DIAGNOSIS superficial is simple. Just clinical examination will fix it. Any how, in case of deep s and to rule out complications Doppler study / Magnetic Resonance Imaging (MRI) or Angiography can help to fix the diagnosis and to plan the treatment. In case of any suspicion of malignancy, biopsy may be required.

COMPLICATIONS - Mostly there won't be any complications at all. Any how, occasionally there may be

• Discomfort due to uneven surface
• Bleeding due to abrasions / Rupture due to injury
• Ulceration and infection
• Thrombus (clot) formation due to pooling of blood
• Life threatening with bleeding or other organ failures due to emboli formations
• Emotional distress due to cosmetic disfigurement which occur in throat, lungs, eye, ear, etc may threaten sufferer & compel one to opt for surgical excision at the earliest.

GENERAL TREATMENT - Small s often get fade on its own and large s has more complications with interventions. So, in general, hemangiomas are often left untreated with "wait and watch" line of management. Any how, for cosmetic betterment, sometimes conservative treatment will be opted with injection of scelorising chemical agent into the to get the size reduced along with steroidal pills. Ligation of feeding vessels will also be attempted. The advancement of plastic surgery and laser seems to benefit many hemangiomas, i.e., with excision and skin grafting. Surgical interventions may be in need of compulsion in those cases of involving vital organs and also in those cases of recurrent bleeding and discomfort. Scar formation and keloid growth are few complications with surgical options.

Homeopathic Approach on - Even though is not a serious disorder, it needs proper care to avoid development of complications. Even though pigmentation birthmarks (moles) cannot be treated, vascular birthmarks (s) can be treated well with homeopathic medicines. In homeopathy, is not considered as a pure surgical disease. Also, it won't just rely on external treatment such as creams / ointments / injections, etc for management, since they all have very little or no value in treatment of . According to homeopathy, localized approach or treatment will usually suppress / mask the complaint for a time being and will fix the disease else where. Homeopathy can fade them with its effective internal medicines & constitutional approach.

To avoid discomfort, pain, itching, ulceration, bleeding & unwanted growth of the , treatment should be taken as early as possible or otherwise, it can only be maintained. Homeopathic medicines commonly used in cases of s are Acid Nit, Aesculus Hip, Apis mel, Arnica, Ars alb, Aurum mur, Baryta mur, Bryonia, Calc carb, Calc flour, Causticum, Graphites, Hamemelis, Hepasulf, Hypericum, Lachesis, Lycopodium, Millefolium, Nat Sulp, Nux Vom, Phosphorus, Plumbum met, Pulsatilla, Secale cor, Silicea, Sulphur, Thuja, Vipera, etc. These medicines should be taken under the advice and diagnosis of a Qualified Homoeopath.

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Making a Healthier Tomorrow Dr S Chidambaranathan, Homeopathic Consultant Website: http://www.drcheena.in/ www.drcheena.com E-mail: drcheena@yahoo.com

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June 10th, 2008