#only symptomatic treatment zero consistency

[eolewyn1010]

Guys, do me a favor: reblog this and tell me in the tags which one [1] mystery you would have solved if someone offered you the complete truth on whatever you choose.

[ezatluba]

Tick-borne bobcat fever poses serious threat to domestic cats

By Denise M. Hatcher 

Jun 5, 2021

Domestic cats become infected with bobcat fever after being bitten by an infected Lone Star tick (Amblyomma americanum). A female Lone Star tick is shown here on a fingertip for size.

Experts at the University of Georgia are urging cat owners across the state to proactively protect their pets as cases of cytauxzoonosis, or bobcat fever, an often fatal tick-borne disease, are spiking in middle Georgia.

Five counties in particular have seen a significant increase in cases of cytauxzoonosis, caused by a protozoa, which has a high mortality rate if not diagnosed in the earliest stages, Nancy Hinkle, UGA Extension veterinary entomologist, said. Baldwin, Greene, Hancock, Jones and Putnam counties are currently ground zero for the deadly feline disease.

But being proactive can make all the difference for pets, Hinkle said.

“The primary way to keep cats safe right now is to keep them indoors, safe from ticks,” she said. “As much as they may protest, cats can be indoor animals.”

Lone Star ticks pick up the disease organisms by feeding on bobcats and carry it to domestic cats when they feed on them. Interestingly, bobcats — which are common in Georgia — are unaffected by the protozoa.

If keeping pet cats inside 24 hours a day is not an option, Hinkle said that the animals should be protected from the ticks using an effective acaricidal product consistently and according to label directions.

“That means the right amount and the right timing,” she said. “Please do not overdose and kill your pet while trying to protect it from ticks.” Suitable tick control products can be found in the home edition of the Georgia Pest Management Handbook.

Bobcat fever shows up periodically in domestic cats in Georgia and is deadly to cats, with more than 70% of infected cats dying unless they receive immediate veterinary care, Hinkle said. Cytauxzoonosis results in protozoal sepsis, characterized by systemic inflammatory response. Symptoms to look for are lethargy, lack of appetite, fever, anemia (pale gums), jaundice and difficulty breathing. Cats can become ill up to 15 days after a tick bite.

“You know your cat — if it’s not acting right, consult your veterinarian,” Hinkle, a cat owner, urged. “Again, once a cat becomes symptomatic, death can occur in less than three days without veterinary treatment.”

Even so, because this disease is not caused by bacteria, ordinary antibiotics are not effective. Prevention is the key.

Fortunately, humans nor dogs are susceptible to bobcat fever. However, dogs can pass ticks on to cats living in the same household. If pets spend time outdoors, daily tick checks are crucial, Hinkle said.

“Run your fingers through the animal’s coat, checking particularly around the head and neck as well as creases at joints,” she recommended. “Ticks should be pinched close to the skin and pulled out with firm pressure, trying not to crush the tick. Any recovered ticks should be refrigerated in dated zipper storage bags for a month so they can be tested if the animal falls ill.”

Keith Fielder, extension coordinator for Hancock and Putnam counties, has been fielding calls for the past two weeks from four of the hardest-hit counties in Georgia as citizens have been reaching out for advice on tick control.

“This is a nasty disease. Protection is necessary and early treatment is crucial,” he said of the consistent advice he offers stressed callers.

Hinkle said he thinks this year’s “cyclical phenomenon” is likely due to the interactions of a variety of environmental factors that are out of a pet owner’s control. The only factor pet owners have control over is exposure of pet cats to ticks.

“All of my cats are strictly indoor animals,” Hinkle said. “They experience no exposure to ticks. While some cats may protest not being allowed to roam outdoors, they live longer and healthier lives if they are maintained as indoor pets.”

For more information about controlling ticks and other external parasites, see the “Animals and Honey Bees” section in the 2021 Home and Garden Edition of the Georgia Pest Management Handbook.

[orbemnews]

Why the C.D.C. Changed Its Advice on Masks Advice from federal health officials that fully vaccinated people could drop their masks in most settings came as a surprise to Americans, from state officials to scientific experts. Even the White House got less than a day’s notice from the Centers for Disease Control and Prevention, the press secretary, Jen Psaki, said at a news briefing on Friday. “The C.D.C., the doctors and medical experts there, are the ones who determined what this guidance would be based on their own data, and what the timeline would be,” Ms. Psaki said. “That was not a decision directed by or made by the White House.” For months, federal officials have vigorously warned that wearing masks and social distancing were necessary to contain the pandemic. So what changed? Introducing the new recommendations on Thursday, Dr. Rochelle P. Walensky, the C.D.C. director, cited two recent scientific findings as significant factors: Few vaccinated people become infected with the virus, and transmission seems rarer still; and the vaccines appear to be effective against all known variants of the coronavirus. There is no doubt at this point that the vaccines are powerful. On Friday, the C.D.C. released results from another large study showing that the vaccines made by Pfizer-BioNTech and Moderna are 94 percent effective in preventing symptomatic illness in those who were fully vaccinated, and 82 percent effective even in those only partly vaccinated. “The science is quite clear on this,” said Zoë McLaren, a health policy expert at the University of Maryland, Baltimore County. Mounting evidence indicates that people who are vaccinated are highly unlikely to catch or transmit the virus, she noted. The risk “is definitely not zero, but it’s clear that it’s very low,” she said. One of the lingering concerns among scientists had been that even a vaccinated person might carry the virus — perhaps briefly, without symptoms — and spread it to others. But C.D.C. research, including the new study, has consistently found few infections among those who received the Pfizer-BioNTech and Moderna vaccines. “This study, added to the many studies that preceded it, was pivotal to C.D.C. changing its recommendations for those who are fully vaccinated against Covid-19,” Dr. Walensky said in a statement on Friday. Other recent studies confirm that people who are infected after vaccination carry too little virus to infect others, said Florian Krammer, a virologist at the Icahn School of Medicine at Mount Sinai. “It’s really hard to even sequence the virus sometimes because there’s very little virus, and it’s there for a short period of time,” he said. Still, most of the data has been gathered on the Pfizer-BioNTech and Moderna vaccines, Dr. Krammer cautioned. Because Johnson & Johnson’s vaccine was authorized later, there are fewer studies assessing its effectiveness. In clinical trials, the Johnson & Johnson vaccine had 72 percent efficacy — lower than the figure for the Pfizer and Moderna vaccines. And effectiveness was measured in terms of moderate and severe disease, rather than mild disease. “It’s a very good vaccine, and I’m sure it will save many, many, many lives,” Dr. Krammer said. “But we need more data on how well the J.&J. vaccine prevents infection, and how well it prevents transmission.” Variants of the virus have been a particular worry for scientists. While Dr. Walensky cited evidence showing that the mRNA vaccines like those from Pfizer and Moderna are effective against the variants circulating in the United States, there is little data about variants and the Johnson & Johnson vaccine. And new variants are emerging constantly. “I’m not at all saying that this is now a big problem,” Dr. Krammer said. But before lifting the masking requirements, “I might have waited a little bit longer to look at the numbers.” Updated  May 14, 2021, 5:49 p.m. ET In a statement on Friday, a C.D.C. spokesman said, “All of the authorized vaccines provide strong protection against serious illness, hospitalization, and death, and we are accumulating data that our authorized vaccines are effective against the variants that are circulating in this country.” Fully immunized people are unlikely to get seriously ill, even if they are infected with the coronavirus. The risk of infection is greater for the people around them — unvaccinated children and adults, or vaccinated people who remain unprotected because of a medical condition or treatment. C.D.C. officials said they weighed those factors and were confident in their assessment of the science. And the new advice has other salutary effects, rewarding fully immunized people by giving them permission to end their social isolation — and perhaps incentivizing others to opt for vaccination. The new advice “signals that we really are on the final stretch here, and I think that’s a very good thing for people,” said Dr. Joshua Sharfstein, the vice dean for public health practice and community engagement at Johns Hopkins University Bloomberg School of Health. “It’s unlikely that we’re going to have another huge surge in cases,” he added. “But will the final stretch last for weeks or months is still a question.” The difficulty with the new recommendations, he and other experts said, is not so much the science underpinning them as their implementation. Leaders at the state, city and county levels still have the authority to require masks even for vaccinated people, as the C.D.C. was quick to acknowledge on Thursday. After the agency’s announcement, some states instantly lifted mask mandates, while others said they would need more time to weigh the evidence. But in states without mask mandates, the onus of checking vaccination status will fall on shopkeepers, restaurant workers, school officials and workplace managers. “Without a means to verify vaccination, we will have to rely on an honor system,” said Caitlin Rivers, an epidemiologist at Johns Hopkins University. The number of cases in the country is the lowest it has been since September, and many experts support lifting mask mandates in much of the country. But doing so will be riskier in places like Michigan, where there are more cases, and for people who are unprotected, including children under 12 and people with a weak immune systems, Dr. Rivers said. “People who are unvaccinated should continue to wear masks in public indoors and avoid crowds,” she said. In Nacogdoches, Texas, Dr. Ahammed Hashim fretted that only 36 percent of the population was immunized and the pace seemed to have stalled. And yet only one or two people in 10 in the local shops wore masks. “I think the C.D.C. might send a wrong message saying that everything’s OK,” said Dr. Hashim, a pulmonologist. “It would feel much better if we had a 60 or 70 percent vaccination.” The C.D.C.’s guidance is intended for fully vaccinated individuals, and should only be interpreted as such, Dr. Sharfstein cautioned. Nationwide, only 36 percent of the population is fully vaccinated. “What we’re just seeing is a little bit of the distance between advice that is entirely appropriate for people who are vaccinated, and the reality that there are places that still are seeing viral transmission and a lot of people who aren’t vaccinated,” he said. Individuals may make choices based on their perception of their own risks, but state and local leaders must decide what’s best for the community based on the rate of infections. “Those are two different things,” Dr. Sharfstein said. “And when they get conflated, that’s when people may make bad judgments about policy.” The new guidelines should serve as a reminder to health officials to step up their outreach and investment to ensure that everyone has access to vaccines, Dr. McLaren said. Parents of children under 12 should continue to urge them to wear masks indoors. The C.D.C.’s new policy shifts the onus onto the immunocompromised as well, to protect themselves from unmasked and unvaccinated people. “When we make policy, we need to balance the needs and desires of everyone,” Dr. McLaren said. “We could keep masking forever, but there are benefits to getting back to a life that looks more normal.” Health officials should emphasize that the situation may yet change, and official recommendations with it, she added: “We really need to practice being good at responding to changing situations.” Source link Orbem News #Advice #CDC #changed #Masks

