Endocarditis Symptoms
Symptoms of endocarditis can vary from person to person. Endocarditis may develop slowly or suddenly. It depends on the type of germs causing the infection and whether there are other heart problems.
Common symptoms of endocarditis include:
- Joint and muscle aches, fibromyalgia,
- Chest pain when you breathe,
- Fatigue,
- Flu-like symptoms, such as fever and chills,
- Night sweats,
- Shortness of breath,
- Edema (swelling of the legs, abdomen, and feet due to fluid accumulation),
- A new or changed whooshing sound in the heart (murmur)
Less common endocarditis symptoms can include:
- Unexplained weight loss,
- Tenderness under the left rib cage (spleen),
- Painless red, purple or brown flat spots on the soles bottom of the feet or the palms of the hands (Janeway lesions)
- Painful red or purple bumps or patches of darkened skin (hyperpigmented) on the tips of the fingers or toes (Osler nodes)
- Tiny purple, red or brown round spots on the skin (petechiae), in the whites of the eyes or inside the mouth,
- Emboli (small blood clots), hemorrhages (internal bleeding) or stroke,
- Nausea,
- Vomiting,
- Blood in the urine,
- Elevated blood cell count,
- Headaches,
- Cough,
- Anemia,
- Heart murmurs,
- Pale skin.
Who is at risk for Endocarditis?
- People with existing diseases of the heart valves (aortic stenosis, mitral stenosis, mitral regurgitation, etc.) and people who have undergone heart valve replacements are at an increased risk of developing endocarditis.
- These people are usually given antibiotics prior to any procedure which may introduce bacteria into the bloodstream.
- This includes routine dental work, minor surgery, and procedures that may traumatize body tissues such as colonoscopy and gynecologic or urologic examinations.
Some other risk factors for endocarditis include:
- Older age. Endocarditis occurs most often in adults over age 60.
- Artificial heart valves. Germs are more likely to attach to an artificial (prosthetic) heart valve than to a regular heart valve.
- Damaged heart valves. Certain medical conditions, such as rheumatic fever or infection, can damage or scar one or more of the heart valves, increasing the risk of infection. A history of endocarditis also increases the risk of infection.
- Congenital heart defects. Being born with certain types of heart defects, such as an irregular heart or damaged heart valves, raises the risk of heart infections.
- Implanted heart device. Bacteria can attach to an implanted device, such as a pacemaker, causing an infection of the heart’s lining.
- Illegal intravenous (IV) drug use. Using dirty IV needles can lead to infections such as endocarditis. Contaminated needles and syringes are a special concern for people who use illegal IV drugs, such as heroin or cocaine.
- Poor dental health. A healthy mouth and healthy gums are essential for good health. If you don’t brush and floss regularly, bacteria can grow inside your mouth and may enter your bloodstream through a cut on your gums. Some dental procedures that can cut the gums also may allow bacteria to get in the bloodstream.
- Long-term catheter use. A catheter is a thin tube that’s used to do some medical procedures. Having a catheter in place for a long period of time (indwelling catheter) increases the risk of endocarditis.
Complications
In endocarditis, irregular growths made of germs and cell pieces form a mass in the heart. These clumps are called vegetations. They can break loose and travel to the brain, lungs, kidneys and other organs. They can also travel to the arms and legs.
Complications of endocarditis may include:
- Heart failure,
- Heart valve damage,
- Stroke,
- Pockets of collected pus (abscesses) that develop in the heart, brain, lungs and other organs,
- Blood clot in a lung artery (pulmonary embolism),
- Kidney damage,
- Enlarged spleen.
Diagnosis
The most accurate method of detecting the valve vegetations of endocarditis is with a procedure called transesophageal echocardiography (TEE). The infection on the valve can cause buildup of nodules on the valves called “vegetations”. These valve vegetations can be detected by echocardiography (an ultrasound examination of the heart).
