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Ailmemts & Remedies

Meniere’s Disease

Definition:
Ménière’s disease is a disorder of the inner ear that can affect hearing and balance to a varying degree. It is characterized by episodes of vertigo — a sensation of a spinning motion — along with fluctuating hearing loss, ringing in the ear (tinnitus), and sometimes a feeling of fullness or pressure in your ear. In most cases, Meniere’s disease affects only one ear.
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People in their 40s and 50s are more likely than people in other age groups to develop Meniere’s disease, but it can occur in anyone, even children.
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Although Meniere’s disease is considered a chronic condition, there are various treatment strategies that can help relieve symptoms and minimize the disease’s long-term impact on your life.

It is named after the French physician Prosper Ménière, who, in an article published in 1861, first reported that vertigo was caused by inner ear disorders. The condition affects people differently; it can range in intensity from being a mild annoyance to a chronic, lifelong disability

Symptoms:
The symptoms of Ménière’s are variable; not all sufferers experience the same symptoms. However, so-called “classic Ménière’s” is considered to have the following four symptoms:
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*Periodic episodes of rotary vertigo or dizziness.

*Fluctuating, progressive, unilateral (in one ear) or bilateral (in both ears) hearing loss, usually in lower frequencies.

*Unilateral or bilateral tinnitus.

*A sensation of fullness or pressure in one or both ears.

Ménière’s often begins with one symptom, and gradually progresses. However, not all symptoms must be present for a doctor to make a diagnosis of the disease.  Several symptoms at once is more conclusive than different symptoms at separate times.

Attacks of rotational vertigo can be severe, incapacitating, and unpredictable and can last anywhere from minutes to hours,  but generally no longer than 24 hours. For some sufferers however, prolonged attacks can occur, lasting from several days to several weeks, often causing the sufferer to be severely incapacitated. This combines with an increase in volume of tinnitus and temporary, albeit significant, hearing loss. Hearing may improve after an attack, but often becomes progressively worse. Nausea, vomiting, and sweating sometimes accompany vertigo, but are symptoms of vertigo, and not of Ménière’s.

Some sufferers experience what are informally known as “drop attacks”—a sudden, severe attack of dizziness or vertigo that causes the sufferer, if not seated, to fall without warning. Drop attacks are likely to occur later in the disease, but can occur at any time.[10] Patients may also experience the feeling of being pushed or pulled. Some patients may find it impossible to get up for some time, until the attack passes or medication takes effect.

In addition to hearing loss, sounds can appear tinny or distorted, and patients can experience unusual sensitivity to noises.

Some sufferers also experience nystagmus, or uncontrollable rhythmical and jerky eye movements, usually in the horizontal plane, reflecting the essential role of non-visual balance in coordinating eye movements

Migraine:
There is an increased prevalence of migraine in patients with Ménière’s disease.  As well, migraine leads to a greater susceptibility of developing Ménière’s disease. The distinction between migraine-associated vertigo and Ménière’s is that migraine-associated vertigo may last for more than 24 hours

Causes:
Ménière’s disease is idiopathic, but it is believed to be linked to endolymphatic hydrops, an excess of fluid in the inner ear.

he inner ear is a cluster of connected passages and cavities called a labyrinth. The outside of the inner ear is made of bone (bony labyrinth). Inside is a soft structure of membrane (membranous labyrinth) that’s a slightly smaller, similarly shaped version of the bony labyrinth. The membranous labyrinth contains a fluid (endolymph) and is lined with hair-like sensors that respond to movement of the fluid.

In order for all of the sensors in the inner ear to function properly, the fluid needs to retain a certain volume, pressure and chemical composition. Factors that alter the properties of inner ear fluid may help cause Meniere’s disease. Scientists have proposed a number of potential causes or triggers, including:

*Improper fluid drainage, perhaps because of a blockage or anatomic abnormality

*Abnormal immune response

*Allergies

*Viral infection

*Genetic predisposition

*Head trauma

Because no single cause has been identified, it’s likely that Meniere’s disease is caused by a combination of factors.

Complications:
The unpredictable episodes of vertigo are usually the most debilitating problem of Meniere’s disease. The episodes often force a person to lie down for several hours and lose time from work or leisure activities, and they can cause emotional stress.