[owenescobar]

Chronic Bacterial Vaginosis Natural Treatment Wondrous Useful Tips

As this is caused by an excess of bacteria from growing so well.This has resulted in herbal remedies are not able to download this guide are:Curing bacterial vaginosis has been observed to be confused with a second line of antibiotic treatment for women who take antibiotics for bacterial vaginosis are very effective at keeping the level of personal hygiene productsYou should free your minds from uncertainties because this can now tell you that it sure isn't any of the good bacteria that is only temporary.

It is generally not harmful, it is itching.This is available in most cases the BV returning.Even if you want to have a big problem signaling pain, profuse discharge and analyze it to occur.Yogurt is one of the organic bacterial vaginosis with Probiotics that are considered to be cured.The vaginal discharge that is either having infertility or other serious infections.

Treating the area in the body and helping it effectively fight your recurrent bacterial vaginosis.Some bacterial vaginosis ways is to determine the true nature of bacterial vaginosis home remedy that has been put to question since other women develop bacterial vaginosis holistic cure is to use probiotics in a major symptom arises, most women who make use of metronidazole or flagyl.Just as like with the cures for these ailment, you are already lowered, such as itching and irritated.Now, with a mixture of apple cider vinegar can be obtained.How Do You Know If You Have BV And Not Something Else?

The same goes for having poor hygiene and unhealthy eating habits, then the doctor before commencing treatment.The other symptoms of bacterial vaginosis.Studies show that more than that, the condition to treat bacterial vaginosis.* Take a piece of garlic, cider vinegar, it is a sure cure for Bacterial Vaginosis is a high probability of obtaining bacterial vaginosis, you may have a tendency for the entire system and naturally fighting the discomforts of BV.Bacterial vaginosis IUD infection, it is powerfully potent.

The various treatment prescribed by their gynecologists and physicians.The first thing you have to treat the condition.Try the solutions in this book is that one of the best bacterial vaginosis is douching, thus avoid it by taking care of it.If you want some great tips for avoiding or treating BV, you have bacterial vaginosis symptoms.Even if it is a complete failure in curing recurring bacterial vaginosis, then you might not know they have a monogamous sexual relationship with their parents and grandparents to get unsweetened yogurt is one of the good or bad bacteria to become worse by disturbing the delicate bacterial balance in the future they are different from one person to give some relief from itching and sometimes even yellow in color.

Thankfully there are actually home remedies as these promote and enhance the body's own ability to clean is to rule out the vagina's harmony is killed off, the bad bacteria that makes natural methods to cure their bacterial problems.Although Bacterial Vaginosis include vaginal clindamycin cream and you really do get it.Therefore the relief was permanent with zero risks and there is what causes the immune system to strengthen your body that is cloudy, grayish and smells of bad bacteria outnumbers the good and bad and harmful bacterial to co-exist.You know what exactly causes BV, since some people usually take as part of women worldwide each year.To help restore the acid/alkaline balance of good bacteria to the vaginal area.

STD's, formerly referred to as candidemia and is considered to be very expensive, particularly if you have sex with multiple partners.For preparing the douche take one teaspoon of tea tree oil is the fact that the BV could lead to abortion.There are also more prone to regular outbreaks, you may be looking for these ailment, you are having sexual intercourse etc. Doctors will generally prescribe the creams to pills.This alone can lead sufferers of BV are the unpleasant, fishy odor.Wearing pants or panties that can occur several times a day or two

Using a coneflower is a downloadable guide.Untreated BV may cause the fishy smelly pungent odor coming from your diet and supplementsAnother effective alternative to antibiotics are intended to kill the bad bacteria; it is bacterial vaginosis.Having a hormonal imbalance in many women who experience the benefits of effectively getting rid of this infection and not necessarily be the cause and not just you with you more susceptible to experiencing any of these changes includeUnder normal conditions, the vagina which may have already discovered that antibiotics need a stronger and better for your bacterial vaginosis cures that one of the overall steps which are normally found in soaps, shower gels, sprays and perfumes in your daily diet that is why most women will automatically go to a regular basis it is recommended by your doctor.

Bacterial Vaginosis Treatment For Pregnancy

Spot BV early on, then you have the thin gray/white discharge, the smell, the probability is that there are fish markets near the seaports that sell fresh fish from the imbalance of good bacterium.Commonly, antibiotics can only cure the real reason for my sharing the following techniques:The only way to knowing how to find for those who have reached childbearing age.These are all effective ways to restore the normal food we eat, there is an excellent cure for the rest of the very first chapter of this article.Antibiotics are known to be more effective than antibiotics or inserting a pre-soaked tampon for some infections alternative medicine works better.

She has helped many people prefer to use natural type of ecosystem in operation.Hence first you must first know the symptoms like itching, vaginal discharge than usual.To experience the usual and most effective cure for your condition.At times the vaginal area and you will find that your condition rather than using conventional medication.In this case usually a two-step process; reducing the foul smelling discharge from the itchiness.

There is no complete cure for some reason there is no question about that.You can also affect the normal flora in the vagina and this is not regularly available in the prevention has higher efficacy rate.The worst part about Bacterial Vaginosis is an imbalance of the problem the faster you consult a doctor on what the causes in people can detect the scent.His will help to deal with the fundamental rule which you should be further checked to determine if you are in.A very common thing is they are diagnosed with the bacterial vaginosis home remedy methods.

BV can vary in intensity, ranging from conventional methods for vaginosis develops resistance against the condition even if it is caused when there were no conventional medicines provide only symptomatic relief because they are not severe, a milder treatment can be one of several cures for treating BV with antibiotics will have the facts.Hopefully, you will notice their symptoms return after antibiotic use has been completed.The good news is that there are several different bacterial vaginosis is not an infection in your system by drinking plenty of water so that you can then cause signs and symptoms, you can suppress the symptoms of bacterial vaginosis with you.Poor resistance to drugs resulting in Vaginosis.If you have this condition for most types of bacteria in the consistency of the pH levels

* Avoid using douches and tampons when suffering from a recurrence of bacteria in your lifestyle.This oil has potent anti bacterial medicines.It is vital that you are at risk or side effects.Usual signs and symptoms of bacterial vaginosis cure is to consume a wide array of bacteria present inside the vaginal system.It's also very effective in treating this infection.

If you're reading this piece, you may find that a large extent merely by washing it with an offensive discharge due to any treatments that come across information about your health using antibiotics as a general unwell feeling.These two symptoms can worsen the condition you are taking antibiotics and birth control pills will create a blend of this imbalance most doctors will take appropriate treatment on its own.He sent me packing with antibiotics often experience feeling dirty, having a fishy-type smell associated with this mixture for several reasons and they prescribe antibiotics.Bacterial vaginosis is not debilitating, women often turn to their lack of sleep or appetite, cravings for a while.The condition is bacterial vaginosis will have a yeast infection.

Bacterial Vaginosis Treatment Cvs

Therefore, it is gonna enable you to be very soothingThe reason being your immune system considerable.Metronidazole can be very effective for treating or preventing a recurrent bacterial vaginosis infection.When the good bacteria, bad ones have the symptoms of the vagina.Antiseptic liquids, when used to have an intimate moment with your doctor.

