The skin is an outward reflection of our internal health. Dull skin, for instance, may indicate dehydration, a lack of essential nutrients, or an inconsistent skincare routine. As the most visible organ, the skin also provides insight into the health of the body tissues it protects. It's more than just an aesthetic aspect—it’s a window into overall well-being. Disorders of the gut, blood, hormones, and even the heart can manifest as skin issues, such as rashes.

Ayurveda has long emphasized the importance of skincare. In today's fast-paced world, a proper skincare routine is indispensable, not only for physical health but also for mental well-being. While modern skincare offers a plethora of products, many come with side effects. Ayurveda provides a holistic solution, addressing skincare concerns naturally and sustainably.

Ayurvedic Skin Types

Ayurveda classifies skin types based on the three doshas:

1. Vata (Wind) Vata

Vatadominant individuals tend to have dry, rough skin that wrinkles easily if not properly moisturized.

• Oil application: Pinda taila is ideal for moisturizing dry skin.
• Internal care: Mahatiktaka ghrita helps reduce dryness.
• Face pack: Use Eladi churna or Navara rice face packs to moisturize and reduce dryness.
• Hydration: Drink plenty of water to combat dehydration.

2. Pitta (Fire) Pitta

Pitta dominant individuals often have oily skin, prone to acne, rosacea, and discoloration.

• Oil application: Nalpamaradi tailam is best for pitta skin.
• Cleansing: Wash your face with Eladi or Manjishtadi water to reduce discoloration and tone the skin.
• Cooling elements: Use aloe vera, turmeric, and sandalwood to combat inflammation, pimples, and redness.

3. Kapha (Water and Earth)

Kapha skin tends to be cold, oily, and prone to pimples, whiteheads, and water retention.

• Avoid oil-based creams: Use face masks regularly to control sebum production.
• Therapy: Dhara with Triphala churna or Eladi water is beneficial.
• Oil application: Eladi coconut oil is ideal.

Panchakarma for Healthy, Radiant Skin

Panchakarma therapies help detoxify the body and enhance skin health. Key treatments include:

Abhyanga and Pizhichil: These therapies pacify doshas, enhance skin tone, and act as natural moisturizers.

Navara Kizhi: Improves skin softness and complexion.

Snehapana: Internal lubrication with ghee to maintain hydration and promote a natural glow.

Ubtan: A traditional herbal paste for exfoliation and nourishment.

Lepam: Herbal poultices to soothe inflammation and heal skin conditions.

Garshan/Udwarthanam: Dry brushing to stimulate circulation and exfoliate dead cells.

Shirodhara: Oil pouring therapy to relax, de-stress, and improve sleep quality.

Panchakarma Detox: A five-step detoxification process to cleanse the body and rejuvenate the skin.

Internal Routine for Healthy Skin

1. Stay hydrated and drink 2–3 liters of water daily. Incorporate water-rich fruits and vegetables like watermelon, cucumber, and oranges. Herbal teas with ginger, lemon, or chamomile aid digestion and promote glowing skin.

2. Follow a balanced diet based on your Ayurvedic prakriti and elevated doshas. Include whole grains, dairy, seasonal fruits, and antioxidant-rich foods like tomatoes, broccoli, and papaya. Avoid fried, refined, and processed foods, as well as excessive sugar, salt, and red meat.

3. Regular exercise promotes blood circulation, detoxification, and skin nourishment. Activities like yoga, walking, or dancing improve oxygen flow, flushing out toxins and revitalizing the skin.

4. Maintain a consistent sleep schedule. Restful sleep stimulates growth hormones, promoting collagen and elastin production, which keeps skin firm and youthful.

Small, gradual adjustments in daily routines can lead to healthier, more radiant skin. Embrace an Ayurvedic skincare regimen, complemented by panchakarma therapies, to achieve sustainable and natural skin health.

Cancer treatment has long been thought to be unsuccessful among people of advanced age, and older adults are often left out of clinical decisions.

While they may face more surgical complications, a new study proved that even people aged over 80 can still safely have surgery and be cured. It showed that the overall health of a patient matters more and that age must not be the only criterion to rule out surgery.

The study, published in The Lancet Regional Health – Americas, showed that surgery for lung cancer is safe in elderly patients aged 80 and above, especially when the cancer is in an early stage.

Researchers at the Icahn School of Medicine at Mount Sinai and the Mount Sinai Tisch Cancer Center in the US found that they can recover like young cancer patients as well as live longer like them.

