TACKLE BRONCHIECTASIS WITH HOMEOPATHY!!!

WHAT IS BRONCHIECTASIS?


Bronchiectasis is a chronic respiratory condition in which respiratory airways become excessively dilated. In these dilated airways, mucus gets buildup that makes them thick and can lead to infection.


RISK FACTORS


Bronchiectasis can occur because if you are suffering from:

  • Cystic fibrosis
  • COPD
  • Weakened immune system
  • Autoimmune diseases
  • Inflammatory bowel disease
  • Alfa-1-antitrypsin deficiency
  • Infective lung diseases.

COMPLICATIONS


  • recurrent pneumonia requiring hospitalization,
  • empyema,
  • lung abscess,
  • progressive respiratory failure
  • chronic bronchial infection

SYMPTOMS AND CAUSES


SYMPTOMS


Symptoms includes:

  • Chronic recurrent cough
  • Large amount of sputum with blood
  • Blood with cough
  • Difficulty in breathing
  • Easy fatigue
  • Frequent respiratory infection 

CAUSES


Bronchiectasis may be caused by cystic fibrosis (CF), a genetic condition that cause overproduction of mucus.

For non-CF bronchiectasis, the causes may include:

  • Past severe lung infection
  • Genetic diseases like primary ciliary dyskinesia or alpha-1 antitrypsin deficiency
  • Suppressed immune system
  • Other autoimmune conditions
  • Aspirating (breathing in) things like fluids into lungs
  • Obstructed airways (airways blocked by something like a tumor or an inhaled object)

DIAGNOSIS AND TREATMENT


DIAGNOSIS


  • Bronchiectasis is initially diagnosed by examination and auscultation of the chest. 
  • CBC is advised to look for anemia or signs of any infection.
  • Sputum examination is done any invading microorganism’s presence.
  • X rays and CT may be advised for visualization of lung fields.
  • Sweat test: to rule out cystic fibrosis.

TREATMENT


Conventional treatment includes use of antibiotics, bronchodilators, expectorants and oxygen therapy which provide very short term relief.


MANAGEMENT


  • Educate the patient.
  • Early diagnosis is better.
  • Counsel the patient.
  • Practice regular chest therapy and breathing exercises
  • Eat healthy nutritious diet.
  • Take homeopathic medicines.

HOMEOPATHIC MANAGEMENT


Homeopathic medicines have been shown much better results in treatment and management of bronchiectasis by naturally lowering the amount of mucus production in respiratory airways.
Medicines like antim tart, ipecac, stannum met kali bi and hepar sulph etc. are very good depending on the case.


DO’S AND DON’TS


DO’S


  • Eat healthy diet.
  • Do yoga.
  • Do breathing exercises regularly.

DON’TS


  • Don’t expose yourself to allergens frequently.
  • Don’t panic in case of stress and anxiety.

FIGHT OSTEOPOROSIS WITH HOMEOPATHY

WHAT IS OSTEOPOROSIS?


Osteoporosis (“porous bone”) is a disease that weakens bones, putting them at greater risk for sudden and unexpected fractures. Osteoporosis results in an increased loss of bone mass and strength. 

The disease often develops without any symptoms or pain, and it is usually not discovered until weakened bones cause painful fractures. 

Most of these  fractures occur at the hip, wrist and spine.


RISK FACTORS


  • Gender: Women over the age of 50 or postmenopausal women have the greatest risk of developing osteoporosis, because menopause slows the production of estrogen, a hormone that protects against excessive bone loss.
  • Age:  risk for osteoporosis fractures increases as you age.
  • Race: Caucasian and Asian women are more likely to develop osteoporosis. 
  • Bone structure and body weigh: thin people have a greater risk of developing osteoporosis because they have less bone to lose than people with more body weight and larger frames.
  • Family history: If your parents or grandparents have had any signs of osteoporosis, such as a fractured hip after a minor fall, you may have a greater risk of developing the disease.
  • Nutrition: You are more likely to develop osteoporosis if your body doesn’t have enough calcium and vitamin D.
  • Lifestyle: People who lead sedentary lifestyles have a higher risk of osteoporosis.
  • Medications: some medications cause side effects that may damage bone and lead to osteoporosis for eg. steroids, treatments for breast cancer, and medications for treating seizures.
  • Smoking: Smoking increases the risk of fractures.
  • Alcohol use: Having 1-2 or more drinks a day increases the risk of osteoporosis.
  • Medical conditions: People who have had the following should consider earlier screening for osteoporosis(these are only a few amongst many) :
    • Overactive thyroid, parathyroid, or adrenal glands
    • History of bariatric (weight loss) surgery
    • Hormone treatment for breast or prostate cancer
    • Eating disorders (bulimia or anorexia)
    • Organ transplant
    • Celiac disease
    • Inflammatory bowel disease
    • Missed periods
    • Blood diseases such as multiple myeloma

