Saturday, 29 October 2016

मुहासे , पिम्पल: दस जरुरी टिप्स हिंदी में

मुहांसे, white heads एक common समस्या है. युवाओ में यह दिक्कत काफी ज्यादा दिखायी देती है . 15 साल से 35 साल तक यह समस्या ज्यादा प्रबल रहती है. अगर मुहांसों की समस्या बहुत ज्यादा हो तो डॉक्टर को जरुर दिखाना चाहिए मगर कुछ जरुरी टिप्स इस समस्या को काफी कम कर सकते है. दवाओ के अलावा ये टिप्स अपनाने पर मुहांसों की समस्या पर काफी हद तक control कर सकते हैं . 


१. सनस्क्रीन का नियमित दिन में २-३ बार इस्तेमाल करे . सनस्क्रीन न सिर्फ धूप को रोकती है बल्कि धूल, धक्कड़ के कणों को त्वचा पर ज़माने से रोकता है.

२. संतुलित मात्रा में पानी पीते रहे . जिससे शारीर में बने टोक्सिन मूत्र द्वारा बहार निकलते रहे.

३. फेसवाश का नियमित उपयोग करे . दिन में दो बार उपयोग करे .

४. विटामिन सी सीरम  का प्रयोग करे  और Vit.E गोलियाँ ले सकते हैं। विटामिन C, E, A स्किन को मुलायम,चमकीली , झुर्रियों रहित बनाने में सहायक होते हैं.

५.. तेलिय उत्पादों , मेकअप , बालो के तेल , अनावश्यक कॉस्मेटिक से बचें .\

६. व्यायाम, योग , हरी सब्जियाँ, स्वस्थ भोजन  अच्छी नींद सभी तनाव कम कर करते हैं और हार्मोन के स्तर को बनाए रखने सहायक होते हैं जिससे त्वचा भी स्वस्थ रहती है.

७. मुहांसों को अनावश्यक छुए नहीं. कोई क्रीम बिना डॉक्टर से पूछे न लगाये . ज्यादा कुरेदने पर निशान और गड्ढे पड़ने की संभावना ज्यादा रहती है.

८. धूल, धक्कड़ , प्रदुषण से बचे . धूल के कण त्वचा के छिद्रों को बंद कर सकते हैं और मुहांसे पैदा कर सकते हैं.

९. तकियों , तौलियों , एवं मुंह साफ़ करने वाले कपडे को ठीक से साफ़ रखे . तकिये के कवर को जल्दी जल्दी बदलते रहे . गंदे कपड़ो में बैक्टीरिया पनप जाते हैं और त्वचा को इन्फेक्ट कर सकते हैं.

१०. अनावश्यक घरेलु उपचार न करे . ये त्वचा की समस्या को और ज्यादा बढ़ा सकते हैं . 

सवाल पूछने के लिए नीचे कमेंट में टाइप करे

Thursday, 13 October 2016

BODY HAIR TRANSPLANT:BODY HAIR AS DONOR

Hi, I have written various articles related to hair transplant. Todays topic is Body Hair transplant. In this procedure we use chest or beard hair as donor. We take out grafts from this area and implant it on scalp.  

WHY WE NEED BODY HAIR TRANSPLANT?

BURN SCARRED DONOR AREA
 
POOR DONOR AREA











1. When donor area on scalp ( back area of scalp) is weak and Surgeon not able to extract out sufficient amount of graft. 

2. Grade VII type of baldness

3. Scaring , burn, injury of donor area of scalp.

4. When donor area is ok but extraction is difficult due to various technical problem like curly hair, tilted roots in skin etc. 




BODY HAIR AS DONOR AREA


  Texture of scalp hair is different from body hair. Its growth, length, thickness is better than body hair. But if scalp donor area is not sufficient then chest or beard area can be used as donor. Chest is frequently used in body hair transplant. Although it is tough to extract graft from chest due to direction and softness of skin. Punch size should be bigger than normal. I prefer 1 mm punch for chest hair extraction. Required Local anesthesia amount is more than scalp due to larger surface area. We can extract 500-1000 graft from chest. These grafts are basically used to fill mid scalp or to increase the density. It should not be used in making hair line or front area of scalp. 
500 GRAFT FUE

COMPLICATIONS

1. Pain could be more than scalp as chest skin is more sensitive.

2. It required more amount of anesthesia than scalp

3. Time duration taken in body hair transplant is more than scalp. Graft damage is high due to different direction of each hair, soft skin, more fragile and weak hair. 

