Tag Archive | stress

Onychophagia – Nail biting

Onychophagia (also onychophagy) or nail biting, is an oral compulsive habit (sometimes described as a parafunctional activity; the common use of the mouth for an activity other than speaking, eating or drinking.)

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Classification

Nail biting is considered an impulse control disorder in the DSM-IV-R, and is classified under obsessive-compulsive and related disorders in the DSM-5. The ICD-10 classifies it as “other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence.” Nevertheless, the frontier between normal and a pathological nail biting is not clear

Signs and symptoms

Nail biting usually leads to deleterious effects in fingers, but also mouth and more generally the digestive system. These consequences are directly derived from the physical damage of biting or from the hands becoming an infection vector. Moreover, it can also have a social impact.

The ten fingernails are usually equally bitten to approximately the same degree. Biting nails can lead to broken skin on the cuticle. When cuticles are improperly removed, they are susceptible to microbial and viral infections such as paronychia. Saliva may then redden and infect the skin. In rare cases, fingernails may become severely deformed after years of nail biting due to the destruction of the nail bed.

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Nail biting is also related to oral problems, such as gingival injury, and mal occlusion of the anterior teeth. It can also transfer pinworms or bacteria buried under the surface of the nail from the anus region to the mouth. When the bitten-off nails are swallowed, stomach problems can develop.

Nail-biting is also associated to guilt and shame feelings in the nail biter, a reduced quality of life, and increased stigmatization in the inner family circles or at a more societal level.

Management

Stress, Anxiety and Depression are also main cause for Nail Biting which can be reduced through Yoga, Pranayama and meditative techniques. Diversion during the crises of stress helps in overcoming nail biting.

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Hair Loss – A bird’s eye view

PATHOLOGY OF HAIR

female-hair-loss

  1. Diffused Alopecia
  2. AndroGenetic Alopecia
  3. Alopecia Areata
  4. Premature Greying of Hair
  5. Other Hair Disorders

DIFFUSED HAIR LOSS (DHL)

  • Temporary/ reversible form of hair loss if treated
  • If not considered leads to permanent hair loss Are-You-Experiencing-Diffuse-Hair-Loss
  • Not confined to particular area or pattern
  • Present all over the scalp

DIFFUSED HAIR LOSS – CAUSES

  1. Scalp disorders
  2. Hormonal problems
  3. Hemoglobin deficiency
  4. Recent fever, surgeries and accidents
  5. Nutritional deficiencies
  6. Physical strain   diffuse-alopecia
  7. Mental stress
  8. Harsh chemicals
  9. Pollution
  10. Sudden change of products

SCALP DISORDERS

Scalp disorders like dandruff, seborrhea, eczema, psoriasis weakens hair roots, disturbs anagen phase and causes hair fall.

DANDRUFF AND SEBHORREA

  • DEFN: Accumulation and shedding of dead cells from the scalp in the form of whitish or brownish color flakes.
  • TYPES: – DRY – WHITISH FLAKES

– OILY – BROWNISH FLAKES dandruf

  • TEXTURE: Matty and Glossy Finishing

CAUSES AND MECHANISM OF DANDRUFF

  • Unclean scalp – accumulation of dead cells leading to dandruff
  • Extremes of weather – high humidity – increase in sweat – feed of fungus
  • Low humidity – absorption of moisture from the skin by atmosphere – dry scalp – dandruff
  • Excessive head wash – dampness in scalp – dry shaft – dandruff
  • Excessive combing – inflammation and injuries to follicles
  • Dietary deficiency – decreased zinc, selenium – decreased WBC – decreased immunity – increased fungal infection – dandruff, white flakes
  • Hormonal imbalance
  • Hypothyroidism – moisture absorption from skin for metabolism – dry scalp – dandruff
  • Hyperthyroidism – increased metabolic rate – excess cell multiplication – increased cell production – incomplete dryness of gluten – dry flakes – dandruff

Dandruff – white flakes + increased sebum = oily dandruff – feed by fungus (air borne, Melasthesia Furfur) on flakes – multiplication of fungal colonies – flakes not sufficient – digging of pores (itching sensation) – body reacts and creates inflammation – erupts dermis and epi dermis – protrusion of scalp – soft skin breaks and bleeds – leads to inflammation – WBC get destroyed – pus cells form – bad odour – spreads all over scalp – Sebhorreic Dermatitis

HORMONAL PROBLEMS hormonal imbal

  • Hypothyroidism generally lowers the metabolic rate and affects cell division causing diffused hair loss. Hyperthyroidism increases cell division and leads to dandruff, which in turn causes hair fall.

HEMOGLOBIN DEFICIENCY

  • In case of hemoglobin deficiency, the oxygen carrying capacity of blood is affected. Hence the cellular energy production and cell multiplication is disrupted in the hair follicles. This causes hair fall.

RECENT FEVER, SURGERIES AND ACCIDENTS fever

  • Fever, surgeries and accidents takes the hair follicles to an emergency situation and subsequently they go into dormancy. This causes hair fall.

NUTRITIONAL DEFICIENCIES

  • Protein deficiency disturbs the supply of amino acids to the hair shaft leading to hair thinning and subsequent fall. Vitamin and mineral deficiencies disrupts cell processes causing hair fall.

PHYSICAL STRAIN phyic

  • Physical strain leads to energy drain, disrupting the cell renewal process. This makes the anagen hairs go to telogen phase. Increased macro circulation and decreased micro circulation

MENTAL STRESS stress

  • Stress causes vaso constriction (constriction of blood vessels) affecting microcirculation to the hair follicles. This causes hair loss.

HARSH CHEMICALS

  • Stress causes vaso constriction (constriction of blood vessels) affecting microcirculation to the hair follicles. This causes hair loss.

POLLUTION pollution

  • Water pollution causes scalp problems like dandruff, eczema, etc and leads to hair loss. Severe water pollution can also lead to scaling on the scalp. It can also cause dry hair.
  • Air pollution disrupts oxygen supply to the hair matrix cells and affects cell renewal

SUDDEN CHANGE OF PRODUCTS harsh chemicals

  • Usage of harsh cosmetics and personal care products can cause eczema and dandruff and lead to hair loss. Generally shifting from one product to another can also cause temporary hair loss.

 

DIAGNOSIS – DHL

  • Physical observation
    • Identify the presence of scalp disorders
  • Microscopic observation
    • Condition of hair roots, no of hairs from one pore and thickness of hair.
  • Blood Tests
    • Hemoglobin, CBC, Thyroid profile, ESR, T3, T4, TSH
  • Trichoscan trichoscan
    • Measures hair density, anagen, telogen hairs
  • Hair mineral analysis
    • Identify nutritional deficiencies and toxic mineral poisoning.

 

TREATMENT MODALITIES

  • DIETARY CORRECTIONS – LOW OIL, SALT, MASALA DIET, FIBRE RICH, INCREASED INTAKE OF WATER
  • LIFESTYLE MODIFICATIONS – STRESS FREE LIFESTYLE, YOGA, RELAXATION TECHNIQUES, MEDITATION

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Other Remedies – Contact Natural Team at swastikanature@gmail.com

other Hair Disorders in Next Post – Wait and See 🙂