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Increased Frequency of Urine in Elderly and its Homeopathic Remedies

Elderly people tend to suffer from different kinds of urinary problems, among which increased frequency to pass urine is quite common. Frequent urination may have a belittling effect on the sufferer. Those facing these problems may restrict them from engaging in social activities and traveling; they may feel anxious and frustrated. They may suffer irritation in the genitals and skin rashes may appear from frequent urination. Frequent urination can also lead to fluid loss (dehydration). The reasons behind the increased frequency of urine in the elderly could be multiple.

First among these is changes that occur in the urinary bladder as a result of aging. It mainly includes weakness of the bladder muscles that control urination process and reduced capacity of the bladder to hold as much urine as it used to previously due to stiffening of bladder tissue and its decreased stretchiness with age. The second cause could be an overactive bladder which is a condition in which a person has a sudden irresistible urge to pass urine along with frequent urination. It can next arise from dysfunction of bladder either from weak muscles of bladder or from defective nerve signals. In males, enlarged prostate (BPH – benign prostate enlargement) remains one of the main causes of frequent urination. UTI (urinary tract infection) also occurs commonly in the elderly that can cause frequent urination along with other symptoms including pain/burning while urinating, the urgency to urinate, lower abdomen pain, and offensive-smelling urine. Urine retention in the elderly can also be a cause in which the bladder does not empty completely at a time which causes frequent urge to urinate to empty the bladder of urine left behind.

In females, prolapse of the uterus/bladder in the vagina may cause frequent urination. The other causes include diabetes mellitus, stress, anxiety, sleep issues and use of certain medicines, like diuretics (medicines that increase quantity of urine) and medicines for treating high blood pressure. Depending on the cause, frequent urination can be attended with other symptoms including urgency to urinate, pain/burning while urinating, involuntary urine passage (urinary incontinence), weak urine stream, straining to urinate and lower abdomen pain. In the elderly, the frequency of urine may further increase at night medically termed nocturia. It tends to disturb night’s sleep and leads to tiredness, sleepiness, and mood changes during the day.

Homeopathic Management

Homeopathy is very effective in managing the increased frequency of urination in the elderly along with the use of natural remedies. These medicines are entirely safe to use as they are prepared from naturally occurring substances having zero side effects. Homeopathic medicines help magnificently in managing this concern by working to fix the root cause behind it. Along with frequent urination, any associated symptoms like urgency to urinate, pain/burning while urinating, involuntary urine passage, weak urine stream and pain in the lower abdomen are also managed wonderfully with these medicines. Increased frequency of urine in the elderly could arise from many reasons so it is advised to consult a physician for the correct diagnosis and its treatment. Homeopathic medicines are selected for every individual separately after detailed case evaluation based on the symptom presentation that varies from case to case. So, one must take any homeopathic medicine under the supervision of a homeopath and avoid self-medication.

Homeopathic Medicines For Increased Frequency of Urine 

1. Baryta Carb – Top Remedy

Baryta Carb is a leading homeopathic medicine to manage cases of increased frequency of urine in the elderly. Urine passed is also profuse in cases needing it. There is irritation in the bladder mostly at night with an increased urge to urinate. Along with increased frequency, there is also an urgency to pass urine. Burning sensation while urinating may be present. After urination, dribbling (drop-by-drop passage) of urine may occur.

2. Sabal Serrulata – For Frequent Urine From Enlarged Prostate (BPH)

Sabal Serrulata is a highly suitable medicine to manage frequent urine from an enlarged prostate. This medicine is the most recommended for people who have a constant urge to urinate at night. There is always a feeling that the bladder is full. Pain is felt when the person begins to urinate. This medicine is also helpful to manage the dribbling of urine in case of prostate enlargement.

3. Lycopodium – For Increased Frequency At Night

Lycopodium is a well-indicated medicine for cases of frequent urination at night. The urine passed at night is quite profuse. To begin urine, straining may be required. Burning sensation is felt during urination and sometimes even after passing urine.

4. Merc Sol – For Frequent Urine Along With Marked Urgency

Merc Sol is recommended when there is an increased frequency to urinate with an urgency to pass urine. The persons needing it have a sudden urge to pass urine immediately. Frequency of urination is high both during day and night. There may be a desire to pass urine every hour or so in many cases. Burning during and after passing urine may be there. The bladder may be sore to touch.

5. Conium – For Difficulty In Beginning To Urinate

Conium is quite an effective medicine when there is frequent urination with difficulty in beginning to urinate. Another characteristic feature is an interrupted stream of urine, which means the urine starts and stops many times till the complete emptying of the bladder. Urine feels hot. Pressure is felt around the bladder.

6. Sepia – For Frequent Urine From Uterine Prolapse

Sepia is of great value to manage frequent urination in females due to uterine prolapse. Fullness sensation and pressure is felt in the lower abdomen. Cutting or burning pain is felt when urinating. A bearing down feeling is marked in the pelvis. Due to pressure on the bladder frequent urge to urinate is present. There is also sudden urgency to pass urine and if the urge to urinate is not immediately attended, urine passes involuntarily. Urine may have an offensive smell. Besides, it is an important medicine to help cases of involuntary urination while coughing or sneezing.

7. Cantharis – In Case Of Urinary Tract Infection (UTI)

Cantharis suits best when frequent urge to urinate occurs in cases of urinary tract infection. In cases needing it, a person urinates frequently with pain/burning during, before or after urination. Even the slightest quantity of urine in the bladder causes an urge to pass urine. Urge to urinate is more while standing and walking, while it gets better better while sitting. Heaviness is felt in the bladder, which is sensitive to touch.

8. Causticum – With Involuntary Urine Passage

It is an important medicine for people suffering from frequent urination along with involuntary passage of urine at times. Though there is a frequent urge to pass urine, scanty urine is passed every time a person goes for urination. Pain and itching may be felt in the urethra while passing urine. It is also well indicated when urine passes involuntarily while coughing, sneezing or blowing the nose.

9. Phosphoric Acid – In Case Of Diabetes

This medicine is prominently indicated when frequent urination is related to diabetes. Persons needing it have a frequent urge to urinate, and the urination is profuse. The frequency increases at night. They have to wake up several times at night to pass urine. Excessive weakness can attend frequent urination.

10. Kreosote – With Foul Smelling Urine

Use of Kreosote may be considered when urine smells foul along with increased frequency. There is profuse urination during the day, besides increased frequency. There is also a need to rush to pass urine when the desire to urinate occurs. A sensation of lump pressing against the bladder attends the other complaints.

 

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Natural Homeopathic Medicines for Testicle Pain

Testicles, also called testes, is a pair of oval-shaped reproductive organs in men. These are enclosed in a sac of skin called scrotum and produce sperms and male hormones.  Pain in testicle (testicular pain) is the pain which is felt in or around the testicle. It can be in one (unilateral) or both the testicles (bilateral). The pain may be accompanied with swelling and enlargement of the testicle. Sometimes a lump may also be felt in the testicle.

Homeopathic Medicines for Testicle Pain

Homeopathic Management

There is good scope to treat cases of mild to moderate pain in testicles in homeopathy. Homeopathic medicines for testicle pain help in providing relief by targeting the root cause behind it. These medicines help in natural and safe recovery without any side effects. Before starting homeopathic treatment it is very important to rule out the reason behind testicular pain. This is because homeopathy, despite its great scope, has limitations to treat some serious conditions like testicular torsion where immediate help from the conventional mode of treatment is needed. It is to be noted that in case of sudden severe unbearable testicle pain or testicle pain attended with nausea, chills, fever or blood in urine one should urgently take medical help as they can be indicative of a serious condition.

Homeopathic Medicines For Testicular Pain

1. Clematis – Top Remedy

Clematis is a top-listed medicine for managing cases of testicle pain. It is very beneficial when pain worsens from the slightest touch. In many cases requiring it, the pain from the testes can extend to the groin and the thighs. The testis may also be swollen and inflamed. Testis may also feel hard to touch. It is prominently indicated for testicle pain occurring from orchitis, hydrocele and epididymitis.

2. Rhododendron – For Pain Due To Hydrocele

Rhododendron is the most recommended medicine for cases of testicle pain arising from hydrocele. In cases needing it, the pain from the testicle may extend to the abdomen and the thighs sometimes. The testes may also be swollen. They may be very painful to touch. Another indication to use it is pain in the right testicle which worsens while sitting and gets better when walking.

3. Hamamelis – When Related To Varicocele

This medicine is well-indicated when testicle pain is related to varicocele. This medicine helps to improve blood flow in the veins of the scrotum and decrease pooling of blood. In cases needing it, the pain may be present day and night but gets worse after midnight. The right testicle may be enlarged along with heat sensation and pain. The left testicle may be swollen and hard with pain. Along with pain in testicles, pain may be felt in the groin that may extend to the back.

4. Apis Mellifica – For Testicle Pain and Swelling

This is prominently indicated in cases where pain in the testicles is attended with swelling. The males needing it complain of worsening of pain in testes from touch. At most times, the right-sided testicle is swollen. It is a leading medicine for treating cases of hydrocele.

5. Conium – From Orchitis

This medicine is well-indicated for cases of testicle pain from orchitis. It is a prominent medicine for testicle inflammation with pain in those having gonorrhea. In cases needing it, excessive pain is felt in the testes mostly at night. Besides, it is a good medicine for swollen and hard testicles that arise after contusion (injury in which blood vessels are damaged from a blow to the skin, but the skin is not broken).

6. Iodum – For Painful Swollen and Hard Testicles

This medicine is recommended for cases having painful, swollen and hard testicles. A pressure is also felt in the testes that extends to the abdomen. There is worsening of pain after sexual activity. Its use is also considered when testicles are swollen without any pain.

7. Spongia – For Pain From Epididymitis

Spongia is a very useful medicine when pain arises due to epididymitis. The testes are swollen and hard and sore to touch. Another indication to use it is stitching pain in the testicle that shoots up to the spermatic cord.

8. Arnica – For Swollen Tender Testes From Injuries

This medicine is well indicated for treating cases of swelling and tenderness in testes arising after injury. It is also indicated when the testicles are hard. Another indication for its use is pain and swelling of the spermatic cord along with pain in the testes that extends to the abdomen.

9. Staphysagria – For Left Testicle Pain 

It is a useful medicine to help cases of left testicle pain. The pain gets worse while walking. The pain also gets worse from touching  and rubbing. Sometimes pain shoots into the spermatic cord from the testicles. Inflammation of testicles may be present. Burning sensation may be felt in testicle in case of inflammation.

10. Aurum Met – For Right Testicle Pain 

It is a suitable medicine for pain in the right testicle. The pain tends to get worse from rubbing or touching. The testicles are swollen along with pain. Pressure is felt in the testicle. Along with the above symptoms, the testicle may become hard.