4. Chances of scar formation as we use larger punch and chest is high risk area for scars. 

Over all procedure , precautions etc are same as hair transplant. Body hair transplant is alternative to scalp and should be used only if scalp donor area is not sufficient. Quality of body hair is always lesser than scalp hair. Body hairs are only used to fill the low density scalp or middle portion of scalp. 

READ MORE ABOUT HAIR TRANSPLANT
HAIR TRANSPLANT EXPLAINED BY VIDEOS
ALTERNATIVE OF HAIR T
RANSPLANT - LACE HAIR SYSTEM 

Thursday, 6 October 2016

HAIR FALL IN FEMALE: WHAT TO DO

Hello , Everyday I get many female patients with complain of generalized hair fall. Although they have good or moderate hair density but hair fall is significant and worrisome. Patients complain of hair fall during head wash and combing. In this article I will explain about cause and treatment of hair fall in females. 

CAUSE of HAIR FALL IN FEMALE 

1st of all 100-150 hair fall normally. So if hair fall is not significant then we should not be worried. Old hairs fall off and new hairs come out from the scalp. It is normal procedure of hair growth. So little bit hair fall is always there. Here I mention the few important causes of hair fall (more than normal) 

1. Mental stress, physical stress, lack of nutrition, iron, multivitamins in body, sleep irregularity , disturbed life style is 1st major cause of hair fall. 

2. Low hemoglobin(Hb less than 10) is 2nd most common factor of hair loss. Menstruation and low iron rich diet also cause decrease in Hb. 

3. Underlying chronic disease like thyroid, diabetes, cancer, other auto immunity diseases also cause progressive hair fall. 

4. Hair fall increase profoundly during pregnancy , after delivery, after chronic fever like typhoid , malaria etc. Once body recovered fully from disease hair fall stops itself. 

5. Androgenic alopecia in female is also cause diffuse , generalized hair loss. It is due to androgen hormones. 

6. Traction alopecia is also a major factor in females. Specific hair style or keeping hair tight in certain manner cause weakness of hair roots. Due to chronic , persistent tension in root they fall off. Straightening , rebounding etc also cause such type of hair fall.   

TREATMENT 

Treatment depends on the factors causing hair fall. 

1. Take nutrition rich diet, green vegetables , multivitamins, fruits, avoid junk food, 

2. Live healthy life, correct life style, take proper sleep , remove mental, physical stress.

3. Check hemoglobin, thyroid , diabetes etc. If Hb is less take iron, folic acid tablets once in a day.  

5. For Androgenic alopecia patient can take finasteride (finax 1 mg) once in a day

6. Rule out fever, internal disease etc. 

7. Avoid tight hair style, keep hair loose, avoid coloring, straightening, rebounding etc. 

8. Post fever, post pregnancy hair fall resolves itself in 3 month.

9. Use minoxidil 5% hair oil if bald area appears on scalp.

10. PRP is good option in hair fall. Patients can take multiple sessions of P.R.P . Read more about P.R.P here

11. Dermaroller , mesotherapy etc other therapy are also there to stop hair fall read more about them here 

COMMENT YOUR VIEWS AND QUERIES  

Wednesday, 28 September 2016

JOCK ITCH: Itching over groin(दाद ,खाज, खुजली)

Another very common disease specially in warm places where sweating is more. It is caused by fungus. Wetness . sweating, unhygienic condition further increase the infection. In this article I would try to explain its sign and symptoms, precautions, treatment and other important things in simplified manner.  

WHAT IS JOCK ITCH OR RINGWORM (दाद,खाज ) 

It is a fungal infection which affects groin , inner side of thigh , genital area, and may spreads to other part of body too. Skin fold like groin is more prone to get fungal infection due to excessive sweating and moisture. It is also called ring worm. There is appearance of ring like rashes, itching, scaling in groin and other part of body. 

SIGN and SYMPTOMS

I explain it point wise manner

1. There is itching specially when area becomes moist and wet. Itching leads to scratching of area which cause erosions, wounds.

2. Ring like reddish rashes, eczema like lesions, coins like rashes appearance in groin area, thigh , genital or other part of body.

