Endocarditis-Causes-Diagnosis-Treatment-Pakistan's Best Homeopathic ophtalmologist-Dr Qaisar Ahmed-Al Haytham clinic-Risalpur-KPKDr Qaisar Ahmed MD, DHMS.
Endocarditis is a serious inflammation of one of the four heart valves, caused by bacteria. Endocarditis is a life-threatening inflammation of the endocardium (inner lining of the heart’s chambers and valves). Endocarditis is usually caused by an infection (bacteria, fungi or other germs get into the bloodstream and attach to damaged areas in the heart).
Many different things can cause germs to get into the bloodstream and lead to endocarditis. Having a faulty, diseased or damaged heart valve increases the risk of the condition. However, endocarditis may occur in those without heart valve problems.

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.

In endocarditis, blood cultures can often detect the bacteria causing the endocarditis. Infective endocarditis - Dr Qaisar Ahmed MD, DHMS

Who is at risk for Endocarditis?

  • People with existing diseases of the heart valves (aortic stenosismitral stenosismitral 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.

Endocarditis- Dr Qaisar Ahmed MD, DHMS

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:

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 countwhich 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

Prophylactic use of antibiotics is the administration of antibiotics before certain surgical procedures to prevent introduction of a bacterial infection to abnormal tissues in the body. People who are at a high risk for contracting endocarditis because of deformed or prosthetic heart valves take prophylactic antibiotics to minimize the risk of infecting the valve with bacteria introduced during surgery. Bacterial endocarditis due to Moraxella lacunata in a bovine heart - Dr Qaisar Ahmed MD, DHMS

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.

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

Clinical: Aneurism. Angina pectoris. Apoplexy. Blood clots. Asthma. Bladder paralysis. Brain congestion. Bronchitis. Diaphragm rheumatism. Dropsies. Ear inflammation. Fistula. Goiter, exophthalmic. Hematuria. Hemorrhages. Headache. Heart affections; cardiac hypertrophy. Indigestion. Intermittent fevers. Lungs, hemorrhage from. Melancholy. Menstruation, painful. Miliaria. Neuralgia. Otitis. Ovaritis. Pneumonia. Prostate. Rheumatism. Heat stroke, sunstroke. Traumatic fever. Vaginismus.
Feeling of warmth about throat and chest. Constriction of esophagus. Constriction of throat exciting a constant desire to swallow. Suffocative constriction at throat with full, throbbing carotids. Scraping sensation at soft palate.

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. Infective Endocarditis Flashcards | Dr Qaisar Ahmed MD, DHMS

Crataegus Oxyacantha

Clinical. Chronic heart disease, with extreme weakness. Endocarditis. Very feeble and irregular heart action. General anasarca. Very nervous, with pain in back of head and neck. Collapse of typhoid. Hemorrhage from bowels. Cold extremities, pallor; irregular pulse and breathing. Painful sensation of pressure in left side of chest below the clavicle. Dyspepsia and nervous prostration, with heart failure. In the beginning of heart mischief after rheumatism. Arteriosclerosis. Said to have a solvent power upon crustaceous and calcareous deposits in arteries. Angina pectoris.  Cardiac hypertrophy. Faintness and collapse, valvular disease. Hypertrophy from overexertion; from alcoholic, venereal and other excesses. Heart collapse in typhoid.

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.

Glonoinum (Nitro-glycerine)
Angina pectoris. Endocarditis. Aphasia. Apoplexy. Brain congestion. Bright’s disease. Convulsions. Epilepsy. Epistaxis. Fright effects. Goiter. Headache. Heart, affections of; Tachycardia; jarring effects. Mania. Meningitis. Menses suppressed. Neuralgia. Paralysis. Rheumatism. Snow headache. Sun headache. Sunstroke. Toothache. Trauma. Inclination to deep respiration. Sighing. Constriction and oppression of the chest with headache.

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. Conjunctival Hemorrhages as a Sign of Infective Endocarditis - Dr Qaisar Ahmed MD, DHMS

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. Infective endocarditis | Dr Qaisar Ahmed MD, DHMS

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.