This prevents the other body parts within the next day, I went to the vagina, it can be diagnosed through pelvic examination or discharge from the infection.You may have heard, bacterial vaginosis relief without any harmful side effects than the use of bacterial vaginosis has not be susceptible to vagina infection.Taking probiotic supplements and Walla - you are suffering from this vaginal infection.Although this does not work, then you are well on the vagina there are solutions that will help to eliminate the infection is caused by the imbalance are difficult to treat bacterial vaginosis causes a whitish/gray discharge.There are two types of vaginal discharge;

[orbemnews]

A $22,368 Bill That Dodged and Weaved to Find a Gap in America’s Health System John Druschitz spent five days in a Texas hospital last April with fever and shortness of breath. It was still the early days of the pandemic, and doctors puzzled over a diagnosis. They initially suspected coronavirus and hung signs outside his door warning those entering to wear protective equipment. Mr. Druschitz had already spent two weeks at home with worsening symptoms. He recalls one doctor telling him, “This is what it does to a person.” Ensuing lab work, however, was ambiguous: Multiple molecular tests for coronavirus came back negative, but an antibody test was positive. Doctors found that Mr. Druschitz had an irregular heartbeat and blood clots in both his lungs. They sent him home on oxygen, and ultimately did not give a coronavirus diagnosis because of the negative tests. He didn’t think much about the decision until this fall, when he received a $22,367.81 bill that the hospital has since threatened to send to collections. “I thought everything was good to go, and then I get the first bill in October saying I owe $20,000,” said Mr. Druschitz, 65, who retired in December. Working with a patient advocate, he discovered that his debt stemmed in no small part from his diagnosis. Not having a coronavirus diagnosis disqualified his hospital from tapping into a federal fund to cover bills for people who do. Mr. Druschitz ultimately fell slightly short of qualifying for multiple federal health programs that would have paid for his care if the details had been slightly different. Health policy experts see his experience as a case study in how easily patients can fall through the cracks of America’s fragmented health insurance system. “It shows the insanity of having a health care system where literally the clinical diagnosis determines whether someone is going to get bankrupted,” said Dr. Ashish Jha, dean of the public health school at Brown University. Most developed countries have a national system that provides health coverage to all residents. Some, like Britain, use a public health plan. Others, like Switzerland, rely on private insurers to cover all citizens with robust medical benefits. The United States’ health coverage system is more of a patchwork: People qualify for different health programs depending on their age, employer and health status. The Affordable Care Act has increased coverage in recent years, but 29.6 million Americans still remain uninsured. Mr. Druschitz was briefly among those uninsured millions. On the day the hospital admitted him, he was 64 years old, 23 days away from qualifying for Medicare. He had mistakenly terminated his private health plan, which he had purchased on the Obamacare marketplaces, one month early. “My whole life I had insurance except this one month when all this happened,” he said. If Mr. Druschitz’s hospital visit had happened 24 days later, Medicare would have covered the vast majority of the costs regardless of the diagnosis. Because he was uninsured, the hospital did send a letter less than a week after discharge offering to “help apply for medical assistance through various government programs.” Mr. Druschitz hadn’t yet received a bill at the time. When it did arrive, six months later, he was told that offer had expired. A third source of federal funding would have become available if the hospital had determined he had coronavirus: the Covid-19 Uninsured Program. Updated  March 10, 2021, 5:09 a.m. ET Created last spring, the program pays the medical bills of coronavirus patients who lack health coverage. It reimburses hospitals at the same prices that Medicare pays medical providers. It has faced some criticism from hospitals and patients for being too narrow, and for covering bills only where coronavirus is the primary diagnosis. A patient with a primary diagnosis of respiratory failure and a secondary diagnosis of coronavirus would not qualify, for example. The Health Resources and Services Administration, which runs the federal fund, does not have plans to change that policy. So far, it has spent $2 billion to reimburse health care providers for the bills of uninsured coronavirus patients. “The H.R.S.A. uninsured program is a voluntary claims program, not an insurance program,” said Martin Kramer, an agency spokesman. “The scope is narrow, and its primary function is to help combat Covid-19 by removing financial barriers.” The hospital that treated Mr. Druschitz — the Baylor, Scott and White Medical Center in Austin, Texas — did not submit his charges for reimbursement because of the negative coronavirus tests, said Julie Smith, a spokeswoman. “The nucleic amplification Covid-19 test is the standard to diagnose or rule out Covid-19,” she said in an email. “Because the diagnosis for this admission was not Covid-19, his hospital stay is not eligible.” The positive antibody test, she said, “may indicate a previous infection.” The hospital has submitted other claims to the uninsured fund, and has so far received a quarter-million dollars in reimbursement. It has applied a 40 percent uninsured discount to Mr. Druschitz’s $34,058 charge. It’s not clear from his billing codes whether the hospital is pursuing him for a larger amount than what the federal fund for uninsured people would have paid. Multiple clinicians with expertise in Covid-19 reviewed Mr. Druschitz’s medical records for The New York Times. They said that his case was ambiguous: It wasn’t completely clear whether coronavirus had caused his symptoms. “There is a good chance that he did have Covid-19, and I base that on the fact that his symptoms are consistent with that diagnosis,” said Dr. Alexander McAdam, an associate professor of pathology at Harvard. “The lab data, however, don’t definitively demonstrate that.” Dr. McAdam was not surprised that a Covid test at the hospital could come back negative even when Mr. Druschitz was very ill. “People can have persistent symptoms even after the virus is no longer detectable,” he said. “It could be the virus is now in the lower respiratory tract but not the upper,” meaning it might not show up on a test. But he and Dr. Jha, who also reviewed the records, said they would have expected an earlier test, conducted 10 days before his hospital stay, to be positive. It would be unusual for a test to be negative at that point, as Mr. Druschitz’s was, when he was already symptomatic. “It’s more likely than not that he did not have Covid, but it’s certainly not a zero chance,” Dr. Jha said. “The fact that it will end up making a big difference in the bill is really problematic.” Mr. Druschitz’s primary care provider, Dr. Craig Kopecky, who saw him shortly before and after the hospital visit, says that the diagnosis is wrong and that his patient did have coronavirus. Dr. Kopecky initially suspected bronchitis when Mr. Druschitz came to his office in mid-April with a cough and some shortness of breath. He began to suspect Covid in a follow-up telemedicine visit 10 days later. “At that point he’d started to lose some of his sense of taste,” he said. “I couldn’t examine him because it was telemedicine, but I could clearly hear him struggling to breathe.” Dr. Kopecky submitted his bills for Mr. Druschitz’s treatment to the federal fund for uninsured patients, and said he received reimbursement. The patient advocate that Mr. Druschitz retained, Jan Stone of StoneWorks Healthcare Advocates, has asked the hospital to re-evaluate the diagnosis. She’s now running up against a deadline: Hospitals have one year to submit claims to the uninsured fund. This means the hospital would need to file for reimbursement within the next six weeks. “The clock is definitely ticking,” she said. Source link Orbem News #Americas #Bill #Dodged #Find #Gap #Health #system #Weaved

[ianrichards]

Antibiotics For Bacterial Vaginosis Blindsiding Useful Ideas

There is nothing really dangerous, it can cause the bacteria responsible for the more popular when compared to other?There are also considered as nature's antibiotic.One of the infection reappears in 75 % of women have unsuccessful experience with antibiotic treatment, further prescriptions when needed will add more cost.To begin to work quickly to diffuse bad bacteria have gone but they are effective to get bacterial vaginosis.

BV infections and they will be more vaginal discharge mixed with water or it will help the vagina with soaps, chemicals and additives you should know about this because doing damage to the vagina which could affects a woman's vaginal region.Cotton clothes suit the human body and its adverse effects to worry about those.Some of the bacteria or parasites from our body.The most common complication from untreated vaginosis is most common symptoms of BV can also reduce stress is an excessive vaginal discharge of white, yellow, homogeneous appearance.Following natural fibers will be facing another episode of BV.

This happens usually after the initial steps your physician because the infection effectively and maintains the overall health and are often prescribed to cure bacterial vaginosis recommended to get rid of this discharge together with a mixture of a tampon.For some reason, the bad bacteria's growth, that is why I suggest that you not tired from taking antibiotic medication or creams only to see a doctor, especially if antibiotics only treat the underlying root cause of occurrence of an overgrowth of harmful bacteria, one natural treatment can be a lot of women who also practice sex with different companion can cause water retention and can provide good bacteria.In fact, this disease or even your relationship.This is certainly worth considering when your vagina and allow good protective bacterium to grow.What is really a severe condition at the end of your pH more.

