taken allopathic treatment on 2012 and they recently advised for surgery. Condition aggravates while washing utensils, clothes. Gets relieved by application of moisturiser or any oil .Now the itching and dryness aggravated during lockdown days and she use to apply turmeric and neem paste in nails. No dandruff noted in scalp. Along with this complaint of nail bed itching &pain ... She complaints of pricking type of pain in right chest and difficulty in breathing during night time. Symptoms used to get subsided by taking steam inhalation. Sometimes she also c/o pricking type of pain in right chest region radiates to right hand. ,I'm attaching pictures Is it contagious? What is the diagnosis? Treatment?Dr. Roshni S2 Likes10 Answers
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46yr old non hypertensive non diabetic lady is suffering from this kind of problem in. nails with severe itching from past 8yrs . The itching aggravates while washing cloths and vessels and get relieved by the application of candid.b ointment illness..... suffering from bronchial asthma for 4yrs .under allopathic treatment suffering from rheumatoid arthritis personal history bowel ..normal appetite..normal micturation ..3-4times (incontinence) sleep ..disturbed diagnosis of the disease and treatment??Roshni Ramesh7 Likes35 Answers
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Alopecia Areata (Indralupta): A case successfully treated3 with Ayurvedic Management A 32 yrs old married female was presented with history of patchy hair loss on scalp, with mild itching over affected area and gradual increment since 4 years. There was no personal history of autoimmune disorders (like Atopic dermatitis, psoriasis, Vitiligo, Asthma, Urticaria, Rheumatoid arthritis, Thyroiditis) or family history in first degree relation suggestive of these disorders.There was no personal history of recurrent patchy skin lesion either on scalp or on other body parts, major psychological disorder, or history of treatment from psychiatrist, endocrinal disorder (Diabetes), hair plucking habit, local recurrent friction or trauma or surgery, prolonged medicinal treatment before appearance of lesions. There were patchy hair loss measuring about 4x6 cm and 2x2 cm on left temporal region and occipital region respectively. There was mild dryness over patches with extremely sparse, few white and black hairs along with blackish spots. Scaling was observed on the rest area of scalp indicative of dandruff. The patient had taken the Allopathy treatment for two years and did not found control over the disease. The patient was prescribed medicines(in ayurveda centre) Manjishthadi Kwatha 20 ml twice a day, empty stomach in morning andbefore dinner was prescribed. Combination of Arogyavardhinirasa.Saptamrut Lauha,Guduchi Churna,Amalaki nd Vidanga [was prescribed twice a day along with honey before meal. Externally, Gunjabeeja Lepa was advised to be prepared at home by the patient by soaking Gunjabeeja in curd for a night and then triturating it .Then it was advised to rub over the affected part with application of the Lepa for five to ten minutes along with any liquid. Gunjaditaila was prescribed for local application after removal of Lepa. All the possible pathological factors involved in the disease were strictly stopped. Patient was allowed to visit after every 15 days as she was coming from distant city. On second visit (after 15th day), patient complained of itching and burning after application of Gunjadilepa. Redness in scalp was observed. Patient was prescribed Yashtimadhu Churna for local application along with ghrita at the time of severe itching. On third visit (after a month), no improvement was observed on the patches but dandruff was decreased. Preliminary some brownish and some whitish thin hairs appeared in some part of the bald patches [on forth visit (45th day)], then small brownish black hairs grown [on fifth visit (60th day)] and finally blackish hairs started to grow [on seventh visit (90th day)]. Both the patches were completely filled up with small hairs after four month of the treatment. Gunjadilepa was stopped then and only Gunjaditaila was continued. Spots over patches were reduced in 3rd visit and were invisible after 8th visit. The hairs on the patches gradually grown longer and after ten months, they grown as sufficient and similar as that of neighbouring area. Patient was followed every two months then after for period of two years. No recurrence was observed during this period. Reference of roga in samhita: Acharya