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Author: Yana Nencheva, Biochemist, PhD candidate in Biophysics

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Even if you think that they are not a big deal, that everyone has them, that they are something normal and harmless, which you should not be afraid of, in fact hemorrhoids lower your quality of life. Even if you don't have much trouble with them now, the condition could worsen if you don't pay attention to it in time.

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Is there a cure for them, can you stop them from worsening, and prevent their occurance in the first place? In the article, you will leran what are the classic (conventional) ways of treating and preventing hemorrhoids, what type of drugs are applied and whether there is herbal treatment to help you.

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What is alternative medicine and what are its benefits?

Risk-factors-for-getting-hemorrhoids-and-consequences

Risk factors for getting hemorrhoids and consequences

Risk-factors-for-getting-hemorrhoids-and-consequences_0_0

Risk-factors-for-getting-hemorrhoids-and-consequences_0_1

As we have discussed in the previous article, <a href="/p/kakvo_sa_khiemoroiditie_i_kogha_da_izvikamie_liekar_3d7d369e_8379_45e7_a3cb_efe766bb0f74" target="_blank" rel="noreferrer">What are hemorrhoids and when to call a doctor</a>, in most cases they are not dangerous. Evolutionarily, the organism could not afford to have a weak spot of this type if it were really so dangerous. Of course, there is always a possibility of complication, for example a complication of <a href="../p/aniemiia_kolko_vida_sshchiestvuvat_kakvo_da_iadiem_kak_da_kombiniramie_khranitie" target="_blank" rel="noopener">anemia</a>.

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In the classic case, rectal bleeding from hemorrhoids has a clear red color and leaves some spotting on the underwear. Blood can be seen on the feces in red color, on toilet paper when wiping and on the underwear or sanitary pad. It is normal for the blood to leak for up to 5 minutes and then it is expected to stop [<a href="/p/kakvo_sa_khiemoroiditie_i_kogha_da_izvikamie_liekar_3d7d369e_8379_45e7_a3cb_efe766bb0f74" target="_blank" rel="noreferrer">ref.1</a>].

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<h4>Besides weakness of the blood vessels wall, other risk&nbsp;factors, which can lead to hemorrhoids, are:</h4>

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<ul>
<li style="font-weight: 400;">sedentary lifestyle,</li>
<li style="font-weight: 400;">heavy physical activity,</li>
<li style="font-weight: 400;">pregnancy,</li>
<li style="font-weight: 400;">diet poor in fiber,</li>
<li style="font-weight: 400;">chronic constipation,</li>
<li style="font-weight: 400;">heavy diarrhea and others.</li>
</ul>

Risk-factors-for-getting-hemorrhoids-and-consequences_0_5

Risk-factors-for-getting-hemorrhoids-and-consequences_0_6

<a href="/p/5_bilki_poliezni_za_diabietitsi_i_khora_izlozhieni_na_risk_ot_boliestta_a1be3113_4acb_48b7_98d1_885314093e78" target="_blank" rel="noreferrer">5 herbs useful for diabetics and people at risk of the disease</a>

Risk-factors-for-getting-hemorrhoids-and-consequences_0_7

<a href="/p/kakvo_ie_boliest_na_kron_i_kak_sie_diaghnostitsira_f1bbb289_7915_4718_983b_21a0ff00feaa" target="_blank" rel="noreferrer">What is Crohn's disease and how it is diagnosed</a>

Risk-factors-for-getting-hemorrhoids-and-consequences_0_8

<a href="/p/gastrit_simptomi_i_liechieniie_6738966e_97ec_4c3d_96e6_168c9f91571c" target="_blank" rel="noreferrer">Gastritis - symptoms and treatment</a>

Risk-factors-for-getting-hemorrhoids-and-consequences_0_9

<a href="/p/zashcho_chrievniiat_mikrobiom_ie_tolkova_vazhien_za_nas_i_nashieto_biebie_f1c8c877_5195_4564_831e_1e2eef76df59" target="_blank" rel="noreferrer">The intestinal microbiome is extremely important to us and our baby</a>

