PCOS, PHHA Series

Polycystic Ovarian Syndrome & Role of Homeopathy in PCOS

By

Dr Saurav AroraDr. Saurav Arora, BHMS (Gold Medalist), Founder: Vivid Homeopathy 

Dr Bharti Arora

Dr. Bharti Arora, MD (Hom.), BHMS (Silver Medalist), Co-Founder: Vivid Homeopathy 

Issued in Public Interest by

Vivid Homeopathy

www.vividhomeopathy.com | vividhomeopathy@gmail.com | +91 9811425214

Read Online Below or Download PDF here

In This Issue

  • Polycystic Ovarian Syndrome (=PCOS or PCOD)
  • Common Age of Onset
  • What is PCOS
  • Important terms
  • How it happens
  • Clinical Presentation
  • Types of PCOS
  • Prevalence
  • Diagnosis
  • Differential Diagnosis
  • Complications
  • Some Important facts
  • Management
  • Role of Homeopathy in PCOS
  • Recommended Scientific Reading

Polycystic Ovarian Syndrome (=PCOS or PCOD)

Polycystic Ovarian Syndrome or commonly called PCOS or PCOD (disease) is one of the rising endocrine disorders affecting millions of reproductive age group females. It is not only a disease which affects ovaries but may result in reproductive, metabolic, and psychological consequences.

Common Age of Onset

  • Common age of onset is adolescence.
  • Common time of diagnosis: 2nd to 4th decade of life.
  • Some symptoms may appear starting at menarche or post menopause.

What is PCOS

The first consensus definition of PCOS arose from the proceedings of an expert meeting in April 1990 in USA (1990 NIH criteria). It defines PCOS as the combined presence of:

  1. Hyperandrogenism,
  2. Oligoovulation and
  3. Exclusion of related disorders such as Cushing’s syndrome, hyperprolactinemia, and congenital adrenal hyperplasia.

However, in today’s scenario, an increasing awareness about PCOS suggests that the clinical expression of PCOS are broader than that specified by the 1990 NIH criteria.

Important terms

  • Hyperandrogenism = Androgen excess = excessive levels of androgens (male sex hormones such as testosterone).
  • Oligoovulation: Infrequent or irregular ovulation (usually defined as cycles of ≥36 days or <8 cycles a year).
  • Anovulation: is absence of ovulation when it would be normally expected (in a post-menarchal, premenopausal woman).

How it happens

The exact cause of PCOS is still unknown. It is believed that the hormonal imbalances and genetics play important role in its pathogenesis.

  • Females with PCOS often struggle with higher-than-normal production of androgens.
  • This affect the development and release of eggs during ovulation.
  • In many cases excess serum insulin may cause high androgen levels.

Clinical Presentation

The type and severity of symptoms varies from individual. Hyperandrogenism is a primary hallmark of PCOS. PCOS may cause women to develop certain characteristics, such as:

  • Abnormal growth of hair on the face, chest, stomach, thumbs, or toes (hirsutism),
  • Acne
  • Weight gain

Other symptoms/signs include:

  • Deeper voice
  • Decrease in breast size
  • Thin hair
  • Pelvic pain
  • Anxiety or
  • Infertility

Along with PCOS a female may have other concurrent health problems, such as diabetes, hypertension, and high cholesterol. These are linked to the weight gain typical in PCOS patients.

Types of PCOS

PCOS may express in following subtypes:

  1. HYPERANDROGENISM, normal cycle, PCO IN ULTRASOUND.
  2. Normal androgens, OLIGO-ANOVULATION, normal
  3. HYPERANDROGENISM, OLIGO-ANOVULATION, normal
  4. HYPERANDROGENISM, OLIGO-ANOVULATION, PCO IN ULTRASOUND

Prevalence

  • It affects approximately 5-10% of the female population in developed countries
  • In India it is approximately reported in 9% of the adolescent females.
  • Between 15-35 years of age it is commonly prevalent in around 6 – 13% of females

Diagnosis

PCOS is diagnosed clinically, but certain investigations are advised to diagnose it completely, such as:

  • Androgen level: free testosterone, DHEAS and androstenedione.
  • Sex hormone binding globulin (SHBG): usually low in PCOS.
  • Fasting insulin: elevated in PCOS.
  • Fasting glucose or 2-hour post-prandial glucose: elevated in PCOS.
  • LH/FSH Ratio: PCOS is associated with high LH with normal FSH. Normally, the ratio of LH: FSH is 1:1, but in PCOS, this ratio can get altered to 2:1 or even more.
  • Cholesterol levels: Impaired lipid metabolism may occur together with impaired blood sugar metabolism leading to an increase in both HDL and LDL.
  • Ultrasound to check for the presence of ovarian cysts in a typical pattern.

Differential Diagnosis

  • Pregnancy
  • Premature ovarian failure
  • Hyperthyroidism
  • Hypothyroidism
  • Pituitary adenoma
  • Late-onset congenital adrenal hyperplasia
  • Congenital adrenal hyperplasia
  • Androgen-producing tumor of the ovary or adrenal gland
  • Discontinuation of oral contraceptives
  • Rapid weight loss

Complications

Untreated PCOS may be associated with

  • Increased risk for cardiovascular disease
  • Dyslipidaemia
  • Infertility
  • Menstrual irregularities like amenorrhea, dysfunctional uterine bleeding
  • Permanent hirsutism
  • Persistent acne and
  • In some cases increased risk for endometrial cancer, endometrial hyperplasia and, breast cancer.