11. Pulsatilla – For Pain In Testes Along With Burning Sensation

This medicine is indicated when pain in testes is attended with burning sensation. This can be accompanied with swelling in the testes. Besides, the testes are also sore. It is mainly indicated for cases of hydrocele, varicocele and orchitis. It is also useful for swelling of testes after gonorrhoea.

What Causes Testicular Pain?

It can arise from various reasons enumerated below:

1. An injury such as trauma, blow to the testicles.

2. Orchitis (inflamed testicle): It is mainly caused by a bacterial or a viral infection. It can cause testicle pain, groin pain, heaviness in testicles, painful ejaculation, pain or burning during urination and discharges from penis.

3. Hydrocele:  Swelling in the scrotum due to collection of fluid in the sheath that surrounds the testicles. It causes swelling in scrotum on one or both the sides. Dragging sensation and heaviness is felt in the scrotum. In some cases, pain and redness of scrotum is present.

4. Varicocele: An abnormal enlargement of the veins within the scrotum.

5. Epididymitis: It is an inflammation of the epididymis (coiled tube at the back of the testicle in which sperms are stored while they mature and then carried from the testes to the vas deferens). It is mainly caused by sexually transmitted infections (like chlamydia, gonorrhea) and also infection of urinary tract or prostate gland. Its symptoms include pain in testicles, swelling, redness and tenderness of testicles, painful urination, painful ejaculation, blood in semen, and discharge from penis.

6. Diabetic Neuropathy: It can damage the nerve that supplies the scrotum.

7. Inguinal Hernia: It refers to a condition in which the fatty or intestinal tissues from abdomen protrude through the inguinal canal. The protruded intestine can sometimes push into the scrotum causing pain and swelling in the testicle.

8. Spermatocele (build-up of fluid in testicle), testicular tumor, testicular cancer and undescended testicles.

9. Testicular Torsion: Rotation of testicle resulting in twisting of the spermatic cord that brings blood to the scrotum is another cause. It is a serious medical condition causing severe and sudden pain in testicle. It requires urgent medical treatment because it causes blood supply to the testicles to cut off which can result in permanent damage to the testicular tissue if not attended immediately.

10. Urinary tract infection or kidney stones

11. Post vasectomy pain syndrome: In some males who have undergone vasectomy (a male birth control procedure in which the tubes that carry sperms are cut and sealed) may get testicle pain afterwards.

12. Idiopathic: When no cause behind testicle pain is ruled out such cases are known as idiopathic cases

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What is Cyclic Vomiting Syndrome, Causes and Homeopathic Treatment

Cyclic Vomiting Syndrome (CVS) is a disorder in which there occur episodes of intense nausea and vomiting lasting from few hours to few days. In between these episodes, symptom-free period occurs. It can affect persons of any age group but it usually starts in childhood around 3-7 yrs of age. The characteristic of this syndrome is that the symptoms begin at the same time of the day, have the same intensity and last for the same duration of time in a particular person. The reason behind CVS is not clearly known, but what is known is that the vomiting in this syndrome does not arise from any infection or any medical condition. Vomiting and nausea are the main symptoms of CVS.

Other attending symptoms might include retching, abdomen pain, decreased appetite, diarrhea, fatigue, headache, dizziness, sensitivity to light and increased thirst. There are no tests to diagnose this condition. CVS is diagnosed by ruling out medical conditions (like gastritis, pancreatitis, food allergies, GERD i.e. gastroesophageal reflux disease etc.) that can cause symptoms similar to this condition. Some of the complications that can arise in this condition include dehydration from loss of body fluid, damage to the lining of food pipe from rise of stomach acid in the food pipe and decay of the tooth enamel from acidic vomiting.

Homeopathic Management

Homeopathic medicines offer a very natural, safe and effective treatment for cyclic vomiting syndrome. Homeopathic medicines help to treat this condition symptomatically and gradually decrease the intensity and frequency of symptoms in this complaint. It can control complaint of vomiting and nausea magnificently. Besides, they can also manage associated symptoms like weakness, abdomen pain and headache. Homeopathic medicines are helpful in managing acute episodes of this complaint as well as in overcoming the tendency to have recurrent episodes of this problem. Homeopathic medicines for this complaint are prescribed individually in every case as per the presenting symptoms. It is recommended to get any case of cyclic vomiting syndrome evaluated by a homeopathic physician and take medicines as per physician’s advice. Self – medication should be avoided. Severe and continued vomiting can cause dehydration and that can be life threatening. So in any case signs of dehydration are seen or blood occurs in the vomit, one must immediately get help from conventional mode of treatment as homeopathy has limitation in helping such critical cases. Some of the signs of dehydration are decreased urination, skin dryness, dryness of mouth, increased thirst, exhaustion, sunken eyes and lack of tears while crying.

What Are The Causes Of Cyclic Vomiting Syndrome?

The cause behind CVS is not understood yet. However it is suggested that a genetic predisposition, hormonal imbalance and problem in the nervous system may play a role. Besides, it is also suggested that migraine may be linked with it. Children having CVS may have a family history of migraine and a tendency to develop migraine when they become adults. There are some known trigger factors for symptoms of CVS. These include cold, sinus infections, stress, anxiety, panic attack, emotional excitement, physical exhaustion, menstrual periods, excessive exercise, hot weather, motion sickness (inner ear disturbance caused by repeated motion of vehicle), fasting, lack of sleep, taking some particular food items (like chocolate, alcohol, cheese, caffeine, MSG i.e. monosodium glutamate) and overeating.

Homeopathic Medicines For Cyclic Vomiting Syndrome

1. Ipecac – Top Medicine

Ipecac is a top natural medicine for managing episodes of nausea and vomiting. In cases needing it, vomiting may have watery fluids, green/yellow-colored fluid or undigested food. Abdomen pain can attend it. Stomach may be sensitive to pressure. There may occur distension of the abdomen and throat dryness. After vomiting, the person may have desire to sleep. Loose stool can also occur along with vomiting. In some cases, vomiting occurs soon after eating. Nausea may get triggered from the smell of food. There may be excessive weakness.

2. Colchicum – For Nausea, Vomiting With Watery Stool

This medicine is well indicated when there occurs vomiting and nausea along with watery stool. Vomiting may be caused by movement of the body. It gets better by lying down perfectly still. There may occur a burning sensation in the stomach pit followed by nausea and then vomiting. Vomiting is followed by weakness. Nausea is particularly triggered from smell of cooking food especially eggs, fish and meat. Along with the above symptoms, there may occur pain in the stomach and an icy cold feeling.

3. Arsenic Album – For Vomiting Along With Weakness

This medicine is helpful for managing cases where vomiting is accompanied with excessive weakness. Vomiting occurs soon after eating or drinking. Vomiting may contain food, clear water or gastric fluids. Loose stool may occur along with vomiting. Nausea is also felt. Sight or smell of food is unbearable along with these symptoms. Anxiety and restlessness can be prominently experienced in cases requiring this medicine.

4. Nux Vomica – For Nausea And Vomiting In Morning

Nux Vomica is an effective medicine for those suffering episodes of nausea and vomiting in the morning. The vomiting may contain sour mucus or oily substance. Pain is felt in the stomach which gets worse especially after eating. A sensation of weight is also felt in the stomach. The stomach region may be sensitive to pressure. Nux Vomica is the best indicated medicine to manage gastric issues that occur from taking alcohol, and coffee.

5. Iris Versicolor – For Periodical Vomiting Episodes Every 4 To 6 Weeks

This medicine is recommended for cases when there occur periodical episodes of vomiting at interval of 4 to 6 weeks.  Each episode may last for 2 to 3 days. Vomiting is attended with nausea. Vomiting is of sour tasting fluid. Before vomiting, pain is felt around the navel area. Sweating may occur after vomiting. Excessive heat in the head and weakness is also felt after vomiting. This medicine is also extremely helpful when nausea occurs after overexertion. Lastly, it is of great use in cases where nausea, vomiting occur along with headache.

6. Cocculus Indicus – For Nausea, Vomiting Triggered By Motion Sickness

This is the best medicine to deal with cases where motion sickness seems to trigger the symptoms. There occur nausea and vomiting when travelling in a car, train or a boat in cases needing this medicine. It is attended with bitter and foul smelling burps. Vertigo can occur along with nausea and vomiting.

7. Veratrum Album – With Marked Exhaustion

This medicine is beneficial in managing vomiting attended with intense exhaustion. There is excessive vomiting along with continued nausea. It occurs from drinking fluid and also from movement. It can be attended with vertigo and cold sweat. Loose motion may occur besides vomiting.

8. Colocynth – With Pain In Abdomen

Colocynth is considered in case of nausea and vomiting attended with pain in abdomen. Vomiting may contain food or yellow bitter fluid. Abdomen pain can be cramping or cutting in nature. It gets better by applying pressure and bending forward. In cases where anger triggers vomiting episode, Colocynth proves to be the most suited medicine.

9. Ferrum Met – For Vomiting After Exertion

This medicine is prominently indicated when vomiting occurs after exertion. Along with vomiting, the face becomes fiery red. The person experiences nausea attended with headache. It is also indicated for vomiting that occur soon after eating. It is attended with a constant pressure feeling in the pit of the stomach. Vomiting has a sour and acidic taste.

10. Sepia – For Nausea And Vomiting Triggered During Menses

This medicine gives great relief in cases where nausea and vomiting get triggered during menstrual period. Headache may be felt on one side of the head. There is also excessive weakness with a desire to lie down. Nausea gets worse from smell of cooking food.

 

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Top 10 Homeopathic Medicines for Hydrocele  

Hydrocele refers to swelling in the scrotum that holds the testicles. It arises from collection of excessive fluid in the sheath (tunica vaginalis) surrounding a testicle. Hydrocele can be congenital i.e. a child may be born with hydrocele or it may develop later in life. The causes of hydrocele developing late in life are inflammation or injury within the scrotum. Homeopathic medicines for hydrocele, if started well in time, can save a person from surgery and its related side-effects.

homeopathic medicines for hydrocele

 

Homeopathic Treatment

Hydrocele, which is considered a surgical condition in the conventional mode of treatment, can be treated effectively with homeopathic medicines. Homeopathic medicines for hydrocele are of natural origin, making them safe for use on children as well as adults. They do not carry any toxic side effects. Homeopathic medicines help reduce swelling in the scrotum as well as any associated symptoms such as pain or dragging sensation.

Homeopathic Medicines for Hydrocele

The top recommended homeopathic medicines for hydrocele include Rhododendron, Clematis, Arnica, Apis Mellifica, Abrotanum and Digitalis.

1. Rhododendron – Top Grade Medicine For Hydrocele

Rhododendron is a natural medicine prepared from fresh leaves of plant ‘yellow snow rose’. It has shown great clinical improvements in cases of hydrocele. This medicine brings natural recovery, it works well in almost all cases of hydrocele especially if arising from orchitis or epididymitis. In cases needing it, there is marked swelling of scrotum. It may be hard and painful to touch. Though rhododendron can be helpful for hydrocele on either side but is more prominently indicated for cases of left sided hydrocele.