Vertigo can also increase your risk of:

*Falls

*Accidents while driving a car or operating heavy machinery

*Depression or anxiety in dealing with the disease

*Permanent hearing loss

Diagnosis:
Doctors establish a diagnosis with complaints and medical history. However, a detailed otolaryngological examination, audiometry and head MRI scan should be performed to exclude a vestibular schwannoma or superior canal dehiscence which would cause similar symptoms. There is no definitive test for Ménière’s, it is only diagnosed when all other causes have been ruled out. If any cause had been discovered, this would eliminate Ménière’s disease, as by its very definition,  as an exclusively idiopathic disease, it has no known causes.

Treatment:
Because Ménière’s cannot be cured, treatments focus more on addressing symptoms. In extreme cases, it is necessary to destroy vestibular hair cells with the antibiotic streptomycin or to remove the affected labyrinth surgically in order to relieve severe vertigo. Patients are sometimes treated by the insertion of a shunt that diverts excess endolymph directly to the cerebrospinal fluid, a procedure that is not always effective. Typical remedies to improve symptoms may include:

*Antihistamines considered antiemetics such as meclozine and dimenhydrinate

*Antiemetic drugs such as trimethobenzamide.

*Antivertigo/antianxiety drugs such as betahistine and diazepam.

*Herbal remedies such as ginger root

Coping:
Sufferers tend to have high stress and anxiety due to the unpredictable nature of the disease. Healthy ways to combat this stress can include aromatherapy, yoga, T’ai chi., and meditation.

Surgery:
If symptoms do not improve with typical treatment, more permanent surgery is considered.  Unfortunately, because the inner ear deals with both balance and hearing, few surgeries guarantee no hearing loss.

Nondestructive:
Nondestructive surgeries include those which do not actively remove any functionality, but rather aim to improve the way the ear works.

Intratympanic steroid treatments involve injecting steroids (commonly dexamethasone) into the middle ear in order to reduce inflammation and alter inner ear circulation.

Surgery to decompress the endolymphatic sac has shown to be effective for temporary relief from symptoms. Most patients see a decrease in vertigo occurrence, while their hearing may be unaffected. This treatment, however, does not address the long-term course of vertigo in Ménière’s disease.  Danish studies even link this surgery to a very strong placebo effect, and that very little difference occurred in a 9-year followup, but could not deny the efficacy of the treatment

Destructive
Destructive surgeries are irreversible, and involve removing entire functionality of most, if not all, of the affected ear.

The inner ear itself can be surgically removed via labyrinthectomy. Hearing is always completely lost in the affected ear with this operation. Alternatively, a chemical labyrinthectomy, in which a drug (such as gentamicin) that “kills” the vestibular apparatus is injected into the middle ear can accomplish the same results while retaining hearing.

Alternatively, surgeons can cut the nerve to the balance portion of the inner ear in a vestibular neurectomy. Hearing is often mostly preserved, however the surgery involves cutting open into the lining of the brain, and a hospital stay of a few days for monitoring would be required.

Vertigo (and the associated nausea and vomiting) typically accompany the recovery from destructive surgeries as the brain learns to compensate

Physiotherapy:
Physiotherapists also have a role in the management of Meniere’s disease. In vestibular rehabilitation, physiotherapists use interventions aimed at stabilizing gaze, reducing dizziness and increasing postural balance within the context of activities of daily living. After a vestibular assessment is conducted, the physiotherapist tailors the treatment plan to the needs of that specific patient.

The central nervous system (CNS) can be re-trained because of its plasticity, or alterability, as well as its repetitious pathways. During vestibular rehabilitation, physiotherapists take advantage of this characteristic of the CNS by provoking symptoms of dizziness or unsteadiness with head movements while allowing the visual, somatosensory and vestibular systems to interpret the information. This leads to a continuous decrease in symptoms.

Although a significant amount of research has been done regarding vestibular rehabilitation in other disorders, substantially less has been done specifically on Meniere’s disease. However, vestibular physiotherapy is currently accepted as part of best practices in the management of this condition

Prognosis:
Ménière’s disease usually starts confined to one ear, but it often extends to involve both ears over time. The number of patients who end up with bilaterial Ménière’s is debated, with ranges spanning from 17% to 75%.

Some Ménière’s disease sufferers, in severe cases, may end up losing their jobs, and will be on disability until the disease burns out.  However, a majority (60-80%) of sufferers will not need permanent disability and will recover with or without medical help.

