Some people believe that psoriasis is just a common cosmetic, skin problem. Many believe it is contagious, making it one of the most stigmatized of all skin conditions and cannot be managed. So, which is it?
Psoriasis occurs when one's immune system is overactive and attacks healthy skin tissue, causing inflammation and speeding up skin cell growth. As a result, the skin becomes itchy, painful and scaly, with inflamed red plaques (patches) or silvery scales. These can appear across the body, often on the scalp, knees, back or elbows. Still, many believe these patches cannot hurt them.
Shrichand G. Parasramani, Dermatologist, Anisha Clinic, Mumbai said, "Psoriasis is an autoimmune disease which can be controlled but has no cure. It can go into remission. Patients and their families have several misconceptions of the disease, such as it are infectious in nature and they have to live with it lifelong.
It affects the patient's quality of life to a large extent which increases his level of stress. Many patients are drawn towards alternative medicine such as Ayurveda or homoeopathy due to the failure of conventional therapy and at times high cost of treatment. This leads to irregularity in treatment, resulting in a flare-up of the disease or treatment failure.
However, patients must understand the importance of addressing the disease so as to avoid the progression of psoriasis and its underlying complications. They must be told that with newer treatment options patients can lead an almost near-normal life."
Here are 4 ways Psoriasis can worsen if not managed:
Inflammation: Psoriasis is a chronic autoimmune disease that causes inflammation. What's especially important to note is that even mild psoriasis can be a sign of significant inflammation in the body. This inflammation, in turn, can contribute to other associated health conditions.
Given that dermatologists are the key medical experts responsible for treating psoriasis, it is important to consult one to understand the condition and suitable and advanced treatment options such as biologics
Increased Risk of Health Complications: People living with psoriasis are at a higher risk of developing associated conditions or comorbidities. The most common of these is psoriatic arthritis which affects 30 per cent of psoriasis patients. It is a chronic and inflammatory disease of the joints, resulting in stiffness, pain, throbbing, swelling and tenderness in joints. If this is not treated, long-term joint damage can result.
People with psoriasis, particularly in more severe cases, are also more likely to have other inflammatory conditions, including heart attack, stroke, type-2 diabetes, and inflammatory bowel disease. Other related health issues can also include obesity, chronic obstructive pulmonary disease, metabolic syndrome, hypertension, kidney or liver disease uveitis, and sleep apnea.
Treatment to Prevent Flare-Ups: If unmanaged, psoriasis can lead to plaques and scales that continue to build and spread. Over time, these can become quite painful, causing severe itching. Without adequate treatment to prevent flare-ups, these can increase in severity and frequency. This can even happen to patients who begin medication but suddenly discontinue adhering to their recommended prescription.
It's important to remember that psoriasis can be treated. By adopting advanced therapies, such as biologics, the disease, as well as flare-ups, can be effectively managed.
Mental Health & Quality of Life: Another long-term effect of psoriasis is its effects on an individual's mental health and across one's overall quality of life. Physical symptoms, especially in commonly visible areas like the face or hands can lead to distress and affect one's self-esteem. Psoriasis, which is highly stigmatized, can be isolating or even affect social relationships.
It is also associated with psychological conditions, including depression and anxiety. These place an individual in a vicious cycle increased plaques can lead to anxiety or depression, and such stressors act as common triggers for a psoriasis flare.
By striving to address one's psoriasis, while also attempting to manage stress such as through counselling or lifestyle changes or community support groups individuals may begin noticing improvements in their overall health and well-being.
What Steps You Should Take
First and foremost, consult a dermatologist. Typically, psoriasis can be diagnosed with a simple physical examination with the doctor taking a look at one's skin, scalp and nails.
Once diagnosed, adopting a holistic treatment plan depending on the severity of one's psoriasis is key. If previously taking medication for psoriasis with limited effects, this responsiveness to treatment may also be used to find an approach more suited to the individual, especially considering recent advancements in psoriasis treatment.
It is important to remember to treat psoriasis as a chronic condition with longer-term implications, as opposed to one with temporary treatment solutions. The main aim of psoriasis treatment is to reduce inflammation and plaques. Currently, there are newer, advanced and innovative treatments, including biologics to safely and effectively treat and manage psoriasis. These work by blocking reactions in the body that cause psoriasis and its symptoms.