When and How to use Rhododendron?

Rhododendron is the most widely used medicine for hydrocele. It can be used as a first line of treatment in hydrocele. Though it can be used from in and high potencies, it is usually preferred in 30C potency. Rhododendron 30C can be taken twice a day, once in morning and once in evening.

2. Clematis – For Right Sided Hydrocele

Clematis is the next well-indicated medicine for hydrocele. It is also a natural remedy prepared from leaves and stems of plant ‘virgin’s bower’. It is a highly suitable medicine for cases of right sided hydrocele. Those needing it have a drawing pain in testicle. The scrotum is swollen. At times the testicle may be painful to touch. It is also very helpful for cases of hydrocele arising from orchitis.

When and How to use Clematis?

This medicine can be used in cases of right sided hydrocele that may be painful. This medicine is mainly recommended in 30C potency. Clematis 30C can be taken twice a day.

3. Arnica – For Hydrocele After An Injury

Sourced from a plant ‘leopard’s bane’, Arnica is a herbal medicine of great importance in treating hydrocele that follows an injury. It gives promising results in hydrocele cases occurring after an injury. In cases needing it there is swelling of scrotum attended with sore, bruised pain. This medicine along with healing injury helps to reduce swelling of scrotum and manages any associated pain.

When and How to use Arnica?

Arnica should be considered as the first choice of medicine for cases of hydrocele that occurs after an injury. Arnica 30 C can be taken two times a day for good results.

4. Apis Mellifica – For Hydrocele With marked Swelling

Apis Mellifica is the next most effective medicine for managing hydrocele. It is beneficial when there is excessive swelling of scrotum. This medicine helps to absorb fluid that is collected around testicle. Inflammation of testicles may be present in cases needing it along with stinging pain.

When and How to use Apis Mellifica?

This medicine can be used in cases where there is intense swelling of scrotum. It will aid fluid absorption and bring great relief. Its use is preferred in 30C potency. Apis Mellifica can be taken twice a day in 30C potency.

5. Abrotanum – For Congenital Hydrocele

Abrotanum is the most wonderful medicine for hydrocele where the condition is present from birth. It is of natural origin prepared from leaves and stem of plant ‘southernwood’ and entirely safe for use among children.

When and How to use Abrotanum?

Its use is particularly considered in new born boys having hydrocele. It is advised to consult a homeopathic physician before using this medicine for right potency and repetition that varies from case to case.

6. Digitalis – For Left Sided Hydrocele

Digitalis is also a natural remedy of plant origin for treating hydrocele. It is prepared from leaves of plant named ‘foxglove’ and is very helpful for left sided hydrocele with marked swelling of scrotum. The scrotum seems like a bladder filled with water. Bruised pain may accompany the condition in such cases which will respond well to Digitalis.

When and How to use Digitalis?

Digitalis is well indicated for left sided hydrocele. Digitalis 30C twice a day is an ideal dose to start with.

Note Any of the above homeopathic medicines can be taken for about one month. If no relief sets in, kindly consult a homeopathic physician for further case evaluation and change in prescription.

Causes of Hydrocele

Though hydrocele can occur at any age but is most common in newborns and in males over 40 yrs of age.

A). In Infants (Babies Less Than One Year Age)

During development of male baby, the testicles descend from their abdominal cavity into the scrotum shortly before birth. There is a natural sac (containing fluid) surrounding the testicles. This sac closes and fluid absorption occurs during first year of baby. But if this sac does not close, it results in hydrocele results which is termed communicating hydrocele. If the sac closes but some fluid remains behind around the testicle, it is termed non-communicating hydrocele.

B). In adults

Hydrocele may occur when the sac (tunica vaginalis) produces excessive fluid or when the fluid is not properly absorbed, it results in build-up of fluid around testicle.

Hydrocele may arise from:

1. Injury or inflammation of scrotum

2. Infection/inflammation of testicles (orchitis) or epididymis(epididymitis)

3. Sexually transmitted infections

4. Inguinal hernia, which is rare

What Are The Signs And Symptoms Of Hydrocele?

In most cases swelling in the scrotum is the only sign. It may be on one side or both sides. The swelling may be less in the morning and more in the evening.

Other than this, it may cause discomfort, dragging sensation in the scrotum along with heaviness. In some cases, pain, redness of scrotum may also be present.

If there occurs sudden intense pain in the scrotum or swelling mainly after scrotal injury, immediate medical help should be taken. This could be due to blocked blood flow from twisted testicle (testicular torsion) that needs urgent treatment to prevent permanent damage to testicle.

Types of Hydrocele

1. Communicating hydrocele: A natural sac (containing fluid) surrounds the testicles that closes and fluid absorption occurs during the first year of the baby. If this sac does not close, it results in hydrocele which is termed communicating hydrocele. Communicating hydrocele is associated with inguinal hernia.

2. Non-communicating hydrocele: If this sac closes but some fluid remains behind around the testicle, it is termed non-communicating hydrocele.

3. Nuck’s hydrocele (also called Female hydrocele): It is a rare form of hydrocele occurring in female children when the complete obliteration of the canal of nuck (abnormal patent pouch of peritoneum) fails to take place.

Primary hydrocele

There occurs closure of processus vaginalis (embryonic developmental outpouching of the parietal peritoneum). During embryonic development, it forms the pathway of descent for the testes of spermatic cord within one to two years of birth that closes off communication between abdomen and scrotum. The distal (part away from body) part of it remains open as tunica vaginalis covers testis making a space where fluid accumulation can cause hydrocele. There are four sub-types of primary hydrocele as per the point of obliteration of process vaginalis:

1.Congenital hydrocele: it arises when processus vaginalis remains patent and thus communicates with the peritoneal cavity.

2. Infantile Hydrocele: It results when processus vaginalis closes at the level of the deep inguinal ring and the portion distal to it remains patent. There is no connection with peritoneal cavity.

3. Encysted Hydrocele of the Cord: In this, the central portion of processus vaginalis remains patent while both proximal and distal portions get obliterated

4. Vaginal Hydrocele: In this subtype, the processus vaginalis remains patent just around the testes area,

Secondary hydrocele: It results from some underlying condition like epididymitis, infection or injury.

Complications

The complications of hydrocele are summed below:

1. Rupture: It can occur spontaneously by itself or from some trauma

2. Hematocele formation if there occurs bleeding in the sac

3. Calcification (hardening) of the sac

4. An infection resulting in scrotal pyocele (pus collection in the space between visceral and parietal tunica vaginalis surrounding testicle)

5. Atrophy (shrinkage) of testis in long term cases

What other testicular conditions do we need to differentiate hydrocele from?

The signs and symptoms of hydrocele can mimic other testicular conditions arising from other causes. Some of these are as follows:

1. Varicocele: Enlargement of veins inside the scrotum. In this condition,  a lump and swelling in testicle occurs and enlarged veins in scrotum are visible

2. Spermatocele: Abnormal cyst developing inside the scrotum.

3. Epididymitis: Inflammation of epididymis (a coiled tube at the back of testicle in which sperms are stored while they mature and are transported from the testes to the vas deferens).

4. Epididymal cyst: Fluid-filled sac in epididymis

5. Scrotal Hematocele: Blood filled sac in scrotum usually from an injury

6. Inguinal hernia

7. Testicluar tumor rarely

Diagnosis of Hydrocele

1. Physical Examination: To check swelling, pain and tenderness in scrotum

2. Transillumination test: A doctor will shine a strong light through scrotum. In case of hydrocele, the light will pass through scrotum while in case of some solid mass (tumor) the light will not pass.

3. Ultrasound of scrotum is the most commonly recommended test to confirm hydrocele and to find other causes of scrotal swelling.

4. Blood and urine test to check for infection

Frequenlty Asked Questions

Is hydrocele curable in homeopathy?

Yes, there are highly effective natural remedies in homeopathy that can help in curing many hydrocele cases. However, the results vary depending on the duration, intensity of complaint, age of the patient and individual’s response to homeopathic treatment.

How much time does it take to treat hydrocele in homeopathy?

The total time duration of hydrocele treatment might vary from few months to about one year. It differs from case to case especially based on duration, severity of issue and amount of swelling.

I am a 60-year-old suffering from hydrocele for the last one year, now it is increasing in size with pain, I really do not want to go for surgery, Can homeopathy help me?

Yes, homeopathy can help to treat your complaint. There are highly effective medicines in homeopathy to treat hydrocele and reduce swelling and pain related to it. A complete case history is required to prescribe most suitable homeopathic medicines.

Which homeopathic medicines would you rate best for left and right sided hydrocele?

My best choice of homeopathic medicine for left-sided hydrocele is Rhododendron and to treat right-sided hydrocele is Clematis.

I am 50-yr- old with left-sided hydrocele and I have been taking Rhododendron for the last few months but have not seen any results, Is there any other homeopathic medicines that I can use for better result?

Though Rhododendron is one of the top grade medicine for left sided hydrocele and works in most of the cases, but if by any chance it has not given results in your case, you may definitely try some other homeopathic medicines, Digitalis for example is another well-indicated medicine for left-sided hydrocele. Kindly consult a homeopath for right potency, dosage and repetition before using this medicine.

I have right-sided hydrocele for the last 5 yrs, my age is 40yrs. I have a swelling on right side scrotum without any pain. I am taking Calcarea Fluor for the past one year with doctor’s consultation but no effect, please suggest some better homeopathic medicine for my complaint?

For right sided hydrocele, two most prominently indicated medicines are Clematis and Lycopodium that can help in your case. Further details of your case are required to select the best among these and decide on potency and dosage.

Can a person take two homeopathic medicines side by side from the recommended list to treat hydrocele?

Though two homeopathic medicines can be taken side by side  to treat hydrocele but it is advised to consult a homeopath as a relationship chart of homeopathic medicines has to be referred whenever taking more than one homeopathic medicine. There are certain homeopathic medicines that do not go well with each other and may make the condition worse, if taken together or might antidote (nullify or neutralize) each other’s effects.

Hydrocele on my right side has become hard with pain sometimes, I am not interested in operation, Which homeopathic drops would you recommend?

There are multiple homeopathic drops to manage cases where hardening of hydrocele is noticed for example Conium, Calcarea Fluor, Iodum. A complete case detail is required to choose and prescribe the most suitable medicine.

I am 30-yr-old, I had undergone surgery for hydrocele 6 months ago, now for the last one month again, I can see a swelling in the scrotum. Can homeopathy help me?

Yes, homeopathy can be helpful in your case of recurrent hydrocele. Kindly visit a homeopathic doctor for complete case analysis and evaluation for proper treatment.

There is swelling in my scrotum, Is it hydrocele?

Swollen scrotum may occur from various causes. Hydrocele is one of the reason among these, some other causes include varicocele, spermatocele, epididymitis, hematocele. So kindly visit a doctor who will do a physical examination and conduct investigations to confirm the diagnosis.

