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Adoloscence & Puberty
Posted By : Dr.Harbans Singh, B.Sc., B.H.M.S
Posted On : 18 Oct 2007 (Total Views : 4003)
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An individual in this world has to pass through various stages of life cycle right since birth through infancy > childhood > adolescence >puberty > reproductive life > menopause > death in last. Out of all these I would like to take into discussion the stage of adolescence & puberty for it being the most important one in any individuals life & this is the stage which makes oneself self conscious about its personal appearances, personality, well being, dress ups, and what not else!

Adolescence extends from onset of puberty till sexual maturation is completed, which varies from individual to individual, depending on genetic & environmental factors. Usually it ranges in girls from approx. 8-13 yrs of age, & in boys from 10-15 yrs of age.

As adolescence approaches there are many normal physiological changes in the body which takes place, almost all of which can be attributed to variation in hormonal secretions from different glands placed at different locations in the body. These hormonal secretions vary to a great deal from individual to individual as per their constitutional setups. Factors affecting the hormonal secretions varies from genetic background, present stress & strain on person, his thinking style, his nutritional status, deficiencies, his unfull-filled desires & ambitions, emotional shocks, etc.

Few of the problems faced during this changing phases of life are given below, which must be taken care of intelligently & patiently under expert professional guidance of any Qualified Homoeopathic Physician. While dealing with these problems patient should be Reassured & encouraged to cooperate and face the problems with hard & positive will & understanding. It is strongly recommended to keep away from all secret vices in this age, & if unable to do so approach your Physician to help you out these practices.


Nutrition problems
As body grows so rises its nutritional requirements due to its increased metabolic activities. The diet should be selected so as to provide extra energy, proteins, vitamins, minerals to avoid any type of nutritional deficiency disorders which may predispose an individual towards faulty growth, health problems. Persons entering this age can take the view of any professional dietician or any expert medical professional.


Obesity
If there is a family history of obesity, individuals in this age group should take care of themselves with extra caution keeping close watch on their progress so that they may not fall prey to obesity related troubles as cardiovascular disorders, diabetes, etc., rather than depending on weight reduction programs individuals should cultivate habit of taking regular exercises outdoor / indoor, and taking well balanced diet rather than practicing fasts / diet controls, under care of any Qualified Homoeopathic Physician, or any professional expert.

Anemia (Iron deficiency anemia)
A condition attended by deficiency of iron in blood. It is usually caused by blood loss which is natural in puberty of girls, or decreased intake of iron. It occurs most often in females at adolescence / puberty, with uncontrolled menses, irregular / frequent menses, and the undernourished individuals in underdeveloped / developing countries. Factor such as more blood loss, and decrease in iron intake, leads to iron deficiency. Common signs and symptoms associated with anemia (pale skin, vertigo, weakness, fatigue) & symptoms specific to the iron deficiency, such as oral cavity infections, cracking & scaling of lips & mouth, spoon-shaped fingernails may be the presenting features in such cases. If this state continues, it may proceed into Exhaustion, infection, and respiratory and cardiac complications. Diagnosis includes prompt undertaking of all the diagnostic checks whenever the patient comes with any of the symptoms & signs detailed above. It can be checked with proper balanced diet, good sanitary measures, cleanliness leading to less infections, & proper Homoeopathic treatment wherever necessary will take care of the problems which lead to happy adolescent life of an individuals under the proper care of any Qualified Homoeopathic Physician.


