ANAL FISSURE

 Anal Fissure 

By HDr.FNAWAN 

INTRODUCTION

Anal fissure is a small tear in the thin, moist tissue that lines the anus. An anal fissure may occur when you pass hard or large dry stools  during a bowel movement. Anal fissures typically cause pain and bleeding with bowel movements. You may also experience spasms in the ring of muscle at the end of your anus. 

SYMPTOMS 

1. A visible tear in the skin around your anus. 

2.  A skin tag or a small lump of skin next to the tear. 

3.  Streaks of blood on stools or on toilet paper after wiping. 

4.  Sharp pain in the anal area during bowel movements. 

5.  Burning, swelling or itching in the anal area. 

CAUSES

Common causes of anal fissure include. 

1.  Passing large or hard stools. 

2.  Constipation and straining during bowel movements. 

3.  Chronic diarrhea. 

4.  Childbirth. 

5.  Anal intercourse. 

Less common causes of anal fissures include. 

1.  Crohn's disease or another inflammatory bowel disease.

2.  Anal cancer. 

3.  HIV. 

4.  Tuberculosis. 

5.  Syphilis. 

PREVENTIONS

An anal fissure cannot always be prevented, but following preventive measures can be taken to reduce the risk of  getting anal fissure. 

1.  Drinking  plenty of fluids. 

2. Eating fibrous foods.

Fiber-rich foods include:

*Wheat bran

*Oat bran

*Whole grains, including brown rice, oatmeal, popcorn, and whole-grain pastas, cereals, and breads

*Peas and beans

*Seeds and nuts

*Citrus fruits

*Prunes and prune juice

3. Avoid Foods that cause constipation and aggravate fissures. These include high fat and low fiber snacks like chips and sugary doughnuts, cheesy pizza, and burger etc., if you are dealing with tummy troubles. Frozen meals, packaged foods, and convenience meat products which go through a lot of processing and are also high in sodium. They can make your bowel movement tough. If constipation problem is not treated in time, it can make your anal fissure worse.

4.  Avoid  Enriched or Refined flour as it is heavily processed flour that has no germ or bran and all necessary nutrients like vitamins, minerals and fiber content are lost during processing . Therefore, enriched bread, pasta, cereals and snack foods should be replaced with whole grain food items.  If you maintain your daily fiber intake from 25 to 30 gm per day, you can avoid painful, thick stool and  prevent constipation.

5. Avoid Added sugars as it only adds calories and contains no nutritional values. Eating too many sugary foods can disturb your digestive health. So, try to cut down on sugary items such as jellies, candies, ice-creams, sugary cereals, and sweetened drinks, etc.

6. Avoid High-fat Meats as Fatty meats like bacon, pork, beef sticks, and lamb are high in saturated fat and low in fiber. Apart from constipation, fatty foods increase your chances of developing obesity and diabetes also.  So Instead of choosing a meat-rich diet you should prefer fiber-rich protein sources like chickpeas, black beans, lentils, and split peas, etc.

7. Exercising regularly to avoid constipation. 

8. Treating diarrhea immediately.

9. Cleansing the anal area gently with mild soap and warm water and keeping the anal area dry. 

10. Changing infants’ diapers frequently. 

11. Do not strain while passing hard and dry stool. It is helpful to apply Vaseline on anal region  to let stool slip  easily. It is a well-known fact that coconut oil works as an excellent lubricant and also makes it easier for hard stool to pass. The medicinal properties of coconut oil help treat wounds, sores and other skin lesions. It is safe and works as a positive healing agent for fissure wounds.

12. Avoid cooking in Aluminum vessels. Long term use of Aluminum can lead to poisoning and in turn constipation. 

13. Avoid Laxatives and Purgatives for treating constipation as long-time use can form a habit and when you stop taking them it may cause severe constipation. 

TREATMENTS AND DRUGS

Anal fissures often heal within a few weeks if you take steps to keep your stool soft, such as increasing your intake of fiber and fluids. Soaking in warm water for 10 to 20 minutes several times a day, especially after bowel movements, can help relax the sphincter and promote healing.

If your symptoms persist, you'll likely need further treatment.

Nonsurgical treatments

*Externally applied nitroglycerin  helps increase blood flow to the fissure and promote healing and to help relax the anal sphincter. Nitroglycerin is generally considered the medical treatment of choice when other conservative measures fail. Side effects may include headache.

*Steroid creams, to help relieve discomfort.

*Botulin toxin type A (Botox) injection, to paralyze the anal sphincter muscle and relax spasms.

*Blood pressure medications which can help relax the anal sphincter. These medications may be taken by mouth or applied externally and may be used when nitroglycerin is not effective or causes significant side effects.