If there is a swelling in scrotum, which test is required to confirm a hydrocele?

The most commonly recommended test is ultrasound of scrotum to confirm hydrocele diagnosis.

Can hydrocele develop on both sides?

Usually hydrocele develops on one side but there are also chances of getting hydrocele on both sides.

Should I avoid weight lifting if I suffer from hydrocele?

The problem of hydrocele may increase from lifting heavy weights, so it is better avoid heavy weight lifting.

I have hydrocele, should I avoid going to gym?

If you have hydrocele, try to avoid strenuous exercises that put pressure on the scrotum and cause discomfort.

Does hydrocele affect sperm count and male fertility?

No, hydrocele does not affect sperm count and male fertility.

Does hydrocele lead to erectile dysfunction?

Though hydrocele directly does not lead to erectile dysfunction, the psychological effects of a swollen scrotum, and when swelling is quite large, may hinder normal sexual activity.

Is hydrocele cancerous?

No, it is a non-cancerous  (benign) condition arising from fluid build-up in tunica vaginalis sheath that surround a testicle.

Do all kind of hydroceles requires surgery?

No, in many cases hydrocele resolves on its own with the passage of time. But if the hydrocele is very large and is quite painful, then surgery might be required. It is best to consult a surgeon to decide on the surgery option in any case of hydrocele.

Does hydrocele recur after surgery?

Yes, there are chances of recurrence of hydrocele after surgery in about 5 % -10% cases.

My baby aged 3 months has scrotal swelling due to hydrocele, does he require surgery?

In most cases of hydrocele below one year of age, there are about 70% chances that hydrocele will resolve on its own around age of one to two years. But it is always recommended to visit a paediatrician to check if a baby needs surgery or not and rule out any other medical condition that might be causing scrotal swelling other than hydrocele.

Call Dr. Sharma's Clinic - From United States and Canada call 703-659-0873. Patients From rest of the world and India call +91-6283487321

Top Homeopathic Medicines for Headache during Menopause

Menopause refers to the end of menstrual cycles in a female’s life that occurs as a part of the natural aging process. A female is said to have attained menopause when no menses have occurred for consecutive 12 months together. It occurs between ages 45 to 55 yrs. A woman tends to face different health issues during menopause. One might have commonly heard of issues like hot flashes, emotional disturbance, mood changes, hair loss and weight gain during menopause. Headache could also be one of the concerns that many women complain of during menopause. Not every woman has headache during menopause. However, in some women who have hormonal headaches prior to menopause may feel relief in headache during menopause in terms of frequency or intensity. The reason behind headache during menopause is the hormonal changes taking place. The hormone affected includes estrogen and progesterone. Along with headache, some other symptoms might attend like nausea, sensitivity to light or noise, feeling of a band around the head, some strange sensations in the head, dizziness and fatigue. It may also lead to sleep issues, depressed feeling and anxiety. Women suffering from migraine (i.e. one sided headache often accompanied with nausea and vomiting and sensitivity to light, smell, noise) or tension headache (this type of headache is linked with stress and is characterized by a tight feeling in the forehead and back of the head) may find that their headache gets worse around menopause.

Homeopathic Management

Homeopathic medicines are highly effective in managing headache during menopause. Made from natural substances, these medicines are free from any sort of side effects. These medicine help to gradually decrease the intensity and frequency of headache during menopause. Other associated complaints of menopause like heat flashes, weight gain, mood changes and hair loss are also wonderfully managed with these medicines. Homeopathic medicines for managing headache are selected based on individual symptoms in each and every case. Though it is safe to use homeopathic medicines, it is advised to consult a homeopathic physician prior to taking any of the homeopathic medicines for treating headache.

Top Homeopathic Medicines For Headache During Menopause

1. Sepia – Top Remedy

Sepia is the topmost medicine to manage headache during menopause. In cases needing Sepia, headache may be attended with nausea and vomiting. There is bursting type of headache as if the head would burst and the eyes would come out. It gets worse from any kind of movement and stooping. Headache may get better after taking meals. Heaviness and coldness may be felt on the top of the head. Not just headache, this medicine is best suited to manage other concerns during menopause as well, like hot flashes, hair thinning, weight gain and vaginal dryness.

2. Lachesis – For Pain On The Top Of Head

Lachesis is a highly effective medicine to manage headache that occurs on the top of the head i.e. the vertex. Along with this, a pressure/weight sensation and burning heat is felt on the top of the head. It is also useful to manage a throbbing sensation that occurs on the sides of the head i.e. temporal region. It also feels as if blood has rushed to the head. In some cases, headache may be attended with dimness of vision or flickering in front of the eyes. Pain may be one-sided, the left side is especially affected. Sometimes pain from the head may extend to the neck and shoulders. Hot flashes are quite prominent along with headache. There may be sleeplessness too.

3. Glonoine – For Throbbing Headache

This medicine is recommended to manage throbbing (to pulsate with force rapidly) pain in the head. Besides, there is a feeling of rush of blood to the head causing congestion and sensation as if the head would burst. There also occurs a feeling as if the eyes will protrude out of the sockets. Pain gets worse from walking and shaking the head. There is relief by sleeping. Hot flashes are felt on the head and face. Nausea and vomiting may accompany headache. A weight is also felt on the top of the head. Vertigo may occur along with headache.

4. Sanguinaria Can – For Right-Sided Headache

This medicine is beneficial for managing right-sided headache. In cases requiring it, pain begins in the back of head, then goes upwards and finally settles over the right eye. Headache gets better by vomiting, and taking a good sleep. If headache occurs periodically, means at fixed interval after every 7 days, then this medicine in particular is very helpful. Along with headache, burning sensation in the hands and the soles of feet may be present.

5. Amylenum Nitrosum – For Left-Sided Headache

This medicine is indicated to manage left-sided headache. Throbbing is felt in the head. It seems blood has rushed to the head and face causing marked redness on the face. There is a feeling as if the head would burst. Hot flashes are a prominent indication where this medicine is required. Hot flashes are followed by excessive sweating and cold skin.

6. Cyclamen – For Continuous Sort Of Headache

This medicine is helpful in females experiencing continuous pain in the head. Headache is accompanied with nausea. Vertigo may also occur. Vomiting occurs almost every day that relieves the headache. Though pain may be felt on any region of the head but is worse on the left side. Headache gets worse by movement and in open air. This medicine is also indicated for headache occurring in the morning attended with flickering (to flash on and off) in front of the eyes.

7. Ferrum Met – With Feeling Of A Band Around The Head

This medicine can be used when there is headache and a feeling of a band around the head. The pain is pulsating type in cases needing it. There is a heated sensation in the head. Flashes of heat are also felt in the face. The pain from the head may radiate to teeth. Stinging sensation can be felt in the head. Headache may last for two-three days in cases needing it. This medicine is also indicated for dull pain in the forehead that spreads to the top of the head. It gets better by applying pressure with hands on the head.

8. Strontium Carb – For Pain In The Neck Neck Spreading Upwards

This medicine is selected when pain begins from the neck and then spreads upwards. It is relieved by wrapping the head warmly. The pain from head may go to the upper jaw along with nausea and vertigo. Flashes of heat are felt. Excessive sweating occurs at night.

9. Crocus Sativus – For Headache With Pressure In Eyes

Crocus Sativus is of great use when headache is accompanied by pressure in the eyes. Burning is also felt in the eyes. The pain is throbbing, pulsating in nature. It is felt in different parts of the head. Headache gets better by applying pressure over the head. The blood vessels of the head feel dilated. The headache may disturb sleep as well.

10. Theridion – For Headache With Nausea And Vomiting

Theridion is prominently indicated to manage headache with nausea and vomiting. The pain is mostly felt in the forehead that may extend to back of the head. A pressure is felt behind the eyes. Heat is felt inside the head along with the above symptoms.

 

Call Dr. Sharma's Clinic - From United States and Canada call 703-659-0873. Patients From rest of the world and India call +91-6283487321

Homeopathic Remedies for AVN – Avascular Necrosis Treatment

Homeopathic Remedies for AVN - Avascular Necrosis Treatment

AVN, also known as osteonecrosis, bone infarction and ischemic bone necrosis/aseptic necrosis refers to a condition which leads to death of bone cells due to interruption in blood supply. Avascular Necrosis (AVN)  can cause unbearable pain in the bones. Since there is no blood supply to the bone, the bone breaks and finally collapses. AVN may involve almost any bone of the body, but it mostly affects hip joints, knees and shoulder joints.

Natural Homeopathic Remedies for Avascular Necrosis

The homeopathic treatment for Avascular Necrosis uses the body’s own restorative process to heal. It basically aims at halting the destruction of bones in patients of Avascular Necrosis because of interrupted blood supply. The second aim of these remedies is to reduce the pain in bones because of bone damage. Both these aims are accomplished by the use of natural medicines, which have zero side-effects and are completely safe. The medicines are selected after taking into account the proper case history of the patient. The medicines are prescribed based on the bone involved, the kind of bone pain and other peculiar symptoms in each individual case.

Top Homeopathic medicines for AVN

Top Homeopathic Medicines

The top recommended homeopathic medicines for treating AVN are Syphilinum, Strontium Carb, Natrum Sulph, Fluoric Acid, Asafoetida and Silicea. Some of the homeopathic medicines to manage hip pain in such cases include Rhus Tox, Bryonia and Colocynth.

1. Syphilinum – For Bone Pains At Night

Syphilinum is well known for its beneficial action on body tissues wherever the destructive process is present. Apart from its universal healing action to stop the destruction of body tissues, Syphilinum is of great help in treating bone necrosis. The most dominant feature for selecting Syphilinum in any given case of AVN is the worsening of bone pains at night. The person experiences pain throughout the night and is unable to sleep on account of the severe pain. The pains may compel the patient to walk, which seems to bring relief. Such persons remain comparatively well the whole day.

Another marked symptom that can help in selecting Syphilinum for AVN cases is a specific pattern regarding the appearance and disappearance of pains. The pattern followed is a gradual increase in bone pains and in the same way, a gradual disappearance of pains. The third symptom that may be present in a few AVN patients needing Syphilinum is worsening of pains because of heat and some relief by applying cold water. History of excessive alcoholism may be present in persons requiring Syphilinum.

2. Strontium Carb – For Avascular Necrosis of Femoral (bone in thigh) Bone

Strontium Carb is a natural remedy recommended for cases of AVN of femoral bone. Those needing it have worsening of pain in cold air. Besides AVN, it is a prominent medicine to deal with cases of weak and brittle bones prone to break easily.

3. Natrum Sulph– For Hip Joint Necrosis

Natural remedy Natrum Sulph should always be considered in cases of AVN of the hip joint. Natrum Sulph is one of the most beneficial medicines when dealing with hip joint AVN. The patient mainly complains of pain during movement or when stooping.