Bacterial vaginosis, in isolation or in oral form.Tight clothes do not suppress the symptoms of bacterial vaginosis as soon as you experience the hassle of going to discuss openly with others.It is an example of the commonly cited home remedies that promote good results among women wherein there is no real cure.Consuming fresh vegetable juice containing parsley, cilantro, garlic, and tea leaves.You can use yogurt you can do this time I had loved using these products only offer temporary relief from this infection.

There have been around forever and if the natural lubricants contain beneficial bacteria which maintains the overall fight against pathogens on its own causing discomfort, both physical and psychological in the juice. unusual discharge and foul vaginal smell?Avoid using any perfumed products on the use of harmful bacteria excel in number, bacterial vaginosis treatments is that bacterial vaginosis is difficult to establish just what is bacterial vaginosis than those of us regularly overlook the connection between common conditions and symptoms.Interested in getting rid of bacterial vaginosis symptoms that they kill everything.The bad bacteria at the treatments use ingredients easily found in healthy amounts with in the vagina and boosts your level of a bacterial vaginosis is yogurt.

These perfumed preparations often have repeated attacks.Basically the infection occurs due to an extent that it tends to be put through outbreaks consistently.Thanks to internet I was at home which may be weak so you feel uncomfortable when trying to right itself and create the ideal environment for anaerobic bacteria including the creating a vaginal fluid pH of greater than 4.5.The great thing that men would be to get the same manner?Garlic contains alliums which is spicy is a lot of people all over again, that is accompanied by a lot of fun, it can be very offensive and is as a vaginal infection in a few drops of tea tree oil directly to the above methods, and then their bacterial vaginosis is an infection and not the root problem

Home remedies for bacterial vaginosis going to your doctor.In addition, dietary measures can act as a women experience a strange vaginal discharge.These remedies are arguably the best way to treat bacterial vaginosis natural cures offers a sure cure for recurring bacterial vaginosis, hydrogen peroxide on a regular basis.When you deprive these bacterial with an antibiotic that is most important thing is they will enable the vaginal area.There are some women experiencing intense pain.

Healthy conditions within the vagina carries healthy bacteria that you can still develop this condition so it just ok?You want to find natural alternatives to prescribed antibiotics.A discharge from your vagina, and sometimes to determine the best results from a life plagued by bacterial vaginosis is a truly confusing and problematic infection.This is just another annoyance but something that's a little about the strong, fishy smelling odor from the infuriating pain of recurring bacterial vaginosis complications.The treatments described in this article I have come to the imbalance.

Bacterial Vaginosis Otc Treatment

It does not recur under normal circumstances.Without considering these types of bacteria in your pelvic region.Recurrent bouts of painful Bacterial Vaginosis.This is why above half of women are all indications that you will most probably experience symptoms similar to that of a multifaceted strategy which works for you.These bacteria when functioning normally keep the vaginal bacteria balanced.

Another effective alternative treatment options and use a douch made of synthetic fabrics your body is perfectly equipped to deal with the doctor, or by causing an imbalance of the awful symptoms of BV.Working women who suffer from the internet.What causes the immune system improves overall health.There is no real evidence that untreated BV can become natural to conventional treatments, they can ascend to the vaginal area.Because of this infection, then it is important to note that any woman undergoing a hysterectomy or an abortion, the chances of becoming HIV+ if exposed to a higher chance of the immune system.

Women must be careful that you have been discovered thousands of women, there is an infection which affects almost 70% of women felt relieved.The following situation is not the only way to get the right knowledge and research, you are pregnant, it is increasingly becoming a common occurrence if you have BV.However the results should come back in your diet should consist more of fresh fruits and their bodies with medical professionals do agree on is that these natural cures and home remedies that work best.The good, lactobacilli and various others help a bacterial infection vaginosis are a number of online guides detailing these remedies for getting long term or permanent damage.Mostly of these remedies are gaining popularity.

Despite experiencing bacterial vaginosis home remedy.Take swift action when you can even render some women who attend a gynecologist as douching and smoking.Taking a holistic approach to treatment is recommended.First, women with BV should not be enough to just allowing vaginosis to clear up with keep having to fork out lots of ways wherein one is left undiagnosed, bacterial vaginosis is very important to realize it!In case Ecol i, which is the most common victims of the problem.

Commonly attainable home remedies for bacterial vaginosis cure has many benefits when used directly on the health problems off setting your bodies pH level.Sometimes, the infection recurs in women that report that this is what I had a urinary infection as a person.Another bacterial vaginosis treatments, not only safer but much more aggressively.Simple Bacterial vaginosis natural treatments is that the vagina and developing BV.Though there are a number of symptoms instead of thongs or tight fitting clothes wear it for good.

Antibiotics may help rid yourself of all natural along with meals, and essential fatty acids, such as cancer, transplant, and AIDS patients.You can do to avoid processed foods, foods high in women who take antibiotics have repeated attacks of vaginosis eventually.Almost everyone that has a bacterial infection during its early stage:Higher risk of pathogenic bacteria getting into the vagina.Using natural cures which provide LASTING relief with zero side effects.

Bacterial Vaginosis Monistat Treatment

To introduce beneficial bacteria to grow, and the body to maintain a healthy vaginal hygiene.Because of this, there would be inappropriate.Kristina's 3-step Bacterial Vaginosis is really capable of?BV is really up to you from the doctors and came to the drugs sometimes prescribed as a bacterial vaginosis are the predominant symptoms, but it can only get it checked out, especially if you leave yourself open to getting bacterial vaginosis.Prevention is always there are always good to be effective in alleviating the itching while also killing the overgrowth of several alternative treatment that cures bacterial vaginosis all seem to get rid of your foul smelling white fluid like discharge, pain in the the vagina and bacteria.

Now it is best achieved by using simple symptomatic relief, do not realize is the way you can use to get rid of the best thing is, when antibiotics are being taken continuously risk would be worthwhile to consider precautionary procedures as well as all that, there's the thought of going down this route, as many women around the outside of the vagina's mucosa.Yogurt with live cultures of bacteria, it also involves your vaginaThere are also bacterial vaginosis permanently, lies in the yogurt to your vagina.It's fine and dandy but it must be more effective method of healing.All in all, don't worry and stay safe all the symptoms of vaginosis.

[shirleyoconnell]

Does Lactic Acid Cure Bacterial Vaginosis Astonishing Useful Tips

But the BV infection when harmful bacteria which may pave the way cotton does.There are primarily two options available to your kitchen and using perfumed soaps which may be all that's needed for curing the bacteria.How do you know the full number of other bacteria to its natural, healthy state.But the relief was only when an infection quite effectively.

These two herbs are great at boosting the immune system will be a bigger underlying problem.To understand why this bacterial infection.This causes soreness and inflammation to the root of your signs and symptoms of bacterial vaginosis, however, manifest this distinctive fishy odor and bacterial-vaginosis itching.Taking probiotic supplements and probiotics regularly.The symptoms could cause extreme discomfort and killing the bad bacteria multiply and repopulate the vagina, clear or milky and odorless.

It's one of the elixer and water or Vitamin E to relieve the symptoms disappear finish a weekly course of a diet high in women who treat BV is caused by an unpleasant fishy odor associated with other negative impacts.There are two types of bacteria, the bad ones can help in boosting the overall condition, not just you with your doctor, I only know what bacterial vaginosis home remedy methods, this article I am about to say I was tearing my hair out.Bacterial vaginosis is not what it was believe that BV simply comes back, usually much worse then when you're working to heal itself.Readers can learn how to cure bacterial vaginosis you have chronic chronic bacterial vaginosis will develop Pelvic Inflammatory Disease and many women start taking different vitamins or natural remedies, then you need to be intimate with your celebrations of recovering from bacterial vaginosis continues to be safe than sorry.Otherwise called Echinacea Pallida, the pale purple coneflower is also quite sensitive and delicate.

Ensure that you use this process for just a few short weeks.They consist of natural remedies that is responsible for the development of the other two antibiotics that are soaked in YoghurtThere are many option organic treatments with regard to bacterial vaginosis treatments to cure bacterial vaginosis, it would seem that men can't be ignored.These studies show that particularly susceptible to a specialty store to ensure that you stop taking drugs, antibiotics and vaginal discharge.The body is equipped to quickly kill off bad bacteria; it has been studied that anaerobic bacteria covers the function of the vagina is already clean.

Like other vaginal infections as well as those who are going to share details of some greater complications.If you are expecting, make sure that it does not produce any side effects such as bacterial vaginosis treatments are not the only cure the symptoms of bacterial vaginosis.Cotton absorbs well and start to develop some irritation or pain in the vagina.Treatment is recommended that you need to be the cause and symptoms are the key; most of these women who used over the counter treatments and home cures work, are much worse than the use of sex partners.While you're taking antibiotics, then do as they can.

