All posts by Dr Deepan

Dr DEEPAN P SHAH MD(HOMOEOPATHY) SPECIALISED HOMEOPATHIC PHYSICIAN AND SURGEON
Dermatology, Gynaecology, HOMEOPATHIC TREATMENT, Infectious diseases

LEUCORRHOEA

1 Comment

Leucorrhoea is an abnormal vaginal discharge, its a very common complaint of women seen in our practice.

The discharge may range from what is called excess of normal to one which is a part of wide spectrum of ailments.

LET US SEE WHAT EXACTLY LEUCORHHOEA IS

Leucorrhoea is an excessive vaginal discharge of whitish or yellowish which is thick and sticky.

Women experiencing from the excesssive vaginal discharge are worried and embarrassed about thier condtion and hesitate even to share this issue with their doctor.

PATHOPHYSIOLOGY OF LEUCORRHOEA

Normal vaginal secretion

The physiologic basis involved in normal vaginal secretion is dependant on tbe oestrogen level. With the rising oestrogen level, there is abundant secretory activity of endocervical glands and the superficial vaginal epithelium becomes rich in glycoprotein.

The mucoid secretion from cervical glands is normally small in amount. The carbohydrate radicle of the glycoprotein mucin is spilt off and fermented into lactic acid. Thus the mucus is secreted in excess and is passed out at the vulva.

Usually normal vaginal secretion is slimy and sticky and quantity is less.

Normally it may be a little excess in mid menstrual period during ovulation or just prior to menstruation., during pregnancy and during sexual excitement.

The secretion is mainly derived fro the glands of cervix , uterus, tansudation of vaginal epithelium and bartholins glands (during sexual excitement)

The Excess Vaginal secretion is due to

• Physiologic cause
•Cervical cause
• Vaginal cause

Physiological cause

The normal secretion is expected to increase in conditions when the oestrogen levels become high. Such conditions are.

•During puberty

Increased levels of endogenous oestrogen level leads to marked overgrowth of endocervical epithelium epithelium which may enroach onto the ectocervix producing erosion leadin to excess secretion.

•During menstrual cycle

Around ovulation peak rise of oestrogen leads to increase in the secretory activity of the cervical glands.
Excess secretion occurs In premenstrual pelvic congestion and increased mucus secretion from the hypertrophied endometrial glands.

•Pregnancy

Due to increased level of oestrogen causes increased vascularity. This leads to increased vaginal transudate and cervical gland secretion.

• During sexual excitement

Occurs when there is abundant secretion from bartholins glands.

CERVICAL CAUSE

Non infective cervical lesion may produce excessive secretion. Such lesions are cervical ectopy, chronic cervicitis, mucous poylp.

VAGINAL CAUSE

Increased vaginal transudation occurs in conditions associated with increased pelvic congestion. The conditions are uterine prolapse, acquired retroverted uterus, chronic pelvic inflammation, use of contraceptive pills or devices.

What are the probable causes of LEUCORRHOEA?

It is usually seen that the mucus membrane and glands of our body produce normal secretions, these secretions protect our body by forming a slimy lining over skin or mucus membrane.
Similarly vaginal glands secrete some secretions to keep the organs moist or lubricated and hence help our body to prevent from infections due to its acidic nature of secretions.
Leucorrhoea usually is not an acute condition, it does not develop all of a sudden. It usually denotes a devitalised state. It involves one or more parts of the reproductive organs.
When our body is loaded with toxins due to various causes organs such as skin, kidneys, ailmentary tract etc are not able to flush out the toxins. As a defense mechanism our body produces profuse discharge and eliminates in one or the other form of mucus membrane of uterus or vagina in the form of leucorrhoea.

Most common causes of leucorrhoea are as follows:

Infections

•Fungal infections

Candida albicans can easily flourish in most of cases and is usually caused due to poor hygiene. It gives rise to thick whitish or lumpy discharge accompanied by intense itching in the genital region.

•Parasitic infection

Trichomonas vaginalis is most common cause of leuchorroea. It affects the lining of both vagina and cervix causing infection.

•Bacterial infection

Bacterial infections are caused by chalmydia and gardnerella vaginalis. They cause sexually tranmitted diseases such as syphilis, gonorhoea HIV etc leading to abnormal vaginal discharge.
And other infections like Urinary tract infections, Pelvic inflamatory disease are also one of the cause
Of leuchorroea

•Hormonal Imbalance

Due to increased level of oestrogen it leads to increased vascularity causing increased vaginal transudate and cervical gland secretion leuchorroea.

•Poor hygeine

Unhygenic conditions cand lead to abnormal vaginal discharge especially during menstruation, unprotected sexual intercourse or excessive sexual indulgence etc.

•Injury

Any injury to the vagina or cervix or tissues during delivert can cause erosion and infections leading to abnormal vaginal discharges.

•Contraceptive Devices

Use of contraceptive devices have high risk of causing infections and irritations leading to leuchorroea.

•Malnutrition

Lack of nutrition, Anaemia, Weakened Immune System causes Leucorrhoea.

WHAT ARE THE SYMPTOMS OF LEUCHORROEA?

Usually a female patient with leucorrhoea presents with the following symptoms

  • The most important symptom of leuchorroea is thick or thin whitish sticky vaginal discharge.
  • If the leuchorroea is caused due to an infection, the discharge is yellowish or greenish in colour and has a very foul smell.
  • The patient with leuchorrea usually presents with excessive itching, soreness and swelling of oedema.
  • Presence of white discharge is noticed on the undergarments.
  • Pain in the low back, abdomen, calf and thigh muscles is also one of the important characteristic symptom of leuchorroea.
  • Burning in the genital tract, with burning urination and frequent urge to urinate.
  • Patient presents with Weakness, lethargy due to profuse discharge.
  • Painful sexual activity may be due to intense burning and soreness of the genital tract.

SOME USEFUL MEASURES TO MANAGE LEUCHORRHOEA

Usually we see in our practice when a female suffers from leuchorroea for a long time has generally very weak constitution.

Let us put light upon some useful measure which will help us to combat leuchorroea.