Some Important facts

  • This disorder was first identified in 1935 by Stein and Leventhal who noticed a condition in women characterized by irregular menstruation, obesity, and hirsutism, in addition to cysts on the women’s ovaries.
  • Genetic and environmental factors when combined with ovarian dysfunction, hypothalamic pituitary abnormalities, and obesity can accentuate PCOS.
  • Hormones imbalance involves estrogen, progesterone and androgens, such as testosterone.
  • The syndrome has major metabolic as well as reproductive morbidities. Reproductive problems may include infertility and various pregnancy complications and clinical signs of androgen excess.
  • Since it is reflected as hormone imbalance, there are instances where metabolic problems are also seen such as insulin resistance, metabolic syndrome, impaired glucose tolerance etc.
  • It is a psychological stress to a female and may result in lack of confidence, poor quality of life, poor self-esteem, depression, anxiety, and possibly eating disorders.

Management

The management of PCOS has four thumb rules:

  • Education: The PCOS and its causes must be taught to the patient. Many times it may be due to an underlying risk factor such obesity or stress.
  • Understanding: PCOS and its pathophysiological understanding is a must. Its present form, how much it is going to trouble a patient, what would be the probable outcome in future etc. must be understood.
  • Treat the Cause: As a thumb rule we need to identify the underlying cause of the PCOS, thus the treatment must aim at considering the root cause and not superficial symptoms only.
  • Eat Healthy Live Healthy: It is now an established fact that PCOS is related to poor life-style, stress and genetics. We can’t modify genetics but we can modify body’s expression and health status. Involment in health activities and treatment is the key rule. The patient is advised to take active interest and participation in timely medication, exercise, and dietary restrictions. Activities may include controlling cholesterol levels, reducing obesity, maintaining blood pressure etc.

Role of Homeopathy in PCOS

Homeopathy heals holistically!

  • Treat the Cause: Homeopathic system of medicine is a therapeutic system of symptoms similarity which is safe, effective, affordable and within reach. It takes into account the holistic approach i.e. person as a whole. This means that we treat every patient on the basis of individualization. During this process prescription is based upon the many factors such as symptoms, sign, causation, history, family history, mental status and inherent nature of the person, likings, disliking etc. This is synonymous with term Constitutional Medicine.
  • The PCOS has been termed as a syndrome as it affects many systems of the body. Therefore, it may be considered as a constitutional problem rather than a local disease.
  • Homoeopathic intervention aims at halting the progress, providing symptomatic relief and curing the patient.
  • Homeopathic medicines stimulate the hypothalamic-pituitary-ovarian axis thereby strengthens the immune system and trigger the natural release of hormones.

The homeopathic treatment of PCOS is divided into three major parts:

  • Initial stages (detected early): Constitutional treatment and/or specifics to control the symptoms.
  • Developed stages: Specific medicines to control symptoms and to regularise the body’s hormonal imbalance.
  • PCOS with other morbidities: Specific medicines are repeated too often and given for longer duration. The aim is to control the situation and improve quality of life of patients.

Homeopathic medicines can be taken safely along with other/conventional medications (ADD-ON Therapy).

  • The patient is asked to maintain a gap of approx. 30 mins between different medications.
  • The key point of treating PCOS is holistic healing and not hormonal or ultrasonography normalcy only.

Following medicines are commonly used frequently in homeopathy as constitutional or specific or both:

  • Apis mellifica
  • Natrum muriaticum
  • Platina
  • Phosphorus
  • Sepia
  • Pulsatilla (both in potency and mother tincture)
  • Thuja occidentalis
  • Senecio aureus
  • Oophorinum
  • Jonesia Asoca
  • Etc.

As a common myth, mother tinctures are not always superior to potencies. The right potency may be mother tincture, trituration or a dilution depending on severity and presentation of the case.