Hearing loss usually fluctuates in the beginning stages and becomes more permanent in later stages, although hearing aids and cochlear implants can help remedy damage.  Tinnitus can be unpredictable, but patients usually get used to it over time.

Ménière’s disease, being unpredictable, has a variable prognosis. Attacks could come more frequently and more severely, less frequently and less severely, and anywhere in between.  However, Ménière’s is known to “burn out” when vestibular function has been destroyed to a stage where vertigo attacks cease.

Studies done on both right and left ear sufferers show that patients with their right ear affected tend to do significantly worse in cognitive performance.   General intelligence was not hindered, and it was concluded that declining performance was related to how long the patient had been suffering from the disease

Disclaimer: This information is not meant to be a substitute for professional medical advise or help. It is always best to consult with a Physician about serious health concerns. This information is in no way intended to diagnose or prescribe remedies.This is purely for educational purpose

Resources:
http://en.wikipedia.org/wiki/M%C3%A9ni%C3%A8re’s_disease
http://www.mayoclinic.com/health/menieres-disease/DS00535

http://www.dizziness-and-balance.com/disorders/menieres/menieres.html

http://www.360balance.com/hydrops.html

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Ailmemts & Remedies

Lhermitte’s phenomenon

Alternative Name: Barber Chair phenomenon

Definition:

Lhermitte’s phenomenon  is an electrical sensation that runs down the back and into the limbs. In many patients, it is elicited by bending the head forward. It can also be evoked when a practitioner pounds on the posterior cervical spine while the neck is flexed; caused by involvement of the posterior columns

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The Lhermitte’s sign is a symptom rather than a sign as it describes a subjective sensation rather than an objective finding. To add more confusion, it is not attributed to its discoverer. It was first described by Pierre Marie and Chatelin in 1917. Jean Lhermitte did not publish his first report until 1920. However, in 1924 he did publish the seminal article on the subject which resulted in it becoming well known

It’s usually triggered by flexing the neck – that is, bending your head down, chin towards chest. The sensation is short-lived, usually no more than a second.

How often the symptom occurs, and what other symptoms develop along with it, depends on the underlying cause, of which there are several.

Causes:
L’hermitte’s phenomenon is a sign that something may be damaging the spinal cord (especially in the part of it that’s composed of white matter, at the back of the cord). This damage is usually in the neck or region of the spine known as the cervical spine. But the symptom is very non-specific and says nothing about exactly where in the spinal cord the problem is, or what is damaging it.

The most common cause is arthritis of the small joints of the vertebra in that part of the spine, also known as cervical spondylosis. This can cause abnormal pressure on the spinal cord or the nerves coming out of it.

Other causes include:

•Multiple sclerosis
•Vitamin B12 deficiency (pernicious anaemia)
•Tumours
•Compression of the discs in the cervical spine following trauma
•Radiotherapy to the neck

But in many cases a specific cause for Lhermitte’s phenomenon can’t be found.

Treatment:
It’s important that L’hermitte’s phenomenon is investigated by a specialist to pick up and treat any identifiable cause if possible, and limit or prevent further damage. But in many cases the tests (which may include X-ray of the cervical spine, MRI scans of the brain and cervical spinal cord, lumbar puncture and nerve signal tests known as visual evoked potentials) all come back negative.

When this happens, you should keep an eye on the problem and ask your doctor to repeat the tests if necessary or if symptoms worsen.

Disclaimer: This information is not meant to be a substitute for professional medical advise or help. It is always best to consult with a Physician about serious health concerns. This information is in no way intended to diagnose or prescribe remedies.This is purely for educational purpose

Resources:
http://en.wikipedia.org/wiki/Lhermitte’s_sign
http://www.bbc.co.uk/health/physical_health/conditions/lhermittes.shtml

http://www.msrc.co.uk/index.cfm/fuseaction/show/pageid/755

http://commons.wikimedia.org/wiki/File:Illu_vertebral_column.jpg

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Ailmemts & Remedies

Indigestion and Heartburn

Definition:
Indigestion — also called dyspepsia or an upset stomach — is a general term that describes discomfort in your upper abdomen.
It is a term that people use to describe a range of different symptoms relating to the stomach and gastro-intestinal system.
Indigestion is not a disease, but rather a collection of symptoms you experience, including bloating, belching and nausea. Although indigestion is common, how you experience indigestion may differ from other people. Symptoms of indigestion might be felt occasionally or as often as daily.

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Fortunately, you may be able to prevent or treat the symptoms of indigestion.