  • Maintain proper hygeine of genital parts, cleaning the vulva after every act of urination,and sexual activity. Also hygeine should be equally maintained during menstrual periods.
  • Use of cotton undergarments to prevent sweat from being retained in the genital tract, which may become a medium for infections leading to leuchorroea.
  • Excessive douching of vaginal area should be avoided to maintain normal vaginal flora and balance the ph.
  • Stay hydrated, drink atleast 2 to 3 litres of water to flush out toxins from your body.
  • Maintain proper diet., include fresh fruits and vegetables in the diet., healthy herbs,spices, carbs, protien etc.

HOMEOPATHIC TREATMENT OF LEUCORRHOEA

While treating with homoeopathy its of utmost importance to understand the patient first and then her disease.

In homoeopathy we believe that the seat of the disease is on deranged vital force and functioning of normal human body and every individual has a different genome and so altogether a different constitution and each will responds in different manner to external environmental and social stimulus and insults on the organism as a whole.

Each has been subjected to different external inimical influences in different ways so each one has different peculiar differentiating trait and character, which has been embeded in gene through ages and generations to shape up a particular constitution and personality.

So its very important to find peculiar PQRS of each case, as each will respond differently to the same administered medicine, also requirement of the case varies due to vast difference in each constitution personailty and in homoeopathy we have the previlige to select individualised medicine or call it remedy.

So in my following article I have tried to throw some light also on the constitution, that is physical mental and miasmatic background, of each remedy type, this will  helps reader understand which type of constitution personality will respond better to which remedy or to put it in other words which remedy works better in which type of constitution and personality trait

Now its not always necessary that all the symptoms of medicines should match the patient’s symptom completely  but it is important that most of the major symptoms of disease that are concerning the patient most and the constitutional background should match at large if not exactly with the medinical grading of symptoms and the peculiars helps us to distinguish between finalising between two similar matching remedies.

HOMEOPATHIC MEDICINES FOR LEUCORRHOEA I FREQUENTLY USE IN MY PRACTICE

Graphites

Well suited to Pale Fair Stout Women with tendency towards obesity and is constipated most of the times in women who cant tolerate cold and all her symptoms are worse in cold climate; they have tendency towards delayed periods; women at climectric age(menopausal); blisters and crack on breast, nipples and lips; music makes her weep; swollen genitals with gushing leucorrhoea which isThin Pale Profuse White Excoriating Acrid, severe itching and burning of vulva Decided Aversion to Intercourse.

Natrum Muriaticum

Constitution has bad effects of suppressed anger fright and grief and  prolonged intake of excessive salt lean thin emaciated especially in neck region malnourished anaemic with earthy complexion and has gouty diathesis. mentally patient is depressed due to suppressed emotions and consolation aggravates her want to cry in solitude ; tears with laughter ; leucorrhoea is Acrid Watery these subjects have suppressed menses.

Alumina

Suited to women who have tendency towards early menstruation; dry mucous membranes ; hasty hurried variable mood suicidal tendency on sight of knife or blood ; Leucorrhoea Acrid Profuse Transperent Ropy with burning aggravated after menstrual bleeding phase is over.

Pulsatilla

Pulsatilla women is regarded as the most feminine and beautiful personality in Homoeopathic materia medica it is Well suited to blonde hair fair thin female at puberty having mild gentle yeilding disposition highly emotional sad weeps  while talking; timid fears to be alone ; likes sympathy and consolation ; fear of males; and has predominantly delayed suppressed and scanty menses but not necessarily in every case its variable; leucorrhoea id Acrid Creamy Burning with Diarrhoea during or after menses

Sepia

Typically suited well to women at climectric age(menopausal); and in who easily catches  affections due to cold climate; tipically a tubercular diathesis and has liver affection; indifferent; doesnt like to work which can consume her time so doesnt like her job business or even she is averse to her own family for that purpuse; sad and gloomy; indolent; Leucorrhoea Yellow Greenish with Severe Itching  clutching and stitching pain in vulva radiating upwards to uterus and umbilicus pain so severe that pt feels bearing down pressure feels that everything would escape through vulva; and keeps legs crossed to prevent it ; leucorrhoea with prolapse of uterus and vagina.

Platina

This constitution types have highest degree of superiority complex, they are too arogant, aggressive, too proudy , excessive sexual appetite,  Leucorrhoea with nymphomania, Leucorrhoea with severe itching tingling in vulva.

Borax

Dreads downward motion , Leucorrhoea like egg-white with itching and sticking pain in vulva with sensation as if hot water was flowing out through vulva.

Trillium Pendulum

Women with Sanguine temperament excessive Lochia and tendency towatds menorahagia. Copious Yellow Stringy Leucorrhoea in women with tendency towards menorrhagia with severe pain in back and hips were broken into pieces.

Antimonium Crudum

Watery Acrid and Lumpy Leucorrhoea with tenderness in ovarian region.

Cantheris

Leucorrhoea in women with inflamatory uterine and ovarian affections, has history of frequent abortions, Copious leucorrhoea with tenacious mucous patient severe lancinating and tearing pain, leucorrhoea accompanies urinary tract infection with constant urge to pass urine frequent micturation and burning while passing urine.

Endocrinology, Gastroentrology, HOMEOPATHIC TREATMENT, Metabolic Disorders, Nutrition, Psychiatry, Weight Management

10 Best Weight gain Medicines in Homoeopathy

3 Comments

WEIGHT GAIN – 10 BEST HOMOEOPATHIC MEDICINES

Weight gain with homoeopathic medicines

Homoeopathic medicines helps regularise weight of a person as per constitution and requirements of an individual.

For optimal realisation of Homoeopathic medinical effects the medicines needs to be selected as per the constitution with special emphasis on physiological imbalances and any other underlying pathological factors needs to be ruled out.

If not selected in accordance with the homoeopathic principles, the medicine might not yield desired result.

Similarly if selected in accordance with Homoeopathic principles it will not only help in weight gain but also resolve any other underlying abnormalities found in proper physiological functioning of body. As the medicines work via improving constitution of a person.

