Hernia

                                                    Hernia

  The immediate reaction on seeing any abnormal swelling or lump in the body, particularly one that does not subside and is located in a sensitive part, is to go in for surgery and have it removed. In case of hernia too, surgery is often considered the only option by the patients. Homeopathic remedies for Hernia can effectively treat the condition and that too without any side effect. 

What is Hernia???

  In medical terms, the protrusion of an organ or a part of an organ through an abnormal opening in the wall of the cavity that normally contains it is referred to as Hernia. The main cause of hernia is the weakness of the abdominal muscles. This can either be congenital or acquired. The congenital weakness of abdominal muscles is present since birth and the acquired muscle weakness result from various factor like surgical incisions, repeated pregnancy, excess fat in the abdomen, chronic cough, constipation, and even excessive weight lifting. Homeopathic medicine, which is sourced from natural substances and is completely safe with zero side effects, are of great help in curing various types of hernia. A hernia occurs when there is a weakness or hole in the peritoneum, the muscular wall that usually keeps abdominal organs in place. This defect in the peritoneum allows organs and tissues to push through, or herniate producing a bulge. The lump may disappear when the person lies down, and sometimes it can be pushed back into, coughing may make it reappear. 

Types of Hernia:

 Inguinal Hernia:
  
 This is commonest types of hernia. It can occur in infants or adults and since the swelling is in the groin, the panic button is pressed quite easily. In an inguinal hernia, a part of abdominal contents, mainly intestines, protrudes through the inguinal region of the abdominal wall. The inguinal region is present in the groin. 

Umbilical Hernia:

 This Hernia is more common in females than males and also in infants. In umbilical Hernia, the abdominal contents bulge out from the umbilicus or navel of the abdomen. 

Femoral Hernia:

 This hernia is also more common in female and very uncommon in children. In femoral hernia, the abdominal contents protrude through the femoral canal present in the upper inner thigh region. 

Obstructed/ Incarcerated Hernia:

  In this type of hernia, the lumen of the intestine(colon) gets obstructed, leading to intestinal obstruction. 

Strangulated Hernia: 

 In this type of hernia, the arterial supply of the contents of hernia stops along with intestinal obstruction. Femoral Hernia is most liable to get strangulated. 

Causes:

  With the exception of an incisional hernia(A complication of abdominal surgery), in most cases, there is no obvious reason for a hernia to occur. The risk of hernia increases with age and occurs more commonly in men than in women. A hernia can be congenital or develop in children who have a weakness in their abdominal wall. Activities and medical problems that increase pressure on the abdominal wall can lead to a hernia 

 These include:

 - Straining on the toilet (due to long term constipation)
 - Persistent cough 
 - Cystic fibrosis
 - Enlarged prostate
 - Being overweight or obese
 - Abdominal fluid
 - Lifting heavy items
 - Peritoneal dialysis
 - Poor nutrition
 - Smoking
 - Physical exertion
 - Undescended testicles.

Risk factors for hernia:

 The risk factors can be broken down by hernia type:

Incisional hernia risk factors:

    Because of an incisional hernia is the result of surgery, the clearest risk factor is a recent surgical procedure on the abdomen. People are most susceptible 3-6 months after the procedure, especially if

    They are involved in strenuous activity, have gained additional weight, become pregnant, these factors all put extra stress on tissue as it heals. 

Inguinal hernia risk factors:

 Those with a higher risk of an inguinal hernia include:

- Older adults
- People with have had inguinal hernias previously
- Males
- Smokers, as chemicals in tobacco weakness tissues, making a hernia more likely. 
- People with chronic constipation. 
- Premature birth and low birth weight
- Pregnancy 

Umbilical hernia risk factors:

Umbilical hernias are most common in babies with low birth weight and premature babies. In adults, the risk factors include
- Being overweight 
- Having multiple pregnancies
- Being female

Hiatal Hernia risk factors:

 The risk of hiatal hernia is higher in people who
- Are aged 50 years or over
- Have obesity 

Symptoms of Hernia:

 The main symptoms of Hernia are swelling or formation of a lump. In an inguinal hernia, the swelling appears in the groin. In femoral hernia, the swelling appears in the upper inner thigh region and an umbilical hernia, the swelling is apparent around the navel. Swelling is often accompanied by discomfort or a dragging type of pain around the swelling. In the case of obstructed or strangulated hernia, abdominal colic, vomiting, distended abdomen, and constipation are the main symptoms. 

