NASAL POLYP

Polyp formation in nose is very common. Nasal polyps are soft, painless benign growths on the lining of nasal passages or sinuses.

They commonly arise from ethmoid labyrinth and sometimes from antrum.

In majority of the cases polyp formation occurs from chronic inflammation due to infection, allergies, any drug sensitivity or certain immune disorders .

They can occur in both right and left nostril which blocks or obstructs the air flow.

However  Small nasal polyps may not cause any symptoms but larger growth or groups of nasal polyps can block  nasal passages which leads to breathing problems and diminishes or loss of sense of smell.

Nasal polyp can affect anyone, but they are more common in adults.

Children under the age of 10 are rarely affected. Medications can often shrunk or eliminate nasal polyps, but surgery is sometime needed to remove them but even after surgeries nasal polyp often return.

AETIOLOGY OF NASAL POLYP

Experts don’t yet fully understand what causes  nasal polyps. Its aetiology is uncertain but some views been given to explain the aetiology.

ALLERGY:

The people with chronic hay fever likely to develop polyps in their lifetime than other healthy individuals.

The allergic reactions in the nasal mucosa cause vasodilatation and increased permeability of the vessels which causes water logging of the tissues.

Thisoedema of the mucosa presents as a polypoidalmass. They are also linked to asthma and drug allergy like aspirin , NSAIDs etc.

LONG STANDING INFECTIONS:

Chronic sinus infections , cystic fibrosis , chronic allergic rhinitis etc. can cause long standing infections.

It gives rise to perilymphangitis and periphelibitis which results in poor absorption of tissue fluid and leads to polyp formation.

SOME OTHER VIEWS :

Some of the experts believe that it has something to do  with immune system of the patient or chemical makeup of the lining of the nasal mucosa and sinuses.

But comprehensive research has been required to prove it.

SYMPTOMS OF NASAL POLYPS:

Common signs and symptoms of chronic sinusitis with nasal polyps include.

  • Runny nose
  • Persistent stuffiness
  • Post nasal dripping
  • Decreased or absent sense of smell(Hyposmia or Anosmia)
  • Loss of sense of taste.
  • Facial pain or headache.
  • Pain in your upper teeth.
  • A sense of pressure over your forehead and face
  • Snoring
  • Frequent nosebleed.
  • Headache due to Sinusitis

DIAGNOSIS

OTOSCOPE:During clinical examination docter looks up in to nasal passages with an otoscope but if the polyp is deep then nasal endoscopy can be done.

CT SCAN OR MRI:It is necessary to determine the size and location of the polyp.

X-RAY:X RAY examination of the paranasal sinuses helps in diagnosis.

RISK FACTORS

Any condition that triggers long term irritation and swelling in your nasal passages or sinuses such as infections or allergies may increase risk of developing nasal polyps.

Condition often associated with nasal polyps include.

  • Asthma
  • Asprin sensitivity
  • Allergic fungal sinusitis
  • Cystic fibrosis
  • Vitamin D deficiency

COMPLICATIONS

Nasal polyp can cause complications because they block normal airflow and fluid drainage and also because of long term irritation and swelling underlying their development.

Potential complications include.

  • Obstructive sleep apnea
  • Asthma
  • Frequent Sinus infections
  • Continuous pressure or pain in face.
  • Acrid post nasal discharge can cause ulceration of throat.

PREVENTION:-

You may help reduce your chance of developing nasal polyps or having nasal polyps recur after treatment with following strategies.

  • Manage allergies and asthma
  • Avoid nasal irritants
  • Practice good hygiene
  • Humidify your home
  • Blocking the stimulating cause through densitization process.

HOMOEOPAYHIC  MANAGEMENT OF NASAL POLYPS

Yes, homoeopathy can treat nasal polyps. Nasal polyps are considered a case for surgery under convential  mode of medicine.

Homoeopathy offers an alternative treatment for this without adopting invasive procedures.

There are many medicines in homoeopathy which are effecyively indicated in nasal polyps . Well indicated Homoeopathic medicines  helps in treating nasal polyps by shrinking the size of polyps. These medicines are safest in choice and set the body’s own restorative process for complete cure.