Below are simplified guidelines to select few of the generally used common medicines which are easy to select that most of the instances are hard to fail and can help gain weight in individuals with below normal weight.

  1. Abrotanum especially suited to person with Protein Energy Malnutrition, in ascending type of Marasmus, pot belly with lean thin arms and limbs, in person who eats well but still loses flesh Kwashiorker Protein Energy Malnutrition PEM , in person with Gouty Diathesis who lose muscles, in person who lose weight due to chronic Diarrhoea dysentery, linteric stool with visible undigested food particles in stools.
  2. Alfa Alfa general homoeopathic tonic to improve digestion promote protien absorption and metabolism.
  3. Ashwagandha / Withania promotes testosterone secretion thus promoting protien metabolism improving muscle mass and reducing fats
  4. Natrum Mur weak lean malnourushed  emaciated person with unhealthy skin and earthy complexion, irritability and depressive temperament causing weight loss.
  5. Tuberculinum weightloss due to past or present tuberculosis
  6. Phosphorus lean thin pale person with history of tuberculosis and sensitive to cold.
  7. Arsenicum Album typically suited in patients with Obsessive Compulsive Disorders, bulemia nervosa, person stops eating due to fear fright and anxiety of death, disease or obesity.
  8. Chelidonium Majus weight loss due to sluggish liver function
  9. Lycopodium low body weight or weightloss due to liver disease or sluggish liver function.
  10. Pulsatilla in women with depressing emotion weeping desposition pale fair complexion with tendency towards hyperacidity and tendency to catch cold easily.
Endocrinology, Gastroentrology, HOMEOPATHIC TREATMENT, Metabolic Disorders, Nutrition, Psychiatry, Weight Management

LOSE WEIGHT – 10 Best Homoeopathic Medicines

2 Comments

Lose Weight  (Fat Loss) – 10 Best Homoeopathic Medicines

To Lose Weight in obese patient who wants to reduce weight it is necessary to rule out all the pathological factors which may be responsible for obesity and if any found then first the underlying abnormalities needs to be treated first.

Each case preferably needs to be individualised properly as per homoeopathic principles for medicine selection, to yield best results of homoeopathic medicines.

Though , there are some generally used common homoeopathic medicines to lose weight which I have simplified to select by providing basic guidelines which are hard to fail in most of the cases,

  1. Phytolacca Berry well proven homoeopathic medicine for weightloss in general.
  2. Fucus Vesiculosus compliments well to phytolacca berry and when both given intermittently during weightloss treatment works wonders.
  3. Calcarea Carbonica Generalised obesity, for fair, fat and flabby women especially in their forties, mentally and physically sluggish , well suited to women with thyroid disorders.
  4. Thuja Occidentalis obesity due to excessive hunger and abnormally high appetite.
  5. Ignetia Amara obesity in females due to depressing emotion and PCOS.
  6. Thyroidinum obesity due to thyroid disorder
  7. Sepia obesity in female do to Polycystic Ovarian Syndrome (PCOS)
  8. Iodium obesity due to disorder in thyroid glands
  9. Bromium obesity due to disorder in thyroid gland
  10.  Nux Vomica for weight gain due to sedentary lifestyle, irregular dietary habbits, irregular routine, lack of sleep, typical central obesity.
  • To lose weight a person needs to keep strict control on his diet and need to do exercise on regular basis along with medicines for faster and better results.
  • One needs to keep check that he doesnt lose muscle mass in the process
  • I recomend to completely stop sugar and jaggery
  • Oil and Ghee not more than 1-2 tsp throughout the day
  • Increase protien intake as per intensity of workout
  • Increase fiber intake in form of salads and fruits that are not too sweet
  • 4-5 small meals throughout the day
  • Ample of water throughout the day
  • 1 hour yoga or brisk walk
  • Intense workout under professional guidance for those wants to achieve subnormal so called ripoed and defined body.
  • Atleast 7 hours of continious sleep at a stretch is recomended.

Basically this article emphasises more on medicines so diet and regime will be discussed in detail in other article.

To Understand Obesity click the following link

OBESITY

Dermatology, HOMEOPATHIC TREATMENT, Nutrition, Trichology

HAIRFALL -10 Best Homoeopathic Medicines

Leave a comment

HAIRFALL – 10 BEST HOMOEOPATHIC MEDICINES

Hairfall has multiple causes and each cause needs to be attended

A careful history needs to be taken and case needs to be taken to note down the following factors

  • Life style including diet exercise rest use of cosmetics
  • Life situations
  • Climate and Environment of the region where patient resides
  • Hormonal imbalances
  • Automimmune conditions
  • Chronic diseases
  • History of communicable diseases
  • History of longterm medication
  • Family History and hereditary factors

Based on which we will be able to evaluate all the major factor involved and help us prepare line of treatment and selection of medicines

It is always advised that one should always select homoeopathic medicines as per Homoeopathic principles for best results.

Although there are certain medicines which can be generalised and given in almost any case with reasonably good results without side effects.

Below are few such medicines with simplified note for their selection as when they are called for.

  1. Arnica Montana Promotes hair growth if applied locally can be mixed in coconut oil and massaged locally on scalp on daily basis.
  2. Jaborandi Promotes hairgrowth and fights dandruff can be applied on scalp on daily basis.
  3. Selenium hairfall due to dandruff and hormonal imbalance
  4. Acidum Hydroflouricum hair lossdue to exudating eruptions on scalp and sensitive scalp
  5. Lycopodium male pattern baldness
  6. Acidum Phosphoricum Hair loss due to depressing emotions
  7. Acidum Nitricum Hair loss with severe folliculitis with burning sensation on scalp
  8. Kalium Carbonicun dryness of hair and scalp causing hairloss
  9. Natrum Muriaticum Hair loss due to depressing emotions, anger resentment.
  10. Calcarea Carbonica Hair loss in fair fat flabby women who typically have tendency towards thyroid affections.

A general care needs to be taken of hair scalp diet exercise rest which will be discussed in other article, as this article is intended only to throw light on commonly used homoeopathic medicines for hairfall.