Symptoms:
Most people with indigestion have one or more of the following symptoms:

*Early fullness during a meal. You haven’t eaten much of your meal, but you already feel full and may not be able to finish eating.

*Uncomfortable fullness after a meal. Fullness lasts longer than it should.

*Pain in the upper abdomen. You feel a mild to severe pain in the area between the bottom of your breastbone (sternum) and your navel.

*Burning in the upper abdomen. You feel an uncomfortable heat or burning sensation between the bottom of the breastbone and navel.

Less frequent symptoms that may come along with indigestion include:

*Nausea. You feel like you are about to vomit.

*Bloating. Your stomach feels swollen, tight and uncomfortable.

Sometimes people with indigestion also experience heartburn, but heartburn and indigestion are two separate conditions. Heartburn is a pain or burning feeling in the center of your chest that may radiate into your neck or back after or during eating.

It’s not uncommon for people with severe indigestion to think they’re having a heart attack. The pain may be stabbing, or a generalised soreness.

Some people experience reflux – where acidic stomach contents are regurgitated up into the gullet causing a severe burning sensation. Other symptoms include bloating, wind, belching and nausea. Sometimes the pain of indigestion can be relieved by belching.

Risk Factors:
People of all ages and of both sexes are affected by indigestion. It’s extremely common. An individual’s risk increases with excess alcohol consumption, use of drugs that may irritate the stomach (such as aspirin), other conditions where there is an abnormality in the digestive tract such as an ulcer and emotional problems such as anxiety or depression.

Causes:-
Indigestion has many causes, including:

Diseases: 

*Ulcers
*GERD
*Stomach cancer (rare)
*Gastroparesis (a condition where the stomach doesn’t empty properly; this often occurs in diabetics)
*Stomach infections
*Irritable bowel syndrome
*Chronic pancreatitis
*Thyroid disease

Medications:
*Aspirin and many other painkillers
*Estrogen and oral contraceptives
*Steroid medications
*Certain antibiotics
*Thyroid medicines

Lifestyle:
*Eating too much, eating too fast, eating high-fat foods,eating fried and toomuch spicy food or eating during stressful situations
*Drinking too much alcohol
*Cigarette smoking
*Stress and fatigue
*Swallowing excessive air when eating may increase the symptoms of belching and bloating, which are often associated with indigestion.

Sometimes people have persistent indigestion that is not related to any of these factors. This type of indigestion is called functional, or non-ulcer dyspepsia.

During the middle and later parts of pregnancy, many women have indigestion. This is believed to be caused by a number of pregnancy-related factors including hormones, which relax the muscles of the digestive tract, and the pressure of the growing uterus on the stomach.

Complications:
Although indigestion doesn’t usually have serious complications, it can affect your quality of life by making you feel uncomfortable and causing you to eat less. When indigestion is caused by an underlying condition, that condition could come with complications of its own.

Diagnosis:
If you are experiencing symptoms of indigestion, make an appointment to see your doctor to rule out a more serious condition. Because indigestion is such a broad term, it is helpful to provide your doctor with a precise description of the discomfort you are experiencing. In describing your indigestion symptoms, try to define where in the abdomen the discomfort usually occurs. Simply reporting pain in the stomach is not detailed enough for your doctor to help identify and treat your problem.

First, your doctor must rule out any underlying conditions. Your doctor may perform several blood tests and you may have X-rays of the stomach or small intestine. Your doctor may also use an instrument to look closely at the inside of the stomach, a procedure called an upper endoscopy. An endoscope, a flexible tube that contains a light and a camera to produce images from inside the body, is used in this procedure.

Treatment:
Because indigestion is a symptom rather than a disease, treatment usually depends upon the underlying condition causing the indigestion.

Often, episodes of indigestion go away within hours without medical attention. However, if your indigestion symptoms become worse, you should consult a doctor. Here are some helpful tips to alleviate indigestion:

*Try not to chew with your mouth open, talk while chewing, or eat too fast. This causes you to swallow too much air, which can aggravate indigestion.

*Drink fluids after rather than during meals.

*Avoid late-night eating.

*Try to get little relaxation after meals.

*Avoid toomuch spicy  and fried foods.

*Stop smoking.

*Avoid alcoholic beverages.