Biologics are important treatment options, particularly for people with moderate-to-severe psoriasis. While they may believe their condition cannot be improved or are distressed about other treatments failing, biologics can have life-changing impacts, especially in controlling one's symptoms. (Shrichand G. Parasramani, Dermatologist, Anisha Clinic, Mumbai)
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Rashes, dry and flaky patches of skin are some of the most prevalent skin issues during winter. As the intake of fluid decreases during the winter, dehydrated skin becomes a battleground for various skin issues. Therefore, it's essential to prepare our skin well ahead of the harsh winters. Homemade DIY treatments might work, but they are not all that helpful in solving all your winter skin problems.
Let's put a focal point on what our skin needs during winters:
In winter, we often feel that our skin does not need exfoliation because we haven't stepped out much. But, in reality, winters give rise to dead skin cells. This in turn clogs the follicles and acts as a barrier to the radiance of the skin. Therefore, exfoliate your skin twice a week to get rid of the dead skin buildup. Exfoliation also helps to boost the effectiveness of serums and moisturisers, thereby helping to maintain the perfect level of hydration.
Look for The Right Moisturizer
Beating the chilly winter air is equally as tough as escaping the summer heat. You have to find the right moisturiser that locks in the essential oils in your skin for a longer period of time. Ensure that you are applying that moisturiser twice a day. If you have extremely dry skin and hands, you can opt for an oil-based moisturiser during the winter. Water-based moisturisers are great for summer, but in winter they are not effective as they dry up your skin too often. You can select from shea butter to rich green tea and even rejuvenating fruit butters for intense hydration.
As hyaluronic acid comes with truck loads of benefits, including skin hydration, anti-wrinkle agency, healing agent, and antioxidant, skincare experts across the globe suggest that hyaluronic acid is the best way to maintain hydration during winter. It is suited for all skin types, and skin experts recommend that one should look out for hyaluronic acid-based products when their skin requires hydration. Profhilo has added a new and popular treatment that has gained popularity in recent times. It works by injecting hyaluronic acid into the skin's layers, resulting in visibly hydrated, healthy, and rejuvenated skin.
DIY Facemask for Winters
Face masks can hydrate your skin, remove the dirt and help in improving the pores of the skin. Applying honey and malai (milk cream) facemask is one of the best natural moisturising creams that you can apply on your skin to make it supple and soft. Honey helps to clear your skin off the bacteria that are responsible for the growth of pimples and acne on your face. Mix a tablespoon each of milk cream and honey in a bowl and mix them well. Apply the mixture on your face and skin and leave it for about 15 minutes before rinsing it off with lukewarm water. Pat dry your skin and see the result. (Dr. Chiranjiv Chabra, Cosmetic Dermatologist, Director Skin Alive Clinics)
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Winter has arrived, bringing with it dry, flaky skin and hair. Frizzy, lifeless, and damaged hair, as well as dry skin, cannot be blamed only on the winters. Our skin and hair are influenced by many different things, like the ultraviolet radiation from the sun or pollution, particularly pollution from cities.
One of the worst enemies of skin and hair is pollution. Established industries, car emissions, and cigarette smoking all contribute to rising pollution levels. The most harmful pollutants are particulate matter (PM), which includes PAHs (polycyclic aromatic hydrocarbons) and poisonous gases like SO2, NO2, NO, CO2 and CO2.
"The exposure to smoke, dust, toxic gas, particulate matter, nickel, lead and arsenic can lead to a condition called 'Sensitive Scalp Syndrome', which happens when this particulate matter settles on the scalp and in the hair shafts.""Pollution exposure can cause chemical damage to the hair. It leads to degrading hair protein, affects the hydrophilic hair surface niche and damages the hair cuticles."
"According to a recent research, Intense exposure to the pollutants also affects the skin, reduces the stratum corneum (outer skin layer) quality, increases the dark spots, intensity wrinkles, fine lines and affects the normal composition of natural sebum production."
