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Call Dr. Sharma's Clinic - From United States and Canada call 703-659-0873.Patients From rest of the world and India call+91-7696069965

Homeopathic Remedies for High Prolactin

Prolactin is a hormone secreted by the pituitary gland (also called the master gland) which is situated at the base of the brain. Prolactin is also known as lactogenic hormone or milk hormone. The prolactin levels are considered high when they exceed the normal levels in blood of non pregnant females, non breastfeeding females and males. The medical term for this rise of prolactin levels is  hyperprolactinemia. Homeopathic remedies for high prolactin focus on treating the root cause leading to high prolactin levels and regulating the hormone to bring it to a  normal range. Both men and women usually have small amounts of prolactin in their blood.   Homeopathic Remedies for High Prolactin

Prolactin plays a role in regulating periods in non-pregnant women. In women, prolactin levels normally increase during pregnancy and nursing. This helps in breast growth during pregnancy and production of milk after delivery for breast feeding the baby. Increase of prolactin is normal during pregnancy and breastfeeding but sometimes it can occur in non pregnant women or even in men due to other causes.

Homeopathic Remedies for High Prolactin 

Homoeopathic medicines carry a great scope to manage complaints that arise from high prolactin levels in males and females. These medicines focus to treat the root cause behind high prolactin levels to bring recovery in its complaint and also the prolactin levels in normal range. These medicines being of natural origin are perfectly safe to use, and have no side effects. These medicines can help both females and males having high prolactin levels.

For Irregular Periods and Amenorrhoea

  1. Sepia

It is a very effective medicine for cases of irregular periods. Symptoms to use this medicine are late periods, sometimes appearing at a gap of three to four months. They are also scanty. Before periods, pain in the abdomen and back may appear. During periods there may be chilliness and sometimes fainting. Sometimes there appears vaginal discharge (leucorrhea) in place of menses. A peculiar symptom that may be present is a bearing down sensation in the pelvis as if the womb would force itself out of vagina.

  1. Pulsatilla

This medicine is prepared from plant Pulsatilla Nigricans commonly known as Wind Flower. This plant belongs to the family Ranunculaceae. It is very beneficial for irregular periods and absence of periods. The menses are late and scanty where it is required. The menstrual flow also lasts for too short a time. The menstrual blood may be of a dark or blackish colour. During menses there may appear pain in abdomen and back, sometimes nausea and vomiting, headache and vision dimness. 

For Infertility

Cases of infertility can also be treated with homeopathic medicines. Among various medicines used in homeopathy to treat infertility the top grade medicines are Sepia, Natrum Mur, Borax, Conium and Calcarea Carb. The best suited medicine among them is selected after thorough case analysis. 

When Non Pregnant/Nursing Women have Milk Production (Galactorrhea)

  1. Asafoetida

It is prepared from gum resin obtained by incision of the living root of plant Narthex Asafoetida. This plant belongs to the family umbelliferae. It is well-indicated when there is milk production in non-pregnant females. With this the breast is congested, distended and swollen. 

  1. Cyclamen

This medicine is prepared from the root of the plant Cyclamen Europaeum commonly known as sow-bread. This plant belongs to the family Primulaceae. It is useful for non-pregnant females who have discharge of milk from their breasts. Swelling in breasts and a hard, tensed sensation with pain may appear.  Stitches may be felt in the breast. Mostly there is breast swelling with milk secretion after menses.

  1. Pulsatilla

It is helpful when there is milk discharge from the breasts of girls before puberty. The breast gets fuller with production of milk which is thin white. The breasts are swollen with this. There is a pressing sensation and tension in the breast.

For Low Libido 

  1. Sepia

It is a top listed medicine when there is decrease desire for sex in females. There is irritability even on thoughts of sex. The vagina feels dry and there may be pain during intercourse.

  1. Lyssin

It is indicated when there is dislike for sexual intercourse following childbirth. Females needing it also have sensitive vaginas and complain of painful intercourse.

  1. Onosmodium

Onosmodium is prepared from plant Onosmodium virginianum having the common name False Gromwell. This plant belongs to the family Boraginaceae. Its use is considered when sexual desire is completely lost in females.

For Dry Vagina and Painful Intercourse

  1. Sepia

It is an excellent medicine for females who have a dry vagina and pain during intercourse. The sexual parts are also tender to touch, there is exhaustion after intercourse, and in some cases, bleeding. Sexual desire also tends to be low. 

  1. Natrum Mur

It is also a prominent medicine for complaints of vaginal dryness and painful intercourse in females. With this burning and smarting sensation in vagina may also be present. The vagina is sore.  

For Breast Pain / Tenderness

  1. Conium

Its use is mainly recommended when there is pain in the breast before and during periods. The pain worsens from least to jar and on walking. Stitches are felt in the breast. The breast feels swollen and sore.

  1. Lac Can

It is indicated when there is pain in the breast with soreness and sensitivity to least pressure. A dull, constant, aching pain is felt in the breast and also engorgement of breasts may also occur. 

For Hot Flashes

  1. Sepia

It gives wonderful results in cases of hot flashes. Females needing this experience sweating with hot flashes, weakness. There is also a tendency to faint.

  1. Lachesis

It is also highly useful in the cases of hot flashes. There is marked heat on the top of the head. With this there may be palpitations, headaches and fainting spells.

  1. Amylenum Nitrosum

It is considered when there are heat flashes in females which are followed by drenching sweats. Anxiety and palpitations are marked with this.

For Acne (Pimples)

  1. Hepar Sulph

It is best suited for acne that has pus in it. The acne is painful where it is required. The pain is like prickling pain. The acne may also bleed easily.

  1. Kali Bromatum

It is given in cases of acne that appear on face, shoulders and chest. The acne is itchy in these cases. They also leave scars on the skin. The acne gets worse before menses begin.

For Excessive Body and Facial Hair 

To manage this complaint the top listed medicines in homeopathy are Sepia, Oleum Jac and Thuja.

Homeopathic Remedies for High Prolactin Levels in Males 

For Low Libido 

  1. Agnus Castus

This medicine is prepared from ripe berries of the plant The Chaste Tree belonging to the family Verbenaceae. It is well-indicated when males have decreased or almost complete absence of sexual desire. With this they may also have weak or no erections.

  1. Nuphar Luteum

It is prepared from the fresh root of plant Yellow Pond Lily of family Nymphaeaceae.  It is very useful for males in whom sexual desire is completely absent.

  1. Yohimbinum

This medicine is prepared from the bark of the Yumbe Hoa tree of the family Rubiaceae. It is another prominent medicine that act as a great aphrodisiac to boost sex drive in males and treat sexual weakness.

For Erectile Dysfunction

  1. Agnus Castus

It is very effective when there are no erections and loss of sexual desire. The penis remains relaxed, flaccid and cold.

  1. Caladium

It is prepared from the plant Caladium seguinum also called Arum Seguinum. This plant belongs to family Araceae. It is used when sexual desire is present but there are no erections. The penis remains relaxed despite sexual desire.

  1. Lycopodium

This medicine is prepared from plant Lycopodium Clavatum commonly called Club Moss of family Lycopodiaceae. Its use is considered when the erections are weak and not perfect. There is also the complaint of premature ejaculation in males.

For Low Sperm Count

To help such cases, the top grade medicines are X-ray, Radium Bromatum and Agnus Castus.