Endocrinology, Gynaecology, HOMEOPATHIC TREATMENT, Oncology

PCOS / PCOD / Polycystic Ovaries cure in Homeopathy

1 Comment

PCOS is caused due to Hyperandrogenism and has strong germ line and/or acquired genetic anomaly, Strongly associated with heriditary as clustering of members with condition  in same family Is very commonly seen.

Lifestyle, lack of exercise proper sleep and dietary irregularities contribute to Polycystic ovarian Syndrome, it is observed that most of the symptoms of Polycystic Ovarian Syndrome are ammeliorated only by regular exercise and diet.

Polycystic Ovaries (PCOS) berfore treatment Dr SHAH Homoeopathy - Dr DEEPAN P SHAH
Polycystic Ovaries (PCOS) berfore treatment Dr SHAH Homoeopathy – Dr DEEPAN P SHAH
Polycystic Ovaries(PCOS) cured After Treatment - Dr SHAH's Homoeopathy - Dr DEEAN P SHAH
Polycystic Ovaries(PCOS) cured After Treatment – Dr SHAH’s Homoeopathy – Dr DEEAN P SHAH

PCOS is characterised by

  1. Oligovulation /anovulation and or polycystic ovary.
  2. Hyperandrogenism
  3. Exclusion of all other causative factors of hyperandrogenism.

Sign and Symptoms of PCOS

  • Polycystic ovaries, strings of follicles peripherally located in ovaries detected by USG.
  • Oligovulation or Anovulation
  • Various types of Menstrual disorders but mostly Oligomenorrhoea less than 9/annum or Amenorrhoea.
  • Hyperandrogenism, excessive androgens , especially ovarian testosterone
  • Reduced sensitivity to insulin
  • Hirsuitism excessive hair growth in females especially on beard upperlips abdomen chest and back
  • Central obesity
  • Eevated Homocystien levels
  • Acne on face neck back and upper chest
  • Infertility
  • Dark velvety thickening of skin especially on neck and other extensor surfaces.

Pathogenesis of PCOS

It is caused due to increase in ovarian androgens especially testosterone due to one or more of the following reasons with combination of genetic factors.

Insulin resistence causing Hyperinsulinaemia which disturbs Hypothalamo-Pitutary-Ovarian Axis causing increase in GnRH which causes increase in LH:FSH ratio which increases ovarian androgen, reduces follicular maturity and SHBG binding giving rise to Polycystic Ovarian Syndrome.

Also insulin in presence of its cognate receptors in presence of cAMP via P13k increases activity of 17α-Hydroxylase which is responsible for Androgen precursor synthesis so hyperinsulinaemia contributes in pathogenesis of Polycystic Ovarian Syndrome.

It is observed that insulin resistance and obesity is strongly associated in pathogenesis of Polycystic Ovarian Syndrome.

FMR1gene Subtype is associated with Poly Cystic Ovarian Syndrome.

Chronic inflamation, certain inflamatory mediators and oxygen radicals are also associated with Polycystic Ovarian Syndrome.

Diagnosis of PCOS

1)Ultra Sonography(USG) findings in Polycystic Ovarian Syndrome.

  • Strings of ovarian follicles peripherally arranged in ovaries more than 25 in number most of them arrest in growth at 5-7mm and no dominant follicle reaching preovulatory size of above 16mm. It appears like “string of pearls” on USG.
  • Oligovulation or Anovulation

2) Blood Test related to PCOS

  • Testosterone elevated
  • DHEAS elevated
  • LH elevated
  • FSH reduced
  • SHBG reduced
  • LH:FSH increased
  • Free Testosterone: SHBG increased

3) Clinical signs of PCOS

  • Oligomenorrhoea less than 9/year or Amenorrhoea
  • Hirsutism , excessive hairgrowth.
  • Obesity
  • Acne

Homoeopathic Medicines for PCOS

  • Pulsatilla
  • Sepia
  • Cyclamen
  • Trillium Pendulum
  • Platina
  • Alumina
Endocrinology, HOMEOPATHIC TREATMENT, Metabolic Disorders

HYPOTHYROIDISM

Leave a comment

Hypothyroidism is insufficiency of thyroid hormone required for normal growth and functioning of the body.

THYROID HORMONE AND ITS PHYSIOLOGY

Thyroid Hormones are produced in body only by thyroid glands , its a butterfly shaped glands situated in neck each lobe on either side of trachea connected with isthemus on midline behind hyoid bone.

T3 or tri-iodothyronine or liothyronine and T4 or thyroxine are active thyroid hormones partially composed of Iodine, so iodine is required for production of T3 and T4.

Hypothalamus releases Thyrotropin Releasing Hormone(TRH) which stimulates Pitutary glands to secret Thyroid Stimulating Hormone(TSH) which stimulates thyroid glands to produce thyroglobulin which is precursor of thyroid hormones, the residue of thyroglobulin is protien tyrosin which undergoes iodination with help of thyroperoxidase forming thyroid hormone.(1 molecule of thyroglobulin has 100-120 residual tyrosin of which only 20 undergoes iodination with help of thyroperoxidase in follicular colloid and rusultant formation of upto 10 thyroid hormone molecule from 1 thyroglobulin molecule.)Hypothalamo-pitutary-thyroid axis regulates levels of thyroid hormone in blood, increased level of T3 and T4 inhibibits TSH and TRH. Thus regulating proper balance of blood level of thyroid hormone.

T4 is converted into T3 with help of Deiodinases , these Deiodinases are Selenium based compounds, So sufficient selenium is required for production of T3 , its then converted into T1a (iodothyronamine)and T0a (thyronamine) by decarboxylation and  deiodination.

In blood almost 99.97% thyroxine is bound to Thyroxine binding globulin only free thyroxine is biologically active.

Thyroid hormones helps in protien, fat and carbohydrate metabolism and stimulates vitamin metabolism. It is essential for proper development and differentiation of cells, it influences almost each and every cell bt binding with thyroid hormone receptor on neucleus of cells and it activates gene to express cell specific protiens to neucleus of the body and on cell membrane it attaches to integrin αvβ3 stimulating sodium-hydrogen anti-porter and activating processes like cell growth and formation of blood vessels. it also helps in maturation of neurons and bone growth, it promotes catecholeamines sensitivity.