3. There could be folliculitis, pus filled infection due to secondary infection.

4. Some times lesions become scaly and dry. 

5.It is very recurrent condition many times even after treatment it comes back again and again so hygienic condition and precautions are must to prevent it. 

WHO GETS RINGWORM (JOCK ITCH)

1. Diabetic , obesity ,  thyroid patients are more prone to get fungal infection . Recurrence is also more in these patients. Treatment resistance also develops more in diabetic patients. 

2. HIV and other immunity related disease makes patients more susceptible to fungal infection.

3. Sweating , wetness, moisture, uncleaned undergarment, unhygienic routine make condition worse and un-treatable.
4. Poor medications, steroid therapy, drug abusers are predisposing factors for fungal infection

5. Irrational use of Steroid creams like batnovate, ring guard etc increase the resistance 

6. People living in rainy, moist, warm area are more prone to get fungal due to excessive sweating and wet undergarments. 

IS THIS SERIOUS CONDITION ?

No, not at all. If treatment taken seriously and completely It is easy t treat the fungal infection. But In wrong treatment because of self treatment by patients worsen the condition and make the fungal resistant which becomes very difficult to  treat. 

PRECAUTIONS 


1. Dont keep the area wet at all . Use powder frequently to keep it dry

2. Avoid itching and don't scratch it
3. Change the under garments
4. Don't apply general or steroid cream like betnovate etc
5. Don't stop the medicine once you cure. Continue medicine for long time to completely kill the fungal
6. Avoid excessive sweating and wet clothes
7. Check diabetes and thyroid it is really recurrent even after proper treatment.
8. Reduce weight and avoid junk food. 

TREATMENT 

There are multiple creams and oral tablets present . But we should start with basic medicine like fluconazole and ketoconazole. But if these basic medicine do not work then we have stronger medicines too. Here i will mention few medicines which are used frequently in fungal infection.
1. FLUCONAZOLE 150 MG TWICE IN A WEEK
2. TERBINAFINE 250 MG EVERY DAY
3 . ITRACONAZOLE 200 MG ONCE OR TWICE IN A DAY
4. GRISOFULIVINE 375 MG EVERY DAY 
5. TERBINAFINE CREAMS, KETOCONAOLE CREAM, LULIFINE CREAM  etc. 
As per clinician experience we can try all above medicine and get good results. 

Tuesday, 6 September 2016

SKIN Manifestations in DENGUE FEVER

Hello Friends Dengue fever is very common in rainy season and unhygienic environment. It is very fatal disease and delayed identification of disease further increases its fatality. Fever, flue like symptom, joint pain, cough etc are initial symptoms of dengue fever. Patient does not take these symptoms very seriously and unknowingly worsen the condition. Skin manifestation in dengue may help in early detection and treatment. In this article I would try to explain here only about skin related features which can be present in Dengue fever. 

Fever Exanthema 

It comes with in 24-48 hr of fever. According to studies 50-80% patients get Exanthema. It is mild generalized redness of face, back and chest. It is thought to be the result of capillary dilatation. It is easily visible by blanching(putting pressure ) the skin. 

FEVER RASHES 

Appearance of generalized (except palm and sole) rashes all over body. It comes after 2-3 days of fever. Involvement of area increases with time and rashes start joining each other and uninvolved skin looks like white island in red sea. As fever goes off rashes also resolve itself. 





PURPURA, PETECHIAE, ECCHYMOSIS 

These are skin manifestation of dengue due to bleeding. As we know that dengue cause inability of blood to form clot so in severe untreated stage bleeding starts. In skin too blood gets collected and form bruise like skin lesion which is called purpura or petechiae. If size of bruise is big it is called ecchymosis. 

                     These are skin conditions which may come in dengue fever but it is not necessary that these symptoms always come. Many times dengue can be present with out any skin manifestation too. Proper check up is must if dengue is suspected.

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Saturday, 27 August 2016

HERPES LABIALIS: COLD SORE, FEVER BLISTER ,TESTs AND TREATMENT

Hi , Welcome readers Herpes labialis or cold sore is another common skin viral infection. It is caused by HSV-1 (Herpes simplex virus-1). It is also called as fever blister. In this article i will try to explain about its sign ,symptom, tests, diagnosis and treatment. 



