How to treat skin allergies mostly around hand? - #9423

Hello sanjana ji,if u have high sun exposure that might be the most probably cause.i would suggest u to rinse your face twice daily and apply sunscreen of spf50+ with hyaluronic acid and face wash should have 1 % salicylic acid and use retinol after rinsing face at night

Dark patches on your forehead that have grown darker and rough could be due to melasma, sun damage, hormonal changes, or other underlying conditions. Factors like sun exposure, medications, or vitamin deficiencies might contribute. For treatment, options include topical creams (hydroquinone, retinoids, vitamin C), professional treatments (chemical peels, laser therapy), and strict sun protection (SPF 50+). However, since the patches are worsening, I strongly recommend seeing a dermatologist for an accurate diagnosis and the best treatment plan

Hi Sanjana , with short history that you have provided - possibilities of sun exposure related rash( FRECKLES), nutrition related , hormonal cause, drug related rash , post inflammatory rash can’t be ruled out . Atleast an image of rash could help us to come to possible diagnoses as treatment for most skin diseases are based on causative factor . Doctor needs to know - if rash was localised to only forehead ? , and if the rash is well circumscribed or ill defined ?,does the pigmentation have any specific pattern like linear/ reticular ? , is the pigmentation stable / progressing/ regressing ?, any concomitant systemic issues ? , any history of drug exposure ?. Treatment includes sun protective measures, skin depigmenting creams, pigment specific lasers , light based therapies. Preventive measures- use sun screen , adequate hydration , avoid excess cosmetics , avoid using over the counter steroid creams as they cause thinning of skin- if used without proper indication. Avoid applying irritants like certain home remedies which further worsen post inflammatory hyperpigmentation . Consulting dermatologist is the final solution. In case if that’s not possible - video consultation with doctor online or consultation with sharing pics of rash can help .

Hello sanjana The concern about rough velvety pigmentation could be resultant of sudden weight gain in short span of period. The most common condition is Acanthosis Nigricans. This can occur at face, neck hands, under arms and knucles area. This can be treated by various modalities such as topical medications, chemical peels, Laser most of the times not needed.

Hello amar ji,does other family members have same issues,did u get your diabetes and cortisol test done? As symptoms u have described looks like to me for cortisol deficiency related and u might to get that check,if u have low level the cortisol replacement therapy will help in reducing weight as well as increase in testosterone levels and most of your issues will be resolved

Hello ! I would like to suggest you to indulge in whole foods which are rich in proteins, there are various foods in vegetarian diet available which can provide you with daily essential nutrients and protein according to your body weight and lifestyle . Have more fruits , green leafy and cruciferous vegetables ,beans , paneer , tofu , curd , yogurt , chia , pumpkin , sesame and flaxseeds . You can take but D and vit b 12 tablets in form of supplements and have turmeric water or milk before sleep and have warm lemon and ginger water on empty stomach early in the morning. Also I would suggest to do intermittent fasting of 16:8 which is fast for 16 hrs and eat in 8 hrs time frame and try to do early dinner as soon as possible, try to make it before 7 pm and the most important is indulge in physical activity throughout the day , don’t be sedentary for long period of time and please leave all sugar related foods be it dairy , soft drinks , beverages, sweets and deserts and avoid processed and packaged foods at all cost . The last and most important is have a proper sleep schedule and follow it religiously.

Hello Amar With regards to your concern Reducing carbohydrates in diet and no extra table sugar in diet can speeden up the weight reduction. Regularly spend more time in exercises and activities which can cause profuse sweating and calories burnout from body. Minimalize carbs Enhance fiber diet No extra sugar or jaggery.