"Pollution exposure, particularly PM, VOCs (volatile organic compounds) and PAHs are also known to inflame the skin, increases the oxidative stress in the skin and working synergistically with harmful sun rays, these pollutants can be one of the main reasons of skin cancer."
All these facts are enough to understand how dangerous and detrimental pollution is for our skin and hair. We need to take some proper precautions to protect our hair and skin from this natural enemy. Here's a list of some of the best pollution skincare and hair care suggestions for you today:
Skin Care Tips
Applying Broad-Spectrum Sunscreen Every Day is Important
A broad-spectrum sunscreen with the power of antioxidants is the right option for your skin to protect it from the effects of pollutants. A broad-spectrum sunscreen gives your skin a shield against UVA, UVB, and IR rays. However, the richness of antioxidants in a sunscreen provides full protection from pollution. This is why you don't apply sunscreen even a single day throughout the year.
Must Cleanse The Face After Returning The Home
We rinse our face in the morning for freshness, but in the evening cleansing, the face not only provides you with freshness but also a big relief from dust, grime, and pollutants. Select charcoal-based or active ingredients like vitamin C or retinol-based serums to deeply cleanse your skin from the particles of pollutants. Never skip this step, no matter how tired you are. For healthy skin, this step is a must.
Give Your Skin The Night Skin Repair Therapy
The other thing you need to include in your night skin care routine is a good repair face serum or cream. Retinol, vitamin C or ferulic acid-based face serums are best to repair polluted skin. These ingredients are rich in antioxidants, which help to neutralise free radicals, reduce oxidative stress and reduce pollutant-induced skin damage.
Go For A Home-Based Detox Face Pack Every Week
There is an ultimate DIY detox face pack that you will love to apply to your face, especially if you are a chocolate or coffee lover. You'll need cocoa powder and ground coffee beans for this pack.
These two ingredients contain the best antioxidants to cleanse the face. Take both ingredients in an equal quantity and add coconut oil or milk to make a fine paste. Add honey if you want to, and apply it to your face. Let it dry and rinse your face with normal water. Apply a moisturiser afterwards.
Hair Care Tips
Cover your hair with cloth or hat when outside
Whenever outside, make sure to cover your hair with a cloth or a hat, as it will hinder the direct contact of pollutants with your hair. In the winter, this may be the best option.
Don't Forget to Apply A Good Hair Serum
If you are unable to cover your hair, you must apply a hair protecting serum before going out. It forms a thin covering layer over your hair and protects it from toxic gases and other urban pollutants. The hair serum not only gives shine to the hair but also works as a protector of the hair and keeps it intact from pollution and heat.
Rinse The Hair Every Two to Three Days
Make sure to rinse your hair every 2 to 3 days, especially if you live in an area with high pollution levels. It will clear up all the dirt and pollutants from your scalp, and you can flaunt healthy, wavy, luscious hair.
Give Your Hair A Keratin Spa or Keratin Mask
Pollutants can also impact hair protein levels. To restore it, you should go to a keratin spa at home using a good hair mask. For this, you need 1 tablespoon of almond oil, 1 tablespoon of honey, and 1 egg yolk. Mix the ingredients and apply the paste on the overall scalp and hair. Keep it for about an hour and shampoo the hair.
These tips can protect you from pollution and revive your skin and hair to maintain their natural essence. Along with these, you must add antioxidant-rich foods like citrus fruits, broccoli, spinach, onions, garlic, and turmeric to revive skin and hair from the inside. (Mr. Rajesh Grover, Co-Founder, Derma Essentia)
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Menstrual health comprises the physical, social and mental aspects related to menstruation or periods. In India, women's health has been given secondary importance due to a male dominant society, illiteracy, low socio-economic conditions and ignorance.
The most common causes of menstrual problems are PCOS (Polycystic Ovarian Syndrome), and abnormal or heavy menstrual bleeding. Menstruation or monthly periods have been associated with a lot of social and cultural taboos in India.
Many young girls and women do not have facilities to manage their menses hygienically, maintaining their privacy, dignity and gender equality at home, schools and workplaces.
So, what are normal periods? A normal menstrual period lasts from 2-7 days and comes at an interval of 21-35 days. It is difficult to quantify the actual menstrual flow. In general, use of three to four XL or regular size sanitary pads per day (since they need to be changed every six to eight hours) can be considered normal on an average, but it may vary depending on the individual.