 Most people can feel a bulge where an inguinal hernia develops in the groin. There may be a burning or sharp pain sensation in the area because of inflammation of the inguinal nerve or a full feeling in the groin with activity. If a hernia occurs because of an event like lifting a heavy weight, a sharp or tearing pain may be felt. However, many people do not have any complaint other than a feeling of fullness in the area of the inguinal canal. pain and nausea and vomiting, signaling the possible development of a bowel obstruction. Fever may be associated with strangulated, dead bowel. Only one part of the bowel obstruction initially, since the passageway of the intestine still allows bowel contents to pass, but that portion of bowel wall that is trapped can start to swell, strangulate and die. 

 Femoral and obturator hernias present in much the same way as inguinal hernias, though because of their anatomic location, the fullness or lumps may be much more difficult to appreciate. Umbilical hernias area easy to appreciate and in adults often pop cut with an increase in abdominal pressure. The complications again include incarceration and strangulation. 

  A hiatal hernia does not cause many symptoms by itself, but when a sliding hernia occurs, the abnormal location of the gastroesophageal junction above the diaphragm affects its function and stomach contents can reflux into the esophagus. Gastroesophageal reflux may cause burning chest pain, epigastric pain and burning in the upper abdomen nausea, vomiting, and a sour taste from stomach acid that washes into the back of the throat. 

 A sports hernia is a tear or strain of any tissue in the lower abdomen or groin. It causes pain in the groin or inguinal area. It can involve any soft tissue, including muscle, tendon, or ligament and can be initiated by physical activity, usually involving twisting or blunt force to the abdomen. 

Diagnosis:
  
 For inguinal hernias, most patients notice a feeling of fullness or a lump in the groin area with pain and burning. The physical examination can usually confirm the diagnosis. Femoral or obturator hernias are more difficult to appreciate and symptoms of recurrent inguinal or pelvic pain without obvious physical findings may require a CT scan to reveal the diagnosis. Umbilical hernias are much easier to locate with the bulging of the belly button. 

 Hernias that are incarcerated or strangulated present a greater challenge since the potential complication of dead bowel increases the urgency. The health care professional seeks clues of obstruction, including a history of pain, nausea, vomiting., or fever. During a physical examination, a doctor may often discover that a patient has a markedly tender abdomen. 

 These hernias are often exquisitely tender and film. The exam may be enough to suspect incarceration or strangulation and require immediate consultation with a surgeon. Doctors may be able to diagnose Hiatal hernias associated with GERD by learning a patient's medical history during his or her physical exam. A chest x-ray can reveal part of the stomach within the chest. If there is concern about complications including esophageal inflammation, ulcer, or bleeding, a gastroenterologist may need to perform an endoscopy. 

Hernia complication:

 The major complication of a hernia is incarceration, where a piece of bowel or fat gets sac and cannot be reduced. Swelling can occur to the point that blood supply to the tissue is lost and it dies. This is called a strangulated hernia. 

If a hiatal hernia is large, part of the stomach and esophagus can disease into the chest. Depending up the situation and anatomy, the stomach can twist potentially leading to strangulation. This is a surgical emergency. 



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Melasma(Chloasma)

                                                     Melasma(Chloasma)

 Melasma is a common skin problem. It causes ti gray-brown patches, usually on the face. Most people get it on their cheeks, bridge of their nose, forehead, chin, and above their upper lip. It also can appear on the parts of the body that get lots of sun, such as the forearms and neck. 

     An acquired hypermelanosis with blotchy coalescent hyperpigmented macules occurring in sun-exposed areas, especially of the face and neck, which is typically seen in pregnancy or with OC use, it is caused by oxidation of tyrosine to melanin and usually regresses with delivery. A similar mask may appear in men whit out abnormal hormone levels, and in patients treated with phenytoin. 