The most accurate method of detecting valve vegetations is with a procedure called transesophageal echocardiography (TEE).
In this procedure, an echo-transducer is placed on the tip of a flexible endoscope. The endoscope is inserted through the mouth into the esophagus. The transducer at the tip of the endoscope is then able to take sound wave “pictures” of the heart valves located adjacent to the lower esophagus.
It is important to realize that endocarditis may exist without visible vegetations on the heart valve; the exact diagnosis is made by the identification of bacteria in a blood culture.
Blood Test required are:
- Blood cultures that show bacteria or microorganisms that healthcare providers often see with endocarditis. Blood cultures — blood tests taken over time — allow a laboratory to isolate the specific bacteria that are causing infection. To secure a diagnosis, the lab must take blood cultures before patient start taking antibiotics.
- Complete blood count, which can tell us if patient have an unusually high number of white blood cells (this can mean – an infection).
- Blood tests for substances like C-reactive protein can show us inflammation.
Allopathic treatments for Endocarditis
The treatment for endocarditis consists of aggressive allopathic antibiotics, generally given intravenously, usually for 4 to 6 weeks. The duration and intensity of treatment depends on the severity of the infection and the type of bacterial organism responsible for. In severe cases that damage the heart valves, surgical replacement of the valve may be necessary.
For other types of endocarditis, patient may need blood thinners or antifungal medicines. Medicines can have side effects. Some people feel better within a few days of starting treatment. For others, it can take longer.
Response to treatment is indicated by a reduction in fever, negative blood bacterial cultures, and findings on echocardiography.
Allopathic antibiotics Prophylactic Regimens for Endocarditis

Not: Like all allopathic drugs, antibiotics have serious side effects, up to 50% of all the antibiotics prescribed for people are not needed nor as effective as hoped, antibiotics is the single most important factor that has led to antibiotic resistance.
At least 230,000 people die each year as a direct result of these antibiotic-resistant infections. Almost 2500,000 people each year need hospital care for treatment of Clostridium difficile (C. difficile) infections. This infection is very difficult to treat. The use of antibiotics was the main reason why the illness developed. At least 144,000 people die each year from C. difficile infections. Many of these infections could have been prevented.
The overuse or inappropriate use of allopathic antibiotics gives bacteria a chance to adapt. When this happens, the allopathic antibiotics no longer work as well to treat the infection – the bacteria become “resistant” to those allopathic antibiotics.
Homeopathic Treatment of Endocarditis
In Homeopathy, there are many best and well proven medicines for cardiac diseases and its causes, and many antibiotics with best results with zero adaption chances; they cure not only the disease and all its symptoms in just few days but co-diseases too.
The goal of Homeopathic treatment is to treat the infections and inflammations and cure patient once and for ever from all symptoms. All Homeopathic anti-biotics and anti-inflammatory medicines should be advised highly diluted said Dr. Qaisar Ahmed. Here are few of Homeopathic medicines for endocarditis and infections:
Aconitum Napellus
Blindness. Chill. Convulsions. Deafness. Dyspnea. Ears noises (tinnitus). Hemicrania. Hydrophobia. Landry’s paralysis. Liver enlargement. Neuralgia. Esophagus spasms. General Spasms. Spleen enlargement. Tetanus. Tongue affections. Trismus. Vomiting.
Short breathing, chiefly during sleep, and on getting up, breathing painful, anxious, and attended with groans, rapid and superficial, or full, noisy, and with the mouth open. Breathing slow during sleep. Breath hot, fetid. Attack of suffocation, with anxiety. Sensation of heaviness and of compression at the chest. Pleurisy and pneumonia, especially with severe temperature, much thirst, dry cough and great nervous excitability. Itching in the chest. Pains as of a bruise in the sternum and in the sides. Sensation of anguish in the chest, which interrupts respiration.