COMPLICATIONS


Bone fractures, especially in the spine, wrist or hip are the most serious complications of osteoporosis. Hip fractures are often caused by a fall and can result in disability. Sometimes spinal fractures can occur even if you haven’t fallen.


SYMPTOMS AND CAUSES


SYMPTOMS


There is no warning signs or symptoms of early osteoporosis. Some people don’t even know they have osteoporosis until they get fractured.                                                                                                                                                                                            If symptoms do appear, some of the earlier ones may include:

  • receding gums
  • weakened grip strength
  • weak and brittle nails

If a break occurs in the spinal vertebrae, it can lead to changes in posture, stooping, and curvature of the spine.   


CAUSES


The exact cause of osteoporosis is unknown however there are many factors that can lead a person towards it. Many hormonal conditions such as hyperthyroidism, menopause as well as long term use of corticosteroids is associated with increased rate of occurrence of osteoporosis. 


DIAGNOSIS AND TREATMENT


DIAGNOSIS


Bone mineral density (BMD) tests, or bone measurements or dual X-ray absorptiometry (DXA) scans : X-rays that use very small amounts of radiation to determine the bone density of the spine, hip, or wrist.

All women over the age of 65 should have a bone density test (done earlier for women who have risk factors for osteoporosis). Men over age 70, or younger men with risk factors, should also consider getting a bone density test done.


TREATMENT


Conventional treatment has no cure for osteoporosis, it can only offer some management which includes use of hormones, steroids and bisphosphonates etc that has its own side effects.


MANAGEMENT


  • To keep your bones healthy, you need to include certain nutrients in your daily diet. The most important ones are calcium and vitamin D. Your body needs calcium to maintain strong bones, and it needs vitamin D to absorb calcium.
  • doing weight-bearing exercises
  • stop smoking
  • for women, weighing the pros and cons of hormone therapy

HOMEOPATHIC MANAGEMENT


Apart from the use of constitutional medicine, there are many other homeopathic medicines that can be used for treatment of osteoporosis without any side effects. 

Some of the commonly used medicines are: rhus tox, calcarea carb, calc phos, silicea, symphytum, mag phos, ledum etc.


DO’S AND DON’TS


DO’S


  • Getting daily recommended amount of calcium and vitamin D.
  • doing regular weight bearing exercise, such as walking, as this promotes healthy bones and strengthens their support from muscles.
  • exercises to promote flexibility and balance, such as yoga.

DON’TS


  • avoid smoking, as this can reduce the growth of new bone and decrease estrogen levels in women.
  • Limiting alcohol intake to encourage healthy bones and prevent falls.

GED RID OF BARTHOLIN CYST WITH HOMEOPATHY

WHAT IS BARTHOLIN CYST?


Bartholin glands are a pair of small glands that releases a fluid through its ducts into the vagina. This fluid helps in lubricating the vagina. Bartholin cyst occurs when there is blockage in either one or both the openings of these glands, leading to formation of a lump.


RISK FACTORS


Bartholin cyst is more commonly seen in women :

  1. In their reproductive age group(after menarche, before menopause).
  2. When they are young and sexually active
  3. has not become pregnant yet(nulliparous)
  4. has had just one pregnancy

COMPLICATIONS


Sometimes a cyst can become infected and this can lead to formation of an abscess(formation and collection of pus). This cyst/ abscess has a tendency of recurrence.