Dear Mr. Amar Arora, Thank you for sharing your concerns in detail. Based on your symptoms and reports, your difficulty in losing weight and persistent bloating may be linked to multiple factors, including metabolic imbalances, nutritional deficiencies, gut health issues, and possibly hormonal dysregulation (even if thyroid levels are normal). Possible Causes of Weight Retention and Bloating 1. Nutritional Deficiencies (Vitamin D, B12, Protein, Iron) - These can slow metabolism, reduce muscle mass, and contribute to fatigue and poor digestion. 2. Fatty Liver (Grade 2) - This can make weight loss more difficult as it affects how the liver processes fats and sugars. 3. Testosterone Deficiency - Low testosterone can lead to fat accumulation, muscle loss, and fatigue, making weight loss harder. 4. Gut Dysbiosis (Imbalance in Gut Bacteria) - Chronic bloating, excessive gas, and difficulty digesting food suggest poor gut health. 5. Low Blood Pressure - Can cause fatigue and low energy, making physical activity challenging. 6. Possible Insulin Resistance (Not Yet Tested) - Even if your thyroid is normal, insulin resistance can make weight loss very difficult. --- Action Plan for Weight Loss and Bloating Relief 1. Improve Gut Health (To Reduce Bloating and Gas) - Start a probiotic supplement (containing Lactobacillus and Bifidobacterium strains). - Include fermented foods (homemade curd, buttermilk, kanji, sauerkraut). - Avoid excessive legumes and raw vegetables, which may worsen bloating. - Drink 2-3 liters of water daily to aid digestion. - Try digestive enzymes (available as over-the-counter supplements) before meals. 2. Address Nutritional Deficiencies - Vitamin D:Take 60,000 IU per week for 8 weeks, then once a month. - Vitamin B12: Methylcobalamin 1500 mcg daily for 2 months. - Protein: Include plant-based protein powder** or paneer, soy, dal, nuts, seeds in every meal. - Iron: Take iron supplements with vitamin C for better absorption. 3. Correct Hormonal Imbalances - Testosterone deficiency: You should consult an endocrinologist for further evaluation and possibly testosterone replacement therapy if needed. - Check insulin resistance (Fasting Insulin, HOMA-IR Test) – If high, low-carb or keto-based vegetarian diets may help. 4. Weight Loss Strategy - Diet: - Follow a high-protein, moderate-fat, and low-carb diet(more paneer, lentils, soy, nuts, and seeds). - Avoid excessive rice, wheat, and potatoes – replace with millets (ragi, bajra, jowar). - Intermittent fasting (12:12 or 14:10)can help regulate insulin. - Exercise: - Walking alone is not enough– You need strength training and muscle-building workouts 3–4 times a week. - Yoga poses like Pawanmuktasana, Vajrasana, Kapalbhati help with digestion and bloating. 5. Address Fatty Liver - Reduce sugar intake completely (no refined sugar, artificial sweeteners). - Increase omega-3s (flaxseeds, chia seeds, walnuts). - Consider liver-supporting supplements (like Liv 52). Next Steps: 1. Start probiotics + digestive enzymes for bloating. 2. Correct vitamin D, B12, iron, and protein deficiencies. 3. Get an insulin resistance test (HOMA-IR) and consult an endocrinologist for testosterone. 4. Modify diet to high-protein, low-carb, and liver-friendly foods. 5. Add strength training and yoga to your routine. Best wishes, Dr. Aman Shaba

Based on your symptoms, medical history, and lab reports, it appears that your difficulty in losing weight is due to a combination of metabolic factors, nutritional deficiencies, and fatty liver disease. Here’s a structured approach to help you: 1. Nutritional Management You have deficiencies in vitamin D, B12, and protein, which can slow metabolism and affect energy levels. I recommend: Vitamin D & B12 supplementation as prescribed, along with regular sun exposure. Increasing your protein intake through plant-based sources like legumes, tofu, quinoa, and paneer to support muscle preservation and metabolism. Managing anemia with iron supplements and iron-rich foods paired with vitamin C for better absorption. 2. Fatty Liver and Digestive Health Your grade 2 fatty liver requires dietary modifications: Follow a low-carb, high-fiber diet with whole grains, leafy greens, and healthy fats (nuts, seeds). Eat anti-inflammatory foods (turmeric, garlic) and avoid processed carbs. Use probiotics or fermented foods to improve gut health and reduce bloating. 3. Physical Activity Walking alone may not be sufficient for weight loss. I recommend adding: Strength or resistance training 3-4 times weekly to build muscle and boost metabolism. Yoga or pilates to reduce stress, which can aid in weight management. 4. Medical Evaluation Although your thyroid levels are normal, your low testosterone could be contributing to weight gain and fatigue. I recommend consulting an endocrinologist for further evaluation and possible hormone therapy. 5. Lifestyle Modifications Hydration: Drink 3-4 liters of water daily to reduce bloating. Sleep: Ensure 7-8 hours of quality sleep to support metabolism. Regular follow-ups: Monitor your liver enzymes and weight regularly.