*Maintain a healthy weight. Excess pounds put pressure on your abdomen, pushing up your stomach and causing acid to back up into your esophagus.Exercise regularly. With your doctor’s OK, aim for 30 to 60 minutes of physical activity on most days of the week. It can be as simple as a daily walk, though not just after you eat.

*Regular exercise(specially Yoga exercise ) helps you keep off extra weight and promotes better digestion.

*Manage stress. Create a calm environment at mealtime. Practice relaxation techniques, such as deep breathing, meditation or yoga. Spend time doing things you enjoy. Get plenty of sleep.

*Eat more fibourous food (vegetable,fruits & nuts) and less meat(specially redmeat)

*Reconsider your medications. With your doctor’s approval, stop or cut back on pain relieving drugs that may irritate your stomach lining. If that’s not an option, be sure to take these medications with food.

*Do not exercise with a full stomach. Rather, exercise before a meal or at least one hour after eating a meal.
Do not lie down right after eating.

*Wait at least three hours after your last meal of the day before going to bed.

*Raise the head of your bed so that your head and chest are higher than your feet. You can do this by placing 6-inch blocks under the bedposts at the head of the bed. Don’t use piles of pillows to achieve the same goal. You will only put your head at an angle that can increase pressure on your stomach and make heartburn worse.

*Go to bed early and  get up early. Try to have atleast 6 hours sound sleep at night.

If indigestion is not relieved after making these changes, your doctor may prescribe medications to alleviate your symptoms.

Alternative  Therapy:
Some people may find relief from indigestion through the following methods, although more research is needed to determine their effectiveness:

*Drinking herbal tea with peppermint.

*Psychological methods, including relaxation techniques, cognitive therapy and hypnotherapy.

*Regular Yoga exercise under a trained Yoga instructor

*You may see herbal products that promise relief from indigestion. But remember, these products often haven’t been proven effective and there’s a risk that comes with taking herbs because they’re not regulated.

*Sometimes proper Homeopathic treatment works very  well.

Disclaimer: This information is not meant to be a substitute for professional medical advise or help. It is always best to consult with a Physician about serious health concerns. This information is in no way intended to diagnose or prescribe remedies.This is purely for educational purpose

Resources:
http://www.webmd.com/heartburn-gerd/guide/indigestion
http://www.bbc.co.uk/health/physical_health/conditions/indigestion1.shtml
http://www.mayoclinic.com/health/indigestion/DS01141
http://www.webmd.com/heartburn-gerd/guide/indigestion?page=2
http://heartburnadvice.info/result.php?y=46046424&r=c%3EbHWidoSjeYKvZXS3bXOmMnmv%5Bn9%3E%27f%3Evt%3Cvt%3C61%3C2%3C2%3C57157535%3Ctuzmf2%6061%2Fdtt%3C3%3Cjoufsdptnpt%60bggjmjbuf%604%60e3s%60efsq%3Ccsjehf91%3A%3Ccsjehf91%3A%3C22%3A8816%3C%3A%3A276%3Cdmfbo%3C%3Czbipp%3C%27jqvb%60je%3E3g%3Ag5g%3A62dce451g479c511988e4e7c2%27enybsht%3E53%3Ag54ddg93c6bgcg%3A533f1d723717%3Ad&Keywords=Severe Heartburn&rd=3
http://www.askdrthomas.com/ailments-heartburn-indigestion.html

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Ailmemts & Remedies

Ichthyosis

Definition:

Ichthyosis (plural ichthyoses) is a heterogeneous family of at least 28, generalized, mostly genetic skin disorders. All types of ichthyosis have dry, thickened, scaly or flaky skin. In many types there is cracked skin, which is said to resemble the scales on a fish; the word ichthyosis comes from the Ancient Greek (ichthys), meaning “fish.” The severity of symptoms can vary enormously, from the mildest types such as ichthyosis vulgaris which may be mistaken for normal dry skin up to life-threatening conditions such as harlequin type ichthyosis. The most common type of ichthyosis is ichthyosis vulgaris, accounting for more than 95% of cases

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Ichthyosis  is an inherited skin disorder in which dead skin cells accumulate in thick, dry scales on your skin’s surface. The scales of ichthyosis  can be present at birth, but usually first appear during early childhood. Sometimes ichthyosis  disappears entirely for most of the adult years, only to return later.