SYMPTOMS AND CAUSES


SYMPTOMS


Many bartholin cysts do not cause any symptom, discovered only as small pea sized, painless mass lying just outside the vagina. If/ when its size gets increased, you may notice:

  1. Tenderness
  2. erythema(redness), near vaginal opening
  3. fever
  4. Discomfort while sitting and running.
  5. Painful intercourse

CAUSES


It can occur because of buildup of fluid near the opening of ducts. This leads to blockage and the fluid made further along gets no way to drain out and thus leads to formation of cyst.This cyst at times can get infected and cause abscess formation.


DIAGNOSIS AND TREATMENT


DIAGNOSIS


The diagnosis is made by the doctor by pelvic examination. Some other tests or a vaginal swab may be advised to rule out the other causes.


TREATMENT


Conventional treatment includes use of antibiotics, painkillers and surgical drainage of cyst/ abscess.


MANAGEMENT


Sitz bath: soaking in warm water or applying warm compresses can help the cyst to burst thus preventing formation of abscess. Sexually active people should use condoms. You should clean your perineal area with clean water and avoid use of any chemicals without doctor’s permission.


HOMEOPATHIC MANAGEMENT


Homeopathic treatment has a variety of medicines that can help reduce the size of cyst as well as prevent the formation of abscess such as, belladonna, hepar sulph, silicea, nitric acid etc. Apart from this the tendency of recurrence of this cyst can be permanently annihilated by giving the constitutional medicine, without any side effect.


DO’S AND DON’TS


DO’S


  • bathe/ clean your vaginal area with plain, clean water and pat dry gently.
  • Wipe yourself from front to back after passing urine or stools.
  • Wear clean, cotton underwear instead of synthetic ones.
  • Use condoms during sexual intercourse to avoid any STDs.

DON’TS


  • Do not use any vaginal medications or deodorants washes.
  • Do not use bubble bath, bath oils or highly perfumed bath products.
  • Do not wear tight-fitting clothing around the genital area as it can cause friction, decrease circulation and invite infection.
  • Do Not use a tampon for more than 4hrs at a time during your periods.

HOMEOPATHY IN EXFOLIATIVE KERATOLYSIS

WHAT IS  EXFOLIATIVE KERATOLYSIS?


It is a common skin condition where patients present with localised peeling of skin from palms and soles.

Other medical terms used to describe it are- dyshidrosis lamellosa sicca and focal palmar peeling.


RISK FACTORS


It is more commonly found in:

  • It is seen more in active young adults.
  • Some presents with a long positive family history.
  • It is also more common during the summer months and in those with sweaty palms 

COMPLICATIONS


Most of the cases resolve gradually on their own but a few cases may present with deep cracks and bleeding. 


SYMPTOMS AND CAUSES 


SYMPTOMS


The first sign is one or more thin layered blisters on the fingers of palms or soles. 

These blisters then burst to leave many scales along with a red, round and tender peeled area. These peeled areas later become dry and cracked. 

These lesions are not generally itchy. 


CAUSES


The exact cause of exfoliative keratolysis is unknown. Some studies have shown that there is premature separation of 2 layers of skin which gives rise to this condition.


DIAGNOSIS AND TREATMENT


DIAGNOSIS


Keratolysis exfoliativa is diagnosed by visualising the skin clinically.

Other supportive investigations includes:

  • Patch test
  • Skin scrapings and
  • Skin biopsy

TREATMENT


Keratolysis exfoliativa does not improve with topical steroids. Patients are advised to wear protection when exposed to irritants, hand creams containing urea or lactic acid are also advised in some cases.


MANAGEMENT


  • Protection from irritants
  • Use hand creams especially those containing urea, silicone or lactic acid. 
  • washing hands with water and very mild soaps
  • wearing gloves when washing dishes or using cleaning products
  • wearing cotton socks to absorb sweat and reduce friction.

HOMEOPATHIC MANAGEMENT


Homeopathic medicines give very good results with this condition. It even ends the tendency to its recurrence. Some of the common useful remedies are- graphites, mezereum, hepar sulph, arsenic album, psorinum, rhus tox, sulphur, antim crud etc. 