Regulation of thyroid hormone levels is influenced by many different physiological and pathological stimulus.

HYPOTHYROIDISM MAY BE CAUSED DUE TO

  1. Defective Thyroid Gland itself , functioning inadequately, its called Primary Hypothyroidism. It is caused due to Iodine Deficiency, autoimmune Thyroiditis like Hashimato’s Thyroiditis where auto antibodies are driven against Thyroglobulin, Thyroxine peroxidase, TSH receptors which infilterate thyroid glands, post partum thyroiditis, subacute lymphocytic thyroiditis, subacute granulomatous thyroiditis, certain medications , radio-iodine procedure, thyroidectomy.
  2. Lack of sufficient stimulus by Thyroid stimulating Hormone (TSH), which is secreted from pitutary glands, it is called Secondary Hypothyroidism.
  3. Inadequate Thyroid Releasing Hormone(TRH), which is secreted from Hypothalamus, its called Tertiary Hypothyroidism.

A person can suffer from one or above all three types of causes of hypothyroidism.

Central Hypothyroidism,  any hypothyroidism which can be classified under Secondary or Tertiary cause is termed as Central Hypothyroidism, their causes are any lesions compressing the pitutary, injury to  pitutarty due to surger or other reasons , pitutary irradiation, certain drugs influencing pitutary, vascular disorders affecting pitutary, intracranial heamorrhages, certain autoimmune diseases like lymphocytic hypophysitis, certain infiltrative diseases, infection and congenital disorders.

SIGNS AND SYMPTOMS OF HYPOTHYROIDISM

  • Fatigue , patient gets tired easily, frequently complaints of aching sensation in limbs and very occasionaly complaints of sensation of trembling of limbs
  • Somnolence, sleepy feeling throughout the day and Insomnia, cant get proper sleep at night
  • Weakness and lethargy, pt complaints of general weakness and lack of interest to do any physical activity.
  • Coldness, cold feet and hands , slightly lower body temperature, cant tolerate cold climate.
  • Dry thick and coarse skin
  • Hoarseness in voice
  • Tendency to catch cold easily
  • Lack of concerntration and weak memory
  • Depression, lack of interest , gloomy and melancholic.
  • Delayed cycles with initial heavy flow and later very scanty flow.
  • Oedematous swelling of limbs and face
  • Myxedema
  • Hearing deteriorates
  • Slow Pulse Rate
  • Carpel Tunnel Syndrome
  • Delayed Tendon Relaxation Reflexes.

DIAGNOSIS OF HYPOTHYROIDISM

Blood test

T4 and TSH levels helps diagnose the condition

  • Low T4 and elevated TSH suggests Hypothyroidism
  • Low T4 and normal/low  TSH suggests Hypothyroidism of central origin.
  • Normal T4 and elevated TSH suggests Subclinical Hypothyroidism.

T3 levels are just extra parameter and should not be considered primary parameter, according to current guidelines T4 and TSH levels are considered first and T3 is used for extra guidance.

In many cases, patient shows signs and symptoms of hypothyroidism but their FT3 FT4 and TSH levels are absolutely normal in such cases antithyroglobulin and anti TPO antibodies test should be done to rule out Hashimoto’s Thyroiditis.

HOMEOPATHIC MEDICINES FOR HYPOTHYROIDISM

Based on symptoms and condition.

THYROIDINUM

Thyroidinum is a polcrest remedy with a wide sphere of action. Thyroidinum is a sarcode prepared from dried thyroid gland of the sheep or calf. It influences all the other systems of the body. Thyroidinum is used to treat various symptoms of hypothyroidism. Hypothyroidism is usually causex due to deficiency of tbyroid hormone. Patient usually presents with general and muscular weakness, easy fatigue, mood changes, obesity, digestive disturbances. Tendency for obesity. Very good remedy for menstrual disorders like menorrhagia, metrorrhagia, amenorrhoea. Arrested mental and physical development. Fatigue, marked weakness, poor concentration.

IODIUM

Iodum is generally known as iodine, a non metallic trace element required by our body. Iodine has multiple functions in our body. Deficiency of iodine in human body leads to several symptoms. Iodum is a very useful remedy in case of thyroid disorders. Patient usually presents with dry skin, hair loss,, feeble muscles, puffed up face and swollen tbyroid glands. Mental and physical lethargy, weight gain. Severe exhaustion and fatigue. Ravenous hunger, eats well yet losses flesh all the time. Anxiety with increased palpitations. Great debility, slightest effort endures perspiration.

CALCAREA CARBONICA

Calcarea carb is usually suited to fair, fat, flabby persons who are always chilly and cannot tolerate cold air. Calcarea carb is Very well indicated in hypothyroidism. Excessive sweatinv on head is a leading symptom for its use in hypothyroidism patients. Feels overworked or exhausted. Forgetful, confused, misplaced and expresses herself wrongly. Women with hypothyroidism have too early, too profuse menses with vertigo. Recomended in obese patients. Pecularities in eating like craving for boiled egg. Desire for indigestible things. Presents with constipation, first part of stool hard followed by soft stools.

BROMIUM

Bromium is a deep acting remdy indicated in case of Hypothyroidism. Suited to people with flax hair, light blue eyes, fajr individuals. Tendency to cause induration and enlargement of glands. Patient is very anxious, apprehensive with great depression of spirits. Glandular swelling, stony hardnesd of glands. All glands are affected thyroid, parotid, submaxillary, ublingual etc. The thyroid gland may bulge at one side and may be so hard as to restrict the movement. Presents with emaciation, general weakness and perspiration. Limbs are weak and tremble with growing prostration. Presents with chronic fatigue syndrome. Another important symptom of bromium is its indication of respiratory ailments especially in asthama in sailors as they go ashore.

