Tag: scars

Tonsils and Tonsillitis in Children

Tonsils are two tissue balls located at the back of the throat. They play a vital role and are an important part of the bodys infection fighting mechanism by helping to fight germs and diseases. Tonsils deal with the germs before they reach mouth, throat, or sinuses. When these infection fighters are infected by viruses or bacteria, the condition is known as tonsillitis.

The symptoms of tonsillitis are: as the time passes, eating, drinking and swallowing things become difficult. The pain can be accompanied with fever, earache and headache. The tonsils can be seen too. Just open the mouth wide open and the two masses of tissues at the either side of the throat are tonsils. They are usually dark pink in color, but when they get infected they turn red. A white or yellow coating can also be formed on the tonsils. There is an obvious change in voice as it becomes hoarser. The infected child can also develop bad breath. The infected kid can also get abdominal pain and can throw up what he eats. Tonsillitis is caused by both bacterial infection and viral infection. Bacterium known as streptococci causes infections which require special treatment.

When the child gets tonsillitis, the parent should give lots of fluids to drink. Smooth food should be consumed to ease the pain caused by swallowing coarse, crunchy, and hard food. Food like soups, ice creams, applesauce, and gelatin are a good option. Spicy food should also be avoided. A humidifier or cool mist vaporizer can be placed in the childs room as that will make breathing more easily. The kid must be given maximum rest and complete bed rest for at least two days is recommended. The bacteria and viruses cause tonsillitis to spread by sneezing, coughing or touching. The infected child must cover his/her mouth while coughing and sneezing. A disposable tissue can be used instead of a towel or handkerchief. Things such as utensils, towel, clothing, etc. of the sick kid should be separated so that the rest of the family doesnt get affected.

The doctor inspects the tonsils using a wooden stick known as tongue depressor, which will lower the tongue, so that the doctor can have a good look at the tonsils. After that the doctor checks the ears and nose. Heartbeat will be checked. If the doctor suspects strep, he/she will take a sample of saliva from the back of the throat using a long cotton swab, which can gag up the child a bit. After a day or two the results are received. Some doctors conduct a similar test known as rapid strep test, which give results within few minutes. Antibiotics are given when the test results come positive for strep. The bacteria get killed only when the course is completed and the correct dosage is taken at correct time.

If virus is the cause of infection, there is no medicine for it and instead the body is capable of fighting the virus on its own. When the tonsils infection becomes frequent and the child finds it difficult to breath because of tonsillitis, it is recommended to get the tonsils removed. But it is the last resort after all other treatments do not do the trick, because tonsils are very important to the bodys immune system.

The tonsils are taken out by surgery known as tonsillectomy. After the surgery, the child wont suffer from sore throat and breathing problems anymore. The surgery wont even leave any scars. A day before the surgery, the child cannot eat or drink, to keep the child from throwing up during the operation. The operation is very short and last for only twenty minutes. Because of the anesthesia, the child wont feel a thing during the operation. And during the surgery, the tonsils are removed using an electric cautery, which is a burning tool, or a cutting tool. After the surgery, the child is given lots of fluids and after a day soft foods can also be given. Usually it takes about two weeks to completely recover from the surgery and the child can return back to normal activities.

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How Laser Hair Removal Works on Different Skin Types and

How Laser Hair Removal Works on Different Skin Types and Hair Color

The effectiveness of laser hair removal is dependent upon several factors including skin type and hair color. Lesser factors include the condition of the skin, sun exposure, and the cycle of the hair.

There are four basic skin types – Caucasian European, African descent, Eastern Asian, and Middle Eastern / Mediterranean. Each of these four skin types have several things in common, such as the thickness of the dermis and epidermis, the number of hair follicles, and the skin’s layered components. However, there are many characteristics of each skin type that are very different.

Caucasian Europeans have the most varied skin type of all the groups. This group has light skin with great variation in skin color amongst the people which is determined by heredity. The people from this group are the best candidates for laser hair removal. Generally, they will need fewer treatments and attain the best results. Overall, the effectiveness of laser hair removal on individuals from this group is dependent upon a combination of their hair and skin color.

Individuals of African descent, with dark brown skin or poor candidates for laser hair removal. This is because the laser light is absorbed into the skin pigment, causing possible burns, scars, and keloids. The dark skin causes the laser beam to b drawn away from its target area.

People in Eastern Asian descent, which includes China, Japan and Korea, generally have the least amount of facial and body hair. They are usually good candidates for laser hair removal because their hair is dark, and they have minimal skin pigmentation.

Middle Eastern and Mediterranean people tend to have the most facial and body hair. Their skin color can very from dark white to medium brown. Those people with lighter skin generally make better candidates for laser hair removal. Skin bleaching agents, such as 4% hydroquinone, are sometimes used by people in this group to lighten the skin as much as possible. This is done to make the laser treatment as effective as possible and reduce the risk of burning the skin. This ethnic group has an increased risk of hyperpigmentation.

Hair color combines with skin type to further determine the effects of laser hair removal. Black or dark brown hair is usually coarser and contains the most pigmentation. These factors make it the easiest to treat because the laser light is most easily absorbed by the dark pigmentation. Lighter brown hair usually requires more treatments than darker hair. The lighter the hair color, the more difficult laser hair removal becomes. Red and light blonde hair contain phemelianin pigment which makes light absorption very difficult. Grey or white hair does not contain any pigmentation at all, therefor, they cannot absorb light. The Fitzpatrick Skin Phototype Scale and the Lancer Ethnicity Scale are used by professional technicians to determine the effectiveness of laser hair removal based on skin type and hair color.

The best combination of skin type and hair color for laser hair removal is light skin with dark hair. These people will have the best results with the least treatments.