DO’S AND DON’TS


DO’S


  • wash your hands only when necessary and moisturize afterwards.
  • use mild, chemical-free soaps
  • Wear gloves when washing clothes or dishes.

DON’TS


  • Avoid drying the skin with a rough paper towel or synthetic clothes.
  • Avoid picking the affected skin.
  • Avoid harsh cleaning products.

DEHYDRATION AND ITS MANAGEMENT!!!

WHAT IS DEHYDRATION?


About 75% of our body weight is water. Water/fluid helps to maintain normal body activities. Our body gets water mainly by diet while loses it through sweat and urination. Dehydration occurs when the body loses more fluid than it consumes and if severe, it can cause major complications.


RISK FACTORS


  • Infants
  • Old adults
  • Athletes
  • People residing in hot climate and those who sweats a lot 
  • Having severe diarrhoea and, or vomiting. 
  • Any chronic heart, kidney or liver complaint.

COMPLICATIONS


Dehydration can cause lack of sweat, sunken eyes, low blood pressure, increased heart pulse or fever. Most cases of dehydration can be easily reversed by increasing fluid intake. Severe dehydration can even lead to hypovolemic shock and kidney failure which are medical emergencies. 


SYMPTOMS AND CAUSES


SYMPTOMS


Signs and symptoms of dehydration include:

  • Dry mouth and lips
  • Decreased urination
  • Dark yellow urine
  • Lethargy and dizziness
  • Confusion
  • Weak memory 
  • Mood swings and irritability 
  • Difficulty in concentrating
  • Constipation and 
  • Headache
  • In infants- irritable mood,depressed fontanelle, sunken face, crying without tears.

CAUSES


Causes consist of not drinking enough water, having prolonged diarrhoea and vomiting, any chronic heart or liver disease or severe burns. 


DIAGNOSIS AND TREATMENT


DIAGNOSIS


Diagnosis of dehydration can be made by signs and symptoms as above mentioned. Furthermore, you can be advised to undergo blood test for measuring various electrolyte levels and a urine test to assess the level of dehydration. 

In severely dehydrated children, “pinch test” is often performed to test dehydration. Steps are:

  1. The child is made to lie on his/her back with arms by the sides.
  2. Pinch the skin of their abdomen halfway between navel and side with thumb and index finger.
  • Fold of pinched skin should be vertical.
  • Pick all the tissues of the area together.
  • Beware of your fingertips as it can be painful to the baby.
  1. Hold it for 1 second.
  2. Release it
  3. Observe how much time it takes for the skin to go back to its original place.
    1. Immediately
    2. In 1-2 seconds
    3. More than 2 seconds.

**It is to be noted that this is not a definitive sign of dehydration as the skin takes time to go back to original state in severe malnutrition and edema as well  even if the child is not dehydrated. 


TREATMENT


Dehydration is treated by replenishing the fluid level of the body. In adults with mild to moderate dehydration, ORS solution and water helps in balancing the water and electrolytes level. Otherwise fluids can also be supplied intravenously.


MANAGEMENT


  • Dehydration can be prevented by – drinking plenty of fluids throughout the day.
  • Have fresh fruits and vegetables rich in electrolytes and fluid content.
  • Limit intake of caffeinated drinks and alcohol as it can dehydrate the body further.

DO’S AND DON’TS


DO’S


  • Drink plenty of fluids in the form of water or fluid rich fruits and vegetables.
  • Cover as much skin as possible in hot climates under sun.
  • Carry a water bottle with you when engaging in some sort of outdoor activities. 

DON’TS


  • Avoid coffee , tea and soft drinks.
  • Avoid alcohol in large quantities.


WHAT IS OSTEOMALACIA?


It is a condition in which there are softening of bones because of deficiency of vitamin D and thereby of calcium too. As a result, the bones get weak and can get fractured easily. Because of deficiency of vitamin D and calcium, there is decreased mineralisation of bones leading to its breakdown faster than it can remodel.This condition is only seen in adults. Its counterpart in children is called rickets.


RISK FACTORS


Common risk factors includes: People with

Lack of proper sun exposure

Malabsorptive diseases

Postmenopausal women


COMPLICATIONS


If left untreated, it can cause easy fractures and severe deformity in adults. 