Treatment-and-prevention-of-hemorrhoids

Treatment and prevention of hemorrhoids

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Treatment is complex and affects several parameters to obtain the desired effect. In this case, the following organs and structures are interrelated:

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<ul>
<li style="font-weight: 400;">the digestive system,</li>
<li style="font-weight: 400;">the circulatory system,</li>
<li style="font-weight: 400;">the musculature in the small pelvis.</li>
</ul>

The-digestive-system---fibers-are-a-friend

The digestive system - fibers are a friend

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One of the factors for the formation and irritation of hemorrhoids is the pressure that occurs with bowel movements, so nutrition should be balanced. Peristalsis should be accelerated or delayed so that the release of waste products is not too common or rare for the individual organism. On the other hand, the consistency f fecal matter should not be too rigid, since this mechanically irritates hemorrhoids, but the same applies for the opposite case, as well.

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The ways of dealing with this problem are individual, according to the needs of the body. There is no panacea, but a varied diet with enough carbohydrates, fats, proteins and the required amount of fiber [<a href="https://www.bioseek.eu/en/eng/research/pubmed/Health_benefits_of_dietary_fiber_19335713" target="_blank" rel="noopener">ref. 2</a>] is a prerequisite for balance in this regard as well.

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<h4>Many herbs support the activity of the intestinal tract, thereby having a beneficial effect on the treatment of hemorrhoids:</h4>

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<ul>
<li style="font-weight: 400;">Thyme tea (Thymus vulgaris) soothes the mucous membrane of the stomach, thus promoting the initial processing of food without causing diarrhea;</li>
<li style="font-weight: 400;">Chamomile tea (Matricaria chamomilla) is a known remedy for calming and regulating irritated intestines, which is why many doctors recommend it for this type of problems, and the same applies to mint tea (Mentha spicata);</li>
<li style="font-weight: 400;">Often doctors recommend the crystalline form of the aloe vera plant, since it is a known regulator of normal bowel movements, it is perscibed against constipation;</li>
<li style="font-weight: 400;"> Spearmint tea (Mentha crispata) soothes the stomach and turbulent peristalsis, it is used in the diet treatment of worsened gastritis and colitis, respectively irritated hemorrhoids;</li>
<li style="font-weight: 400;">Summer savory (Satureja hortensis) is also recommended, but only as a spice to dishes, because it irritates the stomach, it increases the acidity of gastric juice, therefore it is not recommended for people with gastritis, ulcer and colitis, but accelerates peristalsis.</li>
</ul>

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The-digestive-system---fibers-are-a-friend_2_6

<a href="/p/7_bilki_koito_obliekchavat_loshoto_khranosmilanie_i_dispiepsiiata_60bc6c30_0949_4ed7_933c_460f9104d318" target="_blank" rel="noreferrer">7 herbs that relieve indigestion and dyspepsia</a>

The-digestive-system---fibers-are-a-friend_2_7

<a href="/p/kak_da_razpoznaiem_iazvata_na_stomakha_prichini_simptomi_i_liechieniie_aca42d14_75a4_49dc_900a_1ec74f04c479" target="_blank" rel="noreferrer">How to recognize the ulcer of the stomach - causes, symptoms and treatment</a>

The-digestive-system---fibers-are-a-friend_2_8

<a href="/p/losho_khranosmilanie_dispiepsiia_prichini_simptomi_i_liechieniie_295123d1_141a_4a34_b5b4_38236707b61c" target="_blank" rel="noreferrer">Indigestion (dyspepsia) - causes, symptoms and treatment</a>

The-circulatory-system---when-is-surgery-needed?

The circulatory system - when is surgery needed?

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Surgical intervention usually means the removal of this "modified" blood vessel - the hemorrhoid. In the animated video below are presented the steps of such a procedure.