Some top remedies are as follows:-

  • Lemna minor:- It is catarrhal remedy and top grade medicine. This medicine works well where there is obstruction in nose and loss of smell. A putrid smell in nose may be felt in some cases. Thick yellow white discharge from nose. Where nasal polyps worsen in wet weather the lemna minor is remedy of choice. It also treats swollen nasal turbinates very well.Asthma from nasal obstruction which is aggravated in wet weather.
  • Teucriummarum :-Chronic catarrhal state with nasal obstruction which is aggravated at night. There is marked nasal blockage in this remedy. A unique symptoms is that patient feel that the side of nose mostly blocked on which side person lies down. Loss of smell is there. Crawling sensation(Formication) in nose also felt by patient. This medicine is best in case of ozaena.There is dryness in the nose which compels the patient to blow the nose but without any discharge.
  • Sangunarianitricum:

It is an  excellent medicine for right sided nasal polyps.

In sangunarianitricum there is profuse watery nasal discharge with burning pain. There is pressure over the root of nose, plugged sensation in nostrils, enlarged nasal turbinates.

Sneezing and yellow, bloody mucus discharge from the nose. There is rawness and soreness in posterior nares. Strong feeling of nasal obstruction.

4)Kali nitricum :

The  chief  guiding symptoms for the use of kali nitricum in addition to right sided nasal polyps are coryza  with nasal obstruction, sneezing, loss of smell and dragging pain in nostrils.It is often indicated in asthma and very valuable in cardiac asthma.

5)Calcarea carb:-

For left sided nasal polyps. Patient takes cold at every change of weather.

It indicated in persons who complains of blocked nose on left side the attending features are fetid smell and yellow discharge from the nose.

Dryness and ulceration of nostrils. Sneezing, markedly in the morning time. Persons given calcarea carb tend to catch a cold easily with slightest change in weather . Coryza alternated with colic.

6)Alliumcepa:-

It is indicated for constant sneezing with nasal polyps.

Sneeezing mainly on entering a warm room.  There is watery discharge of burning, acrid nature from the nose.

The nasal discharge corrodes the upper lips. Hay fever. Headache may also persist along with fluent coryza.  Feel there’s lump at the root of nose.

7)Kalibichromicum:-

There is profuse ,ropy ,thick discharges. Sinusitis.

There is post nasal discharge in nasal polyps cases. The post nasal discharge is yellow ,thick, lumpy, ropy in nature.

It is attented with much hawking. There is marked pressure and burning pain at the root of nose .

A fetid smell from the nose is another feature. vio. It is also prominent medicine treating nasal polyp from chronic sinusitis.

There is hard, dry crusts in the nose which bleeds when detached.

8)Other medicines:-

Phosphorous, silicea, Thuja ,conium etc. are also used frequently in nasal polyps when indicated.

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Immunological Disorders and Homeopathy For Children

Immunological Disorders

These diseases are chronic in nature and mostly they are life threatening.

Their incidence is on the rise. According to a study more than 25 million people in United States suffer from autoimmune disorders.

Condition of the patient slowly start deteriorating and they loose capacity of self healing.

They solely dependent upon Immunosuppresants drugs , steroids. These drugs weakens the immune system , and body becomes less resistant to infection.

In Homoeopathy it is seen that well selected medicines has worked wonders in celiac disease , Graves disease , Myasthenia gravis , Rheumatoid Arthritis, Multiple  sclerosis , Psoriasis etc.

In my last 12 years of practice many such cases under my treatment has improved remarkably.

Homeopathy For Children

Homeopathy is the best choice for your child’s health. it is very safe and effective and easy to administer even in infants.

it has great results in n variety of children ailments like teething troubles, delayed milestones , colic, constipation , Bronchitis , asthma , Tonsilltis , bed wetting , allergies , diarrhoea , behavioral disorders.

it has also shown a great result in autistic children , ADHD and variety of phobias. Homoeopath gives importance to each symptom and complaint that your child is suffering from and takes info consideration the causation of each symptom or set of symptoms.

Homeopathy helps in boosting the mental and physical growth of the child.

 

Chronic Diseases

Chronic diseases

It is persistent and long lasting in its effects and which limits daily activities of routine life. Homoeopathy believes in the miasmatic theory of chronic diseases.

Three miasms are psora, syphilis , Sycosis. Medicines are selected according to underlying miasm of the disease.

Mostly chronic illness are life style diseases like Diabetes, Hypertension, Many lung diseases ,  Depression, Kidney diseases etc.

Approach in chronic cases:

We take complete history of the patient which includes personal history , family history, previous medical treatment history , his/her lifestyle , desire/aversions , thermals , mental make up of the patient.

