Here you can find a selection of common conditions and recommended treatments. These should not replace consultation with your doctor, but will enable you to understand your body better and help you on your journey to health.

ACNE
Acne is a chronic skin disorder caused by the inflammation of the hair follicles and the sebaceous glands in the skin, mainly occurring on the face, back and chest. Many adolescents will at some time have a few spots: a relatively small percentage have more troublesome spots referred to as acne.

Grease glands are controlled by the sex hormones and this is why acne arises at puberty. In males, these hormones are produced mainly in the testicles and, in females, by the ovaries and adrenal glands. However, acne is seldom due to an excess of these hormones; usually, it is due to an excessive response of the grease glands to normal hormone levels

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ARTHRITIS
There are various types of arthritis: osteoarthritis rheumatoid arthritis and gout.
Osteoarthritis is the inflammation of joints where the ends of two bones meet, usually caused by wear and tear or degenerative changes in the joint surfaces. Almost any joint in the body can be affected but the most common are the spine, fingers, hip, knee and toe joints. It is the most common form of arthritis. Osteoarthritis is also known as spondylosis.

The cause is not completely understood but it is thought to be due to a disturbance in the normal stresses across the joint, due to getting older or having had an injury. Metabolic, genetic and other factors may also contribute. The lining of the bone ends (cartilage) become thinner, causing pain in the affected joint as the cartilage wears away and ultimately leads to bone rubbing on bone.

Typically people of around 60 years of age suffer from this condition and can experience:

  • increased early morning stiffness which wears off as the day goes by
  • difficulty in climbing up and down stairs (knees)
  • occasional clicking noises in the affected joints
  • occasional swelling in the joints

Rheumatoid arthritis is severe inflammatory joint disease in which the body's system acts against the joints, damaging them and the surrounding soft tissue. Although the most commonly affected parts of the body are the joints, the whole body can be affected in some way. It generally affects both sides of the body and can be very disabling.

Typically, the symptoms occur in people younger than those with osteoarthritis. The condition affects women more frequently than men and has a tendency to run in families.
There has been a lot of research in the field of rheumatoid arthritis in the last 20 years and treatment is now much more successful.

Gout, also known as podagra, is known as ‘the disease of kings and the king of diseases’ and has caused problems for many centuries. It is one of the most common – and one of the most painful – conditions involving inflammation of the joints (arthritis). It affects 10 times more men than women and can occur at anytime after puberty. In women it usually only occurs post-menopausally. There is usually a family history of the disorder.

It is caused by the formation of crystals of uric acid in a joint - most often the big toe, but can also affect the hand, wrist, elbow, knee, ankle and foot. The joints swell and become so painful that even a blanket draped over the affected area is unbearable.

Several factors cause the condition including a rich diet, alcohol consumption and weight.
Gout is best treated in the early stages before it causes permanent damage to the joints.

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BACK PAIN
Eight out of ten of us will suffer from lower back pain at some point in our lives. In most cases this is “non-specific” back pain, due to a mechanical disorder which may be a ligament strain, a muscle tear, damage to a spinal joint, or prolapse of an invertebral disc. This is often a temporary problem caused by heavy lifting or carrying or moving awkwardly, etc, and can be treated with analgesic drugs and rest.

If the pain runs into the legs, particularly down the backs or sides of the thighs, or if there is numbness, this could mean that there is a more serious cause such as nerve entrapment or sciatica.

A good exercise regime or physiotherapy can help with most forms of back pain. By taking care, exercising, and applying some common-sense rules it is possible to significantly reduce the chances of it recurring

CANDIDA AND THRUSH
Infection by the fungus Candida Albicans, also known as thrush most commonly affects the vagina, but can also affect the inside of the mouth, or moist skin causing itching, soreness and usually a thick white discharge.

Most women will have an infection at some point in their life. Although it is uncomfortable, thrush is not a serious threat to health and does not cause other health problems. The condition is easy to treat and for most women the infection can be treated and cured in two or three days. A few women (around 5%) will go on to have repeated thrush infections that can be difficult to get rid of.