Recommended Scientific Reading

  1. Azziz R, Carmina E, Dewailly D, Diamanti – Kandarakis E, Escobar-Morreale HF, Futterweit W, et al. The Androgen Excess and PCOS Society criteria for the polycystic ovary syndrome: the complete task force report. Fertil Steril. Feb 2009;91(2):456-88. [Medline].
  2. Stein IF, Leventhal ML. Amenorrhea associated with bilateral polycystic ovaries. AJOG 1935; 29(2):181-191.
  3. Garad, R., Teede, H. J., & Moran, L. (2011). An evidence-based guideline for Polycystic Ovary Syndrome. Australian Nursing Journal, 19(4): 30.
  4. Heidi A. Polycystic ovary syndrome (PCOS) in urban India. Manlove University of Nevada, Las Vegas. Available from: http://bit.ly/1Dq1fbP [Last accessed on 26 April 2015].
  5. Nidhi R, Padmalatha V, Nagarathna R, Amritanshu R. Prevalence of polycystic ovarian syndrome in Indian adolescents. J Pediatr Adolesc Gynecol 2011;24:223‑7.
  6. Nidhi R, Padmalatha V, Nagarathna R, Amritanshu R. Prevalence of Polycystic Ovarian Syndrome in Indian Adolescents. Journal of Pediatric and Adolescent Gynecology 2011; 4: 223–27.
  7. Polycystic Ovary Syndrome: Current and Emerging Concepts. Springer. Lubna Pal 2014. London
  8. Burghen G.A., Givens J.R., Kitabchi A.E. (1980) Correlation of hyperandrogenism with hyperinsulinism in polycystic ovarian disease. J Clin Endocrinol Metab 50: 113–116
  9. Jeffcoate, William et al. Diabète des femmes à barbe: a classic paper reread. The Lancet , Volume 356 , Issue 9236 , 1183 – 1185
  10. Kierland RR, Lakatos I, Szijarto L. Acanthosis nigricans: An analysis of data in twenty-two cases and a study of its frequency in necropsy material. J Invest Dermatol 1947:9:299-305
  11. Brown J, Winkelmann RK. Acanthosis nigricans: a study of 90 cases. Medicine 1968 47:33-51
  12. Kahn CR, Flier JS, Bar RS, Archer JA, Gorden P, Martin MM, Roth J 1976 The syndromes of insulin resistance and acanthosis nigricans. N Engl J Med 294:739–745
  13. Hughesdon PE 1982 Morphology and morphogenesis of the stein-leventhal ovary and of so-called “hyperthecosis.” Obstet Gynecol Surv 37:59–77
  14. Roe AH, Dokras A. The Diagnosis of Polycystic Ovary Syndrome in Adolescents. Reviews in Obstetrics and Gynecology. 2011;4(2):45-51.
  15. Legro RS. Polycystic ovary syndrome: current and future treatment paradigms. Am J Obstet Gynecol. 1998;179:S101–8.

 

Disclaimer

This article does not intend to replace the in-person consultation. The facts are for general purpose and public awareness only, and must not be taken as Medical Consultation in any form. For consultation, treatment and specific queries you need to contact your healthcare professional.

Not for Medico-legal purposes.

© Vivid Homeopathy & Arora’s Homeopathic Clinic 2017.

For reprint and collaborations please contact Dr. Saurav Arora at vividhomeopathy@gmail.com

Diabetes mellitus, PHHA Series

Diabetes mellitus: Salient Points to Remember & Role of Homeopathy

Diabetes mellitus: Salient Points to Remember & Role of Homeopathy in Diabetes mellitus

By

Dr Saurav AroraDr. Saurav Arora, BHMS (Gold Medalist), Founder: Vivid Homeopathy 

Dr Bharti Arora

Dr. Bharti Arora, MD (Hom.), BHMS (Silver Medalist), Co-Founder: Vivid Homeopathy 

Issued in Public Interest by

Arora’s Homeopathic Clinic

An Establishment under

Vivid Homeopathy

www.arorasclinic.com | vividhomeopathy@gmail.com | +91 9811425214

On the Occasion of World Diabetes Day

Read Online Below or Download PDF here

diabetes mellitus

Diabetes mellitus: Salient Points

Diabetes mellitus is now an established multi-system and challenging syndrome. It is attributed to various risk factors including lifestyle, stress and genetic predisposition. Diabetes mellitus is prevalent in almost every part of the world in today’s scenario. Once thought to be a disease of sedentary origin, it is now one of the most common endocrine disorders prevalent amongst every strata, sexes and ethnicity.

Given below are some of the quick points which may help us to understand and thus tackle diabetes mellitus in a better manner:

  • Diabetes mellitus (DM) is an endocrine disease syndrome characterized by persistent hyperglycaemia (high blood sugar levels), resulting either from inadequate secretion of the insulin, or an inadequate response of target cells to insulin, or a combination of both factors.
  • DM has been recognized since antiquity, and treatments of various efficacies have been known since the middle ages, but the elucidation of the pathogenesis of diabetes occurred mainly in the 20th century.

The DM is commonly divided into Type 1 and 2 DM.

Image source: http://www.startstemcells.com/img/diabetes1.jpg & http://danii.org.au/wp-content/uploads/2016/01/Type-2-Diabetes-1.jpg

Other types of DM are Gestational and other specific types.

Image source: http://myremedysource.com/wp-content/uploads/2017/01/insulin-for-type-2-diabetes.jpg

Type 1 DM

  • The type 1 DM is also known as Insulin dependent DM or IDDM or Juvenile diabetes has an early onset (usually 2nd or earlier decade of life). It is characterized by beta cell destruction caused by an autoimmune process, usually leading to absolute insulin deficiency. The onset is usually acute, developing over a period of a few days to weeks.  Over 95 percent of persons with type 1 DM develop the disease before the age of 25, with an equal incidence in both sexes and an increased prevalence in the white population.
  • A family history of type 1 DM, gluten enteropathy (celiac disease) or other endocrine disease is often found.
  • Most of these patients have the “immune-mediated form” of type 1 DM with islet cell antibodies and often have other autoimmune disorders such as Hashimoto’s thyroiditis, Addison’s disease, vitiligo or pernicious anemia.

Type 2 DM

  • Type 2 DM (formerly called NIDDM, type II or Adult-onset) is characterized by insulin resistance in peripheral tissue and an insulin secretory defect of the beta cell.
  • The defective secretion of insulin and/or defective uptake fuel the cycle of glucose intolerance and hyperglycemia.