     One of the most common treatments for melasma is sun protection. This means wearing sunscreen every day and reapplying the sunscreen every 2 hours. The dermatologist also recommends wearing a wide-brimmed hat when you are outside. Sunscreen alone may not give you the protection you need. Women are far more likely than men to get melasma. It is so common during pregnancy that melasma is sometimes called the mask of pregnancy. Hormones seem to trigger melasma. 

Causes:

   Melasma appears on women's skin much often than men's skin. Just 10% of people who get melasma are men. 

   People with darker skin, such as those of Latin/ Hispanic, North Africa, Africa- American, Asian, Indian, Middle Eastern, or Mediterranean descent are more likely to get melasma. People who have a blood relative who had melasma also are much more likely to get melasma. 

      What causes melasma is not yet clear. It likely occurs when the color- making cells in the skin produce too much color. People with skin of color are more prone to melasma because they have more active melanocytes than people with light skin. 

Triggers:

 Sun exposure: 

  Ultraviolet light from the sun stimulates the melanocytes. I fact just a small amount of sun exposure can make melasma return after fading. Sun exposure is why melasma often is worse in summer. It also is the main reason why many people with melasma get it again and again. 

Change in Hormones:

  Pregnant women often get melasma. When melasma appears in pregnant women, it is called chloasma, or the mask of pregnancy. Birth control pills and hormone replacement medicine also can trigger melasma. 

Signs & Symptoms:

 Common signs of melasma are brown or gray-brown patches on the face. These patches most commonly appear on the:

- Cheeks

- Forehead

- Bridge of the nose

- Above the upper lip

- Chin.

   Some people get patches on their forearms or neck. This is less common. Melasma does not cause any symptoms. But many people dislike the way melasma makes their skin look. If you dislike these patches, sun protection and treatment can help. 

Melasma types:

 Chloasma Gravidarum:
  
    Brownish pigmentation of the face, often occurring in pregnancy. It usually disappears after delivery. It is also seen in some women who take progestational oral contraceptives. mask of pregnancy.

Chloasma hepaticum:

 Liver spot. 

Idiopathic chloasma:

 Chloasma caused by external agents such as sun, heat, mechanical means, and x- rays. 

Chloasma Traumaticum:

 Skin discoloration following trauma.

Diagnosis:

   Diagnose most patients by looking at their skin. To see how deeply the melasma penetrates the skin, your physician may look at your skin under a device called a Wood's light. Sometimes melasma can look like another skin condition. To rule out another skin condition, your dermatologist may need to remove a small bit of skin. This procedure is called a skin biopsy. A dermatologist can safely and quickly perform a skin biopsy during an office visit.

Wear sunscreen daily:

   One of the most common treatments for melasma is sun protection. Since sunlight triggers melasma, it is important to wear sunscreen every day, even on cloudy days and after swimming or sweating.

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Anal Fistula

                                                       Anal Fistula

   Anal Fistula is a chronic abnormal communication between the epithelialized surface of the anal fistula and usually the perianal skin. An anal fistula can be described as a narrow tunnel with is internal opening in the anal canal and its external opening in the skin near the anus. Anal fistula commonly occurs in people with a history of anal abscesses. They can form when anal abscesses do not heal properly. 

  Anal fistula originates from the anal glands, which are located between the internal and external anal sphincter and drain into the anal canal. If the outlet of these glands becomes blocked, an abscess can form which can eventually extend to the skin surface. The track formed by this process is a fistula. Abscesses can recur if the fistula seals over, allowing the accumulation of pus. It can then extend to the surface again- repeating the process. 

  Anal fistulae per so do not generally harm, but can be very painful, and can be irritating because of the drainage of pus. Additionally, recurrent abscesses may lead to significant short term morbidity from pain and, importantly, create a starting point for systemic infection.

  Treatment, in the form of surgery, is considered essential to allow drainage and prevent infection. Repair of the fistula itself is considered an elective procedure which many patients opt for due to the discomfort and inconvenience associated with an actively draining fistula. 