Causes 

There are various causes for high prolactin levels.

  1. The most common cause for elevated prolactin levels is a benign (I.e. non cancerous) tumour in the pituitary gland known as a prolactinoma which secretes excessive prolactin. Prolactinomas are more common in women as compared to men. As per a study about 50 percent of hyperprolactinemia cases are caused by prolactinomas
  2. Second reason that can cause high levels of prolactin is diseases  (like infection, injury, tumour) of hypothalamus (small region of the brain located near the pituitary gland) 
  3. Next causes for it include hypothyroidism (under-active thyroid gland which does not produce enough thyroid hormone), low blood sugar levels, anorexia nervosa (an eating disorder in which a person has excessive weight loss and there is fear of gaining weight and becoming fat) chronic kidney failure, cushing’s disease (a condition characterised by excessive release of adrenocorticotropic hormone, ACTH by the pituitary gland) and cirrhosis of liver (scarring of liver)
  4. It can arise from use of certain medicines. These include antidepressants like clomipramine and desipramine, antipsychotics like haldol, risperdal, antihypertensives that control high blood pressure like Verelan, isoptin, acid H2 blockers like, birth control pills, opiate medicine used to relieve pain derived from opium.
  5. Excessive use of certain herbs like fenugreek, fennel seeds.
  6. Injuries or irritation of the chest wall (like from some surgical scar, shingles / herpes zoster). 
  7. Extreme stress or exercise.
  8. Sometimes no cause is found behind hyperprolactinemia.

Normal Range of Prolactin Levels

  1. The normal range of prolactin in women who are not pregnant is less than 25 ng/mL.
  2. The normal range of prolactin in women who are pregnant is between 34 – 386 ng/mL.
  3. The normal range of prolactin in men is between 2 – 18 ng/mL.

Symptoms

Some females may have no symptoms from high prolactin. While in others symptoms can appear that vary from one female to another. It can lead to irregular periods, missed periods / having no periods (amenorrhoea), infrequent periods and change in menstrual flow. 

There can be a stoppage of ovulation from high prolactin leading to infertility. Next it can cause milk production in women who are not pregnant or not nursing medically called as galactorrhea, low libido (reduced interest in having sex) and dryness of vagina that can cause painful intercourse. 

Other symptoms include breast pain / tenderness, hot flashes, acne (pimples) and excessive body hair and unnatural growth of facial hair.

In men the symptoms of hyperprolactinaemia are low libido (reduced desire for sex), erectile dysfunction (in this a man is unable to achieve or maintain erection required for sexual intercourse), enlargement of breast (gynaecomastia) and rarely breast milk production. Other complaints that appear in them include decreased muscle mass, lack of body and facial hair, and low sperm count or zero sperm count.

Headaches and eye problems in case of pituitary tumours can appear in both males and females in addition to above symptoms.

Call Dr. Sharma's Clinic - From United States and Canada call 703-659-0873.Patients From rest of the world and India call+91-7696069965

Homeopathic Medicines for Neurogenic Bladder

Neurogenic bladder is a term applied to lack of bladder control due to some brain, spinal cord or nerve problem. While homeopathic medicines for neurogenic bladder cannot completely reverse the condition or the damage which has already occurred, they are very effective at halting further progression of the condition and provide symptomatic relief.
The function of the urinary bladder is to store urine and expel it out from the body. Many nerves and bladder muscles work together in a well coordinated way for this purpose. These nerves help to carry messages between the bladder, spinal cord and brain to hold and release urine at appropriate times. Only on receiving a nerve message the bladder muscles either tighten or relax to manage urine release and storage. When this nerve pathway doesn’t work properly from nerve damage or from some brain disorder then it results in a neurogenic bladder in which the bladder muscles may not relax or tighten at the right time. As a result, the bladder may not fill or empty correctly respectively. homeopathic medicines for neurogenic bladder

Homeopathic Medicines for Neurogenic Bladder  

There are numerous natural homeopathic medicines that carry a good scope to help in managing symptoms of neurogenic bladder. These medicines can be taken for supportive help along with conventional treatment. There are no specific medicines in homeopathy which are indicated for these cases and the prominent individual symptoms present in every individual case serves as a guide to selecting the homeopathic medicine for that particular case. The symptoms of neurogenic bladder including frequent urination, urgency to urinate, involuntary urination, difficulty in starting to urinate, straining during urination, a weak urine stream, dribbling of urine and painful urination can be well managed with homeopathic medicines. These medicines should be used after complete analysis of the case from a homeopathic expert and self medication should be avoided. In case of acute urinary retention or kidney damage one should seek urgent help from conventional mode as homeopathy has its limitation here to help these cases.

For Managing Frequent Urination

  1. Merc Sol

This medicine is very beneficial for people who experience frequent urination day and night. They also have marked urgency to pass urine and have to hurry when the urge to pass urine is felt. When they pass urine it is scanty and flows in a thin stream. Sometimes it passes only drop by drop. They may also have burning in urethra on beginning to urinate. 

  1. Lycopodium

This medicine is prepared from the plant Lycopodium Clavatum commonly known as Club Moss. This plant belongs to the family Lycopodiaceae. Its use is highly recommended for cases where frequency of urination is increased at night time. Person needing it has to wait for a long time before he can pass urine. During urination burning can be felt in the urethra. The urine may be strong smelling. Other than this it is also indicated when there is complaint of involuntary micturition. Lycopodium is also a top grade medicine to treat cases of kidney stones.

For Marked Urgency to Urinate

  1. Petroselinum

This medicine is prepared from plant Petroselinum Sativum, also known as Parsley. This medicine belongs to the family Umbelliferae. It is very useful when there is sudden urging to pass urine. Along with this the urination is also frequent. The desire to urinate may arise every half hour. During micturition, burning in the urethra may be felt.

  1. Pulsatilla

This medicine is prepared from plant Pulsatilla Nigricans, also known as Pasque flower. The family of this plant is ranunculaceae. Its use is considered when there is marked urgency to urinate where a person can’t wait and has to rush to urinate. If he doesn’t hurry then the urine starts to leak on its own (urge incontinence). Other symptoms include frequent almost ineffectual urging to urinate, discharge of urine drop by drop, burning during and after urination

  1. Thuja

This medicine is prepared from fresh green twigs of plant Thuja Occidentalis commonly known by the name of Arbor Vitae. This plant belongs to family Coniferae. It is another excellent medicine for cases presenting with urgent, hasty desire to urinate that can not be controlled. To this continual urge to pass urine attends. Urine flow is obstructed in most cases needing it. Cutting pain in urethra appears during urination. Its use is also done when there is dribbling of urination.

In Cases of Difficulty in Initiating Urine

  1. Chimaphila

This medicine is prepared from plant Chimaphila Umbellata commonly known as pipsissewa or Ground Holly. This plant belongs to family Pyroleae. It is a very useful medicine when there is difficulty in starting urine. Persons needing it have to strain to initiate the urine flow. They have frequent desire to urinate every hour or two but pass only a small quantity of urine. The urinary stream is very thin like a thread. Sometimes they pass urine in drops. During urination they also feel cutting, scalding pains. 

  1. Nitric Acid

It also works well when there is difficulty in starting urine. Persons who need it have to stand and press a long to make the urine begin to flow. There is a very thin stream of urine that mostly smells very offensive. They may also feel cutting or needle – like stitches in the urethra.