Pimples / Acne Vulgaris
It is an inflammatory disease of the sebaceous glands and hair follicles in the form comedones, papules, pustules, nodules, and pus-filled cysts on the face, neck, chest, or upper back. Precise causes are not known, but personal dispositions, genetics, hormonal imbalance, and over secretion of sebum can be related with its occurrences. Factors which promote its occurrences include cosmetics, psychic stress, steroids and other drugs or hormonal treatment taken for any other problems, oral contraceptives, mechanical skin irritants, and whether conditions. Acne usually begins in puberty and affects about 80% of adolescents in some form. Males are affected more often, but females have more severe and more prolonged cases. Usually cases are presented with eruptions over the skin surface taking form of black heads or pustules or Rosacea. Deep acne may present in nodular form, pus-filled cysts, abscesses, and may end up in scarring & spotted discoloration of skin after its healing. Each of its stage can be taken care of with good cleanliness & sanitary measures along with proper Homoeopathic treatment. If not taken care of well in time may lead into spotted discoloration after healing, or ending in permanent scarring. Diagnosis is by physical examination. Treatment varies from case to case, depending on the factors related with patient which leads to infections. Mild cases can be treated with taking good sanitary measures, cleanliness, etc. progress of acne in its various stages & spotted discoloration & scars can be treated with local applications & proper Homoeopathic Remedies under consultation of any expert Qualified Homoeopathic Physician. Precautions include Well-balanced diet, mental relaxation, Mild Meditation, early morning Yoga, physical Exercise, Keeping away from Emotional Stress, preventing its Picking/Pressing, Washing your face gently several times a day with a Mild Soap, Cleanliness & good Sanitary measures will prevent its recurrences or will help quick recovery with treatment.


Dysmenorrhea
A condition of pains associated before / during / after menstrual flow.
Primary dysmenorrhea: Menstrual pain that results from the shape of the uterus and the process of menstruation. It is extremely common, occurring almost in all women. If the painful episode is mild and brief, it is considered to be normal and requires no treatment. But in cases of severity of pain proper Homoeopathic Medicine can be given to take care of inconvenience. In other cases dysmenorrhea is severe enough to cause episodes of partial or total disability. The cause in most cases is poorly understood. Various physical, nervous, hormone, and psychological disturbances can give rise to it. Pain occurs in the lower abdomen / pelvis or back and is crampy / colicky & is usually wavy in occurrences with intense uterine contractions and slight widening of the lower narrow end of the uterus. Pain usually begins just before, or at the beginning of, menstrual flow. It lasts from a few hours to one day or more. The pain may continue through the entire period. Pain is often accompanied with nausea, vomiting, and frequent bowel movements with intestinal cramping. Dizziness, fainting, paleness, and distress may also occur. Secondary dysmenorrhea: When some other pelvic disorder (endometriosis, adenomyosis, long-term pelvic infection, chronic pelvic congestion, or fibroid tumors), give rise to menstrual pains, such condition is labeled secondary dysmenorrhea The pain begins earlier in the cycle and lasts longer than the pain of primary dysmenorrhea. Painful bowel or bladder function may accompany the condition, depending on the location of the problem. Treatment if given after careful examination of patient, can take care of the problem once & for all. Such treatment may be required to be repeated at some interval if required under care of any Qualified Homoeopathic Physician.


Irregular menstrual cycle
A condition attended by non regularity of menstrual cycle. Precise causes are not known but is attributed to be due to genetic background, physical or psychical stress & strain, nutritional deficiencies, hormonal disturbance, patients internal predispositions, etc
This complaint is presented with the menstrual cycle loosing its periodicity in occurrences. These can be early / late by days, weeks or even months. Such problems can be corrected by taking whole of the history & her back ground in family into consideration & working out proper treatment plan under care of any expert Qualified Homoeopathic Physician. Such treatment plans may have to be repeated at some intervals if condition demands.


Excessive Hair Growth
Medically known as Hirsutism, is a condition accompanied by excessive growth of hairs on face, mustaches, beard, neck, buttocks, whole of the back, chest & legs / thighs. It is usually due to increased production / administration of androgens. It can be treated with surface applications in ointment / lotion form as available in great variety in cosmetics market but will serve temporary purpose, but if accompanied by proper Homoeopathic Medicines taken internally will give far reaching result in preventing its recurrences esp. after leaving the medicine or any surface applications. This should be undertaken by some Qualified Homoeopathic Expert Physician.


Excessive growth in length
In some individuals we see sudden growth in length at much greater speed than others of such age group, although spurt in length varies as per their genetic setups, parents height, but if it overshoots then it is a problem which must not be taken lightly, and expert consultation & treatment should be undertaken. Homoeopathy can offer treatment & care to such individuals in a better way.