WHAT IS HERPES LABIALIS 

Herpes labialis or oral herpes is caused by HSV-1 and some times due to HSV-2 too. It is viral infection. Blister like painful lesions appear over and around lips. It is a very recurrent condition and appears again and again even after proper treatment. 

SYMPTOM, SIGNS, TESTs

There is fluid filled blisters which come after redness and pain over or round lips. Initially blisters are firm but after few days it get rupture and scab, crust formed. In absence of treatment pain and lesion remains for long time although it is self limiting and resolved itself after many days. Clinical diagnosis by dermatologist is enough to identify the disease due its peculiar presentation. Still HSV IgM ,IgG  antibody detection test are there to confirm the diagnosis.

        HSV-  IgM - It detects the acute infection and helpful to diagnose present HSV infection.
        HSV- IgG  - It does not detect present infection. It is positive (or negative)
                         It has nothing to do with acute herpes infection. Only if IgM positive shows acute infection. 

IgG shows the immunity and chronic infection of body means patients had such infection in past (may be 10 year or 10 month back) . It is like memory of old infection.

WHAT TRIGGERS HERPES?



Virus remains inactive in nerves and because of stress or any other triggering factor re-activate the virus . Due to reactivation virus comes out in skin and manifests as cold sore or oral herpes. Physical or mental stress,  Sunlight, sunburn, fever, dehydration, or local skin trauma. Surgical procedures such as dental or neural surgery, lip tattooing, are also common triggering factors. 

TREATMENT

Oral acyclovir, valacyclovir or famciclovir are main treatment choice. Acyclovir creams with antibiotic creams should be applied. To prevent the recurrence acyclovir with low dose can be continued for long time.  

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Wednesday, 17 August 2016

Hair Transplant FUE: Explained By Videos

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Cosmetology, Dermatology, Hair Transplant Surgeon, Venereology, HIV Specialist
FELLOWSHIP IN COSMETOLOGY., 
FELLOWSHIP IN HAIR TRANSPLANT

Hello Friends Hair transplant is one of the much talked procedure at present. Now people are getting aware of this procedure and ask lot of questions to me. As we all know androgenic alopecia is a hormonal problem and difficult to treat medically. Once the person become bald hair transplant is the only method to get hair back. Today in Video I would try to give some general idea about FUE procedure .

After giving local anesthesia in donor area we do the extraction with the help of motor punch. It is painless, suture less, scar less technique and takes proper skills. We loose the follicles with the help of punch which is shown in this video. Puch size depends on graft thickness, tightness and easiness of extraction. Usually we take .8 or .9 mm size.


Once we loose the graft we do plucking of the graft. Means we take out all the graft . We only implant the graft which are having roots. So extraction needs proper skills and expertise other wise graft damage is more.


Once all required grafts are taken out . We start implantation.  Density is the most important thing which we keep in mind while implantation. Graft should not be either very close or very far. Hairline should be more dense than rest of the implanted area.

For more read full article here
read about alternative of hair transplant 


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Monday, 1 August 2016

How to Treat BROWN SPOTS on FACE:Melasma (झाईयां)

Hello Friends, Brown spots over face , around nose, forehead, over nose is very common in dark skin. Today I will try to cover all important points and F.A.Qs related to Melasma or brown spots.

WHAT IS BROWN SPOTS (Melasma) ?

Brown spots or melasma are brownish spots over face , around nose, forehead, over lips, cheeks, below eyes. These spots are very stubborn and very difficult to treat. This is symmetrical present both side of face. It can be either deep or superficial depending on duration and age of patients. Pregnant women are very prone to get such marks due to hormonal disturbance. This is called Chloasma or Mask of pregnancy. 

WHAT ARE CAUSE OF MELASMA ?

There are mainly two factors which cause melasma 1. Sunlight and 2. Hormonal imbalance(pregnancy cause hormonal imbalance). These two are main culprit but other factors further add the disease progression. Other than this thyroid problem, drugs, cosmetics, oral contraceptive pills etc also can cause melasma. 

WHO GETS MELASMA 

1. People who work lot in sunlight , outdoor work
2. Pregnancy 
3. More common in women than men
4. Age 20-40 years
5. Indian skin
6 Family history

TREATMENT 

Sunscreen: Must for any type of melasma. It prevent melasma progression . Read more about sunscreen click here

Hydroquinone, Azelaic, kojic acid

These are antipigmentation chemical. These come in market with various combination and strength. All such chemical should be applied in the night because these reacts with light so safer to use in night.