SURGERY 

If you have a chronic anal fissure that is resistant to other treatments or if your symptoms are severe, your doctor may recommend surgery. Surgery usually involves cutting a small portion of the anal sphincter muscle to reduce spasm and pain and promote healing. Surgery has a small risk of causing incontinence.

HOMEOPATHIC TREATMENT 

Some of the Homeopathic medicines  used in anal fissure  without having any side effects are:-

Bryonia,Alumina, Sulphur and Nat. Mure can be used to avoid constipation. 

Silicea  to promote healing

Belladonna 

Podophyllum 

Cal. Flour

Ratanhia

Phosphorus 

Nitric acid 

Aesculus. Hip

Paeonia

Graphites. 

HEADACHE

 Headache

By H/Dr. FNAwan 

INTRODUCTION

Headache is defined as a pain arising from the head or upper neck of the body. The pain originates from the tissues and structures that surround the skull or the brain because the brain itself has no nerves that give rise to the sensation of pain (pain fibers). The thin layer of tissue (periosteum) that surrounds bones, muscles that encase the skull, sinuses, eyes, and ears, as well as thin tissues that cover the surface of the brain and spinal cord,  meninges , arteries, veins, and nerves, all can become inflamed or irritated and cause headache.

 The pain may be a dull ache, sharp, throbbing, constant, intermittent, mild, or intense.

Categories of headache

There are three major categories of headache based upon the source of the pain.

1.Primary headaches

2.Secondary headaches

3.Cranial neuralgias, facial pain, and other headaches 

1.PRIMARY HEADACHES 

A primary headache is when the headache itself is the main problem. It is not a symptom of an underlying disease or condition. While the pain from primary headaches can be disabling, the headaches are not dangerous. The brain cannot feel pain, so the pain associated with primary headache comes from the inflammation of pain sensitive parts of the body in and around the neck and head, including:

Nerves

Blood vessels

Muscles

There are several categories of primary headaches. Some of the most common types of primary headaches include:

1.tension headaches 

2.migraine

3. cluster headaches

4.Hypnic headache

and a variety of other less common types of headaches.

1.Tension headaches

Tension headaches are the most common types of primary headaches .They are often referred to as "hatband" headaches because they are typically painful around the back of the head, the temples and forehead, as if a tight hat were in place. They tend to be pressure-like at onset and can last from hours to days. Tension headaches can co-exist with migraine, and one can transform or trigger the other. 

Tension headache is often responsive to physical therapy, relaxation therapy and anti-inflammatories or muscle relaxants.

Tension headaches occur more commonly among women than men. According to the World Health Organization, 1 in 20 people in the developed world suffer with a daily tension headache.

The most likely cause is contraction of the muscles that cover the skull. When the muscles covering the skull are stressed, they may become inflamed, go into spasm, and cause pain. Common sites include the base of the skull where the trapezius muscles of the neck insert, the temples where muscles that move the jaw are located, and the forehead.

There is little research to confirm the exact cause of tension headaches. It is believed that tension headaches occur because of physical stress on the muscles of the head. For example, these stressors can cause the muscles surrounding the skull to clench the teeth and go into spasm. Physical stressors include difficult and prolonged manual labor, or sitting at a desk or computer concentrating for long periods. Emotional stress also might cause tension headaches by causing the muscles surrounding the skull to contract.

2.Migraine headaches 

Migraine headaches are the second most common type of primary headache. The term "migraine" refers to a headache which is usually (but not always) on one side of the head. It is a headache that lasts from 2-72 hours  and it is often associated with nausea and/or vomiting, sensitivity to light and/or sound. The character of the pain is  throbbing pain. Migraine headaches affect children as well as adults. Before puberty, boys and girls are affected equally by migraine headaches, but after puberty, more women than men are affected. 

Migraine headache is caused by inflammation or irritation of structures that surround the brain or affect its function. While the brain itself has no pain nerve fibers, everything else above the shoulders, from the neck, skull, and face, can cause a person to have head pain. Systemic illnesses, including infection or dehydration, can have associated headache. These are known as toxic headaches. Changes in circulation and blood flow or trauma can also cause headache.

Changes in brain chemistry may also be associated with headache. 

Medication reactions, drug abuse and drug withdrawal can all cause pain.

3.Cluster headaches 

Cluster headaches are a rare type of primary headaches .A cluster headache is a type of headache which is relatively short-lived (compared with migraine) lasting usually between 20 min- 2 hours. It is always one-sided and is associated with symptoms such as 

#a stuffy nose on one side, 

#tearing, 

#an enlarged pupil, 

#or a droopy lid. 

It more commonly affects men in their late 20s, though women and children can also suffer from this type of headache. 