SELENIUM

Selenium is one of the indicated remedy in case of hypothyroidism. Presents with marked mental and physical weakness.Great fatigue from which he seems unable to recuperate from rest. Sudden weakness in hot weather. Dry hacking cough with weak feeling in chet. Weak spine as if paralysed. He is sleepless till midnight, awakens early and always at the same hour. Severe hairfall. Constipation with inactivity of rectum.

APOCYANUM CANABINUM

Apocyanum cannabinum is an efficient remedy in case of hypothyroidism. Useful in dropsies. General dropsies with or without disease. Swelling of every part of body. Presents with great weakness. Low spirited, nervous. The skin feels husky and rough. Great proatration. Presents with great oppression about epigatrium with difficult breathing. Gasping for breath. In females metrorrhagia with paroxysmal flow.

BUFO RANA

Bufo is usually suited to feeble minded children and prematurely senile people. Bufo is a deep acting antisporic remedy. Main sphere of action is on glands, skin, CNS, mind. Useful in hypothyroidism. Patient is usually sad , restless, feeble minded, idiotic childish, impatient child. Inclination to bite. Presents with marked swelling of body. In female the menses are too early and too copious with clots. Weak memory, desires solitude.

HOMEOPATHIC TREATMENT

HORMESIS – HOMOEOPATHY – Old Wine in New Bottle

Leave a comment

“Hormesis is a term used to describe any phenomenon in a cell or the whole organism that exhibits a biphasic response to exposure to increasing amounts of substance or condition”.  from wikipedia.

Within the hormetic zone there is generally a favorable biological response to low exposures to toxins and other stressors. ~from wikipedia

Any substance or condition showing Hormesis thus has the opposite effect in small doses as in large doses.

In toxicology,  hormesis is a dose response phenomenon characterized by a low dose stimulation, high dose inhibition, resulting in either a  J-shaped or an inverted U-shaped dose response. Such environmental factors that would seem to produce positive responses have also been termed “eustress”.  ~ from wikipedia.

This is exactly what homoeopathic principle of similia similibus curenture is. Thus theory of Hormesis proves Homoeopathic Principle of Similia Similibus Curenture.

Non of the single Homoeopathic medicines can be patented and almost all available elements and naturally occuring substances are already mentioned in homoeopathic materia medica and are efficiently used as as per principle of Similia Similibus Curentur or say homoeopathic doctorine of same cures same or say Hormesis or hormetic effect , its one and the same.

The scientific community is outright rejecting similia similibus curentur and accepting the theory of Hormesis, where as its exactly one and the same with two different names.

They say they reject homoeopathy because  homoeopathy uses only high dilution, its their lack of knowledge or misconception or delibrate misrepresentation of facts, they should not forget that homoeopthic system of medicine not only use high dilutes but also uses crude form and various different concentration of substance and we dilute it in various ways and methods to get various degrees of concerntration of the substance, we have various different scales for diluting a substance, and we have various degrees of dilutions straight from crude till very high ultra dilutions.

Wikipedia have misrepresented the fact about Homoeopathy intheir page about Hormesis, that in homoeopathy typically uses high potency. Also the page about homoeopathy terms Homoeopathic principle of same cure same as unscientific now again that contradicts with their article about hormesis where they claim this principle to be scientific.

Homoeopathy uses dilutions in varying degrees as per requirement and symptoms of patient, straight from crude substance to ultra high dilutes.

So to delibrately misrepresent the facts and to systematically demolish almost 400yrs old system of medicine, just to bring up the same principle of Similia Similibus Curenture with new name is nothing but old wine in new bottle and its a malicious act and conspiracy done just to get homoeopathic medicines and its principles patented so that few with wasted interests can make money out of it.

HOMEOPATHIC TREATMENT, Infectious diseases

DENGUE

Leave a comment

DENGUE

Dengue is a disease caused by virus which is spread by Aedes mosquitoes which are usually white striped /dotted. They breed in clean water and usually bite during early morning and evening. Few cases have been reported where it has been spreaded by blood of infected person comming in contact of mucous membrane of healthcare worker.

The incubation period is 4-15 days. i.e the symptoms will appear after 4-15 days after being bitten by the infected mosquito.

There are 4 types of dengue viruses (Type 1 and type 3 are less severe compared to type 3 and type 4), so it is possible to be infected by dengue multiple times in a life time since at a time your body develops immunity only against the type you are infected with.

It is also known as “dandy fever” or “breakbone fever” as it causes severe joint pain and muscle pain.

Symptoms of Dengue

High fever with chills, headache (typically located behind the eyes), Joint pain , muscle pain, extreme pain in the lower back ,rashes, loss of appetite, extreme weakness, Thrombocytopenia (drop in platelets)

Often due to similarity of symptoms, it is difficult to distinguish between dengue and other diseases such as chikungunya, malaria , typhoid and influenza etc.

Dengue Fever can be classified in two types Uncomplicated Dengue Fever and Heamorrhagic Dengue Fever which may result into Dengue Heamorrhagic Shock and is a medical emergence and required immediate hospitalisation preferebly in an intensive care unit. Dengue Fever lasts for 5-7 days then there is a phase of udden drop in platelets for 2-3 days as its supposed that the antibodies driven against dengue virus also damages platelets and also there is suporession of bone marrow due to infection so the production of new platelets is arrested to certain extent for some period which causes severe fall in platelets , these 2-3 days post fever are very critical as patient seems to be out of fever but platelets falls drastically within,  the fall is severe bringing platelets down to sub 10k levels within a day or two and may progress into condition called Dengue Heamorrhagic Shock if there is external or internal heamorrhage as a result of damaged capillaries due to virus and extreme thrombocytopenia due to some ort of antibody driven immune response and suppressed marrow by virus.

A feeling of fatigue may last for weeks.

Diagnosis of Dengue

Drop in plateles count starts after 2-3 days from 1st day of fever and after last day of fever there severe drop causing thrombocytopenia.

LDH level may rise upto 1500 due to mild damages to liver.

In most cases where pt doesnt have any other disease condition in body the WBC starts increases only after 2-3 days from 1st day of fever when platelets starts falling

The Diagnosis can be confirmed by a blood test – Dengue NS1 antigen test, its positive only during first 2-5days of infection then indirect antibody test are used Dengue IgG and Dengue IgM if both these antibody are postive it indicates that person is infected second time with dengue virus. Every subsequent infection is more complicated then previous.