Risk Factors

The following risk factors increase the chances of developing Type 2 DM:

  • Genetic factors, usually family history, are present in many patients.
  • Increasing age
  • Altered food habits
  • Sedentary lifestyle
  • Obesity; and
  • Lack of physical activity.

Other (or rarer) causes include:

  • Certain medicines;
  • Pregnancy (gestational diabetes); and
  • Any illness or disease that damages the pancreas and affects its ability to produce insulin e.g. pancreatitis.

Type 2 DM now affects a higher proportion globally!

Symptoms

  • The classical symptoms of DM may be polyphagia, polydipsia, polyuria, weight loss, fatigue etc., but in the majority of the patients symptoms are variable in the presentation.
  • Many a time patients are diagnosed on the routine investigation or on the basis of non-specific and trivial symptoms.

Complications

The complications of diabetes are far less common and less severe in people who have well-controlled blood sugar levels.

In fact, the better the control, the lower is the risk of complications.

Diagnosis and Investigations

DM is diagnosed on the basis of clinical presentation and biochemical/specific investigations. The following tests are done in routine clinical settings:

  1. Blood sugar fasting and postprandial (PP)
  2. Blood sugar random
  3. Glycated Hb – HbA1C
  4. Serum insulin level
  5. Other tests: Liver function test, Lipid profile, Kidney function test, Eye examination etc.
  6. In addition, specific tests are also done depending upon symptoms and signs.

Goals of DM Medication

Whatever the form of medication you opt, the broad goal of medication remains the same

Normalcy of blood Sugar levels

Improvement in overall Health

Prevention of Complications

Levels of blood sugar for Normal and Diabetic Patients

Oral Hypoglycaemic and Insulin Preparations

A major challenge and equal confusion exist in general population regarding conventional treatment of DM i.e. whether to take oral hypoglycemic or insulin. In this regard following points may be noted:

  • It is a common practice for a physician to start oral hypoglycemic drugs in initial stages. The oral hypoglycemic drugs lower the blood sugar levels after entering body’s digestive system.
  • On the other hand, when oral drugs fail to achieve the desired blood sugar levels, or there is lack of compliance on part of patient or due to side effects oral drugs etc., various insulin preparations are advised. The Insulin is injected directly into the bloodstream. The insulin preparation and units are decided by the physician keeping in mind average level of blood sugars, the age of patient, compliance, complications, if any etc.
  • Insulin is also advised where blood sugar levels are abnormally high and there is a chance of developing pathological changes in the body.
  • It is also commonly observed that patients keep on taking oral hypoglycemic drugs or insulin without monitoring of blood sugar levels for longer times.
  • Therefore, it is not advisable at all to experiment with your health. The blood sugar levels must be controlled under the supervision of a medical practitioner only. It is also equally important to know which kind of medication especially insulin preparation you are taking because it lowers blood sugar levels faster and a patient may end up in acute hypoglycemia rather than control.

Following are the common types of insulins and the duration for which they work

Hypoglycaemia

Hypoglycemia is commonly encountered in diabetic patients and can be life-threatening. To treat, one simply needs the presence of mind and alertness to the condition. Here too, prevention is better than cure. It is advised to take sufficient food with anti-diabetic medications especially insulin to avoid sudden fall in blood sugar levels. Even if someone suffers from it apply the Rule of 15! When the blood sugar level falls beyond 70 mg/dl a diabetic is given 15gm of carbohydrates and after 15 minutes sugar is again checked. This is done until the sugar comes to a normal range. The following items contain approx. 15 grams of carbohydrates:

  • ½ cup of orange juice
  • 1 tablespoon of honey or syrup
  • 1 tablespoon of sugar or 5 small sugar cubes

Management

The management of DM has four thumb rules:

Education: The DM and its outcome must be taught to the patient is a simple language. Patient has the equal right to have the right knowledge of the disease, its progression, and complications.

Understanding: DM, its present situation, and prognosis must be understood keeping in mind background of the patient, presenting complaints, occupation, history, environment (family and working) and mental state. Not every diabetic land up in complication.

Participation in health activities and treatment is the key rule. The patient is advised to take active interest and participation in timely medication, exercise, and dietary restrictions. Activities may include smoking cessation, controlling elevated cholesterol levels, reducing obesity, maintaining blood pressure etc.

Save your Eyes, Kidneys, and Nerves. Undergo a routine check-up at regular intervals.

By changing diet, blood glucose levels can be controlled

  • Despite diabetes being a condition of sugar regulation, specific restriction of sugars is not necessary, except as part of ensuring a balanced diet overall.
  • The best thing is to reduce the amount of simple sugars and refined carbohydrates and increasing the amount of complex carbohydrates and fibre in the diet.
  • The body needs time and energy to break and use complex carbohydrates such as fruits, vegetables, and whole grains. This leads to the slower release of glucose into the bloodstream.
  • Simple carbohydrates, such as sugars and highly processed or refined foods, are broken down quickly, leading to a rapid rise in blood sugar.
  • A diabetic may consult a dietician for specific and customized diet plans.