  1. Prunus Spinosa

This medicine is prepared from a plant named Blackthorn of the family Rosaceae. The part of this plant used to prepare homeopathic medicine are the buds that appear just before flowering. This medicine offers much help when a person has to strain for a long time to begin urination. The urine passes in a feeble stream and is scanty. Other indications to use this medicine are an urgent desire to urinate, continuous urging to urinate, burning and biting in the bladder. 

For a Weak Urine Stream

  1. Clematis

This medicine is prepared from leaves and stems of plant Clematis Erecta that belongs to the family Ranunculaceae. This medicine is very effective for cases having weak urine streams and slow urination. The urination begins only after great straining in such cases. Other symptoms that are present include frequent and urgent desire to urinate, dribbling after urination, and a burning or sharp stitching pain in the urethra.

  1. Sarsaparilla

This medicine is prepared from dried rhizomes of the plant Sarsaparilla Officinalis also known as Wild Licorice (of the family Liliaceae.) Its use is also considered when the urine stream is very thin, feeble and the person has to press a lot to urinate. Sometimes urine flows in drops. Much pain and burning is felt at the end of urination. It is also top medicine for treating cases of UTI and kidney stones.

For Straining During Urination 

  1. Pareira Brava

This medicine is prepared from the root of the plant called Velvet Leaf. This plant belongs to the family Menispermaceae. It is an effective medicine when a person has to strain a lot to pass urine. In some cases needing it straining is extreme where a person has to go in a knee-hand position to pass urine. During efforts to urinate the pain goes down the thighs and even to the feet. The urge to pass urine is also constant with the above complaint. Dribbling of urine at the end of micturition may also arise. 

  1. Magnesia Mur

This medicine is significant to treat cases where a person has to strain intensely to urinate. He is able to pass urine only by bearing down hard with abdominal muscles. They may also have increased need to urinate with scanty urine. Sometimes urine is passed only by drops and he always feels some urine remains back in the bladder.

For Dribbling Urination

  1. Baryta Carb

This medicine is valuable to treat cases of dribbling of urine after urination. Additionally, there is a frequent and urgent desire to urinate. During urination, a  burning sensation can be felt. This medicine is also beneficial in cases of complete urinary incontinence (involuntary passage of urine).

  1. Cannabis Indica

This medicine is also well-indicated for dribbling of urine when the urinary stream stops. The urine is passed at short intervals and in small quantities. They also complain of burning, scalding or stinging pain during and after urination.

For Involuntary Urination (Urinary Incontinence)

Some of the leading homeopathic medicines for involuntary urination are Causticum, Sepia and Natrum Mur. The most suitable medicine among them can be used after case analysis to manage urinary incontinence.

For Sensation of Bladder not Emptying Completely 

  1. Staphisagria

This medicine is prepared from seeds of the plant Delphinium staphisagria also known as Stavesacre. It belongs to the natural order Ranunculaceae. It is an excellent medicine to manage cases where sensation as if the bladder did not empty completely is present. Other symptoms that are present are increased frequency to urinate but urine is scanty and passes in a thin stream. Following this, there is a sensation of incomplete emptying of the bladder. During and after urination burning in urethra is there.

  1. Hepar Sulph

This another one of the useful homeopathic medicines for neurogenic bladder when urine passes slowly with a feeling as if some urine is left behind in the bladder and it is not emptied thoroughly. In cases needing it, the urine flow is also obstructed and in the beginning the urine is slow to come after some wait.

For Painful Urination and UTI

  1. Cantharis 

It is a top grade medicine to manage cases of UTI. The key feature to use it is pain or burning during urination. It is also present before urinating and continues after urination. Other than this, there is a constant urge to pass urine, but the urine is very scanty or falls out drop by drop.  A sensation as if the bladder didn’t empty accompanies above symptoms.  

  1. Apis Mellifica

Apis Mellifica is next prominently indicated medicine for UTI cases. In cases needing it there is burning while urination that is felt extremely at the end of urination. Sometimes stinging pains are felt on urinating. Increased frequency to urinate is present with this.

Causes

The brain disorders that can lead to neurogenic bladder include the following:

Multiple sclerosis (an autoimmune disease in which the protective sheath called myelin sheath that covers the nerve cells in the brain and spinal cord is damaged.)

Parkinson’s Disease (a nervous system disorder presenting with rest tremor, slowed movement, muscle rigidity, impaired posture and balance, speech changes. In this disorder sometimes bladder problems can arise with difficulty urinating or inability to control urine.)

Alzheimer’s disease (an irreversible, progressive brain disorder in which memory and thinking skills are destroyed and it finally can make difficulties to carry out even the simplest tasks. In its last stages it can affect bladder and bowel control)

Stroke (refers to interrupted or decreased blood supply to a part of the brain that deprives it of getting oxygen and nutrients resulting in cell death). 

Infection or tumour of brain / spinal cord.

Cerebral Palsy (group of disorders in which movement, muscle tone or posture are affected due to damage to the immature brain during its development usually before birth.) 

Birth defects of the spinal cord like spina bifida (a birth defect in which the baby’s spine and spinal cord do not develop properly in the womb).

  1. Damage to the nerves which supply the bladder muscles can also lead to this condition. This kind of nerve damage can arise from diabetes, a pelvic surgery, vaginal childbirth, spinal stenosis / herniated disk, spinal cord injury, long term use of alcohol or some heavy metal poisoning.

Symptoms 

In cases of neurogenic bladder, there is loss of ability to control urination. The symptoms vary from one person to the other. In these cases either the bladder becomes overactive or underactive depending on the nerves which are involved and nature of the damage. In some of the cases both overactive and underactive bladder can occur in the same person.

  1. When the bladder becomes overactive it contracts more often than normal before it gets full with urine. It causes symptoms that include increased frequency to urinate, usually small amounts of urine, urgency to urinate (means sudden, urgent feeling to urinate). Additionally, sometimes the sphincter muscles may be too loose that cause urine to leak before reaching the bathroom (urge incontinence).
  2. When the bladder becomes underactive then it will not contract when it gets full with urine. With this, the sphincter muscle may be too tight to allow urine to pass. In this type of case, there is difficulty to feel or know when the bladder is full, and overflow incontinence (urine leakage when the bladder gets full) occurs.
    Other symptoms are difficulty in starting to urinate, straining during urination, a weak urine stream, an inability to empty all urine from the bladder and dribbling of urine.
  3. Painful urination can be present that indicates there is an urinary tract infection (UTI). In these cases recurrent UTIs may be present.

Complications

The complications of neurogenic bladder may include repeated urinary tract infections, kidney stones, and urinary retention. Damage to the kidney if the bladder becomes too full and causes back flow of urine into the kidneys frequently may also occur.

Call Dr. Sharma's Clinic - From United States and Canada call 703-659-0873.Patients From rest of the world and India call+91-7696069965

Achilles Tendinopathy – Homeopathic Treatment of Achilles Tendinitis 

An inflammation of the achilles tendon is known as achilles tendinitis (or tendonitis). This condition is also known as achilles tendinopathy. Homeopathic Treatment of Achilles Tendinitis involves the use of highly effective medicines that help reduce the inflammation of the achilles tendon and prevent the condition from worsening further.  The Achilles tendon is a tissue band that attaches the calf muscle (present in the back of leg) to calcaneus, or the heel bone. It is the thickest as well as the strongest tendon in the body. 