Treatment/Management of Dengue

There is no specific allopathic medicine available.

In homoeopathy certain medicines like Eupatorium Perfoliatum, Lachesis, Phosphorus are frequently used.

Treatment is based on symptomatic management of the patient

Drinking plenty of liquids – water , fruit juices, coconut water, Oral Rehydration Solution etc. and avoiding solid food or keeping it to minimum. atleast 3-4 liters of fluids should be consumed throughout the day, monitoring urine output and calculating fluid inpit is to output ratio and monitoring blood pressure.

Take enough rest.

Can take Paracetamol for reducing fever, Avoid other NSAIDS, avoid Aspirin for headache.

Its claimed that Papaya leaf juice/extract, Giloi, Kiwi fruit & dragon fruit helps in increasing platelet count but its role remains uncertain as per highly controled studies.

If platelets fall below 10000 and if there is active bleeding external or internal, then  Single Donor Platelets transfussion is required, otherwise platelets transfusion should b avoided as its observed that in many cases platelets transfussion has complicated the case.

If patient develops any kind of active bleeding or there is sudden drop in blood pressure or any symptoms of neurological origin its a medical emergency and can be fatal patient needs to b shifted to hospital with Intensive Care Unit and Blood Bank facility as it can lead to Dengue Heamorrhagic Shock and death.

Frequently it is accomoanied by malaria and it is a medical emergency as in such case platelets fall even faster and also there is loss of RBC due to malaria.

Many other conditions like autoimmune anaemia(Pernicious anaemia) and heamolytic conditions complicates the case and is a medical emergency as patient may require blood concerntrates and plateles transfussion.

Any other co-existing infection and ailments should be treated with its specific medication if required.

Though fall in platelets is thought to b due to immune response still use of corticosteroids is contradicted as its observed that it complicates the case.

If Menstrual bleeding appear during dengue there is no need to interfere or stop bleeding with help of medicines till the bleeding is not beyond average and vitals of patients are normal. wait for it to subside on its own and if it is prolonged beyond its normal course or there are other complications or vitals of patient are not normal it needs to be intervened.

Pt is considered out of risk if he has no fever for more than 4 days and also his platelets stops falling and increases 1.5 times of last reading and if there are no other comolications and his vital are normal.

Patient will feel weak for weeks after dengue and some patient will also have abdominal discomfort and loss of appetite and very mild swelling of extremities on dependent parts especially aroud ankle joint , it subsides on its own and if persists longer it may require medical attention.

Pt will require nutritious diet , enough of sleep for recovery after dengue. rest is recomended atleast for a week after dengue.

Prevention of Dengue

To avoid dengue protect yourself from the mosquitoes spreading them.
Keep your house and surroundings free of stagnant water where the Aedes mosquitoes generally breed.
Use mosquito repellent, use mosquito net while sleeping .
Wear full clothes.

Uncategorized

Air Purifying Indoor Plants

Leave a comment

AIR PURIFYING INDOOR PLANTS

We cant survive few minutes without Breathing, And the very basic and most essential substance of our survival Air is now not breathable due to air pollution created by population explosion, deforestation, industrialisation and civic development.

Recently in past decade with global surge in pollution levels as much as 20-40 times beyond acceptable limits; for certain extremely toxic pollutants in most cities; with Delhi as worlds most polluted megacity , with visibility not more than few feets, this is not only causing road accident pile-ups but also we have seen surge in deaths due to pollution, reduced life-span and poor quality of life due to ill health caused due to surge in Allergic Respiratory diseases , Allergic Skin diseases , Various Autoimmune diseases, Cancers , Hormonal Imbalances, PCOD and the list goes on.

But as we know trees are our best friends, so here they come for our rescue, luckily there are certain indoor plants which can efficiently takle situation and can bring down pollution and increase oxygen in the air thus making air more breathable effectively at our home.

According to study done at IIT-Kanpur, following 3 plants that require low and occasional sunlight and can efficiently absorb pollutants and release sufficient oxygen are and can grow almost in any region are easily availabe in India as well.

Money Plant, botanical name Epipremnum Aureum, its a creeper that can survive in low sunlight. Check the link for details of plant and its image  https://en.m.wikipedia.org/wiki/Epipremnum_aureum

Areca Palm also called Butterfly Palm, Botanical name Dypsis Lutes, it can survive indoor in low and required sunlight once in couple of months.Check the link for details of plant and its image  https://en.m.wikipedia.org/wiki/Dypsis_lutescens

Mother In Law Tug Plant also called Snake Plant, Botanical name Sansevieria Trifasciata, it can survive indoor in low and required sunlight once in couple of months. Check the link for details of plant and its image  https://en.m.wikipedia.org/wiki/Sansevieria_trifasciata

If 3 Erica Palm and 3 Snake Plant each 3 feet tall are planted in house supplimented with couple of short 3-6feet Money Plant creepers releases good quantity of oxygen and efficiently absorbs pollutants for a house of around 600 sqft with 4-5 members.

Dermatology, HOMEOPATHIC TREATMENT, Trichology

ALOPECIA AREATA

2 Comments

Alopecia Areata is a systemic autoimmune disorder where autoantibodies are driven against anagen hair follicle.

Alopecia Areata Before treatment at Dr SHAH's Homoeopathy
Alopecia Areata Before treatment at Dr SHAH’s Homoeopathy
Alopecia Areata After treatment at Dr SHAH's Homoeopathy by Dr Deepan P Shah
Alopecia Areata After treatment at Dr SHAH’s Homoeopathy by Dr Deepan P Shah

PATHOHENESIS AND GENETICS OF ALOPECIA AREATA

Its thought to be systemic autoimmune disorder affecting anagen hairfollicle.Its T-cell mediated inflamatory non scarring condition. T-cell mediates inflamatory response around hair follicle which damages hair follicle.

Endogenous retinoids metabolic  disorder plays a major role in its pathogenesis.