  Homeopathy is an excellent alternative mode of treating many surgical diseases including anal fistula. It is particularly beneficial for treating anal fistula. In most cases, homeopathic medicines save a person from undergoing surgical procedures for this painful problem. 
  
 The best homeopathic medicine for anal fistula treats the condition with gentleness and safety and with no side effects because of its natural origins. With regular use of homeopathic medicines, the discharge associated with anal fistula gradually decreases and the symptoms of pain, swelling, and itching are also managed. In addition, homeopathic treatment for anal fistula helps in healing the tract of fistula. The natural medicines assist in regularising bowel movement and treating hard stool, which could otherwise lead to a recurrence of symptoms. They are also helpful in cases of anal fistula that reform even after surgical correction in the past. 

Causes: 

  An anal fistula is a small tunnel with an internal opening in the anal canal and an external opening in the skin of the perianal area. An anal fistula usually results after improper healing of being anal abscess following pus drainage. It may also appear as a result of surgery near the anus. Other causes for anal fistula are Crohn's disease, diverticulitis, syphilis, tuberculosis, and sexually transmitted infections. 

Symptoms of Anal Fistula: 

  Predominant symptoms of an anal fistula are fluid/ pus discharge from the opening near the anus. The discharge may even be throbbing. The attending features are perianal swelling and pain. the pain could vary in natural bowel movement. Symptoms can include burning and irritation or itching in the perianal area. Fever may also be present in a few cases. 
- Skin maceration
- Pus, serous fluid, feces discharge can be bloody or purulent 
- Pruritus ani- itching 
- Depending on the presence and severity of infection:
  - Pain
  - swelling
  - tenderness
  - fever
  - unpleasant odor
- Thick discharge, which keeps the area wet.

 Classification:

  - Park's classification: this was done by parks: From the UL in 1976, before MRI or endoanal ultrasound was available. It classified the fistula in four grads. 
- Garg classification: This was done by Pankaj Garg in 2017. This classification is an improvement. Over both Parks and St James University Hospital Classification. This was based on MRI studies and operative findings in 440 patients. It classified the fistula in five grades. The grades of this classification correlate quite well with the severity of the disease. 
Grade I & II  are simpler fistulas and can be managed by fistulotomy whereas grade III-V are complex fistulas in which fistulotomy should be not be done. They should be managed by fistula experts.  

Types: 

  Depending on their relationship with the internal and external sphincter muscles, fistulae are classified into five types: 

- Extrasphincteric fistulae begin at the rectum or sigmoid colon and proceed downward, through the levator ani muscle and open into the skin surrounding glands are located. Causes of this type could form a rectal, pelvic or supra levator origin, usually secondary to Crohn's or an inflammatory process such as appendiceal or diverticular abscesses. 

- Suprasphinteric fistulae begin between the internal and external sphincter muscles, extend above and cross the puborectalis muscle, proceed downward between the puborectalis and levator ani muscles, and open an inch or more away from the anus. 

- Transphincteric fistulae begin between the internal and external sphincter muscles or behind the anus, cross the external sphincter muscle and open an inch or more away from anus. These may take u shape and form multiple external openings. This is sometimes termed a"horseshoe fistula". Intersphincteric fistulae begin between the internal and external sphincter muscles, pass through the internal sphincter muscle, and open very close to the anus. 

- Submucosal fistulae pass superficially beneath the submucosa and do not cross either sphincter muscle. 

Get plenty of fiber:

  If you're constipated, passing large, hard, or dry stools can cause an anal fissure. Getting plenty of fiber in your diet, especially from fruits and vegetables can help prevent constipation, though. get 20 to 35 grams of fiber per day. foods that are good sources include:
- Wheat Grain, Oat Grain
- Whole grains, including brown rice, oatmeal, popcorn, and whole grain kinds of pasta, cereals, and bread. 
- Peas and beans, seeds and nuts, prunes and prune juice. 