Palpitation of the heart, with great anxiety, heat of body, chiefly in the face, and great weariness in the limbs. Shootings in the region of the heart. Sensation of compression and blows in the region of the heart. Inflammation of the heart. Endocarditis. Chronic diseases of the heart. Fainting and tingling in the fingers. Fainting with tingling. Pulse full, strong, hard; slow, feeble; threadlike with anxiety; quick, hard, small.
Suppression of urine, with pressure in the bladder and pains in the loins. A frequent desire to urinate. Flow of urine, with sweat, diarrhea, and colic. Involuntary urination (relaxed neck of the bladder). Enuresis, with thirst. Urine scanty, burning, deep red, and with a sediment of a brick color (arising from taking cold, especially in children); suppression from cold. Bloody sediment in the urine. Scanty, red, hot. Heat and tenesmus in the neck of the bladder.
Digitalis
Amaurosis. Angina pectoris. Bright’s disease. Cyanosis. Delirium tremens. Dropsy. Fever. Gonorrhea. Headache. Heart affections. Hydrocele. Hydrocephalus. Impotence. Jaundice. Lung’s congestion. Memory lost. Meningitis. Noises in head. Paraphimosis. Prostate enlarged. Ptyalism. Spermatorrhea. Toothache. Urinary disorders. Vision disorders.
Desire to take a deep breath. Breathing irregular and difficult. Cough with raw, sore feeling in chest. Expectoration sweetish. Senile pneumonia. Great weakness in chest. Dyspnea, lungs feel compressed. Chronic bronchitis; passive congestion of the lungs, giving bloody sputum due to failing myocardium. Cannot bear to talk. Hemoptysis with weak heart.
The least movement causes violent palpitation (tachycardia/Bradycardia). Sudden sensation as if heart stood still. Frequent stitches in heart. Irregular heart especially of mitral disease. Cyanosis. Very slow pulse, intermits, weak and inequality. Pulse weak and quickened by least movement. Pericarditis, copious serous exudation. Dilated heart, tired, irregular, with slow and feeble pulse. Hypertrophy with dilatation. Cardiac failure following fevers. Cardiac dropsy.
Stool and Anus. Feeces white like chalk or the color of ashes. Diarrhea of excrement mixed with mucus, preceded by shivering and cutting pains. Dysenteric evacuations. Involuntary stools. Retention of stool; prolonged constipation. Watery diarrhea; with much thirst.
Retention of urine as from contraction of the urethra. Urgent and almost futile, polyuria, Micturition, scanty urine. Pressure on the bladder, with the sensation as if it were too full, continuing after micturition. Frequent emission of small quantities of transparent/water-colored urine. In a recumbent position the urine can be retained for a longer time. Bed wetting (at night). Urinary flux. Diminution of the secretion of urine, sometimes alternating with abundant emission. Urine of a deep color, brownish or reddish. Nausea before and after urination. Prostate enlarged.
Swelling of the feet. Fingers go to sleep easily. Coldness of hands and feet. Rheumatic pain in joints. Shining, white swelling of joints. Muscular debility. Nocturnal swelling of fingers. Sensation in legs as if a red-hot wire suddenly darted through them.
Alcohol’s effects. Angina pectoris. Asthma. Depression. Ears affections. Erethism. Erysipelas. Eye affections. Fevers. Gonorrhea. Hemorrhoids. Hemiopia. Jaundice. Leucorrhea. Scrofula. Smell disordered. Syphilis. Tumors. Uterus induration. Burning heat and cutting pain in right hypochondrium. Accumulation of mucus in the trachea and in the chest, which is expectorated with difficulty in the morning. Voice nasal. Cough from want of breath at night. Morning cough with tough yellow sputum.
Difficulty of respiration at night, and on walking in the open air, requiring deep inspirations. Paroxysms of suffocation with constrictive oppression of the chest, falling, loss of sense, and facial cyanosis. Pain as if there were a plug placed under the ribs. Continuous aching in left side of the chest. Incisive pain, and obtuse shootings, near the sternum. Great weight on chest; especially on sternum. Much congestion in the chest.