4. Fluoric Acid–For AVN of Long Bones

Fluoric Acid is the most effective for the necrosis of long bones. The bones include humerus (bone in the upper arm), femur (bone in the thigh) and tibia (bone in front of the leg). Fluoric Acid is mainly used to halt necrosis appearing in long bones. The persons needing Fluoric Acid usually have excess body heat and the external heat worsens the condition. Apart from long bones, necrosis of the bones of the ear (which are rarely involved) are also covered under Fluoric Acid, which helps in improving the blood circulation and preventing further necrosis of bones.

5. Asafoetida – For Necrosis Of Tibia ( A Bone In Leg) Bone

Asafoetida is a wonderful medicine for AVN of the tibia. There is worsening of pain at night along with over-sensitivity in bones. The bone pain can be darting, sharp or stitching in nature.

6. Silicea– For Necrosis of Bones

Silicea is considered among the best natural medicines for necrosis (premature death of cells) of a variety of bones ranging from long to small bones. The necrosis of jaw, wrist bones, hand bones, feet bones, ankle, knees and long bones —including humerus (bone in the upper arm), femur (bone in the thigh) and tibia (bone in front of leg) — are the sites of action for using Silicea. The general symptom for using Silicea is sensitivity to cold air when bone pain worsens even from the slightest exposure to cold air. Warmth brings relief.

 7. Aurum Metallicum – For Necrosis Of Nasal, Palatine Bones

Aurum Metallicum is a natural remedy which is very beneficial in the treatment of necrosis in nasal and palatine bones. The mastoid bone is also the site that benefits with the use of Aurum Met. The patient complains of pains at night and may suffer from extremely offensive odor from the mouth and nose along with pain. The patient may also feel depressed with a high degree of sadness.

8. Symphytum – For Bone Damage In Fracture

Natural medicine Symphytum is very beneficial as a remedy for bone-related complaints. Symphytum can be considered in all cases where the bone has suffered damage following fractures. It helps in proper knitting of the bone. This is helped by providing the necessary callous material needed for bone reformation. So, in every case of fracture where Symphytum is used, it acts as a preventive agent against necrosis as the bone is very neatly and efficiently woven by this medicine.

9. Phosphorus– For AVN Of The Jaw

Phosphorus is an effective remedy for treating lower jaw AVN. It is of great help when the lower jaw is affected due to lack of blood supply. It is pertinent to mention here that Phosphorus is used in match-box making factories and some persons may acquire AVN there inhaling Phosphorus fumes for a long duration.

10. Hekla Lava– For Decay Of Jaw With Marked Pains

Hekla Lava is a top natural remedy for Avascular Necrosis of the jaw when jaw destruction is accompanied by marked facial nerve pains.

Symptoms Of AVN

In the beginning, no symptom is noticed by the patient. But gradually when death of blood cells start increasing, pain in the affected joint is felt. For example, in case of AVN of hip joint pain may be felt in groin, thigh or buttock. Initially pain is felt when the joint is put under pressure. In case of hip or knee AVN, walking, standing, stair climbing become difficult. Limping occurs while walking. As the condition reaches the most advanced stages, pain in the affected joint increases in intensity due to small breaks in the bone and pain becomes a constant feature. Other symptoms include stiffness of joint and limited range of movement at the joint. When condition has progressed excessively, then the bone collapses. Bone collapse makes one unable to use the joint. The symptoms of AVN may occur on both sides of body. In jaw AVN, pus may be present.

Bones prone to AVN

Avascular Necrosis can involve almost any bone of the body, but it mostly affects hip joints, knees and shoulder joints. Among these, hip joint is the most commonly involved joint, the bone mainly involved is head of the femur (a bone in the thigh extending between the hip and the knee). Humerus (bone in the upper arm extending between shoulder and elbow) is the next commonly affected bone. Scaphoid bone (bone in wrist), jaw, ankles, hand and foot may be affected as well.

What are the Causes and risk factors behind AVN?

AVN results from decreased or hindered blood supply to bone. Reduced blood supply to bone causes death of bone cells. Under normal conditions, our body keeps replacing old bone tissue (which gets damaged as a part of daily wear and tear) with new one to keep bones healthy and maintain their strength. Blood supply to bones provides oxygen and nutrients essential for regeneration of new bone tissues. If due to any reason blood supply to bone is hindered, our body becomes unable to make new bone tissue at right pace. As a result, the old-aged bone breaks down and dies.

AVN may happen from many reasons. Broadly the causes can be divided into two categories:

1.Traumatic AVN: It occurs after breaking of bone or joint dislocation

2.Non-traumatic AVN: It arises from some medical health problem which is causing obstruction of blood supply  to bone. In most cases of non – traumatic AVN, same bones on the either side of the body get affected like AVN of left hip and AVN of right hip.

The various causes and risk factors are enumerated below:

1.Injury / trauma: An injury or trauma can reduce or stop blood supply to a bone which is the main cause of AVN. For example, joint dislocation or a fracture (broken bone).

2. Smoking: Smoking makes the blood vessels narrow that reduces blood supply to body tissues including that of bone.

3. Excessive consumption of alcohol: It is known that alcohol can lead to hyperlipidemia (increased level of lipids means fats like cholesterol, triglycerides in blood) and fatty deposits in blood vessels. High levels of fat tend to block blood vessels and reduce blood flow. Decreased blood flow to bone cells can cause death of bone cells (AVN). This condition is similar to the one when a person suffers a heart attack where arteries that supply blood to the heart become blocked from cholesterol cutting blood supply to heart muscle causing heart attack and damage to heart muscle.

Secondly, high number of fat cells in the head of the femur might increase pressure inside it contributing further to reduced blood flow. In addition to this, alcohol may damage bone cells directly from its toxic action. It has been estimated that those who consume 15 to 20 large pegs of alcohol per week are 10 times more at risk of developing AVN as compared to non–alcoholics (means who do not drink alcohol).

4. Excessive use of steroid medication, like prednisone, for a prolonged period of time also makes a person prone to develop AVN. The reason is that these medicines can raise lipids (fat) in the blood that causes blockage of small blood vessels. Around 3 % to 38% people consuming steroids go on developing steroid-induced AVN. High doses of steroids taken orally (from mouth) or intravenous steroids (administered through veins) for prolonged time period is linked with AVN.

5. Exposure to radiation and chemotherapy used for cancer treatment predisposes a person to AVN.

6. Bisphosphonate therapy used in the treatment of bone cancer and osteoporosis makes a person prone to AVN. It is mainly related to cause AVN of jaw.

7. Decompression sickness/caisson disease (a medical condition in which bubbles form in the blood of a person from rapid decrease in surrounding pressure), and Leg-Calve Perthes disease (a condition occurring in childhood from interruption of blood supply to the head of femur of hip joint)

8. Having high cholesterol, HIV infection, rheumatoid arthritis (an autoimmune joint disorder causing inflamed, stiff, painful joints especially starting from small joints and later on may involve large joints as well), high blood pressure, sickle cell anemia (Inherited disorder affecting shape of red blood cells, RBCs become sickle shaped that can slow blood flow), leukemia (blood cancer), Gaucher disease (build-up of fatty substance in certain organs), organ transplant like kidney transplant, pancreatitis, SLE (Systemic Lupus Erythematosus – an autoimmune disease causing inflammation and damage to various organs), HIV are other risk factors.

9. Sometimes AVN occurs without any cause, for example, spontaneous AVN in knee (known as SPONK or SONC).

10. In some cases, the reason for interrupted blood flow is not known, for example in Kienbock disease (breakdown of a bone in wrist known as lunate bone from interrupted blood supply) and Preiser’s disease (AVN of scaphoid bone which is one of the bones in wrist).

11. Chances of AVN are more in men as compared to women.

12. Persons aged between 30yrs to 60 yrs are the most at risk though it can occur in person of any age group.

Pathophysiology Of AVN

AVN begins when there is decrease in subchondral (bone lying beneath the cartilage) blood supply. It leads to low oxygen (hypoxia) in bone tissue resulting in death of cells (necrosis) of bone. It is suggested via experimental evidence that bone cells die within 12 hrs to 2 days’ time from reduced blood supply and low oxygen levels. With progression of the condition, degeneration and the collapse of joint occurs.

Complications

If AVN is left untreated, the condition goes on becoming worse and worse and finally may result in bone collapse. It can lead to severe arthritis.

Stages of AVN

There are four stages defined as per progression of AVN

Stage I: In this stage, X-ray is normal but in MRI, dead bone can be detected.

Stage II: X-ray can reveal bone damage changes related to AVN. At this stage, the collapse of bone of femoral head has not taken place.

Stage III: X-ray shows sign of bone collapse (crescent sign).

Stage IV: It is the serious stage. At this stage, X-ray shows bone collapse and significant cartilage damage (osteoarthritis)

Ficat: Four stages classification system of AVN based on standard radiographs

Stage I – Normal radiograph

Stage II – In this stage femoral head contour is normal but in radiographs, signs of bone remodelling are seen (cystic and sclerotic portions)

Stage III – Flattening of femoral head occurs in this stage

Stage IV – It is characterized by narrowed joint space and degenerative signs in acetabulum.

Differential Diagnosis of AVN

There are certain medical conditions that might have similar symptom presentation like AVN which need to be differentiated while making a diagnosis of AVN. These conditions include:

1. Osteoarthritis: Degenerative joint disease arising from the breakdown of joint cartilage (it cushions end of bones to allow smooth movement over each other) and underlying bone

2. Rheumatoid arthritis: An autoimmune joint disorder causing inflamed, stiff, painful joints especially starting from small joints and later on may involve large joints as well

3. Osteomyelitis: Infection of bone by bacteria or other microorganisms

4. Osteoporosis: Condition arising from reduced bone density whereby bones become weak, brittle and are at high risk of easy fracture (breaking of bone)

5. Osteochondrosis: Group of disorders affecting bone growth in children and adolescents

6. Septic arthritis: Joint infection occurring when germs from some infected body part travel via blood stream to the joint

7. Synovitis: Inflamed synovial membrane (it secretes synovial fluid needed for joint lubrication) of joint

8. Bone marrow edema syndrome: It is characterized by bone pain and bone marrow edema found in MRI.

9. Bone Cancer

Some measures to prevent AVN

  1. Avoid smoking and limit alcohol use
  2. Keep a check on cholesterol levels
  3. Avoid excessive steroid use

Frequently Asked Questions of AVN

I have AVN of femoral head stage II on both sides, will homeopathy be helpful?

Yes, you can be benefitted by homeopathic medicines. Homeopathy has good scope of managing cases of AVN going through Stage 2. There are several natural remedies in homeopathy that can help to relieve pain and  stiffness, and improve the range of movement of the joint. These medicines also boost the body’s immunity to fight back disease naturally and halt further advancement of the disease.

I have been recommended hip replacement surgery for AVN Stage III, I do not want to go for surgery, can homeopathy help to avoid surgery?