Stay Hydrated:

 That can help you prevent constipation, drink plenty of liquids adds fluid to your system, which can make stools softer and easier to pass.
- Be sure to drink more when the weather gets warmer or as you become more physically active. 
- Not all drinks are good choices for staying hydrated. Too much alcohol can dehydrate you. Also, although a caffeinated drink may help you go to the bathroom, too much caffeine can dehydrate you as well. 

 Exercise:

 One of the most common causes of constipation is lack of physical activity. Exercise for at last 30 min most days to help keep your digestive system moving and in good shape. 

Don't ignore your urge to go:

 If your body tells you it's time to have a bowel movement don't put it off till later. waiting too long or too often can weaken the singles that let you know it's time to go. The longer you hold it in, the dryer and harder it can get, which makes it tougher to pass.  



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Hematidrosis (blood sweat)

                             Hematidrosis (blood sweat)

Hematidrosis also called blood sweat, is a very rare condition in which a human sweats blood. The term is from haima meaning blood, and hidros meaning sweat. 

Hematidrosis is rare?
  
 Hermatidrosis is extremely rare, which makes it difficult for doctors to research the condition. The condition may manifest differently in every individual. This makes it difficult for doctors to offer clear prognoses or test which treatments are most effective.  A case study published gathered data on 18 years old women with Hematidrosis. For 6 months, she experienced bleeding from the forehead, eyes, hands, naval, and fingernails. All laboratory and other test were normal, though the frequency of the bleeding increased over time. While hospitalized, the women experienced 30 distinct episodes. Doctors were never able to diagnose or treat the cause of the bleeding, but 20 months her diagnosis, the bleeding had greatly decreased. 

Sign and Symptoms:

 Blood oozes from the forehead, nails, umbilicus, and other skin surfaces. In addition, oozing from the mucocutaneous surface causing nosebleeds, bloodstained tears, and vicarious menstruation are common. The episodes may be preceded by intense headache and abdominal pain and are usually self- limiting. In some conditions, the secreted fluid is more dilute and appears to be blood tinged, while others may have darker bright red secretion resembling blood.  

 People who have Hematidrosis may sweat blood from their skin. It usually happens on or around the face, but the skin might be lining the inside of your body, too like in your nose, mouth or stomach. The skin around the bloody area may swell temporarily. 

 Crying tears of blood are related. it's called Haemolacria. Bleeding from the ear is called blood otorrhea. Hematodrosis can look like blood, bloody sweat, or sweat with droplets of blood in it. Sweating a different color like yellow, blue, green, or back is a different condition called chromhidrosis. 

Causes: 

 Hematidrosis is a condition in which capillary, blood vessels that feed the sweat glands rupture, causing them to exude blood, occurring under conditions of extreme physical or emotional stress. Severe mental anxiety activates the sympathetic nervous system to invoke the stress fight or flight response to such a degree as to cause hemorrhage of the vessels supplying the sweat glands. It has been suggested that acute fear and extreme stress can cause Hematidrosis. 

 Bleeding occurs when tiny blood vessels rupture. Some blood vessels, including those near the sweat glands and, is in mucous membranes, are closer to the skin's surface. This makes them more likely to rupture. It also explains why Hematidrosis is more common near the nose. forehead and other parts of the body located near sweat glands or mucous membranes. 

 Physical and psychological stresses are suspected of causing the condition. This theory might explain why report on religious figure often highlights stories of bloody sweat. 

 Although stress likely plays a role, it cannot fully explain this phenomenon. Rates of stress, anxiety disorders, and other mental health conditions have increased in recent years, yet Hematidrosis has not. This suggests that other abnormalities may play a role. People with a history of Hematidrosis may have defects in the dermis, the layer of skin beneath the outer layer. This hypothetical skin defect could provide space for blood to accumulate, making it possible to sweat blood. 

 However, not all cases of bloody sweat are attributable to physical or emotional stress. A case study details the story of a girl with Hematidrosis. The girl had no bleeding disorders, no apparent other medical conditions, and no history of psychological problems or stress. Each bleeding episode lasted 10-15 minutes and did not appear to upset the girl. Doctors do not find any underlying causes for Hematidrosis. Some other studies have found that nervous system issues may play a role in Hematidrosis. 