Common Menstrual Problems
1. Menstrual hygiene
2. Menstrual flow
3. Menstrual cycle
4. Menstrual hormones
Menstrual Hygiene Related Problems: Use of unclean sanitary pads or clothes can give rise to genital tract infections, anaemia and urinary tract Infection. This can be prevented by social awareness and easy availability of affordable sanitary products. It is also important to have the right knowledge about menstrual hygiene to avoid such issues from taking place.
Menstrual Flow Related Problems: One can experience excess or scanty flow during periods. Usually heavy menstrual flow can be for 1-2 days but if it continues for more than 5-7 days, it can lead to low haemoglobin and anaemia. This definitely needs to be investigated and treated along with oral iron replacement therapy. The less flow or change in flow over years can be due to hormonal imbalance. This can occur mostly after completion of family in perimenopausal age.
Menstrual Cycle Related Problems: Irregular periods, skipping or not getting periods for more than six months (also known as secondary amenorrhoea) and bleeding in between periods (called inter menstrual bleeding) are a few problems under this type of problem. The most common cause for this is Polycystic Ovarian Syndrome (PCOS), stress, anxiety and depression. Investigations in the form of pelvic sonography and hormonal investigations are necessary to make a diagnosis. Regular exercise, a balanced diet and healthy lifestyle changes are important.
Menstrual Hormone Related Problems: This usually gives rise to psychomotor issues. They can be symptoms of Premenstrual Syndrome (PMS) at any age group or peri/postmenopausal vasomotor symptoms after the age of 45. Bloating, breast tenderness, irritability and depression which occur premenstrually and disappear with onset of periods are classical symptoms of PMS. If they are affecting day to day family life, then it needs to be treated.
Every woman experiences menopausal symptoms in varying severity, starting usually 4-5 years before menopause. The night sweats, hot flushes, low moods, anxiety, irritability, joint and muscle pain, loss of interest in having sex, and weight gain are typical menopausal symptoms due to deficiency of oestorgen hormones.
No matter which type of menstrual problem you're facing, it is always advisable to visit a gynaecologist who will be able to identify all your queries after making the right diagnosis.
Nua, a new-age brand transforming the women's wellness space in India with holistic and personalised solutions that addresses real problems faced by women in managing their menstrual health and personal hygiene, provides an innovative range of products and services, including India's first customizable pack of sanitary pads and self-heating menstrual cramp patches, also available on a subscription basis. (Vaishali Joshi, #NuaExpert on Gynaecology, is an Obstetrician and Gynaecologist at Kokilaben Dhirubhai Ambani Hospital, Mumbai)
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While Covid-19 spared none, people with diabetes were among the hardest hit. The infectious disease not only raised the risk of severe disease progression and death among diabetics, affecting even the recovery, it also contributed towards the burden of diabetes in the country.
World Diabetes Day is observed annually on November 14 to raise awareness on the high blood sugar condition and related consequences.
India, known as the diabetes capital of the world, is home to one in six diabetics in the world. The country has also suffered significantly from Covid-19.
While on an average, diabetes reduces life expectancy by 4-10 years increasing the risk of death due to other comorbidities, which include heart attacks, kidney failures and infections, Covid infection fast forwarded that among people with diabetes.
Diabetes increased inflammatory response among Covid patients, spiking their blood sugar levels. It then complicated the course of Covid, resulting in excess morbidity and mortality, as well as posing severe challenges in the recovery of patients.
"During Covid patients were succumbing to it, not because of the original disease, but because despite all other efforts their glucose levels remained high. Thus recognising glucose as a vital sign very similar to blood pressure and pulse rate, respiratory rate, became more necessary during the pandemic," Jothydev Kesavadev from Jothydev's Diabetes Research Centres, Kerala, told IANS.
"Studies from all over the world show that the majority of the deaths from Covid were linked to high glucose values, and this includes both patients with no diabetes and with the new onset of high glucose," he added.
Further, the use of steroids, to control the serious manifestations of Covid-19, worsened the glucose levels in the patients.