Homeopathic Treatment of Achilles Tendinitis

Homeopathic Treatment of Achilles Tendinitis 

Homeopathy provides a very natural and effective treatment for cases of achilles tendinitis. Homeopathic medicines bring about excellent relief in its symptoms including pain, swelling, stiffness in the region of achilles tendon and a  tight feeling in the calf muscles. Among the various homeopathic medicines for treating achilles tendinitis, the top grade ones are Rhus Tox and Ruta. These medicines work best when the inflammation of the tendon follows excessive straining or stress on the tendon due to its overuse. In case of a tear of the achilles tendon, one must seek help from conventional treatment for immediate care, and rely on homeopathy for supportive treatment only. 

  1. Rhus Tox – Top Grade Medicine

Rhus Tox is a top grade medicine to treat cases of achilles tendinitis. It is a forefront medicine when tendinitis arises from overuse of tendon or putting over stress, or over strain on the tendons. It helps to reduce the inflammation of the tendon and bring relief in pain of the tendon. People needing it mostly have aching pain in the lower back side of the leg. With this the calf muscle feels tensed. Stiffness in the leg is also felt, particularly in the morning hours. They also have pain in heels that is mostly sharp and stitching in nature. A general relief may be felt by motion and the complaint can worsen while at rest.

  1. Ruta – Tendinitis Following Overuse of Tendon 

It is a natural medicine prepared from fresh plant Ruta graveolens, commonly known as Garden Rue. This plant belongs to the family Rutaceae. Just like Rhus Tox, this medicine is well-indicated to treat cases in which tendinitis follows tendon overuse or strain or stress on the tendons. There is an aching or sore, bruised pain in the tendon along with marked restlessness.  

  1. Causticum – For Pain in Lower Leg

This medicine is useful when there is a pain in the lower leg. The pain is mostly tearing in nature. Along with this, the achilles tendon feels contracted and tensed. The heel also feels contracted. Other than this, cramping in the achilles tendon is also treated well with this medicine.

  1. Bryonia – When Motion Worsens the Complaint

This medicine is prepared from the root of the plant Bryonia alba having the common name White Bryony and Wild Hops. This plant belongs to the family Cucurbitaceae. It is best suited when the tendon is painful and motion increases the complaint. In cases needing it the tendon is also sore and bruised. With this there is marked pain in heel and tightness in the calf muscle.

  1. Zincum Met – For Pulsating, Drawing or Tearing Pain 

This medicine is very beneficial when there is pain in the achilles tendon having pulsating, drawing or tearing nature. The complaint worsenS from touching the heel to ground. A contracted sensation in the achilles tendon attends the pain. Lastly, the calf muscles feel tense and stiff usually when walking.

  1. Cimicifuga – When the Tendon is Painful, Sore and Stiff 

This medicine is prepared from the root of the plant Cimicifuga racemosa commonly named as Black Cohosh. This plant belongs to the family Ranunculaceae. It is a very effective medicine when there is aching pain, soreness and stiffness in the achilles tendon. These symptoms increase from walking. There is aching pain down the leg and bruised sensation in the heels. It is also indicated when the aching, pain and stiffness of tendon worsens in the evening time.

  1. Berberis Vulgaris – For Pain in Back of Heel

Berberis Vulgaris medicine is prepared from the bark of the root of plant barberry. This plant belongs to the family Berberidaceae. This medicine is useful when there is pain in the back of the heel. This pain can be tearing, stinging, stitching in nature. The heel pain tends to worsen while stepping, standing and walking, and the heel area can also be swollen along with the pain. 

  1. Ignatia – For Pain in Achilles Tendon and Calf Muscle

This medicine is considered when there is pain in achilles tendon and calf muscle. The pain is tearing in nature. This worsens from walking or exerting the area. Another symptom indicative of its use is a burning sensation in the heels especially at night time.

  1. Muriatic Acid – For Swelling and Heat in the Region 

This medicine is prominently used when there is swelling and marked heat in the area over the area of the achilles tendon. It is also highly painful and causes difficulty in walking. Lying down helps relieve the complaint. A drawing and tensed sensation in the calf-muscle can appear along with above symptoms. This medicine is used to treat the right leg more often. 

  1. Calcarea Carb – For feeling of Contraction 

This medicine is valuable to treat cases in which a person has a contracted feeling in the achilles tendon along with pain. With this, there is a stitching pain in the leg and above the ankle. There can also be an attending complaint of pain in the calf muscle upon walking, bending the foot or on touching. 

  1. Benzoic Acid – When Pain Worsens from Walking

It is a significant medicine for cases when the pain in the tendon worsens from walking. The pain begins from slightest body weight being put on the heel while walking in such cases. It is a well-indicated medicine for complaint in the left side of the leg.

  1. Kali Bichrome – For Soreness and Burning Sensation in Heel

This medicine is helpful when there is marked soreness and burning sensation in the heel. The soreness is worse from walking. Along with this, pain in the achilles tendon with a stretched sensation and aching in the calf muscle is also present.

Causes and Risk Factors 

The achilles tendon is used during walking, jumping and running. Though it is the strongest tendon, it is prone to inflammation that arises from the overuse of this tendon or putting, repetitive or extreme stress and extreme strain on this tendon.  

The factors that increase the risk of getting achilles tendinitis are as follows:

  1. Repeated exercise or sudden increase in intensity of exercise involving achilles tendon or excessive running, jumping that puts intense strain and stress on this tendon increases the risk.
  1. Athletes or people participating in some sports that put extra stress on the achilles tendon are at risk.
  2. Wearing worn out or poorly fitting shoes for a long time or while running. This also applies for ill-fitting high heels or their excessive use. 
  3. Elderley people are at an increased risk owing to the weakening of the tendon with age. 
  4. A naturally flat-arched foot also predisposes a person towards this condition.
  5. Tightness in the calf muscles can lead to an inflammation in the achilles tendon. 
  6. It happens more in men than women, and people who are overweight or obese face an increased risk. 
  7. Bone spurs (bony outgrowth developing along the edges of a bone) in the back of the heels can lead to its inflammation. 
  8. Certain medical conditions like rheumatoid arthritis (autoimmune disease causing inflammation of the joint with pain, swelling and stiffness in joints), high blood pressure  and psoriasis (autoimmune disorder that causes skin inflammation along with silvery white plaques) also increase the likelihood. 
  9. Certain antibiotics containing fluoroquinolones can lead to this condition as a side effect.
  10. This condition is more common in the cold weather as compared to warm weather

Types of Achilles Tendinitis

Tendinitis is primarily of two types –  

  1. Insertional Achilles tendinitis – In this type the lower part of achilles tendon where it joins the heel bone is affected
  2. Non- insertional Achilles tendinitis – In this type the fibers in the middle area of the achilles tendon are affected.

Symptoms 

The main symptom in cases of achilles tendinitis is pain above the heel or at the bottom of the back side of the leg. The pain most times appears while walking or running. Swelling in the back of the heel can appear and this area can also be tender and warm to touch. The calf muscles can feel tight along with the above symptoms. Lastly morning stiffness can be felt near the heel or bottom of the leg that usually starts getting better after mild activity.

Complications 

Achilles tendinitis can lead to deformity of this tendon or heel bone. Long term inflammation in the achilles tendon also leads to weakening of this tendon. This makes it prone to tear or rupture that mostly requires surgery for its repair.