Atleast 129 various SNP  are associated with this disease in genome.

Atleast 4 regions in genome are found to have these genes

Genes associated with this disease have functions of controlling the activation and proliferation of regulatory T cells, cytotoxic T-Lymphocyte-Associated Antigen 4, InterLeukin-2, InterLeukin-2 receptor A, and Eos, and HLA.

PRDX5 and STX17 genes expressed in the hair follicle are associated with Alopecia Areata.

It shares genetic risk with autoimmune conditions like Diabetes Mellitus Type 1, Rheumatoid Arthritis and may accompany each other.It may be the only manifestation of Celiac disease.

Cases with congenital Alopecia Areata are also noted.It has strong hereditary association.Its a non contagious disease.

SYMPTOMS AND CLASSIFICATION OF ALOPECIA AREATA

It presents itself with small well demarcated bald patches with seemingly healthy skin below, with no scarring on skin. It can affect any region that has hair but it usually involves , scalp and beard. The patches are usually circular but it can present in any shape and extent. The hairs on the border of bald patches are very easy to pluck off compared to other regions.

CLASSIFICATION OF ALOPECIA AREATA

  • Diffuse Alopecia Areata

    the baldness is diffused over whole scalp rather than in patches.

  • Alopecia Monolocularis

    bald patch is located only in one spot

  • Alopecia Areata Multilocularis

    many bald spots

  • Ophiasis

    hairloss at margins of hairline in waveforms

  • Alopecia Areata Barbae

    disease is limited only in beard region

  • Alopecia Areata Totalis

    complete hairloss of scalp

  • Alopecia Areata Universalis

    all hair of each and every region are lost.

DIAGNOSIS OF ALOPECIA AREATA

Trichoscopy shows evenly distributed hyperkeratotic plugs called yellow plugs, small shoots of hairs like exclamation marks, and destroyed hair follicles in follicular openings called black dots.

Biopsy

HOMEOPATHIC MEDICINES FOR ALOPECIA AREATA

SULPHUR

Sulphur is a general antisporic remedy. It is usually suited to lean, stoop shouldered patients. Sulphur is very well indicated remedy in case of Alopecia areata. Acting upon the external head, the itching is indescribable, constant itching worse from warmth of bed. Erruptions in general on the scalp. Severe loss of hair in patches. Dandruff with itense itching. Humid offensive erruptions with thick pus, yellow crust dry up into honey like scabs. Hair become dry, lustureless and fall off. Sulphur is a widely used remedy for almost every kind of itch.

LYCOPODIUM CLAVATUM

Lycopodium has a very deep and broad sphere of action. It is a remedy prepared from club moss. Lycopodium is useful in case of alopecia areata. Frequently used remedy in case of hair loss, premature greying of hair, premature baldness. Patient usually presents with patchy hair loss. Itching in the scalp due to dandruff or erruptions which are thick indurated. Complaints are usually worse from warmth and better by cold applications. Extremely sensitive patient with deep furrows on forehead.

KALIUM BICHROMICUM

Kali bichromicum is prepared by the potentisation of salt potassium bicarbonate. Kali bichromicum is a wonerful deep acting remedy having effects on multiple system of body. Patient usually presents with hairfall in spots. Dandruff with severe itching. Dandruff is yellowish in colour with formation of scabs. Scalp is infected with severe itching. Kali bichromicum helps in regeneration of hair growth.

PHOSPHOROUS

Phosphorous is well suited to young people who grow rapidly and are inclined to stoop. Phosporous indication in alopecia areata is very valuable. Phosphoorous works well in cases where falling of hair occurs in large bunches, leaving marked patches. Dandruff with sevre itching of scalp. Dry scalp and scaliness of scalp. Dry painful heat of scalp compellinh one to uncover head. Clammy perspiration on head only. Phosphorous helps in case of traction alopecia. There is receding hair line. Hairfall from forehead is prominent. Hence Phosphorous is very well indicated in frontal baldness too.

THUJA OCCIDENTALIS

Thuja is one of the indicated remedy in case of Alopecia areata. Patient usually complains of diffuse hair loss along with dandruff on scalp. Dandruff is generally thick and whitish in color with intolerable itching. Patchy hair loss. Handfull of hair come out while combing or washing hair. Single bald spots progress to form multiple spots. Hence thuja is very good remedy in such cases.

CALCAREA CARBONICUM

Calcarea carbonicum is the chief representative of calcium compounds. Great Hahnemanian antiporic. Chief action is centered in vegetative sphere. Calcarea carbonicum is one of the frequently used remedy for hairloss. Usually associated with intense itching of scalp. Marked feature is excessive perspiration of scalp or head which is so intense even wets the pillow. Head feels hot. Scratches head on waking. Hair falls in bunches. Scabs on the scalp. Painful sensitive roots of hair. Dandruff with milky crusts causes intense itching. Boils on scalp which tend to suppurate.

PULSATILLA NIGRICANS

Pulsatilla is pre eminently a female remedy especially suited to mild, gentle, yielding disposition. Very useful remedy in case of Alopecia areata. Hairfall in patches on combing hair. Purulent pustules on scalp with pain in the scalp. Itching on scalp mostly on temples and bwhind the ears. Dandruff white scaly with severe itching. Fetid and frequently cold perspiration on scalp with intense itching.

ARSENIC ALBUM

Arsenic album is a profoundly acting remedy on every organ and tissue. Arsennic album is one of the frequently indicated remedy for alopecia areata which usually appears as circular bald patches along with itching and burning of scalp. Sensitive scalp which it hes intolerably. The scalp is so sensitive that the patient cannot brush hair, seems as kfthe touch of comb or brush when rubbing over scalpwent into the brain. Circular patches of bald spots, rough, dirty, sensitive covered with dry scales. Hair greying at an early age, with severe hairfall.

 

 

Alopecia Areata Before Homeopathic Treatment
Alopecia Areata Before Homeopathic Treatment
Alopecia Areata During Homeopathic Treatment
Alopecia Areata During Homeopathic Treatment
Alopecia Areata After Homeopathic Treatment
Alopecia Areata After Homeopathic Treatment