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<h4>The medical strenghtening of the vascular wall is among the classic methods of treatment:</h4>

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<ul>
<li style="font-weight: 400;">There are preparations with hyaluronic acid, which besides strength, improve the elasticity of the vessels;</li>
<li style="font-weight: 400;">Your physician might prescribe you a medication that only strenghtens the blood vessels;</li>
<li style="font-weight: 400;">Local products usually contain an analgesic (lidocaine), a proper antibiotic (to fight inflammation) and an antifungal ingredient. The doctor assesses whether it is more appropriate for the particular patient to use cream or suppositories;</li>
<li style="font-weight: 400;">Immunostimulants are also used very often to support the body as a whole.</li>
</ul>

Musculature-strenghtening

Musculature strenghtening

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The veins have a very thin layer of smooth muscle cells, which is why they rely on the surrounding muscles to maintain their shape and tone. In the case of the venous plexus in the anal canal (respectively the hemorrhoids), the muscles of the small pelvis are responsible for this. The set of exercises that keep the veins in good condition should cover the lower limbs and torso. Here herbs will not help, of course, movement is needed.

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I have selected a set of easy exercises from the YouTube channel of the physiotherapist Dr. Joe. She stresses that they may not be suitable for your individual situation, so if there is pain and discomfort, it should be <a href="/p/krvonosna_sistiema_razshirieni_vieni_i_uprazhnieniia_za_profilaktika_5c96eb74_033d_416c_9aa2_7ca7b3558fb2" target="_blank" rel="noreferrer"></a> discontinued.

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The video clearly shows several exercises for the pelvis, which would help the normal blood circulation of the venous plexus. It would be very useful to combine this complex with the complex of exercises that she recommends for varicose veins. On the one hand, these are exercises for the lower extremities, and on the other - people with weakness in the walls of blood vessels have problems with both hemorrhoids and varicose veins.

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Another type of appropriate exercise is callanetics, and naturally the level of activity that the body allows at this stage should be monitored. Workouts that include the lower limbs and abdomen are also suitable - aerobics, for example. If you suffer from external hemorrhoids, swimming pools are not suitable, especially during a crisis, because of the preparations used for disinfection.

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In conclusion, we will again emphasize the fact that this is a complex disease that requires a complex solution. It is best to assess whether there are prerequisites in your daily life that will lead to this problem and do something about them.

Musculature-strenghtening_4_6

Musculature-strenghtening_4_7

<a href="/p/krvonosna_sistiema_razshirieni_vieni_i_uprazhnieniia_za_profilaktika_5c96eb74_033d_416c_9aa2_7ca7b3558fb2" target="_blank" rel="noreferrer">Circulatory system, varicose veins and exercises for prevention</a>

Musculature-strenghtening_4_8

<a href="/p/diabiet_po_vriemie_na_briemiennost_simptomi_riskovie_i_svieti_245acb17_9bf9_4af8_a562_bd8e4664e6e5" target="_blank" rel="noreferrer">Diabetes during pregnancy: symptoms, risks and advice</a>

Musculature-strenghtening_4_9

<a href="/p/vsichko_za_diabiet_tip_1_na_iedno_miasto_751da342_2d55_43af_ae7f_1e1c89cd3800" target="_blank" rel="noreferrer">All about type 1 diabetes in one place</a>

Musculature-strenghtening_4_10

<a href="/p/vsichko_za_diabiet_tip_2_na_iedno_miasto_9b1be4d6_84a7_42c6_8e37_de3bd6480ba1" target="_blank" rel="noreferrer">All about type 2 diabetes in one place</a>

<a href="kakvo_sa_khiemoroiditie_i_kogha_da_izvikamie_liekar_3d7d369e_8379_45e7_a3cb_efe766bb0f74" target="_blank" rel="noopener">What are hemorrhoids and when to call a doctor</a>

<a href="https://www.bioseek.eu/en/eng/research/pubmed/Health_benefits_of_dietary_fiber_19335713" target="_blank" rel="noopener">Health benefits of dietary fiber</a>

<a href="krvonosna_sistiema_razshirieni_vieni_i_uprazhnieniia_za_profilaktika_5c96eb74_033d_416c_9aa2_7ca7b3558fb2" target="_blank" rel="noopener">Circulatory system, varicose veins and exercises for prevention</a>

Fenchol is an aromatic compound that is found in abundance in basil leaves. In addition to giving it a specific and well-known aroma, it turns out that it can help reduce the pathologies caused by Alzheimer's disease.