Types:
There are many types of Ichthyosis and an exact diagnosis may be difficult. Types of Ichthyosis are classified by their appearance and their genetic cause. Ichthyosis caused by the same gene can vary considerably in severity and symptoms. Some Ichthyosis don’t appear to fit exactly into any one type. Also different genes can produce Ichthyosis with similar symptoms. The most common or well-known types are as follows:

Genetic ichthyosisIchthyosis vulgaris
*X-linked ichthyosis
*Congenital ichthyosiform erythroderma (nbCIE)
*Epidermolytic hyperkeratosis (bullous ichthyosis, bCIE)
*Harlequin type ichthyosis
*Ichthyosis bullosa of Siemens
*Ichthyosis hystrix
*Ichthyosis lamellaris (lamellar ichthyosis)

Ichthyosis with additional characteristics:
*Carvajal syndrome
*CHILD Syndrome
*Conradi-Hünermann syndrome
*Darier’s disease
*Erythrokeratodermia variabilis (Erythrokeratodermia figurata variabilis, Mendes da Costa type erythrokeratodermia)
*IFAP syndrome (Ichthyosis follicularis)
*Keratitis-ichthyosis-deafness syndrome
*Netherton syndrome
*Neutral lipid storage disease (Dorfman-Chanarin syndrome)
*Refsum’s disease
*Rud syndrome
*Senter syndrome
*Sjögren-Larsson syndrome
*Tay syndrome (IBIDS syndrome, Trichothiodystrophy)

Non-genetic ichthyosisIchthyosis
*acquisita

Most cases of ichthyosis  are mild, but some are severe. Sometimes other skin diseases are associated with ichthyosis vulgaris, such as the rash-producing atopic dermatitis. No cure has been found for ichthyosis , and treatments focus on controlling the condition.

Symptoms:
In ichthyosis vulgaris, the skin cells are produced at the standard rate, but don’t separate normally as they reach the skin’s surface. This means skin cells aren’t shed as quickly as they should be, leading to a build-up of cells, which appear as scales. Just one or a few areas are usually affected, often the legs or lower body.


The face isn’t usually affected but, when it is, the scaling is usually limited to the forehead and cheeks. The scales are typically fine and white.

Most babies with ichthyosis vulgaris don’t have any sign of the condition when they’re newly born. But within the first year, skin abnormalities begin to develop.

The dry, scaly skin may then become a chronic, lifelong problem, although it can vary dramatically with age, weather and other factors. It often improves in the summer, for example, and also tends to get better with age.

Causes:
Ichthyosis vulgaris is characterized by chronic, excessive buildup of the protein in the upper layer of the skin (keratin). This buildup is a result of your skin’s natural shedding process being slowed or inhibited.


Ichthyosis vulgaris is most often caused by a genetic mutation, inherited in an autosomal dominant pattern. That means a child has to inherit only one copy of the affected gene to develop the disease. Children with the inherited form of the disorder usually have normal skin at birth, but develop scaling and roughness during the first few years of life. At times, ichthyosis vulgaris may disappear during the adult years, only to return later.

Ichthyosis not caused by genetic abnormalities, referred to as acquired ichthyosis, is rare. This type usually shows up in adulthood. It’s usually associated with other diseases, such as cancer, thyroid disease or chronic renal failure.

Complications:
Ichthyosis can affect more than the appearance of your skin; it can affect your skin’s ability to function normally. As a result, some people with ichthyosis may experience:

*Overheating. In rare cases, ichthyosis interferes with sweating. Skin thickness and scales prevent sweat from reaching the surface of your skin, which inhibits cooling.

*Secondary infection. Skin splitting and cracking may lead to infections, either on your skin or a wider infection in your body.

Diagnosis:
A physician often can diagnose ichthyosis by looking at the skin. A family history is very useful. In some cases, a skin biopsy is done to help to confirm the diagnosis. In a biopsy, a small piece of skin is removed and examined under a microscope. In some instances, genetic testing may be helpful in making a diagnosis. Diabetes has not been linked to acquired ichthyosis or ichthyosis vulgaris.

Ichthyosis is not more or less common in any ethnic group. As of now, there is no way to prevent ichthyosis since it is often of a genetic nature.

Treatments:
There are two main aims of treatment for ichthyosis:

•Keeping the skin moisturised and supple – the main aim is to prevent cracks from forming in the skin as these can allow micro-organisms to penetrate the barrier of the skin and so infection to establish. This is done using moisturising creams, and baths and lotions called emollients.