CHRONIC FATIGUE SYNDROME
Also commonly known as ME or post-viral fatigue syndrome, chronic fatigue syndrome (CFS) is a condition of feeling extremely tired nearly all the time. This tiredness cannot be medically explained and it does not improve with rest or sleep.

It is often accompanied by physical aches and pains and by mental symptoms such as forgetfulness, lack of concentration, and depression.

CFS is often a long-term condition, but treatment can help to make the symptoms easier to live with.

CFS can affect anyone. Females are affected three times more often than males; the peak incidence occurring between the ages of 25 and 45. It is estimated that around one in every 100 people is affected by CFS.

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DANDRUFF
Dandruff is a common, harmless condition in which dead skin is shed from the scalp. It is often irritating and produces unsightly white flakes in the hair, which drop onto the collar and shoulders of clothes. The usual cause of the condition is seborrhoeic dermatitis, an itchy, scaly rash on the scalp, which may also affect the face, chest and back. The sebaceous glands excrete fatty toxins (sebum) through the skin and, in dandruff, this causes the dry dead outer layers of skin to flake off.

DERMATITIS
Dermatitis is inflammation of the skin, sometimes due to an allergy but in many cases occurring without any known cause. There are many forms of dermatitis – the most common are better known as excema. Apart from excema, the three main types of skin inflammation are seborrhoeic dermatitis, (dandruff) contact dermatitis and photodermatitis.

Contact dermatitis is when the skin reacts to some substance that it comes into contact with, most commomly, detergents, nickel (jewellery, zips,) chemicals and plants.
Photodermatitis is an extreme sensitivity to light. Clusters of spots or blisters develop on any part of the body exposed to the sun.

DIGESTIVE PROBLEMS
It is likely that nearly 80% of the population have gas or digestive problems. In some cases this can turn into chronic acidity and heartburn, chronic constipation or irritable bowel syndrome

Chronic acidity
Bloating and indigestion are symptoms of excess acidity. If you are in a hurry and gulp your food down, not only do you eat a lot more than you need before you feel satisfied, you create an abnormal situation for digestion. The stomach then starts producing excessive acid and by swallowing air you could get the acid and food back in your mouth. Bloating and excess gas is usually caused by excess acid.
Heartburn

This is a burning pain in the centre of the chest which may travel from the tip of the sternum to the throat. It may be caused by overeating, by eating rich or spicy food or by drinking alcohol. Recurrent heartburn is usually caused by acid reflux. It can often be brought on by lying down or bending forwards and may cause chest pain that is mistaken for the pain of heart disease.

Constipation
This is a condition that is better prevented than cured. Once the bowels get used to evacuating only periodically, it is difficult to retrain them to function regularly again. Chronic constipation causes many problems and here are some of them:
  • Haemorrhoids.
  • Fissures in the bowels.
  • Flatulence
  • Colitis
  • Toxins
  • Skin rashes
  • Joint ache and sinusitis
  • Mineral absorption

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EXCEMA
Psoriasis and excema (also known as atopic dermatitis) are common non-contagious skin diseases. It is still uncertain what causes psoriasis although stress, anxiety and/or erratic diet are key factors. Psoriasis can occur at any age, most cases occur after the age of 15 but before the age of 35.

Excema may be caused by an abnormality of the immune system or by an allergy, although it often appears without any known reason. There are several factors that do not cause the disorder, but may trigger or worsen an excema attack. These include extreme temperatures, skin irritants (lotions, soaps, and rough fabrics), certain foods, as well as stress or anxiety.

There are several types of psoriasis and each has unique symptoms. The symptoms of the most common type, plaque psoriasis, include a burning feeling and persistent itch, and thick red patches of skin covered with silvery-white scales. Symptoms can appear anywhere on the body but are most often located on the elbows, hands, knees, feet, groin, and scalp.

Symptoms of atopic dermatitis (excema) are cracked and itchy skin that appears swollen and red and is often painful to the touch. They can appear anywhere on the body, but are most often located on the elbows, backs of the hands, knees, and feet — and in children, on the face. In addition, some types of excema may also cause blisters or lesions, extremely dry skin, and skin peeling. Patients may also have several small skin infections as a result of the cracked skin. Atopic dermatitis is persistent and subject to recurrent flare-ups.