Basil in the fight against Alzheimer's disease

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Irritable bowel syndrome is a functional disorder of the digestive system characterized by  symptoms such as pain and bloating. They often occur as a result of food intake, but the reason for this remains largely unclear. In this article, we look at a new and unusual idea that suggests that the explanation lies in a local intestinal immune response.

A Local Immune Reaction May Cause Irritable Bowel Syndrome

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Silymarin has been used as a healing agent since ancient times. How its healing properties are manifested in the organism and what they are, you can find out in this article.

Silymarin - a well-known ancient herb - for the benefits in humans and animals

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Gin hides its origin not as a summer drink, but as a healing agent in the arsenal of traditional medicine.

Healing Properties of Juniper - The Secret of Gin 

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Summer aroma and ice cold taste - probably the mastic on the beach is the most common association of most of us when it comes to anise. But this plant turns out to be something more - a useful herb with many qualities that are used for medicinal purposes.

Anise - The Summer Taste of an Ancient Herb

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In this article you will find recipes from Russian folk medicine for dealing with hyperpigmentation, wrinkles, psoriasis and hyperhidrosis.

Easy Recipes From Russian Folk Medicine For The Treatment Of Skin Diseases. Part 3: Hyperpigmentation, Wrinkles, Psoriasis, Hyperhidrosis

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In this article you will find information about the most important things you need to know about stroke - types, symptoms, what to do if stroke happens, as well as innovative ways of rehabilitation and recovery even years after a stroke.

New Approaches To Stroke Rehabilitation

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Smoketree is a well-known gift from nature, which is distinguished by its powerful antibacterial and antioxidant properties.

Smoketree - a natural antiseptic

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Hemorrhoids - how to get rid of them with conventional and herbal treatment

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 Hemorrhoids - how to get rid of them with conventional and herbal

Yana Nencheva

Author: Rositsa Tashkova, Master of Molecular Biology and Microbiology

Psoriasis is a complex disease that affects about 2-3% of the world's population. The first symptoms usually occur between the ages of 15 and 25, but the disease may occur at any age. Men, women and children, as well as all races, are equally affected.

Psoriasis---causes,-symptoms-and-diagnosis

Psoriasis - causes, symptoms and diagnosis

Psoriasis---causes,-symptoms-and-diagnosis_0_0

Psoriasis is a chronic autoimmune inflammatory disease, which involves complex interactions between the two structures of the skin - the dermis and the epidermis. There are several forms of psoriasis, the most common being psoriasis, which forms plaques on the skin or the so-called plaque psoriasis (also called psoriasis vulgaris). Careful examination of the plaques usually shows white silver scales.

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This occurs because overactive immune system accelerates the growth of skin cells. Normal skin cells keratinocytes grow and die (fall) in a month. In psoriasis, skin cells do this in just three or four days. Instead of falling, skin cells accumulate on the surface of the skin in the form of plaques. Some people report that psoriasis plaques are itching, burning and are painful.

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Other forms of the disease are gutate, pustular, iverse, and erythrodermic psoriasis.

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The disease can affect not only the skin, but also the joints, which can lead to psoriatic arthritis. Psoriasis varies in severity - from several small plaques to affecting the entire skin surface. It can significantly affect the quality of life. Both <a href="/p/kak_ghienitie_opriedieliat_prilikata_s_roditielitie_ni_2256bb0a_9ee8_4d00_8f3e_7ca44b90aa45" target="_blank" rel="noreferrer"></a> genetic and environmental factors are responsible for the development of the disease.

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Diagnosis is based on typical erythematous (red), scaly skin lesions (plaques), often with additional manifestations in the nails and joints, and sometimes can also affect the eyes. Plaques appear most often in the area of the elbows, knees, waist (lumbosacral region) and scalp.