“As our population ages, more patients over 80 are being diagnosed with early-stage lung cancer, yet they are often not considered for surgery,” said Raja M. Flores, Chair of the Department of Thoracic Surgery at Mount Sinai Health System.

“Our findings show that when patients are carefully selected based on their overall health, not just their age, they can tolerate surgery well and experience excellent long-term outcomes,” he added.

What Did The Study Find?

The study findings are based on a study of 884 patients with early-stage lung cancer, including 114 people who were age 80 or older.

The researchers examined surgical outcomes and quality of life in patients with early-stage non-small cell lung cancer, comparing those aged 80 and older with younger patients.

The results showed that older patients lived just as long as younger patients after surgery. While some older patients had more complications right after surgery, most patients in both groups felt better over time, and their quality of life improved within a year.

The study noted that early detection in older patients may be key. The researchers called for screening guidelines to include patients who are over 80 years old based on these findings.

What Is Lung Cancer?

Lung Cancer is one of the most common and serious types of cancer. It is also the leading cause of cancer-related deaths worldwide, with approximately 2.5 million new cases and 1.8 million deaths reported in 2022.

According to the American Cancer Society, lung cancer mainly occurs in older people. Most people diagnosed with lung cancer are 65 or older; a very small number of people diagnosed are younger than 45.

The average age of people when diagnosed is about 70.

It is also the leading cause of cancer death in the US, accounting for about 1 in 5 of all cancer deaths.

In many cases, there are no symptoms; however, one must look out for these:

• a persistent cough
• coughing up blood
• persistent breathlessness
• unexplained tiredness and weight loss
• an ache or pain when breathing or coughing.

The two main types of lung cancers are:

Non-small-cell lung cancer (NSCLC): This is the most common form, making up about 80–85% of all cases. NSCLC includes three subtypes:

• Squamous cell carcinoma
• Adenocarcinoma
• Large-cell carcinoma

Cancer is not just a problem of elderly people anymore. In India, there has been an increased number of cases where individuals under the age of 40 are diagnosed with various forms of cancer. Even if there are fewer cases of this medical condition among younger people, this fact does not change the fact that one-fifth of all cancer patients in India are younger than 40 years.

Breast cancer, colorectal cancer, head and neck cancer, as well as blood cancer, are some types of cancer that become more common at a younger age. Among the most alarming statistics, the incidence of colorectal cancer in people aged 30-40 should be mentioned. Moreover, the fact that breast cancer becomes evident nine years earlier in Indian women in comparison with Western women must also be noted.

What Makes This Problem Increase?

There is a wide variety of factors that contribute to this problem. These are the following:

• Lifestyle changes, such as lack of exercise, unhealthy eating habits, being overweight, and stressful situations
• Alcohol and tobacco consumption
• Pollution in the urban environment
• Problems with early diagnosis due to the negligence of patients
• Low screening rates among the young population

Early detection saves lives. Some warning signs to look out for are:

• Sudden and unexplained weight loss
• Endless fatigue
• Digestion issues
• Breast lumps or any swellings anywhere in the body
• Coughing or trouble swallowing persistently

Why Late-stage Diagnosis Is Even More Serious

Not only does it take time to diagnose cancer cases in young patients due to low suspicions, but these cancers also create an additional burden on people during their prime earning period.

How To Combat This Trend

There needs to be a paradigm shift in our understanding of this problem. First of all, we have to understand that cancer affects patients irrespective of their age, and therefore, when you experience some symptoms of cancer, do visit a doctor to get your condition checked out.

The key is maintaining healthy practices like balanced nutrition, exercising, not smoking, and limiting consumption of alcohol.

It often begins in the most ordinary way—someone sits down to enjoy a meal and suddenly feels a sharp swelling under the jaw or near the ear.

The pain intensifies with every bite, creating a strange pattern: eat, swell, hurt; stop eating, and the swelling slowly settles.

For many people, this puzzling cycle is caused by something surprisingly small—a salivary stone. Though typically no larger than a few millimeters, these tiny mineral deposits can cause significant discomfort and, if untreated, repeated infections. Fortunately, modern medicine has transformed how this condition is managed, replacing traditional gland removal surgery with a minimally invasive technique known as sialendoscopy.

A Salivary Stone

Saliva is something most of us rarely think about, yet it plays a vital role in everyday life. It helps us chew and swallow food, begins the process of digestion, keeps the mouth moist, and protects teeth from decay. Salivary stones, medically termed sialolithiasis, develop when minerals—primarily calcium—gradually crystallize inside these ducts.