High blood sugar levels, coupled with increased use of steroids, also led to other complications such as an unprecedented surge in cases of mucormycosis, commonly known as black fungus. It is a fungal infection, which occurs by inhalation of spores and can disseminate to various organs rapidly.
According to a recent study, published in Diabetes and Metabolic Syndrome: Clinical Research and Reviews, more than 86 per cent of mucormycosis or black fungus cases related to Covid in India, had uncontrolled glucose values.
"While the Covid cases are closely related to diabetes, mucormycosis is also very closely related to diabetes in Covid. Whenever the glucose is high, there is a deranged immune mechanism and in the presence of an infection it is persuaded rapidly," Kesavadev said.
Another study, published in the same journal showed that people with Type-2 diabetes who also suffered Covid-19 were more likely to experience severe fatigue than those who did not have the infectious disease, emerging as a major roadblock in the recovery of patients infected with SARS-CoV-2.
Moreover, among diabetes patients, those with increased fatigue level post Covid-19 also had increased postprandial blood glucose levels.
Covid also contributed to new onset of diabetes in many people, particularly the young. On one hand, Covid-induced lockdowns increased diabetes cases as people spent more time indoors, while eating more and exercising less.
On the other hand, Covid also contributed to nearly 25 per cent rise in diabetic patients in the country, according to an analysis of OPD data from a private hospital in Delhi.
Doctors found that among patients with confirmed Covid-19 infections, there was nearly 25 per cent of new onset of diabetic patients. Stress induced hyperglycemia -- high blood sugar -- was seen in 10 per cent of patients who had Covid-19 infection.
"The younger population is increasingly affected. We have seen that happening during Covid-19 epidemic. Increasing number of young people with more severe diabetes are now being seen," Dr Anoop Misra, Fortis-C-DOC Centre of Excellence for Diabetes, Metabolic Diseases and Endocrinology, New Delhi, told IANS.
As per a recent study, among the younger generation in India, below the age of 30 years, there is a rapid increase in the occurrence of diabetes over the last 10 years.
"For these, diabetes as a disease will result in complications after 10 to 15 years. Imagine a situation where more and more people are developing diabetes at the age of 25 years or 30 years, which means even during the productive age group, by the time they are 35 years or 40 years, they will start developing complications. if the disease is not treated properly," Kesavadev said.
"There is an urgent need to decrease the screening age of diabetes to 25 years, from the current 30 years, in India," Dr Misra said, adding that "there is increasing urgency to ensure that young people follow correct lifestyle practices including more exercise, correct food choices, and maintenance of weight to normal, or even leaner category".
While diabetes cannot be treated it can be controlled and reversed by adopting a healthy lifestyle, diet and having proper sleep, as well as exercising for at least half an hour every day, suggested the experts. (Rachel V Thomas)
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Delhi's Lok Nayak Jai Prakash Hospital has seen a growth of 8 to 10 per cent in patients suffering with respiratory problems due to pollution after Diwali, its Medical Director Dr Suresh Kumar said on Sunday.
Talking to IANS, Dr Suresh Kumar said that they everyday have 10-12 patients visiting the hospital with breathing problems.
"Air pollution has become a major issues post Diwali. Elderly people and chlidren are the main victim of the pollution," he said, adding that long-term exposure to chronically high PM 2.5 levels weakens the lungs' ability to function.
The air quality in Delhi improved marginally on Sunday from Saturday's "severe" to "very poor category". According to the forecast from the Air Quality Early Warning System, the AQI will continue to remain in the "very poor" category till at least Tuesday.
About the pollution caused respiratory and other problems, Dr Kumar said that they have capacity for 120 patients but due to the outbreak in pollution-related diseases post Diwali, they are getting around 140 patients every day in the hospital.
He said the emergency and OPD wards are getting average 140 patients in total, with all types of problems, but most of them are suffering with respiratory and dipping levels of oxygen. It also includes the rising number of asthma cases in children.
About the preventive measures, he said that only two things - use of masks and avoiding stepping outside - can protect people from such rising level of pollution.
He added that the high level of PM 2.5 particles at this time can lead to lung infections, irritation in eyes, and respiratory problems.
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