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Eyes are affected in about 10% of patients, mostly women. Almost always this is accompanied by manifestations of the disease on the skin, and rarely the eyes manifest the only symptom of the disease. [<a href="https://pubmed.ncbi.nlm.nih.gov/28846344/" target="_blank" rel="noopener">ref. 1</a>]

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Psoriasis is associated with several concomitant diseases, including cardiovascular disease, lymphoma and depression, due to the poor quality of life.

Causes-and-risk-factors

Causes and risk factors

Causes-and-risk-factors_1_0

Scientists still don't know exactly what causes psoriasis, but the immune system and genetics play a key role. The genetics of psoriasis is complex, and it is possible that the disease develops, even if you do not have a family history of it.

Causes-and-risk-factors_1_1

Its triggering event can cause a change in the immune system, leading to the onset of the symptoms of psoriasis. Common causes of psoriasis include stress, diseases (especially streptococcal infections), skin injury and some medicines.

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Factors that "unlock" the disease vary from person to person. What can make psoriasis worse in one person may not affect someone else. The most common factors are:

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<ul>
<li>Stress - you need to realx</li>
</ul>

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Stress is one of the most common factors for the onset of psoriasis. At the same time, exacerbation of the condition&nbsp;itself can cause stress. This seems like an endless cycle of interconnected events, but relaxation techniques and stress management can help prevent its impact on the condition.

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<ul>
<li>Skin injury - the Koebner phenomenon</li>
</ul>

Causes-and-risk-factors_1_6

Psoriasis can occur in areas of the skin that are damaged. This is the result of the Koebner phenomenon, in which skin injuries such as scratches, sunburns, insect bites, allergic reactions to vaccines, tattoos or even varnish or hair dye can cause the appearance of new plaques.

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Causes-and-risk-factors_1_8

<ul>
<li>Infections - beware of Streptococcus</li>
</ul>

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Anything that affects the immune system can also cause psoriasis. Therefore, it can occur after infection of the ears, bronchitis, tonsillitis or respiratory infections.

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There is a link between streptococcal infection (Streptococcus in the throat) and guttate psoriasis - it is this infection that often triggers the first appearance of guttural psoriasis in children.

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There may be Streptococcus in the throat without symptoms. If you have had strep in the past, talk to your doctor and have a test for the presence of the bacterium in the throat if the condition worsens.

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<ul>
<li>The weather can worsen psoriasi</li>
</ul>

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Cold weather can often worsen the symptoms of psoriasis due to less sunlight and humidity, heated and drier air indoors, the characteristic diseases during the winter. On the other hand, warm weather can alleviate the condition due to natural sunlight and higher humidity.

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<ul>
<li>Other possible triggers</li>
</ul>

Causes-and-risk-factors_1_15

Although less common, some people with psoriasis suspect that allergies, certain foods, alcohol or environmental factors trigger their psoriasis. A great way to learn about your personal set of stimuli is to keep track of them over time. Keeping notes of symptoms and causes can help you anticipate and treat the condition during periods of worsening.

Treatment-of-psoriasis---it's-not-the-usual-skin-problem

Treatment of psoriasis - it's not the usual skin problem

Treatment-of-psoriasis---it's-not-the-usual-skin-problem_2_0

Psoriasis is not just a skin disease, as it was once thought. We already know that psoriasis-affected skin is a sign of inflammation in the body. Even people living with a mild form of the disease (when plaques affect less than 3% of the body) can have significant inflammation in the body. Data show that people with mild, moderate or severe psoriasis may experience psoriatic arthritis and other concomitant diseases.

Treatment-of-psoriasis---it's-not-the-usual-skin-problem_2_1

Treatment-of-psoriasis---it's-not-the-usual-skin-problem_2_2

That is why the treatment of psoriasis is so important. Effective treatment of the disease not only relieves skin symptoms, but will also help to reduce inflammation in the body, which can otherwise lead to other diseases. These other diseases are often called comorbidities.