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Gout Uric Acid Homeopathic Treatment

Gout Uric Acid Homeopathic Treatment

  A gout is a form of arthritis which is caused by the accumulation of uric acid crystals in joint. In the condition, due to metabolic dysfunction, there is deposition of uric acid in and around the joints causing severe painfulness, swelling and restricted mobility of the affected joint. When crystals form in the joints, it causes recurring attacks of joint inflammation arthritis. Gout is considered a chronic and progressive disease. Chronic gout can also lead to deposits of a hard lump of uric acid in the tissue, particularly in and around the joints and may cause joint destruction, decreased kidney function and gouts have the unique distinction of being one of the most frequently recorded medical illness throughout history. It is often to an inherited abnormality in the body's ability to process uric acid. 

 Uric acid is a breakdown product of purines that are part of many foods we eat. An abnormality in handling uric acid can cause attacks of painful arthritis, Kidney stones, and blockage of the kidney- filtering tubules with uric acid crystals, leading to kidney failure. On the other hand, some people may only develop elevated blood uric acid levels without having the manifestation of gouts, such as arthritis or kidney problems. The state of elevated levels of uric acid in the blood without symptoms is referred to as asymptomatic hyperuricemia. Asymptomatic hyperuricemia is considered a precursor state to the development of gout. The term gout refers to the disease that is caused by an overload of uric acid in the body, resulting in painful arthritis attacks and deposits of a lump of uric acid crystals in body tissues.  

 Gouty arthritis is typically an extremely painful attack with a rapid onset of joint inflammation. The joint inflammation is precipitated by deposits of uric acid crystals in the joint fluid and joint lining. Intense joint inflammation occurs as the immune system reacts, causing white blood cells to engulf the uric acid crystals and chemical messengers of inflammation to be released, leading to pain, heat, and redness of the joint tissues. As gout progresses, the attacks of gouty arthritis typically occur more frequently and often in additional joints. 

 While an elevated blood level of uric acid may indicate an increased risk of gout, the relationship between hyperuricemia and gout is unclear. Many patients with hyperuricemia do not develop gout, while some patients with repeated gout attacks have normal or low blood uric acid levels. In fact, the blood level of uric acid often lowers during an acute attack of gout. Among the male population un, the United States, approximately 10% have hyperuricemia. However, only a small portion of those with hyperuricemia will actually develop gout. 
  In addition to an inherited abnormality in handling uric acid, other risk factors for developing gout include obesity, excessive weight gain, moderate to heavy alcohol high blood pressure, and abnormal kidney function. Certain drugs, such as thiazide diuretics. Furthermore, certain diseases lead to excessive production of uric acid in the body. Examples of these diseases include leukemias lymphomas and hemoglobin disorders. A recent study demonstrated an increased prevalence of abnormally low thyroid hormone levels in a patient with gout. In patients at risk of developing gout, certain conditions can precipitate acute attacks of gout. These conditions include dehydration, injury to the joint, fever, excessive eating, heavy alcohol intake, and recent surgery. Gout attacks triggered by recent surgery are probably related to changes in the body fluid balance as patients temporarily discontinue normal oral fluid intake in preparation for and after their operation. 

Causes of gout: 

 Sudden, intense pain in a joint, typically the big toe or make, sometimes the knee, hand or wrist. Gout may also affect elbows, knees, ankles, wrists or small joints of the hands and feet. Swelling, inflammation and a feeling that the joint is very hot, extreme tenderness of the joint to even the lightest touch red or purple skin around the joint. In extreme cases alternating chills and fever. Low-grade fever may also be present. If not treated properly leads to typhoid fever. with recurring attacks, soft fleshy growths may appear, called tophi, which are accumulations of uric acid crystals. Over time gout attacks may occur more frequently, involve more joints, have more severe symptoms and last longer. Patients with longstanding hyperuricemia can have uric acid crystals deposits called tophi in other tissues as well as the helix of the ear. 