Basic Laser Hair Removal Terminology

It is important to understand the basic terminology used in laser hair removal techniques. This gives you a better understanding of what the procedure entails. It also helps to put many people at ease to completely understand the words used in the treatment.

Absorption is the uptake of one substance into another.

Active medium is the part of the laser that absorbs and stores energy.

American bikini wax, is a standard bikini wax in which hair is removed from either side of the panty line at the top of the thigh.

Anagen is the growth phase in the hair cycle in which a new hair is synthesized.

Brazilian bikini wax, is a bikini wax in which all of the hair is removed in the pubic region, including the hair on the buttocks and labia.

Catagen is a transitional stage of a hair’s growth cycle, occurring between the growth and resting stages.

Chromophore is a group of atoms in a molecule that produces color through selective light absorption.

Coherent light are light waves that travel in parallel, and in the same direction.

Dermal scattering is the change that occurs between the laser’s spot size at the surface of the skin and the spot size deeper in the tissue.

Dermis is the underlying or inner layer of the skin.

Electrons are stable, negatively charged elementary particles that orbit the nucleus of an atom.

Energy source is the device in the laser that supplies energy to the active medium.

Epidermis is the thin outermost layer of the skin.

Excited states is the conditions of a physical system in which the energy level is higher than the lowest possible level.

Fissure is a crack or cut in the skin.

French bikini wax, is a bikini wax in which all of the hair is removed from the pubic region except for a stripe of hair on the pubis.

Hair follicle bulb is the bulbous base of the hair follicle that houses the dermal papilla.
Keloids scars are raised areas of fibrous tissue.

Melanin are grains of pigment that give hair and skin its color.

Monochromatic light is of one wavelength, and therefore appears as one color.

Nanometers are each one billionth of a meter.

Optical cavity is a part of the laser that contains the active medium.

Polychromatic light consists of light of multiple wavelengths, appearing as different colors.

Pulse duration is the duration of an individual pulse of laser light, which is usually measured in milli-seconds.

Selective photothermolysis is the selective targeting of an area using a specific wavelength to absorb light into that target area sufficient to damage the tissue of the target while allowing the surrounding area to remain relatively untouched.

Spontaneous emission is the process or an excited atom, after holding extra energy for a fraction of a second, releases its energy as another photon then falls back to its grounded state.

Spot size is the width of a laser beam.

Terminal hair is hair found on the scalp arms legs Alexa lay in pubic areas.

Vellus hair is generally fine, non-pigmented hair found on the face that is often called peach fuzz.

Wavelength is the distance between two consecutive peaks or troughs in a wave.

Acne in Adolescents

Acne is one of the most common problems in adolescent teens affecting nearly seventeen million people in the United States. Acne is nothing but a disorder involving sebaceous glands and hair follicles. Acne results from the clogging of sebaceous glands leading to the formation of pimples and cysts. The condition usually begins with the onset of puberty. Going by the facts, as teens attain puberty the androgens also called male sex hormones are produced in high number leading to sebaceous glands becoming over active which results in sebum being produced in high proportions.

Sebum, which is nothing but oil is produced by sebaceous glands which travel to the skin surface through hair follicles. But, skin cells block the follicles which results in oil also being blocked. When these hair follicles are blocked it results in the development of skin bacteria known as Propionibacterium Acnes within the follicles which in turn results in swelling of the skin called Acne. If the hair follicles are partially blocked it results in blackheads. If the follicles are completely blocked they result in whiteheads. But if these plugged follicles are not treated they ultimately burst causing the oil, bacteria and skin cells to spill all over the skin resulting in irritation and formation of pimples. Acne can be shallow as well as deep in various individuals depending on the nature of skin and amount of oil produced.

There can be various causes why Acne forms. Apart from rising hormone levels due to puberty it can also be attributed to certain other factors like intake of drugs which contain lithium, barbiturates and corticosteroids. Acne can also be caused due to excess grease and oil in the scalp, due to cooking oil and use of some cosmetics can actually alleviate the acne problem. Acne problem many times is inherited also. Acne problem is worsened if the pimples are squeezed or scrubbed too hard.

Acne can form at any place of the body but they most commonly form in the areas where there sebaceous glands are present in high proportions like face, chest, shoulders, neck and upper back. The symptoms may differ from person to person but commonly seen symptoms are: formation of blackheads, whiteheads, lesions filled with pus and which are very painful and lastly nodules. One may get confused sometimes as symptoms of acne may be like some other skin condition and it is always advised to consult a doctor in this scenario.

There are lots of treatments available today to treat acne. The primary goal of the treatment is to reduce scars and better appearance. There are various treatments and the doctor decides which specific treatment you need based on: the extent of acne problem, age, medical history, overall health, tolerance to specific medications and procedures, expectations and last but not the least what patients prefer.

Treatment of acne is classified into topical and systemic drug therapies which are given based on extent of severity. In some instances the combination of both the methods might be the way to go for acne treatment. Topical medication is nothing but creams, gels, lotions, solutions etc. prescribed to patients for acne treatment. Some of the examples of topical medication are: Benzoyl Peroxide which kills the Propionibacterium Acnes bacteria, antibiotics helps in stopping or slowing down the growth of the bacteria and also reduces inflammation, Tretinoin helps in stopping the formation of new acne lesions and Adapalene reduces formation of comedo.

Systemic drug therapies involve prescription of systemic antibiotics primarily for the treatment of acne problem which is moderate to severe in nature. The examples of antibiotics prescribed are Doxycycline, erythromycin and tetracycline. In some cases an oral drug called Isotretinoin is prescribed for teenagers with severe acne problem which shrinks down the sebaceous glands that produce oil. The results are pretty good and almost ninety percent of the adolescents have success with this oral drug. But the drug has some serious side-affects and thus it is very important that one consults a doctor before use.

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