Treatment-of-psoriasis---it's-not-the-usual-skin-problem_2_3

Comorbidity is a disease or condition that arises due to or is associated with a health condition that we have, such as psoriasis. Common comorbidities of psoriasis include:

Treatment-of-psoriasis---it's-not-the-usual-skin-problem_2_4

<ul>
<li style="font-weight: 400;">psoriatic arthritis,</li>
<li style="font-weight: 400;">cardiovascular (heart) diseases,</li>
<li style="font-weight: 400;">metabolic syndrome,</li>
<li style="font-weight: 400;">mental health problems.</li>
</ul>

Treatment-of-psoriasis---it's-not-the-usual-skin-problem_2_5

If you do not see an improvement in your symptoms after three to six months of treatment, you need to discuss other options for therapy or changes in the current treatment with your dermatologist. The goal is to reduce the severity of the disease so that the plaques cover only 1% or less of a person's body within three months of starting treatment. [<a href="https://www.psoriasis.org/why-treat/" target="_blank" rel="noopener">ref. 6</a>]

Treatment-of-psoriasis---it's-not-the-usual-skin-problem_2_6

Treatment of psoriasis depends on the location, type and severity of the disease. It includes a wide range of local medications, including tar, anthralin (dithranol), local corticosteroids, vitamin D analogues, retinoids and over-the-counter preparations. Phototherapy with UBV and PUVA is used for cases where more extensive parts of the skin are affected.

Treatment-of-psoriasis---it's-not-the-usual-skin-problem_2_7

Common systemic therapies include methotrexate, retinoids, fumarates and cyclosporine. [<a href="https://www.bioseek.eu/en/eng/research/pubmed/Psoriasis_14988763" target="_blank" rel="noopener">ref. 2</a>] It should be taken into account that these medicines may have severe side effects, for example methotrexate can lead to liver problems (hepatotoxicity).

Treatment-of-psoriasis---it's-not-the-usual-skin-problem_2_8

Treatment-of-psoriasis---it's-not-the-usual-skin-problem_2_9

Topical therapies such as corticosteroids, vitamin D analogues and Tazarotene - a type of retinoid,&nbsp;are useful for treating mild to moderate psoriasis. More severe psoriasis can be treated with phototherapy or may require systemic therapy.

Treatment-of-psoriasis---it's-not-the-usual-skin-problem_2_10

Biological therapies, including inhibitors of tumor necrosis factor α (TNF-α), may be effective in severe psoriasis and psoriatic arthritis, but they exhibit significant adverse effects and require regular monitoring.

Treatment-of-psoriasis---it's-not-the-usual-skin-problem_2_11

Treatment of psoriasis should be individualized and may include combinations of different medications and phototherapy. [<a href="https://www.bioseek.eu/bg/eng/research/pubmed/Psoriasis_23668525" target="_blank" rel="noopener">ref. 3</a>]

Is-tar-an-effective-treatment-of-psoriasis

Is tar an effective treatment of psoriasis

Is-tar-an-effective-treatment-of-psoriasis_2_0

The use of medicinal tar for dermatological problems dates back to ancient times. Although coal tar is used more often in modern dermatology, wood also finds widespread application.

Is-tar-an-effective-treatment-of-psoriasis_2_1

Tar is mainly used to treat chronic plaque psoriasis, scalp psoriasis, atopic dermatitis and seborrheic dermatitis, alone or in combination with other drugs, phototherapy or both.

Is-tar-an-effective-treatment-of-psoriasis_2_2

Many modifications of tar-containing preparations have been created to satisfy the needs of patients, since some people do not like its smell, as well as its difficult use in unchanged form, and last but not least - the coloring of clothes.

Is-tar-an-effective-treatment-of-psoriasis_2_3

Some studies prove the carcinogenicity of tar, but epidemiological studies do not confirm similar results when the substance is used topically on the skin. [<a href="https://www.bioseek.eu/en/eng/research/pubmed/Topical_tar_back_to_the_future_19185953" target="_blank" rel="noopener">ref. 4</a>]

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