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Homeopathic Remedies for Cranio-Facial Dystonia

Dystonia is a movement disorder in which muscle contractions/spasm appear involuntarily leading to slow and repetitive movements or abnormal postures. It can affect any part of the body. Homeopathic remedies for Cranio-Facial dystonia work towards reducing the intensity as well as frequency of the signs and symptoms in such cases.

  Homeopathic remedies for crania-facial dystonia

Facial dystonia can affect just one muscle, a group of muscles or muscles of the whole body. Sometimes the movement may cause pain. In some cases tremors may accompany dystonia. In dystonia the brain’s way of processing movements is disturbed leading to extra movement or extra force (muscle contraction).
When dystonia affects the muscles of the head, face and neck areas then it is referred to as cranio – facial dystonia. The intensity to muscle contractions can vary from mild to severe in it.

Homeopathic Remedies for Cranio-Facial Dystonia

Homeopathy holds a great promise in managing cases of cranio – facial dystonia.  These medicines act as a muscle relaxant and hence reduce the muscle spasms / contractions and manage its signs and symptoms. Homeopathic medicines are selected based on the signs and symptoms presented in each individual case.

  1. Zincum Met – Top listed medicine

Zincum Met is a leading nervous-constitution medicine that is indicated to treat a number of dystonia including cranio-facial dystonia. It works magnificently to control muscle twitchings. Here it is well indicated for treating spasms and twitching in muscles of the face. The twitchings are quite strong and noticeable. Next it is suitable to treat twitching in the upper lip. It is also prominently indicated to treat twitching of eyelids. With eyelid twitching photophobia i.e. sensitivity to bright light may be present in cases needing it.

  1. Agaricus – Another Prominent Medicine

Agaricus is the next significant medicine for cranio – facial dystonia. Its use is considered for twitching in facial muscles located specifically in the right cheek. Its second indication is spasm in the mouth causing clenching of jaw. Other than it is an excellent medicine to treat twitching of eyelids and spasmodic closure of eyelids. Lastly twitching in lips and tongue can be treated wonderfully with it.

  1. Cicuta – For Severe Facial Twitches

This medicine is prepared from the fresh root of plant Cicuta Virosa commonly known as water Hemlock. It belongs to family Umbelliferae. 

It is very beneficial for treating twitching in facial muscles that are of severe intensity. The twitchings can be severe enough to make the face appear distorted. Another guiding feature to use it is difficulty in speaking from lack of control on muscles of mouth and tongue. It is also useful when there is tight pressing of jaws together from muscle spasm.

  1. Belladonna – For Twitches in Facial Muscle, Eyelids

Belladonna is a natural medicine prepared from a plant known as deadly nightshade that belongs to family Solanaceae. Belladonna is a wonderful medicine for twitches of muscles of face and eyelids. Persons needing it have continual eyelid twitching and trembling. They are also troubled by twitching in the muscles of the face and jaw. They may face difficulties in speech. They may have tight closing of jaw, clenching of teeth or have lower jaw drawn backward. In addition to this they may have facial spasms causing grinning (smiling broadly) movement of mouth. They may have red, hot flushed faces with these symptoms. Lastly they may suffer from twitching, trembling of tongue.   

  1. Stramonium – When Mouth is Drawn to One Side

It is another medicine of plant origin prepared from thorn – apple. It also belongs to family solanaceae. Stramonium is mainly used when the mouth is drawn to one side from muscle spasm. It is also used when the mouth is closed from muscle spasm. Apart from this it is helpful when there is chewing motion of mouth from twitches. Hanging down of lower jaw from spasms is another indication to use it. Lastly a characteristic feature to use is distortion of the left side of face from contractions of facial muscle that causes cheeks and mouth to be drawn upward.

  1. Mygale – For Constant Twitching of Facial Muscle

Mygale is an important medicine to manage cases where the twitching of facial muscles is almost constant. Facial twitches cause opening of the mouth and eyes in quick succession. There also appears difficulty in putting out tongue from mouth from facial twitches.

  1. Opium – For Twitches Around the Mouth

Opium is significant medicine to treat twitches appearing around the mouth. The twitches are mostly located at the corners of the mouth and may cause distortions of mouth. Trembling / shaking of tongue may also appear. It also covers trembling, twitching and spasms of muscles of face. 

  1. Gelsemium- For Contracted Muscles Causing Difficulty in Speaking

Gelsemium is prepared from bark of the root of plant Gelsemium Sempervirens commonly known as yellow jasmine. This  plant belongs to the family Loganiaceae. Gelsemium is a wonderful medicine when a person faces difficulty in speaking from contraction of facial muscles especially around the mouth. Jaw pain may also be felt. Sideways movement of the lower jaw from lack of control over it is another feature suggestive of its use.

  1. Hyoscyamus – For Facial Twitches with Grimaces (ugly or contorted expressions)

Hyoscyamus is prepared from plant Hyoscyamus Niger commonly known as Henbane. The natural order of this plant is Solanaceae. It seems to help cases of facial twitches with grimaces (ugly or contorted expressions). with this there may be shaking of tongue in a to and fro movement. There is also a tendency to bite tongue when talking.

  1. Tellurium – For Facial Twitches on Left Side

Tellurium mostly helps with twitchings on the left side of the face. Persons needing it mostly have drawing upwards of the left sided corner of mouth. This is noted mainly when talking.

  1. Mezereum – For Twitchings on Right Side of Face

Mezereum is prepared from fresh bark of plant Daphne Mezereum having the common name spurge olive. This plant has natural order Thymelaeaceae. It works well in cases of twitchings on the right side of face. The twitchings are frequent and very troublesome. They are most marked in the cheek muscles on the right side. It is also helpful when there are continuous painful twitching in cheeks and eyelids.

  1. Cubeba – When Mouth Twitches while Speaking or Smiling

Cubeba is indicated when there is one sided twitching of the mouth. The mouth twitches appear while speaking or smiling. At that time the mouth gets twisted to one side.

  1. Kali Mur – For Facial Twitchings while Eating

Kali Mur is useful for cases in which facial twitchings appear while eating. The twitchings are located in the muscles of the lower jaw. An increased sensitivity of the whole face may attend the above features. Apart from above another feature indicating its use is twitchings in the corners of eyes.

  1. Moschus – When Twitching Causes Chewing Motion of Lower Jaw

The key feature to use Moschus is facial twitchings causing chewing motion of lower jaw. With this a person feels tension in muscles of face with sensation as if they are too short.

  1. Secale Cor – For Spasms and Twitching of Tongue

Secale Cor is beneficial for spasms and twitching of tongue. The person who requires it has movements of projecting of the tongue from mouth. It causes difficulty with speech. It can also lead sometimes to biting of the tongue.

More On Cranio-Facial Dystonia 

Cranio-facial dystonia can be further classified into –

1.Blepharospasm 

2.Hemifacial spasm

3.Oromandibular dystonia 

4.Meige syndrome

1. Blepharospasm – In this there appears abnormal involuntary blinking, twitching or tight closure of eyelids.

Reason

What exactly is not known yet. However genetics and heredity are also thought to play a role in causing it. Certain factors like bright light, alcohol intake, excessive caffeine , stress, fatigue can trigger eyelid twitching. It can be a sign included in certain eye conditions like uveitis, blepharitis, conjunctivitis, dry eyes, photophobia . Sometimes brain disorders can cause eye twitching, these disorders include parkinson’s disease, bell’s palsy, multiple sclerosis and tourette syndrome.