Over time, these crystals accumulate, forming hard, chalk-like structures that partially or completely block the flow of saliva. When saliva becomes concentrated—often due to dehydration, reduced fluid intake, or medications that decrease saliva production—minerals are more likely to settle and crystallize.

Slow flow or stagnation within the duct allows these tiny deposits to grow. Previous infections, inflammation, or minor scarring can narrow the duct, further encouraging stone formation. The process is gradual and often silent until the blockage becomes significant.

Symptoms Of Salivary Stone

The symptoms are distinctive. Pain and swelling typically occur during meals, when the glands are stimulated to produce more saliva. If a stone is blocking the duct, saliva cannot escape into the mouth. Pressure builds within the gland, causing swelling and a throbbing ache. The swelling may reduce after some time as saliva slowly seeps past the obstruction, only to recur at the next meal.

In some cases, patients notice a dry mouth, an unpleasant taste, or even pus discharge if infection develops. Because the symptoms come and go, many people delay seeking medical help, assuming it is a temporary issue.

Salivary Stone: Diagnosis and Treatment

Diagnosis today is far more straightforward than it once was. A doctor may sometimes feel a stone during a physical examination inside the mouth or beneath the jaw. Ultrasound scanning is a simple and painless way to detect most stones, while CT scans are useful for identifying deeper or smaller ones.

However, the real breakthrough in both diagnosis and treatment has been sialendoscopy. This technique involves introducing a very thin endoscope—about the size of a delicate wire—directly into the natural opening of the salivary duct inside the mouth. The surgeon can then visualize the duct system from within, identify the exact location of the stone, and in many cases remove it during the same procedure.

Not long ago, treatment options were far more invasive. When stones were deeply lodged or infections recurred, surgeons often removed the entire affected gland.

For the submandibular gland, this required an incision in the neck, a hospital stay, and a recovery period that could last weeks. There was also a significant risk of nerve injury, which could affect tongue movement or lower lip function. While gland excision effectively eliminated the stone, it also meant permanent loss of that gland’s function.

For what is essentially a small obstructing stone, the operation was often disproportionate to the problem. Gland removal also meant a permanent scar on the neck, which can cause significant facial deformity.

Treating Salivary Stone With Sialendoscopy

The advent of sialendoscopy has dramatically changed this landscape. Through the natural duct opening inside the mouth, the surgeon gently widens the duct and introduces the miniature camera. Continuous saline irrigation keeps the view clear.

Once the stone is located, tiny micro-instruments such as baskets or graspers are used to retrieve it. Larger stones can sometimes be fragmented using a LASER before removal.

In addition to extracting stones, sialendoscopy allows the surgeon to dilate narrow ducts, wash out debris, and treat inflammatory conditions. The procedure typically takes less than an hour, is often performed as a day-care surgery, and leaves no external scar.

The benefits of sialendoscopy are substantial. The most important advantage is gland preservation. Instead of sacrificing an entire gland, the obstruction alone is addressed, allowing normal saliva production to continue. There are no visible scars because the procedure is performed entirely through the mouth.

Recovery is typically quick, with most patients resuming normal activities within a day or two. Complication rates are lower compared to open surgery, and success rates are high—often exceeding 90 to 95 percent in appropriately selected cases. Even when stones are larger or located deeper within the gland, sialendoscopy can often be combined with a small intraoral incision, still avoiding external scars and major surgery.

Sialendoscopy and its allied approaches can now tackle almost any stone, whether it’s in the duct or in the gland, with utmost precision, leaving behind a fully functional gland. Despite conventional learnings, even intraglandular stones, large stones, and patients with multiple stones can be effectively treated using this novel technique.

Preventing Salivary Stones

Prevention, while not always possible, can reduce risk. Staying well hydrated helps maintain healthy saliva flow. Good oral hygiene minimizes infection and inflammation within the ducts. Early evaluation of recurrent swelling can prevent chronic damage. Individuals who take medications that reduce saliva production should be particularly mindful of fluid intake and regular dental care.

The story of salivary stones is ultimately one of medical progress. What was once managed through the removal of an entire gland can now often be treated with a fine endoscope and delicate instruments. The transformation has reduced pain, shortened recovery times, minimized complications, and preserved natural gland function.

For patients, it means less anxiety and more confidence in seeking care early. For surgeons, it represents the success of innovation guided by a simple principle: treat precisely, preserve whenever possible, and restore normal function with the least disruption.

Salivary stones may be small, but their impact can be significant. Thanks to sialendoscopy and the expertise of pioneers in the field, patients today have access to safer, more conservative, and highly effective treatment options. In modern salivary gland care, the focus is no longer on removing the gland—it is on saving it.