FLYING
Repeated stress can lead to a range of conditions such as hypertension,
strokes, heart attacks, diabetes, ulcers and neck or lower back pain.

Today’s frequent flyers face a whole host of threats to their security and well-being, from terrorist attacks, deep vein thrombosis (blood clots in the leg) and radiation exposure, to flying phobia and air rage. Many people unable to cope with the demands of frequent travel can experience poor performance and burnout.

The Stress of Flying

Frequent flying can take not only a physical but also a psychological toll on passengers. A recent survey of World Bank Employees compared the health claims of managers and professional workers who engaged in international travel with employees who did not travel. The findings revealed that the travellers were three times more likely to complain of anxiety, stress and psychological issues than those who did not fly.

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IRRITABLE BOWEL SYNDROME
Irritable bowel syndrome (IBS) is a condition that affects the intestines (bowels). Symptoms include abdominal pain and a change in bowel habit (diarrhoea, constipation or both).
Symptoms include alternating periods of constipation and diarrhoea, cramps, abdominal pain, gas and bloating. For some, these symptoms amount to little more than a minor inconvenience for others they are severe enough to be disabling.
The condition is thought to affect 20% of the population, with women being more susceptible than men.

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SLEEP
Every individual’s requirements for sleep are different. Some people can function on five hours of sleep at night, while others perform better with nine, ten or even more hours. Most adults need eight hours of sleep. Children and adolescents require more. People usually sleep less as they get older, especially after the age of 60.
Disturbance of sleep is caused from:

  • Hypoglycaemia (low blood sugar levels)
  • Indigestion
  • Muscle aches
  • Breathing problems
  • Anxiety, stress, depression, grief
  • Caffeine consumption
  • Certain drugs e.g. appetite suppressants, antidepressants, beta-blockers
  • Thyroid replacement drugs etc

Exercise:
Regular exercise is an excellent way to make the body tired.
This breathing exercise should be performed just before bedtime to help relaxes the muscles. Lie on your back while breathing in, push the tummy up, hold for 40 seconds then release. Start with three times and increase up to 10. Do not overdo.

Nutrients:
• Calcium- 800 – 1000mg has a calming effect
• Magnesium- 600 – 800mg relaxes the muscles

Herbs:
• Valerian root taken in capsule or extract form
• Camomile as a tincture or tea, has mild sedative properties. It calms and tones the Nervous System
• Herbal extract such as Slumber from Nature’s Answer or Silent Night from Nature’s Way can also be helpful

Recommendations:

  • Avoid tobacco- Nicotine is a neurostimulant and can cause sleep problems
  • Avoid caffeine containing beverages and medical drugs
  • In the evening eat turkey, tuna, whole grains, bananas, figs, dates, plain yoghurt, milk (if not sensitive), they are high in Tryptophan, which promotes sleep
  • Eating half a grapefruit at bedtime is helpful
  • Avoid bacon, cheese, chocolate, aubergine, ham, sugar, sweets, sausages, spinach, tomatoes and wine; they contain Tyramine, which increase the release of noradrenaline that acts as a stimulant
  • Take a hot bath one-two hours before bedtime. This will relax the muscles and nervous system

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STRESS MANAGEMENT
Stress is an inevitable consequence of twenty-first century life, whether it be in the workplace or a domestic situation. Stress is unavoidable but it can be managed in a way which preserves your health, energy and relationships.

Conflict is at the root of most stress, and may be caused by dilemmas, having to decide between two conflicting aims. Pressure is another. The nervous system follows a rhythm and pattern, when it is hurried you become stressed because the mind has its own cyclical pattern. Interfering with the natural rhythm causes stress. The final form of stress comes from human relationships. Conflicts, clashes, quarrels, overcrowding, antisocial behaviour, etc.