Anxious palpitation of the heart, from congestion to the chest. Bradycardia sometimes by fits, sometimes with anguish and oppression of the chest. Cardiac pain extending down left arm to fingers. Floundering heart. When walking, the heart seems to shake as if it were loose. Sensation as if the heart stood still. Palpitation compels him to stop.
Neck and back. Swollen cervical glands. Tension in neck as if muscles too short, even at rest better when stooping. Stinging pains in small of back. Grecus gallinaceous (in spine disease). Pain at lower part of spine. Pains, generally passive, or drawing and acute, in the back, chiefly in the morning, and sometimes so violent as to prevent any motion of the limbs.
Stool – Copious. Nocturnal diarrhea, with burning in the rectum. Constipation; stool very large in size, very hard and knotty.
Painful retention of urine, with urgent inclination, pressure on the bladder. Polyuria. Urine turbid like buttermilk, with thick mucus-like sediment.
Pulse small but accelerated. Febrile shivering over the whole body, while in bed in the evening, followed neither by heat nor thirst. Body coldness with bluish color of the nails (capillary blood circulation), nauseous taste with inclination to vomit. Heat of the face, with cold in upper and lower extremities. Copious general morning perspiration; mostly about genitals.
Painful urine retention, with urgent inclination and pressure on the bladder. watery (transparent) polyuria.
Latrodectus Mactans
Extreme apnea. Respiration only occasional, gasping. Violent precordial pains extending to axilla and down left arm and forearm to fingers with numbness of the extremity and apnea, pulse 130, pulse so frequent it could not be counted and so feeble it could scarcely be felt. Pulse quick and thready (in few minutes). Pain in precordia with apnea; screaming fearfully, exclaiming that she would lose her/his breath and die.
Latrodectus Katipo
Respirations almost ceased. Heart almost pulseless. Pulse slow, scarcely more than twelve or fourteen beats to the minute.
Lower Limbs, severe shaking, burning pain accompanied by nervous twitching all over body soon; pain felt almost equally in both limbs.
Small, red spot like fleabite. Extremities cold and flaccid. A cold, clammy sweat covered lower extremities; in morning sweat covered both limbs.
Cactus Grandiflorus
Difficulty of breathing; attacks of suffocation with fainting. Chronic bronchitis, with rattling of mucus. Chest pricking pain with oppressed respiration (pneumonia). Oppression of breathing in going upstairs. Periodical suffocation, with fainting, and sweat on face and loss of pulse. Hemoptysis, with convulsive cough. Sharp pains shooting from body to back and up into chest, with sensation of rush of blood to chest (rheumatism of diaphragm).
Cardiac pain with jerking body, frequently repeated. Pricking and stitches in the heart. Tachycardia, palpitation in small irregular beats (at times frequent, at others slow). Pains in apex of heart, shooting down left arm to ends of fingers; feeble pulse; dyspnea. Endocardial murmurs; excessive impulse; increased precordial dullness; enlarged ventricle. Oedema of left hand only. Aneurism. Atheromatous arteries.
Oedema of the feet. General weakness and prostration of strength. Hemorrhages: from nose; lungs; rectum; bladder; stomach.
Constriction of neck of bladder. Irritation in urethra, as if pyuria. Urine passes by drops, micturition, urine of a straw color. Urine with sediments of red sand. Hematuria; urination prevented by clots.
Constipation; stool hard and black. Diarrhea, watery, mucous, bilious (in forenoon). Sensation of great weight (in anus), and urging to evacuate a great quantity, but nothing passes. Copious hemorrhage with bowels. Rectal itching. Fluent hemorrhoids. Fissure and/or Fistula with violent tachycardia.