Symptoms can return if not enough vitamin D is available or you stop taking supplements in the middle of treatment. 


SYMPTOMS AND CAUSES


SYMPTOMS


The most common symptom is bones that fracture easily.

Muscle weakness

Bone pain especially of – lower back, pelvis, legs and ribs.

Because of calcium deficiency-

  • Numbness around mouth 
  • Numbness of hands and feet
  • Spasm of muscles of arms and legs

Patients can also have difficulty in walking and may develop a waddling gait.


CAUSES


Osteomalacia develops most commonly due to vitamin D deficiency, calcium and phosphate.

It can either happen due to dietary deficiency, inadequate sun absorption or


DIAGNOSIS AND TREATMENT


DIAGNOSIS


People with osteomalacia may have-

  • low levels of vitamin D
  • low levels of calcium
  • High levels of parathyroid hormone

X-rays and other imaging techniques to see small cracks in bones that can easily turn into fractures with easy falls. 

Bone mineral density is done to see if there is any evidence of osteomalacia.


TREATMENT


Vitamin D and calcium supplements are given either in tablet or intravenous form to treat the deficiency and hence its symptoms.


MANAGEMENT


  • Adequate exposure to the sun.
  • Include food items that are rich in calcium to your diet.
  • Treat any other underlying disease. 
  • Take supplements id needed under your doctor’s advice.  

DO’S AND DON’TS


DO’S


  • Adequate exposure to the sun.
  • Include food items that are rich in calcium to your diet.
  • Treat any other underlying disease. 
  • Take supplements id needed under your doctor’s advice.  

DON’TS


  • Be careful while walking or any other physical exercise to avoid getting unnecessary fractures. 
  • Dont shy away from sun

WHAT IS RICKETS?


Rickets is a childhood bone disorder caused by a deficiency of vitamin D and hence calcium. Rickets can often lead to softening and weakening of your bones. The skeletal deformities associated with rickets are due to poor mineralization of calcium and phosphate. 

Deficiency of vitamin D and calcium in adults leads to a condition known as osteomalacia.


RISK FACTORS


  • Having low vitamin D and calcium diet
  • Premature birth or totally breastfed babies
  • Limited or no exposure to sun
  • Having certain hereditary metabolic diseases
  • Dark skinned individuals
  • infants born mothers who are vitamin D deficient
  • Having kidney diseases that causes nutrients malabsorption

COMPLICATIONS


Complications include fragile bones, frequent bone fractures, muscle cramps, bony irregularities, breathing problems or intellectual disability.


SYMPTOMS AND CAUSES


SYMPTOMS


Signs and symptoms of rickets include:

  • bone pain or tenderness,
  • Muscle spasms or cramps
  • Impaired growth and short stature
  • Delayed dentition or dental deformities,
  • Skeletal deformities such as craniotabes, rickety rosary, kyphosis or scoliosis, curved long bones etc.
  • Easy fatigue, 
  • Weakened immune system

CAUSES


The cause is always either due to a deficiency of vitamin D or calcium.


DIAGNOSIS AND TREATMENT


DIAGNOSIS


Rickets can be diagnosed clinically with a complete medical history and a complete physical examination by your doctor. 

Further, if suspected, you will be advised to get following tests done:

  • Blood tests: low serum calcium, vit D3 and phosphates.
  • Bone density scan: in severe cases.
  • X-rays of long bones (radius, ulna, and femur) and ribs.

TREATMENT


In cases of vitamin D deficiency, treatment is simple only vitamin D supplementation is recommended as well as having food items rich in calcium. 


MANAGEMENT


Following steps are recommended :

  • Increasing daily sun exposure(UVB)
  • Making active dietary changes that mainly focuses on vitamin D
  • taking fish oil supplements
  • getting more exposure to UVB light
  • consuming calcium and phosphorus rich food

DO’S AND DON’TS


DO’S


  • Get your vitamin D and calcium levels checked
  • Take daily calcium and vitamin D supplements, if needed
  • Adopting a diet plan that focuses on foods rich in vitamin D and calcium
  • Spend more time outdoor

DONT’S


  • Don’t shy away from sunlight
  • Don’t skip your daily/weekly supplements

DEFICIENT VITAMIN D?