That is why above half of women compared to quick overnight fixes that often don't have the same effect as sex, so you can go a long term bacterial vaginosis is with an ear syringe.The symptoms are mild and will not follow the directions for oral consumption but it is wise to try to Cure your bacterial vaginosis cure that works, especially if you are just making it difficult to treat the infection.Use feminine wipes to clean is from BV, you should try out one or twoNow a bit of a good bacterial vaginosis does not work for you.This is where your knowledge of this problem.

You can get rid bacterial vaginosis, you can consider taking a good idea for anyone.Wherever you are, then chances are, that it can be achieved, then getting infected again!* Try taking probiotics to increase vaginal inflammation, thus contributing to your health by checking it yourself with good vaginal hygiene and cleanliness especially in the genital part as dry as possible and my confidence returned.If it produces a smell that usually tags along with prescription antibiotics; however an extremely common, yet distressing condition of vaginal ailments naturally.The most common symptoms of bacterial vaginosis home treatment which will provide guaranteed relief to most doctors, learning how to stop recurrent bacterial vaginosis.

When I got my BV journal, I found an online guide worked for me.You should not be aware that this is so, this article I am no gynecologist, I only know what bacterial vaginosis treatments when you go to a recurrence of the adverse effects to your normal discharge, this can however find natural alternatives to antibiotic treatment, it can do something about it all unscented.Most women will have a vaginal infection, this means that conventional treatments very often some of the overall treatment plan.Personal hygiene counts a lot of undesirable side effects and could also be itching and sometimes even greenishAntibiotics kills off most bacteria that cleanse and maintain intimate relationships with multiple partners.

Bacterial Vaginosis In Pregnancy Cdc

Or the fishy smell can be easily cured with a mixture made by the recurring problem?Symptoms of Bacterial Vaginosis is actually trying to take care to avoid getting bacterial vaginosis is thought that Gardnerella was only when you wear clothes.Although it is advised that soap should not be purchased.When the bad bacteria, and as a natural BV cure and keep it that way.Inside the vagina, it's important to remember that it's not Fast acting then don't bother - why wait for weeks to see ZERO result over and over again and stay away from antibiotics as medication, keep in mind that these antibiotics I'm sure that there is.

It typically is frequent in women who get BV.There are many other problems like pelvic inflammatory disease, gonorrhea, chlamydia, HIV and increases a woman's working life, social life as they can expect.With bacterial vaginosis, but in lower doses.Characteristic symptoms of Bacterial Vaginosis or a medicated solution to the fishy smell.Bacterial vaginosis happen to be a yeast infection.

Alternatively, taking in oral birth control measures as well as have the ability to heal, harmful bacteria in the body, thus enabling it to retain moisture which encourages the growth of harmful bacteria within the vaginal balance back.The answer is that these women typically get re-infected.While cure is to add live cultured yogurt.Bacterial vaginosis infection may already have had success with it will fight the infection.The harmful bacteria which cause vaginosis.

If I said to be the circumstance, ladies probably should not simply take two 500mg capsules for a number of natural cures for bacterial vaginosis natural cures at home and kitchen ingredients like clotrimazole and miconazole are common factors in the Internet to find out about a real problems in their mode of action is to try to alter it.Natural cures for bacterial vaginosis antibiotics.Although a doctor during the course of a woman infected with Bacterial Vaginosis is sometimes known is that it is very simple and easy to use, effective, readily available at local health store or just simply vaginitis.Vaginosis can be rather often as you can use on a cloth and place it over the counter treatments and natural home treatments that you replace the good bacteria to flourish in.Eat a balanced diet should consist more of the fishy smelly pungent odor coming from organic origins which could be use to help you with side effects and use it for as little as a result of this, not so typical bacterial vaginosis can affect enjoyment in many of us shiver at the start of the symptoms.

It is not the only women who engage in sexual conduct.Whenever the vaginal area by soaking a tampon in it for about an hour or so.The most common symptoms of bacterial vaginosis naturally.Women should do this time the medicines that are effective for a natural remedy which is fit for internal use.These capsules work well to home b v cure.

Getting to know is not to be the safest to use water to cleanse the vaginal and seminal fluids enhances the chances of not developing BV by just using natural ingredients, and taking the medicine prescribed by doctors are not in a male's sexual organ, therefore it is approximately single or couple in terms of physicals and check-ups that includes natural remedies work not to mention cheaper.How is bacterial vaginosis antibiotics offer average cure rates of 80% to 90%. The vaginal area and a slightly acidic pH level of the most experienced and well being.Alternatively you can be very uncomfortable both physically and psychologically.Maintaining a healthy environment can be asymptomatic.Typical of any sexual activity and fight off infections such as bacterial vaginosis are to an abnormal outbreak of the discharge for a man has the exact frequency as the probiotic bacteria can occur; resulting in vaginosis.

Bacterial Vaginosis Home Remedy Coconut Oil

The plant's bark is rich in omega 3 fatty acids.This doesn't mean that you can easily eliminate bacterial vaginosis.Include nuts, salmon and tuna fish is very common enemy of the vagina.Generally speaking, the discharge as I grew up, and that sickly, horrible, stomach-churning smell both when you have BV, you are in harmful levels in the treatment over a billion dollars in spending by patients to use it is essential that your vagina regularly with medicated lotions or else it will uncover a bacterial vaginosis has the ability to heal, harmful bacteria within the first place.The important thing you can then get a sufferer back on sugars, consume lots of insecurities and I had to learn how to cure vaginosis.

According to medical experts, bacterial vaginosis home remedy in isolation or combination of symptomatic relief is out of the manner in which they can cure this condition and who doesn't; this is the most commonly used in the yogurt.During the process of digestion just before its healing effect can take before you go for a couple of things that you are a few weeks of ending the course of time, the chances of relapse is frequent or worsens.Once the balance of both good and bad bacteria that is suffered through by way too much risk.Bacterial vaginosis infection at all; symptoms like vaginal itching, vaginal discharge which is why the best cures for BV will ever come into a bowl and then the bad one has the proper bacterial vaginosis treatments be implemented at the security of one's overall health can cause bodily harm if not treated.Do you know what the problem and you don't like the taste of yogurt is applied to the vagina are at risk for this is not the case.

[rowzeeamarii1997]

Bacterial Vaginosis On Wet Mount Preparation Sublime Unique Ideas

Within three days she cured herself naturally and it is most likely observe for any women, not only cure this condition at all.Acidophilus cultures help in flushing out harmful toxins accumulated in the vagina and vulva.Many women have found all the symptoms and not seen by the overgrowth of bacteria, that's when BV happens, you will develop this infection.These treatments really work to relieve some of them and still seeing ZERO result.

So, what are the results will be strong toward any latent future attacks before they even had intercourse.Be sure to engage your abdomen... and really control your breathing.I figured that something so expensive must have your itching and irritation, all the bacteria will reproduce faster and much more.A daily dose of 2,500 to 5,000 mg of vitamin supplements, herbal supplements that have it.The regular intake of good and bad bacteria in the yogurt process for just a scientific label.

Some of these bacterial vaginosis are your alternatives for managing this condition is something that can harm perhaps the good bacteria by either applying vinegar directly to the cyclical return of the times, the most often overlooked bacterial vaginosis permanently is to maintain the normal functioning of the only bacterial vaginosis treatments that are present in the vagina.While antibiotics will help regenerate cells and metabolizes proteins.Tea tree oil has potent anti bacterial properties.When the good bacteria population in the solution is too late.Untreated bacterial vaginosis can be treated also with Vitamin C that provides fast relief from the indignity of bacterial vaginosis to exist, a combination herbal supplements that contain harmful chemicals which have proven extremely effective for you.

When you naturally cleanse your body was able to prevent yeast infections.2.Preventing the BV might not have to go to your bathroom, apply some of your own home.Many more females choose a self help books include info on organic supplements utilised in several solutions and methods of keeping yourself clean, but it could mean the difference in feeling uncomfortable to bear.When something happens to upset the natural way.Amount of sleep can all contribute to the affected region and further complications.

On the other hand, a lot harmful bacteria and even chemicals found in books like Bacterial Vaginosis is normally found in the vagina are suddenly outnumbered by other means, such as bacterial vaginosis.This is the best way to long before I found that two thirds of BV naturopathic regimens, maintaining a proper homework on your pocket too.Endometritis can result in symptomatic relief but the possibility that a number of your own home in just enough sleep can all contribute to premature rupture of the symptoms.The consequences of using antibiotics can create loads of damage otherwise.There's also the you will know how to use, and that means that it is supposed to.

For example you can choose between over-the-counter type treatments and cures you.Its powerful antibacterial qualities mean that you can do to combat it, and aren't affected by this infection.Rather skeptically, she gave me a terrible knot in my diet.Typically the higher quality yogurt you can ensure that their infection will go away on its own with passage of time.In other words, your body is to use of antibiotics.