 Treatment

Medicine is selected according to the signs and symptoms of the patient. Diet and regimen is planned according to the disease.

Changes are advised to correct the faulty lifestyle.

Counselling interventions in order to help individuals suffering from depression and to help patients with chronic conditions so that they deal effectively with adjustments to illness.

Testimonials

A Case of Chronic Gastritis along with Palpitations

I first visited the clinic in march 2019. i was very worried about my heart burn as it leads to violent palpitations at night.

i was spending many sleepless nights and feels lifeless. after counselling and taking continue medicine for almost 6 months i have been completely relieved.

both the doctors are very supportive and attentive. they listen there patients very calmly and always available for their patients.

I always recommend them to my near and dear ones.

Lastly i have to say that it was my first experience of homoeopathic medicine and it is a life changing experience.

I heave tried many antacids , anti anxiety medicine before but they seems to be habit forming drugs. Lots of thanks to Jasreen Homoeopathic Clinic.

RA Factor and ESR

Homoeopaths prescribe ready made products or numbers.

I was looking for proper homoeo treatment so my will to find classical homoeopath turned fruitful after visiting Jasreen Homoeo clinic.

They were recommended to me by our relative whose son is taking treatment of kidney stones which are successfully treated.

I am a teacher at tuition centre it was very difficult for me to travel to my centre during painful attacks of RA.

My RA factor and ESR was always on higher side. Before my visit it was around 370. After starting treatment it comes around 30 and symptoms are almost gone.

Their approach is very Friendly they always answer my queries regarding disease . I am very thankful to them.

Thanks

Promils

Village :- Gaznipur

Gurdaspur

A Case of cold induced Asthma in a 14 year old

A family friend advised us to take a homoeopathic treatment for a long standing ailment of breathlessness and wheezing whenever winter sets in.

So they recommend Jasreen Homoeopathic Clinic to us.My IGE levels and ESR were always on the higher side.

When we first visited the clinic it was a very unique experience. He is not like other conventional doctors.

His approach is very gentle and calm. They take complete history of the patient and assure them that it will be alright soon.

The thing which was very annoying for me that I always have to wear a cap on my head even during the school time.

All other classmates were without any caps. But it was compulsion for me as whenever I forget to wear a cap and exposed to a cold air it triggers the asthmatic attacks.

My joints were also get swollen and painful during the attacks. I have dependent bupon inhalers and steroids.

But after starting homoeopathic treatment I slowly got rid of all the dependent medicines band inhalers .

Now it has been 2 years since I have  taken any drug. Getting a treatment from them is like a smooth sailing . Writing a testimonial about them is a pleasure.

Thanks a lot sir

Simrat sodhi

Gurdaspur.

A case of Chronic Constipation and Knee Pain in a 70 year old lady.

As a family of teachers we always believe in homoeopathy.

So before visiting Jasreen Homoeopathic Clinic we have taken homoeo treatment from many physicians but without much relief.

As Dr. Gurbir is a very good friend of my nephew so he recommended him to us.

After meeting him we found him very compassionate and dedicated homoeopath.

After taking complete history of my long standing disease he prescribed us some medicines and also dietary restrictions.

For knees he suggests some exercises which works wonderfully well.

In the bad times of Corona virus when there was many travel restrictions he himself delivered medicines to my home, such a dedicated and humble man. I always recommend him to my friends and other relatives.

May God bless him with all the success to serve humanity.

Thanks

Gurmej kaur

Ranjit Bagh.

 

UTERINE FIBROIDS

Fibroids are noncancerous growth that develop in theuterus.

It is the commonest benign tumour in females. It can be single or multiple in number and vary in size from very small to large.

Medically it is termed as leiomyoma or myoma. Sometimes these tumours can become large in size and cause severe abdominal pain along with heavy periods.

In most cases they cause no signs or symptoms at all.  Histologically, they are composed of  smooth muscle  and fibrous connective tissue.

Uterine fibroids are usually  round. In most cases, fibroids do not cause pain or other symptoms. However if exceptionally large, fibroids may cause pressure on bladder or other organs leading to specific symptoms.

UTERINE SARCOMA(malignant uterinetumour):

It is very rare and is only found in two per thousand hysterectomies. It is formally known as leiomyosarcoma.97 per cent of sarcomas are slow growing.