Symptoms

Its main symptoms are uncontrollable blinking, twitching of eyelids that may progress to eyelids being tightly shut. Dryness in the eyes, sensitivity to bright light, blurring of vision may appear with these symptoms. Sometimes the twitches may radiate to the nose, face and occasionally to the neck. 

2. Hemifacial spasm – It is characterised by involuntary twitching of muscles on one side of the face.

Reason

The facial muscles are controlled by a seventh cranial nerve called facial nerve. Hemifacial spasms mostly appear from irritation. compression, injury or damage to this facial nerve. Pressure on the facial nerve (at the point where it leaves the brain stem) by a blood vessel is the most important cause behind it. Rarely tumours putting pressure on the facial nerve can cause it. Bell’s palsy (facial paralysis that affects one side of the face) can also contribute to it. But in many cases no cause is identified behind it, this is referred to as idiopathic spasm. They are common in women as compared to men. Left side of the face is more commonly involved in it.

Symptoms

In this in the beginning there appear slight involuntary twitches in the eyelid on one side. As the time progresses, the twitches extend to other parts of the face including cheek, mouth, lips, chin, jaw and neck on the same side. Eventually it can spread to all the muscles on one side of the face. The muscles in the forehead and neck are most affected in the last. When muscles of the mouth area are affected then it can sometimes pull the mouth to one side. Sometimes the entire face can be pulled to one side when all the muscles of the face are involved. Initially the twitches are mild that even go unnoticed. With time the twitches become more pronounced and noticeable. The twitches can even continue in sleep.

As the condition intensifies, other symptoms like difficulty in hearing, noises in ear (tinnitus), pain in ear may appear with above. 

3. Oromandibular dystonia – In this there appear forceful muscle contractions in the face, mouth, jaw or tongue.

It may lead to difficulties with opening and closing the mouth. It also affects speech and chewing often. Sometimes it is also referred to as cranial dystonia. The dystonia affecting facial muscles and lips in musicians who play wind instruments is called embouchure dystonia. Dystonia affecting the tongue is called lingual dystonia. 

Reasons

Oromandibular dystonia can arise from some disorders like wilson disease (a genetic disorder causing excessive copper to build up in the body) and certain drug exposure. it can also be inherited usually with generalized dystonia. This dystonia is also more common in women as compared to men.  It mostly affects people of age group between 40 and 70 years of age.

Symptoms

The symptoms include involuntary opening and closing of mouth, clenching / tight pressing (shutting) of jaw, deviation of lower jaw toward one side or to the back, involuntary movements in the face, lips or tongue, uncontrollable pulling of tongue or mouth in different positions . This mostly arises when people are using their mouths like while talking or eating, making speech and swallowing difficult respectively but it can appear even at rest sometimes. Few other symptoms are facial grimacing, lip pursing or sucking and teeth grinding. Trauma to the lips and tongue may appear from uncontrollable, involuntary mouth closing and opening. Anxiety and tiredness tend to worsen the symptoms.

4. Meige syndrome – In this oromandibular dystonia appears in combination with blepharospasm.

It is also known as Brueghel Syndrome. In this the symptoms of both oromandibular dystonia as well as  blepharospasm occur together. The reason behind Meige syndrome is unknown. However it is thought to be caused by the interaction of certain genetic and environmental factors.

Pathophysiology behind dystonia

How dystonia exactly arises is not clearly understood till date. However it is believed that dystonia arises due to damage or improper functioning of the basal ganglia. It is the area of the brain responsible for beginning muscle contractions. Additionally there may be abnormalities in the brain’s way of processing information and generating commands to cause body movement.

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Epstein-Barr Virus – Homeopathic Medicines for EBV

Epstein – Barr virus (EBV) is counted among the members of the herpes virus family that are known to cause infections in human beings. It is one of the common human viruses in the world. It is mostly well known to cause infectious mononucleosis (also known as mono), though it can cause many other illnesses. Homeopathic medicines for EBV can effectively help in symptomatic management of the infection. Research to find the connection between EBV and other health conditions like autoimmune diseases (eg lupus, multiple sclerosis) and certain cancers (eg. Burkitt’s lymphoma, Hodgkin’s lymphoma, gastric cancer and nasopharyngeal cancer).

Homeopathic medicines for EBV

Homeopathic Medicines for EBV

Homeopathic medicines boost the immunity of body to fight with the infection and manage symptoms naturally. The symptoms of EBV infection that can be managed well with homeopathic medicines are feeling tired, sore throat, swollen tonsils, swollen lymph nodes in neck or armpit, headache, skin rash, muscle pain /soreness. 

1. Arsenic Album – To Manage Tiredness 

Arsenic Album is a leading medicine to manage complaint of tiredness in these cases. It is helpful where person feels tired even from slightest exertion. Tiredness is most felt by them when moving around. The tired feeling compels a person to lie down. The complaint is worse mostly at the night time. Restlessness attends to it in most of the cases.

2. Kali Phos – For Weak, Tired Feeling

Kali Phos is next medicine for managing weakness and tiredness. Persons needing it have weakness on both mental and physical spheres. They are extremely exhausted and lack strength to do any thing. In all such persons it proves highly effective to boost body energy levels and regain strength.

3. Gelsemium – For Weakness, Dullness, Drowsiness

Gelsemium can be highly beneficial for people who feel weak, dull and drowsy all the time. Along with this they also feel pain and soreness in the muscles. Sometimes they experience dull headache. The pain is mostly felt in back of the head. A sensation of band around the head is also felt. With this heaviness of eyelids is also present.

4. Carcinosin – For Chronic Fatigue in Mononucleosis

Carcinosin is also indicated for managing chronic fatigue in mononucleosis. Persons requiring it feel weary and fatigued always. This may be attended with trembling especially in the morning time. It works both in recent and long standing cases of mononucleosis.

5. Belladonna – For Sore Throat and Tonsillitis

Belladonna is highly recommended to manage sore throat and tonsillitis. The throat is red, the tonsils are swollen, red, enlarged, inflamed and painful where it is needed. Along with this the swallowing is difficult even for liquids. Throat feels dry and can be attended with a sensation of lump in it. Fever may also be present. 

6. Hepar Sulph – For Tonsillitis with Pus Points

Hepar Sulph is well indicated to manage tonsillitis with pus points on it. With this there is intense pain in the tonsils. Pain is mainly stitching type in most of the cases. The pain gets worse while eating food. The pain tend to radiate to ears from the throat. A feeling of a plug of mucus in throat is frequently felt. There may be hawking of thick, yellow mucus from the throat. 

7. Merc Sol – For White Patches of Pus on Tonsils

Merc Sol is another significant medicine for cases of inflamed tonsils covered with white pus patches. Persons needing it feel soreness, pain, burning and smarting sensation in the throat. The swallowing is also difficult in them. The pharynx is also bluish red usually with presence of ulcers. Along with this saliva is increased and offensive odour from mouth is usually present.

8. Phytolacca – For Sore Throat and Tonsillitis with Marked Burning Pains

Use of Phytolacca is mainly considered for sore throat and tonsillitis with marked burning pains. In cases needing it the throat is inflamed and appears dark red or bluish red.  The tonsils are also swollen with dark – red appearance. With this intense burning pain as from hot coals is experienced in throat and tonsils. The pain from throat may shoot to ears while swallowing.