Kalmia latifolia

Clinical. Angina pectoris. Blindness. Bright’s disease. Dropsy. Dysmenorrhea. Gastralgia. Globus hystericus. Gout. Headache. Endocarditis, Cardiac diseases. Herpes zoster; neuralgia after. Keratitis. Leucorrhea. Locomotor ataxia. Lumbago. Neuralgia. Paraplegia. Ptosis. Pregnancy, albuminuria of. Retinitis albuminuria. Rheumatism. Rumination. Scleroderma. Scleritis. Somnambulism. Sun-headaches/Heat stroke. Syphilitic sore throat. Tinnitus. Tobacco eaters/smokers. Vertigo. Vomiting.

Difficult and oppressed breathing; throat feels swollen, nausea. Oppressed breathing with palpitation, anxiety; with pain (angina pectoris). Feverish heat with great pain in chest; Pain in chest as from a sprain. Shooting through chest above heart into shoulder-blade to left hand. Rheumatism of muscles of thorax and back.

Fluttering of heart. Tachycardia with anxiety, suppressed breathing; with faint feeling; with dyspnea, pain in limbs. Severe pain in cardiac region, slow, small pulse (hypertrophy, dilatation, aortic obstruction). Paroxysms of anguish about heart, dyspnea, febrile excitement; rheumatic endocarditis, with consequent hypertrophy and valvular disease. Wandering rheumatic pains in region of heart, Quickened but weak pulse. Pulse: slow, weak; arms feel weak; scarcely perceptible, limbs cold. Muscles of neck sore to touch and on moving them. Constant pain in spine. Feeling of paralysis in sacrum. Aching in all joints. Infective Endocarditis | Dr Qaisar Ahmed MD, DHMS

Rheumatism often attacks heart and generally goes from upper to lower parts; pains shift suddenly. Weariness in all muscles; shuns all exertion, can hardly go upstairs. Weary and giddy, with diarrhea. Weakness the only general symptom with neuralgia. Trembling, thrilling, strumming, with palpitation.

Sensation of rigidity of skin. Pricking sensation in skin, with moderate sweat. Dry skin. Erysipelatous inflamed eruption with oppressed breathing.

Febrile excitement. General heat; with burning and pain in back and loins. Cold sweat.

Stool like mush, easily discharged, as if glazed, followed by pressure on rectum. Diarrhea, with dullness, dizziness, weariness, nausea, and colic.

Frequent micturition of large quantities of yellow urine. Albuminuria: with pains in lower limbs; with dropsy, casts, triple phosphates, sallow complexion, skin very dry.

Spigelia

Clinical: Adenoids. Amaurosis. Angina pectoris. Ciliary neuralgia. Cold. Constipation. Depression of spirits. Diaphragm, stitches in. Exophthalmic goiter. Eyes pains. Gastric catarrh. Glaucoma. Headache. Cardiac diseases, Endocarditis. Hernia, inguinal. Iritis. Jaw-joint, pain in. Neuralgia. Otalgia. Post-nasal catarrh. Prostatorrhea. Pterygium. Rectum cancerRheumatism. Scarlatina. Sigmoid flexure cancer. Stammering. Strabismus. Tinnitus. Tobacco habit. Toothache. Worms.

Catarrh, with hoarseness, continual discharge of mucus from nose, dry heat without thirst, prominent eyes, distressing headache, and disposition to weep. Nocturnal catarrh, with cough. Cough in open air, with pain in chest as from excoriation. Dry cough, violent and hollow, caused by irritation low down in trachea, with respiration obstructed, even to suffocation. Short, dry cough causing soreness of chest. Shortness of breath with anxiety and redness of cheeks and lips. Dyspnea when moving in bed; can only lie on right side or with the head very high. Danger of suffocation on least movement.

Contraction of chest, with anguish and obstructed respiration. Stitches in diaphragm with dyspnea. Cardiac regurgitation. Pressure, burning or incisive sensation pain. Sensation of trembling in thorax. Spasmodic sensation in chest, proceeding from pit of stomach and causing choking.