Crataegus Oxyacantha
Cardiac dropsy. Fatty degeneration. Aortic disease. Extreme dyspnea on least exertion, without much increase of pulse. Pain in region of heart and under left clavicle. Heart muscles seem flabby, worn out. Cough (cardia cough). First cardiac sound weak. Pulse accelerated, irregular, feeble, intermittent. Valvular murmurs. Cutaneous chilliness, cyanosis; all these symptoms aggravated by exertion or excitement. Sustains heart in infectious diseases. Excessive perspiration. Skin eruptions. Insomnia.
Tachycardia with heat in the face, accelerated pulse and pulsation of the carotid arteries, distinct pulsation over the whole body. In the heart sensation of fulness, heaviness, and heat, with labored beating of the heart. Pulse accelerated; rises and falls alternately; low and feeble in sunstroke. Severe stitches from the heart, extending into the back. Purring cardiac sounds when lying.
Increased secretion of pale (albuminous) urine; nocturnal polyuria and must pass large quantities of albuminous urine. Tubal nephritis, with headache, brought on by walking in the sun; numbness in arms and hands alternating with intense tingling.
Diarrheic stools with rumbling, sharp burning and discharges of flatus, beginning in the morning and lasting all day. Diarrhea; copious, loose, blackish, lumpy stools. Constipation and hemorrhoids which itched and pained. At an unaccustomed time, a hard and unusual stool; pinching in abdomen before and after stools.
Fainting with consciousness. Great weakness and prostration. Unconscious falling down (low brain blood circulation). Painless throbbing in the whole body. Pulsations, tingling, thrills, and a peculiar sensation of warmth through the body, extending from above downward. Fingers are spread apart and stretched out. Seeming plethora, rapid deviations in distributions of blood. Yawning with headache, congestion of blood to the head. Insomnia but is difficult to waken.
Pulse accelerated, irregular, intermitting, full and hard, small and rapid. Chill: after getting heated; alternates with sweat; with vomiting; head as if screwed up; intermittent fever. Heat especially in face, ascending from pit of stomach to head. Perspiration principally in the face, forehead, chest and after sleeping. Perspiration relieves the nausea.
Naja Tripudians
Angina pectoris. Endocarditis. Asthma. Dysmenia. Hay-fever. Headache. Cardiac diseases. spasmodic esophagus, Ovaries affections. Plague. Spinal irritation (of nucha). Throat infections (especially staphylococcus).
Uneasiness and dull, heavy pain in chest, pains are like hot iron rod. Lancinating pains feels better on deep inspiration. Asthmatic constriction of chest; cannot expand lungs; followed by mucous expectoration. Cannot cough for the stabbing. Tenderness over sternum and in throat. Feeling of depression and uneasiness about heart.
Fluttering and palpitation of heart. Loud audible beating. Pulse slow and irregular in rhythm and force; weak and thready, scarcely perceptible. Action only recognized by pushing hand up behind sternum, then felt only a faint thrill resembling the cardiac thrill felt in the same way on a newborn infant.
Pulse rapid; and full; 120, some beats tolerably full and strong, afterwards 32, irregular in rhythm and force, some of the beats full and bounding. Cutting and aching in nape. Rheumatic pains in neck and back. Pain between the shoulders.
Creeping, itching, and tingling sensation on the skin. Skin swelled, mottled, and of dark purple/cyanotic, livid color. Large pimples on inflamed base. Small white blisters on inflamed base, with much itching. Gangrene. Boil-like swelling. Painful chilblains on feet. Pimple on upper lip; on left ala nasi; on inflamed base, on tip of nose, nose sore in consequence; painful on brow. White itching blisters on inflamed base, on neck and body.
Body cold and collapsed. Extremities very cold; icy coldness. Burning heat in face. Free perspiration. Heat but refuses water; heat with prostration; with discomfort, dry lips, and tender, hot mouth. Head hot; and full of blood. Burning of ear. Flushes of heat in face at different times of day; flushes in face, hands, palms sweating, general sweating.