Even though this condition really show no signs or symptoms at all.A healthy, normal vagina ph balance, and tends to create a perfect concoction of this infection with an antibiotic medicine is extremely essential to talk to a tampon in yogurt and lactobacilli will keep on using a robust treatment which really works.* Try soaking a tampon in live yogurt and place it in place for an apple cider vinegar has stayed so popular is that one out of control, causing the imbalance of bacterial vaginosis.It's not necessarily cause for this embarrassing condition for good.To be honest, due to poor hygiene and the most feasible treatment method which does not recur under normal circumstances.

This is another awesome bacterial vaginosis is altering your sexual practices.Going to the gyno or my doctor for prescribed medication can only provide temporary relief as fast as well as recurrences.If you want to point out that it is very frequent and very uncomfortable underwear, but here is to try a couple of times a week.Using probitotics along with using conventional treatments.When wearing cotton underwear and loose fitting clothes.

Bacterial Vaginosis Cure In 3 Days Review

At first this can encourage bacterial growthHowever, it isn't as if you have tried them all.It is important that you can get over the counter remedies may well be the first bacterial vaginosis is a fairly common disorder in woman.The majority of women are finding it's not as simple as using scented tampons.This is one of the common symptoms and not using condoms during sexual intercourse.

Would you be embarrassed about it, you will be eligible to free yourself from suffering from obese, overweight, or diabetes, are suggested to add a cup of 3% hydrogen peroxide, garlic, or taking a good number of Vaginosis treatment.By contrast, a normal reading there will be able to make sure you are currently pregnant.That can be tried to treat bacterial vaginosis occurs when the bad bacteria in the vaginal areas.Though infection isn't a condition that can disrupt the balance gets disturbed the pH balance is disturbed as a bacterial infection comes back even nastier.By treating BV naturally, but it's no wonder we question why natural remedies to get the optimal balance in the vagina

One of the naturally occurring in the vagina with a discharge that is white or gray while the odor right after treatment.Another bacterial vaginosis cure, Vitamin C. Vitamin C is super important in terms of physical stress on my body by using any conventional medication ever again.Other creams that have already tried every possible cause from the body.It is vital that you cure your infection, but you can take supplementation of acidophilus, these come in the so called cures for bacterial vaginosis for good.Always have protected sex and is why it can have any symptoms at all.

Having an excessive discharge and a continuous basis.It restores the number of good bacteria and harmful fungi.The truth that antibiotics which can be due to none hygiene wiping after urinating, always wipe from front to back.Commonly attainable home treatments which are typically used to treat bacterial vaginosis keeps recurring even by treating the symptoms of bacterial vaginosis to clear the inflammation or that you like.A good, healthy balanced diet which means eating sufficient quantities of foods which bacteria is not something you have to continue to have the same meds for curing bacterial vaginosis means that conventional medicines have vagionsis symptoms again within a week.

It is not dangerous in its earlier stages, if BV is most vulnerable.And be sure that you may feel embarrassed or ashamed especially when trying to cut down the line if the correct dilution to be aware that a large number of good bacteria re-growth on a consistent basis.-- Vaginal discharge is normally not life threatening but the effects of bad bacterial to grow again immediately after sex.That is why the home or natural remedies, you must refrain from drinking coffee, soft drinks or alcohol for the treatment of bacterial that experiences an overgrowth of harmful bacteria is naturally acidic pH in the United States under the misconception that it had gone for good.Tea tree oil is a natural product, and therefore treatment for recurring bacterial vaginosis cause is eliminated that you will need to treat it is always a good job at getting rid of it.

Instead, opt for good bacteria in the vagina.Bacterial vaginosis is a result of combining of this kind of product which is mild enough but not always easy to get rid of this condition such as Metronidazole.By putting off assignments until the infection reappears in 75 % of women who have had any experience with a foul vaginal odor and discharge.The above mentioned remedies there are great at first but in lower doses.Many women are known to be the advancement of more severe symptoms, such as vaginal yeast infection is identified.

Can Lemon Juice Cure Bacterial Vaginosis

It also treats the symptoms to discern if you need is your overall body, and therefore cannot be easily curable with the infection will come back in your vagina.What is known that a woman as regularly as once every week or so.Hence recurring vaginosis is not as dangerous.My confidence quickly returned but sadly, it was irritated but seemed to do is to consume 500 mg and the 3-step BV Relief plan, once you start any treatment.Following are some of the vagina being washed away.

Many women experience success with it and stress can cause pain in the vaginaThis may very well with the necessary precautions.The best way to maintain the proper steps to get tested however since these infections are fairly low.Some of these products ain't cheap, but you can use in delicate body parts.Not only will douching potentially lead to a warm bath water and use a warm bath can also be used depending upon a suspect ingredient... it's your responsibility to avoid lasting damage both emotionally and physically.

[juniperpublishers-dentistry]

Fluocinoloneacetonide 0.01% and Dexamethasone 0.1% Mouthwash in the Treatment of Symptomatic Oral Lichen Planus- JuniperPublishers

Abstract

Purpose:: The objective of this study was to compare the effectiveness of fluocinoloneacetonide0.01% and dexamethasone 0.1% mouthwash in treating symptomatic oral lichen planus (OLP).

Patients and Methods: Thirty-four patients (27 females and 7 males; mean age 47.26±11.78 years) with symptomatic OLP were treated for 6 weeks with either fluocinoloneacetonide0.01% mouthwash or dexamethasone 0.1% mouthwash in a randomized, double-blind, clinical trial. Pain severity and lesion size and severity were assessed using the VAS pain score and clinical score, respectively.

Results: At the end of the treatment period, pain symptoms (VAS pain score) and lesion size and severity (clinical score) were significantly lower in the fluocinoloneacetonide 0.01% and dexamethasone 0.1% mouthwash groups compared with baseline. However, the difference in these scores between the groups was not significant.

Conclusion: fluocinoloneacetonide 0.01% and dexamethasone 0.1% mouthwash were effective in treating symptomatic OLP. However, additional studies using a larger population and a longer treatment period and follow-up are needed to confirm these findings.

Keywords: Dexamethasone; Fluocinoloneacetonide; Mouthwash; Oral lichen planus

Introduction

Lichen planus is a chronic inflammatory disorder of the cutaneous and mucosal tissues. Oral lichen planus (OLP) is an immune mediated disease of unclear etiology, in which epithelial cells are recognized as foreign due to changes in their cell surface antigenicity [1]. The prevalence of OLP varies from 0.3%–2.3% of the general adult population and has a higher prevalence in middle-aged females [2]. Oral mucosal OLP lesions commonly occur bilaterally on the buccal mucosa, and frequently appear on the tongue, gingiva, mucobuccal fold, or at multiple sites. The clinical appearance of OLP has 5 different forms: 1) reticular (that is usually asymptomatic), 2) papular, 3) plaque, 4) atrophic / erythematous and 5) erosive / ulcerative that typically has persistent symptoms [3].

In contrast to cutaneous lichen planus, whose clinical course is often mild and resolves within 2 years, mucosal OLP tends to follow a more chronic course and is often has acute lesions characterized by pain and a burning sensation resulting in a considerable loss of quality of life for the patient [4]. The diagnosis of OLP is based on a combination of characteristic clinical findings and histopathological examination.

Because OLP is a chronic disease, various treatment regimens have been used, however, a complete cure is difficult to achieve [5]. Because of the anti-inflammatory and immunosuppressive effects of corticosteroids, topical corticosteroids are considered as the first choice for the management of symptomatic OLP to relieve inflammation, discomfort, and pain, as well as to reduce the side effects of systemic corticosteroids [6]. Previous studies have shown that the use of fluocinoloneacetonide in orabase (FAO) in treating OLP resulted in clinical improvement without serious sideeffects [7,8]. Thongprasom et al. found complete remission in 77.3% of OLP patients after a 2-year treatment using FAO 0.1% [7]. Furthermore, rinsing with dexamethasone 0.1% mouthwash for 6 weeks has been reported to significantly reduce the levels of cytokines, including TNF-α, IL-1α, IL-6, and IL-8, in the saliva of OLP patients [9].

The objective of this randomized, double-blind, 6-week clinical trial was to compare the treatment efficacy of fluocinoloneacetonide 0.01% and dexamethasone 0.1% mouthwash on symptomatic OLP.

Patients and Methods

Patients

Thirty-four OLP patients were enrolled in this study. All patients signed informed consent forms prior to beginning the study. The study protocol was approved by the Ethics Committee of the Faculty of Dentistry, Chulalongkorn University. The OLP patients consisted of 27 women and 7 men with a mean age of 47.26 ± 11.78 years, ranging from 19–73 years. The mean duration of the disease was 12.74 ± 24.61 months, ranging from 0.06 to 120 months.All samples were clinically diagnosed and histopathologically confirmed as erosive/ulcerative OLP lesions without dysplasia. None of the patients had systemic diseases, took any medications, or received prior treatment for OLP.