Though homeopathy has limited scope in Grade 3 stage of AVN, if you wish to go for an alternative to surgery, you can try homeopathy. Homeopathic medicines will not be able to reverse the changes that have already occurred, but can surely help in pain management. Surgery should be the last option when all the alternative treatment methods have proved fruitless.

Can homeopathy help in Grade IV AVN cases?

Homeopathy has a good scope in treating Grade 1 and 2 AVN, limited role for grade 3 AVN patients and a very minimal role to play in cases of Grade 4 AVN. However, one can opt for homeopathy to ease pain-related issues before proceeding towards surgical options. The help it can offer in relieving pain varies from case to case.

Can homeopathy help in reversal of AVN changes?

There is no current treatment option available in any system of medicine that claims to reverse pathological changes that have already taken place in AVN cases. Homeopathy helps in slowing down the progression of bone changes in AVN and eases its symptoms, but unfortunately cannot reverse the bone damage that has already occurred.

Is there any natural homeopathic medicine to manage pain in hip joint from AVN?

Yes, several homeopathic medicines can help in managing hip joint pain in AVN cases. Though a specific medicine is selected after taking case details but some general medicines to relieve hip pain are Rhus Tox, Bryonia and Colocynth.

Can homeopathy help cases of AVN other than hip like AVN of jaw, knee, shoulder joint?

Yes, homeopathy can help AVN occurring in joints other than hip as well. There are several homeopathic medicines for it. The best prescription is finalized after taking the entire case details from the patient.

Is Syphilinum a good homeopathic remedy for AVN?

Yes, Syphilinum is one of the well-indicated homeopathic medicines to help cases of bone necrosis and decay. It is mainly indicated when there is worsening of bone pains at night.

What is the treatment duration in homeopathy to treat AVN cases?

The duration of homeopathic treatment for AVN depends on the stage, duration, intensity of complaint and duration varies from several months to a year or two, for good long term relief.

Can homeopathy cure AVN?

Homeopathy is a natural science of medicine that have a management role in AVN. Though they cannot cure the condition, the homeopathic medicines aim at preventing further bone loss and promise relief in the associated symptoms to a great extent.

I have hip pain from the last 6 months, am I suffering from AVN?

Hip pain may arise from various causes. AVN is just one among those causes. Other reasons might be osteoarthritis, rheumatoid arthritis, ankylosing spondylitis. So only having hip pain does not confirm AVN. A complete detailed case history and MRI of hip is required to confirm the diagnosis in each and every case.

Is groin pain indicative of hip AVN?

Though groin pain can occur in hip AVN but not all those having groin pain are actually suffering from AVN. There could be other reasons as well that could be causing groin pain. For example, inguinal hernia, kidney stones, sprains, tendinitis, pinched nerve, UTI (urinary tract infection), and certain male problems like hydrocele, varicocele, epididymitis, orchitis and testicular torsion. It is advised to consult a doctor for groin pain to find the exact cause behind it.

I have no pain in hip, but my MRI shows AVN hip joint on right side, do I need treatment?

See, AVN in early stages is usually painless. But if left untreated, there is progression of AVN, bone damage worsens and pain starts to appear which initially is intermittent (occurring at some intervals and not continuous) but gradually may become constant from intense bone damage. So, it is advised to not ignore it and start with its proper treatment to halt progression of this condition and prevent associated pain.

Can a person with AVN hip run, or do jogging?

In recently diagnosed AVN hip cases, it is usually advised to avoid running, jogging or other activities that put excessive pressure on the hip joint to prevent the collapse of femur head. A doctor should always be consulted to get advice regarding resumption of such activities.

Is AVN self-limiting and can it heal on its own?

AVN unfortunately is a progressive condition that goes on worsening. Very rarely if AVN’s cause is alcohol or steroid use and it is caught (diagnosed) in early stages entire stoppage of alcohol, or steroids can stop its progression and healing may take place from formation of new blood vessels.

Which investigations can confirm AVN?

MRI and CT scan are the most valuable to check and confirm AVN. These tests can reveal early bone changes in AVN cases. X-ray may also be done but it shows changes in bone only in later stages of AVN. For checking early AVN stages, X-rays are not helpful to detect any bone changes. A bone scan (nuclear bone scan or bone scintigraphy) is the next recommended investigation. In this test, a radioactive substance is injected via a vein before doing the scan and after that, the bone scan is done to see the injured areas of bone. In some cases, biopsy is advised in which the bone sample is removed with help of a needle or during surgery to check tissue for abnormal cells or cancer. If other tests are normal but still doctor doubts that it is AVN, then functional bone test is recommended. This test measures pressure inside the bone.

Is AVN curable?

Unfortunately AVN is not curable but with proper treatment its progression can be slowed down.

Is surgery the only option for AVN?

Not all cases of AVN require surgery. If it is diagnosed in early stages, it can be managed with medicines. The stage of AVN decides whether surgery is needed or not. Stages I and II of AVN can be managed with medicines. However, in stage III AVN surgery may be required. In IV stage, surgery may be the only treatment option when all the conservative methods have failed to provide relief, and the pain is unbearable. An orthopedic surgeon is the right person to tell whether a given case of AVN needs surgery or not.

 

 

Call Dr. Sharma's Clinic - From United States and Canada call 703-659-0873. Patients From rest of the world and India call +91-6283487321

Do You have a Weak Urine Stream? Try Homeopathy

A weak urine stream is a very common problem, especially in elderly people aged above 50 years. Though it can occur in both men and women, it occurs more commonly in males. A weak urine stream indicates that the bladder is not getting emptied properly. When a person has difficulty initiating or maintaining urine flow, it is medically termed which urinary hesitancy. Weak urine stream can arise due to various reasons, among which benign prostate enlargement (BPH) and urinary stricture (narrowing of urethra through which urine leaves the body) are the main causes. Weak urine stream can be attended with other symptoms as well depending on the cause behind it like dribbling after finishing urine, frequent urination, discomfort in the lower abdomen, sensation of incomplete emptying of bladder, and pain while urinating. If not diagnosed and treated well, the condition may worsen and lead to urinary retention (means complete inability to urinate). Urine retention that occurs all of a sudden is a serious health issue needing immediate medical help. 

Homeopathic Management

Homeopathic mode of treatment carries a great scope to manage cases of weak urinary stream. Homeopathic medicines aim to correct the underlying cause behind the thin urine stream to give great relief. These are natural remedies that treat this condition with zero side effects. Along with a weak urine stream, they also manage any associated symptoms present. These medicines are recommended for mild to moderate cases where no associated complication is present. In case of acute urine retention, one should immediately take help from conventional mode of treatment as homeopathy has limitations in treating such critical cases.  Homeopathic prescription for weak urine stream varies from case to case based on the cause and characteristic individual symptoms, so one should take homeopathic medicine under the supervision of a homeopathic doctor and avoid self–medication.

Homeopathic Medicines For Weak Urine Stream

1. Clematis – Top Remedy For Weak Stream For Stricture

Clematis is a highly recommended medicine to deal with cases of weak urinary stream due to a urethral stricture. Persons who require this medicine have to strain to initiate urine flow. Urine passes in a thin stream and quite slowly. Urine may start and stop several times till complete urination. After finishing urination, dribbling (passing drop by drop) of urine occurs. There is a frequent desire to pass urine. Urine passed is scanty. Burning may sometimes be felt while urination.

2. Chimaphila – For Weak Stream From Enlarged Prostate

Chimaphila is an effective medicine for weak urine stream due to prostate enlargement. Those needing it have difficulty in starting urine flow, and urine stream is thin like a thread. They need to strain a lot to pass urine. They may need to stand with feet apart and bend forward and strain to empty the bladder. Burning sensation may be felt while passing urine. This medicine is also recommended for cases of difficult urination in cases of prostate enlargement.

3. Cantharis – For Thin Stream Due To Stricture, Urine Infections

This medicine is helpful to manage weak urine flow in case of urethral stricture as well as urinary tract infections. Pain or burning sensation while passing urine is prominent. Burning/ pain may be present before as well as after passing urine. The urge to pass urine is also quite frequent and sometimes almost constant. There is an urge to pass urine even if there is little quantity of urine in bladder.

4. Thuja – For Weak As Well As Split Stream Of Urine

Thuja works well in cases where urine stream is poor as well as split (which means the urine stream goes in two directions instead of one). There is increased frequency to urinate especially at night. The urge to pass urine can also be sudden. In some cases, urine dribbles and has foul smell.

5. Sarsaparilla – Along With Pain Towards End Of Urination

This medicine is useful for persons having weak stream of urine along with severe pain towards the end of urination. The urine passed is scanty. It may contain flakes or sandy particles. This medicine is also of great help for cases of kidney stones.

6. Merc Sol – With Frequent And Urgent Urination

Merc Sol is of great help in cases in which the urine stream is small and weak along with increased frequency and urgency. Only little urine passes at a time. There may be an urge to pass urine every hour. Burning in the urethra may occur especially in the beginning of urination. Sometimes, urine passes drop by drop and may contain mucus and blood. The bladder area may be painful to touch.

7. Alumina – For Frequent And Poor Urine Flow In Elderly

This medicine is highly beneficial for elderly people who suffer from frequent urination attended with poor urine flow. They also face difficulty in initiating urine. They need to strain to start urination. Little amount of urine is passed. One feels burning and smarting pain while urinating. There is always a feeling as if some drops of urine have remained back in the urethra that could not be passed out.

8. Hepar Sulph – With Feeling Of Incomplete Bladder Emptying

Hepar Sulph is suited to those having poor urine flow and a feeling as if the bladder has not been emptied completely. The urine stream does not start immediately when there is an urge to urinate, one has to wait for urine to start. After urinating, one feels that some urine has remained behind in the bladder. Burning or stitching pain may be felt in the bladder.

Causes Of Weak Urine Stream

1. Benign prostate enlargement (BPH) – It refers to the enlargement of prostate gland that surrounds the first part of urethra in males. When prostate enlarges, it puts pressure on the urethra thus blocking flow of the urine. It results in symptoms including frequent urge to urinate, straining to initiate urine, weak urine stream and dribbling after urination.

2. Urinary stricture – It refers to narrowing of urethra (a tube through which urine leaves the body). It is common in males as compared to females. It results when there occurs scar tissue in urethra following an injury to urethra, catheter use, recurrent urinary tract infections, some urinary tract surgery like done for stone removal or prostate surgery. The first complaint it causes is weak urinary stream. Other complaints arising from it includes split stream of urine, frequent and urgent need to urinate and interrupted urination.

3. Underactive bladder – A condition in which the bladder has reduced strength to contract and results in slow emptying of bladder. Its symptoms include poor urinary stream, needing to wait to start urine flow, straining to pass urine, interrupted urine stream, prolonged time to pass urine, decreased sensation of bladder fullness and a feeling as if the bladder has not emptied entirely.