INCIDENCE:

It is estimated that at the age of 30 or above around 20 per cent of female have got fibroid in their uterus.

The occurrence is highest in the age groups of 35-48 years. It is more common in nulliparous or in infertile women.

CLASSIFICATION OF FIBROIDS

Uterine fibroids are often classified based upon location within uterus.

  • Subserosal fibroids:- They are located beneath the serosa (lining membrane on outside of uterus). These often appear localized on the outside or may be attached to outside surface by

pedicle. Sometimes the pedicle may be torn through this fibroid is called wandering or parasitic fibroid.

  • Submucosal fibroids:- They are located inside the uterine cavity beneath inner lining of uterus. It can make uterine cavity irregular and distorted.
  • Intramural fibroids :- They are located within the muscular wall of uterus. Intially , fibroids are intramural in position.
  • Pedunculated fibroids :-They are grown on stalk of tissue known as pedicle, extending either inside the cavity of uterus or outside the uterus from its outer surface.

5)Cervicalfibroid: It is very rare.

AETIOLOGY OF FIBROIDS :-

Experts don’t know exactly why you get fibroids. Aetiology is unclear. Hormones and genetics play an important role as the causative factors.

  • Hormones:- Estrogen and progesterone are hormones that make the lining of uterus thickens every month during the periods. Menarche at young age are at greater risk of developing fibroids. Although taking these female hormones are also linked to fibroids . When hormone production slows down during menopause, fibroids usually shrink. It is predominantly an oestrogen dependent tumour.
  • Genetics :- A positive family history is present. Researhers have found genetic differences between fibroids and normal cells in the uterus. Many fibroids contain changes in genes that differ from those in normal uterine muscle cells. Chromosomal abnormalities are seen in chromosome number six or seven.
  • Other growth factors:- Substance that helps the body to maintain tissues, such as insulin like growth factors, stimulate the growth of fibroid.
  • Extracellular matrix (ECM):- ECM is the material that makes cells stick together, like mortar between bricks. ECM is increased in fibroids and make them fibrous. ECM also stores growth factors and cause biological changes in the cells themselves.
  • Risk factors for Fibroids:-
  • a)Obesity
  • b)Infertility or nulliparous
  • c)Black women: Incoloured races incidence is higher
  • d)Excess secretion of oestrogen.

SYMPTOMS OF UTERINE FIBROIDS :-

Majority of the women around 75 per cent remain asymptomatic.

In other cases, symptoms can be influenced by location, size and number of fibroids. The site is more important than the size.

In women who have symptoms, the most common signs and symptoms of uterine fibroids include.

  • Heavy menstrual bleeding (Menorrhagia)
  • Menstrual periods lasting more than week.
  • Irregular bleeding(Metrorrhagia)or spotting between periods.
  • Pelvic pressure or pain.
  • Difficulty emptying the bladder.
  • Frequent urination
  • Backache or leg pains.
  • Infertility: In 30 per cent cases it may be a major complaint.
  • Pregnancy related problems like abortion, preterm labour ,intrauterine growth restrictions are seen.

Diagnosis of uterine fibroid:-

Uterine fibroids are frequently found accidentally during a routine pelvic exam. Your doctor may feel irregularities in the shape of your uterus, suggesting the presence of fibroids.

If you have symptom of uterine fibroids your doctor may order these tests.

  • Ultrasound :- If confirmation is needed, your doctor may order an ultrasound. It is useful tool to confirm the diagnosis of fibroid and to differentiate it from ovarian mass or pregnancy.. A doctor or technician moves the transducer over your abdomen or place it in your vagina(transvaginal) to get images of uterus.
  • Lab tests:- If you have abnormal menstrual bleeding your doctor may order other tests to investigate other causes. There might include complete blood count to determine if you have anemia because of chronic blood loss and other blood test to assess your hormones level.
  • MRI:- This imaging test shows more details regarding size and location of fibroids, identify different types of tumors. An MRI most often used in women with larger uterus or women approaching menopause.
  • Other test may include hysterosono graphs, hysterosalpingography, hysteroscopy.

MANAGEMENT OF UTERINE FIBROIDS :-

CORRECT ANAEMIA: The foremost approach must be to manage or improve cases of menorrhagia and to correct anemia.

The physician must work on to minimize the size and vascularity of tumor.

The patient must be advised to take diet rich in iron such as poultry ,meats ,fish, green leafy vegetables, legumes and cereals.