Dear Amar, Based on your details, here’s a focused plan to address weight loss, bloating, and fatty liver: 1. Hormonal Check: • Test insulin, cortisol, testosterone, and HbA1c for insulin resistance or hormonal imbalance. Testosterone therapy may help if advised by an endocrinologist. 2. Fatty Liver & Diet Tips: • Avoid sugar, refined carbs, and fried foods. • Increase fiber (oats, whole grains), protein (tofu, lentils), and healthy fats (flaxseeds, nuts). • Try intermittent fasting (16:8) and eat dinner by 7 PM. 3. Gut Health & Bloating Relief: • Take probiotics (curd/supplements), follow a low FODMAP diet (avoid gas-causing foods), and use psyllium husk at night. 4. Address Deficiencies: • Vitamin D: 60,000 IU weekly. • Vitamin B12: Sublingual (1000 mcg daily) or injections. • Protein: Aim for 70-80 g/day (lentils, tofu, soy, or plant-based protein shakes). 5. Exercise: • Continue morning walks and add strength training (squats, push-ups, dumbbells) 2-3 times a week. Sample Day (1400 Calories) • Morning: Almonds + lukewarm water with apple cider vinegar • Breakfast: Moong dal chilla or oats porridge • Lunch: Multigrain roti + sabzi + dal + salad • Snack: Roasted makhana or protein shake • Dinner: Vegetable soup + paneer salad • Night: 1 tbsp psyllium husk in water Lifestyle Tips: • Drink 2-3 liters of water, sleep 7-8 hours, and manage stress with meditation or yoga. If you don’t see progress in 2-3 months, consult an endocrinologist to explore further options. Let me know if you need more details on any aspect of this plan!

Constipation is risk for hemorrhoids and in your case it most probably severe constipation due to lack of fibre...I would advise you take ishgulla(husk) and increase fibre diet along with 3-4 lit water intake immediately,and in case of bleeding kindly get checked with general surgeon

Hello yamini With regards to your concern Pain during passing stools indicates low fiber in diet and adding fiber to the diet can loosen up the formed stools and can reduce pain during defecation As there is no bleed there is no active fissure or fistula in ano or hemorrhoids as such Regularly take fiber diet This can correct the problem of constipation.

It seems like you’re having fissures more prominent than piles, the painful defecation, itching and urge explains that. Fissures are tiny bruises or cuts on the margins of anal region which are mostly caused by constipation, multiple frequency of stool. You also need a proper physical evaluation by a proctologist. Sitz bath with a pinch of betadine in warm water twice a day will help, As No bleeding yet lignocaine jelly can suffice for the pain Adding a laxative being ishabghul husk will be softening stool Once the irritation stops or subsides, the itching and frequency can come down in control

Hello,as you have constipation with pain,then it is less likely to be piles or hemorroids. It can be anal fissure.Fissure means a longitidinal cut or ulcer in the anal region.It is common these days.Mainly due to eating habits and sedantary lifestyle. Measures u can follow are 1)6-8 glasses of water daily 2)Fiber rich diet(fresh fruits,vegetables) 3)Sitz bath(sit is luke warm water with antiseptic solution in it for 15minutes twice daily) 4)Prefer indian over western toilets 5)Regular exercize and walking 6)Avoid bakery and maida food If it is bleeding and too painful,consult surgeon or proctologist. Thank you

From my concept of view sounds like you might be experiencing symptoms suggestive of anal fissures or hemorrhoids, which can cause pain during and after defecation, itching, and a sensation of incomplete evacuation. The frequent need to visit the washroom could indicate constipation with incomplete bowel movements, which can irritate the anal region. Straining during bowel movements or passing hard stools can worsen the pain and lead to discomfort. The absence of blood is reassuring but doesn't rule out minor inflammation or irritation. To manage the symptoms, it’s important to increase your fiber and water intake to soften stools and reduce straining. Eating more fruits, vegetables, and whole grains can help regulate bowel movements. Over-the-counter stool softeners or mild laxatives may offer temporary relief. Warm sitz baths and topical ointments containing hydrocortisone or lidocaine can help ease the pain and itching. However, if the symptoms persist or worsen, it is advisable to consult a healthcare professional to rule out underlying conditions and receive appropriate treatment.