•Removing some of the layers of skin cells, either by mechanical means (rubbing gently with a pumice) or by treatments such as alpha hydroxy acids (AHAs), which help to break up the chemical ‘cement’ that glues skin cells together.
There may be other treatments aimed at the cause of ichthyosis if this can be identified – for example correcting nutritional deficiencies, stopping or changing medication or treating hormonal problems.
Life Style & Home Care:
Although self-help measures won’t cure ichthyosis, they may help improve the appearance and feel of damaged skin.  These measures can be considered to help:

*Take long soaking baths to soften the skin. Then use a rough-textured sponge, such as a loofa sponge, to remove the thickened scales.

*Choose mild soaps that have added oils and fats. Avoid deodorant and antibacterial soaps, which are especially harsh on dry skin.

*After showering or bathing, gently pat or blot your skin dry with a towel so that some moisture remains on the skin.

*Apply moisturizer or lubricating cream while your skin is still moist from bathing. Choose a moisturizer that contains urea or propylene glycol — chemicals that help keep your skin moist. Petroleum jelly is another good choice. Cover the treated areas with plastic wrap to keep the petroleum jelly from staining clothes and furniture.

*Apply an over-the-counter product that contains urea, lactic acid or a low concentration of salicylic acid twice daily. Mild acidic compounds help your skin shed its dead skin cells. Urea helps bind moisture to your skin.

*Use a portable home humidifier or one attached to your furnace to add moisture to the air inside your home.

Disclaimer: This information is not meant to be a substitute for professional medical advise or help. It is always best to consult with a Physician about serious health concerns. This information is in no way intended to diagnose or prescribe remedies.This is purely for educational purpose

Resources:
http://www.mayoclinic.com/health/ichthyosis-vulgaris/DS00734
http://www.beltina.org/health-dictionary/ichthyosis-treatment-severe-diagnosis.html
http://en.wikipedia.org/wiki/Ichthyosis
http://www.bbc.co.uk/health/physical_health/conditions/ichthyosis.shtml

Ichthyosis Causes Fish-Like Scales on Your Skin

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Ailmemts & Remedies Pediatric

Heart Murmurs in Babies

Definition
The heart has four separate chambers, and four one-way valves attaching them. The two lower chambers pump, and they’re called ventricles. The two upper chambers accept incoming blood, and they’re called atria.

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Blood that’s low in oxygen comes from the body into the right atrium, then goes through a valve into the right ventricle, and over to the lungs to get more oxygen. That oxygen-rich blood returns to the heart through the left atrium, then across a valve into the left ventricle. From there it’s pumped through the aorta, which is a large blood vessel, and on to smaller blood vessels throughout the body.

A heart murmur is the term used when an extra swishing sound is heard besides the normal heartbeat, which is the sound of the valves opening and closing. A doctor can hear these sounds with a stethoscope, but a child needs to sit very quietly for that to happen, because his heart is near his chest wall, and outside sounds can get picked up. You might be asked to hold your baby in your lap while the doctor listens, or calm him down; if he’s crying, it’s almost impossible to hear a murmur.

Parents often panic when they are told their baby has been diagnosed with a heart murmur, yet do not realize that heart murmurs are actually common in babies and that, in general, they resolve themselves without affecting the baby’s overall health.Murmurs are very common during childhood and the vast majority are not a sign of disease or anything to worry about. It is extremely important for parents to understand which type of murmur their child has been diagnosed with, if it requires further evaluation and treatment options available if the result is a serious heart defect.

.
Symptoms:
There may be no other symptoms – a murmur is generally diagnosed by the sound heard through the stethoscope.

These murmurs usually get resolved by the time the child become adult. The defective heart murmur may need to be tested to find out the real cause of it. The child with innocent murmur can live as healthy life as any other child of healthy heart. Pathological heart murmurs is a defect in the heart with a hole which may be there in the two chambers of the heart. The chest pain, rapid heart beat, bluish color or fingertips, shortness of breath, fainting, fatigue with exertion and signs of congestive heart failure are some of serious symptoms of this disease.

However, if the murmur is due to disease – ie, it isn’t harmless or ‘innocent’ – the child may be cyanosed (blue, especially around the lips), short of breath (especially on feeding), off their feeds, failing to thrive (poor growth) or have frequent chest infections.

Causes:
The majority of heart murmurs are the result of the fast rate at which children’s hearts beat or normal variations in the structure of the heart. Some factors, such as fever or excitement, make these innocent murmurs more likely because they increase the speed at which the heart pumps.