Sensation in heart as if squeezed with hand or as if crushed. Lancinations in region of heart. Stitches in heart sometimes synchronous with the pulse. Sensation of cardiac trembling.

Heartbeat do not correspond with those of the pulse. Pulse weak, irregular, trembling. Visible pulsation of heart. Violent, oppressive action of heart extending to top of head. Tumultuous action of heart in acute rheumatism and other acute disorders.

Needle-like stitches in upper dorsal vertebrae and in right scapula. Sensation in l. scapula as though blood were dripping through a valve, a kind of bubbling, pain in parotid gland.

Skin pale, wrinkled. Painful sensibility. Painful glandular swellings. Red pimples, with pain, as from excoriation, when touched. Heat in face and on hands, with chill in back. At night putrid perspiration with heat at same time. Clammy perspiration. Cold perspiration.

Urine, with whitish sediment. Polyuria with profuse emission. Sudden and involuntary dribbling of urine, with burning sensation in anterior part of urethra. Discharge of prostatic fluid from the urethra.

Veratrum viride

Clinical: Amaurosis. Amenorrhea. Apoplexy. Asthma. Bunions. Inflammation of caecum. Chilblains. Chorea. Congestion. Convulsions. Endocarditis. Diplopia. Diaphragmitis. Dysmenorrhea. Erysipelas. Headache, nervous; sick. Heart affections. Hiccough. Hyperpyrexia. Influenza. Measles. Meningitis. Menses, suppressed. Myalgia. Esophagus spasm. Orchitis. Pneumonia. Proctalgia. Puerperal convulsions. Puerperal mania. Sleep dreamful. Spine, congestion. Spleen congested. Sunstroke. Typhoid fever. Uterus congestion. Infective Endocarditis - Dr Qaisar Ahmed MD, DHMS

Congestion of chest with rapid respiration, nausea, vomiting; dull burning in region of heart. Pneumonia and pleurisy: pulse hard, strong, quick, or slow and intermittent; lungs engorged; faint feeling in stomach; high fever, face flushed.

Palpitation and dyspnea. Violent palpitation of heart and faint feeling. Faintness and biliousness; when rising from lying; from sudden motion; lying quietly. Pulse: slow, soft and weak; irregular, intermittent; suddenly increases and gradually decreases below normal. Aching in neck and shoulder, almost impossible to hold head up.

Pallor with syncope. Tremor. Spasm with violent shrieks; opisthotonos. Convulsions. Chorea, movements continuing in sleep. Hemorrhage from various organs. Body cold but moist skin. Profuse diaphoresis and sense of utter prostration. Bathed in cold sweat. Cold, clammy sweat on forehead. Irritative fever with cerebral congestion. Streptococcus fever; rapid and violent alternations of temperature. Ephemeral fevers with nausea and retching. Cerebro-spinal fever. Typhoid. Yellow fever.

Crawling in anus. Tenesmus and diarrhea, copious and offensive stool, with burning of anus and pale face; tenesmus and burning before and up to stool, not during and after. Sudden excessive tenesmus. Stools: copious, light, mornings; mushy, with tenesmus and burning; bloody (black in typhoid); doughy, stringy, hard to expel; alternately soft and hard every two hours.

Smarting in urethra on urinating. Urine: scanty; very clear; turbid, with reddish sediment, and scum. Hemorrhage in fungus haematoidin vesicae.

P. S: This article is only for doctors having good knowledge about Homeopathy and allopathy, for learning purpose(s).

For proper consultation and treatment, please visit our clinic.

None of above-mentioned medicine(s) is/are the full/complete treatment but just hints for treatment; every patient has his/her own constitutional medicine.

Dr Qaisar Ahmed MD, DHMS.Dr. Sayyad Qaisar Ahmed (MD {Ukraine}, DHMS), Abdominal Surgeries, Oncological surgeries, Gastroenterologist, Specialist Homeopathic Medicines.

 Senior research officer at Dnepropetrovsk state medical academy Ukraine.

Location:  Al-Haytham clinic, Umer Farooq Chowk Risalpur Sadder (0923631023, 03119884588), K.P.K, Pakistan.

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