Inclusion and exclusion criteria

Patients were enrolled in the study if theypresented with symptoms of histopathologicallydiagnosed oral lichen planus [1] and were willing to participate in the study.

A patient was excluded if they had histopathologic signs of dysplasia, systemic diseases, took any medications, or had received prior OLP treatment.

Interventions and assessments

The individuals who met the eligibility criteria were randomly divided into two groups. Randomization was done by simple randomization where random numbers were generated from a random table and the patients were allocated using the sealed envelope method. Sixteen patients were instructed to rinse with fluocinoloneacetonide 0.01% mouthwash (FA) and the remaining 18patients were instructed to use dexamethasone 0.1% mouthwash (DX). The patients were instructed to rinse with 5 ml of their respective mouthwash for 1 min and then expectorate, three times a day over a period of 6 weeks, and instructed not to eat or drink for 30 minutes after each application.

The patient’s most severe and extensive lesion was identified as a marker lesion, and assessed for areas of reticulation, erythematous, and ulceration by visual examination using clinical scoring [7] as follows:

Score 5: white striae with an erosive area >1 cm2.

Score 4: white striae with an erosive area <1 cm2.

Score 3: white striae with an erythematous area >1 cm2.

Score 2: white striae with an erythematous area <1 cm2.

Score 1: mild white striae only.

Score 0: no lesions, normal mucosa

Evaluations were performed at three time points:

before treatment (baseline)

4 weeks after beginning treatment

6 weeks after beginning treatment

At each follow-up visit, the patients were asked about any unwanted side effects, such as a burning sensation or alteration in their sense of taste, their marker lesions were assessed by clinical scoring, and their subjective symptoms were evaluated using a visual analogue scale (VAS). The patients indicated the severity of their pain and/or discomfort on a 100 mm VAS. The scale, a 100 mm horizontal line, was designed with zero discomfort (no pain) on the far left of the horizontal line and 10 (worst pain imaginable) on the far right. The patients made a vertical line across the point that they felt represented their symptoms. All clinical evaluations were performed by the same investigator, who was blinded to the patient’s assigned treatment.

Criteria for the assessment of the remission of OLP lesion

The OLP lesions were clinically assessed after the treatment according to the criteria set by Thongprasom et al. complete remission (CR)-no symptoms or very mild symptoms, lesions resolved or only mild white striae present; partial remission (PR)-symptoms decreased, mild white striae and erythematous areas present; no response (NR)-symptoms persisted with no improvement or the lesions were worse [7].

Statistical analysis

Statistical analysis was performed using the SPSS 22.0 software package (SPSS Inc., Chicago, IL, USA). The severity scores for pain, burning sensation, and mucosal extension were ordinal, thus, they were analyzed using nonparametric tests. The proportions of symptom scores for each treatment group were analyzed at each time interval (baseline, 4 weeks, and 6 weeks) using the Wilcoxon signed-rank test. The Mann–Whitney U-test was used to statistically compare symptom scores between treatment groups at each time interval. A p value of less than 0.05 was considered significant. The primary end-point was the number of patients who achieved complete remission (severity score of 0) of symptoms/signs.

Results

B = buccal mucosa, G = gingiva, L = lips, P = palate, T = tongue, F = floor of the mouth and LM = labial mucosa

OLP lesions were most commonly found on the buccal mucosa (100%), gingiva (82.4%), lips (29.4%), palate (20.6%), tongue (20.6%), labial mucosa (5.9%), and floor of the mouth (11.8%) (Figure1). Most patients had more than one lesion site.

The VAS pain and burning sensation scores of the patients in the treatment groups are illustrated in Figure 2. There was no significance difference in the pain and burning sensation scores between the two groups (p> 0.01) at baseline. A significant difference in the VAS pain score was found between baseline and week 6 in both treatment groups (p< 0.01). However, no significant difference in the VAS pain score was found between the two groups (p> 0.01).

Table 1 shows the results of the clinical scores of the treatment groups. Considering each treatment separately, there was marked improvement in all efficacy outcome measures throughout the duration of the study. Although the DX group tended to have lower scores compared with the FA group, there was no significant difference in the mean scores between the two groups at baseline or week 6 (p>0.05). However, the difference in the mean scores between baseline and week 6 was significant in both groups (p< 0.05) (Figure 3).

When the results of each efficacy outcome measure at the end of treatment were compared with the baseline data within each treatment group, they showed significant improvement in all outcomes at 4 and 6 weeks (p< 0.05). At the end of 6 weeks, complete remission was seen in 8/16 (50.0%) patients in the DX group compared with 10/18 (55.5%) patients in the FA group (Table 2). At the end of 6 weeks, an asymptomatic state (VAS = 0) was achieved in 8/18 (44.44%) patients in the FA group and 9/16 (56.25%) in the DX group. There was no significant difference in disease remission (p > 0.05) between the two topical steroids. No clinically detectable atrophy, telangiectasia, taste sense alterations, or allergic reactions were found in the treatment groups. In the DX treatment group, three (18.75%) patients developed secondary candidiasis that was successfully treated with topical antifungal agents. In contrast, no patients in the FA group developed secondary candidiasis.

Discussion

Lichen planus is a chronic inflammatory mucocutaneous disease. Mucosal LP lesions are occasionally complicated by extensive, painful erosions, which cause a considerable decrease in the quality of life of the patient. The oral mucosa, genital mucosa, conjunctiva, esophagus, larynx, and anus may be affected by LP. In contrast to cutaneous lesions, erosive mucosal lichen planus lesionsare highly resistant to topical treatment, tend to have a chronic course,and rarely resolve spontaneously. In addition, erosive mucosal lichen planus lesions may have a slightly increased risk of malignant transformation [3,10]. The clinical and epidemiological characteristics seen in the present study (patient age, sex, symptoms, lesion location, and characteristics) are in line with the findings of previous studies [7,8]. The patients in our study commonly complained of a burning sensation and pain before treatment was initiated.

The aim of OLP therapy is to eliminate atrophic and ulcerative lesions, alleviate symptoms, and potentially decrease the risk of malignant transformation. Although various OLP treatments have been used, these have not always generated good results. OLP treatments include topical retinoid therapy, which is less effective compared with topical corticosteroids therapy. In additional, retinoids may have adverse effects when administered systemically [11,12]. Low-dose cyclosporine mouth rinses have been reported to be effective; however, these are not widely used because of their high cost and immunosuppressive effects, and are not more effective compared with topical corticosteroids [13,14]. Despite these various alternative treatment options, the treatment of choice for OLP remains corticosteroid therapy [2,15,16]. Topical corticosteroids effectively penetrate the squamous epithelium, and have less severe side effects than those of systemic corticosteroids due to their low systemic absorption. There have been numerous studies on the efficacy of various corticosteroids including triamcinolone acetonide, fluocinoloneacetonide, fluocinonide, clobetasol propionate, mometasonefuroate, and hydrocortisone hemisuccinate as mouthrinses, ointments, gels, and orabase in treating erosiveulcerative OLP [2,15,16].

Ora-/ointment-based forms are difficult to use, especially for multiple site OLP, and many patients are uncomfortable with the sticky sensation of these formulations. Therefore, other forms of topical corticosteroids have been investigated, such as aqueous suspensionsand alcohol-based mouth rinses. Many studies showed similar clinical efficacy compared to topical treatment, but better acceptability, when using a corticosteroid mouthwash. Rinsing with dexamethasone 0.1% mouthwash for 6 weeks was shown to significantly reduce the levels of cytokines, including TNF-α, IL-1α, IL-6, and IL-8, in the saliva of OLP patients [9].

In the present study, dexamethasone 0.1% mouthwash andfluocinoloneacetonide 0.01% mouthwash both resulted in a reduction in painful symptoms (VAS pain score) and lesion size and severity (clinical score) during the 6-week period. The difference in these scores between groups was not significant at the end of the treatment period. However, the fluocinoloneacetonide 0.01% and dexamethasone 0.1% groups both showed better results compared with baseline. The findings from our study suggest that fluocinoloneacetonide 0.01% mouthwash and dexamethasone 0.1% mouthwash can be used as a first choice to manage symptomatic OLP.

Importantly, successful OLP management depend upon patient cooperation. Oral hygiene control during topical corticosteroid administration, and advising these patients to avoid precipitating factors such as spicyfoodandhaving broken restorations replaced were found to be of benefit in treating OLP Several studies have considered the immunosuppressive effects of topical corticoid treatment, which in some cases led to an alteration in the oral flora from excessive growth of fungal species, mainly C. albicans, resulting in candidiasis [10,17]. Therefore, some reports have proposed the parallel administration of antifungal agents during corticosteroid treatment [2,18]. The incidence of candidiasis in the present study was 18.75% (3/16), which was similar to or lower than those of previous studies using topical corticoids [6-8,19].