Dear Yamini, Here are some suggestions to help with your symptoms: • Warm Sitz Baths: Soak in warm water for 10-15 minutes, 2-3 times a day, to relieve pain and itching. • Increase Fiber: Eat more fruits, vegetables, and whole grains, and take psyllium husk at night to prevent constipation. • Stay Hydrated: Drink 2-3 liters of water daily. • Use OTC Creams: Apply creams with lidocaine or hemorrhoid ointments to ease discomfort. • Take Probiotics: To improve gut health and reduce bowel frequency. • Avoid Straining: Don’t sit on the toilet for long or strain too hard. If symptoms persist or worsen, it’s best to consult a gastroenterologist.

If you have the problem of passing hard stools - you are at risk of developing hemorrhoids and anal fissure , due to trauma caused while passing hard stools. Initial treatment for hard stools is always conservative and it includes taking adequate water which increases water content of your stools and taking fibre rich diet which increases bulk of stools. Do regular exercise . There are also medicines ( syrups, ointments for local application) to ease your pain and to smoothen the stools. We also advice sitz bath - which is sitting in lukewarm water with an antiseptic addded to it ( like BETADINE solution) . Once pain subsides doctor examines your anal and rectal canal and advice further treatment based on severity of issue

It sounds like you have a concerning knee injury that requires a careful approach to evaluation and management. Based on your description of the mechanism of injury (the sudden pivot and pop), persistent instability, and the sensation of buckling, it is indeed reasonable to consider an anterior cruciate ligament (ACL) injury. However, determining whether you have a complete tear, partial tear, or another issue can only be done through professional medical evaluation. The typical next steps would be as follows: 1. Consult an Orthopedic Specialist: It's important to see a physician who specializes in sports medicine or orthopedics. They can perform a detailed physical examination and assess the stability of the knee. This is crucial to understanding the extent of the injury. 2. Imaging Studies: An MRI is often recommended to visualize the soft tissues, including the ACL. This imaging can help confirm the presence and severity of the injury, differentiating between a partial tear and a complete tear, as well as evaluating any associated injury to other structures in the knee. 3. Treatment Options: If it is confirmed that you have an ACL injury, treatment may vary based on the severity, your activity level, and your personal goals: - Nonsurgical Management: For partial tears or for individuals less active than competitive athletes, nonsurgical options often include a structured physical therapy program aimed at strengthening the muscles around the knee, improving range of motion, and enhancing stability. A knee brace may be useful for additional support, particularly during activities. - Surgical Intervention: Surgery is generally considered for complete ACL tears, especially if there is a desire to return to high levels of physical activity or sports. However, if your goal is purely to resume normal daily activities, some individuals can manage effectively with therapy and support if they experience minimal instability. 4. Long-term Considerations: Ignoring an ACL injury can lead to further knee instability, increased risk of re-injury, and potentially contributing to long-term issues such as osteoarthritis. Early intervention and a rehabilitation program can significantly improve your prognosis. 5. Physical Therapy: This approach can be highly effective in building strength and stability, especially for minor injuries or specific types of tears. The success of physical therapy without surgery often relies on the extent of the injury and your commitment to the rehabilitation regimen. 6. Monitoring and Follow-Up: Depending on the outcomes from physical therapy, the orthopedic specialist can advise on the necessity for surgery based on your progress and whether instability persists after a defined rehabilitation period. Overall, I recommend scheduling an appointment with an orthopedic specialist promptly for a comprehensive assessment and to discuss the best course of action tailored to your specific situation. This will provide clarity on your diagnosis and empower you to make informed decisions about your treatment options.