Exercises yield following benefits

  • Exercise causes contracting of muscles thereby using the circulating sugar and hence decrease the pancreas’ burden.
  • Exercise consumes much of accumulated fat and thus weight is maintained, which in itself may ameliorate most symptoms of diabetes.
  • Exercise gives a psychological boost.
  • A diabetic can opt for any light exercise like walking, jogging, swimming, cycling, gardening, etc.
  • A middle-aged diabetic should desist from doing heavy or tiring exercises.

Role of Homeopathy in Diabetes mellitus

Homeopathy heals holistically!

  • Homeopathy has been used for a long time to control the blood sugar levels.
  • Homeopathic medicines directly act on nervous system thereby stimulates the immune system. They stimulate the pancreas function and release of quality pancreas secretions, and at the same time improves the uptake and metabolism at the cellular level.

The homeopathic treatment of diabetes is divided into three major parts:

  • Initial stages (detected early): Constitutional treatment and/or specifics to control (and cure in some case) blood sugar levels, usually given for few weeks to few months.
  • Developed stages: Specific medicines to control blood sugar levels, usually given for few months to years.
  • Complicated cases: Specific medicines repeated too often and given for years. The pathology can’t be reversed but progression can be checked with improvement in the quality of the life of the patient.

 

  • Homeopathic medicines can be taken safely along with other/conventional medications (ADD-ON Therapy).
  • The patient is asked to maintain a gap of approx. 30 mins between different medications.

The key point of treating holistically is to keep a regular check on blood sugar levels, improve quality of life and minimize (or avoid) complications

In addition to constitutional or individualized medicines the following specific medicines are used frequently in homeopathy:

  • Syzygium jambolanum
  • Cephalandra indica
  • Uranium nitricum
  • Lycopodium
  • Acid phosphoricum
  • Abroma augusta
  • Insulinum
  • Natrum sulph.
  • Etc.

 

  • As a common myth, mother tinctures are not always superior to potencies.
  • The right potency may be mother tincture, trituration or a dilution depending on severity and presentation of the case.
  • One should not take medicines for DM without supervision. It is a common practice amongst general public to take anti-diabetic medications for long without checking their blood sugar levels.

The success of treating diabetes is directly proportional to its understanding.

Disclaimer

This article does not intend to replace the in-person consultation. The facts are for general purpose and public awareness only, and must not be taken as Medical Consultation in any form. For consultation, treatment and specific queries you need to contact your healthcare professional.

Not for Medico-legal purposes.

© Vivid Homeopathy & Arora’s Homeopathic Clinic 2017.

For reprint and collaborations please contact vividhomeopathy@gmail.com

PHHA Series, Pneumonia

Pneumonia: Salient Points to Remember & Role of Homeopathy

Pneumonia: Salient Points to Remember & Role of Homeopathy in Pneumonia

By

Dr Saurav AroraDr. Saurav Arora, BHMS (Gold Medalist), Founder: Vivid Homeopathy 

Dr Bharti Arora

Dr. Bharti Arora, MD (Hom.), BHMS (Silver Medalist), Co-Founder: Vivid Homeopathy 

Issued in Public Interest by

Arora’s Homeopathic Clinic

An Establishment under

Vivid Homeopathy

www.arorasclinic.com | vividhomeopathy@gmail.com | +91 9811425214

On the Occasion of World Pneumonia Day 

Read Online Below or Download PDF here

Global Burden

As per World Health Organization, “Pneumonia is one of the most solvable problems in global health and yet a child dies from the infection every 20 seconds.”

The global burden of Pneumonia is noteworthy:

  • It is a leading cause of death for children under the age of five years around the world.
  • Pneumonia is the single largest infectious cause of death in children worldwide. Pneumonia accounts for 16% of all deaths of children under 5 years old, killing 920 136 children in 2015. (WHO report)
  • India, Indonesia, Chad, China and Somalia are amongst those countries with highest burden of this disease.
  • It is because of pneumonia and diarrhoea that India is placed amongst the list of top 15 nations fighting with these diseases.
  • One third of the pneumonia population worldwide doesn’t get sufficient treatment.
  • Even if the treatment is given, it doesn’t guarantee the complete survival from pneumonia. In United States alone, 20% of all hospitalized pneumonia patients die every year.

Pneumonia

Pneumonia is one of the commonest infectious disease which may be caused due to bacteria (most commonly by Streptococcus pneumoniae), virus, fungi etc. leading to inflammation of the airspaces in lungs. The alveoli and bronchioles are infiltrated with white blood cells and fibrinous exudates.

  • It can be a presented as mild form or as a life threatening disease depending upon the immunity of the patient.
  • It can be transmitted via air-borne route (cough and sneeze) or via blood transmission.

Symptoms

Pneumonia is inflammation of the alveoli (air sacs) of the lungs, the following symptoms are commonly present in varying degrees:

  • High fever with chills (shivering)
  • Cough – may be dry or productive (green, yellow, brown or blood stained)
  • Difficulty in breathing – fasting breathing with lower chest wall in-drawing in children.
  • Chest pain
  • Nausea, vomiting, or diarrhoea
  • Loss of appetite
  • Increased perspiration
  • Increased heart rate
  • Excessive fatigue
  • Confusion or disorientation to surroundings
  • Wheezing
  • Headache
  • Joint and muscle pains
  • Unconsciousness, hypothermia and convulsions: especially in severely ill infants or old age patients.
  • Etc.