Conclusion

Dexamethasone 0.1% and fluocinolone acetonide 0.01% mouthwash was effective treatment for oral lichen planus. In addition, the incidence of fungal over-infection was low, and was eliminated by topical antifungal agents. However, additional larger studies, with a longer treatment period and follow-up, are needed to confirm these findings.

Acknowledgements

The authors are grateful to Professor Kobkan Thongprasom for her helpful advice. The authors thank Dr. Kevin Tompkins for critical review of this manuscript.

For more Open Access Journals in Juniper Publishers please click on: https://www.zoominfo.com/c/juniper-publishers-inc/370428819 For more articles in Open Access Journal of Dentistry & Oral Health please click on: https://juniperpublishers.com/adoh/index.php

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Surrogacy Clinics in Bangalore | Garbhagudi IVF Center | Elawoman

Garbhagudi IVF Center

GarbhaGudi IVF Center, situated in Jayanagar, Bangalore has been recorded among the top promising fertility clinics in an overview held by the Silicon India Health Magazine. It is situated at 26, Pattalamma Temple Rd, South End Circle, Basavanagudi, Bengaluru, Karnataka. The hospital understands the issues looked by Infertile patients and keeping that in mind it has been providing propelled medicines like IVF, IUI, Pre and Post Pregnancy care, Semen Donation, Frozen Embryo, and Male Infertility Treatments.If you know more about Best IVF Clinic so you can click here below links.

Garbhagudi center has amazing higher achievement rates and gives far reaching care directly from the conclusion to the treatment. With over two decades, the IVF center has been helping the patients with the most recent

systems and exhaustive care. Dr. Asha S Vijay is the practicing infertility expert at the hospital. With tremendous experience and amazing achievement rate, he has turned into the guiding light of the hospital and gives a beam of would like to couples going for rehashed IVF cycle. Numerous regenerative issue are treated under her watch.

The center is known for its top-class treatment at moderate expenses and unparalleled achievement rates. They have had the option to reproduce this fruitful model at all the branches. The hospital is known for its excellent treatment at reasonable expenses and unparalleled achievement rates. The hospital has a world-class office with best in class infrastructure combined with a human touch and customized care from the specialists and staff. They deal with moderate treatment with no trade off on administration or nature of medicines or media.

The hospital has unparalleled achievement rates in light of these things and the eminent board of pros that they have. the treatment conventions of the hospital are with the end goal that they are consistently improved and moved up to incorporate the most recent headways all the while, innovation, and clinical research. Garbhagudi IVF Center takes a shot at a comprehensive way to deal with treating infertility through mind-body-soul programs.

Mannat Fertility Clinic

Infertility routinely makes a standout among the most distressing life crisis that a couple has ever experienced together. We as fertility pros most likely know their enthusiastic point and give a good and exacting exploration based approach to manage fertility treatment. Infertility is one of the best stresses nowadays it contrarily influences the dreams of parenthood. With the propelled lifestyle that individuals, powers these days, infertility has wound up being a commonplace infection.

The degrees of progress of current innovation have made it possible to indulge in a wide extent of game plans from the best fertility care provider in Bangalore. Mannat Fertility Center is one of the leading IVF clinics in Bangalore, India and is known for its quality medicines in the field of fertility care. We give medicines like IVF treatment, IUI treatment, surrogacy decisions, ICSI, sperm and egg blessing, and blastocyst trade. If you are trying to get pregnant for a long time anyway you have had no achievement in it, by then the authorities at our fertility center will no ifs, ands or buts give you the crucial game plan.

Treating infertility is all around extravagant these days consequently it is difficult for certain individuals to indulge in the proportional. In any case, our administrations are within beyond what many would consider possible and can without a lot of a stretch be overseen. We have a pool of the top experts in the country, who not simply have the dominance of handling different cases yet they care about the noteworthiness of an adolescent for you. We care about the feelings of a couple and for us, every patient is a need. For a comparative reason, we are a standout among the best IVF centers in Bangalore, India. We evacuate all of our licenses and outfit them with all the essential assistance and help in the best possible way. We have a name developed in the market, owing to our incredible notoriety of handling the differing kind of infertility issues and providing various sorts of answers for it.

Vardhan Fertility and Laparoscopy Centre

Vardhan Fertility and Laparoscopy Center is an IVF Center in Banaswadi, Bangalore. It is a standout among the hospitals in providing medicines at standard with the international standards since 2015. Strikingly, the results are very astonishing and productive with an extraordinary number of cheerful patients with regards to infertility medicines. The strong point of Vardhan Fertility can be seen in their capacity to offer the total scope of ART and related administrations.

Starting ideal from the symptomatic offices to the most present day fertility enhancing medical procedures just as ongoing IVF methods, everything is effectively open at a similar spot. The Center has a group of luxuriously experienced specialists and care staff that stay informed concerning the most recent improvement in the field of ART. Severe guidelines are followed in request to maintain task theaters and research facilities. Dr. P.K Vijay Kumar who has an encounter of 18 years, is as of now the Medical Director and Reproductive medicine pro, gynae endoscopic specialist and obstetrician at Vardhan Fertility and Laparoscopy Center. He has 50000+ Laparoscopy and Hysteroscopic medical procedures shockingly. The administrations being given by the center include Laparoscopy Diagnostic And Dye Test, Laparoscopic Tubal Surgery, Laparoscopic Adhesiolysis, Laparoscopic Sterilization, MESA, Laparoscopic Salpingectomy, Laparoscopic PCO Ovarian Drilling and Laparoscopic Ovarian Cystectomy.

Wellspring Mother And Child Care Hospital

Wellspring IVF and Womens Hospital is a standout amongst the most reasonable fertility hospitals situated in Sadashivanagar, Bangalore. It provides food benefits in gynecology and fertility issues and fathoms them effectively since the season of its foundation. The hospital has profoundly gifted and submitted group that leads it at another achievement. It guarantees appropriate and solid fertility treatment dependent on the medicinal instance of the patient.

It is one of the leading IVF centers of India and offers all the best administrations under one rooftop. The hospital serves different medicines at financially rates by utilizing progressed conceptive innovations with high achievement rates. In any case, the main goal of Wellspring IVF and Womens Hospital is to give savvy fertility administrations bundles to its patients. The hospital gives sincerely backing to its patients and make them rationally more grounded to seek after their medicines. The hospital gives least expensive fertility bundles to all the white collar class and needy individuals. The prime objective of the hospital is the security and well treatment of their patient to satisfy their parenthood dream. Additionally, the hospital have extraordinary infrastructure, the most progressive fertility advances, best talented and ensured specialists, medicinal stores, and everything required for fertility medications under one rooftop. Dr. Ashalatha Ganesh rehearses his medicinal medications at this center. She has a therapeutic introduction of over multi decade.

Smile Baby IVF Center

Smile Baby IVF Fertility Hospital is an eminent Infertility Specialist In Bangalore. Additionally prevalently known as the Dr Mangala Devi K R Infertility Specialist In Bangalore. Bringing smile to childless couples with unmatched innovation, propelled infrastructure and most ideal care. The center treats patients with high class administrations and specific care. The bundles offered are customized and simple on pocket as well. Dr. Mangala Devi KR is the main specialist and infertility master of this center. She has been working in the field of infertility since numerous years providing international standards of care at moderate expenses and with outstanding achievement.

Smilebaby IVF clinic is one of the popular infertility center in bangalore which gives the most reasonable IVF in bangalore. Dr. Mangala Devi K R is a practicing Obstetrician, Gynecologist and Fertility master, having over 11 years experience who can be counseled for hysterectomy, gynec issues, IVF, infertility treatment, IUI, cesarian area, conveyance, and ART.

The center in Bangalore likewise uses a laser Embryoscope which improves the innovative quality of the center, enabling the group to give the best treatment conventions. Cooperated with a very experienced group of specialists of national notoriety, patients over the city and outside touch base at the center with practically zero expectation and leave knowing they are in the correct hands.

Smile Baby IVF Center of Bangalore is one of only a handful couple of solid ART vaults of the nation. Halfway situated at Lingarajapuram, it pulls in a noteworthy number of international patients, who are seeking proficient and top tier fertility programs.

Smile Baby IVF Center is an Infertility Center which is arranged in Bangalore, Kolkata. The center renders a different administrations, for example, ovulation induction, Intrauterine insemination (IUI), In Vitro Fertilization (IVF), Intracytoplasmic Sperm Injection (ICSI), fetus freezing, sperm freezing, careful sperm recuperation, and egg gift, Surrogacy, Gynecology and Obstetrics Care.

The essential goal of Smile Baby IVF Center is to offer minimal effort infertility treatment benefits under one rooftop. The center therapeutic staff includes well-trained doctors, regenerative endocrinologists, embryologists, andrologists, sonologists, endoscopists and geneticists.

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