Depending upon symptoms doctor may prescribe iron supplements. In advanced cases of heavy bleeding where there is considerable loss of blood surgery is required.

Watchful waiting :-

Many women with uterine fibroids experience no signs or symptoms or only mildly annoying signs and symptoms that can live with.

If that’s the case for you, watchful waiting could be the best option.

Fibroids aren’t cancerous. They rarely interfere with pregnancy. They usually grow slowly or not all and tend to shrink after menopause, when level of reproductive hormones drop.

In allopathic approach :

DRUGS:- Progestrones, Antifibrinolytics, Antiprogesterones, Danazol are frequently used to minimize bleeding and to reduce the size of fibroid.

UTERINE FIBROID EMBOLIZATION(UFE): In this procedure ,a catheter is placed into blood vessels that supply the uterus. By sparing the uterus it cuts off blood supply to the fibroids .Significantly, the fibroids decrease in size.

HYSTERECTOMY: Surgical removal of the uterus is done in situations of uterine prolapse, in cases of large fibroids which are causing much discomfort and heavy bleeding.

HOMOEOPATHIC  MANAGEMENT OF UTERINE FIBROIDS:-

  • Thlaspi bursa pastoris:- It is one of top grade medicines for treating uterine fibroids with prolonged menses. The menses continue for 10-15 days. Menses appear frequently as well. Menstrual bleeding is profuse with presence of large clots. Violent uterine colic during menses can occur.
  • Calcareacarbonica :- calcarea carb is very useful medicines for treating heavy periods from uterine fibroids. Menses continue for long and may even appear early. Menses are too early tooprofuse, too long. Vertigo during menses. Leucorrhea of thick, milky or yellow colour is another complaint.
  • Belladonna and sepia officinales:- Both remedies are well indicated for uterine fibroids where menses are painful. Belladonna is best prescribed where there is cramping pain in uterus during menses and menses are bright red in colour and profuse.

Sepia is recommended in case of gripping burning or bearing down pains during menses. Menses start early and are quiet copious. Fainting and chilliness during menses may attend. Sepia is also indicated in painful intercourse in uterine fibroid cases.

  • Ustilagomaydis:-It is highly recommended where menstrual bleeding is dark. Clots may also be present in menstrual blood and bleeding is stringy or ropy in nature. Metrorrhagia with cramps in uterus.
  • Sabina officinales:- Mostly recommended remedy where clots is present in menstrual flow. The slight motion increases pain. Pain from sacrum to pubis is another attending feature. The patient feels better when lying down on back. Uterine pain extends to thighs. Other symptoms include foul, acrid, corrosive yellow leucorrhea.
  • Fraxinus Americana:- It is also top grade medicine for uterine fibroids which is mostly recommended where the major indicated feature is bearing down sensation in the pelvis from uterine fibroids. There is enlargement of uterus due to fibrous growths.
  • Other homoeopathic remedies are Aurum murnat, trillium pendulum, kali carbonicum, erigeron candensis, china officinalis, ferrummetallicum, pulsatilla and many more according to indicated symptoms.

ARTHRITIS

What is ARTHRITIS

Arthritis is disease causing painful inflammation and stiffness of the joints. It can affect any age but mainly elderly above 50 years of age are mostly effected.

The most common symptoms experienced  in any type of arthritis is restriction of movement with stiffness of joints along with pain and redness.

There are various types of arthritis, among them osteoarthritis and rheumatoid arthritis are most common.

AETIOLOGY FOR  ARTHRITIS:-

  • Insufficient amount of cartilage in joints
  • Normal wear and tear
  • Infection of tissue
  • Injury to cartilage tissue
  • Family history
  • Medications
  • Autoimmune disorders like rheumatoid arthritis
  • Dietary in sufficiency
  • Sedentary life style, obesity
  • Old age

SYMPTOMS:-

  • Joint pain
  • Stiffness in joints
  • Swelling and redness in joints
  • Low grade fever
  • Deformity in joints
  • Meld symptoms include loss of appetite, disease RBC count
  • Skin manifestation like rashes.

TYPES

There are around 100 type of arthritis or musculoskeletal condition. They are categorized into five groups according to origin and pathology.

Osteoarthritis:-

It is the wear and tear that happens. When your joints are overused. It usually happens with age but can be the outcome after any joint injury or obesity.

Joints that bear weight are mostly affected in osteoarthritis like knee, hips, feet, spine.