Risk Factors

It is true for every disease including Pneumonia – the interaction of host and environment. Pneumonia only attacks when there is a weakened immune system. This condition commonly affects:

  • Children under 5 years of age.
  • Malnutrition or undernourished children.
  • Severely ill patients.
  • Patients with other chronic illnesses.
  • Immuno-compromised patients such as HIV+/AIDS.
  • Excessive exposure to infection such as: indoor air pollution, crowded homes/schools/societies, parental smoking etc.

Pneumonia may be Hospital Acquired or Community Acquired

Diagnosis

The symptoms of pneumonia, if mild, are liable to be ignored and thus misdiagnosis is very common. It is only when symptoms are severe since beginning and/or prolonged, the correct diagnosis is made. The diagnosis of Pneumonia is pretty simple and can be arrived by following tests:

  • Clinical examination may yield hyperthermia or hypothermia; Tachypnea (>18 respirations/min); use of accessory respiratory muscles; tachycardia or bradycardia; central cyanosis; altered mental status
  • Physical examination may yield adventitious breath sounds (rales/crackles, rhonchi, or wheezes); decreased intensity of breath sounds; dullness to percussion; tracheal deviation; lymphadenopathy; pleural friction rub etc.
  • Complete blood count
  • X ray Chest (lung consolidation)
  • Sputum test, if required to see bacterial presence and growth.
  • There may be specialized and other investigations if the symptoms are complex and prolonged.

Conventional Treatment

The conventional treatment of Pneumonia includes antibiotics, but in cases of pneumonia with viral pathology, the treatment becomes a challenge.

Complications

There may be mild to severe complications of Pneumonia such as pleural effusion and sepsis. The complication may be life threatening and therefore, timely treatment and management is necessary.

Management

The management of Pneumonia (adopted from WHO) has three thumb rules:

  • Protect: Every possible measure must be adopted to protect an individual (especially children) for protection against Pneumonia such as adequate nutrition, healthy lifestyle, exercise etc.
  • Prevent: Prevention is better than cure. Every measure must be taken to prevent Pneumonia spread such as less exposure to risk factors (e.g. indoor air pollution, crowded places), hand washing, etc.
  • Treat: Every Pneumonia case must have access to the right treatment. We must encourage early detection and timely treatment of Pneumonia.

Role of Homeopathy in Pneumonia

Homeopathy heals holistically!

  • Homeopathy stimulates body’s natural immune system to tackle with infectious diseases such as Pneumonia.
  • In Pneumonia the infection arises of lowered immunity, immunocompromisation or increased burden of disease. Homeopathy acts on each and every level to ensure protection from pneumonia. Therefore, Homeopathy acts to: a)Reduce disease burden; b) Improves immunity, c) Have no side or residual effects.
  • Since it is an acute and self-limiting infection, the treatment of pneumonia is symptomatic and conservative.
  • Homeopathy is safe and effective for every age group and therefore, can be given to infants or severely ill patients with ease.
  • Homeopathic medicines can be taken safely along with other/conventional medications (ADD-ON Therapy) for quick recovery and no side effects.
  • All symptoms are observed and noted to form a drug picture of the patient. This includes in-depth details of presenting complaints as well as non-specific symptoms.

The homeopathic treatment of pneumonia is divided into three major parts:

  • Mild form (detected early with minimal to moderate symptoms): Constitutional treatment and/or specific medicines are used to control the disease; the disease duration is shortened with complete recovery.
  • Severe form (moderate to severe symptoms): Specific homeopathic medicines are used frequently to control fever and to prevent complications. In such cases aid of conventional measures and treatments are advisable. A close monitoring is required to ensure no complications.
  • Pneumonia in immuno-compromised patients: These cases are dealt with homeopathy as Add-on therapy. Specific medicines are repeated too often along with general management and conventional treatments. The major aim is to decrease the disease burden and to improve quality of life.

In addition to constitutional or individualized medicines the following specific medicines are used frequently in homeopathy for Pneumonia:

  • Aconite Ammonium carb.
  • Ammonium iodatum
  • Antimonium arsenicosum
  • Antimonium sulph
  • Antim tart.
  • Arsenicum iodatum
  • Bryonia
  • Calcarea iodatum
  • Carbo vego
  • Digitalis
  • Ferrum phos
  • Iodum
  • Ipecac
  • Kali carb.
  • Kali iod.
  • Phosphorus
  • Silicea
  • Squilla
  • Sulphur
  • Veratrum viride
  • Etc.

Disclaimer

This article does not intend to replace the in-person consultation. The facts are for general purpose and public awareness only, and must not be taken as Medical Consultation in any form. For consultation, treatment and specific queries you need to contact your healthcare professional.

Not for Medico-legal purposes.

© Vivid Homeopathy & Arora’s Homeopathic Clinic 2017.