Retinoic acid, steroid and triple combination ( meladerm, melas, etc)

There are so many products in market which are sold with out doctor prescription. These creams could be very dangerous to skin. Steroid cause lot of side effects. (read about steroid ) . Retinoic acid cause peeling, redness, buring, itching sensation of skin. So these creams should be used very consciously. 

Vit.C Serum and multivitamins 

Vit.C serum and multivitamins are add on factor in treatment. It gives better look, nutrition and improvement. (read more about Vit C serum )

CHEMICAL PEEL

Glycolic peel is one of the main treatment option. This gives better results as well as maintenance peel prevent recurrence of melasma.(read more about chemical peel

Q-Switch, Fractional laser

Its use is controversial . Many studies are not in favor of this treatment due post laser pigmentation. I personal have used in few patients and results are very much variable. Few got satisfactory results but few did not get any results. (read about laser hair removal)

In The END

Melasma is very challenging condition and very difficult to remove completely. Recurrence is another problem. Most of the time it comes back even after total disappearance . So we still searching a treatment option which can cure melasma completely. 


ASK ANY QUESTION

Cosmetology, Dermatology, Hair Transplant Surgeon, Venereology, HIV Specialist
FELLOWSHIP IN LASER AND COSMETOLOGY., 
FELLOWSHIP IN HAIR TRANSPLANT



*COMMENT YOUR VIEWS BELOW*

Sunday, 24 July 2016

Acne : Lets Treat It Yourself

ASK ME ONLINE YOUR PROBLEM

According to many study more than 70% population between 14-30 are suffering from acne. Many of us don't go to doctor thinking that there is no treatment for acne. I personally feel acne is a world wide problem which is ignored by patients as well as their family. As many studies say acne could be a serious cause of depression in youth. Lets treat it yourself . I classify acne in 3 category.
                                                         
       Mild                                          Moderate                                   Severe

When you get few acne             When you get acne more in'          Large size acne. and
only. acne size are small            number.large in size. persist           involving larger 
not very painful and self             for long time. painful.                      area of face. Leaves
resolving.                                                                                           scar after resolving.

Acne is self resolving problem but when it is severe it causes scaring and disfigurement of face. chest, back and scalp also can be involved. Now lets see what treatment you should start.

I suggest one topical antibiotic+one anti inflammatory+ one oral antibiotic. This is my 1st line of treatment which is most of the time cure the acne in 80-90% patients.
So here is the Creams and tablet.
Clindamycine gel --- It prevent acne formation and very effective. Should be applied all over face irrespective of acne presence.
Adapalene gel 1%---  This works very effectively on acne and now a days  all dermatologist prescribe this gel. Use it in the night before going to sleep and just use it over acne. You don't need to apply it all over face. Apply it just over acne. 

There are many other cream like bezoyl per oxide creams but I never advice to use as this cream cause irritation of skin and leave post acne pigmentation. 

Tab Minocycline 100 Mg or Tab. Doxycycline 100 oral tablet

I personally prefer to minocyline 100 mg every day. It is more effective than Doxycycline but at the same time very costly and less safer I give Doxycycline 100 mg one tab ever day for 20 days and tell to come back for evaluation.

So this is the main treatment line for any mild or moderate acne patients. Where ever you go  same treatment is given to all acne patients. These drugs are very safe and not known for any kind of side effect. Use this treatment for 30 days and evaluate the effect of treatment. Topical gel  can be continue for longer time.
NO Medicine, gels and oral tablets are recommended in pregnancy.
Now lets talk about severe acne. If u have such type of acne I would suggest you to go to local dermatologist. There are some certain medicine which are very effective in sever acne but can not be given without doctor advice.

Topics you may like

Tips for acne
Tips for oily skin
Sunscreen
Write your problem in comment 

Tuesday, 19 July 2016

LACE HAIR SYSTEM : Alternative of Hair Transplant



Hello friends, As a hair transplant surgeon I know that hair transplant is not a wise option in many cases specially in extreme bald case. In this article I will discuss about lace hair system which is pretty good alternative of hair transplant and give very good  results.   