In osteoarthritis the shock absorbing cartilage becomes insufficient and due to inadequate slippery material that covers the ends of bones.

Rheumatoid arthritis:-

It is autoimmune disorder that attacks the joints of body leads to inflammation.

About 1 out of 5 people with rheumatoid arthritis get lumps on skin called rheumatoid nodules.

Exact cause of rheumatoid arthritis is not well known but experts believe that the three factors that is tumor necrosis factor (TNF) interleukin-1, interleukin-6 trigger immune system.

The symptoms gradually or suddenly start. They are more seven than osteoarthritis.

Psoriatic arthritis:-

People with psoriatic arthritis have inflammation of skin (psoriasis) and joints (arthritis). In this, it cause raised, red and white patches of inflammation of skin with scales.

About 10%-30% 0f people with psoriasis will get psoriatic arthritis along. Mostly psoriatic arthritis start between 30-50 years of age but can occasionally sometime start at early childhood.

Affects both genders equally, first the skin manifestation show up and later affects the joints. In psoriatic arthritis there is swelling of finger and toes.

People have pitted or discolored finger nails. In some people only one joint affected or few joints affected.

Gout:-

The building up of uric acid crystals in joints called gout. Most of time, whether it’s the big toe or another part of foot is affected.

In gout person wake up with sudden sharp pain in affected joint. Drugs stress or another systemic illness can trigger the gout.

If gout left untreated it affects joints and kidneys. The pathology behind the gout is that body is making more uric acid, kidneys can’t process the excess uric acid.

The symptoms include intense joint pain, discomfort, inflammation, redness.

Lupus:-

It is also called SLE or systemic lupus erythematosus. It is autoimmune disorder that affects joints and many organs of body.

Affects mostly ages between 15 to 45 years. Women are more affected that men.

Symptoms include pain, swelling, fatigue, headache, rashes especially butterfly rash across the cheeks, mouth, sores, sun sensitivity, hair loss, blue or white fingers.

When exposed to cold weather, blood disorder like anaemia low WBC or platelets, chest pain due to inflammation of lining of heart or lungs.

HOMOEOPATHIC APPOACH FOR ARTHRITIS

The homoeopathic treatment of chronic arthritis whether osteoarthritis, rheumatoid or another form can be quite affective.

The best time to initiate homoeopathic treatment of arthritis very early in course of the disease. It is typically a complicated process that requires the expertise of professional homoeopath to asses the whole person.

The homoeopathic remedy chosen by homoeopath aids the body own defenses as compared to other system drugs which typically often suppress the symptoms.

A homoeopathic medicine is not chosen simply based on disease a person has but on the individualized symptoms each person has.

The professional homoeopath not on give patient a proper homoeopathic remedy but also give patient a general advice about managing the outcome of arthritis and complications.

HOMOEOPATHIC THERAPEUTICS FOR ARTHRITIS

  • Bryonia
  • Rhus-tox
  • Arnica
  • Ruta
  • Colchicum
  • Kalmia-latifolia
  • Actea-spicata
  • Badiaga
  • Symphytum

 

ACNE

What is ACNE ?

It is a skin condition commonly seen in early adulthood in both the sexes. Acne occurs when pores on the skin surface get clogged or blocked.

These tiny pores are connected to hair follicles and along with hair follicles the sebaceous gland is present which produce sebum.

The role of sebaceous gland is of great importance. They  secrete oil like substance, which lubricate the skin and  also protect the skin from harsh rays of sun and other toxic substances.

Due to some underlying reasons when sebaceous gland secrete excess oil and hair follicles get blocked  or clogged due to dirt bacteria, debris which further results in acne formation , white heads or blackheads.

There are various factors for excess formation of sebum.

  • It is due to hormonal imbalance especially at time of puberty and also related to pathological condition affecting hormones of body.
  •  Acne is mostly related to puberty  but can occurs  at any age. The sites on which acne mostly develop is on face, neck, back , chest due to presence of more sebaceous glands on this area.
  • Acne is not serious life threatening issue, but its bother some  for youngsters as its gives a very unhealthy and unclean image of face. So proper treatment is required to eradicate the root cause of disease.
  • Dietery Factors:-  Excess intake of fat or oil rich diet.
  • Stress
  • Lack of sleep

DEFINATION OF ACNE

Acne is localized skin inflammation as results of over activity of oil gland that is sebaceous glands at the base of specialized hair follicles.

