Psoriasis – Causes, triggers, and management

Psoriasis – Causes, triggers, and management

Psoriasis is a prevalent skin disorder that leads to various symptoms, the most prominent being skin inflammation and itchy, red, and white patches on the skin. Although the condition is mainly seen in adults, it can impact individuals of all ages. In most cases, it affects specific areas, such as the knees, elbows, and lower back. Sometimes, it also affects joints, causing pain and swelling. When that happens, the disorder is called psoriatic arthritis.

Causes
The exact cause of psoriasis is unclear. Experts believe that it is an autoimmune condition. Autoimmune conditions are when the immune system attacks the healthy cells in various body parts, leading to inflammation and other symptoms. In psoriasis, the immune cells act as though they are fighting an infection or tackling a healing wound. They produce chemicals that lead to inflammation and cause excessive growth of skin cells.

Doctors have determined specific factors that increase the risk of developing this condition. These include cardiovascular diseases, trauma to the skin, diabetes, hypertension, infection, and even metabolic syndrome. Doctors have also found that genetics play a vital role in developing psoriasis. Individuals with a family history of psoriasis are more likely to develop this condition than others. Age is also a risk factor; those between 20 and 30 years and 50 and 60 years are more susceptible.

Triggers
Psoriasis is manageable if patients learn to avoid the triggers that lead to flare-ups. One of the primary triggers is food. While there is no definite list of what to eat and avoid, specific items are known to trigger this condition. Individuals with psoriasis may want to avoid shellfish, red meat, foods with gluten, and even dairy and dairy products. Another trigger is the weather. Overexposure to the sun can lead to significant outbreaks and worsen itching and inflammation. Cold and dry weather can cause the skin to lose moisture, making it irritable and increasing the chances of a flare-up. Stress, infections, and hormone fluctuation are other common triggers for psoriasis.

Treatment and management
While the skin disorder has no cure, several treatments help manage the symptoms. Some also aim at preventing outbreaks. Topical treatments are probably the most common. They are available in the form of ointments, creams, or foams that can be rubbed directly onto the skin. Doctors may also suggest oral treatments that change how the body’s immune system responds and prevent flare-ups.

Conditions like psoriasis often give rise to chronic pain. In such cases, patients may need to visit pain clinics if other pain-reducing methods do not provide relief. These are advanced healthcare facilities that focus on diagnosing and managing pain. The clinics provide access to various healthcare professionals and offer expert care while dealing with any condition.

Guselkumab, used under the brand name Tremfya®, treats plaque psoriasis by blocking inflammation-causing cytokines. Initial treatment includes the administration of 100 mg dosages for four weeks, followed by once every eight weeks. This option helps patients seek relief from joint pain, inflammation, and stiffness.

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Coping with urges that can trigger a relapse post treatment

Addictions when left untreated can turn into crippling conditions. One can be addicted to smoking, binge drinking, or even shopping. Once addicted, one willfully submits to urges, despite having satisfied them before. However, addictions can be managed and to a great extent treated to full recovery. But, the post-recovery phase is crucial where both the mind and body are put to test and can trigger a relapse. Continue reading to know more about the most common triggers for addictions and how to deal with them.Stress Stress is commonly the root cause of many problems and addictions, both physical and psychological. One can become an addict as a way to manage the stress that may stem from strained relationships or priorities. The best way to avoid a relapse during recovery is to make lifestyle changes that don’t trigger a return to addictions amidst a stressful situation. One can practice mindfulness, engage in relaxation techniques, manage one’s time to avoid stressful situations, and imbibe healthy eating habits and exercise in their daily routine. EmotionsThere is an umpteen number of triggers that invoke a positive or negative emotional response. However, the stress associated with dealing with emotions daily can trigger urges without one even realizing. Often, one turns to a glass of alcohol or relies on prescription medications to put the mind at ease. It is not a permanent solution and prolonged use of these substances can cause more harm in the long run. One must learn and explore productive ways of controlling emotions better to avoid a relapse during recovery. For example, writing and maintaining a journal that contains one’s feelings and thoughts can act as a healthy outlet. Similarly, there are other healthy ways to channel one’s energy and manage emotional responses.Positive conditioningPeople who have addictions such as smoking or drinking may often find themselves in situations where a lit cigarette or a glass of wine can trigger a relapse. This is understandable considering these substances were the primary source of comfort and relaxation. However, with positive reinforcement and reconditioning one can train the mind and curb such urges. Relaxation doesn’t always mean techniques like yoga or meditation, it can also be pursuing your hobby. Counseling for group gatheringsBirthdays, parties, New Year’s events, and any celebration in general call for alcohol consumption and smoking. At times, these could be the very addictions one is recovering from, and in a social gathering, such temptations can be strong. However, a recovering addict should refrain from indulging in any of these as even a taste can turn into a relapse. For instance, a recovering alcoholic must avoid having a single drink as that could put him/her on a slippery slope to relapse. Here, one-on-one counseling can help prepare the mind to resist the urge. It is never healthy for a recovering addict to simply avoid socializing fearing a relapse.