For reprint and collaborations please contact vividhomeopathy@gmail.com

Air Pollution, PHHA Series

Effects of Air Pollution on Health and Role of Homeopathy

Choose Your Language [gtranslate]

Public Health and Homeopathy Awareness Initiative Series

Air Pollution: Its Effects on Health & Role of Homeopathy in Air Pollution Related Diseases

By

Dr Saurav AroraDr. Saurav Arora, BHMS (Gold Medalist), Founder: Vivid Homeopathy 

Dr Bharti Arora

Dr. Bharti Arora, MD (Hom.), BHMS (Silver Medalist), Co-Founder: Vivid Homeopathy 

Issued in Public Interest by

Arora’s Homeopathic Clinic

An Establishment under

Vivid Homeopathy

www.arorasclinic.com | vividhomeopathy@gmail.com | +91 9811425214

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Air is the Most Essential Thing

Air is a mechanical mixture of gases, and the most essential thing for an organism to survive. It normally contains Nitrogen (78%), Oxygen (21%), Carbon dioxide and other gases in proportion. In addition to these gases, air also contains water vapour, traces of ammonia and suspended matter such as dust, bacteria, spores, and vegetable debris, etc.

Apart from supplying the life-giving oxygen, air and atmospheric conditions serve several functions.  The human body is cooled by the air contact; special senses of hearing and smell function through air-transmitted stimuli; disease agents are conveyed by air.

The term “air pollution” denotes the presence of substances (e.g. gases, mixtures of gases and particulate matter) in the ambient surroundings, generated by the activities that interfere with the human health, safety or comfort, and is injurious to organisms, and other environmental media. It also results in chemicals entering the food chain, drinking water and thereby, adding substantial disease burden and affecting the quality of life.  The problem of air pollution was first recognized about 500 years ago when the burning of coal in cities was increasing, and since then it is increasing at an alarming rate all over the globe.

During foggy weather, when little wind is present the smoke generated from pollution is mixed with fog and form “SMOG”

The smog is making it difficult for people to see and breathe. 

Types

  1. Personal air exposure: refers to exposure to dust, fumes and gases to which an individual is exposed directly or indirectly, eg. Smoking.
  2. Occupational air exposure: exposure to harmful concentration of aerosols, vapors, and gases in working environment.
  3. Community air exposure:  This is most serious, complex, consists of varieties of assortment of pollution sources, meteorological factors, and wide variety of adverse social, economic, and health effects.

Air Pollutants

Till date more than 100 substances have been identified which pollute the air. These vary from place to place depending upon the specific complex of contaminant source. Following are few examples of primary and secondary air pollutants:

  • Carbon monoxide
  • Sulphur dioxide
  • Nitrogen oxides
  • Hydrocarbons
  • Particulate matter
  • Lead
  • Benzen
  • Ozone
  • PAN (peroxy acetyl nitrate)
  • Photochemical smog
  • Aerosols and mists: Sulphuric acid  (H2SO4), Nitric acid (HNO3)

Indoor Air Pollution

  • Indoor air pollution is one of the four most critical global environmental problems.
  • It exposes more people worldwide to important air pollutants than pollution in outdoor air.
  • Rural people in developing countries may receive as much as two-thirds of the global exposure to particulates.
  • Women and children suffer the greatest exposure.

Sources of Indoor Pollution

  • Indoor air pollution contributes to acute respiratory infections in young children, chronic lung disease, and cancer in adults, and may induce adverse pregnancy outcomes.
  • Non-smoking women exposed to indoor coal smoke have a risk of lung cancer similar to that of men who smoke lightly.

Effects on Health

Air pollution has short term and long term effects. The direct effects are reflected in airway system and then spread to multi-systems. It ranges from:

  • Upper and lower respiratory tract infections (acute and chronic)
  • Acute and recurrent bronchitis
  • Acute respiratory distress
  • Asthmatic attacks
  • Aggravation of pre-existing respiratory and heart disease.
  • Lung cancer

The short term and long term exposure is also linked with short life expectancy and reduced quality of life.

Effects of specific pollutants

General Management

The keywords of general management with respect to Air Pollution are:

Prevention

  • More you prevent yourself from harmful allergens, dust, smoke, pollution and smog, more it would be beneficial for your health.
  • Try to avoid early morning exposure to smog, cold air when your city is too much polluted.
  • Avoid travelling in crowded areas, malls and street where number of people and vehicles are intense.
  • Avoid taking walks on main roads, rather prefer parks with greenery.

Eat Healthy

  • Eating healthy foods keep your immunity intact and strong.
  • Food items like Jaggery, food rich in vitamin E and C keeps your immunity intact.
  • Avoid taking spicy and sour foods.

Keep your airways clear and clean

  • Use masks where ever necessary.
  • Avoid smoking and Passive-Smoking.
  • Keep your home free of dust, perfumes, strong smells and garbage.

Medication

  • Timely medication helps your immunity to fight disease better.
  • Don’t ignore symptoms even if they are minor and nonspecific.

Education

  • Keep yourself educated regarding hazards of air pollution and how to tackle them.
  • Keep an eye on neighbourhood for any polluting activities such as open fires, release of chemicals from factories, old polluting vehicles etc.
  • Try not to use own vehicles when you are travelling alone.
  • Opt for Car-Pool in where ever possible.

Ask for your rights

  • At working environments ask for masks, air purifiers, and less exposure to air/chemical pollution
  • Take opinion of medical specialists if you feel unwell while working.
  • Support govt. initiatives to keep your city clean and green

Role of Homeopathy in Diseases arising from Air Pollution

Homeopathy heals holistically!