Thanks for sharing your question—I understand how frustrating and concerning knee instability and pain can be, especially when it limits your daily activities. An ACL injury, particularly from sudden pivots during sports like soccer, often presents exactly as you described, with a popping sensation, swelling, and a feeling of knee instability. Based on your experience, your symptoms strongly suggest a possible injury to the Anterior Cruciate Ligament (ACL). The ACL is crucial for maintaining knee stability, especially when performing twisting motions or rapid directional changes. An ACL injury can range from a partial tear to a complete rupture. Your description of persistent instability and buckling sensations could point toward either, but significant instability usually indicates a complete tear. Doctors typically confirm an ACL injury through a thorough physical examination combined with imaging tests. Specific clinical tests like the Lachman test or Anterior Drawer test can initially suggest ACL damage, but an MRI scan is the gold standard. An MRI accurately identifies the extent of the tear, evaluates other knee structures (like meniscus or cartilage), and guides appropriate treatment planning. Consider nonsurgical options: If you’re not planning to engage in intense sports or activities involving rapid pivoting, nonsurgical treatments—including targeted exercises and bracing—can be quite effective. Regarding your concerns about arthritis, untreated or inadequately managed ACL injuries can increase your risk of developing arthritis later in life due to ongoing instability and associated joint wear. Proper rehabilitation, whether surgical or nonsurgical, significantly reduces this risk. Physical therapy, when done under professional guidance, can be very effective in restoring strength, stability, and function, especially in cases of partial tears or lower activity demands. However, a partially torn ACL can indeed leave you susceptible to re-injury, particularly if you continue participating in sports without adequate support. A customized knee brace can provide sufficient support for daily tasks and low-impact exercises, minimizing instability and preventing further damage. Nevertheless, it may not always offer adequate protection during sports involving pivoting or rapid changes in direction. In your case, discussing your specific activity goals with an orthopedic specialist can help you choose the best course of action tailored precisely to your needs. Most cases of ACL injuries, whether partial or complete, are highly manageable with the right treatment plan. Consulting an orthopedic doctor soon will ensure you’re on the optimal path toward recovery and back to comfortably enjoying daily activities again.

Jet lag, known medically as desynchronosis, occurs when your body's internal circadian rhythm becomes out of sync with the external environment due to traveling across multiple time zones. This misalignment can lead to a range of symptoms, and the degree to which people experience jet lag can vary significantly based on several factors, including individual physiology, travel direction, and duration of the trip. Common symptoms of jet lag include difficulty sleeping at night (insomnia), excessive daytime sleepiness, headaches, and cognitive disorientation. Your symptoms align with typical experiences reported by travelers. The intensity of these symptoms can differ based on the number of time zones crossed as well as the travel direction. Generally, traveling east (e.g., from New York to London) tends to be more challenging for many individuals than traveling west (e.g., from New York to Los Angeles) due to the way our circadian rhythms naturally function; our bodies are geared to adjust to longer days rather than shorter ones. Jet lag typically lasts about a few days, and the common guideline of one day for each time zone crossed can provide a rough estimate. However, some strategies backed by clinical studies can aid in faster recovery. Here are some recommended approaches to minimize jet lag: 1. Light Exposure: Align your light exposure with your travel destination's time. For eastward travel, seek morning light upon arrival; for westward travel, increase light exposure in the afternoon and evening. 2. Adjust Sleep Schedule Before Departure: Gradually shift your sleep-wake cycle by going to bed and waking up an hour earlier or later each day leading up to your journey, depending on your destination. 3. Melatonin Supplementation: Consider using melatonin (a hormone that regulates sleep) to help reset your body clock. Doses between 0.5 mg and 5 mg taken 30-60 minutes before your desired bedtime at the destination may be effective. It is advisable to consult with a healthcare professional before use. 4. Hydration and Nutrition: Stay hydrated by drinking plenty of water before, during, and after your flight. Avoid excessive caffeine and alcohol, as they can disrupt sleep patterns. 5. Controlled Napping: If you're extremely fatigued, short naps of 20-30 minutes can help, but avoid long naps that can interfere with nighttime sleep. Regarding individual susceptibility to jet lag, factors such as age, baseline sleep quality, and general health indeed play significant roles. Older adults may experience altered circadian rhythms, and people with existing sleep disorders or poor sleep quality may find themselves more affected. Stress and travel fatigue can also exacerbate symptoms. Recurring travelers may also adapt their body clocks through gradual exposure to different time zones, employing the strategies mentioned above more frequently over time can enhance resilience against future jet lag. As personalized next steps, focus on implementing light exposure strategies combined with gradual sleep schedule adjustments before your next trip, and consider discussing melatonin with a healthcare professional tailored to your health history. If you have persistent symptoms or find travel increasingly difficult, seeking further evaluation from a sleep specialist could be beneficial.