WHO ARE NOT GOOD CANDIDATE FOR HAIR TRANSPLANT:

1. Poor donor area. Many patients do not have good donor area from where we take grafts. We should avoid such cases
2. Too much baldness. When patient has grade 6 or 7 type of baldness in which almost full scalp is bald. Should not do hair transplant or explain the patient that we can not cover full bald scalp.
3. Very good density when patient is expecting very good density of hair same as natural hair. Hair transplant can not give 100% density
4. Instant result. Hair transplant takes 4-8 month to get results
5. Who does not want pain, long procedure , post procedure medicine and other operation related complication. 
   In these cases we can go for Lace Hair System which gives full density and very good results. 

WHAT IS LACE HAIR SYSTEM 

Lace system is a cap like thing in which a high density of hair is attached to net like thin structure. Hair are attached and designed in such a way that it gives 100 % natural look with proper hair density. Base of lace system which is net like and matches with skin color. Hairs are designed so naturally that it is very difficult to distinguish between scalp skin and lace hair system. So it looks like hairs are attached to scalp skin only. There are many advantage of lace hair system. Hair are real human hair and totally virgin in quality means not treated with any chemical. Lace system will be attached to scalp by skin friendly glue. This glue is non allergic ,non reactive so does not affect the skin and washable. One important point is lace system can be used up to 1 year after that you need to change it.
1. Complete full density
2. Natural hair line 
3. 100% virgin human hair
4. Can make any style ,spray ,gel ,shampoo, swimming 
5. Very cheaper than hair transplant
6. No surgery , no risk, no post procedure complications
7. Instant results


DIFFERENCE IN LACE SYSTEM AND WIG

Lace hair system is completely different from wig. In wig hair are artificial and attached to scalp by clipping or weaving which in future develops allergic ,contact dermatitis. Wig gives very much artificial look and you can not wash wig with shampoo.  Many times wig becomes loose and fall off. But in lace system it is stick to glue which does not allow lace system to be detached. Also because of net air flow remains proper to scalp and let skin function properly.

In The END

Although being a transplant surgeon I do lot of transplant surgery but lace hair system is a good option. Many patients who are not suitable or willing to go for hair transplant can get this. As far i have knowledge many bollywood and hollywood stars have got lace system rather than hair transplant.
Know about hair fall .



 
Dr.Gaurang Gupta.,
M.B.B.S., D.D.V.L., 
FELLOWSHIP IN LASER AND COSMETOLOGY., 
FELLOWSHIP IN HAIR TRANSPLANT
Cosmetology, Dermatology, Hair Transplant Surgeon, Venereology, HIV Specialist 


Sunday, 3 July 2016

ACNE: JUST Random TIPs



Hello Friends As we know ACNE is one of most known , common , debatable and problematic skin condition in younger age group. It has psycho-social impact on patient as Acne usually cause disfigurement of face skin. Here in this article i would write few random tips which should be followed by every person


  • Use Sunscreen regularly . It not only protect skin from sun but also from dust and pollution. Check another topic in blog to know more about sunscreen



  • Drink lot of water . Water clear the toxins from body through urine . More you drink better would be skin health. 



  • Clean your make up proper before sleeping in night. Makeup cosmetics close the pores and cause acne formation. Try to use less make as possible and always clean the face before sleeping in night.



  • Do not Wash your face again and again with facewash. Only once or twice is enough. If you use it frequently it would disturb PH of skin and even kill helpful bacterias . 



  • Avoid sweet, dairy, oily, spicy, junk food, chocolate .  These all have high glycemic index and could have role in acne . Although studies have not established any elation between acne and food.



  • Use Vitamin C serum and Vit.E tablets . These are helpful to maintain skin texture, tightness, and smoothness. 



  • Do not use any over the counter cream on face or on acne with out doctor prescription . Steroid creams may worsen the condition as well as can cause other skin problem. All over the counter creams contain steroids .  



  • Do not touch the pimple unnecessary . It infects other part of skin also and  acne may come on other areas too. Picking acne again and again also leaves marks and scars. 



  • Avoid hair oil, hair products , dandruff etc. Oil comes down to face during shower and cause pimples.



  • Exfoliate the skin. By creams or peels . You can get the peels monthly. It will remove dead skin and gives fresh, smoothen look.