The cause of cluster headaches is uncertain but may be due to a sudden release of the chemicals histamine and serotonin in the brain. The hypothalamus, an area located at the base of the brain, is responsible for the body's biological  clock and may be the source for this type of headache.

Cluster headaches also tend to run in families and this suggests that there may be a role for genetics. 

It may also be triggered by changes in sleep patterns,  medications (for example, nitroglycerin used for heart disease), cigarette smoking, alcohol, and some foods (for example, chocolate, and foods high in nitrites like smoked meats)  are also potential causes for headache.

4.Hypnic Headaches 

This is a rare headache form that occurs in people between the ages of 40 and 80. It is unique headache that occurs exclusively at night, typically lasting between 15 and 60 minutes. The headaches tend to occur at the same time each night and tend to be global (not just on one side) and are not associated with runny nose, tearing or other "cluster" features. 

2.SECONDARY HEADACHES 

Secondary headaches are those that are due to an underlying structural or infectious problem in the head or neck. This is a very broad group of medical conditions ranging from dental pain from infected teeth or pain from an infected sinus, to life-threatening conditions like bleeding in the brain or infections like encephalitis or meningitis.

Traumatic headaches  fall into this category including post-concussion headaches. 

Medication overuse headaches

This group of headaches also includes those headaches associated with substance abuse and excess use of medications used to treat headaches. 

"Hangover" headaches  fall into this category as well. People who drink too much alcohol may wake up with a well-established headache due to the effects of alcohol and dehydration.

3.Cranial neuralgias, facial pain, and other headaches

Neuralgia means nerve pain (neur=nerve + algia=pain). Cranial neuralgia describes inflammation of one of the 12 cranial nerves coming from the brain that control the muscles and carry sensory signals (such as pain) to and from the head and neck. Perhaps the most commonly recognized example is trigeminal neuralgia, which affects cranial nerve V (the trigeminal nerve), the sensory nerve that supplies the face and can cause intense facial pain when irritated or inflamed.

CAUSES OF HEADACHES 

1.Migraine headache is caused by inflammation or irritation of structures that surround the brain or affect its function. While the brain itself has no pain nerve fibers.

2.Everything else above the shoulders, from the neck, skull, and face, disorders of the Neck,Eyes, Brain, Jaw and Teeth can cause a person to have head pain. 

3.Systemic illnesses, including infection or dehydration, can have associated headache. These are known as toxic headaches. 

4.Changes in circulation 

5.blood flow 

6.trauma 

7.Changes in brain chemistry may also be associated with headache

8.Medication reactions

9 Drug abuse and 

10.Drug withdrawal can all cause pain.

11.Changing hormone levels 

Other factors, also known as triggers, tend to be environmental or linked to diet. 

12.Pulsating or bright light

13.Certain foods (caffeine, red wine, chocolate, aged cheeses)

14.Stress

15.Sleep (too much or too little). 

Every person is different so the history of the headache is important. Recognizing patterns or precipitating (foods eaten, stress, etc.) factors, in combination with the physical examination and associated symptoms, can help identify the cause for each individual's specific headache.

HOMEOPATHIC MEDICINES 

Some of the medicines used for migraine and tension headache are:

Belladonna, Bryonia, Gelsemium, Glonoinum, Ignatia, Iris versicolor, Natrum muriaticum, Sanguinaria, Sepia, Spigelia, Silicea (also called Silica). 

NUX.VOMICA   for Hangover Headaches. 

USNEA.BARBATA    for Cluster Headaches. 

CORONA VIRUS (COVID-19)

 

HOW TO DEAL WITH CORONA VIRUS( COVID-19) ?

We all know about " COVID-19  " and its symptoms like fever,cough,difficulty in breathing, pain in chest,headache.

So far there is no Vaccine and patent Medicine for it, so be careful.

Do you know that Homeopathic Medicines work on the basis of symptom similarity? Therefore  I highly recommend all of you to use Homeopathic Medicines. 

People who are positive  or other wise have cough with phlegm and fever can take "Belladonna 30" 1-2 drops 3 times a day  "Antimonium. tartaricum 200" 1-2 drops at night one dose, good diet, a cup of warm water with 1 tablespoon of honey in it, a cup of hot milk with 1/2 teaspoon of turmeric powder and  all other precautionary methods. 

There are no side effects so it is worth trying it as  a drowning man catches at the straw.

Kindly share this as much as you can to be a part of this good deed and help humanity. 

#staysafe. 

Polycystic Ovarian Syndrome (PCOS)

 POLYCYSTIC OVARIAN SYNDROME (PCOS) 

BY  H/DR. FNAWAN

INTRODUCTION

Polycystic Ovarian Syndrome (PCOS) is a common health problem caused by an imbalance of reproductive hormones. The hormonal imbalance creates problems in the ovaries and metabolism problems that may affect their overall health and appearance. PCOS is also a common and treatable cause of infertility.It affects 1 in 10 women of childbearing years(ages 15 to 44).