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6 foods to avoid when dealing with multiple sclerosis

Multiple sclerosis is a disease in which the body’s immune system begins to attack the nervous system, and this damages the nerves and the myelin sheath that covers the nerve fibers. Consequently, the nerves begin to lose the ability to transmit signals to different parts of the body, hindering the patients’ ability to carry out everyday activities. Currently, there is no permanent cure for this illness. However, treatment can ease the symptoms and discomfort.  Food choices Food plays a major role in providing the body with the nutrition it needs. Certain minerals and vitamins strengthen the body and help it fight against illnesses and infections. Even though there are no specific food-related guidelines for multiple sclerosis (MS), patients can avoid the following foods to prevent worsening the symptoms and their overall health. Saturated fats Saturated fats have been linked to multiple conditions. These include hypertension, heart disease, strokes, and even some forms of cancer. Some research also points out that saturated fats in foods may be related to the relapsing MS symptoms and even the progression of the disease. Foods that have saturated fats and should be avoided by people with MS include meat, milk, eggs, chicken skin, etc.  Excess sodium/salt Research shows that high or moderate amounts of sodium/salt intake can lead to relapse of symptoms in multiple sclerosis patients, increasing their discomfort. This also triggers inflammation in the body and other problems, such as hypertension and heart-related issues. So, it is advised to avoid excessive salt in meals. Instead, one should opt for fresh fruits and vegetables high in antioxidants to combat inflammation.  Gluten Even though proteins are good for one’s health, people with autoimmune diseases like multiple sclerosis can develop an intolerance for gluten, a protein found in all wheat-based products. This is due to a higher incidence of celiac disease in MS patients, which can cause immense harm to their overall health and weaken them. Foods that contain gluten are wheat products like bread, pasta, and cakes. Alternatively, one should opt for whole grain options that can provide the needed nutrition.  Refined carbs White bread, cold cereal, and white rice are some foods that need to be limited when dealing with MS. These foods contain processed carbohydrates that can elevate the patient's blood sugar levels and impact their condition negatively. As an alternative, they can choose brown rice and whole grain bread that may benefit one’s health and also help them avoid uncomfortable symptoms of multiple sclerosis such as constipation.  Excessive sugar Many foods and drinks have added sugar, which can hamper the health of sclerosis patients and make them feel exhausted and unable to perform everyday activities. Too much sugar also harms the body, as it cannot break it down, causing additional health problems such as diabetes and high blood sugar levels. In addition, excessive sugar can also cause brain fog and moodiness. So one should avoid desserts like cookies and cakes and sugary drinks like sodas. Dairy products Dairy products, including cow’s milk, contain saturated fats that can harm the health of those with MS. Eliminating dairy products such as milk and cheese can help ease sclerosis symptoms. However, one should find alternative sources of protein, calcium, and vitamin D to meet daily nutritional needs. So, one can opt for soy milk, cashew milk, or almond milk, as they are not only good sources of calcium but are also less likely to cause discomfort.  Before making these changes, it is important to speak to a healthcare professional so that a treatment and eating plan can be devised depending on the severity of the symptoms. As the treatment of this illness focuses on the symptoms, it may include FDA-approved pills to soothe the symptoms of relapsing multiple sclerosis, such as muscle stiffness and fatigue. Pills for relapsing MS can help patients prevent relapses and avoid developing a lesion.  One recommended treatment option for multiple sclerosis is Ocrevus. The prescription is administered as an injection for relapsing forms of multiple sclerosis in adults. Ocrevus is also introduced to the body by healthcare experts for the treatment of primary progressive MS in adults. The safety and effectiveness of the treatment are inconclusive for children with the disease.

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