  • Do not rub the creams , cosmetics on face. Just put and do gentle massage for 2-3 times . Do not rub aggressively 




  • Change the pillow cover regularly. It becomes collection of bacterias and infect the face skin again and again



  • Have healthy food, vegetables, fruits , juices . Exercise, yoga and good  sleep all release stress and maintain hormonal level.

  • Avoid exposure to dust, pollution, smoke . All cause skin irritation and eventually cause acne.Keep hair small and dont let hair come on face. Dandruff etc cause acne over skin

  • Do not use multiple home remedies unnecessary. Go to doctor and get the proper medical treatment.

  • There is no spot , immediate treatment of acne. It cant go off in 2-3 days so continue treatment for month , wait and watch.
SEND ACNE PHOTO 

Friday, 1 July 2016

SKIN PROBLEMS IN PREGNANCY



Welcome, skin condition in pregnancy is notice-bile and problematic. Mostly condition are non serious and acute . After delivery these conditions go off but many times it is recurrent and may come next time. Here i am writing few important common disease only although list is very big and any skin condition may aggravate in pregnancy. 

STRETCH MARKS 

This is the most important and most common skin change in pregnancy. Due to pregnancy there is increase size with eventually stretch the ski. It cause damage in skin substance and form stretch marks. To know more about STRETCH MARKS AND TREATMENT.

CHLOASMA or MELASMA 

Due to extreme hormonal change in body during pregnancy cause brownish patches over face. These are very stub born and very difficult to treat once it has come on face. Sunlight is another very important factor which increases this problem. Sunscreen must be used to prevent it. Know more about effect of sun on skin 

ACNE 

Acne flare up and break out is very common problem. It is a trouble some problem because we can not give oral antibiotics or any other effective treatment even certain creams (retino-A etc ) are restricted due effect on fetus. Once delivery done we can start full treatment . 

HAIR FALL

Mental or physical stress , hormonal surge , nutritional deficiency and other factor may cause mild to sever hair fall. Some time hair fall continues even after 2-3 month of delivery. Proper nutrition , multivitamin , good sleep will recover the problem after delivery.

ITCHING, ( PRURITIC PAPULES OF PREGNANCY -P.P.P)

Many times pregnant female develops small -small multiple very itchy bumps type lesion called as P.P.P. Although it is not very common but I have seen few patient with severe itching problem. We can give antihistamincs and steroid creams which are safe in pregnancy. It is self limiting condition. After delivery it goes off itself. 

FACIAL HAIR 

Many times due to increase surge of androgen hormone can cause increase in facial hair density. Although after delivery there many procedures which can help in reducing it like laser hair removal . 

Pruritic Urticarial Papules and Plaques of Pregnancy

Same as P.P.P it is a itchy condition but reddish patches come which commonly comes in last trimester. It also self limiting condition and gets resolved after delivery.
                            


Tuesday, 28 June 2016

HIV,AIDS,TEST,MYTHS, WINDOW PERIOD AND EVERYTHING ABOUT IT.

        *(photo taken from wikipedia )
I have worked as HIV specialist and district HIV nodal officer for 2 years in Government hospital. Today i will try to explain each and everything about Hiv, doubts related to it as per my experience, knowledge and academics . I hope this article would increase readers knowledge and awareness about aids

WHAT IS HIV?

Hiv or human immunodeficiency virus is the causative factor. This virus kills immunity cells of body. CD4 is one of the type immunity cells. So basically these virus decrease the immunity of the patient and eventually person starts getting multiple infection. There many types of virus means little change in structure or function produce different strains. Main strains are HIV-1  and HIV-2 . HIV-1 is world wide and more common. HIV-2 more common is Asia but still less than HIV-1. 

WHAT IS AIDS?

When Hiv enter body it remains silent for many years (5-7 years) and it keep on killing CD4 immunity cells. When immunity becomes very low and body start getting infections and other many virus related problem then all disease combined together called as AIDS. So patients do not get AIDS when HIV enter body but after many years when body start getting diseases and all. It full form is Acquired Immuno-deficiency Syndrome. Syndrome  means group of multiple diseases acquired due to low immunity. 

WHAT HAPPENS WHEN HIV ENTER BODY?

As i said Hiv remains silent in body and keep on multiply but when it enter body flue like symptoms which might go un noticed. Flu like symptoms are Mild fever, rashes, sore throat, body ache etc which remains for 4-6 weeks . This is the reaction of body against HIV. But after some times these symptoms go off. 