The body reacts to a perceived threat or concern for the body, by the release of norephedrine (popularly known as adrenalin) from two adrenal glands above the kidneys. When released into the bloodstream the body responds with “fight or flight”. The hormones are released into the bloodstream and transported all over the body within seconds. This explains the over-whelming response and why all parts of the body react simultaneously, producing:

  • increased heart rate
  • increased breathing rate
  • increased metabolic rate
  • muscle tension

The body can become conditioned to stressful situations if they are repeated often enough, and can respond with the symptoms of stress even when there is no obvious threat. So even when the body tries to rest it cannot –sleep is disturbed, blood pressure is raised, and panic attacks occur.

There are many diseases that have direct or indirect links with stress, including:

  • psychological diseases
  • high blood pressure
  • psoriasis
  • certain forms of excema
  • neurodermatitis
  • autoimmune diseases
  • weak immune system
  • increased sensitivity to allergens (allergies) etc
WOMEN'S HEALTH
Menopause
Menopause is a natural event that happens at the end of a woman’s child-bearing years. As you get older your ovaries gradually stop producing oestrogen and progesterone. Eventually, your ovaries produce so little oestrogen that your periods stop altogether. You are now said to be going through the menopause, and it is the reduced level of these hormones that cause the problems associated with the menopause. These problems include night sweats and hot flushes, vaginal dryness and psychological symptoms ranging from poor concentration, tearfulness and loss of interest in sex, to full depressive illness.

Fertility
Infertility is on the rise in the urban society, especially in the West. At a time when the population is booming in some parts of the world, there are people who cannot conceive at all. Some reports seem to indicate that there is a decrease in male sperm count and there are increased menstrual problems in women.
Causes of infertility may include:

  • Lack of ovulation and maturation of the egg cell
  • Blocked fallopian tubes that direct the egg to the womb
  • Poor thickening of the lining of the uterus
  • Poor general health (anaemia, very low blood pressure)
  • Small uterus

Cellulite
Cellulite is an accumulation of white fat cells which are deposited as a compensatory mechanism whenever there is a deficiency of the female hormone oestrogen in the body. Young women with period problems or older women approaching menopause often get fatty deposits on their hips, thighs and arms as well as their tummies - the classic sites for cellulite. The best way to correct this problem is to balance your hormones.

Migraine
Migraine affects at least 10% of the population, and it is three times more common in women than in men.
It is a severe headache, lasting anything from two hours to two days, accompanied by disturbances of vision, and/or nausea and vomiting. A sufferer may experience only a single attack. More commonly it is recurrent, at varying intervals.

Painful Periods
This is a very common problem which can usually be eased quite simply. There are two types of pain: the first comes from the actual uterus (womb) and the second from the abdominal walls (muscles, ligaments).

First, the pain from the uterus. Strong ligaments (fibrous tissue) cover the whole of the uterus and keep it erect - suspended in the tissue. But if the uterus is bulky or the supporting sheaths of tissue are weak, the top heavy uterus - remember it's shaped like an upside down pear with the base at the top - tilts forward (anteflexion) or backward (retroflexion). This tilt means that a kink forms in the lower part of the uterus. As the period starts (menstruation), the uterus contracts to expel the blood and the mass of endometrial tissue from the wall of the womb. The problem is that it can't because of the kink. More blood accumulates and the uterus fills up. It tries harder and the contractions become more violent. This causes intense colicky pain, rather like labour pain. It’s sometimes so painful that women pass out. This drama continues - until the uterus is so filled up with blood that it is forced to become more or less erect. Suddenly, the blockage is released and blood rushes out bringing almost instant relief from the pain.

If, however, the pain is continous rather than colicky and spasmodic, it is usually caused by gases and premenstrual distension of the lower abdomen.The second is caused by weak spots in the abdominal wall due to muscles going in different directions. What seems to happen is that internal gases or pressure of some sort can push the peritoneum (the sensitive lining of the abdomen) into these weak spots in the muscles and cause a tiny hernia which brings excruciating, continuous pain when the uterus contracts with menstruation.

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Joshi's Q&A column in the Sunday Telegraph's Stella Magazine answers questions to many common complaints. Launched in 2005 he helps and informs 3 million readers every week.
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