9. For Reducing Lymph Node Swelling

Many homeopathic medicines can be helpful alleviating lymph node swelling in EBV. The most prominently indicated ones  include Calcarea Carb, Conium, Merc Sol and Phytolacca. These medicines helps to reduce swelling of lymph nodes.

10. Belladonna – To Relieve Headache

Belladonna is a wonderful medicine to relieve headache. The headache is mainly throbbing type for using it. It is most worse in the sides of head ie. The temporal region. Head feels congested along with heated sensation. In many cases pain may get worse from slightest light and noise. Pressure can give relief in the headache. 

11. Glonoine – For Marked Congestive Headache

Glonoine is beneficial to manage marked congestive headache. Persons needing it have throbbing, pulsating pain in head with a sensation as if it would burst. The pain may be felt in the forehead, sides of head or top of the head. Head also feels heavy especially in the forehead region. The pain may worsen from movement. Sleep may relieve the headache for a while.  

12. Rhus Tox – For Managing Muscle pains / Soreness

Rhus Tox is top listed medicine for managing muscle pains / soreness. For using it the pain and soreness may be present in any of the body muscle. Persons who require it mostly feels worsening of pain from rest. They get better by motion and exercise. Along with pain they may also feel stiffness in the body. 

13. Sulphur – To Manage Skin Rash

Sulphur can be given to manage skin rash. The rash is most times itchy where it is needed. The itching tends to get worse at night time. The skin is usually dry with rash in cases needing it. Along with this there may be heat / burning sensation on the skin.  

14. Ailanthus – For Skin Rash in Patches

Ailanthus is considered when the skin rash appear in patches. There may be purplish spots on the skin, blisters on skin or sometimes small bumps on skin. With this low fever may be present. Excessive weakness also appears with this. The tonsils are inflamed with above symptoms. Sometimes the tonsils are studded with multiple ulcers. The throat is also dark, red and swollen.

Transmission of EBV

EBV is contagious and spreads from person to person through bodily fluids 

(mainly saliva.) So one can get the virus by kissing someone who’s infected with EBV. It can also be transmitted through sharing toothbrushes, utensils or any other item contaminated with the virus from recent use by someone having active EBV infection. Apart from saliva, it can also spread through blood carrying this virus, like during blood transfusion. It can also be transmitted through organ transplant from someone having EBV infection. Lastly it can spread via infected semen during sexual contact. An infected person can pass the virus to others soon after contracting it even before experiencing any of its symptoms. As long as the virus remain in active phase (for weeks or months) in someone’s body he / she can spread it to others. But when the virus gets inactive (goes in dormant/ latent state) it can’t be passed to others. If it re – activates again even then it can again be spread to others. 

Pathophysiology

On exposure to the EBV the virus multiplies in the epithelial cells of pharynx.  After that it multiplies in the B lymphocytes (a type of white blood cell).  Following this abnormal, enlarged (atypical) lymphocytes develop when CD8 postive T cells respond to the infection. After primary infection, EBV remains in B lymphocytes for lifetime.

Symptoms of EBV 

EBV infection is mostly asymptomatic. In children, usually there are little to no symptoms present. The symptoms mainly appears in teens and adults. After contracting the virus, it can take around 4 – 7 weeks for the symptoms to appear. The symptoms includes feeling tired, fever, sore throat, swollen tonsils, swollen lymph nodes in neck or armpit, headache, skin rash, loss of appetite, muscle pain /soreness, enlarged spleen and liver swelling. These symptoms usually remain for around 2 – 4 weeks except for tired feeling which can continue for longer for few more weeks or months. After active phase of infection the virus goes in an inactive phase (latency) in body and remain in body throughout life. Sometimes it can reactivate but most times don’t lead to symptoms. But in some cases upon reactivation initial symptoms of EBV appears again usually in people having a weak immune system.

Most common disease that EBV can cause is mononucleosis but not everyone having EBV develops it. Its not a serious disease but symptoms of it can be intense to prevent a person from doing normal activities for several weeks and months. Mononucleosis is also known as the kissing disease because it can spread by kissing someone having EBV in the saliva. Another name for it is  infectious mononucleosis and glandular fever. The most common symptoms of mononucleosis are fever, sore throat, swollen lymph nodes in neck or armpits and feeling tired.

Complications

The complications include extremely swollen tonsils that can block breathing, rupture of spleen, myocarditis (inflammation of heart muscle), anaemia, decrease in platelet count, liver inflammation (hepatitis), meningitis (inflammation of meninges – the protective membranes that cover brain and spinal cord), Guillain-Barre syndrome (an autoimmune disorder that affects the peripheral nervous system).

Investigations 

Most of the EBV infections can be diagnosed just by the presenting symptoms. But sometimes tests are recommended where symptom picture is not clear. First test done where it is suspected is monospot test. But the Center for Disease Control doesn’t recommend the Monospot test for general use because of false-positive and false-negative results and it is not specific for EBV infection. Some other blood tests that are more specific to detect antibodies to EBV are done. These include Viral capsid antigen , Early antigen and EBV nuclear antigen tests. People who do not have antibodies to viral capsid antigen are susceptible to infection. Presence of antibodies anti -VCA  IgM to  Viral capsid antigen  and no antibody to EBV nuclear antigen points to a new or recent infection. Detection of antibodies to both VCA and EBV nuclear antigen represents past infection 

Apart from this white blood cell count to check for increased number of white blood cells (lymphocytes) or abnormal – looking lymphocytes  may be checked. Lastly  platelets count may be checked  (that can be decreased) and liver function tests may be done to check any abnormality. Homeopathic Medicines for EBV help treat the condition in a safe, natural manner.

 

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Homeopathic Medicines for Angular Cheilitis

Angular cheilitis, also known as angular stomatitis or perleche is an inflammatory skin condition in which swollen, red patches appear in the corners of the mouth. It is the area where the upper and lower lips connect at the corners of the mouth to form an angle. This area is medically called oral commissures. People from any age group can get it on one side or on both sides of the mouth. Homeopathic medicines for angular cheilitis bring excellent recovery in such cases by targeting to treat the root cause behind it (like infections, allergies etc)Homeopathic Medicines for Angular Cheilitis

Homeopathic Medicines for Angular Cheilitis

Homeopathic medicines are very mild and gentle, and can help effectively treat angular cheilitis. With its use, the inflammation at the corners of mouth reduces and the cracks, eruptions, ulcers heal properly. They also provide relief from symptoms like pain, burning, and itching. Further, they help treat recurrent tendencies of such diseases. 

1. Cundurango – For Painful Cracks at Corners of the Mouth

Cundurango is a top-grade remedy for angular cheilitis prepared from the dried bark of the condor plant. This is a plant of the family Asclepiadaceae. It gives great results where painful cracks at the corners of the mouth are present. The cracks can be quite deep. In some cases, the corners of the mouth may be ulcerated. 

2. Graphites – When Corners of Mouth are Dry, Rough, with Cuts

Graphites is a very effective medicine in cases where the corners of the mouth are extremely dry, rough and have deep cuts. These corners are highly cracked and fissured. Apart from this, it is an excellent medicine to treat cases with eruptions, crusting or ulcers at the mouth corners. They have a watery, sticky, gluey discharge. It also helps reduce scaliness in eruptions. In many cases, dryness, cracked lips, and a persistent burning sensation is also present with the above symptoms.