Symptoms of gout: 

 - Hereditary, improper function of the kidney 
- Reaction to alcohol. Reaction to certain drugs, antibiotics.
- Enzyme deficiencies. 
- Lead poisoning, the disorder is often associated with an injury or surgical procedure. 
- Highly proteinous diet. 
- Unidentified causes- idiopathic causes. 
- Starvation- diminished renal excretion of uric acid
- Psoriasis- due to overproduction of uric acid 
Toxaemia of pregnancy due to diminished excretion of uric acid. May also occur in some cases of tumors or cancers.


The different types of Gout 
Gout has four distinct stages
Asymptomatic: High levels of Uric acid in blood but no joint complaints
Acute Phase: Acute complaints described above occur for a brief period
Intercritical Phase: There is no pain or swelling of joints in this phase, the patient is relatively symptom-free. 
Chronic: Gout attacks may become frequent during this phase and the condition may affect many joints at a time, tophi formation may also see. 

Homeopathic treatment: 
 Homeopathy offers a wider range of options than conventional medicine. Constitutional homeopathic treatment with the management of an experienced and professional homeopathic is an excellent choice for Gout. Homeopathic approach to gout treatment is more of a totalistic approach. Homeopathy helps in controlling the pain during the acute attack of gout as well as helps in preventing the recurrence of such episodes. It helps in reducing stiffness and improves the mobility of the joints. Homeopathy is very strongly suggested for the treatment of gout. 

The constitutional approach of homeopathy, which considers mind and body together as one, bestows a lot of significance to emotions and believes that emotional factors are vital in the development of most of the diseases, including gout. It can even be the cause of gout. Heredity plays an important role in gout. However, a study conducted at the Stanford University school of medicine suggested that emotions can overcome genetics. The study showed that even those who are genetically predisposed to gout can avoid the disease by staying emotionally healthy. If you are at risk gout, you can avoid getting the disease of you to stay in good condition psychologically. 
In conclusion, for every patient suffering from gout classical homeopathy treatment must be given serious consideration for the long term and lasting relief.

High- Purine foods:
 A high purine diet is one of many things that can trigger a gout attack. Limit or avoid these foods to avoid triggering an attack. 
Seafood: Anchovies, Herring, scallops, sardines, Mussels, Roe (fish eggs).
Beverages: Beer, Liquor, sugary drinks
Vegetables: Spinach, Cauliflower, Asparagus, Mushrooms.
Meat: Beef, Orange meats, Lamb. 
Other: Oatmeal, Peas, Dried Beans, Lentils. 

Self-care measure:  

 Dietary changes can help reduce uric acid levels in the blood. Since purine chemicals are converted by the body into uric acid, purine-rich foods are avoided. Examples of foods rich in purines include shellfish and organ meats such as liver, kidney, and sweetbreads. Researchers have reported, in general, that meat or seafood consumption increases the risk of gout attacks, while dairy food consumption seemed to reduce the risk. Protein intake or purine-rich vegetable consumption was not associated with an increased risk of gout. Total alcohol intake was strongly associated with an increased risk of gout. Fructose from the corn syrup in soft drinks also increases the risk of gout. 

 Weight reduction can be helpful in lowering the risk of recurrent attacks of gout. This is beast accomplished by reducing dietary fat and calorie intake, combined with a regular aerobic exercise program
- Get at least eight hours of sleep a night
- Eat a well nutritious diet that gives you more energy and makes you generally feel better.
- Eat several small meals during the day to keep a steady supply of protein and carbohydrate available for proper muscle function. 
- Maintain a healthy lifestyle.
- Exercising regularly. 
- Make changes at work.
- Pace yourself.
Take hot baths or showers to soothe soreness, increase circulation, and relieve stiffness. Cut back on caffeine, alcohol, and sugar, which often cause fatigue. 
 Hence, to end the pain and suffering of acid reflux, enjoy a perfect night's sleep again and also eat anything you crave consider Homeopathy.  

We believe in a strong Patient-Doctor relationship and our motto is "Healthy People Wealthy Nation."

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