VITAMIN D


Vitamin D is a fat soluble vitamin. Unlike other water soluble vitamins such as vitamin B and vitamin C, it can not be excreted out in urine so taking large amounts of it can cause liver and kidney toxicity. Vitamin D helps the body in absorbing calcium and phosphate from  intestines thus regulating its levels. It plays a crucial role in maintaining proper bone structure.

Parathyroid hormone is essentially needed for its conversion to active form.


SOURCES


About 70% of vitamin D is formed in skin in latent form and converted to  active form (cholecalciferol or vitamin D3) in the presence of sunlight.

Last 30% is acquired through diet. Highest amount of vitamin D is found in fatty fish, eggs, fortified milk and liver oils.


LEVELS OF SERUM VITAMIN D LEVELS


INTERPRETATION S. levels
DEFICIENT 0-30ng/ml
INSUFFICIENT 31-39ng/ml
SUFFICIENT 40-80ng/ml
TOXIC >150ng/ml

CAUSES OF DEFICIENCY


The most common cause of vitamin D deficiency is dietary deficiency.

Limited or no exposure of sunlight can also cause the deficiency.


RISK FACTORS


Individuals belonging to following groups have more chances of being vitamin D3 deficient:

  • Breastfed infants
  • Older adults
  • Post Menopausal women
  • People with limited sun exposure
  • People suffering from malabsorption diseases or IBD. 

COMPLICATIONS/ DEFICIENCY


Vitamin D deficiency makes it difficult for the body to maintain normal levels of calcium and phosphate in blood. When this happens, calcium and phosphate get released from your bones into circulation. When your bones lack these minerals, they become weak and fragile.

Deficiency of vitamin D in children causes Rickets and in adults, it can lead to osteomalacia.


SYMPTOMS


RICKETS


Symptoms includes:pain or tenderness in the bones of the arms, legs, pelvis, or spine

  • stunted growth and short stature
  • Kyphosis or lordosis
  • muscle cramps
  • teeth deformities: delayed tooth formation, defects in tooth
  • Bossing of skull
  • Legs that bows out
  • Bumps in rib cage- harrison sulcus
  • Delayed fontanelle closure
  • pelvic deformities

OSTEOMALACIA


Deficiency of vit D and thus calcium leads to :

  • Softening of bones
  • Proximal muscles weakness
  • Frequent bone pains
  • Increased bone fragility
  • Symptoms mimicking osteoporosis
  • Increased risk of getting fractures(most common site: femur and pelvis)

FIGHT ANOREXIA WITH HOMEOPATHY

WHAT IS ANOREXIA NERVOSA?


Anorexia nervosa is a life threatening psychological, eating disorder that is characterized by self-starvation and excessive weight loss more than what is required to carry out daily activities..

It comes from emotional challenges, unrealistic body image and fear of becoming overweight or obese.

It often begins during teenage or early adulthood.

A person with anorexia will intentionally restrict their food intake mainly due to a fear of being/becoming fat despite being emaciated.


RISK FACTORS


Anorexia affects females more often than males and is most common in young females.

Caucasians are more often affected than people of other ethnicity.

It is more common in middle and upper socioeconomic groups.  

Other risk factors associated with it are:

  • Having history of  to depression and anxiety
  • having difficulty handling stress and suspicious
  • being perfectionist and much disciplined
  • having a negative self image
  • having eating problems during early childhood or infancy
  • holding specific ideas regarding beauty and health, which may be influenced by media or society.
  • physical, sexual, emotional or another types of abuse/bully
  •  Disturbed family or other relationship

COMPLICATIONS


Complications can be multisystemic and severe.

Physical complications include:

  • Cardiovascular problems: These include ecg abnormalities, low BP and damage to the heart muscle.
  • Blood problems: developing low WBC and anemia.
  • Gastrointestinal problems: Movement in the intestines gets slowed down leading to constipation and liver functions too gets affected.
  • Kidney problems: Dehydration can lead to highly concentrated urine and more urine production along with formation of renal calculi.
  • Hormonal problems: Lower levels of growth hormones may lead to delayed growth in early age. Along with sex hormones, thyroid also gets affected leading to infertility.
  • Bone fractures: Patients have a high risk of developing osteopenia and osteoporosis.