4. Bladder outlet obstruction – It indicates blockage at the base of bladder. It causes symptoms like constant feeling of bladder fullness, abdominal pain, slow urine flow, frequent urine and straining to pass urine.

5. Kidney stones and any tumor blocking the urinary bladder or urethra

6. Nerve damage (for example from diabetes) and nervous system disorders like multiple sclerosis (an autoimmune disease in which there is damage to the myelin sheath that protects the nerves) and Parkinson’s disease (a disorder of nervous system starting with hand tremors at rest followed by muscles stiffness, stooped posture, changes in speech, impaired balance and reduced arm swing).

7. Infections like prostatitis (inflammation of prostate gland that causes pain/burning when urinating, increased frequency and urgency to urinate, weak urine flow, pain in pelvic region, genitals or groins and painful ejaculation) and UTI (urinary tract infection that causespain/ burning with urination, increased frequency to urinate, strong smell from urine and in case of upper tract UTI fever, chills, pain in the upper back and sides and nausea and vomiting occurs.)

8. Use of certain medicines (for example nasal decongestants, anti-allergy medicines, some medicines used to treat cold and antidepressants) and psychological reasons.

 

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What causes Pelvic Pain in Women and its Homeopathic Remedies

Pelvic pain refers to pain in the lowest part of the abdomen that can arise from various reasons. It is a very common complaint in many women. It may arise from a problem in the reproductive organs, urinary organs or gastric organs. Besides, it can be a result of some medical issues related to muscles and ligaments in the pelvic floor. The pain may be acute that arises suddenly and remains for a brief period of time. In some cases, it may be chronic which remains for six months or more. The pain can be of varying types and intensity. The pain can be constant or it may come and go. Depending on the cause the pain may radiate to the lower back, thighs and hips.

Homeopathic Management

Homeopathic mode of treatment carries a great scope to treat multiple health concerns in females including pelvic pain. Homeopathic medicines aim at the root cause behind pelvic pain to bring excellent results. Along with pelvic pain, any attending symptoms are also well managed with these medicines like abnormal vaginal discharge, heavy menstrual bleeding, painful intercourse, intermenstrual bleeding and painful urination. Homeopathic medicines for treating pelvic pain are made of natural substances, hence are very safe to use without any toxic side effects. Some of the causes behind pelvic pain can be quite serious like ectopic pregnancy, cancer, appendicitis so it is advised to always get your case evaluated by a doctor to find out the reason behind it and its appropriate timely treatment. Homeopathic prescription to treat pelvic pain varies from case to case based on the cause behind the pain and the characteristic symptoms in an individual. So any of these medicines should be taken under supervision of a homeopathic doctor and self-medication should be avoided.

Top Homeopathic Medicines For Pelvic Pain In Women

1. Sepia – Top Remedy

Sepia is the topmost medicine to deal with cases of pelvic pain in females. In cases needing it, pelvic pain is well marked. The pain may go to the back and down the thighs. It can be attended with a constant bearing down (a dragging feeling as if pelvic organs will come out of vagina) sensation in the pelvic area. Pelvic discomfort is felt throughout the night. Besides, there is yellowish greenish vaginal discharge which has a very foul smell. Bloating in the abdomen may attend. In some cases, pain during intercourse can be an attending concern. At times, frequent urge to urinate may be felt. This medicine is well-indicated to treat different medical conditions including PID (Pelvic Inflammatory Disease), uterine fibroids and painful menses.

2. Pulsatilla – For Pelvic Pain In Case Of PID

Pulsatilla is a natural remedy to relieve pelvic pain occurring in cases of PID. Females needing it feel cutting type of pain in the pelvis. Pelvic region is also very sensitive to touch. Pain may also be felt during intercourse. There is thick milky white vaginal discharge attended with burning, itching and stinging pain in vagina. Besides PID, this medicine is also indicated to manage pelvic pain during menses. Pain may radiate from the abdomen to the back. There may be a frequent ineffectual urge to pass stool.

3. Magnesia Phos – For Pelvic Pain During Menses

It is an ideal choice of medicine for managing pelvic pain during menses (dysmenorrhea). This medicine works wonders to manage lower abdomen pain which is of cramping, shooting type. One gets relief by putting a hot water bottle or heating pad over the lower abdomen. It also gets better by applying pressure on the lower abdomen.

4. Sabina – In Case Of Fibroids

Sabina is a highly suitable medicine to manage pelvic pain occurring from uterine fibroids. The characteristic symptom to use it is pain radiating from the sacrum (a bone made of five fused sacral vertebrae at the bottom of the spine) to the lower part of the abdomen in front of the pelvis i.e. pubes. Along with this, there is heavy uterine bleeding with dark clots. The blood is offensive. Bleeding may occur in between periods as well. Thick yellow foul-smelling vaginal discharge may accompany above complaints.

5. Colocynth – For Pain In Case Of Ovarian Cyst

Colocynth is a well indicated medicine to manage pain due to ovarian cyst. The pain is one sided and can be sharp, cramping or cutting type. It gets better by applying pressure or bending forward over the abdomen. Though pain can occur on any side of the lower abdomen, it is mostly present on the left side which becomes sore. The pain can be worse during or before menses.

6. Medorrhinum – For Pain During Ovulation

It is one of the best medicines to manage pain on one side of the pelvic area in ovarian region during ovulation. The affected side of the pelvis is also painful to touch. A heated sensation accompanies it. A feeling as if the ovary may be felt. In most cases, there is vaginal discharge that has a specific fishy odor. Medorrhinum is also an excellent medicine to manage PID cases.

7. Cantharis – From Urinary Complaints Like Infection, Bladder Inflammation

Cantharis is a prominent medicine to manage pelvic pain occurring from urine complaints including inflamed bladder or urinary infection. In most cases needing it, there is pain in the bladder region attended with painful, burning urination. Pain and burning may occur before, during or after urination. Pain gets worse from drinking even small quantity of water. Besides, there is frequent urination. The bladder region is sensitive to touch and feels heavy even on the slightest movement.

Causes Of Pelvic Pain In Women

1.PID (Pelvic inflammatory disease) – It refers to infection in the female’s genital organs (uterus, ovaries, fallopian tube) caused by sexually transmitted infections. It leads to vaginal discharge (leucorrhea), pain in the lower abdomen / pelvic region, painful intercourse, bleeding during intercourse, painful periods, bleeding between periods, fever with chills, painful urination.

2. Menstrual period pain and pain during PMS – There may be pelvic pain, mainly cramping pain. The pain may radiate to lower back or thighs. Nausea and vomiting can attend it. In some cases, pain may occur before periods start as a part of PMS (premenstrual syndrome) along with other symptoms like pain in breasts, bloating, irritability, mood swings and headache. These symptoms of PMS go away when menstrual bleeding starts.

3. Uterine fibroids – These are non-cancerous growths developing in the uterus. It may cause pain in pelvis, heavy periods, back pain, pain / bleeding during intercourse, bleeding between periods.

4. Endometriosis – It is a condition in which the tissue lining the inner surface of uterus starts to grow in some body parts other than uterus, like ovaries, fallopian tube, rectum, urinary bladder. Bleeding occurs from these parts during menses. It results in pelvic pain, pain on passing urine or stool, bleeding from rectum or bladder during menses, pain during intercourse, heavy periods and infertility.

5. Ovarian cysts – It refers to fluid-filled sacs in ovaries. It may lead to one-sided pain in pelvis.

6. Ovulation pain – This pain is felt in pelvic region on one side during ovulation i.e. when an egg is released from ovary.

7. Ectopic pregnancy – It happens when an embryo gets implanted and grows at a place other than the uterus, for example in the fallopian tube. In this medical condition, a woman experiences sharp crampy pain in the pelvis on one side. Besides bleeding from vagina, there may be nausea and dizziness.

8. Cancer in pelvic organs – Cancer of uterus, cervix, and ovaries can lead to pain in pelvis and lower abdomen. Along with this vaginal discharge and painful intercourse attends. Cancer of urinary tract may also cause pelvic pain.

9. Urinary issues – These include urinary tract infection (UTI), interstitial cystitis and kidney stones. UTI is quite common in females. It can involve any part of urinary system including urethra, bladder, ureter and kidneys though bladder infection is the most common. The symptoms of UTI are pain / burning with urination, increased frequency to pass urine, pelvic pain, strong smell from urine. In case of upper tract UTI fever, a person feels chills, pain in the upper back and sides, besides nausea and vomiting. Interstitial cystitis refers to inflammation of bladder without any reason known yet. This can lead to pelvic pain, pain when urinating, frequent urination and painful intercourse.

10. Gastric issues – Some gastric issues like constipation, appendicitis, etc can also cause pelvic pain.

 

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How to treat Insomnia in Elderly with Homeopathy

Insomnia refers to a condition when a person has trouble falling asleep, or maintaining sleep or there is a lack of quality sleep for about three or more nights consecutively in a week. When such a complaint persists for three or more months, it is referred to as chronic insomnia. It is a very common complaint experienced by elderly people. Persons aged above 60 years of age are predisposed to suffer insomnia. It has been estimated that about 30 % to 50 % of elderly people experience insomnia. A person can have sleeplessness or restless sleep once in a while, however, if there is a lack of sleep on a regular basis, it can adversely affect his/her health. Changes in routine, medical ailments occurring with aging, chronic stress and use of certain medicines affect sleep in elderly people.

Medical conditions causing insomnia include high blood pressure, joint pains (arthritis), memory loss (dementia), depression, anxiety disorders, diabetes, thyroid issues and heart complaints. Some other medical conditions are GERD, RLS and OSA. GERD refers to gastroesophageal reflux disease in which the stomach acid back-flows into the food pipe due to the weakening of LES i.e. lower esophageal sphincter. RLS refers to restless leg syndrome which is a condition in which a person has an irresistible urge to move the legs due to some discomforting sensations felt in the legs. OSA is obstructive sleep apnea in which there occur momentary pauses of breathing during sleep.

Certain medicines the use of which can cause sleep issues include antidepressants and antihistamines. Use of alcohol and caffeine can also lead to sleep problems. Besides, there occurs changes in our circadian clock and sleep–wake cycles with advancing age. This occurs from hormone changes that mainly include less production of sleep-regulating hormone called melatonin which may have an impact on sleep. A sleep cycle has four stages, including 2 stages of light non rapid eye movement (NREM) sleep and one stage of heavy non rapid eye movement sleep, followed by rapid eye movement sleep stage. In case of elderly people, the time in heavy NREM gets shortened which can keep them awake throughout the night.

Symptoms

The symptoms of insomnia might include difficulty in initiating sleep or maintaining sleep or waking up earlier than usual. There may occur sleepiness the next day along with a tired feeling, difficulty in concentration, memory issues, irritability, disturbed mood, and aggressive behavior. Insomnia may also lead to depression or anxiety, or insomnia may occur because of depression or anxiety.