WHAT IS WINDOW PERIOD?

Window period is the time duration between Hiv enter to body and blood test start coming positive.  Blood test are negative at the time of entry of HIV and remains negative for 4-6 week. After certain period only it becomes positive so If somebody got exposed to HIV should repeat the blood test after 2-3 month. And if that comes negative that would be conclusive. Window period also depends of Test and person. Good test (4th generations test) has window period for 2 weeks only. 

TRANSMISSION and MYTHS 

There are only 3-4 ways of transmission of HIV. But i personally get so may queries regarding this . There so many myths regarding how HIV spreads.

1. Sexual intercourse
2. Mother to baby
3. Fluid to fluid touch ( semen, blood)
4. Infected blood transfusion
5. Drug abusers

MYTHS

Now there are so many misconception abut its transmission i every day gets questions about that i did this , I did that would i get hiv or not? here i tell where you wont get hiv

1. Oral sex is one most asked question. Answer is No. Until person has lesion , ulcer, cuts or fresh bleeding Other wise chance of transmission of HIV is zero .
2. Dry needle many people ask i got pricked a needle ( dry , not fresh blood contaminated) would i get HIV. Answer is no. HIV do not survive for long time out of body(few seconds only) So dry needle can not infect you.
3. Exposure to patients sweats, urine, saliva, food, sharing swimming pool, bathroom, touching do not cause hiv infection at all.
4. Same instrument used in patients if instrument do not have fresh blood of patient. HIV cant be transmitted.


I AM EXPOSED TO UNKNOWN STATUS PERSON WHAT SHOULD I DO?

1. Dont get panic just because you are in doubt that have you exposed to hiv or not?
2. If you are very much sure that you have exposed o hiv then start taking post exposure prophylaxis for that you need to go to government hospital and look for hiv clinic
3. Get the  test done 1st immediately and after 3 month. if both test are negative it means you are not positive.
4. Until everything clear use protection while sex

BLOOD TEST

I divide HIV test in to 4 part. People have so much confusion in quality , efficacy of test. So i have tried to simplify every thing


Rapid test - When you go to pathology and say that i want to get hiv test done. In this case lab does rapid test and give the result with in 20-30 minute. So rapid test are easy and result comes with 20-30 minute. In emergency when doctor need to go to surgery in that also we do rapid test.
Now rapid test are two type
1. 3rd generation ELISA - It is less specific and window period is longer. (about 4-6 week) It detects only body immunity which produce after 2-3 month of entry of HIV.
2. 4th generation ELISA - It window period is very less and it detects both Immunity and Hiv particle

TRIDOT test, and TRIDOT AB/AG (4th generation rapid test) are available in INDIA and other countries too.

ELISA, CLIA ,CMIA - 
Again these are screening test but takes time to get results. and yes same as rapid these also have 3rd generation and 4th generation types. Of course 4th generation is better and has low window period.
MICROLIS test (company name) is available in INDIA.

CONFIRMATORY TEST

Western blot, PCR are avilable . we should go for these if rapid or screening test comes positive. Other we should not do it.


HOW MANY TIMES WE SHOULD GET THE TEST

Well when you go for test window period should be consider. so I suggest to get test two times 1st when you feel that you have exposed to HIV. Although it is not much useful but it gives you  moral strength and clear your status regarding HIV at present. It would come negative then Get the test done after 3 month to clear everything.

WHAT IF TESTS COME POSITIVE. -(consider falls positive ) 

If tests come positive do not get panic. Some time falls positive result comes. So has to get confirmatory test done. (western blot, PCR) if these results come positive it means you are hiv positive if not then not.

HIV POSITIVE WHAT NEXT- (dont hide your status to doctors)

1st go to the Government hospital and medical college and get all medicine, precautions everything there. Indian government has highly strengthen system to handle HIV patients and treatment. This I can say with my personal experience as i have worked as HIV Specialist and officer in government hospital for 2 years.
Life is does not end here. You have more than 20 years if you take care of yourself and take medicine and all. Never loose hope. Help others , educate others, enjoy life as you were enjoying previously.

YO MAY LIKE TO READ
1. About sunscreen
2. alternative of hair transplant:lace hair system
3. effect of sun on skin
ANY QUESTION RELATED TO HIV, AIDS