Goiter
Almost all fellows may experience some changes in tone of voice which is a normal phenomenon, also there is slight enlargement of front portion of neck which is prominent to touch, which is again a normal thing to take place at such age, but in some individuals this growth in front part of neck is more than normal, which is due to enlargement of Thyroid Gland due to its faulty functioning underlying this area. This situation is known as Goiter & it should be properly checked & investigated after taking full history of an individual & if it can be labeled as confirmed case of Goiter then proper Homoeopathic Treatment course should be planned under the Expert Homoeopathic Physician.


Injuries
This age group is more aggressive in behavior, & therefore more susceptible to accidents while rash driving, etc., if such injury involves epiphyseal growth plates in long bones, joint, etc it may affect its progress of growth in length etc. which may affect its personality. Such injuries should be dealt with care & reductions of fractured bones must be set right under the professional orthopedicians guidance. Homoeopathic medicines can help to promote the process of healing the broken bone in much shorter time provided it is reduced properly & in alignment. Therefore check X-Rays after reduction of fractured bone is must from different angles, before any such treatment is taken under any Expert Homoeopathic Physician?s care


Infections
This is the age when individuals wants to widen their circle of relationships, & in doing so are more prone to come in contact with unknown people & therefore chances of catching infections are more, esp contact infections. Infections such as tuberculosis, chest infections, urinary tract infections, & std infections are commonly noted in such age group. Such impulses should be checked by developing self control measures, which can be developed & achieved in many ways.


Chronic Infections
If an individual is suffering from some chronic infection since childhood as asthmatic, diabetes, high blood pressure, rheumatic complaints, etc., then these may show an uptrend in their respective sufferings. Acute attacks of their respective diseases may be encountered.


Cushing's Syndrome
A condition where adrenal glands increase their secretions of glucocorticoids, & this results in abnormalities, as moon face and deposits of fat on abdominal and neck region. Causes: The Tumor in Pituitary gland or at other place, Cancer of Adrenal gland, Tumor of Adrenal gland, other diseases of Adrenal gland, and other unknown causes. Cushing's syndrome is most common in women of puberty / childbearing age.

Symptoms:

General: moon face, buffalo hump, heavy trunk, edema, mood swings, weakness & wasting of muscles; skin is thin, purple discolored lines, purple blue / black spots , poor wound healing, thin extremities; back pain, hypertension. Children: Precocious puberty, cessation of growth .

Women: Male resemblances, excess hair growth, wasting of / reduced breasts, clitoral enlargement, deepening voice, falling of hairs from temples & forehead, menstrual irregularities.

Men : Female resemblances, breast enlargement, higher voice, lighter beard; impotence.

Complications: osteoporosis, frequent fracture, gastric ulcer, diabetes mellitus, congestive heart failure, and mental disturbances in behavior.
Diagnosis & Treatment: It involves same process of taking full history of patient. This is followed by proper investigations. With the help of history & results of investigations underlying causes are identified. This is followed by adopting proper procedure for reaching at most effective Homoeopathic Medicines Group. In last these medicines are to be administered at the merit of case. Proper follow ups of patient is essential, with full cooperation of patient as advised.

Surgery: Removal of tumor through various procedures. Removal of Adrenal Gland as last resort in cases which are not responding to treatment of as per merit of the case.

General: Exposure to Radiation, when surgery cannot be tolerated in treating a tumor. Patient should be psychologically encouraged.


Galactorrhea
Discharge other than milk from breast may be due to hypothyroidism / pituitary tumor / fibro-cystic state in breast. Proper Homoeopathic treatment can be administered after investigations by some Qualified Homoeopathic Physician.


Gynecomastia
Enlargement of one or both breasts in boys, but are set right in following 2yrs, if not needs proper treatment in the hands of Expert Homoeopathic Physician.


Testicular & Scrotal Disorders varicocele, hydrocele, undescended , inguinal hernia, etc.

Note : All above topics covered in short if required can be treated with various Homoeopathic Medicines under care of any Qualified Homoeopathic Physician or as advised.



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