Tuesday, May 17, 2016

Bulging of swelling on cough (Impulse on cough) - A primary test for hernia

What is hernia?
It is protrusion of a viscus or a part of it through an abnormal opening in the body. It is primarily due to the weakness of muscle, a defect in supporting tissue and presence of some congenital pouches.

Which is a common hernia in males?

The commonest hernia in males is inguinal hernia. Situated in inguinal region or groin, it is of two types - Direct (due to muscle weakness) and indirect (due to presence of a patent processus vaginalis).


Which is commonest hernia in females?
Femoral hernia is mainly occurs in females and it is because of the broad pelvis and resultant broad femoral canal. The hernia comes through femoral canal. 



Incisional hernia?
It occurs on account of the weakness in the scar of previous surgery.


Congenital hernia?
It is presented since birth.



Treatment Options:
It is a surgical disease. The surgery includes three types of procedures such as:
1. Herniotomy: Removal of the sac in which hernia lies.
2. Hernioraphy: Repair of weak wall
3. Hernioplasty: Putting a mesh in wall to reinforce it

Thanks
Dr Praveen Choudhary


Wednesday, May 11, 2016

Lichen Planus Hypertrophicus

It is a skin ailment associated with some immune response of the body; hence, it seems to be a difficult disease to tackle and cure. It is also known to be an autoimmune disorder.

Predisposing factors:
1. Genetic causes
2. Allergic reactions
3. Stress
4. Viral afflictions
5. Unknown factors

Is it harmful?
It is not harmful. It is more of a cosmetic problem. It is also not contagious. It has several variation such as hypertrophic lesions. pigmented lesions and mucous membrane lesions.

Clinical features:

Treatment:
1. Healthy lifestyle 
2. Drink plenty of water and juices
3. Topical steroid applications
4. Systemic steroid in case of severe symptoms
5. Immunosuppressents

Thanks

Regards
Dr Praveen Choudhary

Friday, May 6, 2016

Does sitting in Indian style reduce the chances of varicose veins?

Varicose veins:
These are dilated and twisted veins seen most commonly in lower extremities and they can be diagnosed easily by inspection itself.

Causes:
1. Valvular incompetency giving way to backflow; hence, increased pressur
2. It may have genetic predisposition
3. Pregnancy
4. Long standing and long sitting in western style
5. Obesity
6. Increased intraabdominal pressure

How they look?

 What is the difference between varicose veins and telengiectasia?
One should not get confused between varicose veins and telengiectasia. The varicose veins look blue on inspection while telengiectasia are superficial small dilated veins look red on inspection.

Telengiectasia:


Complications:
1. Dermatitis or venous eczema
2. Lipodermosclerosis
3. Ulceration (Varicose Ulcers)




Incidence were very less in ancient India on account of sitting habits:
It is very interesting to note that in Indian culture, the sitting was specific. It is known as Paalthi and most of the sitting work were performed by sitting in palthi. The use of chair and table was not a part of Indian culture, It is interesting to note that even after multiple pregnancies, the incidence of varicose veins in women were negligible.
Due to the increase in western lifestyle in India, the cases are on increasing pattern in India.

I strongly recommend to use the sitting on ground cross leg or paalthi. Also some yog postures are good to reduce the chances of varicose veins,

Regards

Dr Praveen Choudhary, New Delhi
9968686823
praveensurgeon9@gmail.com

Monday, May 2, 2016

The Natural treatment of Lichen Planus skin ailment

As you may be aware, that Lichen is a immune system related skin disease. The immune response may be triggered by stress, allergy, viral ailments and may also be genetically linked.

It is dangerous?

No, it is not dangerous, but it is quite discomforting and it causes severe cosmetic peoblems when a larger area of the skin is involved.

How it looks?

Let's have a look on the video of a patient suffering from hypertrophic Lichen planus.

What are the treatment modalities?

The treatment includes immunosuppresants, corticosteroids, retinoids, antihistamines etc. 

Natural cure:
1. Detoxification - Emesis, purgation and enemas are used to detox the body, it gives dramatic relief.
2. Soaking in oatmeal bath
3. Mud bath
4. Phototherapy


Thanks

Dr Praveen Kumar Choudhary
praveensurgeon9@gmail.com
9968686823