I completely understand how frustrating jet lag can be especially when it disrupts your routine and affects your daily life. Jet lag meaning essentially refers to the temporary disruption of your internal body clock after quickly traveling across multiple time zones. This disruption leads your body's normal rhythms, such as sleep, hunger, and alertness, to become mismatched with the new local time. Symptoms you described including headaches, trouble sleeping at night, feeling exhausted during the day, and disorientation, are very common jet lag symptoms. People respond differently to jet lag depending on various factors like their age, overall health, normal sleep quality, and even the direction of travel—flying east typically results in more pronounced symptoms compared to flying westward. Generally, younger people or those with healthier sleep patterns adjust more quickly, whereas older adults or those already prone to sleep disturbances might struggle longer. Proven strategies to minimize jet lag include gradually adjusting your sleep schedule a few days before travel, controlled exposure to natural light upon arrival, staying hydrated, and possibly taking melatonin to help reset your internal clock. Avoiding alcohol and caffeine can also significantly reduce symptoms. Light exposure is particularly effective because daylight strongly influences your internal clock, helping it synchronize to the new time zone. For travelers like yourself experiencing persistent symptoms, focusing on these simple strategies usually helps speed recovery. Jet lag typically resolves on its own within several days, but if your discomfort continues beyond a week or affects your quality of life significantly, consulting a healthcare professional can provide additional personalized recommendations. Let me know if you have more questions—I’m here to help you navigate this adjustment comfortably.

Thank you for your question. Jet lag is a common issue for travelers crossing multiple time zones, and the symptoms you experienced—trouble sleeping at night, daytime fatigue, headaches, and disorientation—are all typical. What is Jet Lag and Why Does It Affect People Differently? Jet lag occurs when your body's internal clock (circadian rhythm) is out of sync with the local time in your new destination. The severity varies based on factors such as: Number of time zones crossed – The more you travel, the greater the misalignment. Direction of travel – Eastward travel is generally harder because the body has to adjust to sleeping earlier, while westward travel is easier since it allows for a later bedtime. Age and sleep quality – Older individuals and those with pre-existing sleep issues often take longer to adapt. How Long Does Jet Lag Last? The general estimate is one day per time zone crossed, but this varies. Some people adjust within a couple of days, while others may take a week, especially when traveling east. How to Recover Faster from Jet Lag If coffee and short naps didn’t help much, try these proven strategies: Light Exposure – Sunlight is the best way to reset your internal clock. Get morning sunlight when traveling east and evening sunlight when traveling west. Melatonin Supplements – Taking melatonin 1-2 hours before bedtime in the new time zone can help regulate sleep. Gradual Sleep Adjustments – If possible, shift your sleep schedule a few days before travel to match the destination’s time zone. Strategic Napping – Short naps (20-30 minutes) can reduce fatigue, but avoid long naps that may disrupt your nighttime sleep. Stay Hydrated and Eat Well – Dehydration and heavy meals can worsen symptoms. Avoid too much caffeine or alcohol. Caffeine Management – Use caffeine in the morning for alertness but avoid it close to bedtime. Sleep Hygiene – Create a dark, cool, and quiet environment to improve sleep quality. Are Some People More Prone to Jet Lag? Yes, factors like age, sleep patterns, general health, and individual circadian rhythm flexibility play a role. Some people naturally adapt faster, while others struggle more. Can You Train Your Body to Adapt to Frequent Travel? Frequent travelers can reduce jet lag by: Keeping a consistent sleep schedule even when not traveling. Using light therapy to shift their circadian rhythm before trips. Staying physically active to support a stable body clock. Practicing relaxation techniques to manage travel stress. By following these strategies, you can make jet lag recovery faster and reduce its impact on your travels. If you experience persistent sleep disturbances despite these adjustments, consider consulting a specialist. Safe travels!