SYMPTOMS AND CAUSES


SYMPTOMS


Main sign is usually severe weight loss and refusing to eat. 

Other symptoms includes:

  • loss of muscle mass
  • fatigue, exhaustion, lightheadedness or dizziness
  • Low blood pressure
  • low body temperature- cold hands and feet
  • constipation
  • Dry and pale skin
  • swollen hands and feet
  • hair loss and brittle nails
  • loss of menstruation and infertility
  • insomnia
  • osteoporosis
  • irregular heart rhythms
  • lanugo(downy hair growing all over the body)
  • Occasionally more extreme measures such as bloodletting are encountered.

CAUSES


No specific cause has been found till now but it is thought to be triggered by a combination of several biological, environmental and genetic factors where food and eating become associated with guilt. 


DIAGNOSIS AND TREATMENT


DIAGNOSIS


It gets difficult to diagnose it as individuals with anorexia often attempt to hide the disorder. But it can be diagnosed by physical examination, several basic blood tests and enquiring about the patient from their family members and friends.

An early diagnosis and treatment increase the chance of a good outcome.


TREATMENT


Treatment involves medication, psychotherapy, family therapy and nutrition counseling.

Counseling includes CBT, which focuses on changing the way the person thinks about themself, food or body image and as a result develop effective ways of dealing with stressful difficult situations.

Nutritional supplements may be needed to combat malnutrition.


MANAGEMENT


  • Encourage getting help from medical professionals as early as possible for anyone you suspect of having this disorder.  
  • Be kind and respectful to others rather than judgmental.

HOMEOPATHIC MANAGEMENT


There are a variety of homeopathic medicines available to treat anorexia nervosa along with counselling therapy such as: lycopodium, iodum, china, alumina, picric acid, cina etc.  


DO’S AND DON’TS


DO’S


  • Helping people understand the unrealistic nature of media representations of excessive thinness as beautiful is one way to help prevent anorexia.
  • Seek medical help as soon as possible.
  • Practice meditation daily.
  • Appreciate yourself for who you are.

DON’TS


  • Don’t be judgemental towards others.
  • Don’t criticize someone’s appearance.

PSYCHIATRIC PUERPERAL DISORDERS

There are three major psychiatric puerperal disorders that present as complication of childbirth.It is important to consider the

health of the mother as well as the baby, also their relation when managing these conditions.


  • POSTPARTUM BLUES

Most of the women are subjected to it to some extent.

Symptoms begin within a few hours of birth and peak on about 4th day and then resolves within a week. 

It is because of hormonal changes related to childbirth.

It is characterised by: 

  • irritability, 
  • labile mood and 
  • weeping tendency.

  • POSTPARTUM DEPRESSION

It is less common than postpartum blues but its rates of occurrence has shown to have increased in the last few years. It is more severe and long lasting than postpartum blues. 

Women with previous history and family history of depression are at more risk.

Some common symptoms are:

  • Feeling of sadness and hopelessness(without any apparent cause)
  • Excessive hunger and sleep
  • Dull aching pain in various parts of body
  • Mood swings
  • No interest in things that you use to enjoy earlier
  • Loss of concentration and memory

Treatment consists of the use of medication and therapy. Counselling can help you make sense of destructive thoughts and offer a guide for working through them.

It’s also important to make some healthy changes in your daily routine. Eat a well-balanced diet and get some exercise each day


  • PUERPERAL PSYCHOSIS

It is quite a rare disorder when compared to baby blues or postpartum depression. 

Symptoms of postpartum psychosis may present as:

  • Strange beliefs and delusions or hallucinations
  • Extreme mood swings
  • Hyperactivity of mind and body
  • Inability to sleep
  • Suspiciousness
  • Difficulty in communicating with others at times.
  • Suicidal or infanticidal thoughts

Risk factors include previous or family history of depression, bipolar disorder or any kind of psychotic episode.