Charaka mentions that Tejas by involving VatadiDosha when reaches the scalp, it results in Khalitya (Indralupta).According to Acharya Sushruta, Pitta along with Vata by involving the roots of hair (Romakoopa) causes fall of hair and thereafter Shleshma along with Shonita obstructs the channel of Romakoopa leading to the stoppage of the regeneration of hair and this condition is known as Indralupta, Khalitya or Ruhya.Thus Vata, Pitta and Kapha Dosha and Rakta Dushya are the main internal causative factors of Indralupta. Charaka in Vimanasthana, while describing the disorders occurring due to over indulgence in Kshara, Lavana and Viruddha Ahara has mentioned the occurrence of Hair Loss as a consequence. It has been mentioned that the Viruddha Ahara like, simultaneous intake of Lavana with milk in the diet induces Indralupta, as observed in the people of Saurashtra and Bahlika. Thus, it can be said that a person habituated to excessive Lavana or Kshara intake and taking Viruddha Ahara in routine is prone to have Indralupta.Mithya Ahara and Vihara Manoabhighata like mental stress, fright, anger, shock etc. may collectively increase the Pitta and Vata Dosha. The Ushna and Tikshna properties of Pitta get augmented whereas the Vata suffers an aggravation in Ruksha, Khara and Chala properties. Here an aggravated Pitta (Bhrajaka Pitta) supported by the vitiated Dehoshma burns the Keshabhoomi whereas an increased Vata gives rise to more frequent and comparatively prolonged ShiraSankocha by its Ruksha and Khara Guna. The Snigdhatva and the Pichchhilatva of the normal Kapha Dosha is prevalent throughout the pores of the skin so as to keep it soft and moist. By the augmentation of the Ushna, Tikshna, Ruksha and Khara properties of Pitta and Vata Doshas respectively, the Sneha and the Pichchhilatva of the Kapha Dosha are dried up within the pores of the skin of the scalp thus, obstructing the growth of new hairs, causing Indralupta. Prescribed drugs discussion: Manjisthadikashaya pacifies vitiation of kapha and pitta humours. However, it is formulated such a way that it can be effective in all types of diseases cause by all three dosha. It is mainly blood purifier. It detoxifies blood and aids to eliminate toxins accumulated in the body. It increases skin glow. Formulations Arogyavardhini Rasa, Saptamrutlauha and Vidanga causes Apatarpaan, which helps in opening the blockage of strotasa. Saptamrutlouha also helps to cure anaemic condition. Guduchi and Amalaki are rasayana drugs which help in rejuvenation process. This combination is helpful in removal of excessive fat, clearing of various types of toxins from the body and helps in reduction of accumulated cholesterol in the body. It promotes digestive fire, clears body channels for the nutrients to reach to the tissues, balances fats in the body and removes toxins by improving the digestive system. Triphala Guggulu shows detoxifying and rejuvenating actions of oral Triphala along with the anti-inflammatory and anti-infective action of guggulu was found to have a marked effect in treatment of alopecia. Triphala also heals the tissue along with increasing the digestion of the patient at the same time acting as a mild laxative. In bhaishajyaratnavali, in the treatment of Indralupta it is suggested for scraping the scalp with paste of Gunjabeeja and applied the paste for some duration. Scraping helps in removal of hair root obstruction. Application of Gunja tail after the removal of the lepa helps in itching. Triphala Kwatha helps in external purification of skin of scalp and removal of dandruff. Nidana Parivarjana was also found helpful in the management of the disease. For more information Abstract Article Link: http://www.ayurvedjournal.com/JAHM_201733_02.pdf #CurofyCampusAmbassadorAyushAnshul Bahl17 Likes9 Answers
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What can be diagnosed with the help of the image, or put into differential?Dr. Shashiprakash Kshatriya3 Likes16 Answers
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44 yr old lady ,not a k/c/o DM/HT/Dyslipidemia c/o dyspnoea on exertion for the past 3 yrs along with 10% weight gain. On examination bilateral pitting pedal edema present more so on the right leg (photo attached) vitals are stable and all the systemic examinations normal. Also attaching the photo of her dry,coarse skin,mostly due to hypothyroidism P.s:Can pedal edema be severe enough to cause medial deviation of the toes??(photo attached) If not what are the reasons for it??Dr. Vaibhav Suresh5 Likes25 Answers