Acne occurs when sebaceous glands secrete excess sebum and results in clogging of pores due to various reasons. Generally sebum is secreted along with hair shaft through opening of skin pore.

When due to various reasons the oil glands are hyperactive in their secretions, the oil inside follicle combine with dead skin cell and from soft plug type of formation.

If that soft plug become infected with bacteria that results in inflammation and cause follicle  wall to buldge  and called as pimples or acne.

Acne are more common in puberty ages or young ages between 12-28 years, but may occur at any age and equally in both sexes.

DIFFERENT TYPES OF ACNE

Acne can be classified into two main categories

  • NON-Inflammatory acne

  • Inflammatory acne

NON- Inflammatory acne again divided into two types

  • Black heads

  • White heads

Inflammatory acne divided into four types

  • Papules

  • Pustules

  • Nodules

  • Cysts

DISCRIPTION ON DIFFERENT TYPES OF ACNE:-

Black heads

They are black in colour and are clearly visible on the surface of skin. They generally develop          when pore is clogged with sebum and remnants of dead skin.

The pore remains open from upper surface and lower surface remains clogged.

White heads

They are miniature and mild form of acne and they are not clearly visible on the skin.

The white heads also develop when pore is clogged with sebum, remnants of dead skin and debris but white heads from upper surface doesn’t remain open but they are covered with fine layer of skin which appears to be white on its surface.

Papules

They are type of acne that appears to be like small bumps on the skin surface.

Papules formation occurs when pores are clogged with sebum, remnants of dead skin, debris and this results in inflammation of that affected area and that inflammation affects the walls of pores and results in bump formation that appears red and painful to touch.

Pustules

pustules are similar to papules. They are clearly visible on the skin. They are generally red in colour and have pus filled or upper surface and they looks yellow or white in colour they are also painful to touch.

Nodules

They are larger than papules and pustules and clearly visible on surface of skin. They are hard to touch, painful and deep seated in the skin and tendency to form scar easily if left untreated.

Cysts

They develop when pores are clogged by excess sebum, debris, skin remnants , bacterial growth. The cysts are very much deep within skin more than nodules.

They are more than in a size that of nodules appears like large cyst. They are painful, filled with pus and likely to cause scar if left untreated.

FACTORS FOR THE DEVELOPMENT OF ACNE FORMATION

  • Abnormal secretion of hormones especially androgens. The sebaceous glands are more sensitive to this type of hormone and results in hyperactivity of glands causes blockage of pores and results in bacterial Infection .
  • Stress:- Remains constantly in stressful condition for long periods, pressured life style, suppression of emotions results in anger, anxiety that affects the hypothalamic pituitary adrenal axis and resulting in hormonal imbalance that leads to skin complication like acne.
  • Faulty life style:- sedentary life style, no physical activity, not taking meals at proper fixed times ,eating unhealthy food, insomnia these all affect the hormonal axis of body leads to acne formation as secondary affects.
  • Medicines:- Some medication like corticosteroids, hormone therapies, birth control pills can lead to development of acne.
  • Menstrual cycle:- During different phases of menstrual cycle the hormones fluctuates in female body results in acne and acne also develops in pregnancy.
  • Cosmetics :- They play great role in formation of acne due to clogging pores and sometime the chemical irritants present in the cosmetics results in acne or possible due to allergy towards some ingredients in cosmetic products used that leads to serious skin issue.
  • Hygiene :- Proper cleansing of face should be there so that pores remain unclogged. The propionibacterium takes sebum as nutrient turn it into fatty acids that activate inflammation in nearby skin cells. More the sebum, more will be the bacterial growth results inflammation and acne develops.

EVALUATION

  • Blood test for hormonal assessment especially androgens hormones.
  • Test for micro organism present at site of infection usually swab or scarping from acne site is done to reveal pathogen.
  • Pelvic ultrasound for assessment in ovarian cyst or other pelvic mass present.
  • Full blood count if patient is unwell.
  • Liver function test is to be done in the patient having drug history of antibiotics or isotretinion

HOMOEOPATHIC  MEDICINES :-

  • Berberisaquifolium
  • Radium bromide
  • Arnica
  • Antimoniumcrudum
  • Pulsatilla
  • Sulphur
  • Kali bromatum
  • Nat – mur
  • Calc-sulph
  • Hepar-sulf