  • Homeopathic medicines stimulates the body’s inner strength and boost the immune system to work well i.e. to reduce the disease load and to improve the overall health.
  • The constitutional or individualized homeopathy is known to reduce to tendency to catch respiratory illnesses.
  • The prescription is dependent upon symptoms, signs, tendencies, history and causation.
  • The treatment can be curative, palliative or supportive depending upon state and staging of disease.
  • In every stage homeopathy has a definitive role to play.
  • Homeopathic medicines can be taken safely along with other/conventional medications (ADD-ON Therapy).
  • In addition to constitutional/individualized medicines, the following medicines are frequently used on the basis of causation and symptom similarity:
  • Allium cepa: Rhinitis, coryza copious, fluent, watery, acrid discharge; burning in nose, mouth, throat; violent sneezing; eyes red, burning with profuse, watery, bland lacrimation; headache, cough, hoarseness.
  • Ammonium carb: Complaints from fumes, charcoal fumes; emphysematous changes in lungs; frequent sneezing, profuse discharge from nose, burning like hot water; stoppage of nose at night, wake up from sleep; sensation of dust particles in throat; dry tickling cough; chokes; wheezing.
  • Arsenicum album: An important remedy that is used in majority of complaints incidental to air pollutants, e.g. conjunctivitis, rhinitis, asthmatic bronchitis, emphysema, lung cancer, leukaemia and other malignancies, etc; quick respiration; suffocation inducing cough; scanty, frothy expectoration; sneezing without relief; burning in eyes; burning pains all over.
  • Blatta orientalis: Complaints from fumes, coal dust, smoke; relieves bronchospasm, acts as expectorant; dyspnoea, oppression of breathing; cough, with thick and purulent sputum.
  • Bromium: Complaints from coal dust; allergy to dust; complaints of sailors who suffer from asthma when they go ashore, better on sea. Dry spasmodic cough, airway feels filled with smoke; difficulty in inspiring, as if breathing through sponge.
  • Carbo veg: Complaints from carbon gas, carbon monoxide, dust, smoke, fumes from incomplete combustion of fuels. Collapse from imperfect oxidation. Oppressed, quick respiration; air-hunger, longing for fresh air; wants windows open; long spasms of cough with weakness, wheezing, gagging.
  • Cassia sophera: Complaints from exposure to dust, smoke; asthma, dry cough, with pain in chest, irritation in throat, better warmth; expectoration thick, yellowish; worse during winters, change of weather.
  • Dulcamara: Ailments from changing, damp environment, foggy weather, cold damp conditions, air-conditioned rooms; dry, teasing, spasmodic cough; hoarseness; dyspnoea after physical exertion.
  • Euphrasia: Inflammation of the conjunctiva; profuse acrid lacrimation; profuse, fluent bland coryza, sneezing in morning; violent cough in day time, abundant expectoration; worse indoors, warmth; better in open air.
  • Lobelia inflata: Ailments from smoke, dust; emphysematous changes; extreme dyspnoea; cough with sneezing, gasping; scanty expectoration; extreme nausea and vomiting, cannot bear taste or smell of tobacco.
  • Natrum sulph: Ailments incidental to spring & rainy season; dyspnoea; coughs continuously, towards end hacks up thick, ropy, greenish mucus.
  • Pothos foetidus: Ailments from smoke, dust; great dyspnoea and cough, frequent sneezing, pain in throat and chest, anxiety, abdominal distension and tension, better in open air.
  • Phosphorus: An important remedy that may be used in majority of complaints incidental to air pollutants, e.g. conjunctivitis, rhinitis, asthmatic bronchitis, emphysema, lung cancer, leukaemia, and other malignancies, etc. Breathing anxious, panting, short, hurried, very much oppressed; tightness across chest; violent hard, dry, tight, racking cough in spasmodic paroxysms.
  • Plumbum metallicum: An important remedy for lead toxicity. Interference with homoeostasis, rapid reduction in number of red cells, with pallor, icterus, anaemia. Localized neuralgic pains, neuritis, paralysis, wrist drop; stinging and tearing in limbs, with twitching, numbness.
  • Sulphurous acid: Persistent choking cough with copious expectoration; hoarseness, constriction of chest, difficult breathing.
  • Sabadilla: Rhinitis, pharyngitis; violent spasmodic sneezing, abundant watery nasal discharge, itching and tingling in nose, redness and burning in eyes, lacrimation, frontal headache, dryness and irritation in throat.
  • Sambucus: Nasobronchial hypersensitivity; paroxysmal nightly suffocative attacks; nose stopped up at night, breath through mouth; cough deep, restlessness, profuse perspiration.
  • Sanguinaria can: Nasobronchial hypersensitivity, asthmatic bronchitis. Severe dyspnoea, constriction in chest, severe spasmodic cough. Expectoration of thick yellow mucus, dislodged with difficulty. Sneezing, profuse watery mucus from nose; sensitive to flowers, odours.
  • Spongia: Complaints from sudden change of atmosphere, smoke. Severe form of asthmatic bronchitis, with dryness of respiratory tract. Severe dyspnoea, with wheezing, suddenly wakes up at night with intense suffocation; respiration rapid, short.

Disclaimer

This article does not intend to replace the in-person consultation. The facts are for general purpose and public awareness only, and must not be taken as Medical Consultation in any form. For consultation, treatment and specific queries you need to contact your healthcare professional.

Not for Medico-legal purposes.

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