Sudden urging to stool. Bilious diarrhea. Constipation. Feeling of a large stool which when voided was small bilious (slimy, white or green). Heat in anal region with itching smarting.
Uneasiness and pressure in bladder. Urine deposits red sediment, mixed with mucus. Urine of deep straw color.
Arsenicum Album
Shortness of breath, difficulty of respiration, choking, dyspnea, and attack of suffocation, endocarditis, sometimes with cold sweat, spasmodic constriction of the chest or of the larynx, anguish, great weakness, body cold, pain in the pit of the stomach, and paroxysm of cough.
The sufferings occur chiefly in the evening in bed, or at night, when lying down; also in windy weather, in the fresh and cold air, or in the heat of a room, or when warmly clothed, on being fatigued, on being angry, on walking, on moving, and even on laughing.
Respiration anxious, stertorous, and wheezing. Oppression of the chest on coughing. Constriction and compression of the chest, sometimes with great anxiety, inability to speak, and fainting fits. Tension and pressure in the chest. Stitches and pressing in the sternum. Shooting pains in the chest and in the sternum. Chilliness or coldness in the chest. Shivering, or great heat and burning in the chest. Heat, burning, itching in the chest. Yellowish spots on the chest.
Violent and insupportable throbbing of the heart, chiefly when lying on the back. Irregular beatings (bradycardia) sometimes with anguish and cramps. Palpitation and trembling weakness after stool; must lie down. Palpitation after suppressed herpes or foot-sweat. Angina pectoris. Hydropericardium. Fatty degeneration.
Edematous, painless swellings of the neck and of the lower jaw. Tetters between the shoulder blades. Violent and burning pain in the back, powerfully aggravated by the touch.
Fever with great weakness, dropsical affections, pains in the regions of the liver and of the spleen. Frequent colliquative, or cold and viscid sweats; sweat at night, or in the evening on going to sleep, or in the morning on waking; partial sweat, chiefly on the face and legs. Perspiration cold, clammy, smelling sour or offensive.
Constipation, with frequent, but ineffectual inclination to evacuate. Tenesmus, with burning in the anus. Involuntary and unperceived evacuations. Violent diarrhea with frequent evacuations, nausea, vomiting, thirst, great weakness, colic, and tenesmus. Nocturnal diarrhea. Burning and corrosive evacuations; faeces with mucus, or bilious, sanguineous, serous, painless, involuntary – of greenish, yellowish, whitish color (bilious), or brownish and blackish (liver and/or spleen); fetid and putrid evacuations; evacuations of undigested substances (liver). Prolapsus of the rectum: with much pain. Itching, pain as from excoriation, and burning in the rectum and in the anus, as well as in the hemorrhoidal tumors, chiefly at night. Shootings in the hemorrhoidal tumors.
Retention of urine. Frequent inclination, nocturnal polyuria with abundant emission. Incontinence of urine which escapes almost involuntarily, even at night, in bed. Difficult and painful emission of urine. Scanty urine, of a deep yellow color. Urine aqueous, greenish, brownish, or turbid, with mucus-like sediment. Sanguineous urine.
Terminalia Arjuna
Cardiac asthma and bronchodilator. An astringent, demulcent, expectorant, cardiotonic, styptic, antidysentery, urinary astringent, and has shown to be useful in fracture, ulcers, leukorrhea, diabetes, anemia, cardiomyopathy, endocarditis and cirrhosis. This Homeopathic mother tincture can be used for improving cardiovascular health and it strengthens cardiac muscles and prevents any serious illness affecting it, anginal pain, hypertension, congestive heart failure, and dyslipidemia,
Helps in improving energy levels and reduces fatigue, reduces risk factors and has no side effects. Terminalia Arjuna is useful in both organic and functional diseases of the heart. In fractures, pain all over the body owing to a fall and all sorts of ecchymosis.
Arjuna is also efficacious in spermatorrhea and gonorrhea.