3. Petroleum – When Deep Cracks Bleed

Petroleum is considered in cases of angular stomatitis when there are deep cracks at the mouth corners that bleed often. Along with this the skin is rough, thick and hardened. The condition is worse in cold weather. Its use is also made when there appear crusts at the angles of mouth with redness, burning, itching and bleeding. Another indication to use it is eruptions at mouth corners with scaliness. 

4. Natrum Mur – For Blisters at Mouth Angle

Natrum Mur is well indicated for treating angular cheilitis with blisters at the mouth angle. With this the corners of mouth and lips are dry, ulcerated, and sometimes cracked too. Sometimes there appears scabs on the lips with burning, smarting sensation and sometimes bleeding.

4. Merc Sol – For Ulceration at Corners of Mouth

Merc Sol is a prominent medicine for ulceration at the corners of the mouth. Pain and soreness is present in these ulcers. Sometimes yellow scabs form at angles of the mouth. Along with this, the lips are dry, cracked, ulcerated and painful to touch. Excessive salivation and bad taste in the mouth may be resent along with some cases of oral thrush (fungal infection in mouth) along with angular stomatitis presenting with above symptoms. 

5. Silicea – For Crusts at Corners of Mouth 

Silicea is mainly indicated for treating crusts at the corners of the mouth. The crusts are usually hard and brownish coloured in cases needing it. Sometimes corners of the mouth are ulcerated with it. These ulcers may be painful. Itching is also present in these ulcers. Its use is also suggested where pus has formed in the affected area at the angles of the mouth.

6. Rhus Tox – For Crusty Eruptions at Mouth Corners

Rhus Tox is beneficial for cases where there are crusty eruptions at the mouth corners. Itching and burning is present, along with blisters and ulcers. The lips may be dry and parched and can be covered with reddish-brown crusts.    

7. Sulphur – To Manage Itching

Sulphur is an excellent medicine for cases where there is itching present at the angles of the mouth. These angles are ulcerated, and there is also pain in the oral commissures (mouth corners) in angular cheilitis.

8. Nitric Acid – For Rawness, Ulcers or Scabs at Mouth Angles 

Nitric Acid is indicated when there is rawness, ulcers or scabs formation at mouth angles. It is  attended with dry lips in most cases. The lips may also have blisters or ulcers attended with swelling and itching. Cracking and peeling off skin from lips mainly lower lip is mostly present. Stitching pain as from splinters may be there in lips. 

9. Belladonna – For Redness and Pain 

Belladonna is prepared from the plant called Deadly Nightshade that belongs to the family Solanaceae. It offers great help in treating redness and pain at the corners of the mouth. Sometimes eruptions are present with it. The lips may be dry, cracked, swollen with burning sensation. 

10. Psorinum – For Soreness at Mouth Corners

Psorinum is useful for reducing soreness at mouth corners. Ulcers may also be present at this site in cases needing it. Along with this dryness, burning, pain on lips is frequently noticed. Sometimes scaling is present on the lips.

11. Hepar Sulph – For Eruption with Heated Sensation

Hepar Sulph is an important medicine for eruption attended with heated sensation in corners of mouth. Sometimes there are ulcers at mouth corners. Itching around my mouth is also felt. Cracks in the lower lip may be present. It is also important medicine for healing these cases when pus has formed in the lesions.

12. Bryonia – For Dryness of Lips

Bryonia is useful to treat cases where dryness of lips is present. The lips are also swollen and cracked or covered with crusts. Sometimes bleeding appears from cracks. Burning sensation may appear in the lips when touched. 

13. Arsenic Album – For Burning Sensation in Mouth

Use of Arsenic Album is done mostly in cases where the burning sensation in the mouth is prominent. Along with there is excessive saliva with frequent spitting. This is accompanied by a bad taste in the mouth. The lips may be dry, parched, cracked along with constant licking.

14. Arum Triphyllum – For Burning Sensation on Lips

Arum Triphyllum is well-indicated for managing burning sensation on the lips. The lips in such cases become rough, sore, and cracked, and are accompanied by an intense burning. The corners of the mouth are also sore, cracked and bleeding. Those affected keep on picking the lips frequently.

Symptoms of Angular Cheilitis

The signs and symptoms in this condition appear at the corners of the mouth. Red spots develop at the corners of the mouth initially, particularly in mild cases. These spots may be attended with swelling. As the condition progresses, cracks begin to appear at the corners of the mouth. Bleeding may also arise from these spots. While in many other cases blisters (fluid-filled eruptions), ulcers, scaling, crusting may appear at corners of mouth. Irritation, itching and pain of varying intensity may appear in affected skin areas. With the above, a few other symptoms can appear. These include dryness of the lips, burning sensation on lips/in the mouth and bad taste in the mouth. In case of excessive irritation difficulty in eating may arise. The symptoms may last for just a few days or persist for a long time making the condition chronic. In chronic cases pus may form in the lesions at the corners of the mouth. When it develops from bacterial or fungal infection then the infection can spread to the adjoining skin area of the face. In some cases it can also cause oral thrush (fungal infection of the mouth).

Causes of Angular Cheilitis

Angular cheilitis can occur due to various causes, the most common among which are infections. The yeast Candida Albicans is a major cause. It usually begins from the collection of saliva at the corners of the mouth as a result of which this area remain moist for quite a long time. On evaporation of saliva dryness, cracks, irritation and pain starts appearing at this site. A person may then lick the lips frequently to reduce the dryness, irritation and pain. It will again make the corners of mouth moist and warm which gives an ideal environment for fungus to grow there.

Apart from this certain virus and bacteria can also cause it. The bacteria involved in causing it mainly includes staphylococcus aureus and beta – hemolytic  streptococci. If no cause is found behind it then the case is referred to as idiopathic angular cheilitis.

Risk Factors 

  1. An overhanging of upper lip – It causes deep angles at the corners of mouth and increases the chances of saliva to pool in these areas making it constantly moist. It leads to softening and breaking of skin and also favours growth of fungi. 
  2. Oral  thrush – it is a fungal infection in the mouth that predispose a person to angular cheilitis
  3. Allergic tendency – Allergies to certain products like toothpastes, lipsticks, lip balms, chewing gums and from material used in dentures can cause allergic contact dermatitis in the angles of mouth
  4. wearing braces or dentures – it plays are role if they are poor fitted and have associated receding of gums
  5. Having sensitive skin
  6. Certain habits like repeatedly licking lips and/or sucking the thumb
  7. Excessive salivation and drooling
  8. Sagging skin around mouth from weight loss or ageing process increases the chance of saliva collection in the angles of the mouth
  9. Use of certain medicines: Side effects of some medicines, like the  excessive use of corticosteroids, antibiotics and use of oral retinoid medication like isotretinoin employed in treating pimples can be contributing factors 
  10. Smoking 
  11. Nutritional deficiency of iron and vitamin B have been linked with angular stomatitis.
  12. Some medical conditions including diabetes (it causes weakening of the immune system making a person prone to yeast infection), inflammatory conditions like ulcerative colitis and Crohn’s disease, anaemia, genetic condition like Down’s Syndrome and infection near mouth like cold sores. 

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