Homeopathic Treatment

Homeopathy carries excellent scope to help several complaints occurring in elderly people. Among these complaints, it offers wonderful treatment for insomnia. Derived from natural substances, homeopathic remedies treat insomnia naturally without any side effects. These medicines have given great clinical results in such cases. These are effective for both –sleeplessness as well as cases of restless sleep. Homeopathy is a symptom-based science, which means medicines are prescribed based on the characteristic individual symptoms in each and every case after a detailed case analysis. So, homeopathic prescription for any given complaint varies from case to case. It is advised to take any homeopathic medicine after consulting a homeopathic physician.

Top Homeopathic Medicines For Insomnia

1. Passiflora – Top Medicine

Passiflora is a topmost recommended medicine for managing insomnia in the elderly. Persons needing it remain wakeful at night along with marked restlessness. When there is sleeplessness due to exhaustion, this medicine seems to work well. Besides these, Passiflora is well-indicated to manage insomnia in those who are in a constant state of worry and are overworked.

2. Kali Phos – For Complaint From Stress And Worries

Kali Phos is the next general remedy suitable for managing insomnia that arises from some sort of stress or worry. Those requiring it remain sad, anxious, irritable and tired. They suffer fatigue, both mental and physical. Besides, they may have weak memory and forgetfulness. This medicine is also indicated for those who have restlessness during sleep. The body may feel hot during sleep.

3. Coffea Cruda – For Insomnia From Constant Chain Of Thoughts

This medicine works well in cases where a person is unable to sleep due to a constant chain of thoughts going in the mind. There is restlessness along with tossing and turning in bed. This medicine is prominently indicated when a person wakes up early in the morning around 3:00 am and after that is unable to get sleep again. It can also be given for disturbed sleep from enormous dreams. When the use of excessive coffee has resulted in sleeplessness, this medicine can be of great help. Lastly, this medicine is recommended for sleeplessness occurring after suffering some acute disease.

4. Baryta Carb – For Sleeplessness Or Frequent Waking Up At Night

This medicine is indicated when a person is sleepy but is unable to sleep. Secondly, it is indicated when a person falls asleep at night, but wakes up frequently and remains uneasy. There is restlessness throughout the night. It is attended with heated sensation in the body. One feels drowsy during the day. The limbs feel tired on waking up.

5. Calcarea Carb – When Multiple Thoughts Crowd Mind

This medicine is effective for cases where sleeplessness occurs from many thoughts coming in the mind. In some cases, the same thought crosses the mind again and again. In most cases, sleeplessness remains till 2 am or 3 am. Persons needing it can have sleeplessness or they have a very light sleep and frequent waking up at night. Before going to sleep excessive sweating may occur on the face. This medicine is also useful when there is sleeplessness or restlessness at night due to migraine headache.

6. Opium – For Sleeplessness Or Restless Sleep

Opium is a well-indicated medicine for both sleeplessness as well as restless sleep at night. It is used in persons who feel sleepy but are unable to sleep and remain wakeful. They have marked sensitivity to noises and any noise occurring even at a distance, disturbs them and keeps them awake. It is also helpful for persons who are very restless at night and keep tossing in bed constantly. They keep on imagining things.

7. Phosphorus – For Restless Sleep Due To Dreams

Phosphorus can be considered in cases where a person has restless sleep and frequent waking up due to dreams. The person wakes up with a jerk from sleep and is anxious. There is restlessness all night and sleepiness during the day. The person feels headache in the morning on waking up. It is also useful when there is disturbance in sleep due to heated sensation in the body.

8. Arsenic Album – For Sleeplessness With Anxiety And Restlessness

Arsenic Album can be given in cases having sleeplessness from anxiety with excessive restlessness. There is constant tossing and turning in the bed. This complaint is worse after midnight. Those needing it have different anxieties like anxiety about health, about future, about others, and of several little things. They may be fearful causing trembling and restlessness. Cold sweating may occur. Difficult breathing, constriction in chest and weakness may be felt.

9. Syphilinum – For Sleeplessness After Midnight

Syphilinum works well in persons who are sleepless after midnight (12 pm) and are unable to get sleep again until 6 am. Persons needing it are very restless at night and cannot remain in one position for long.

10. Sulphur – For Those Unable To Sleep Despite Feeling Sleepy

Sulphur is beneficial for persons who feel sleepy in the evening, but are able to get only little sleep at night and feel uneasy. They may wake up around 3 am to 5 am and cannot fall asleep again. They may suffer different kinds of pain at night. They can have a tendency to sweat and have skin itching at night. Jerking of muscles may also occur. The person doesn’t feel fresh in the morning causing constant yawning, sleepiness, and irresistible drowsiness during the day.

 

 

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Suffering from Diarrhea due to Anxiety and Stress? Try these top Homeopathic Medicines

Diarrhea refers to passing loose, watery stool frequently, which means three or more three times a day. It can be attended with pain or cramps in the stomach, urgency to pass stool and passing stool involuntarily (means without your own knowledge). Diarrhea can happen due to many reasons. You might have generally heard of the common causes, like stomach infection, food poisoning or some other gastric issue. What most of us don’t know is that anxiety (refers to state of fear, nervousness and worry) and stress too can lead to diarrhea. It is very common to have an upset stomach resulting from stress and anxiety. The turmoil going on in our mind due to stress and anxiety can affect our gut. Besides diarrhea, other symptoms of stress and anxiety include sadness, fear, irritability, tiredness, sleep issues, palpitations, restlessness and headache.

Causes Of Diarrhea From Anxiety And Stress

1. There is a relation between our brain and gastric system. This is known as the brain–gut axis. Our gastric system contains numerous nerve cells about 600 million that is why it is also referred as enteric nervous system or the second little brain. Several studies have suggested that the brain in skull constantly communicates with the gut brain. So any mood issue tends to have an effect on the gut and any gut problem does have an impact on the mood. When a person is anxious or stressed, brain signals and the hormones going in the gastric tract result in chemical imbalance hindering the digestive process. This can result in many gastric symptoms including diarrhea.

2. Our body’s fight or flight mechanism also plays a role. It refers to the reaction our body gives on recognising some threat or harm about to occur to the body. On perceiving a threat, a series of physical changes occur in the body like increased heart rate, high blood pressure and changes in digestion process (resulting in diarrhea, nausea, stomach cramps). To be precise, the function of small intestine slows down and the motility of the large intestine increases which results in diarrhea.

3. Other reasons how stress and anxiety can cause diarrhea include increased blood flow to the affected muscle instead of the gastric system (blood flow is diverted from gastric organs to confront a crisis resulting from anxiety or stress), release of cortisol and adrenaline and change in gut bacteria with increase in number of unhealthy bacteria.

4. In a research, it has been found that persons having anxiety have increased amount of interleukin -1 beta that tends to affect the protective barrier of the intestine and result in pain and defective absorption of water and sodium from intestine. These can cause diarrhea.

5. There is a very well–known, quite common gastric issue related to anxiety and stress i.e. IBS – Irritable bowel syndrome. It is a disorder of the large intestine resulting in changes in bowel habit either diarrhea or constipation and in some cases alternation between the two; stomach cramps and bloating. It is well known that stress and anxiety could be potential triggers for IBS symptoms. In such cases, stress and anxiety act on nerves and make the gastric system hyperactive.

Homeopathic Management

Homeopathic medicines carry great scope to manage cases of diarrhea due to anxiety and stress. The use of these medicines is recommended in both acute as well as chronic cases. They can handle diarrhea that has occurred from acute episode of anxiety and stress as well as help gradually decrease the tendency to have diarrhea from chronic stress and anxiety. These are equally helpful in managing cases of IBS-related diarrhea. These medicines primarily focus on the psychological level to treat the root cause of anxiety and stress which is causing diarrhea. Once anxiety and stress go away, diarrhea itself gets better. The best part of using these medicines is that they are free from side effects as well as are not habit-forming. It is advised to get every case of diarrhea evaluated by a physician so that the cause behind this condition can be rightly diagnosed as it can arise from several causes, followed by its proper treatment. Self – medication should be avoided in any case.

Homeopathic Medicines For Diarrhea Due To Anxiety And Stress

1. Argentum Nitricum – Topmost Medicine

Argentum Nitricum is the most frequently recommended medicine for managing cases of diarrhea from anxiety. To be more specific, it is highly suitable when diarrhea occurs in cases of anticipatory anxiety. It refers to anxiety occurring from a chain of thoughts in mind about some event that is about to happen in the near future. As for example a family function, a school examination, some public meeting, some stage performance, a visit to a doctor’s clinic and so on. Here the constant thoughts keep coming one after the other about failure causing anxiety. In such cases, sometimes a person suffers from diarrhea and Argentum Nitricum is the best choice of remedy. Diarrhea may get worse soon after eating or drinking anything in cases, needing this medicine. Stool is attended with much gas. Besides, persons needing this medicine are always in a hurry, are impatient and impulsive.

2. Gelsemium

Gelsemium is the next prominent medicine to deal with cases of diarrhea due to anxiety, stress and fear. Persons needing this medicine have a number of anxieties and fears. For example, anxiety about present and future, about health, from hearing some bad news and fear of going to public places, of attending a public event. Any anxiety or fear episode brings loose stool. The stool is painless. In some cases, involuntary passage of stool can occur too.

3. Arsenic Album

Another well-indicated medicine to manage diarrhea from anxiety is Arsenic Album. In cases requiring it, loose stool is passed, along with weakness and a cold feeling in the limbs. There are marked anxieties like anxiety about health, about others, about the future, etc. Other attending symptoms may include restlessness, trembling, chest constriction and difficulty in breathing.

4. Kali Phos

Kali Phos is a leading medicine in homeopathy to manage mind-related stress and complaints arising therefrom. This medicine helps in controlling stress and managing its associated diarrhea wonderfully. It is suitable to persons who get stressed out from little things, remain sad and worried. This stress is affecting their gastric system. They suffer loose stool having foul smell and excessive gas in abdomen. Other complaints that can be present along with above symptoms includes sleep issues and tiredness.

5. China

China is very beneficial when there is frequent loose stool with excessive weakness. Along with this there is excessive gas in abdomen and bloating of abdomen. Stool has foul smell. Rumbling sensation in stomach pit can be felt. In cases needing it, there is a tendency to get anxious on small things.

6. Ignatia

It is another natural remedy for managing diarrhea related to stress, anxiety, depression, fright. It is indicated for persons who remain sad, irritable, and depressed from stress. They get frequent loose stool without pain. Though stool is frequent, it is scanty. There is gas rumbling in the abdomen.

7. Silicea

This medicine is suited to those who have anxiety issues, are very nervous and fear appearing in public. They feel high level of anxiety when have to give a speech or perform an act on stage with fear of speaking in front of a group of people. They have loose stool with pain in abdomen and weakness. Rumbling and heat are felt in the abdomen. There is a tendency to sweat heavily especially on hand and feet, where this medicine is required.

 

 

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