The common cause of baby’s heart murmur is congenital heart disease which may occur when blood vessels or valves attached to the heart don’t get developed even before the child is born. Some children may get birth with heart defects. One in hundred children may be found with this type of birth disorder.

. Some serious heart defects may be due to some illnesses like rheumatic fever, heart disease, heart attacks. It is due to heart defects in structural disorder of a baby’s heart. The defects may be of valve abnormalities, cardiomyopathy and septal which produce murmur. Cardiomyopathy is usually a heart disorder of muscle which can result in defective functioning of the heart.

However, a heart murmur is also the most common sign of congenital heart defects caused by abnormal development of the heart tissues. This may be atrial or ventricular septal defects – a hole in the heart or an abnormal hole between two heart chambers. Sometimes the connections between vessels from the heart don’t close after birth as they should, resulting in patent ductus arteriosus.

Other abnormalities of the heart valves and still rarer problems can also cause a murmur.

Heart murmurs may also be caused by heart failure and infection involving the heart.

Diagnosis:
Although parents often fear the worse, not all heart murmurs are serious. They’re graded on scale from 1 to 6, where 1 is almost inaudible and 6 is quite loud. When your baby’s doctor hears it, he’ll note where in the heart it occurs, at what point in the heartbeat cycle, what type of sound it makes, and whether the noise changes when your child moves. If further evaluation is required, your child will be referred to a pediatric cardiologist.

CLICK & SEE

Sometimes a heart murmur will be heard at one appointment, when it wasn’t noticed at the last one. This could be because heart murmurs are better heard when children are in certain positions or have a different heart rate. It could also mean it’s due to a heart problem that’s recently developed, or one that’s been there since birth but hasn’t been severe enough to make a detectable murmur.

It can be difficult to tell an innocent murmur from a suspicious one. If a child has an unusual murmur but seems well, the doctor may suggest the child comes back for review in a few weeks or months.

Tests including a chest x-ray, electrocardiogram and echocardiogram may be recommended to examine the structure of the heart and check for abnormalities. If heart disease is suspected, more extensive tests may be needed.

Treatment :
The treatment of innocent murmur is not required at all. Congenital heart defects may be diagnosed after conducting laboratory tests. The parents should consult pediatric cardiologist after confirming the tests. The doctor will provide the suitable treatment to regulate the proper blood flow to the heart.

Some medications may solve the problem but in case of severity, the surgery can be conducted to treat the ailment. The mitral valve prolapsed may not require any treatment but only periodic checkups can be sufficient to be conducted. The doctor can prescribe some anti-biotic but medications should never be self prescribed which pose some serious problems.

The surgery may be conducted in serious types of cases. The anti-clotting medication, medications to put control on irregular heartbeat, palpitations and to open the blood vessels

Alternative treatment:
If a heart murmur requires surgical treatment, there are no alternative treatments, although there are alternative therapies that are helpful for pre- and post-surgical support of the patient. If the heart murmur is innocent, heart activity can be supported using the herb hawthorn (Crataegus laevigata or C. oxyacantha) or coenzyme Q10. These remedies improve heart contractility and the heart’s ability to use oxygen. If the murmur is valvular in origin, herbs that act like antibiotics as well as options that build resistance to infection in the valve areas may be considered.

Prognosis
Most children with innocent heart murmurs grow out of them by the time they reach adulthood. Severe causes of heart murmurs may progress to severe symptoms and death.

Prevention:
Heart murmurs in infants or babies can not be prevented but the blood pressure may be treated before the heart murmur gets developed. It is also advised to prevent rheumatic fever in the children to prevent heart murmurs. The regular check ups may be conducted to get to know the defects in advance to treat the ailment.

Disclaimer: This information is not meant to be a substitute for professional medical advise or help. It is always best to consult with a Physician about serious health concerns. This information is in no way intended to diagnose or prescribe remedies.This is purely for educational purpose.

Sources:
http://www.ehow.com/about_5280475_heart-murmur-babies.html
http://health.stateuniversity.com/pages/696/Heart-Murmurs.html
http://www.livestrong.com/article/22104-heart-murmur-babies/
http://www.bbc.co.uk/health/physical_health/conditions/in_depth/heart/heartmurmurs2.shtml

Heart Murmur in Infants or Newborn Babies

http://fromyourdoctor.com/topic.do?title=Heart+How+it+Works&t=7986

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