Women with PCOS produce higher-than-normal amounts of male hormones. This hormone imbalance causes them to skip menstrual periods and makes it harder for them to get pregnant.

PCOS also causes hair growth on the face and body, and baldness. And it can contribute to long-term health problems like diabetes and heart disease.

In allopathy Birth control pills and diabetes drugs can help fix the hormone imbalance and improve symptoms. 

PCOS affects a woman’s ovaries, the reproductive organs that produce estrogen and progesterone — hormones that regulate the menstrual cycle. The ovaries also produce a small amount of male hormones called androgens.

The ovaries release eggs to be fertilized by a man’s sperm. The release of an egg each month is called ovulation.

Follicle-stimulating hormone (FSH) and luteinizing hormone (LH) control ovulation. FSH stimulates the ovary to produce a follicle — a sac that contains an egg — and then LH triggers the ovary to release a mature egg.

PCOS is a “syndrome,” or group of symptoms that affects the ovaries and ovulation. Its three main features are:

1.cysts in the ovaries

2. high levels of male hormones

3. irregular or skipped periods

In PCOS, many small, fluid-filled sacs grow inside the ovaries. The word “polycystic” means “many cysts.”

These sacs are actually follicles, each one containing an immature egg. The eggs never mature enough to trigger ovulation.

The lack of ovulation alters levels of estrogen, progesterone, FSH, and LH. Estrogen and progesterone levels are lower than usual, while androgen levels ie. male hormones are higher than usual.

Extra male hormones disrupt the menstrual cycle, so women with PCOS get fewer periods than usual.

CAUSES 

1. Genes 

Studies show that PCOS runs in families. It’s likely that many genes-  not just one - contribute to the condition. 

2. Insulin resistance

Up to 70 percent of women with PCOS have insulin resistance, meaning that their cells can’t use insulin properly. 

Insulin is a hormone the pancreas produces to help the body use sugar from foods for energy.

When cells can’t use insulin properly, the body’s demand for insulin increases. The pancreas makes more insulin to compensate. Extra insulin triggers the ovaries to produce more male hormones.

Obesity is a major cause of insulin resistance. Both obesity and insulin resistance can increase your risk for type 2 diabetes. 

3. Inflammation 

Women with PCOS often have increased levels of inflammation in their body. Being overweight can also contribute to inflammation. Studies have linked excess inflammation to higher androgen levels

SYMPTOMS 

The most common PCOS symptoms are:

1.Irregular periods. A lack of ovulation prevents the uterine lining from shedding every month. Some women with PCOS get fewer than eight periods a year. 

2.Heavy bleeding. The uterine lining builds up for a longer period of time, so the periods you do get can be heavier than normal.

3.Hair growth. More than 70 percent of women with this condition grow hair on their face and body — including on their back, belly, and chest. Excess hair growth is called hirsutism.

4. Acne. Male hormones can make the skin oilier than usual and cause breakouts on areas like the face, chest, and upper back.

5.Weight gain. Up to 80 percent of women with PCOS are overweight or obese. 

6.Male-pattern baldness. Hair on the scalp gets thinner and fall out.

7. Darkening of the skin. Dark patches of skin can form in body creases like those on the neck, in the groin, and under the breasts.

8. Headaches. Hormone changes can trigger headaches in some women.

How PCOS affects your body

Hormone imbalances can affect a woman’s health in many ways. PCOS can increase the risk for infertility, metabolic syndrome, sleep apnea, endometrial cancer, and depression. 

DIAGNOSIS

Doctors diagnose PCOS if women have at least two of three main symptoms — high androgen levels, irregular periods, and cysts in the ovaries. 1.A pelvic exam.

2.blood tests (check for higher-than-normal levels of male hormones,also cholesterol, insulin, and triglyceride levels to evaluate your risk for related conditions like heart disease and diabetes

3.ultrasound can confirm the diagnosis.

Diet and lifestyle tips to treat PCOS

PCOS treatment starts with lifestyle changes like diet and exercise. Losing just 5 to 10 percent of your body weight if you’re overweight can help improve your symptoms.

HOMEOPATHIC TREATMENT 

Hair loss & PCOS: Weisbaden, Arnica, Thuja, Acid flour, China.

Acne & PCOS: Berberis aquafolium, Phosphorus, Silicea, Sulphur, Calcaria-sulph, Borax, Hepar- sulph, Kali-brom.

Infertility: Pulsatilla, sepia, terantula, apis, lycopodium, lachesis.